2024-11-13T16:59:24-06:00 2023-12-31 135565207 KPMG LLP 350 N 5TH STREET SUITE 600 MINNEAPOLIS MN 55401 990 2023-01-01 390908320 AMERY REGIONAL MEDICAL CENTER INC AMER 7152688000 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 ALITA R RISINGER CFO 7152688000 2024-11-13 1 0 HOLLY MOEN P01800653 6123055000 2023 2024-10-15 13:58:12Z ALITA R RISINGER 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 81900742 0 X WWW.AMERYMEDICALCENTER.ORG X 1954 WI TO PROVIDE ACCESSIBLE, COMPREHENSIVE, QUALITY HEALTHCARE 13 7 477 12 0 0 1701580 4193584 74772029 76458992 432005 1114592 136052 126810 77041666 81893978 14110 5794 0 0 47309671 52736714 0 0 0 24257965 22897763 71581746 75640271 5459920 6253707 63918701 61891041 29698184 20099408 34220517 41791633 X AMERY REGIONAL MEDICAL CENTER IS COMMITTED TO PROVIDEACCESSIBLE, COMPREHENSIVE, QUALITY HEALTHCARE AND TO PROMOTE THEHEALTH AND WELLNESS OF ITS COMMUNITY. 0 0 66777342 5794 76458992 SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS 66777342 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 1 0 0 477 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 7 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 PO BOX 1309 BLOOMINGTON MN 55440 X RICK DADO DIRECTOR & SECRETARY 1.75 0.25 X X 1200 0 0 CHUCK WILLIAMSON DIRECTOR 1.75 0.25 X 1200 0 0 JAMES A LEADHOLM JR DIRECTOR & CHAIR 1.75 0.25 X X 1200 0 0 MAI XIA HER-WARNER DIRECTOR 1.75 0.25 X 1200 0 0 JANE JOHNSON DIRECTOR 1.75 0.25 X 1200 0 0 CHRIS PETERSEN DIRECTOR 1.75 0.25 X 1200 0 0 ORALEE SCHOCK DIRECTOR & VICE CHAIR 1.75 0.25 X X 1200 0 0 ROSS R BULLARD DIRECTOR & TREASURER 2.00 48.00 X X 0 325068 101095 STEVEN J LONG MD DIRECTOR 0.25 43.75 X 0 420867 45125 MARTIN E RICHARDS MD DIRECTOR 0.25 39.75 X 0 517093 68607 MARYANN SCOGLIO APRN DIRECTOR 0.25 59.75 X 0 182919 50056 BRIAN H RANK MD DIRECTOR 0.25 19.75 X 0 259817 82232 RONDA D DAVIS MD DIRECTOR 0.25 31.75 X 0 269763 60462 DEBRA A RUDQUIST DIRECTOR & PRESIDENT 50.00 0.00 X 0 409934 64811 PATRICK D SURA MD DIR & CHIEF MED OFFICER 0.25 54.75 X 0 460519 67722 DOUGLAS E JOHNSON CFO 13.75 41.25 X 0 603783 44121 KEVIN M JUST VP PATIENT CARE SERVICES 0.25 44.25 X 214397 0 21590 JAMES G ERICKSON REGISTERED NURSE SUPERVISOR 42.00 0.00 X 144466 0 43917 STEVEN L ROZENBLOOM FINANCE DIRECTOR 50.00 0.00 X 189950 0 46638 JOLLEEN M NICHOLS PROVIDER-APNP 40.00 0.00 X 150978 0 17565 VICTORIA R STUDTMANN PROVIDER-APNP 36.00 0.00 X 143208 0 43628 SARAH L KNUTSON NURSE PRACTITIONER 40.00 0.00 X 151383 0 43354 JASON J LUHRS FORMER CFO 0.00 50.00 X 0 347590 65808 1002782 3797353 866731 37 1 1 0 KRAUS-ANDERSON CONSTRUCTION CO 501 S 8TH ST MINNEAPOLIS MN 55404 CONSTRUCTION 5105654 RIVER VALLEY ANESTHESIA INC PO BOX 118 NEW RICHMOND WI 54017 NURSE ANESTHETISTS 1452110 TWIN CITIES ORTHOPEDICS PA 5803 NEAL AVE N OAK PARK HEIGHTS MN 55082 PROFESSIONAL SERVICES 952841 TOTAL MSP LLC 221 W COLLEGE AVE FL 2 APPLETON WI 54911 MEDICAL STAFFING 868057 HEALOGICS WOUND CARE & HYPERBA 28525 NETWORK PLACE CHICAGO IL 60673 PROFESSIONAL SERVICES 445209 15 3271103 426141 496340 4193584 NET PATIENT SERVICE 621110 71960728 71960728 MEDICAL RETAIL 624110 4498264 4498264 76458992 1114592 1114592 16700 6764 9936 9936 9936 CAFETERIA AND OTHER 621110 113254 113254 OTHER 621110 3620 3620 116874 81893978 76458992 0 1241402 5794 5794 235987 235987 43321399 38596297 4725102 1036608 997221 39387 8139222 7255809 883413 3498 3498 13287 13287 37611 37611 3539558 3205255 334303 256766 76012 180754 312456 235825 76631 1150068 132158 1017910 1503567 1331537 172030 160412 142000 18412 60719 36774 23945 519434 495641 23793 2366488 2046978 319510 249958 79332 170626 MEDICAL & DRUG SUPPLIES 10912376 10893869 18507 EQUIP. RENT & REPAIR 1089622 1058625 30997 OTHER EXPENSE 632385 103139 529246 DUES & FEES 80444 72981 7463 12612 8597 4015 75640271 66777342 8862929 0 14158311 5134871 2299888 2878252 8796031 11172410 1154852 1190296 99635 61310 68842176 48203835 17993660 20638341 16794424 19014177 2309831 1569349 312069 232035 63918701 61891041 9906389 2796193 600538 600538 18870643 16462199 320614 240478 29698184 20099408 X 34220517 41791633 34220517 41791633 63918701 61891041 6253707 1317409 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 0 0 PART II-B, LINE 1: AMERY 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. 983722 983722 31410935 20730525 10680410 860777 534275 326502 31764390 26924750 4839640 3822352 14285 3808067 20638341 LEASE OBLIGATION 240478 240478 X PART X, LINE 2: AMERY REGIONAL MEDICAL CENTER, 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, 2023 OR 2022 FOR UNRECOGNIZED TAX BENEFITS. 1 1 X 1 X 1 X 1 1 0 0 978445 978445 0.01290 10275832 9541251 734581 0.00970 11254277 9541251 1713026 0.02260 150 70768 70768 0.00090 49 317700 317700 0.00420 2158359 2158359 0.02850 127317 127317 0.00170 199 2674144 2674144 0.03530 199 13928421 9541251 4387170 0.05790 1 795 795 0.00000 1 7702 7702 0.00010 1 2653 2653 0.00000 2 25 45262 45262 0.00060 5 25 56412 56412 0.00070 1 1581719 745831 24796915 24796915 X 1 1 1 1 AMERY REGIONAL MEDICAL CENTER 265 GRIFFIN STREET EAST AMERY WI 54001 WWW.AMERYMEDICALCENTER.ORG CAH CERT LICENSE 1010 X X X X AMERY REGIONAL MEDICAL CENTER INC 1 0 0 1 X X X X X X X X X 21 1 1 0 1 X HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/AMERY/ABOUT/COMMUNITY X 1 22 1 HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/AMERY/ABOUT/COMMUNITY 0 1 X 200.000000000000 300.000000000000 X X X X 1 1 X X X X 1 X SEE NOTES X SEE NOTES X SEE NOTES X X X X X X 1 X 0 X X X X 1 X 0 0 AMERY REGIONAL MEDICAL CENTER, INC. PART V, SECTION B, LINE 5: TO COMPREHENSIVELY UNDERSTAND AND DESCRIBE THE NEEDS OF THE COMMUNITIES HEALTHPARTNERS SERVES, WE SYSTEMATICALLY IDENTIFIED A LIST OF PUBLICLY AVAILABLE DATA SOURCES AND A LIST OF INTERNALLY AVAILABLE HEALTHPARTNERS DATA SOURCES. WITH THE CHNA WORKGROUP THAT HAD EXPERTISE FROM PUBLIC HEALTH, HEALTHCARE AND EPIDEMIOLOGY, WE CAREFULLY REVIEWED THE LIST TO IDENTIFY OPPORTUNITIES WITH A SPECIFIC LENS TOWARDS INCLUDING MEMBERS WITH UNIQUE INSIGHT INTO NEEDS OF OUR UNDERSERVED COMMUNITIES WHERE HEALTH AND OTHER DISPARITIES EXIST. TO FURTHER ROUND OUT UNDERSTANDING, WE SOUGHT ADDITIONAL DATA SOURCES TOGETHER WITH OUR COMMUNITY PARTNERS. WHERE OPPORTUNITIES STILL REMAIN FOR BETTER UNDERSTANDING DUE TO LACK OF CURRENTLY AVAILABLE DATA, WE HAVE NOTED IN THE REPORT. FOR EXAMPLE, WE IDENTIFIED SPECIFIC GAPS IN DATA AVAILABLE TO UNDERSTAND THE COVID-19 PANDEMIC CONTEXT AND THE INFLUENCE OF STRUCTURAL RACISM ON THE NEEDS AREAS. THUS, WE SPECIFICALLY DESIGNED OUR QUALITATIVE COMMUNITY CONVERSATIONS AND OUR QUANTITATIVE HEALTHPARTNERS PROVIDER SURVEYS TO FILL THESE GAPS. HEALTHPARTNERS PROVIDER SURVEYS: SELECT HEALTHPARTNERS STAFF WHO PROVIDE DIRECT CARE FOR OUR PATIENTS WERE INVITED BY HOSPITAL LEADERS AND THE CHNA EXPERT PANEL MEMBERS TO COMPLETE A BRIEF WEB SURVEY ABOUT THE NEEDS OF THE PATIENTS THEY SERVE. THE SURVEY WAS DEVELOPED BY AN EXPERT SURVEY METHODOLOGIST WITH INPUT FROM THE CHNA WORKGROUP. OVERALL, 444 PROVIDERS INCLUDING DOCTORS, CARE COORDINATORS, PHARMACISTS, PHYSICAL OR OCCUPATIONAL THERAPISTS, DIETITIANS, NURSES, AND SOCIAL WORKERS COMPLETED SURVEYS ACROSS ALL HEALTHPARTNERS HOSPITALS. DESCRIPTIVE STATISTICS AND A THEMATIC ANALYSIS WERE COMPLETED AND INCLUDED IN THE NEEDS AREA SUMMARIES BELOW.COMMUNITY CONVERSATIONS: A TOTAL OF 41 COMMUNITY CONVERSATIONS WERE HELD OR ATTENDED BY HEALTHPARTNERS WORKGROUP MEMBERS. RESULTS WERE SUMMARIZED AND KEY THEMES AND QUOTES WERE ADDED TO THE NEEDS AREA SUMMARIES THROUGHOUT. ADDITIONAL DETAILS ABOUT THE COMMUNITY CONVERSATIONS CAN BE FOUND IN THE APPENDIX OF THE AMERY'S 2021 CHNA AT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/AMERY/ABOUT/COMMUNITY-HEALTH-NEEDS AMERY REGIONAL MEDICAL CENTER, INC. PART V, SECTION B, LINE 6A: HEALTHPARTNERS COLLABORATED ACROSS EIGHT HOSPITALS WITHIN ITS FAMILY OF CARE FOR THE 2021 CHNA: AMERY HOSPITAL & CLINIC (AMERY, WI) HUDSON HOSPITAL & CLINIC (HUDSON, WI) HUTCHINSON HEALTH (HUTCHINSON, MN) LAKEVIEW HOSPITAL (STILLWATER, MN) OLIVIA HOSPITAL AND CLINIC (OLIVIA, MN) PARK NICOLLET HEALTH SERVICES INCLUDING PARK NICOLLET METHODIST HOSPITAL (ST. LOUIS PARK, MN) REGIONS HOSPITAL (ST. PAUL, MN) WESTFIELDS HOSPITAL & CLINIC (NEW RICHMOND, WI) AMERY REGIONAL MEDICAL CENTER, INC. PART V, SECTION B, LINE 11: THE TLC CONTINUED TO DEVELOP RESILIENT LEADERS BY AMPLIFYING YOUTH VOICES AND FOSTERING COMMUNITY CHANGE. IN 2023, SEVERAL TACTICS WERE IMPLEMENTED TO HELP ADDRESS THE NEEDS IDENTIFIED IN OUR CHNA AND DESCRIBED IN OUR IMPLEMENTATION PLAN. HIGHLIGHTS OF THE 2023 ACTIVITIES AND RESULTS ARE INCLUDED BELOW.ACCESS TO CARE GOAL: IMPROVE ACCESS TO CARE THAT IS APPROPRIATE, AFFORDABLE, AND CONVENIENT. -EXPANDED TECHNOLOGY USE, ENHANCED MOBILE CHECK IN AND TEXT COMMUNICATION AND ADVANCED VIRTUAL CARE SERVICES-CARE COORDINATION STRATEGIES FOCUSED ON TRANSITION CARE MANAGEMENT AND SUPPORTING HIGH-RISK PATIENTS, CONDUCTED OUTREACH TO COORDINATE CARE, AND WE IMPLEMENTED DEDICATED HOSPITAL FOLLOW-UP VISIT TYPES -HELD QUARTERLY PATIENT ADVISORY COUNCIL MEETINGS TO GATHER INSIGHTS AND IMPROVE CARE EXPERIENCE- CONTINUED FREE DIGITAL/VIRTUAL COMMUNITY EDUCATION: 35 VIRTUAL CLASSES, EVENTS, AND PODCASTS ON DIABETES, DEMENTIA, GRIEF, TEEN ANXIETY, SUBSTANCE USE WARNING SIGNS, EXERCISE, PREGNANCY, AND HEART HEALTH WERE ACCESSED OVER 2,500 TIMES. PARTNERED AT LOCAL EVENTS TO DISTRIBUTE AND FIT OVER 90 KIDS WITH BICYCLE HELMETS.-CONTINUED COMMUNITY SENIOR CARE, WHERE CLINICIANS SAW PATIENTS AT HOME DURING TRANSITIONAL TIMES AND UTILIZED NURSING EDUCATION ALONGSIDE CLINICAL VISITS.ACCESS TO HEALTH GOAL: STRENGTHEN EXISTING AND EXPLORE NEW COMMUNITY PARTNERSHIPS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, PROMOTE EARLY CHILDHOOD BRAIN DEVELOPMENT, AND PROMOTE SUSTAINABLE OPERATIONS TO POSITIVELY IMPACT THE COMMUNITY.-HEALTHPARTNERS CONTINUED ADVISORY COUNCIL FOR SOCIAL DRIVERS OF HEALTH TO ACCELERATE AND ALIGN EFFORTS TO IDENTIFY AND SUPPORT PATIENTS AND MEMBERS WITH SOCIAL NEEDS. -CONTINUED TO SERVE ON CORE LEADERSHIP TEAM FOR SUPERSHELF FOOD SHELF TRANSFORMATIONS. -CONTINUED FOOD INSECURITY SCREENING AND REFERRAL FOR ALL WELL-CHILD AND MEDICARE WELL EXAMS. -UTILIZED UNITE US TO OFFER SEVERAL RESOURCES, INCLUDING THE ABILITY FOR COLLEAGUES TO CREATE AND SHARE COMMUNITY RESOURCE LISTS WITH MEMBERS OR PATIENTS AND INTEGRATING COMMUNITY RESOURCE LISTS. -CONTINUED CROSS-SECTOR COLLABORATION FOR COMMUNITY HEALTH EFFORTS AND RESPONSE WITH POLK UNITED. -DISTRIBUTED MORE THAN 4,300 BOOKS TO CHILDREN IN VALLEY CLINICS THROUGH REACH OUT AND READ. -LITTLE MOMENTS COUNT CONTINUED TO OFFER TRAINING AND DIGITAL RESOURCES TO FURTHER MOMENTUM AND COMMUNITY COLLABORATION TO PROMOTE EARLY CHILDHOOD BRAIN DEVELOPMENT. -SUSTAINABLILITY HIGHLIGHTS INCLUDE COLLECTED 64 TONS OF MATERIALS, WHICH WERE REUSED AND RECYCLED, THEREBY KEPT OUT OF THE LANDFILL; OVER $19,000 WAS SAVED THROUGH THE GREENING THE OR; 1.1 TONS OF CAFETERIA FOOD WASTE WAS COMPOSTED; 0.12 TONS OF EQUIPMENT WAS DONATED; 39 TONS OF MATERIALS WERE RECYCLED. THE MEDICATION TAKE BACK PROGRAM COLLECTED 505 POUNDS OF UNUSED PRESCRIPTION MEDICATIONS MENTAL HEALTH AND WELL-BEING GOAL: REDUCE THE STIGMA SURROUNDING MENTAL ILLNESS, INCREASE ACCESS TO EDUCATION AND RESOURCES AROUND MENTAL HEALTH AND WELL-BEING AND IMPROVE ACCESS TO MENTAL HEALTH SERVICES.THE MAKE IT OK CAMPAIGN CONTINUED TO REDUCE MENTAL HEALTH STIGMA BY FOSTERING CARING CONVERSATIONS AND REACHING COMMUNITIES DISPROPORTIONATELY IMPACTED BY MENTAL ILLNESS. THE CAMPAIGN CELEBRATED A DECADE OF PROGRESS WITH THE RELEASE OF THE MAKE IT OK 10-YEAR REPORT AND AN APRIL EVENT ATTENDED BY OVER 150 PEOPLE.-133,260 REACHED VIA VIRTUAL CHANNELS, PRESENTATIONS, AND SOCIAL MEDIA-15,000+ ENGAGED THROUGH 41 COMMUNITY EVENTS-855 AMBASSADORS REACHED VIA QUARTERLY E-NEWSLETTER-480 ENGAGED THROUGH 32 VIRTUAL AND 5 IN-PERSON PRESENTATIONS (INCLUDING A PRESENTATION ON SUBSTANCE USE DISORDER)-220 AMBASSADORS TRAINED THROUGH 15 VIRTUAL AND 2 IN-PERSON SESSIONS-THE BEHAVIORAL HEALTH TEAM CONTINUED OFFERING FREE PODCASTS, RECORDING FOUR EPISODES IN 2023 ON TOPICS LIKE SUBSTANCE USE, RECOVERY, AND ANXIETY. THESE EPISODES HAVE BEEN ACCESSED OVER 450 TIMES. -BEHAVIORAL HEALTH TELEHEALTH (BHTV) PROGRAM: IN 2023, THIS VALLEY-WIDE PROGRAM SAW INCREASED USE AMONG PATIENTS ACCESSING EMERGENCY DEPARTMENT CARE DURING MENTAL HEALTH CRISES. A TOTAL OF 481 PATIENTS UTILIZED PROGRAM, WITH 463 OF THEM RESIDING IN THE ST. CROIX VALLEY, INCLUDING 141 FROM POLK COUNTY, WI, 20 FROM PIERCE COUNTY, WI, 229 FROM ST. CROIX COUNTY, WI, AND 73 FROM WASHINGTON COUNTY, MN. -CRISIS IMMEDIATE ACCESS PROGRAM: IN 2023, A TOTAL OF 174 PATIENTS WERE REFERRED TO IMMEDIATE MENTAL HEALTH AND CRISIS ASSESSMENTS THROUGH THE CRISIS IMMEDIATE ACCESS PROGRAM VIA TELE-VIDEO.NUTRITION AND PHYSICAL ACTIVITY GOALS: PROMOTE AND SUPPORT PHYSICAL ACTIVITY AND NUTRITION AND SUPPORT AND ENCOURAGE HEALTHY FOOD AND PHYSICAL ACTIVITY ENVIRONMENT CHANGE. POWERUP CONTINUED TO INSPIRE FAMILIES TO EAT BETTER, MOVE MORE, AND FEEL GOOD. IN 2023, THERE WAS A NOTABLE INCREASE IN IN-PERSON OUTREACH AND EVENTS, ALONGSIDE EXPANDED VIRTUAL COMMUNICATIONS OFFERING FUN, AT-HOME ACTIVITIES. NEW RESOURCES FEATURED PLANT-BASED PROTEINS, EMPHASIZING HEALTH, ENVIRONMENTAL IMPACT, AND BUDGET-FRIENDLY NUTRITION.2023 HIGHLIGHTS:-64,176+ REACHED VIRTUALLY THROUGH CLASSES, WEBSITE, AND E-NEWSLETTERS-40,000+ REACHED WITH POWERUP PRESS FAMILY NEWSLETTERS-4,126 STUDENTS PARTICIPATED IN THE POWERUP SCHOOL CHALLENGE-18,887 ENGAGED THROUGH 141 EVENTS-1,958 LISTSERV SUBSCRIBERS (+80 FROM LAST YEAR)THE TLC CONTINUED TO DEVELOP RESILIENT LEADERS BY AMPLIFYING YOUTH VOICES AND FOSTERING COMMUNITY CHANGE. IN 2023, MEMBERS ENGAGED IN PUBLIC HEALTH LEARNING, VOLUNTEERED WITH COMMUNITY ORGANIZATIONS, AND EXPLORED LEADERSHIP AND CAREER OPPORTUNITIES.SUBSTANCE USE GOAL: REDUCED OPIOID PRESCRIPTIONS, DOSES, AND PATIENTS MEETING CHRONIC OPIOID USE CRITERIA. THROUGH COLLABORATIVE EFFORTS WITH PHARMACY, PRESCRIBERS AND PAIN CLINICS, ACHIEVED SIGNIFICANT REDUCTION IN OPIOID PRESCRIBING IN OUR CARE SYSTEM AND COMMUNITY. -IN 2023, OUR COLLABORATIVE EFFORTS WITH PHARMACY, PRESCRIBERS, AND PAIN CLINICS LED TO A SIGNIFICANT REDUCTION IN OPIOID PRESCRIBING WITHIN OUR CARE SYSTEM AND COMMUNITY. THE NUMBER OF PATIENTS RECEIVING NEW OPIOID PRESCRIPTIONS DECREASED BY 5%, AND THE NUMBER OF PILLS PRESCRIBED REDUCED BY 0.2%. SINCE FOCUSING ON OPIOID REDUCTION IN 2018, THE NUMBER OF PILLS PRESCRIBED HAS DECREASED BY 52%, REFLECTING STABILITY IN OVERALL PRESCRIPTIONS AND SURGICAL USE.-REDUCED ACCIDENTAL POISONING AND DRUG ABUSE BY OFFERING FREE AND ENVIRONMENTALLY FRIENDLY MEDICATION COLLECTION AT OUR HOSPITALS AND CLINICS FOR THE COMMUNITY. PROMOTED COMMUNITY PRESCRIPTION TAKE-BACK LOCATIONS AND DISPOSAL BAGS. AMERY COLLECTED 600 POUNDS OF UNUSED MEDICATION. PART V, SECTION B, LINE 3E THE HOSPITAL ADDRESSES THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY THROUGH OUR CHNA. 6 1 - ARMC REHAB SERVICES 220 N KELLER AVENUE AMERY WI 54001 REHABILITATION 2 - LUCK MEDICAL CLINIC 137 FIRST AVENUE LUCK WI 54853 RURAL HEALTH CLINIC 3 - TURTLE LAKE MEDICAL CLINIC 550 MARTIN AVENUE TURTLE LAKE WI 54889 RURAL HEALTH CLINIC 4 - CLEAR LAKE CLINIC 357 THIRD AVENUE CLEAR LAKE WI 54005 RURAL HEALTH CLINIC 5 - LUCK PT & FITNESS 2547 STATE ROAD 35 SUITE 5 LUCK WI 54853 PHYSICAL THERAPY 6 - AMERY REGIONAL MEDICAL CENTER WEST 230 DERONDA STREET AMERY WI 54001 10 BED INPATIENT DPU OF AMERY PART I, LINE 7: AMERY REGIONAL MEDICAL CENTER (AMERY) USES THE COST-TO-CHARGE RATIO METHOD WHEN CALCULATING THE AMOUNTS REPORTED ON PART I. LINE 7. THE COST-TO-CHARGE RATIO WAS DERIVED USING WORKSHEET 2, RATIO OF PATIENT CARE-COST-TO-CHARGE, FROM THE SCHEDULE H INSTRUCTIONS PART III, LINE 2: AMERY'S MANY ACCOUNTS IN BAD DEBT WOULD HAVE QUALIFIED FOR CHARITY IF THE GUARANTORS WOULD HAVE COMPLETED THE FINANCIAL ASSISTANCE PAPERWORK. AMERY IS PROVIDING SERVICES TO INDIVIDUALS/FAMILIES IN ITS SERVICE AREA THAT ARE UNABLE/UNWILLING TO PAY FOR THESE SERVICES. THIS IS COMPARABLE TO PROVIDING CHARITY CARE WHICH AMERY ALSO INCLUDES AS A COMMUNITY BENEFIT. PART III, LINE 4: ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CHARITY CARE: THE FINANCIAL STATEMENTS DO NOT HAVE A SEPARATE BAD DEBT FOOTNOTE. THE FOLLOWING IS PART OF AMERY'S PATIENT ACCOUNTS RECEIVABLE AND CREDIT POLICY:ACCOUNTS RECEIVABLE ARE REDUCED BY AN ANNUAL ALLOWANCE FOR DOUBTFUL ACCOUNTS OR CHARITY CARE, BASED ON ESTABLISHED GUIDELINES FOR IDENTIFYING UNCOLLECTIBLE PATIENT ACCOUNTS AND CLASSIFYING THESE ACCOUNTS AS EITHER DOUBTFUL ACCOUNTS OR CHARITY. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, AMERY'S MANAGEMENT PERIODICALLY ASSESSES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CHARITY CARE BY TAKING INTO CONSIDERATION BY PAYER CATEGORY, THE EXPECTED NET COLLECTIONS, ACCOUNTS RECEIVABLE AGING, HISTORICAL COLLECTIONS EXPERIENCE, ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THE PRIMARY SOURCE OF THE ALLOWANCE FOR CHARITY CARE IS CHARGES FOR UNINSURED PATIENTS. PATIENTS WHO ARE INSURED ARE ASSESSED SEPARATELY FOR COLLECTABILITY FROM UNINSURED PATIENTS. THE RESULTS OF THESE ASSESSMENTS ARE USED TO ESTABLISH THE NET REALIZABLE VALUE OF PATIENT ACCOUNTS RECEIVABLE AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CHARITY CARE. AMERY PROVIDED MEDICAL CARE WITHOUT CHARGE OR A REDUCED COST TO PATIENTS WHO WERE DETERMINED TO BE UNABLE TO PAY (CHARITY CARE) OF $2,075,034 AND $1,000,967 FOR THE YEARS ENDED 12/31/23 AND 12/31/22 RESPECTIVELY, AND PROVIDED MEDICAL CARE TO PATIENTS WHO WERE DETERMINED TO BE ABLE, BUT UNWILLING TO PAY (DOUBTFUL ACCOUNTS) OF $1,581,719 AND $1,414,247 FOR THE YEARS ENDED 12/31/23 AND 12/31/22 RESPECTIVELY. PART III, LINE 8: AMERY'S MEDICARE COST IS DERIVED BASED ON THE RATIO OF MEDICARE FFS CHARGES TO TOTAL CHARGES MULTIPLIED BY TOTAL EXPENSES (LESS CHARITY CARE & BAD DEBT). NONE OF THE MEDICARE FFS LOSS REPORTED ON SCHEDULE H, PART III, LINE 7 IS TREATED AS COMMUNITY BENEFIT ON SCHEDULE H, PART I, LINE 7A. PART III, LINE 9B: COLLECTIONS PRACTICESAMERY'S DEBT COLLECTION POLICY CONTAINS PROVISIONS ON COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE. A REFUND WILL BE ISSUED WITH ANY AMOUNT THE PATIENT HAS PAID FOR THE CARE THAT EXCEEDS THE AMOUNT FOR WHICH THE PATIENT IS DETERMINED TO BE PERSONALLY RESPONSIBLE. IF THIS PATIENT IS ELIGIBLE FOR DISCOUNT AND NOT FREE CARE, AMERY WILL PROVIDE THE PATIENT WITH A BILLING STATEMENT THAT INDICATES HOW THE AMOUNT WAS DETERMINED AND INFORMATION REGARDING THE HOSPITAL'S FINANCIAL ASSISTANCE CALCULATIONS. IN ADDITION, THE HOSPITAL WILL TAKE ALL REASONABLY AVAILABLE MEASURES TO REVERSE ANY COLLECTION ACTIONS THAT MAY HAVE BEEN INITIATED AGAINST THE PATIENT. AMERY BELIEVES THAT DEBT COLLECTION POLICIES, WHETHER IMPLEMENTED BY AMERY STAFF OR AGENTS, SHOULD REFLECT THE AMERY'S MISSION AND VALUES. AMERY WILL NOT TOLERATE ABUSIVE, HARASSING, OPPRESSIVE, FALSE, DECEPTIVE, OR MISLEADING LANGUAGE OR COLLECTIONS CONDUCT BY ITS DEBT COLLECTION ATTORNEY AND AGENCY, OR THEIR AGENTS AND EMPLOYEES, AND AMERY EMPLOYEES RESPONSIBLE FOR COLLECTING MEDICAL DEBT FROM PATIENTS. AMERY WILL NOT REFER ANY ACCOUNT TO A THIRD PARTY DEBT COLLECTION AGENCY UNLESS IT HAS CONFIRMED THAT:- THERE IS REASONABLE BASIS TO BELIEVE THAT THE PATIENT OWES THE DEBT.- ALL KNOWN THIRD-PARTY PAYERS HAVE BEEN PROPERLY BILLED, AND THE PATIENT IS RESPONSIBLE FOR THE REMAINING DEBT.- IF THE PATIENT HAS INDICATED AN INABILITY TO PAY THE FULL AMOUNT, THE PATIENT HAS BEEN OFFERED A REASONABLE PAYMENT PLAN. AMERY WILL NOT REFER PATIENTS TO DEBT COLLECTION AGENCIES WHO ARE PERFORMING AS SPECIFIED IN THEIR PAYMENT PLANS.- THE PATIENT HAS BEEN GIVEN AN OPPORTUNITY TO SUBMIT A CHARITY CARE (FINANCIAL ASSISTANCE) APPLICATION. IF THE PATIENT HAS SUBMITTED AN APPLICATION FOR CHARITY CARE, ALL COLLECTION ACTIVITY WILL BE SUSPENDED UNTIL THE APPLICATION HAS BEEN PROCESSED. PART VI, LINE 2: TO COMPREHENSIVELY UNDERSTAND AND DESCRIBE THE NEEDS OF THE COMMUNITIES HEALTHPARTNERS SERVES, WE SYSTEMATICALLY IDENTIFIED A LIST OF PUBLICLY AVAILABLE DATA SOURCES AND A LIST OF INTERNALLY AVAILABLE HEALTHPARTNERS DATA SOURCES. WITH THE CHNA WORKGROUP THAT HAD EXPERTISE FROM PUBLIC HEALTH, HEALTHCARE AND EPIDEMIOLOGY, WE CAREFULLY REVIEWED THE LIST TO IDENTIFY OPPORTUNITIES WITH A SPECIFIC LENS TOWARDS INCLUDING MEMBERS WITH UNIQUE INSIGHT INTO NEEDS OF OUR UNDERSERVED COMMUNITIES WHERE HEALTH AND OTHER DISPARITIES EXIST. TO FURTHER ROUND OUT UNDERSTANDING, WE SOUGHT ADDITIONAL DATA SOURCES TOGETHER WITH OUR COMMUNITY PARTNERS. WHERE OPPORTUNITIES STILL REMAIN FOR BETTER UNDERSTANDING DUE TO LACK OF CURRENTLY AVAILABLE DATA, WE HAVE NOTED IN THE REPORT. FOR EXAMPLE, WE IDENTIFIED SPECIFIC GAPS IN DATA AVAILABLE TO UNDERSTAND THE COVID-19 PANDEMIC CONTEXT AND THE INFLUENCE OF STRUCTURAL RACISM ON THE NEEDS AREAS. THUS, WE SPECIFICALLY DESIGNED OUR QUALITATIVE COMMUNITY CONVERSATIONS AND OUR QUANTITATIVE HEALTHPARTNERS PROVIDER SURVEYS TO FILL THESE GAPS. HEALTHPARTNERS PROVIDER SURVEYS: SELECT HEALTHPARTNERS STAFF WHO PROVIDE DIRECT CARE FOR OUR PATIENTS WERE INVITED BY HOSPITAL LEADERS AND THE CHNA EXPERT PANEL MEMBERS TO COMPLETE A BRIEF WEB SURVEY ABOUT THE NEEDS OF THE PATIENTS THEY SERVE. THE SURVEY WAS DEVELOPED BY AN EXPERT SURVEY METHODOLOGIST WITH INPUT FROM THE CHNA WORKGROUP. OVERALL, 444 PROVIDERS INCLUDING DOCTORS, CARE COORDINATORS, PHARMACISTS, PHYSICAL OR OCCUPATIONAL THERAPISTS, DIETITIANS, NURSES, AND SOCIAL WORKERS COMPLETED SURVEYS ACROSS ALL HEALTHPARTNERS HOSPITALS. DESCRIPTIVE STATISTICS AND A THEMATIC ANALYSIS WERE COMPLETED AND INCLUDED IN THE NEEDS AREA SUMMARIES BELOW.COMMUNITY CONVERSATIONS: A TOTAL OF 41 COMMUNITY CONVERSATIONS WERE HELD OR ATTENDED BY HEALTHPARTNERS WORKGROUP MEMBERS. RESULTS WERE SUMMARIZED AND KEY THEMES AND QUOTES WERE ADDED TO THE NEEDS AREA SUMMARIES THROUGHOUT. ADDITIONAL DETAILS ABOUT THE COMMUNITY CONVERSATIONS CAN BE FOUND IN THE APPENDIX OF THE HOSPITAL'S 2021 CHNA AT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/AMERY/ABOUT/COMMUNITY-HEALTH-NEEDS PART VI, LINE 3: AMERY'S PATIENT FINANCIAL SERVICES DEPARTMENT WORKS WITH EACH PATIENT REGARDING ACCOUNT BALANCES LEFT TO PATIENT RESPONSIBILITY. PATIENTS WHO ARE NOT ALREADY ON GOVERNMENT ASSISTANCE OR HAVE LIMITED ASSISTANCE ARE REFERRED TO AMERY'S HEALTH BENEFITS COUNSELOR, WHO WORKS WITH THEM TO EVALUATE ASSISTANCE OPTIONS AND ASSISTS IN GETTING APPLICATIONS OR CONTACTS WITH THE APPROPRIATE PROGRAMS. IF ADDITIONAL ASSISTANCE IS NEEDED, THE COUNSELOR WILL WORK WITH THE PATIENT TO APPLY FOR FINANCIAL ASSISTANCE WITH AMERY AND HELPS THEM THROUGH THE PROCESS. THE FINANCIAL ASSISTANCE PROGRAM AND APPLICATION ARE LOCATED ON AMERY'S INTERNET SITE TO ALLOW PATIENTS DIRECT ACCESS TO THIS INFORMATION. PART VI, LINE 4: AMERY'S SERVICE AREA INCLUDED 15 DIFFERENT ZIP CODES IN NORTHWEST WISCONSIN THAT PRIMARILY REPRESENT POLK COUNTY. IT INCLUDES THREE RURAL HEALTH CLINICS IN LUCK, TURTLE LAKE, AND CLEAR LAKE, WHICH ARE ALL MEDICALLY UNDERSERVED AREAS. THE AMERY COMMUNITY IS ALSO CONSIDERED A MENTAL HEALTH MEDICALLY UNDERSERVED AREA. THE WOUND CENTER & INPATIENT PSYCH SERVICE DRAWS FROM OUTSIDE AMERY'S NORMAL SERVICE AREA. PART VI, LINE 5: TEN OF AMERY'S THIRTEEN BOARD MEMBERS LIVE IN AMERY'S SERVICE AREA. AMERY HAS AN OPEN MEDICAL STAFF WHICH INCLUDES PROVIDERS FROM THE COMMUNITY, AND OTHER COMMUNITIES AS WELL AS THE TWIN CITIES. ANY SURPLUS FUNDS GENERATED ARE USED TO PURCHASE EQUIPMENT, BUILD NEW FACILITIES, AND EXPAND SERVICES AVAILABLE IN AMERY'S COMMUNITY. PART VI, LINE 6: HEALTHPARTNERS AND AMERY HAVE HAD A LONG-STANDING RELATIONSHIP, WITH HEALTHPARTNERS EMPLOYING AND SOURCING PHYSICIANS AND MID-LEVEL PRACTITIONERS TO AMERY FOR AMERY'S PRIMARY CARE CLINICS. IN 2014, AMERY BECAME PART OF THE HEALTHPARTNERS FAMILY OF MISSION-DRIVEN NON-PROFIT ORGANIZATIONS. AS PART OF HEALTHPARTNERS, AMERY USES HEALTHPARTNERS' INTEGRATED ELECTRONIC HEALTH RECORD SYSTEM, PARTICIPATES IN COORDINATED CHNA PROCESSES AND IMPLEMENTATION STRATEGIES, AND ACCESSES CENTRALIZED SUPPORT SERVICES IN FINANCE, LEGAL, IS&T, AND QUALITY. THE FOUR HEALTHPARTNERS HOSPITALS IN THE ST. CROIX VALLEY - STILLWATER MN AND HUDSON, NEW RICHMOND, AND AMERY WI - WORK TOGETHER TO ESTABLISH ACCESSIBLE AND COORDINATED SPECIALTY SERVICES FOR VALLEY RESIDENTS. EXAMPLES OF THESE SERVICES INCLUDE RADIATION THERAPY ON THE NEW RICHMOND CAMPUS, BREAST DIAGNOSTICS ON THE STILLWATER CAMPUS, AND GERIATRIC BEHAVIORAL HEALTH SERVICES ON THE AMERY CAMPUS. HEALTHPARTNERS INCLUDES INSURANCE AND HMO (HEALTH MAINTENANCE ORGANIZATION) ENTITIES THAT PROVIDE CARE COORDINATION, DISEASE MANAGEMENT, ON-LINE CARE OF BASIC CONDITIONS, A 24-HOUR/7-DAY PER WEEK NURSE LINE, AND OTHER SERVICES THAT ENHANCE CARE OF MEMBERS, PATIENTS AND THE COMMUNITY. PART VI, LINE 7, REPORTS FILED WITH STATES WI 0 0 0 0 0 1 1 0 0 DOUGLAS E JOHNSON CFO 0 386739 0 106273 0 110771 0 6600 0 37521 0 647904 0 0 MARTIN E RICHARDS MD DIRECTOR 0 425399 0 25000 0 66694 0 24750 0 43857 0 585700 0 0 PATRICK D SURA MD DIR & CHIEF MED OFFICER 0 413024 0 14000 0 33495 0 24750 0 42972 0 528241 0 0 DEBRA A RUDQUIST DIRECTOR & PRESIDENT 0 307131 0 91223 0 11580 0 26592 0 38219 0 474745 0 0 STEVEN J LONG MD DIRECTOR 0 293646 0 44000 0 83221 0 2846 0 42279 0 465992 0 0 ROSS R BULLARD DIRECTOR & TREASURER 0 253460 0 65727 0 5881 0 59880 0 41215 0 426163 0 0 JASON J LUHRS FORMER CFO 0 264872 0 76091 0 6627 0 24750 0 41058 0 413398 0 0 BRIAN H RANK MD DIRECTOR 0 140281 0 0 0 119536 0 60073 0 22159 0 342049 0 0 RONDA D DAVIS MD DIRECTOR 0 166866 0 0 0 102897 0 20563 0 39899 0 330225 0 0 STEVEN L ROZENBLOOM FINANCE DIRECTOR 168683 0 17170 0 4097 0 7766 0 38872 0 236588 0 0 0 KEVIN M JUST VP PATIENT CARE SERVICES 194818 0 18901 0 678 0 8549 0 13041 0 235987 0 0 0 MARYANN SCOGLIO APRN DIRECTOR 0 125032 0 0 0 57887 0 14180 0 35876 0 232975 0 0 SARAH L KNUTSON NURSE PRACTITIONER 124151 0 500 0 26732 0 6398 0 36956 0 194737 0 0 0 JAMES G ERICKSON REGISTERED NURSE SUPERVISOR 134552 0 500 0 9414 0 6146 0 37771 0 188383 0 0 0 VICTORIA R STUDTMANN PROVIDER-APNP 114208 0 450 0 28550 0 5954 0 37674 0 186836 0 0 0 JOLLEEN M NICHOLS PROVIDER-APNP 135757 0 500 0 14721 0 6015 0 11550 0 168543 0 0 0 PART I, LINE 3 AMERY'S PRESIDENT AND ITS OFFICERS ARE EMPLOYED BY REGIONS HOSPITAL (REGIONS) OR BY GROUP HEALTH PLAN, INC. (GHI), OR LAKEVIEW HOSPITAL, ALL OF WHICH ARE RELATED ORGANIZATIONS, OR BY AMERY. GHI, REGIONS, LAKEVIEW AND AMERY HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF AMERY'S PRESIDENT AND OTHER OFFICERS. PART I, LINE 6 AMERY'S OFFICERS, DIRECTORS AND HIGHEST COMPENSATED EMPLOYEES ARE EMPLOYED BY REGIONS HOSPITAL (REGIONS),GROUP HEALTH PLAN, INC. (GHI), OR LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION (LAKEVIEW), RELATED ORGANIZATIONS, OR BY AMERY. COMPENSATION REPORTED IN FORM 990, PART VIII INCLUDES ANY COMPENSATION DERIVED FROM REGIONS, GHI, LAKEVIEW OR AMERY'S LEADERSHIP 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 LEADERSHIP INCENTIVE PROGRAMS' REWARDS ARE BASED ON POSITION IN THE ORGANIZATION (E.G. 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, HEALTH EQUITY, HEALTHCARE AFFORDABILITY MEASURES, HEALTH PLAN AND CARE DELIVERY MARKET SHARE, STRATEGIC CAPABILITIES, HOSPITAL AND CLINIC QUALITY MEASURES, FINANCIAL PERFORMANCE (OPERATING INCOME), ETC., AND WILL BE DEFINED ANNUALLY FOR EACH YEAR'S PROGRAM. A OPERATING MARGIN 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. A CITY OF AMERY WISCONSIN 396005378 2021-05-02 5000000 REFINANCE EXISTING DEBT 0 0 0 B TOWN OF BLACK BROOK POLK COUNTY WISCONSIN 391169876 2021-05-02 8500000 REFINANCE EXISTING DEBT 0 0 0 C TOWN OF LINCOLN POLK COUNTY WISCONSIN 391406159 2021-05-02 8500000 REFINANCE EXISTING DEBT 0 0 0 A 1175114 5000000 19425 4980575 2021 1 0 1 1 B 1997694 8500000 33024 8466976 2021 1 0 1 1 C 1997694 8500000 33024 8466976 2021 1 0 1 1 A 0 1 0 0 0.00080 0.00080 0 0 0 B 0 1 0 0 0.00080 0.00080 0 0 0 C 0 1 0 0 0.00080 0.00080 0 0 0 A 0 1 0 0 1 0 0 0 0 B 0 1 0 0 1 0 0 0 0 C 0 1 0 0 1 0 0 0 0 A 0 B 0 C 0 FORM 990, SCHEDULE K, PART IV, LINE 2A THRU 2C REBATE CALCULATION IS NOT DUE BUT EVERY 5 YEARS. THERE IS NO REBATE CALCULATION DUE FOR ANY BONDS LISTED IN SCHEDULE K, PART I. FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS CORPORATE STRUCTURE, PURPOSE, GOVERNANCE AMERY REGIONAL MEDICAL CENTER (AMERY), A STATE LICENSED 25-BED, LEVEL IV CRITICAL ACCESS HOSPITAL (CAH), 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"). HEALTHPARTNERS IS A NONPROFIT ORGANIZATION WITH A MISSION OF IMPROVING HEALTH AND WELL-BEING IN PARTNERSHIP WITH ITS PATIENTS, MEMBERS AND COMMUNITY. AN INTEGRATED SYSTEM OF CARE AND COVERAGE SINCE ITS FOUNDING 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 2,000 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 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 ARMC. GHI IS A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). IN TURN, AMERY IS THE SOLE CORPORATE MEMBER OF THE AMERY REGIONAL MEDICAL CENTER FOUNDATION (FOUNDATION) A WISCONSIN NON-STOCK CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). CHARITY CARE: CHARITY CARE IS DEFINED AS THE COST OF CARE DELIVERED TO PATIENTS WHO ARE WILLING, BUT UNABLE TO PAY FOR THE SERVICES THEY RECEIVE. THIS INCLUDES PATIENTS WHOSE CHARGES ARE FORGIVEN OR REDUCED BECAUSE OF INABILITY TO PAY; PATIENTS WHO ARE UNABLE TO PAY THE BALANCE LEFT BY ANY PAYER; AND PATIENTS FOR WHOM UNUSUAL CIRCUMSTANCES, OR SPECIAL FINANCIAL HARDSHIP, WARRANT SPECIAL CONSIDERATION. AMERY PROVIDED $978,445 IN FREE OR DISCOUNTED CARE TO LOW INCOME AND UNINSURED PATIENTS IN 2023. GOVERNMENT-SPONSORED MEANS-TESTED HEALTH CARE: AMERY PROVIDED INPATIENT AND OUTPATIENT CARE, INCLUDING EMERGENCY DEPARTMENT SERVICES TO MEDICAID PATIENTS. PAYMENTS RECEIVED FOR THESE SERVICES WERE BELOW THE COST OF CARE PROVIDED. THE EXPENSE TO COVER UNREIMBURSED MEDICAID COSTS FOR PATIENTS TOTALED $734,581. COMMUNITY BENEFIT SERVICES: 1. COMMUNITY HEALTH IMPROVEMENT SERVICES: $59,988 AMERY IS COMMITTED TO COMMUNITY HEALTH IMPROVEMENT SERVICES, WHICH INCLUDE A RANGE OF ACTIVITIES CARRIED OUT TO IMPROVE COMMUNITY HEALTH BEYOND PATIENT CARE. BELOW ARE HIGHLIGHTS OF SUCH ACTIVITIES THAT FALL WITHIN THE CATEGORIES OF COMMUNITY HEALTH EDUCATION, COMMUNITY-BASED CLINICAL SERVICES, HEALTH CARE SUPPORT SERVICES AND SOCIAL AND ENVIRONMENTAL IMPROVEMENT. EACH YEAR, AMERY HELPS EDUCATE THE LOCAL COMMUNITIES ABOUT HEALTH TOPICS BY PROVIDING THEM A VARIETY OF COMMUNITY EDUCATION. WE CONTINUED TO SERVE OUR COMMUNITIES IN DIGITAL/VIRTUAL FORMATS. 35 VIRTUAL CLASSES, EVENTS, AND PODCASTS WERE CARRIED OUT ON A VARIETY OF TOPICS INCLUDING: DIABETES, DEMENTIA, GRIEF, ANXIETY IN TEENS, WARNING SIGNS OF SUBSTANCE USE, EXERCISE, PREGNANCY, AND HEART HEALTH. IN TOTAL, THESE HAVE BEEN ACCESSED OVER 2,500 TIMES. PART III, CONT. IN 2023, THE MAKE IT OK CAMPAIGN MARKED A DECADE OF REDUCING MENTAL HEALTH STIGMA BY CHANGING ATTITUDES AND FOSTERING CARING CONVERSATIONS IN COMMUNITIES. MAKE IT OK HAD CONTINUED GROWTH OF PARTNERS, AMBASSADORS AND COMMUNITY ENGAGEMENT, WITH AN INCREASED FOCUS ON EQUITABLY REACHING COMMUNITIES DISPROPORTIONATELY IMPACTED BY MENTAL ILLNESSES AND STIGMA. IT WAS ALSO A YEAR TO REFLECT ON A DECADE OF MILESTONES WITH OUR NEW MAKE IT OK 10-YEAR REPORT, SHOWCASING THE CAMPAIGN'S MEANINGFUL AND MEASURABLE PROGRESS. THIS MILESTONE WAS CELEBRATED WITH AN EVENT IN APRIL, ATTENDED BY OVER 150 PEOPLE, BOTH IN PERSON AND VIRTUALLY, HIGHLIGHTING THE 10-YEAR PROGRESS AND FUTURE PLANS. SINCE 2012, MORE THAN: 5,000 PEOPLE HAVE BEEN TRAINED AS AMBASSADORS, 10,000 HAVE ATTENDED MAKE IT OK PRESENTATIONS, 21,000 HAVE TAKEN THE PLEDGE TO STAND AGAINST STIGMA, AND THE CAMPAIGN HAS EXPANDED ITS REACH NATIONWIDE THROUGH ONLINE RESOURCES, TRAININGS AND PARTNERSHIPS. THIS IMPORTANT WORK RESULTED IN A MEASURABLE DECREASE IN COMMUNITY STIGMA, YET THERE IS STILL WORK TO DO. HIGHLIGHTS OF MAKE IT OK IN 2023: -133,260 REACHED VIRTUALLY, THROUGH PRESENTATIONS, TRAININGS, WEBSITE, SOCIAL AND E-NEWSLETTERS; -15,000+ REACHED WITH 6,325 ENGAGED IN MAKE IT OK THROUGH 41 COMMUNITY EVENTS; -855 AMBASSADORS SUBSCRIBERS REACHED THROUGH QUARTERLY E-NEWSLETTER; -480 ENGAGED THROUGH 32 VIRTUAL PRESENTATIONS AND 5 IN-PERSON (165 ATTENDED PRESENTATION ON STIGMA OF SUBSTANCE USE DISORDER); -220 AMBASSADORS TRAINED THROUGH 15 VIRTUAL TRAININGS AND 2 IN-PERSON; WEB DEVELOPMENT OF THE NEWLY TRANSFORMED MAKE IT OK WEBSITE; IN 2023, THE POWERUP COMMUNITY HEALTH INITIATIVE CONTINUED TO INSPIRE AND SUPPORT KIDS AND FAMILIES TO EAT BETTER, MOVE MORE AND FEEL GOOD. THE YEAR WITNESSED A NOTEWORTHY INCREASE IN IN-PERSON OUTREACH AND EVENTS, DEMONSTRATING A ROBUST RETURN TO COMMUNITY ENGAGEMENT. AT THE SAME TIME, VIRTUAL OUTREACH AND COMMUNICATIONS CONTINUED TO EXPAND WITH AN ENHANCED AND CONSISTENT APPROACH, OFFERING FAMILIES SIMPLE AND FUN IDEAS TO POWERUP AT HOME. NEW AND INNOVATIVE RESOURCES FEATURING PLANT-BASED PROTEINS WERE ALSO DEVELOPED. THESE RESOURCES REPRESENT OUR EXPANDING COMMITMENT TO HEALTH, THE PLANET AND BUDGET-FRIENDLY NUTRITION. HIGHLIGHTS OF POWERUP IN 2023: -REACHED 64,176+ VIRTUALLY, THROUGH CLASSES, WEBSITE, SOCIAL AND E-NEWSLETTERS; -REACHED 40,000+ WITH THE POWERUP PRESS FAMILY NEWSLETTERS (DISTRIBUTED TO FAMILIES, SCHOOLS AND COMMUNITY); -POWERED UP 4,126 STUDENTS WITH THE POWERUP SCHOOL CHALLENGE ACROSS 25 ELEMENTARY SCHOOLS; -ENGAGED 18,887 KIDS AND FAMILIES THROUGH 141 EVENTS THAT POWERUP ATTENDED; -ENGAGED 1,958 LISTSERV SUBSCRIBERS (+80 IN LAST YEAR) THROUGH MONTHLY E-NEWSLETTERS; -DEVELOPED 'POWERUP WITH PLANTS,' A WEB RESOURCE WITH PLANT-BASED PROTEIN INFORMATION, ACTIVITIES AND FEATURED AN INTERACTIVE CHALLENGE WITH NEARLY 200 PARTICIPANTS; -DEVELOPED FIVE NEW RECIPE VIDEO RESOURCES FOR FAMILIES WITH A FOCUS ON MEALS AND SNACKS FEATURING PLANT-BASED PROTEINS. THE ST. CROIX VALLEY FAITH COMMUNITY NURSING PROGRAM IS A HEALTH CARE MINISTRY PROVIDING PHYSICAL, EMOTIONAL AND SPIRITUAL CARE FOR LOCAL CONGREGATIONS AND COMMUNITY IN PARTNERSHIP WITH AMERY. THE PROGRAM ORIGINATED AND PRIMARILY SERVED THE STILLWATER, MINNESOTA AREA, BUT IN 2023 STARTED EXPANSION EFFORTS IN AMERY, NEW RICHMOND AND HUDSON, WISCONSIN. WHILE JUST GETTING STARTED IN THESE COMMUNITIES, THE PARTNER RESPONSE WAS OVERWHELMINGLY POSITIVE. THE PROGRAM ALSO HOLDS WELLNESS DAY EVENT AND COMMUNITY FOOT CARE CLINICS, WHICH ARE OPEN TO AND SERVE ST. CROIX VALLEY COMMUNITIES. HIGHLIGHTS OF FAITH COMMUNITY NURSING IN 2023: -WELLNESS DAY AND FOOT CARE CLINIC SERVED 168 INDIVIDUALS, SCREENED 99 INDIVIDUALS FOR MEMORY AND BALANCE, BLOOD PRESSURE AND GLUCOSE; -FOUNDER AND SUPPORTER OF ST. CROIX VALLEY GRIEF COALITION WHICH WAS CREATED THIS YEAR IN COLLABORATION WITH COMMUNITY PARTNERS AND NOW HAS OVER 70 MEMBERS AND HAS A MISSION OF ADDRESSING THE EXPERIENCES OF LOSS AND GRIEF BY OFFERING SUPPORT, EDUCATION, AND ADVOCACY; -PARTNERSHIP BUILDING IN AMERY, NEW RICHMOND AND HUDSON WITH THREE LOCAL MINISTERIUM GROUPS AND A VARIETY OF ORGANIZATIONS; -FREE FOOT CARE CLINIC HELD AT GRACE PLACE SHELTER SERVED EIGHT CLIENTS. AMERY IS COMMITTED TO PROVIDING SEVERAL HEALTH CARE SUPPORT SERVICES, INTENDED TO INCREASE ACCESS AND QUALITY OF CARE IN HEALTH SERVICES TO INDIVIDUALS, ESPECIALLY PERSONS LIVING IN POVERTY AND THOSE IN OTHER VULNERABLE POPULATIONS. THESE SUPPORT SERVICES INCLUDE: PATIENT EMERGENCY FUND, SOCIAL WORKERS PROVIDING SUPPORT ABOVE AND BEYOND STANDARD OF PRACTICE, AND ADVANCE CARE DIRECTIVES ASSISTANCE. AMERY CONTINUES TO HOST, MAINTAIN AND SUPPORT THE COMMUNITY GARDEN OF 18 BEDS ALONGSIDE LOCAL COMMUNITY PARTNERS. 2. HEALTH PROFESSIONS EDUCATION: $317,700 IN 2023, AMERY PROVIDED TRAINING FOR STUDENTS IN THE FOLLOWING FIELDS: NURSING (34), MEDICAL ASSISTANT (1), CERTIFIED REGISTERED NURSE ANESTHETIST (1), NURSE PRACTITIONER (4), PHARMACY (3), PHYSICAL THERAPY (1), PHYSICAL THERAPY ASSISTANT (1), PHLEBOTOMY (1), RESIDENT PHYSICIANS (4). AMERY ALSO SUPPORTS SCHOLARSHIPS TO LOCAL HIGH SCHOOL SENIORS PURSUING A CAREER IN A HEALTH-RELATED FIELD. 3. SUBSIDIZED HEALTH SERVICES: $2,158,359 AMERY IS COMMITTED TO PROVIDING NEEDED SERVICES, EVEN AT A FINANCIAL LOSS BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND WOULD OTHERWISE NOT BE AVAILABLE IN SUFFICIENT AMOUNTS. IN 2023, SUBSIDIZED HEALTH SERVICES INCLUDED: EMERGENCY AND TRAUMA, AMERY, CLEAR LAKE AND LUCK CLINICS AND BEHAVIORAL HEALTH. 4. CASH AND IN-KIND CONTRIBUTIONS: $127,317 AMERY HELPED VARIOUS NON-PROFIT ORGANIZATIONS, COMMUNITY GROUPS, AND SCHOOL PROGRAMS THROUGH CASH DONATIONS AND SPONSORSHIPS. IN-KIND DONATIONS INCLUDE STAFF HOURS SPENT IN SUPPORT OF LOCAL COMMUNITY BOARDS OR COMMITTEE WORK SUCH AS: KINSHIP OF POLK COUNTY, REGIONAL TRAUMA ADVISORY COUNCIL, AND ST. CROIX VALLEY INJURY PREVENTION, AND STATE TRAUMA ADVISORY COUNCIL. TO HELP COMBAT POVERTY, AMERY PROVIDES AMERY AREA FOOD SHELF WITH FREE RENT, HEAT AND SPACE, A BENEFIT OF OVER $74,000. 5. COMMUNITY BUILDING ACTIVITIES: $56,412 AMERY PROVIDES LEADERSHIP AND PARTICIPATES IN SEVERAL STRATEGIC COMMUNITY COLLABORATIONS AND INITIATIVES, INCLUDING: POLK COUNTY ECONOMIC DEVELOPMENT CORP, POLK COUNTY PUBLIC HEALTH, POLK UNITED, AMERY ECONOMIC DEVELOPMENT CORP, MENTAL HEALTH TASK FORCE, NORTHWEST WISCONSIN HEALTHCARE EMERGENCY READINESS, POLK COUNTY I-TEAM, AND PARTNERS FOR RECOVERY. AMERY CONTINUOUSLY FOCUSES ON SUSTAINABILITY EFFORTS THROUGH INITIATIVES SUCH AS GREENING THE OR, EQUIPMENT DONATIONS, AND COMPOSTING: -COLLECTED 64 TONS OF MATERIALS, WHICH WERE REUSED AND RECYCLED, THEREBY KEPT OUT OF THE LANDFILL; -OVER $19,000 WAS SAVED THROUGH THE GREENING THE OR PROGRAM IN 2023; -1.1 TONS OF CAFETERIA FOOD WASTE WAS COMPOSTED; -0.12 TONS OF EQUIPMENT WAS DONATED; -39 TONS OF MATERIALS WERE RECYCLED. THE MEDICATION TAKE BACK PROGRAM COLLECTED 505 POUNDS OF UNUSED PRESCRIPTION MEDICATIONS IN A SECURE MANNER TO PREVENT ACCIDENTAL POISONING OR MISUSE AND PREVENT MEDICATIONS FROM ENTERING THE WATER AND DRINKING WATER. 6. COMMUNITY BENEFIT OPERATIONS: $10,780 STAFF TIME IS ALLOCATED TO THE TRAINING, MANAGEMENT, AND REPORTING OF COMMUNITY BENEFITS TO BEST CAPTURE AMERY'S COMMITMENT TO COMMUNITY HEALTH IMPROVEMENT. 7. ORGANIZATION AWARDS AND ACHIEVEMENTS WE ARE VERY PROUD THAT OUR HOSPITAL CONTINUED ITS NATIONAL AWARD-WINNING TRADITIONS OF EXCEPTIONAL CARE AND PERFORMANCE IN ALL AREAS. HERE ARE A FEW OF THE HIGHLIGHTS FROM 2023: TOP 100 CRITICAL ACCESS HOSPITAL IN THE COUNTRY FROM THE CHARTIS CENTER FOR RURAL HEALTH; PERFORMANCE LEADERSHIP AWARD WINNER IN THE "PATIENT PERSPECTIVE" CATEGORY FROM THE CHARTIS GROUP; TREE CAMPUS HEALTHCARE AWARD FROM THE ARBOR DAY FOUNDATION; CENTER OF DISTINCTION AWARD FROM HEALOGICS, PRESENTED TO AMERY'S WOUND HEALING CENTER; TOP 25 ENVIRONMENTAL EXCELLENCE AWARD, CIRCLE OF EXCELLENCE AWARD IN WATER AND GREENING THE OPERATING ROOM RECOGNITION AWARD FROM PRACTICE GREENHEALTH; BIRTHING-FRIENDLY DESIGNATION FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES. FORM 990, PART VI, SECTION A, LINE 6 RH-WISCONSIN, INC. IS THE CLASS A MEMBER AND GHI IS THE CLASS B MEMBER OF AMERY. FORM 990, PART VI, SECTION A, LINE 7A AMERY'S BOARD OF DIRECTORS IS COMPRISED OF NOT MORE THAN 13 PERSONS APPOINTED AS FOLLOWS: - 7 COMMUNITY REPRESENTATIVES APPOINTED BY THE CLASS A MEMBER (RH-WISCONSIN), FROM RECOMMENDATIONS BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. - 3 REPRESENTATIVES APPOINTED BY THE CLASS B MEMBER (GHI). - 3 HEALTH CARE PROVIDERS NOMINATED BY THE PHYSICIAN GROUP STAFFING ARMC'S PRIMARY CARE CLINIC AND APPOINTED BY THE CLASS B MEMBER (GHI). - THE PRESIDENT AND CHIEF MEDICAL OFFICER OF AMERY SIT IN EX-OFFICIO CAPACITIES, WITHOUT THE RIGHT TO VOTE. FORM 990, PART VI, SECTION A, LINE 7B THE CLASS A AND CLASS B MEMBERS (RH-WISCONSIN, INC. AND GHI RESPECTIVELY) BOTH MUST APPROVE THE DECISIONS OF THE BOARD OF DIRECTORS AS FOLLOWS: - AMENDMENT OF ARTICLES OR BYLAWS IMPACTING MEMBERSHIP - RESIGNATION OF A MEMBER - DISSOLUTION - ANY CHANGE IN THE FUNDAMENTAL NATURE OR PURPOSE - MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION - DISPOSITION OF SUBSTANTIALLY ALL ASSETS. ONLY THE CLASS A MEMBER MUST APPROVE THE DECISIONS OF THE BOARD OF DIRECTORS AS FOLLOWS: - AMENDMENT OF ARTICLES OR BYLAWS NOT IMPACTING MEMBERSHIP - ANNUAL OPERATING AND CAPITAL BUDGETS AND STRATEGIC PLANS - ESTABLISHMENT OF NEW ENTITIES OR SIGNIFICANT RELATIONSHIPS WITH OTHER ENTITIES - UNBUDGETED EXPENDITURES IN EXCESS OF AMOUNTS ESTABLISHED BY THE MEMBER - GUARANTEEING THE DEBT OF ANY OTHER PERSON OR ENTITY - A LOAN OR OTHER INDEBTEDNESS IN EXCESS OF AMOUNTS ESTABLISHED BY THE MEMBER - TRANSFER OF ASSETS TO ANOTHER ENTITY - APPOINTMENT OF THE PRESIDENT AND THE BOARD CHAIR. FORM 990, PART VI, SECTION B, LINE 11B AMERY'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF AMERY. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GROUP HEALTH PLAN, INC. (GHI), THE MANAGEMENT TEAM OF AMERY, GHI'S INTERNAL LEGAL DEPARTMENT AND AMERYS 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 AMERY. AMERY 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 AMERY 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 GENERAL COUNSEL 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. IF A DISCLOSED CONFLICT OF INTEREST IMPACTS AN AGENDA ITEM OR DECISION, THE COVERED PERSON WOULD BE EXCLUDED FROM VOTING AND MAY BE EXCLUDED FROM RECEIVING INFORMATION AND/OR PARTICIPATING IN DELIBERATIONS, DEPENDING ON THE CIRCUMSTANCES. FORM 990, PART VI, SECTION B, LINE 15 AMERY'S PRESIDENT AND ITS OFFICERS ARE EMPLOYED BY REGIONS HOSPITAL (REGIONS), LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC (LAKEVIEW) OR BY GROUP HEALTH PLAN, INC. (GHI), ALL OF WHICH ARE RELATED ORGANIZATIONS, OR BY AMERY. GHI, REGIONS, LAKEVIEW AND AMERY HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF AMERY'S PRESIDENT AND OTHER OFFICERS. 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. BASED ON THIS DATA, EITHER THE EXECUTIVE COMMITTEE OF REGIONS, THE COMPENSATION COMMITTEE OF GHI, LAKEVIEW'S EXECUTIVE COMMITTEE, OR THE AMERY EXECUTIVE COMMITTEE (THE "COMMITTEES") DETERMINE MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES 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 AMERY'S BOARD OF DIRECTORS INPUT, THE ST CROIX VALLEY EXECUTIVE LEADER CONDUCTS THE ANNUAL PERFORMANCE REVIEW AND, WITH AMERY'S BOARD APPROVAL, DETERMINES THE COMPENSATION OF THE AMERY PRESIDENT. AMERY'S BOARD HAS DELEGATED TO THE PRESIDENT THE ACCOUNTABILITY TO CONDUCT ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL ARMC-EMPLOYED OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE COMMITTEE. ANY EXCEPTIONS TO COMPENSATION IN EXCESS OF THE APPROVED RANGES ARE APPROVED BY THE AMERY'S EXECUTIVE COMMITTEE. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND ON THE EMPLOYEE'S W-2. FORM 990, PART VI, SECTION C, LINE 18 AMERY'S 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM AMERY OR HEALTHPARTNERS, INC. FORM 990, PART VI, SECTION C, LINE 19 AMERY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. 990, PART VII, SEC A, LN 1A, COL (B) - RELATED ORGANIZATION AVERAGE HOURS DIRECTORS AND OFFICERS OF ARMC ARE EMPLOYED AND COMPENSATED BY GHI, INC., REGIONS HOSPITAL, LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION OR ARMC. 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 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 - 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 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 1 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 0 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 HEALTHPARTNERS INC - CLAIMSHEALTHCARE SERVICES L 446905 FAIR VALUE AMERY REGIONAL MEDICAL CENTER FOUNDATION INC C 3271103 FAIR VALUE