2023-11-15T13:22:59-06:00 2022-12-31 135565207 KPMG LLP 4200 WELLS FARGO CTR 90S7TH STREET MINNEAPOLIS MN 55402 990 2022-01-01 391726539 AMERY REGIONAL MEDICAL CENTER FOUNDATION INC AMER 7152688000 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 DEBRA A RUDQUIST PRESIDENT 7152688000 2023-11-15 1 DEBRA RUDQUIST 999009999 0 HOLLY K MOEN P01800653 6123055000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DEBRA A RUDQUIST 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 2197460 0 X WWW.AMERYMEDICALCENTER.ORG X 1991 WI TO PROMOTE THE HEALTH AND WELLNESS IN THE COMMUNITIES SERVED BY AMERY REGIONAL MEDICAL CENTER. 8 8 0 39 0 0 2289205 2168632 0 0 2585 20850 21728 1024 2313518 2190506 140653 1482153 0 0 0 0 0 0 0 2552 0 143205 1482153 2170313 708353 4016801 4817662 14796 107304 4002005 4710358 X AMERY REGIONAL MEDICAL CENTER FOUNDATION (FOUNDATION) EXISTS TO PROMOTE THE HEALTH AND WELLNESS OF THE PEOPLE IN THE COMMUNITIES SERVED BY AMERY REGIONAL MEDICAL CENTER (ARMC) BY PARTICIPATING IN VARIOUS FUNDRAISING ACTIVITIES. 0 0 1482153 1482153 SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS 1482153 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X KEVIN J BRANDT 9528836584 8170 33RD AVE S BLOOMINGTON MN 55440 X JOYCE SCHAEFER DIRECTOR & CHAIR 3.00 0.00 X X 0 0 0 BRIAN BYRNES DIRECTOR & SECRETARY & TRE 2.00 0.00 X X 0 0 0 JON BUSS DIRECTOR 2.00 0.00 X 0 0 0 BRUCE F DENNISON MD DIRECTOR 2.00 0.00 X 0 0 0 SHARI OVERBY DIRECTOR 2.00 0.00 X 0 0 0 J MARTIN NOONAN DIRECTOR & VICE CHAIR 2.00 0.00 X X 0 0 0 JAMES QUENAN MD DIRECTOR 2.00 0.00 X 0 0 0 ANN R SEAGREN MD DIRECTOR (JAN-SEPT) 0.50 39.50 X 0 177662 58881 JANE JOHNSON DIRECTOR 2.00 0.00 X 0 0 0 LISA RUEHLOW EXECUTIVE DIRECTOR 45.00 0.00 X 0 50345 19060 DOUGLAS E JOHNSON CFO 0.50 54.50 X 0 501465 118928 DEBRA A RUDQUIST PRESIDENT 0.50 49.50 X 0 388819 60897 DIANE C MCNEIL EXECUTIVE DIRECTOR (JAN-MAR) 40.00 0.00 X 0 31038 3834 JASON J LUHRS FORMER CFO 0.00 50.00 X 0 318933 60605 0 1468262 322205 0 1 1 0 0 41510 2127122 2168632 20850 20850 7978 41510 6954 1024 1024 2190506 0 0 21874 1482153 1482153 1482153 1482153 0 0 4016801 4817662 4016801 4817662 14796 107304 14796 107304 X 4002005 154135 4556223 4002005 4710358 4016801 4817662 708353 0 X 0 1 X 1 0 X 324463 405320 126534 284705 2168632 3309654 324463 405320 126534 284705 2168632 3309654 2196164 1113490 2997 3350 2284 2585 20850 32066 3341720 155774 0.33320 0.72250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X PART X, LINE 2: AMERY REGIONAL MEDICAL CENTER FOUNDATION, INC. 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. GOLF TOURNAMENT 49488 41510 7978 6954 0 49488 41510 7978 6954 6954 1024 1 AMERY REGIONAL MEDICAL CENTER 8170 33RD AVE SOUTH PO BOX 1309 BLOOMINGTON MN 55440 390908320 501(C)(3) 1390363 0 PROGRAM SUPPORT BALSAM BRANCH PARTNERSHIP INC 959 LONGWOOD RD AMERY WI 54001 391963477 501(C)(3) 26000 0 PROGRAM SUPPORT 2 PART I, LINE 2: AMERY REGIONAL MEDICAL CENTER FOUNDATION (FOUNDATION) MANAGEMENT STAFF REVIEW THE MISSION AND PURPOSE OF POTENTIAL GRANTEE ORGANIZATIONS TO ASSURE CONSISTENCY WITH THE FOUNDATION'S MISSION AND PURPOSE. AMOUNTS SUBSEQUENTLY GRANTED ARE SUBJECT TO THE FOUNDATION'S FORMAL SPENDING APPROVAL AND DOCUMENTATION PROCESS BASED ON AMOUNT OF THE EXPENDITURE. 0 0 0 0 0 0 1 0 0 DOUGLAS E JOHNSON CFO 0 346590 0 91391 0 63484 0 82683 0 36245 0 620393 0 0 DEBRA A RUDQUIST PRESIDENT 0 295270 0 78449 0 15100 0 24620 0 36277 0 449716 0 0 JASON J LUHRS FORMER CFO 0 244837 0 65415 0 8681 0 22875 0 37730 0 379538 0 0 ANN R SEAGREN MD DIRECTOR (JAN-SEPT) 0 142841 0 7879 0 26942 0 30776 0 28105 0 236543 0 0 PART I, LINE 3 THE FOUNDATION HAS NO EMPLOYEES AND DOES NOT PAY COMPENSATION. ALL OFFICER AND KEY EMPLOYEES ARE PAID BY GROUP HEALTH INC (GHI), REGIONS HOSPITAL (REGIONS), LAKEVIEW MEMORIAL HOSPITAL (LMH) OR AMERY REGIONAL MEDICAL CENTER (ARMC) RELATED ORGANIZATIONS. ANY COMPENSATION IS DETERMINED SOLELY BY THE RELATED ORGANIZATIONS. PART I, LINE 6 THE FOUNDATION'S OFFICERS AND DIRECTORS ARE EMPLOYED BY GROUP HEALTH INC (GHI), REGIONS HOSPITAL (REGIONS), LAKEVIEW MEMORIAL HOSPITAL (LMH) OR AMERY REGIONAL MEDICAL CENTER (ARMC) ALL OF WHICH ARE RELATED ORGANIZATIONS. COMPENSATION REPORTED IN FORM 990, PART VII INCLUDES ANY COMPENSATION DERIVED FROM GHI, REGIONS, LMH, OR ARMC 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 PROGAMS 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, OR 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, HEALTH EQUITY, HEALTHCARE AFFORDABILITY MEASURES, 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. FORM 990, PART III, LINE 4A - "EXEMPT PURPOSE AND ACHIEVEMENTS" CORPORATE STRUCTURE, PURPOSE, GOVERNANCE AMERY REGIONAL MEDICAL CENTER FOUNDATION, INC. (THE FOUNDATION), IS A WISCONSIN 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 NONPROFIT 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 NONPROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). IN TURN, HPI-RAMSEY IS THE SOLE CORPORATE MEMBER OF REGIONS HOSPITAL, REGIONS HOSPITAL FOUNDATION, CAPITOL VIEW TRANSITIONAL CARE CENTER, LAKEVIEW HEALTH, AND RH-WISCONSIN, INC., ALL OF WHICH ARE NON-PROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). RH-WISCONSIN AND GROUP HEALTH PLAN, INC. (GHI) ARE CORPORATE MEMBERS OF AMERY REGIONAL MEDICAL CENTER, INC. (ARMC). ARMC IS A WISCONSIN NON-PROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3). IN TURN, ARMC IS THE SOLE CORPORATE MEMBER OF THE FOUNDATION. AMERY REGIONAL MEDICAL CENTER IS DOING BUSINESS AS AMERY HOSPITAL & CLINIC (AHC). THE AMERY REGIONAL MEDICAL CENTER FOUNDATION EXISTS TO PROMOTE THE HEALTH AND WELLNESS OF THE PEOPLE IN THE COMMUNITIES SERVED BY ARMC BY PARTICIPATING IN VARIOUS FUNDRAISING ACTIVITIES. BENEFIT TO THE COMMUNITY FUNDRAISERS THE MAJOR FUNDRAISER IN 2022 WAS OUR 34TH ANNUAL GOLF CLASSIC IN SEPTEMBER. THIS EVENT SURPASSED OUR FUNDRAISING GOAL AND BECAME THE LARGEST FUNDRAISER EVER FOR THE ARMC FOUNDATION, RAISING OVER $49,000 (NETTING OVER $42,000) TOWARD THE UPGRADE AND EXPANSION OF THE ARMC EMERGENCY DEPARTMENT TO MEET THE INCREASING VOLUMES AND TYPES OF PATIENTS ARMC IS SERVICING. APRIL'S "ONE CAMPAIGN" RAISED $38,183 IN EMPLOYEE GIVING DURING 2022. EMPLOYEES DIRECTED THESE FUNDS TO COMMUNITY GIVING, HOSPITAL SUPPORTED PROGRAMS, THE EMERGENCY DEPARTMENT UPGRADE, COMMUNITY HEALTH INITIATIVES, PATIENT CARE NEEDS, EMPLOYEE TO EMPLOYEE ASSISTANCE, AND THE GREATEST NEEDS FUND. OUR END-OF-THE-YEAR LETTER CAMPAIGN RAISED $6,175 TOWARD THE RENOVATION AND EXPANSION OF THE ARMC EMERGENCY DEPARTMENT, THE NEW CHEMO INFUSION CENTER, AND OUR GREATEST NEEDS FUND. DONATIONS RECEIVED: IN ADDITION TO THESE FUNDRAISING EVENTS, THE FOUNDATION RECEIVED $8,414 IN GENERAL DONATIONS, MEMORIAL GIFTS, AND OTHER CONTRIBUTIONS. GRANTS RECEIVED IN 2022, OUR FUNDRAISING FOCUSED ON FUNDING THE FINAL PHASE (PHASE 3) OF THE ARMC EMERGENCY DEPARTMENT ENTRANCE AND EXPANSION TO MEET THE INCREASING VOLUMES AND TYPES OF PATIENTS. THE FOUNDATION RECEIVED $2.056 MILLION IN OUTSIDE GRANTS IN 2022, AND $2.025 MILLION WERE DEDICATED FOR THIS PROJECT. GRANTS RECEIVED INCLUDED: $2 MILLION FROM THE FRED C. AND KATHERINE B. ANDERSEN FOUNDATION (FOR ED EXPANSION) $2,500 FROM THE ST. PAUL & MINNESOTA FOUNDATION (FOR ED EXPANSION) $38,250 FROM HEALTH & WELLNESS FUND OF ARMC AT ST. CROIX VALLEY FOUNDATION DESIGNATED FOR OUR "POWERUP" COMMUNITY HEALTH PROGRAM. $8,395 FROM HEALTH & WELLNESS FUND OF ARMC AT ST. CROIX VALLEY FOUNDATION DESIGNATED FOR "MAKE IT OK" COMMUNITY PROGRAM. $7,200 FROM HEALTH & WELLNESS FUND OF ARMC AT ST. CROIX VALLEY FOUNDATION FOR THE AMERY AREA COMMUNITY GARDEN. HOSPITAL SUPPORTED PROGRAMS/COMMUNITY CONTRIBUTIONS THE FOUNDATION STRATEGICALLY PARTNERS WITH ARMC TO ENHANCE PATIENT CARE, TO PROVIDE EVIDENCE-BASED TRAINING FOR STAFF, AND TO PROMOTE HEALTH AND WELLBEING WITHIN THE COMMUNITY. PROGRAM HIGHLIGHTS FROM 2022: ARMC HOSPITAL SUPPORTED PROGRAMS: $1,285 TO PURCHASE POSITIONING AIDS AND OTHER ITEMS THAT ARE USED DAILY IN IMAGING TO IMPROVE PATIENT EXPERIENCE. $378 TO PURCHASE 20 BOOKS FOR EMPLOYEE SCHWARTZ ROUNDS SUPPORT, WHICH OFFERED A DETAILED ACCOUNT OF A LOCAL RN WHO WORKED IN THE ICU DURING COVID. THE PURPOSE OF SCHWARTZ ROUNDS IS TO ENGAGE AMRC STAFF IN REFLECTION AND SHARING OF EVERYONE'S EXPERIENCES DURING THE PANDEMIC, THIS TIME WITH THE HELP OF SOMEONE WHO HAS WRITTEN A BOOK ABOUT IT. THE AUTHOR HERSELF FACILITATED THIS SESSION. DISCUSSING CERTAIN TOPICS OR PATIENT CASES ALLOWS EVERYONE IN ATTENDANCE TO LEARN FROM EACH OTHER AND GAIN A DEEPER UNDERSTANDING OF EMOTIONS AND CHALLENGES FACED IN OUR WORK. $5,084 TO PURCHASE A HOVERJACK AIR PATIENT LIFT FOR THE EMERGENCY DEPARTMENT. $3,100 TO PURCHASE A FREEZER AND WARMER FOR THE ARMC OB DEPARTMENT TO ESTABLISH A DONOR MILK PROGRAM. WOMEN WHO HAVE CHOSEN TO BREASTFEED AND NEED TO SUPPLEMENT THEIR NEWBORN WANT TO USE DONOR MILK BECAUSE EVEN THE SMALLEST AMOUNT OF BREAST MILK CAN HAVE SIGNIFICANT POSITIVE EFFECTS ON HEALTH OUTCOMES THAT FORMULA CANNOT PROVIDE. A NEWBORN MAY NEED SUPPLEMENTATION FOR MANY MEDICAL REASONS: IF THEY LOSE MORE THAN 10 PERCENT OF THEIR BIRTH WEIGHT, THEIR BLOOD SUGAR IS TOO LOW, IF THEY DEVELOP JAUNDICE, ARE TOO SLEEPY TO NURSE, OR THEY WERE BORN EARLY. FOR CONTINUED SUPPORT OF STAFF CARE: $4,580 TO PURCHASE MANNEQUINS, EQUIPMENT, AND SIMULATION TRAINING FOR NURSES: MANNEQUINS PROVIDE STAFF ESSENTIAL HANDS-ON TRAINING AND INCREASE NURSING COMPETENCY AND CONFIDENCE, PROMOTING A CULTURE OF QUALITY, SAFE NURSING CARE. EMPLOYEE EMERGENCY: THE FOUNDATION PROVIDED $2,362 OF SUPPORT TO ARMC EMPLOYEES IN A TEMPORARY FINANCIAL CRISIS DUE TO A PERSONAL EMERGENCY SITUATION. THESE FUNDS WERE GIVEN IN A VERY SELECTIVE PROCESS AND WERE REQUESTED BY EMPLOYEES THEMSELVES. FORM 990, PART III, LINE 4A - "EXEMPT PURPOSE AND ACHIEVEMENTS" COMMUNITY CONTRIBUTIONS: $79,638 TO POWERUP. POWERUP IS A COMPREHENSIVE, ST. CROIX VALLEY-WIDE INITIATIVE TO MAKE IT EASY AND FUN FOR KIDS AND FAMILIES TO EAT BETTER, MOVE MORE, BE ACTIVE IN FUN WAYS AND FEEL GOOD, SO KIDS CAN GROW UP HEALTHY AND REACH THEIR FULL POTENTIAL. WE HAVE PROVIDED FINANCIAL SUPPORT TO BRING THIS PROGRAM TO THE AMERY AREA SINCE ITS START IN 2015. IN 2022 PARENT SURVEYS, 97 PERCENT SAID POWERUP IS IMPORTANT IN HELPING OUR KIDS GROW UP HEALTHY, AND 83 PERCENT OF TEACHERS AND PARENTS SAID CHILDREN MORE READILY TRY FRUITS AND VEGETABLES AS A RESULT. $15,600 FOR MAKE IT OK, AN ORGANIZATION THAT WORKS TO DE-STIGMATIZE MENTAL ILLNESS. $2,835 TO ESTABLISH A NEW, FOUR-WEEK HANDS-ON COOKING CLASS IN PARTNERSHIP WITH UW-EXTENSION FOODWISE AND FARM TABLE FOUNDATION CALLED EATING WELL IN RECOVERY. $6,500 COMMUNITY GARDEN: THE FOUNDATION SUPPORTED THE COMMUNITY GARDEN PROGRAM FOR OPERATIONAL EXPENSES OF THE 20 COMMUNITY WIDE GARDEN PLOTS AND FRUIT TREES ON SITE AT ARMC, WHICH DONATES LAND FOR THIS USE. MASTER GARDENERS GREW AND DONATED FRESH VEGETABLES TO THE AMERY AREA FOOD SHELF. MASTER GARDENERS AND VOLUNTEERS OF THE COMMUNITY GARDEN PARTNERED WITH THE CITY OF AMERY, THE HUNGRY TURTLE FOOD INSTITUTE, THE AMERY HOUSING AUTHORITY, AND THE AMERY FOOD SHELF TO SUPPORT GROWING FOOD FOR COMMUNITY MEMBERS WITH FOOD INSTABILITY. FORTY GARDEN BUCKETS (A "PORTABLE GARDEN") WERE PROVIDED TO RESIDENTS OF THE AMERY HOUSING AUTHORITY'S WATERS EDGE APARTMENTS. FRESH VEGETABLES WERE GROWN AND DISTRIBUTED TO THE FOOD SHELF. IN 2022, THE FOUNDATION PARTNERED WITH HUMAN RESOURCES TO OFFER A PROGRAM OF UP TO THREE SPONSORSHIP SCHOLARSHIPS TO STUDENTS IN OUR SERVICE AREA. THESE RENEWABLE SCHOLARSHIPS COVER THE COST OF TUITION, BOOKS, AND ACADEMIC FEES OF UP TO $2,500 PER SEMESTER WITH A MAXIMUM OF $10,000 OVER THE LIFE OF THE PROGRAM FOR STUDENTS WHO ENROLL IN ONE OF SEVERAL SPONSORED PROGRAMS AT AN ACCREDITED TECHNICAL COLLEGE. AFTER MEETING PROGRAM CRITERIA AND GRADUATING, THERE WILL BE A JOB OPPORTUNITY AWAITING THEM AT AMERY HOSPITAL & CLINIC. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF THE FOUNDATION IS ARMC. FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO BYLAWS, THE FOUNDATIONS BOARD OF DIRECTORS IS COMPRISED OF AT LEAST 5 BUT NO MORE THAN 9 PERSONS. AT LEAST 2 DIRECTORS MUST BE APPOINTED BY ARMC, THE FOUNDATION'S SOLE MEMBER, AND THE REMAINING DIRECTOR POSITIONS ARE FILLED BY PERSONS NOMINATED BY THE BOARD AND APPROVED BY THE ARMC. THE PRESIDENT OF ARMC SERVES AS AN EX-OFFICIO, NON-VOTING DIRECTOR. FORM 990, PART VI, SECTION A, LINE 7B THE FOUNDATION'S CORPORATE MEMBER, ARMC, MUST APPROVE THE FOLLOWING ACTIONS OF THE FOUNDATION'S BOARD OF DIRECTORS OR INITIATE THESE ACTIONS DIRECTLY: A. ADOPTION OF THE FOUNDATION'S ANNUAL BUDGET B. ADOPTION OF THE FOUNDATION'S STRATEGIC PLANS C. AMENDMENT OF THE FOUNDATION'S BYLAWS D. AMENDMENT OF THE FOUNDATION'S ARTICLES OF INCORPORATION E. ANY CHANGE, AMENDMENT, OR ALTERATION IN THE SLATED PURPOSES FOR WHICH THE FOUNDATION IS ORGANIZED F. ANY GRANT GREATER THAN $10,000 TO AN ENTITY OTHER THAN ARMC OR ANY ENTITY AFFILIATED WITH ARMC G. ELECTION OF THE FOUNDATION'S OFFICERS FORM 990, PART VI, SECTION B, LINE 11B THE FOUNDATION'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF THE FOUNDATION. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GROUP HEALTH PLAN, INC. (GHI), THE MANAGEMENT TEAM OF THE FOUNDATION, GHI'S INTERNAL LEGAL DEPARTMENT AND THE FOUNDATION'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 FOUNDATION. ONCE THAT REVIEW PROCESS HAS BEEN COMPLETED, IT IS THE POLICY OF THE FOUNDATION TO MAKE AVAILABLE TO THE BOARD OF DIRECTORS OF THE FOUNDATION A COPY OF THE 990 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 FOUNDATION 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 THE FOUNDATION HAS NO EMPLOYEES AND DOES NOT PAY COMPENSATION. ALL OFFICER AND KEY EMPLOYEES ARE PAID BY GROUP HEALTH INC (GHI), REGIONS HOSPITAL (REGIONS), LAKEVIEW MEMORIAL HOSPITAL (LMH) OR AMERY REGIONAL MEDICAL CENTER (ARMC) RELATED ORGANIZATIONS. ANY COMPENSATION IS DETERMINED SOLELY BY THE RELATED ORGANIZATIONS. THEREFORE, PART VI, SECTION B, QUESTION 15 IS NOT APPLICABLE TO THE FOUNDATION. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION'S FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM THE FOUNDATION OR HEALTHPARTNERS. 990, PART VII, SECT A, LN 1A, COL (B): AVERAGE HRS - RELATED ORGANIZATION ALL DIRECTORS AND OFFICERS OF THE FOUNDATION ARE EMPLOYED AND COMPENSATED BY GROUP HEALTH PLAN, INC., REGIONS HOSPITAL OR AMERY REGIONAL MEDICAL CENTER. REPORTED AVERAGE HOURS WORKED ARE BASED ON THEIR TOTAL COMPENSATION 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 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 202287016 CORPORATE PLANNING AND OVERSIGHT MN 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 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 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 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 PROFESSIONAL DENTAL SERVICES MN HEALTHPARTNERS ADMINISTRATORS INC C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0