2023-11-14T09:30:13-06:00 2022-12-31 135665207 KPMG LLP 4200 WELLS FARGO CTR 90 S 7TH STREET MINNEAPOLIS MN 55402 990 2022-01-01 412011453 CAPITOL VIEW TRANSITIONAL CARE CENTER CAPI 6512540400 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 MEGAN M REMARK PRESIDENT 6512540400 2023-11-14 1 MEGAN REMARK 999009999 0 HOLLY K MOEN P01800653 6123055000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MEGAN M REMARK 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 5345662 0 X WWW.HEALTHPARTNERS.COM X 2001 MN TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. 3 0 153 20 0 0 66849 0 6226515 5334148 3595 11514 0 0 6296959 5345662 0 0 0 0 5230845 5046303 0 0 0 1417456 1365303 6648301 6411606 -351342 -1065944 3045113 1650897 1042133 713861 2002980 937036 X CAPITOL VIEW TRANSITIONAL CARE CENTER'S MISSION IS TO RESTORE THE HEALTH AND FUNCTION OF EACH PATIENT WITH COMPASSIONATE, QUALITY, COST-EFFECTIVE CARE DURING THEIR TRANSITION FROM A HOSPITAL SETTING TO THEIR COMMUNITY OF ORIGIN. 0 0 6308802 5334148 SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS 6308802 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 153 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X KEVIN BRANDT 9528836584 8170 33RD AVE S BLOOMINGTON MN 55440 X NANCY A MCCLURE DIRECTOR 0.50 49.50 X 0 1111700 340733 THOMAS L VON STERNBERG MD DIRECTOR 0.50 19.50 X 0 151995 75535 ALICIA L GILBERT DIRECTOR (JAN-JUNE) 0.50 59.50 X 0 155297 32114 SCOTT A AEBISCHER VICE PRESIDENT 0.50 49.50 X X 0 99739 7630 JENNIFER L MYSTER DIRECTOR 0.50 52.50 X 0 640479 130531 HEIDI G CONRAD TREASURER (JAN-OCT) 0.50 54.50 X 0 549913 116747 MEGAN M REMARK PRESIDENT 0.50 49.50 X 0 871434 276903 NANCY L EVERT SECRETARY 0.50 49.50 X 0 718467 195651 MICHELLE L MANGAN ADMINISTRATOR 40.00 0.00 X 211441 0 35856 HENRY J LOZANO REHABILITATION COORDINATOR 50.00 0.00 X 125173 0 34711 TERESA A DURANT DIRECTOR OF NURSING 45.00 0.00 X 123787 0 14532 JULIE M HYLAND DIRECTOR FINANCIAL SERVICES 40.00 0.00 X 100406 0 17245 560807 4299024 1278188 4 0 1 0 0 HEALTH SERVICE REVENUE 623000 5334148 5334148 5334148 11514 11514 5345662 5334148 0 11514 4292397 4211728 80669 108365 105204 3161 398337 386719 11618 247204 239994 7210 135 135 22516 22516 4323 4323 17489 17489 52236 52225 11 607340 607340 5480 5480 2889 2889 79188 79188 34855 34855 MEDICAL SUPPLIES 261281 261281 EQUIPMENT, MAINTENANCE 230002 230002 MISCELLANEOUS 35758 35758 EMPLOYEE RECRUITMENT & 6832 6832 4979 4979 6411606 6308802 102804 0 36612 636890 1874012 339784 1033751 634067 20266 22331 919257 901432 80472 17825 3045113 1650897 1042133 713861 1042133 713861 X 2002980 937036 2002980 937036 3045113 1650897 -1065944 0 X 0 1 X 1 0 X SCHEDULE A PART 1, LINE 3 PER IRS INSTRUCTIONS FOR THE FORM 990, THE DEFINITION OF HOSPITALS FOR SCHEDULE A (FORM 990 OR 990-EZ), PART I, IS DIFFERENT FROM THE DEFINITION FOR SCHEDULE H (FORM 990), HOSPITALS. ACCORDINGLY, AN ORGANIZATION THAT CHECKS THIS BOX MAY OR MAY NOT BE REQUIRED TO COMPLETE SCHEDULE H (FORM 990). CAPITOL VIEW TRANSITION CARE CENTER IS NOT RECOGNIZED BY ANY STATE AS A HOSPITAL. THEREFORE, WE ARE NOT REQUIRED TO COMPLETE SCHEDULE H. 0 0 0 0 0 0 0 0 1 0 0 PART II-B, LINE 1: CAPITOL VIEW TRANSITIONAL CARE CENTER PAYS FOR CERTAIN CORPORATE AND EMPLOYEE PROFESSIONAL ASSOCIATION MEMBERSHIPS. A PORTION OF SUCH MEMBERSHIP DUES POTENTIALLY COULD BE USED BY THE PROFESSIONAL ASSOCIATIONS FOR LOBBYING ACTIVITIES. 226654 215289 11365 692603 686143 6460 17825 X PART X, LINE 2: CAPITOL VIEW TRANSITIONAL CARE CENTER 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, 2022 OR 2021 FOR UNRECOGNIZED TAX BENEFITS. 0 1 0 0 0 1 1 0 0 NANCY A MCCLURE DIRECTOR 0 676870 0 240834 0 193996 0 291508 0 49225 0 1452433 0 149768 MEGAN M REMARK PRESIDENT 0 572441 0 213079 0 85914 0 231484 0 45419 0 1148337 0 34053 NANCY L EVERT SECRETARY 0 500726 0 174605 0 43136 0 167010 0 28641 0 914118 0 37844 JENNIFER L MYSTER DIRECTOR 0 452929 0 125611 0 61939 0 88461 0 42070 0 771010 0 19970 HEIDI G CONRAD TREASURER (JAN-OCT) 0 363640 0 166627 0 19646 0 80282 0 36465 0 666660 0 0 MICHELLE L MANGAN ADMINISTRATOR 184836 0 26605 0 0 0 8817 0 27039 0 247297 0 0 0 THOMAS L VON STERNBERG MD DIRECTOR 0 139955 0 0 0 12040 0 64217 0 11318 0 227530 0 0 ALICIA L GILBERT DIRECTOR (JAN-JUNE) 0 151631 0 0 0 3666 0 8072 0 24042 0 187411 0 0 HENRY J LOZANO REHABILITATION COORDINATOR 116586 0 8547 0 40 0 5323 0 29388 0 159884 0 0 0 PART I, LINE 1A ALL CAPITOL VIEW TRANSITIONAL CARE CENTER (CVTCC) OFFICERS AND KEY EMPLOYEES ARE PAID BY GROUP HEALTH PLAN, INC (GHI) OR BY REGIONS HOSPITAL (REGIONS), RELATED ORGANIZATIONS OR BY CVTCC. COMPENSATION IS DETERMINED SOLELY BY THE RELATED ORGANIZATIONS. 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: MEGAN M. REMARK $37,280 NANCY L. EVERT $47,347 NANCY A. MCCLURE $44,974 JENNIFER L. MYSTER $22,205 PART I, LINE 6 CVTCC OFFICERS, DIRECTORS AND HIGHEST COMPENSATED EMPLOYEES ARE EMPLOYED BY REGIONS HOSPITAL (REGIONS) OR BY GROUP HEALTH PLAN, INC. (GHI), BOTH OF WHICH ARE RELATED ORGANIZATIONS, OR BY CVTCC. COMPENSATION REPORTED IN FORM 990, PART VIII INCLUDES ANY COMPENSATION DERIVED FROM REGIONS, GHI OR CVTCC MANAGEMENT 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 MANAGEMENT INCENTIVE PROGRAMS' REWARDS ARE BASED ON POSITION IN THE ORGANIZATION (E.G. SENIOR VICE PRESIDENT, VICE PRESIDENT, DIRECTOR, MANAGER, OTHER SPECIFICALLY IDENTIFIED LEADERS) AND THE ACHIEVEMENT OF BUSINESS AND HEALTH IMPROVEMENT GOALS ESTABLISHED IN A VARIETY OF AREAS. GOALS WILL BE RELATED TO THE ORGANIZATION'S STRATEGIC PLAN AND WILL BE BALANCED. THESE AREAS MAY INCLUDE BUT ARE NOT LIMITED TO PATIENT SATISFACTION, EMPLOYEE SATISFACTION, WORK ENVIRONMENT, EMPLOYEE AND/OR LEADERSHIP DEVELOPMENT, CARE DELIVERY, PATIENT EDUCATION, SIX AIMS, MARKET SHARE, STRATEGIC CAPABILITIES, 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. SCHEDULE J, PART II - PRIOR REPORTED COMPENSATION COLUMN (F) INCLUDES AMOUNTS PAID TO PARTICIPANTS IN THE CURRENT YEAR, WHICH WERE PREVIOUSLY REPORTED IN COLUMN (C) OF PRIOR YEARS' 990'S, AS RETIREMENT AND DEFERRED COMPENSATION, FOR THE FOLLOWING DIRECTORS, OFFICERS AND FORMER OFFICER: NANCY A. MCCLURE $ 149,768 MEGAN M. REMARK $ 34,053 JENNIFER L. MYSTER $ 19,970 NANCY L. EVERT $ 37,844 ANY ANALYSIS OF EARNINGS FOR THE CURRENT YEAR, FOR THESE PARTICIPANTS OF THE PLAN, SHOULD EXCLUDE THE AMOUNT IN COLUMN F AS PART OF THE ANALYSIS SINCE THOSE EARNINGS WERE ALREADY REPORTED IN COLUMN (C) OF PREVIOUS YEARS' 990'S. FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS CORPORATE STRUCTURE, PURPOSE, GOVERNANCE: CAPITOL VIEW TRANSITIONAL CARE CENTER (CVTCC) IS A MINNESOTA NON-PROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3) AND IS PART OF THE HEALTHPARTNERS ORGANIZATION, "HEALTHPARTNERS." FOUNDED IN 1957, HEALTHPARTNERS IS AN INTEGRATED HEALTH CARE ORGANIZATION, PROVIDING HEALTH CARE SERVICES AND HEALTH PLAN FINANCING AND ADMINISTRATION. HEALTHPARTNERS' MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. HEALTHPARTNERS SEEKS TO TRANSFORM HEALTH CARE THROUGH A RELENTLESS FOCUS ON THE TRIPLE AIM - PROVIDING EXCEPTIONAL EXPERIENCE FOR THE INDIVIDUAL, IMPROVING THE HEALTH OF THE POPULATION, AND MAINTAINING AFFORDABILITY. HEALTHPARTNERS, INC. (HPI) IS A MINNESOTA NONPROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(4) AND IS THE PARENT ENTITY OF HEALTHPARTNERS ORGANIZATIONS REFERRED TO COLLECTIVELY AS "HEALTHPARTNERS". HEALTHPARTNERS INCLUDES AN ARRAY OF TAX-EXEMPT AND TAXABLE ORGANIZATIONS. HEALTHPARTNERS PROVIDES A FULL RANGE OF HEALTH CARE DELIVERY AND HEALTH PLAN SERVICES INCLUDING INSURANCE, PATIENT CARE, ADMINISTRATION AND HEALTH AND WELL-BEING PROGRAMS. HEALTHPARTNERS HEALTH PLANS SERVE MORE THAN 1.8 MILLION MEDICAL AND DENTAL MEMBERS NATIONWIDE. HEALTHPARTNERS MEDICAL CARE SYSTEM INCLUDES MORE THAN 1,900 EMPLOYED PHYSICIANS AND DENTISTS, EIGHT OWNED HOSPITALS WITH OVER 1,000 ACUTE CARE BEDS, OVER 100 PRIMARY AND SPECIALTY CARE MEDICAL FACILITIES AND DENTAL FACILITIES WITH PRACTICES IN MINNESOTA AND WESTERN WISCONSIN SERVING MORE THAN 1.34 MILLION PATIENTS. HEALTHPARTNERS HEALTH PLANS CONTRACT WITH OTHER PRIMARY AND SPECIALTY MEDICAL FACILITIES AND DENTAL FACILITIES, PHYSICIAN GROUPS, HOSPITALS AND RELATED HEALTHCARE PROVIDERS TO SERVE PLAN MEMBERS. HEALTHPARTNERS ALSO PROVIDES MEDICAL EDUCATION AND TRAINING TO MEDICAL PROFESSIONALS AND CONDUCTS RESEARCH AND FUNDRAISING ACTIVITIES THAT SUPPORT THE HEALTH CARE DELIVERY SYSTEM. HEALTHPARTNERS COLLABORATES WITH OTHER PLANS, CARE PROVIDERS AND OTHER COMMUNITY AND BUSINESS ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION TO INCREASE ACCESS, CREATE AND SHARE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY, AND COLLABORATE IN IMPROVEMENTS THAT SUPPORT THE TRIPLE AIM. AMONG HEALTHPARTNERS' SIGNATURE INITIATIVES ARE TOTAL COST OF CARE MEASUREMENTS (A NATIONALLY RECOGNIZED METRIC, ENABLING MEASUREMENT AND INCENTIVES BASED ON COORDINATION AND EVIDENCE-BASED PRACTICES), MENTAL HEALTH (REDUCING STIGMA, AND ASSURING ACCESS TO HIGH QUALITY CARE IN THE MOST APPROPRIATE SETTINGS), CHILDREN'S HEALTH (IMPROVING CHILD HEALTH BY PROMOTING EARLY BRAIN DEVELOPMENT, PROVIDING FAMILY CENTERED CARE, AND STRENGTHENING COMMUNITIES), EQUITY, INCLUSION, AND ANTI-RACISM (ADDRESSING HEALTH EQUITY, ELIMINATING HEALTH CARE DISPARITIES, INCREASING DIVERSITY AND INCLUSION IN OUR WORKPLACES, BUILDING AN ANTI-RACIST CULTURE, AND DEEPENING OUR COLLECTIVE UNDERSTANDING OF CULTURAL HUMILITY) AND SUSTAINABILITY (ENERGY EFFICIENCY, WASTE REDUCTION, AND RESOURCE MANAGEMENT). A COMPLETE LISTING OF ALL ORGANIZATIONS WITHIN HEALTHPARTNERS, AND THE RELATIONSHIP BETWEEN THEM, CAN BE FOUND ON SCHEDULE R WITHIN THIS 990 RETURN. DETAILED INFORMATION ABOUT THE COMMUNITY BENEFIT ACTIVITIES AND ACCOMPLISHMENTS OF EACH TAX-EXEMPT ORGANIZATION CAN BE FOUND IN THE INDIVIDUAL FORM 990 RETURN FOR THAT ORGANIZATION. HEALTHPARTNERS, INC. (HPI) IS THE PARENT ENTITY OF HEALTHPARTNERS AND IS A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(4). HPI IS THE SOLE CORPORATE MEMBER OF HPI-RAMSEY, A MINNESOTA NON-PROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). IN TURN, HPI-RAMSEY IS THE SOLE CORPORATE MEMBER OF CVTCC AND ITS SISTER ORGANIZATIONS, REGIONS HOSPITAL (REGIONS), REGIONS HOSPITAL FOUNDATION, RH-WISCONSIN, INC., AND LAKEVIEW HEALTH, ALL OF WHICH ARE NON-PROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). COMMUNITY BENEFIT: CVTCC IS LICENSED UNDER MINNESOTA STATUTES AS A NURSING HOME WITH A CAPACITY OF 32 BEDS. CVTCC PARTICIPATES IN THE TRADITIONAL MEDICARE PROGRAM AND THE MEDICARE PART C MANAGED CARE PROGRAM AND IS CERTIFIED AS A MEDICARE SKILLED NURSING FACILITY. CVTCC'S FEES ARE ESTABLISHED TO COVER ITS COSTS IN PROVIDING CARE AND TO ENSURE ITS CONTINUED ABILITY TO PURSUE ITS MISSION. CVTCC IS ORGANIZED AND OPERATED EXCLUSIVELY TO PERFORM THE FUNCTIONS OF A SKILLED NURSING FACILITY TO PROVIDE TRANSITIONAL HEALTH CARE TO PATIENTS, INCLUDING CRITICAL CARE, SKILLED NURSING AND REHABILITATION THERAPY. TRANSITIONAL CARE SERVICES ARE TYPICALLY SHORT-TERM SKILLED NURSING SERVICES PROVIDED ON AN INPATIENT BASIS, OFTEN FOLLOWING DISCHARGE FROM A HOSPITAL AND PRIOR TO THE PATIENT'S RETURN HOME. THE AVERAGE LENGTH OF STAY FOR PATIENTS AT CVTCC'S FACILITY IS FEWER THAN 14 DAYS. TRANSITIONAL CARE SERVICES FILL A CRITICALLY IMPORTANT GAP IN THE HEALTH CARE CONTINUUM AND REDUCE THE COST ASSOCIATED WITH EXTENDED STAYS IN MORE EXPENSIVE INPATIENT FACILITIES. CVTCC HAS PROVIDED SUB-ACUTE TRANSITIONAL CARE OUTSIDE OF A TRADITIONAL HOSPITAL SETTING TO PATIENTS FOR OVER 21 YEARS AS PART OF HEALTHPARTNERS. NURSES AND THERAPISTS ARE LOCATED ON SITE TO PROVIDE PHYSICAL AND OCCUPATIONAL THERAPY SEVEN DAYS A WEEK. SPEECH THERAPY IS PROVIDED FIVE DAYS A WEEK. CVTCC ACCEPTS ADMISSIONS 24 HOURS A DAY, SEVEN DAYS A WEEK. TREATMENT IS PROVIDED IMMEDIATELY AFTER AN ACUTE HOSPITAL STAY, OR IN PLACE OF AN ACUTE HOSPITAL STAY. DISCHARGE PLANNING IS CONSIDERED A KEY COMPONENT TO THE CARE PLANNING PROCESS. CVTCC ALSO AIMS TO PROVIDE MEDICAL CAPABILITIES THAT COMPLEMENT PATIENTS' NEEDS, INCLUDING OBESE PATIENTS WHO REQUIRE SPECIAL ASSISTANCE AND PATIENTS WHO RELY ON EXPENSIVE THERAPEUTIC MEDICATIONS. CVTCC RECEIVES A SIGNIFICANT NUMBER OF PATIENTS FROM REGIONS HOSPITAL. REGIONS IS A FULL-SERVICE, TAX-EXEMPT HOSPITAL PROVIDING MEDICAL AND SURGICAL CARE, WITH SPECIAL PROGRAMS IN HEART, WOMEN'S CARE, CANCER, SENIOR SERVICES, BURN, EMERGENCY CARE AND LEVEL I ADULT AND PEDIATRIC TRAUMA SERVICES. FOR REGIONS' 2022 COMMUNITY BENEFIT ACTIVITY, PLEASE SEE THE REGIONS FORM 990. DISCHARGING PATIENTS TO A TRANSITIONAL CARE CENTER SUCH AS CVTCC WHEN IT IS MEDICALLY APPROPRIATE REDUCES THE OVERALL COST OF CARE, WHICH IS BORNE BY GOVERNMENT, COMMERCIAL INSURERS AND PATIENTS. REGIONS ALSO DISCHARGES UNINSURED PATIENTS TO CVTCC WHO NO LONGER REQUIRE HOSPITAL CARE AND ARE UNABLE TO PAY CVTCC FOR THEIR CARE. REGIONS PROVIDES FINANCIAL SUPPORT TO CVTCC TO HELP WITH THE PROVISION OF CARE TO THESE PATIENTS. IN ADDITION TO THIS FINANCIAL SUPPORT, REGIONS SIGNIFICANTLY REDUCES THE COST OF CARING FOR THESE PATIENTS IN THE INPATIENT SETTING DUE TO THE LOWER COST OF CARE IN THE NON-HOSPITAL SETTING. FURTHER, DISCHARGING PATIENTS WHO NO LONGER REQUIRE HOSPITAL CARE ENABLES REGIONS TO RELEASE BEDS FOR USE BY PATIENTS WHO REQUIRE HIGHER ACUITY HOSPITAL CARE. COMMUNITY HEALTH SERVICES: IN ADDITION TO SERVING PATIENTS IN THE COMMUNITY, CVTCC CONTINUED TO PROVIDE COMMUNITY SERVICE OUTREACH IN 2022. CVTCC STAFF MEMBERS SERVE ON COMMUNITY BOARDS AND COMMITTEES FOR VARIOUS PROFESSIONAL ORGANIZATIONS, INCLUDING: RONALD MCDONALD HOUSE, FEED MY STARVING CHILDREN, LOCAL FOOD SHELVES (NEIGHBORS INC. FOOD SHELVES),INTERNSHIPS FOR THE FOLLOWING COLLEGES: UNIVERSITY OF MINNESOTA, THE UNIVERSITY OF ST. KATES AND THE UNIVERSITY OF ST SCHOLASTICA, AS WELL AS THE PHYSICAL THERAPY ASSOCIATION, FACULTY SEARCH COMMITTEE AT THE UNIVERSITY OF MINNESOTA, AND AGING SERVICES OF MINNESOTA. FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS HEALTH PROFESSIONAL EDUCATION: CVTCC ALSO SERVED AS A HEALTH PROFESSIONAL EDUCATION SITE FOR: ST. CATHERINE'S PHYSICAL THERAPY STUDENTS TRAINING/CLINICAL, PHYSICAL THERAPY STUDENTS FROM THE UNIVERSITY OF MINNESOTA, PHYSICAL THERAPY ASSISTANT STUDENTS FROM ST. CATHERINE UNIVERSITY AND ANOKA RAMSEY, OCCUPATIONAL THERAPY STUDENTS FROM ST. SCHOLASTICA, ST. CATHERINE UNIVERSITY, PHYSICAL THERAPY STUDENTS FROM THE UNIVERSITY OF WISCONSIN, HEALTH UNIT COORDINATOR STUDENTS FROM ST. PAUL COLLEGE, AND SOCIAL WORK STUDENTS FROM AUGSBURG COLLEGE. FORM 990, PART VI, SECTION A, LINE 6 HPI-RAMSEY IS THE SOLE CORPORATE MEMBER OF CVTCC. FORM 990, PART VI, SECTION A, LINE 7A HPI-RAMSEY, THE SOLE CORPORATE MEMBER, ELECTS THREE DIRECTORS OF THE FOUR MEMBER BOARD OF DIRECTORS FORM 990, PART VI, SECTION A, LINE 7B HPI-RAMSEY, THE SOLE CORPORATE MEMBER, MUST APPROVE THE DECISIONS OF CVTCC'S BOARD OF DIRECTORS AS FOLLOWS: - AMENDMENT OF ARTICLES OR BYLAWS - ANNUAL OPERATING AND CAPITAL BUDGETS - ALL MAJOR CAPITAL EXPENDITURES - MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION - DISPOSITION OF SUBSTANTIALLY ALL ASSETS - DISSOLUTION - ACTIVITIES THAT COULD IMPACT THE SOLE CORPORATE MEMBER'S STATUS. FORM 990, PART VI, SECTION B, LINE 11B CVTCC'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF CVTCC. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GROUP HEALTH PLAN, INC. (GHI), THE MANAGEMENT TEAM OF CVTCC, GHI'S INTERNAL LEGAL DEPARTMENT AND CVTCC'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 CVTCC. CVTCC 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 CVTCC 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 REQUESTED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTERESTS. THE LEGAL DEPARTMENT 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, AND REINFORCES 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. FORM 990, PART VI, SECTION B, LINE 15 CERTAIN CVTCC OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES (EMPLOYEES) ARE EMPLOYED BY GROUP HEALTH PLAN, INC (GHI) OR REGIONS HOSPITAL (REGIONS) RELATED ORGANIZATIONS, OR BY CVTCC. GHI, REGIONS AND CVTCC HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF EMPLOYEES. 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 OR THE CVTCC BOARD OF DIRECTORS (THE "COMMITTEES"). BASED ON THIS DATA, 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 CVTCC'S BOARD OF DIRECTORS INPUT, THE REGIONS HOSPITAL VICE PRESIDENT, FINANCE CONDUCTS THE ANNUAL PERFORMANCE REVIEW AND, WITH THE BOARD'S APPROVAL, DETERMINES THE COMPENSATION OF THE CVTCC ADMINISTRATOR. ANY EXCEPTIONS TO COMPENSATION IN EXCESS OF THE APPROVED RANGES ARE APPROVED BY THE CVTCC BOARD OF DIRECTORS. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND W2 STATEMENTS. FORM 990, PART VI, SECTION C, LINE 19 CVTCC'S FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM CVTCC OR HEALTHPARTNERS. CVTCC'S ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. CVTCC'S CONFLICT OF INTEREST POLICY THROUGH ITS RELATED ORGANIZATION, HEALTHPARTNERS, INC. CAN BE VIEWED THROUGH THE HEALTHPARTNERS.COM WEBSITE. FORM 990, PART VII, SECT. A, LN. 1A, COL. (B) - AVERAGE HRS., RELATED ORG. DIRECTORS AND OFFICERS OF CVTCC ARE EMPLOYED AND COMPENSATED BY GHI OR REGIONS. REPORTED AVERAGE HOURS WORKED ARE BASED ON THEIR TOTAL COMPENSATED FROM ALL RELATED ORGANIZATIONS. HEALTHPARTNERS INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411693838 HYBRID STAFF MODEL/NETWORK MODEL HEALTH MAINTENANCE ORGANIZATION MN 501(C)(4) N/A 0 HPI-RAMSEY 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411793333 CORPORATE PLANNING AND OVERSIGHT MN 501(C)(3) 509(A)(3) TYPE I HEALTHPARTNERS INC 0 GROUP HEALTH PLAN INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 410797853 STAFF MODEL HEALTH MAINTENANCE ORGANIZATION MN 501(C)(3) 170(B)(1) (A)(III) HEALTHPARTNERS INC 0 RH WISCONSIN INC 8171 33RD AVE S PO BOX 1309 MPLS MN 554401309 202287016 CORPORATE PLANNING AND OVERSIGHT WI 501(C)(3) 509(A)(3) TYPE I HPI - RAMSEY 0 HEALTHPARTNERS INSTITUTE 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411670163 HEALTHCARE EDUCATION AND RESEARCH MN 501(C)(3) 509(A)(3) TYPE I HEALTHPARTNERS INC 0 REGIONS HOSPITAL 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 410956618 HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) HPI - RAMSEY 0 REGIONS HOSPITAL FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411888902 PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH MN 501(C)(3) 170(B)(1) (A)(VI) HPI - RAMSEY 0 RHSC INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411891928 HEALTHCARE STAFFING AND INTENSE REHAB SERVICES MN 501(C)(3) 509(A)(3) TYPE II HEALTHPARTNERS INC 0 HUDSON HOSPITAL INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 390804125 HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) RH-WISCONSIN INC 0 HUDSON HOSPITAL FOUNDATION INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 391279567 PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH WI 501(C)(3) 170(B)(1) (A)(VI) HUDSON HOSPITAL INC 0 LAKEVIEW HEALTH FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411386635 PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH MN 501(C)(3) 170(B)(1) (A)(VI) LAKEVIEW HEALTH 0 LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 410811697 HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) LAKEVIEW HEALTH 0 STILLWATER MEDICAL GROUP 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 830379473 CLINIC STAFF AND FACILITIES MN 501(C)(3) 509(A)(3) TYPE I LAKEVIEW HEALTH 0 LAKEVIEW HEALTH 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 300221189 CORPORATE PLANNING AND OVERSIGHT MN 501(C)(3) 509(A)(3) TYPE II HPI - RAMSEY 0 WESTFIELDS HOSPITAL INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 390808442 HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) RH-WISCONSIN INC 0 WESTFIELDS HOSPITAL FOUNDATION INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 391770913 PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH WI 501(C)(3) 170(B)(1) (A)(VI) WESTFIELDS HOSPITAL INC 0 PARK NICOLLET HEALTH SERVICES 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 363465840 CORPORATE PLANNING AND OVERSIGHT MN 501(C)(3) 509(A)(2) HEALTHPARTNERS INC 0 PARK NICOLLET FOUNDATION 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 237346465 SUPPORT TO RELATED ENTITIES AND COMMUNITY HEALTH MN 501(C)(3) 170(B)(1) (A)(VI) PARK NICOLLET HEALTH SERVICES 0 PARK NICOLLET METHODIST HOSPITAL 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 410132080 HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) PARK NICOLLET HEALTH SERVICES 0 PARK NICOLLET HEALTH CARE PRODUCTS 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 010638901 DURABLE MEDICAL EQUIPMENT , AND OTHER HEALTH CARE RETAIL SALES MN 501(C)(3) 509(A)(3) TYPE I PARK NICOLLET HEALTH SERVICES 0 PARK NICOLLET CLINIC 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 410834920 CLINIC SERVICES MN 501(C)(3) 170(B)(1) (A)(III) PARK NICOLLET HEALTH SERVICES 0 PNMC HOLDINGS 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 411741792 HEALTHCARE REAL ESTATE MN 501(C)(3) 509(A)(3) TYPE I PARK NICOLLET HEALTH SERVICES 0 AMERY REGIONAL MEDICAL CENTER INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 390908320 HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) RH-WISCONSIN INC 0 AMERY REGIONAL MEDICAL CENTER FOUNDATION INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 391726539 PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH WI 501(C)(3) 170(B)(1) (A)(VI) AMERY REGIONAL MEDICAL CENTER INC 0 HUTCHINSON HEALTH 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 841715908 HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) PARK NICOLLET HEALTH SERVICES 0 HUTCHINSON HEALTH FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 363317820 PROVIDE SUPPORT TO HOSPITAL MN 501(C)(3) 170(B)(1) (A)(VI) HUTCHINSON HEALTH 0 HEALTHPARTNERS RC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 844261122 HOSPITAL MN 501(C)(3) 170(B)(1)(A)(III) PARK NICOLLET HEALTH SERVICES 0 OLIVIA HOSPITAL & CLINIC FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411839619 PROVIDE SUPPORT TO HOSPITAL MN 501(C)(3) 509(A)(3) TYPE I HEALTHPARTNERS RC 0 HEALTHPARTNERS ADMINISTRATORS INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411629390 THIRD PARTY ADMINISTRATOR MN HEALTHPARTNERS INC C 0 HEALTHPARTNERS ASSOCIATES INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 522365151 MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT MN HEALTHPARTNERS ADMINISTRATORS INC C 0 HEALTHPARTNERS SERVICES INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411683568 MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT MN HEALTHPARTNERS ADMINISTRATORS INC C 0 HEALTHPARTNERS INSURANCE COMPANY 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411683523 MEDICAL AND DENTAL INSURANCE MN HEALTHPARTNERS ADMINISTRATORS INC C 0 DENTAL SPECIALTIES INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 451297583 DENTAL CLINIC STAFFING MN HEALTHPARTNERS ADMINISTRATORS INC C 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 HEALTHPARTNERS INC - CLAIMSHEALTHCARE SERVICES L 1156115 CASH AMOUNT