2023-11-14T10:57:12-06:00 2022-12-31 135565207 KPMG LLP 4200 WELLS FARGO CENTER 90 SOUTH 7TH ST MINNEAPOLIS MN 55402 990 2022-01-01 391279567 HUDSON HOSPITAL FOUNDATION INC HUDS 7155316000 405 STAGELINE ROAD HUDSON WI 54016 DOUGLAS E JOHNSON CFO 7155316000 2023-11-14 1 DOUGLAS JOHNSON 999009999 0 HOLLY K MOEN P01800653 6123055000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DOUGLAS E JOHNSON 405 STAGELINE ROAD HUDSON WI 54016 1895659 0 X WWW.HUDSONHOSPITAL.ORG X 1977 WI TO SUPPORT AND CARRY OUT THE CHARITABLE PURPOSE OF HUDSON HOSPITAL, INC. 12 11 0 33 0 0 661520 1487175 0 0 893317 95960 56655 67957 1611492 1651092 387672 500341 0 0 0 0 0 0 0 279801 15262 667473 515603 944019 1135489 5284438 5529711 149610 163363 5134828 5366348 X TO SUPPORT, ACT FOR THE BENEFIT OF, AND CARRY OUT THE CHARITABLE PURPOSE OF HUDSON HOSPITAL, INC. BY SUPPORTING COMMUNITY HEALTH EDUCATION, PROVIDING HOME CARE ASSISTANCE, AND CONTRIBUTING TO OTHER HEALTH RELATED CHARITABLE ENDEAVORS. 0 0 502420 500341 SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS 502420 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 1 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 0 0 0 0 0 0 0 X 12 11 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 ISABELLA BRONSON DIRECTOR 0.50 0.00 X 0 0 0 KIMBERLY BEST DIRECTOR 0.50 0.00 X 0 0 0 PETER GOODWIN DIRECTOR 1.00 0.00 X 0 0 0 MELISSA KOLB DIRECTOR 0.50 0.00 X 0 0 0 STEPHEN KINNEY DIRECTOR 0.50 0.00 X 0 0 0 KAREN EVENSON DIRECTOR 0.75 0.00 X 0 0 0 KATIE KRANZ DIRECTOR & CHAIR 1.00 0.00 X X 0 0 0 RANDY LAFAIVE DIRECTOR & TREASURER 1.00 0.00 X X 0 0 0 MARTIN E RICHARDS MD DIRECTOR 0.50 39.50 X 0 533264 63713 MIKE SELLMAN DIRECTOR & VICE CHAIR 1.00 0.00 X X 0 0 0 TIM MICHAELS DIRECTOR 0.50 0.00 X 0 0 0 MIKE SWITZER DIRECTOR 0.50 0.00 X 0 0 0 DOUGLAS E JOHNSON CFO 0.50 54.50 X 0 501465 118928 THOMAS J BOROWSKI DIRECTOR & PRESIDENT 1.00 54.00 X 0 382028 60772 0 1416757 243413 0 0 1 0 0 16720 910438 560017 14048 1487175 104050 104050 205410 213500 -8090 -8090 -8090 99024 16720 31067 67957 67957 1651092 0 0 163917 490841 490841 9500 9500 13183 13183 MISCELLANEOUS EXPENSE 2079 2079 515603 502420 13183 0 680936 1449657 40040 24699 4563462 4055355 5284438 5529711 149610 163363 149610 163363 X 4050944 4079680 1083884 1286668 5134828 5366348 5284438 5529711 X 1135489 -589921 -14048 X 0 1 X 1 0 X 861152 1137479 766519 661520 1187175 4613845 861152 1137479 766519 661520 1187175 4613845 2841285 1772560 104285 161315 88930 120060 104050 578640 5192485 256353 0.34140 0.37220 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1083884 507642 -7370 295633 1855 1286668 855485 526730 964 299295 1083884 1621344 380074 1145933 855485 718114 945854 42624 1621344 553730 579676 415292 718114 0.08000 0.92000 0 0 0 X PART V, LINE 4: TO SUPPORT THE MISSION OF HUDSON HOSPITAL FOUNDATION, INC.. THIS 990 HAS UPDATED PRIOR YEARS ENDOWMENTS TO BE CONSISTENT WITH CURRENT YEAR REPORTING. PART X, LINE 2: HUDSON HOSPITAL FOUNDATION 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 51918 9075 42843 12100 WINE TASTING 59218 7385 51833 18842 1 4608 260 4348 125 115744 16720 99024 31067 31067 67957 1 HUDSON AREA BACKPACK PROGRAM PO BOX 491 HUDSON WI 54016 300885523 501C3 15000 0 GRANT FOR BEHAVIORAL HEALTH HUDSON HOSPITAL INC 8170 33RD AVE S MINNEAPOLIS MN 55440 390804125 501C3 317808 0 ED EXPANSION, FETAL MONITORING, OTHER HOSPITAL SUPPORT ST CROIX THERAPY 742 STERBENZ DR HUDSON WI 54016 391584408 501C3 8000 0 PROGRAM SUPPORT HEALING PLAY INC 1524 RIVER TER HUDSON WI 54021 832522811 501C3 10000 0 PROGRAM SUPPORT BUILDING HEALTHIER AMERICA 715 COUNTYVIEW CIR HUDSON WI 54016 871832062 501C3 15000 0 PROGRAM SUPPORT YMCA OF THE NORTHERN ROCK COUNTY INC 221 DODGE ST JANESVILLE WI 53548 390806368 501C3 20000 0 PROGRAM SUPPORT CASA OF ST CROIX COUNTY 1101 CARMICAEL RD HUDSON WI 54016 870984296 501C3 10000 0 PROGRAM SUPPORT ST CROIX VALLEY SEXUAL ASSAULT RESPONSE TEAM 516 SECOND STREET SUITE 214 HUDSON WI 54016 411817315 501C3 10000 0 PROGRAM SUPPORT 7 0 SCHOLARSHIPS 10 9500 PART I, LINE 2: HUDSON HOSPITAL FOUNDATION, INC. (HHF) MANAGEMENT STAFF REVIEW THE MISSION AND PURPOSE OF POTENTIAL GRANTEE ORGANIZATIONS TO ASSURE CONSISTENCY WITH HHF'S MISSION AND PURPOSE. AMOUNTS SUBSEQUENTLY GRANTED ARE SUBJECT TO HHF'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 MARTIN E RICHARDS MD DIRECTOR 0 414265 0 16910 0 102089 0 22875 0 40838 0 596977 0 0 THOMAS J BOROWSKI DIRECTOR & PRESIDENT 0 289340 0 75810 0 16878 0 24620 0 36152 0 442800 0 0 PART I, LINE 3 HUDSON HOSPITAL FOUNDATION HAS NO EMPLOYEES AND DOES NOT PAY COMPENSATION. ALL OFFICER AND KEY EMPLOYEES ARE PAID BY HUDSON HOSPITAL, GROUP HEALTH PLAN, INC., REGIONS HOSPITAL, OR LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, RELATED ORGANIZATIONS. ANY COMPENSATION IS DETERMINED SOLELY BY THE RELATED ORGANIZATIONS. PART I, LINE 6 HUDSON HOSPITAL FOUNDATION OFFICERS AND DIRECTORS ARE EMPLOYED BY HUDSON HOSPITAL, GROUP HEALTH PLAN, INC. (GHI), REGIONS HOSPITAL (REGIONS), OR LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION (LAKEVIEW), ALL RELATED ORGANIZATIONS. COMPENSATION REPORTED IN FORM 990, PART VII INCLUDES ANY COMPENSATION DERIVED FROM HUDSON HOSPITAL, GHI, REGIONS OR LAKEVIEW'S 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. 990, PART III, LINE 4A: EXEMPT PURPOSE AND ACHIEVEMENTS HUDSON HOSPITAL FOUNDATION THE PURPOSE OF THE HUDSON HOSPITAL FOUNDATION (HHF) IS TO RAISE PHILANTHROPIC FUNDS FROM ITS CONSTITUENCY IN ORDER TO ADVANCE THE MISSION, VISION, AND VALUES OF HUDSON HOSPITAL, INC. (HOSPITAL), A WISCONSIN LICENSED 25-BED, LEVEL IV CRITICAL ACCESS HOSPITAL LOCATED IN HUDSON, WISCONSIN. ESTABLISHED IN 1977, HHF RAISES FUNDS TO PROVIDE SIGNIFICANT FINANCIAL SUPPORT FOR PROGRAMS AND CAPITAL NEEDS THAT ASSIST THE HOSPITAL WITH PROVIDING EXCEPTIONAL CARE CLOSE TO HOME. I. ORGANIZATION AND GOVERNANCE HHF 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 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 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 REGIONS HOSPITAL (REGIONS), REGIONS HOSPITAL FOUNDATION, CAPITOL VIEW TRANSITIONAL CARE CENTER, LAKEVIEW HEALTH, AND RH-WISCONSIN, ALL OF WHICH ARE NON-PROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). RH-WISCONSIN, ALONG WITH GROUP HEALTH PLAN, INC. (GHI), A MINNESOTA NON-PROFIT CORPORATION AND LICENSED STAFF MODEL HMO RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3), ARE CORPORATE MEMBERS OF THE HOSPITAL, WESTFIELDS HOSPITAL, INC. (WESTFIELDS), A WISCONSIN LICENSED 25-BED, LEVEL IV CRITICAL ACCESS HOSPITAL LOCATED IN NEW RICHMOND, WISCONSIN, AND AMERY REGIONAL MEDICAL CENTER, INC. (ARMC), A WISCONSIN LICENSED 25-BED, LEVEL IV CRITICAL ACCESS HOSPITAL LOCATED IN AMERY, WISCONSIN. THE HOSPITAL, WESTFIELDS, AND ARMC ARE WISCONSIN NONPROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). THE HOSPITAL IS THE SOLE CORPORATE MEMBER OF HHF. HHF IS GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS COMPRISED OF UP TO 15 MEMBERS WHO INCLUDE COMMUNITY REPRESENTATIVES, MEDICAL STAFF AND THE PRESIDENT OF THE HOSPITAL. II. ACTIVITIES HHF STRATEGICALLY PARTNERED WITH MANY ORGANIZATIONS TO IMPROVE CARE LOCALLY AND REGIONALLY IN WESTERN WISCONSIN. OUR FOUNDATION RAISES PHILANTHROPIC DOLLARS FROM THE COMMUNITY AND ITS EMPLOYEES TO SUPPORT HOSPITAL AND COMMUNITY HEALTH INITIATIVES. HOSPITAL PROGRAM SUPPORT - HEALING ARTS: HEALING ARTS AT HUDSON HOSPITAL & CLINIC INCLUDES PERMANENT ARTWORK, SCULPTURE, GARDENS, MUSIC THERAPY, AROMATHERAPY, AND PET THERAPY. IN 2022, WE CONTINUED TO FUNDRAISE FOR THIS PROGRAM AS WELL AS FOR A HEALING GARDEN WITH BENCHES, NATIVE PLANTS, AND SCULPTURES. THE GARDEN WILL ALSO INCLUDE INSCRIBED PAVERS DEDICATED TO LOVED ONES. HHF CONTINUES TO RAISE FUNDS LOCALLY FOR THIS PROGRAM, WHICH GIVES PATIENTS, FAMILIES, AND VISITORS A MORE HOLISTIC PERSPECTIVE ON WHAT A HEALING ENVIRONMENT IN A HOSPITAL AND CLINIC CAN LOOK LIKE. - ONE CAMPAIGN: THE HOSPITAL PARTICIPATED IN AN EMPLOYEE GIVING CAMPAIGN THAT NETTED NEARLY $20,000. THE FUNDS WILL BE USED TO ENHANCE THE EXPERIENCES OF THE PATIENTS, VISITORS AND EMPLOYEES THROUGHOUT THE CAMPUS, AS WELL AS COMMUNITY HEALTH GRANTS. A FEW EXAMPLES OF ACTIVITIES SUPPORTED BY EMPLOYEE CONTRIBUTIONS ARE: 1. PEDIATRIC COLORING BOOKS, TOYS, GAMES, MOVIES AND ELECTRONICS ARE PROVIDED FOR FAMILIES IN THE INFUSION, SPECIALTY, SURGERY, BIRTH CENTER, IMAGING, AND INPATIENT DEPARTMENTS. 2. ONCOLOGY PATIENTS RECEIVE A "FINAL DAY OF CHEMO" CELEBRATION WITH CERTIFICATES OF ACHIEVEMENTS. 4. COVID-19 RESPONSE AND RESILIENCE FUNDS WERE USED TO OFFER REGULAR RECOGNITION AND BREAKS FOR HEALTH CARE WORKERS. CARE ITEMS INCLUDING SNACKS, TEA, HOT COCOA, AND LOTIONS WERE DELIVERED TO EVERY DEPARTMENT. 5. EMPLOYEE EMERGENCY FUND PROVIDES GRANTS OF UP TO $1,000 AND UP TO $100 IN GIFT CARDS FOR EMPLOYEES' TEMPORARY AND UNEXPECTED FINANCIAL CRISES. GRANTS ARE PAID DIRECTLY TOWARD AN EMPLOYEE'S BILL, SUCH AS APARTMENT RENTAL, DAY CARE EXPENSE, OR CAR PAYMENT. GIFT CARDS ARE FOR LIVING EXPENSES SUCH AS GAS, FOOD, OR OTHER DAILY NECESSITIES. - BEHAVIORAL HEALTH SUPPORT HUDSON HOSPITAL FOUNDATION PROVIDED VARIED SUPPORT TO BEHAVIORAL HEALTH SERVICES AT HUDSON HOSPITAL. WE PROVIDED FUNDING FOR PATIENTS VOLUNTARILY ADMITTING THEMSELVES TO INPATIENT MENTAL HEALTH OR SUBSTANCE USE TREATMENT. IN ADDITION, WE PROVIDED MEDICATION LOCK BOXES FOR PATIENTS TO USE IN CONNECTION WITH THEIR SAFETY PLAN AS THEY RETURN TO THEIR HOME TO LIVE INDEPENDENTLY. - EMERGENCY CENTER EXPANSION THE HOSPITAL COMMITTED TO DOUBLING THE NUMBER OF TREATMENT ROOMS IN OUR EMERGENCY CENTER DURING 2020. THE 12 TREATMENT ROOMS ADDRESS INCREASING PATIENT VOLUMES DUE TO THE GROWTH OF OUR COMMUNITY. THESE ADDITIONAL ROOMS OFFER SAFE SPACES FOR PATIENTS IN BEHAVIORAL HEALTH CRISES. THE ROOMS ALSO PROVIDE AN AREA TO TREAT PATIENTS WITH TRAUMATIC INJURIES. ALL OUR TREATMENT ROOMS ARE LARGER TO SAFELY AND COMFORTABLY ACCOMMODATE PATIENTS AND THEIR FAMILIES. OUR GOAL IS TO TREAT MORE PATIENTS IN SHORTER AMOUNTS OF TIME IN THE SAFEST AND MOST COMFORTING POSSIBLE ENVIRONMENT. FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS HHF COMMITTED TO RAISING $1 MILLION TO SUPPORT THIS $5 MILLION EMERGENCY CENTER EXPANSION. WE RAISED THIS MONEY THROUGH COMMUNITY GRANTS, EVENTS, AND INDIVIDUAL DONATIONS. IN 2022, WE TRANSFERRED $5,000 RAISED TO THE HOSPITAL TO FULFILL OUR $1 MILLION COMMITMENT TO THE EMERGENCY CENTER EXPANSION. ENHANCING CRITICAL OPERATIONAL NEEDS IN 2022, OUR FOUNDATION SUPPORTED A NEW INITIATIVE CALLED NEONATAL VIRTUAL CARE. WE PROVIDED FUNDING FOR THE EQUIPMENT AND FIRST YEAR COST OF A SUBSCRIPTION FOR THIS CRITICAL NEW SERVICE FOR OUR TINIEST PATIENTS. A SPECIALIZED MEDICAL CART MONITORS AN INFANT'S VITAL SIGNS AND SHARES CRITICAL DATA WITH A NEONATOLOGIST AT CHILDREN'S HOSPITAL'S LEVEL 4 NICU AND ALLOWS THE NEONATOLOGIST TO ASSESS AND DIRECT CARE FOR BABIES RIGHT HERE IN HUDSON. THE MEDICAL CART ALLOWS THE NEONATOLOGIST TO TALK WITH MOM AND FAMILY. THE TEAM ALSO ARRANGES FOR TRANSPORTATION TO CHILDREN'S HOSPITAL IF IT'S NEEDED. WE ALSO PROVIDED A GRANT TO PURCHASE THREE NEW, UPDATED ANESTHESIA MACHINES FOR OUR CAMPUS. THESE MACHINES PROVIDE AND DELIVER GASSES PATIENTS NEED TO SLEEP AND BE COMFORTABLE DURING PROCEDURES AND SURGERIES. THEY ALSO ACT AS A VENTILATOR WHEN NEEDED. EACH YEAR, WE PERFORM ABOUT 3,000 SURGERIES USING THESE MACHINES. COMMUNITY HEALTH INITIATIVES REACH OUT AND READ GRANT HHF SUPPORTS HUDSON PHYSICIANS' REACH OUT AND READ PROGRAM BY FULLY FUNDING THE PURCHASE OF THE PROGRAM'S BOOKS. EVERY CHILD FROM BIRTH TO 5 YEARS OLD RECEIVES A DEVELOPMENTAL AGE- AND LANGUAGE-APPROPRIATE BOOK AT THEIR WELL-CHILD VISIT. THE DISTRIBUTION OF FREE BOOKS TO CHILDREN AND THE ACCOMPANYING DISCUSSION ABOUT READING ALOUD GIVE YOUNG CHILDREN A FOUNDATION FOR SUCCESS. - STUDENT SCHOLARSHIPS FOR HEALTH CARE HIGHER EDUCATION EVERY YEAR WE FUND SCHOLARSHIPS FOR HIGH SCHOOL STUDENTS IN OUR COMMUNITY WHO WANT TO PURSUE A CAREER IN HEALTH CARE. IN 2022, WE FUNDED $10,000 IN SCHOLARSHIPS FOR RECENT GRADUATES OF HUDSON HIGH SCHOOL AND ST. CROIX CENTRAL HIGH SCHOOL. FINANCIAL NEED IS A SELECTION CRITERION FOR OUR SCHOLARSHIPS. AS SUCH, THESE SCHOLARSHIPS HELP EASE THE FINANCIAL AND EMOTIONAL BURDEN OF PAYING FOR COLLEGE AND ALLOW STUDENTS TO SUCCEED IN THEIR EDUCATIONAL ENDEAVORS. ACCESS TO HEALTH THROUGH THE YEAR, WE PROVIDED A VARIETY OF COMMUNITY HEALTH GRANTS TO SUPPORT ACCESS TO HEALTH. ACCORDING TO OUR HOSPITAL'S 2021 COMMUNITY HEALTH NEEDS ASSESSMENT, ACCESS TO HEALTH REFERS TO THE SOCIAL AND ENVIRONMENTAL CONDITIONS AND UNMET SOCIAL NEEDS THAT DIRECTLY AND INDIRECTLY AFFECT PEOPLE'S HEALTH AND WELL-BEING, SUCH AS HOUSING, INCOME, FOOD SECURITY, TRANSPORTATION, EMPLOYMENT, EDUCATION, CLEAN AND SUSTAINABLE ENVIRONMENT, AND MORE. - GOOD SAMARITAN FUND FOR MANY YEARS, HUDSON HOSPITAL & CLINIC STAFF HAVE KNOWN THAT PATIENTS ARE SOMETIMES UNABLE TO PAY FOR URGENT, SUPPORTIVE MEDICAL SERVICES SUCH AS PRESCRIPTIONS, TRANSPORTATION TO MEDICAL APPOINTMENTS, AND SIMILAR NEEDS. WE USED PROCEEDS FROM THIS FUND THROUGHOUT 2022 TO PROVIDE FINANCIAL SUPPORT TO PATIENTS AND THEIR FAMILIES FOR SUCH NEEDS. BUILDING HEALTHIER AMERICA THIS GRANT SUPPORTED THE ADDITION OF A FAMILY NAVIGATOR FOR AN ORGANIZATION DESIGNED TO SUPPORT FAMILIES WITH CHILDREN WHO HAVE CHRONIC ILLNESS. CPR FUND THROUGH OUR CPR FUND, WE PROVIDED SUPPORT TO PURCHASE AN AUTOMATED EXTERNAL DEFIBRILLATOR (AED) FOR LOCAL PICKLE BALL COURTS THAT ARE USED BY CHILDREN, ADULTS AND SENIORS IN OUR COMMUNITY. WE ALSO PROVIDED FUNDS FOR OUR CITY POLICE DEPARTMENT TO PURCHASE TWO AEDS. ST. CROIX THERAPY WE PROVIDED A GRANT TO EXPAND PROGRAMMING FOR THEIR PROGRAMS ADDRESSING MENTAL HEALTH AND WELL-BEING ACCESS TO NUTRITION AND PHYSICAL ACTIVITY OUR HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT DEFINES NUTRITION AND PHYSICAL ACTIVITY TO MEAN EQUITABLE ACCESS TO NUTRITION, PHYSICAL ACTIVITY AND HEALTHY SUPPORTIVE ENVIRONMENTS FOR FAMILIES AND COMMUNITIES. THROUGH THE YEAR, OUR FOUNDATION WORKED TO SUPPORT OUR COMMUNITY'S ACCESS TO NUTRITION AND PHYSICAL ACTIVITY. WE PROVIDED COMMUNITY HEALTH GRANTS TO DO JUST THAT. YMCA GRANT WE PROVIDED $10,000 TO YMCA IN HUDSON TO CREATE FOUR UNLOCK IT! COURSES IN OUR COMMUNITY. THESE COURSES REQUIRE SIGNIFICANT TECHNOLOGICAL SET-UP AND OUR GRANT COVERED THOSE COSTS. UNLOCK IT! IS A FREE ACTIVITY FOR PEOPLE OF ALL AGES AND ABILITIES THAT IS A CROSS BETWEEN SUDOKU AND A SCAVENGER HUNT. UNLOCK IT! ALLOWS ALL COMMUNITY MEMBERS ACCESS TO FREE OUTDOOR EXERCISE REGARDLESS OF SOCIO-ECONOMIC STATUS AND ABILITY. HUDSON AREA BACKPACK AND FOOD PROGRAMS WE PROVIDED FUNDING FOR A CAPITAL PROJECT TO HOUSE THE ORGANIZATION'S OPERATIONS AS WELL AS A LOCATION TO STORE AND DISTRIBUTE FOOD. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF HHF IS HUDSON HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO BYLAWS, HHF'S BOARD OF DIRECTORS IS COMPRISED OF NOT LESS THAN SEVEN (7) AND NOT MORE THAN FIFTEEN (15) PERSONS APPOINTED BY HUDSON HOSPITAL AS THE SOLE CORPORATE MEMBER OF HHF. FORM 990, PART VI, SECTION A, LINE 7B HHF'S CORPORATE MEMBER, HUDSON HOSPITAL, MUST APPROVE THE FOLLOWING ACTIONS OF HHF'S BOARD OF DIRECTORS OR INITIATE THESE ACTIONS DIRECTLY: - AMENDMENTS OF THE ARTICLES, BYLAWS OR OTHER GOVERNING DOCUMENTS - SALE, LEASE, MORTGAGE OR PLEDGE OF ANY REAL ESTATE OR INTEREST THEREIN, OR OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS - ADOPTION OF AMENDMENT OF A STRATEGIC PLAN, AND CAPITAL AND OPERATING BUDGETS - APPROVAL OF UNBUDGETED CAPITAL EXPENDITURES - APPROVAL OF BORROWING OR LENDING OF FUNDS OF THE FOUNDATION - MERGER, CONSOLIDATION, AFFILIATION OR JOINT VENTURE WITH ANY OTHER ENTITY AND TRANSFER OR CONTRIBUTION OF ASSETS AND FUNDS TO SEPARATE ENTITIES - ESTABLISHMENT OR DIVESTITURE OF ENTITIES OF WHICH HHF HAS AN EQUITY OR MANAGEMENT INTEREST, OR ESTABLISHMENT OF ANY SIGNIFICANT AND CONTINUING RELATIONSHIP WITH ANY ENTITY - DISSOLUTION AND DISTRIBUTION OF ASSETS FORM 990, PART VI, SECTION B, LINE 11B HUDSON HOSPITALS FOUNDATION'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF HUDSON HOSPITALS FOUNDATION. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GHI, THE MANAGEMENT TEAM OF HUDSON HOSPITALS FOUNDATION, GHI'S INTERNAL LEGAL DEPARTMENT AND HUDSON HOSPITALS 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 HUDSON HOSPITALS FOUNDATION. HUDSON HOSPITALS FOUNDATION 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 HUDSON HOSPITAL FOUNDATION 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 HUDSON HOSPITAL FOUNDATION HAS NO EMPLOYEES AND DOES NOT PAY COMPENSATION. ALL OFFICER AND KEY EMPLOYEES ARE PAID BY HUDSON HOSPITAL, GROUP HEALTH PLAN, INC., REGIONS HOSPITAL, OR LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, RELATED ORGANIZATIONS. ANY COMPENSATION IS DETERMINED SOLELY BY THE RELATED ORGANIZATIONS. THEREFORE, PART VI, SECTION B, QUESTION 15 IS NOT APPLICABLE TO HUDSON HOSPITAL FOUNDATION. FORM 990, PART VI, SECTION C, LINE 19 HHF'S FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM HHF. HHF'S ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE WISCONSIN SECRETARY OF STATE'S OFFICE. HHF'S CONFLICT OF INTEREST POLICY THROUGH ITS RELATED ORGANIZATION, HUDSON HOSPITAL, CAN BE VIEWED THROUGH THE HUDSONHOSPITAL.ORG WEBSITE. 990, PART VII, SECT A, LN 1A, COL (B): AVERAGE HRS-RELATED ORGANIZATIONS DIRECTORS AND OFFICERS OF HHF ARE EMPLOYED AND COMPENSATED BY GROUP HEALTH PLAN, INC, REGIONS HOSPITAL, OR LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION. REPORTED AVERAGE HOURS WORKED ARE BASED ON THEIR TOTAL COMPENSATION FROM ALL RELATED ORGANIZATIONS. FORM 990, PART XI, LINE 9: GIFT IN KIND DONATIONS NOT IN FINANCIAL STATEMENTS -14,048. 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 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 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 - 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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 AND COMMUNITY HEALTH 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 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1