2023-11-14T10:43:59-06:00 2022-12-31 135565207 KPMG LLP 4200 WELLS FARGO CTR 90 S 7TH STREET MINNEAPOLIS MN 55402 990EZ 2022-01-01 202287016 RH-WISCONSIN INC RH-W 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 X X WWW.HEALTHPARTNERS.COM X X 0 0 0 0 0 0 0 0 0 0 0 0 0 X RH-WISCONSIN PROVIDES GOVERNANCE OVERSIGHT OF WESTFIELDS HOSPITAL (WESTFIELDS), HUDSON HOSPITAL (HUDSON), AND AMERY REGIONAL MEDICAL CENTER (ARMC). RH-WISCONSIN APPOINTS A MAJORITY OF THE BOARDS OF DIRECTORS, APPROVES THE ANNUAL OPERATING AND CAPITAL BUDGETS, AND APPROVES AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS AND OTHER ACTIONS ENUMERATED IN THE HOSPITALS' BYLAWS THAT MAY SUBSTANTIALLY AFFECT OPERATIONS. RH-WISCONSIN ALSO COORDINATES CARE PROVIDED BY GROUP HEAITH PLAN, INC (GHI) AT THESE HOSPITALS. GHI PROVIDES PRIMARY CARE PHYSICIAN STAFFING AND CERTAIN SPECIALTY PHYSICIAN STAFFING TO THESE HOSPITALS AND THEIR HOSPITAL-BASED CLINICS, WHICH IS NECESSARY FOR THE SUCCESSFUL OPERATION OF THESE ENTITIES AND THEIR PROVISION OF HEALTH CARE FOR THE BENEFIT OF THE COMMUNITY.RH-WISCONSIN IS RECOGNIZED AS A SUPPORTING ORGANIZATION UNDER IRC SECTION 509(A)(3). AS SUCH, RH-WISCONSIN'S ACTIVITIES ARE DIRECTLY RELATED TO THE EXEMPT PURPOSES OF ITS SUPPORTED ORGANIZATIONS. RH-WISCONSIN PROVIDES GOVERNANCE OVERSIGHT OF WESTFIELDS HOSPITAL (WESTFIELDS), HUDSON HOSPITAL (HUDSON), AND AMERY REGIONAL MEDICAL CENTER (ARMC). RH-WISCONSIN APPOINTS A MAJORITY OF THE BOARDS OF DIRECTORS, APPROVES THE ANNUAL OPERATING AND CAPITAL BUDGETS, AND APPROVES AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS AND OTHER ACTIONS ENUMERATED IN THE HOSPITALS' BYLAWS THAT MAY SUBSTANTIALLY AFFECT OPERATIONS. RH-WISCONSIN ALSO COORDINATES CARE PROVIDED BY GROUP HEAITH PLAN, INC (GHI) AT THESE HOSPITALS. GHI PROVIDES PRIMARY CARE PHYSICIAN STAFFING AND CERTAIN SPECIALTY PHYSICIAN STAFFING TO THESE HOSPITALS AND THEIR HOSPITAL-BASED CLINICS, WHICH IS NECESSARY FOR THE SUCCESSFUL OPERATION OF THESE ENTITIES AND THEIR PROVISION OF HEALTH CARE FOR THE BENEFIT OF THE COMMUNITY.RH-WISCONSIN IS RECOGNIZED AS A SUPPORTING ORGANIZATION UNDER IRC SECTION 509(A)(3). AS SUCH, RH-WISCONSIN'S ACTIVITIES ARE DIRECTLY RELATED TO THE EXEMPT PURPOSES OF ITS SUPPORTED ORGANIZATIONS. 0 0 0 LANCE WHITACRE DIRECTOR 0.00 0 0 0 PENNY CERMAK CHAIR & DIRECTOR 0.00 0 0 0 NANCY A MCCLURE DIRECTOR 0.00 0 0 0 HEIDI G CONRAD TREASURER (JAN-OCT) 0.00 0 0 0 STEVEN M MASSEY VICE PRESIDENT 0.00 0 0 0 MEGAN M REMARK PRESIDENT 0.00 0 0 0 NANCY L EVERT SECRETARY 0.00 0 0 0 THOMAS J BOROWSKI VICE PRESIDENT 0.00 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 KEVIN J BRANDT 8170 33RD AVE S MINNEAPOLIS MN 55440 9528836584 0 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X X 5 REGIONS HOSPITAL 410956618 3 1 0 0 GROUP HEALTH PLAN INC 410797853 3 1 0 0 WESTFIELDS HOSPITAL INC 390808442 3 0 0 0 HUDSON HOSPITAL INC 390804125 3 0 0 0 AMERY REGIONAL MEDICAL CENTER INC 390908320 3 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV,SECTION A, LINE 1: DESIGNATION OF SUPPORTED ENTITIES THE ARTICLES OF INCORPORATION OF RH-WISCONSIN, INC. PROVIDE THAT THE SUPPORTED ORGANIZATIONS OF RH-WISCONSIN SHALL BE REGIONS HOSPITAL, GROUP HEALTH PLAN, INC., AND SUCH OTHER ADDITIONAL ORGANIZATIONS WHICH ARE DESCRIBED IN CODE SECTIONS 501(C)(3) AND 509(A)(1) OR 509(A)(2) AND OF WHICH THE ORGANIZATION SERVES AS A CORPORATE MEMBER. PART I, LINE 11G, COLUMNS (V) & (VI) - AMOUNT OF SUPPORT NO DIRECT MONETARY SUPPORT IS INDICATED FROM RH-WISCONSIN, INC. TO ITS SUPPORTED ORGANIZATIONS: HOWEVER, RH-WISCONSIN, INC. PROVIDES CORPORATE PLANNING AND OVERSIGHT, WHICH IS DESCRIBED IN SCHEDULE O. THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.