2023-11-14T10:15:47-06:00 2022-12-31 135565207 KPMG LLP 4200 WELLS FARGO CTR 90 S 7TH STREET MINNEAPOLIS MN 55402 990 2022-01-01 411793333 HPI RAMSEY HPIR 9528836584 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 MEGAN M REMARK PRESIDENT 9528836584 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 1419552 0 X WWW.HEALTHPARTNERS.COM X 1994 MN SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS X 4 1 0 1 0 0 0 0 0 0 1419552 1419552 0 0 1419552 1419552 0 0 0 0 0 0 0 0 0 0 0 0 0 1419552 1419552 78932033 0 0 0 78932033 0 X HPI-RAMSEY IS ORGANIZED TO BENEFIT ITS RELATED TAX-EXEMPT ORGANIZATIONS BY PROVIDING SERVICES THAT INCLUDE STRATEGIC PLANNING AND OVERSIGHT ACTIVITIES. 0 0 1419552 SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS 1 0 0 0 0 0 0 0 0 0 0 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 1 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 1 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X KEVIN J BRANDT 9528836584 8170 33RD AVE S BLOOMINGTON MN 55440 X LANCE WHITACRE DIRECTOR 0.67 0.00 X 0 0 0 MEGAN M REMARK DIRECTOR & PRESIDENT 0.50 49.50 X X 0 871434 276903 PENNY CERMAK DIRECTOR & CHAIR 0.50 56.50 X X 0 1185339 246286 DELINDA WASHINGTON DIRECTOR 0.50 59.50 X 0 710540 146924 NANCY L EVERT SECRETARY 0.50 49.50 X 0 718467 195651 HEIDI G CONRAD TREASURER (JAN-OCT) 0.50 54.50 X 0 549913 116747 0 4035693 982511 0 0 1 0 0 1419552 1419552 1419552 1419552 0 0 0 0 0 0 78932033 78932033 0 0 0 X 78932033 0 78932033 0 78932033 0 X 1419552 -80351585 X 0 1 X 1 0 X X 4 REGIONS HOSPITAL FOUNDATION 411888902 7 0 0 0 REGIONS HOSPITAL 410956618 3 0 0 0 CAPITOL VIEW TRANSITIONAL CARE CENTER 412011453 3 0 0 0 HEALTHPARTNERS INC 411693838 10 1 0 0 4 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 PART I, LINE 11H, COLS. (V)&(VI) - VALUE OF SUPPORT NO DIRECT MONETARY SUPPORT IS INDICATED FROM HPI - RAMSEY TO ITS SUPPORTED ORGANIZATIONS: HOWEVER, HPI RAMSEY PROVIDES CORPORATE PLANNING AND OVERSIGHT, WHICH IS DESCRIBED IN SCHEDULE O AS "FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS." PART IV, LINE 1: ORGANIZATIONS IN GOVERNING DOCUMENTS THE ARTICLES OF INCORPORATION INDICATES THAT HPI-RAMSEY IS ORGANIZED AND SHALL OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSE OF ITS SUPPORTED ORGANIZATIONS, WHICH ARE HEALTHPARTNERS, INC. (HP), HPI-RAMSEY'S SOLE CORPORATE MEMBER, AND ORGANIZATIONS CONTROLLED DIRECTLY OR INDIRECTLY BY HP, THAT ARE DESCRIBED IN CODE SECTION 501(C)(3) AND 509(A)(1) OR 509(A)(2), INCLUDING ORGANIZATIONS DESCRIBED IN CODE SECTION 501(C)(4) OR 501 (C)(6) WHICH WOULD BE DESCRIBED IN CODE SECTION 509(A)(2) IF THEY WERE DESCRIBED IN CODE SECTION 501(C)(3). PART IV, SECT B, LINE 1: SUPPORTED ORGANIZATION & BOARD HPI RAMSEY HAS A FOUR MEMBER BOARD OF DIRECTORS. HPI-RAMSEY'S SOLE MEMBER, HP CONTROLS HPI-RAMSEY, E.G. HP HAS APPROVAL POWER OVER ANY CHANGES TO THE HPI-RAMSEY BYLAWS. THE HPI-RAMSEY BYLAWS PROVIDE THAT THREE MEMBERS OF THE HPI-RAMSEY BOARD SERVE EX OFFICIO (DUE TO THEIR OFFICES IN HP OR ITS SUBSIDIARY ENTITIES) AND THE FOURTH MEMBER IS SELECTED BY HP. AS A RESULT, HP EFFECTIVELY APPOINTS THE ENTIRE BOARD OF DIRECTORS OF HPI-RAMSEY. PART IV, SECT. A, LINE 3B: HPI-RAMSEY'S ONLY SUPPORTED ORGANIZATION THAT IS NOT A 501(C)(3) ENTITY IS HEALTHPARTNERS, INC., A MINNESOTA LICENSED HEALTH MAINTENANCE ORGANIZATION THAT DOES NOT MEET REQUIREMENTS FOR 501 (C)(3) STATUS AS A NETWORK MODEL HMO. THE STATE OF MINNESOTA MONITORS THE PUBLIC BENEFIT OF THESE ORGANIZATIONS ANNUALLY TO ENSURE THAT THEY MEET STATE AND FEDERAL REQUIREMENTS. PART IV, SECT. A, LINE 3C: NO DIRECT MONETARY SUPPORT IS INDICATED FROM HPI-RAMSEY TO ITS SUPPORTED ORGANIZATIONS: HOWEVER, HPI-RAMSEY PROVIDES CORPORATE PLANNING AND OVERSIGHT, WHICH IS DESCRIBED IN SCHEDULE O AS "FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS." PART IV, SECT. B, LINE 2: HPI-RAMSEY ARTICLES OF INCORPORATION PROVIDE THAT ITS SUPPORTED ORGANIZATIONS ARE HP AND OTHER SUCH ORGANIZATIONS THAT ARE CONTROLLED DIRECTLY OR INDIRECTLY BY HP. HP IS THE SOLE CORPORATE MEMBER OF HPI-RAMSEY. 0 X PART X, LINE 2: HPI RAMSEY 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 0 0 0 0 PENNY CERMAK DIRECTOR & CHAIR 0 805021 0 360450 0 19868 0 196481 0 49805 0 1431625 0 0 MEGAN M REMARK DIRECTOR & 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 DELINDA WASHINGTON DIRECTOR 0 550340 0 160200 0 0 0 103516 0 43408 0 857464 0 0 HEIDI G CONRAD TREASURER (JAN-OCT) 0 363640 0 166627 0 19646 0 80282 0 36465 0 666660 0 0 PART I, LINE 3 HPI RAMSEY HAS NO EMPLOYEES AND DOES NOT PAY COMPENSATION. ALL OFFICERS AND KEY EMPLOYEES ARE PAID BY GROUP HEALTH PLAN, INC. (GHI), A RELATED ORGANIZATION. ANY COMPENSATION IS DETERMINED SOLELY BY THE RELATED ORGANIZATION. 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 PENNY D. CERMAK $ 107,171 DELINDA H. WASHINGTON $ 49,973 FORM 990, 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 AND OFFICERS: MEGAN M. REMARK $ 34,053 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. INVESTMENT IN ST. FRANCIS REGIONAL MEDICAL CENTER 2022-12-31 80351585 ASSET VALUE 363465840 PARK NICOLLET HEALTH SERVICES 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 501C3 0 0 0 0 FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS CORPORATE STRUCTURE, PURPOSE, GOVERNANCE HPI RAMSEY 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). HPI RAMSEY IS THE SOLE CORPORATE MEMBER OF THE FOLLOWING NON-PROFIT CORPORATIONS, ALL OF WHICH ARE EXEMPT UNDER IRC SECTION 501(C)(3): REGIONS HOSPITAL (A FULL SERVICE HOSPITAL AND LEVEL 1 TRAUMA CENTER), REGIONS HOSPITAL FOUNDATION, CAPITOL VIEW TRANSITIONAL CARE CENTER, LAKEVIEW HEALTH (WHICH IS THE PARENT ENTITY OF LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC., LAKEVIEW HEALTH FOUNDATION AND STILLWATER MEDICAL GROUP), AND, RH-WISCONSIN, INC., A WISCONSIN NON-STOCK CORPORATION. RH-WISCONSIN TOGETHER WITH GROUP HEALTH PLAN, INC. (A STAFF MODEL HMO) ARE THE SOLE CORPORATE MEMBERS OF THREE TAX-EXEMPT WISCONSIN HOSPITALS: WESTFIELDS HOSPITAL, INC., HUDSON HOSPITAL, INC., AND AMERY REGIONAL MEDICAL CENTER, INC. HPI RAMSEY IS RECOGNIZED AS A SUPPORTING ORGANIZATION UNDER IRC SECTION 509(A)(3) THAT OPERATES FOR THE BENEFIT OF ITS RELATED QUALIFYING TAX-EXEMPT ORGANIZATIONS. AMONG HPI RAMSEY'S ACTIVITIES ARE: PROVIDES STRATEGIC PLANNING AND OVERSIGHT ACTIVITIES, PROMOTES THE DEVELOPMENT OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM, AND IMPROVES THE COORDINATION OF RESOURCES AMONG ITS SUPPORTED ORGANIZATIONS. FOR INFORMATION ABOUT THE COMMUNITY BENEFIT ACTIVITIES AND ACCOMPLISHMENTS OF HPI RAMSEY'S SUPPORTED ORGANIZATIONS, PLEASE SEE THE INDIVIDUAL FORM 990 FILINGS FOR EACH ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 HEALTHPARTNERS, INC. IS THE SOLE CORPORATE MEMBER OF HPI RAMSEY. FORM 990, PART VI, SECTION A, LINE 7A HPI RAMSEY HAS A FOUR MEMBER BOARD OF DIRECTORS. HPI RAMSEY'S SOLE MEMBER, HEALTHPARTNERS, INC. (HPI) CONTROLS HPI RAMSEY, E.G. HPI HAS APPROVAL POWER OVER ANY CHANGES TO THE HPI RAMSEY BYLAWS. THE HPI RAMSEY BYLAWS PROVIDE THAT THREE MEMBERS OF THE HPI-RAMSEY BOARD SERVE EX OFFICIO (DUE TO THEIR OFFICES IN HPI OR ITS SUBSIDIARY ENTITIES) AND THE FOURTH MEMBER IS SELECTED BY HPI. AS A RESULT, HPI EFFECTIVELY APPOINTS THE ENTIRE BOARD OF DIRECTORS OF HPI RAMSEY. FORM 990, PART VI, SECTION A, LINE 7B HEALTHPARTNERS, INC., THE SOLE CORPORATE MEMBER, MUST APPROVE THE DECISIONS OF THE BOARD OF DIRECTORS AS FOLLOWS: - AMENDMENT OF ARTICLES OR BYLAWS - ANNUAL OPERATING AND CAPITAL BUDGETS - ALL CAPITAL EXPENDITURES IN EXCESS OF $1,000,000 - MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION - DISPOSITION OF SUBSTANTIALLY ALL ASSETS - DISSOLUTION - ELECTION OF THE CHAIRPERSON AND PRESIDENT - ACTIVITIES THAT COULD IMPACT THE SOLE CORPORATE MEMBER'S STATUS OR THAT OF ITS RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION B, LINE 11B HPI RAMSEY'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF HPI RAMSEY. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GROUP HEALTH PLAN, INC. (GHI), THE MANAGEMENT TEAM OF HPI-RAMSEY, GHI'S INTERNAL LEGAL DEPARTMENT AND HPI-RAMSEY'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 HPI RAMSEY. HPI RAMSEY 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. THIS COPY IS PROVIDED IN A PRE-MEETING PACKET, AND IS AN AGENDA ITEM AT A MEETING OF THE FULL BOARD OF DIRECTORS. THIS PROCESS IS NOTED AND DOCUMENTED IN THE WRITTEN MINUTES OF THE MEETING. FORM 990, PART VI, SECTION B, LINE 12C THE HPI RAMSEY 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 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 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. FORM 990, PART VI, SECTION B, LINE 15 HPI RAMSEY HAS NO EMPLOYEES AND DOES NOT PAY COMPENSATION. ALL OFFICERS AND KEY EMPLOYEES ARE PAID BY GROUP HEALTH PLAN, INC. (GHI), A RELATED ORGANIZATION. ANY COMPENSATION DISCLOSED IS PAID AND DETERMINED SOLELY BY THE RELATED ORGANIZATION. THEREFORE, PART VI, SECTION B, QUESTION 15 IS NOT APPLICABLE TO HPI RAMSEY. FORM 990, PART VI, SECTION C, LINE 19 HPI RAMSEY'S FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM HPI RAMSEY OR HEALTHPARTNERS. HPI RAMSEY'S ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. HPI RAMSEY'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) - RELATED ORG. AVERAGE HRS. ALL OFFICERS OF HPI-RAMSEY ARE EMPLOYED AND COMPENSATED BY GHI. REPORTED AVERAGE HOURS WORKED ARE BASED ON THEIR TOTAL COMPENSATION FROM ALL RELATED ORGANIZATIONS. FORM 990, PART XI, LINE 9: TRANSFER TO PARK NICOLLET HEALTH SERVICES -80,351,585. 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 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 1 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 CAPITOL VIEW TRANSITIONAL CARE CENTER 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 412011453 TRANSITIONAL CARE SERVICES, STEP DOWN FROM INPATIENT HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) HPI - RAMSEY 1 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 1 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 1 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 1 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 0 0 0 0 0 0 0 1 0