2022-11-10T11:34:53-06:00 2021-12-31 135565207 KPMG LLP 4200 WELLS FARGO CTR 90S7TH STREET MINNEAPOLIS MN 55402 990 2021-01-01 391726539 AMERY REGIONAL MEDICAL CENTER FOUNDATION INC AMER 7152688000 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 DEBRA A RUDQUIST PRESIDENT 7152688000 2022-11-09 1 DEBRA RUDQUIST 999009999 HOLLY K MOEN P01800653 6123055000 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z DEBRA A RUDQUIST 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 2316595 0 X WWW.AMERYMEDICALCENTER.ORG X 1991 WI TO PROMOTE THE HEALTH AND WELLNESS IN THE COMMUNITIES SERVED BY AMERY REGIONAL MEDICAL CENTER. 9 7 0 21 0 0 1376534 2289205 0 0 2284 2585 2255 21728 1381073 2313518 53945 140653 0 0 0 0 0 0 0 70146 2552 124091 143205 1256982 2170313 1832774 4016801 1082 14796 1831692 4002005 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 143205 140653 SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS 143205 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 9 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X DOUG E JOHNSON CFO 7152688000 265 GRIFFIN STREET EAST AMERY WI 54001 X JOYCE SCHAEFER DIRECTOR & CHAIR 0.75 0.00 X X 0 0 0 BRIAN BYRNES DIRECTOR & SECRETARY & TRE 0.50 0.00 X X 0 0 0 JON BUSS DIRECTOR 0.50 0.00 X 0 0 0 BRUCE F DENNISON MD DIRECTOR 0.50 39.50 X 0 107609 41439 SHARI OVERBY DIRECTOR 0.50 0.00 X 0 0 0 J MARTIN NOONAN DIRECTOR & VICE CHAIR 0.50 0.00 X X 0 0 0 JAMES QUENAN MD DIRECTOR 0.50 0.00 X 0 0 0 ANN R SEAGREN MD DIRECTOR 0.50 39.50 X 0 263351 76348 JANE JOHNSON DIRECTOR 0.50 0.00 X 0 0 0 DIANE C MCNEIL EXECUTIVE DIRECTOR 45.00 0.00 X 0 111203 13765 DOUGLAS E JOHNSON CFO 0.50 54.50 X 0 410661 233539 DEBRA A RUDQUIST PRESIDENT 0.50 49.50 X 0 340466 59348 JASON J LUHRS FORMER CFO 0.00 50.00 X 0 255205 53578 0 1488495 478017 0 1 1 0 0 4500 2284705 2289205 2585 2585 24805 4500 3077 21728 21728 2313518 0 0 24313 140653 140653 1252 1252 MISCELLANEOUS OTHER EXP 1300 1300 143205 143205 0 0 1828395 4016801 4379 1832774 4016801 1082 14796 1082 14796 X 1831692 4002005 1831692 4002005 1832774 4016801 2170313 0 X 0 1 X 1 0 X 253561 324463 405320 126534 284705 1394583 253561 324463 405320 126534 284705 1394583 378241 1016342 920 2997 3350 2284 2585 12136 1406719 182110 0.72250 0.73110 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, 2021 OR 2020 FOR UNRECOGNIZED TAX BENEFITS. GOLF TOURNAMENT 29305 4500 24805 3077 0 29305 4500 24805 3077 3077 21728 1 AMERY REGIONAL MEDICAL CENTER 8170 33RD AVE SOUTH PO BOX 1309 BLOOMINGTON MN 55440 390908320 501(C)(3) 137331 0 PROGRAM SUPPORT 1 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 334804 0 49000 0 26857 0 198123 0 35416 0 644200 0 0 DEBRA A RUDQUIST PRESIDENT 0 285521 0 43000 0 11945 0 25300 0 34048 0 399814 0 0 ANN R SEAGREN MD DIRECTOR 0 199092 0 0 0 64259 0 39755 0 36593 0 339699 0 0 JASON J LUHRS FORMER CFO 0 227159 0 23000 0 5046 0 16797 0 36781 0 308783 0 0 PART I, LINE 3 THE FOUNDATION HAS NO EMPLOYEES AND DOES NOT PAY COMPENSATION. ALL OFFICERS AND KEY EMPLOYEES ARE PAID BY GROUP HEALTH PLAN, INC. (GHI), REGIONS HOSPITAL, LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION OR AMERY REGIONAL MEDICAL CENTER, RELATED ORGANIZATIONS. ANY COMPENSATION DISCLOSED IS DETERMINED SOLELY BY THE RELATED ORGANIZATIONS. PART I, LINE 6 THE FOUNDATION HAS NO EMPLOYEES. THE FOUNDATION'S PRESIDENT IS EMPLOYED BY REGIONS HOSPITAL, INC. (RH), AND THE CFO IS EMPLOYED BY LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION BOTH HAVE AN INCENTIVE PROGRAM WHICH INCENTS AND REWARDS THE EMPLOYEES WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC YEAR. HOW THE PROGRAM WORKS: THE INCENTIVE PROGRAM REWARDS ARE BASED ON POSITION IN THE ORGANIZATION 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 CARE 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. 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, AND IS THE LARGEST CONSUMER-GOVERNED NONPROFIT HEALTH CARE ORGANIZATION IN THE COUNTRY. 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 1,800 EMPLOYED PHYSICIANS AND DENTISTS, EIGHT OWNED HOSPITALS WITH OVER 1,000 ACUTE CARE BEDS, OVER 129 PRIMARY AND SPECIALTY CARE MEDICAL FACILITIES AND DENTAL FACILITIES WITH PRACTICES IN MINNESOTA AND WESTERN WISCONSIN SERVING MORE THAN 1.32 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 CONTINUING IN 2021 ARE TOTAL COST OF CARE MEASUREMENTS (A NATIONALLY RECOGNIZED METRIC, ENDORSED BY THE NATIONAL QUALITY FORUM, 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), 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, RAMSEY INTEGRATED HEALTH SERVICES, 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 FOUNDATION EXISTS TO PROMOTE THE HEALTH AND WELLNESS OF THE PEOPLE IN THE COMMUNITIES SERVED BY AHC BY PARTICIPATING IN VARIOUS FUNDRAISING ACTIVITIES. BENEFIT TO THE COMMUNITY FUNDRAISERS IN 2021, THE COVID-19 PANDEMIC CONTINUED TO PREVENT US FROM HOSTING IN-PERSON FUNDRAISING EVENTS, SO WE FOCUSED OUR EFFORTS ON OBTAINING GRANTS AND DONATIONS. THE FOUNDATION DID HOST A "SOCIALLY DISTANCED" MODIFIED GOLF FUNDRAISER IN SEPTEMBER THAT RAISED $29,305 TOWARD THE EMERGENCY DEPARTMENT/CHEMOTHERAPY & INFUSION CENTER REMODEL AND RENOVATION PROJECT. THIS EVENT NETTED $29,352 FROM OUR GENEROUS SUPPORTERS, PARTNERS, AND COMMUNITY. IN THE SPRING OF 2021, THE FOUNDATION CONDUCTED ITS ANNUAL EMPLOYEE GIVING CAMPAIGN, RAISING $17,868 FROM AHC AND HEALTHPARTNERS EMPLOYEES. THIRTEEN PERCENT OF AMERY HOSPITAL & CLINIC EMPLOYEES PARTICIPATED IN THE ONE CAMPAIGN TO DIRECT FUNDS TO THE FOUNDATION'S PROGRAMS. THESE FUNDS WERE DIRECTED TO COMMUNITY GIVING, HOSPITAL SUPPORTED PROGRAMS, THE EMERGENCY DEPARTMENT ENTRANCE AND CHEMOTHERAPY/INFUSION CENTER REMODEL PROJECT, COMMUNITY HEALTH INITIATIVES, PATIENT CARE NEEDS, EMPLOYEE TO EMPLOYEE ASSISTANCE, BEHAVIORAL HEALTH REMODEL PROJECT, COVID-19 RESPONSE, AND TO THE GREATEST NEEDS FUND. FORM 990, PART III, LINE 4A - "EXEMPT PURPOSE AND ACHIEVEMENTS" GRANTS RECEIVED THE FOUNDATION RECEIVED $3.5 MILLION IN OUTSIDE GRANTS IN 2021. THE INPATIENT BEHAVIORAL HEALTH UNIT REMODEL WAS COMPLETED IN 2021 WITH A GENEROUS $2 MILLION DONATION FROM THE FRED C. AND KATHERINE B. ANDERSEN FOUNDATION. ALSO 2021, OUR FOUNDATION'S FUNDRAISING FOCUSED ON FUNDING THE FIRST PHASE OF A CRITICAL REMODELING PROJECT NECESSARY FOR PATIENT AND STAFF SAFETY AND COMPASSIONATE CARE: BUILDING A NEW REGISTRATION AND WAITING AREA FOR OUR EMERGENCY DEPARTMENT AND REBUILDING OUR CHEMOTHERAPY/INFUSION CENTER. THIS FIRST PHASE OF THE PROJECT WAS PROJECTED TO COST $2.6 MILLION. GRANTS RECEIVED INCLUDED: - $2 MILLION FROM FRED C. AND KATHERINE B. ANDERSEN FOUNDATION - $150,000 FROM OTTO BREMER TRUST - $75,000 FROM HUGH J. ANDERSEN FOUNDATION - $40,000 FROM ANDERSEN CORPORATION - $35,000 FROM HARDENBERGH FOUNDATION HOSPITAL SUPPORTED PROGRAMS/COMMUNITY CONTRIBUTIONS THE FOUNDATION STRATEGICALLY PARTNERS WITH AHC TO ENHANCE PATIENT CARE, TO PROVIDE EVIDENCE-BASED TRAINING FOR STAFF, AND TO PROMOTE HEALTH AND WELLBEING WITHIN THE COMMUNITY. PROGRAM HIGHLIGHTS FROM 2021: HOSPITAL SUPPORTED PROGRAMS: - $2.3 MILLION FOR THE ED ENTRANCE AND CHEMOTHERAPY INFUSION CENTER REMODEL PROJECT - $11,388 TO PROVIDE OUTDOOR PATIO FURNITURE FOR THE INPATIENT BEHAVIORAL HEALTH CENTER - $14,300 TO PROVIDE AN OUTDOOR PATIO AWNING AT THE INPATIENT BEHAVIORAL HEALTH CENTER FOR CONTINUED SUPPORT OF STAFF CARE DURING THE PANDEMIC: - $14,620 TO PURCHASE MANNEQUINS, EQUIPMENT, AND SIMULATION TRAINING FOR NURSES MANNEQUINS PROVIDE STAFF ESSENTIAL HANDS-ON TRAINING, INCREASE NURSING COMPETENCY AND CONFIDENCE, PROMOTING A CULTURE OF QUALITY, SAFE NURSING CARE. - $10,500 FOR LEADERSHIP SUPPORT, HEALTH & WELLNESS. THE ADDITIONAL DEMANDS OF CARING FOR OUR COVID-19 PATIENTS CAME AT A TIME WHEN WE SAW HIGHER DEMAND FOR ALL HEALTH CARE SERVICES, FURTHER STRESSING OUR PEOPLE, SUPPLIES, AND OUR SYSTEMS. DESPITE THE MANY CHALLENGES WE HAVE FACED IN THE PAST YEAR, OUR COLLEAGUES HAVE RISEN TO THE OCCASION, WORKING MANY EXTRA HOURS UNDER DIFFICULT CIRCUMSTANCES, PROVIDING EXCELLENT CARE TO OUR PATIENTS. - EMPLOYEE EMERGENCY: THE FOUNDATION PROVIDED $3675 OF SUPPORT TO 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. COMMUNITY CONTRIBUTIONS: - $7,875 TO PROVIDE WEIGHT SCALES, PULSE OXIMETER AND ELECTRONIC THERAPY PETS/BABIES TO PATIENTS AS THERAPY FOR PATIENTS WHO DID NOT HAVE THE MEANS TO PURCHASE THEM OUTRIGHT, SINCE THESE ARE USUALLY NOT COVERED BY INSURANCE. PATIENTS WITH CARDIAC HEART FAILURE USE SCALES TO MONITOR THEIR WEIGHT AND ALERT THEIR DOCTOR OF ANY WEIGHT FLUCTUATIONS. PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE OR COVID-19 USE THE PULSE OXIMETERS TO MONITOR THEIR OWN PULSE AND ALERT THEIR DOCTOR OF FLUCTUATIONS. THERAPY DOLLS AND ANIMATED STUFFED ANIMAL PETS ARE UTILIZED TO PROVIDE COMFORT FOR FRIGHTENED OR CONFUSED PATIENTS. - $35,200 FOR THE POWER UP COMMUNITY-WIDE INITIATIVE, A COMMUNITY-WIDE INITIATIVE TO MAKE IT EASY AND FUN FOR KIDS AND FAMILIES TO EAT BETTER AND MOVE MORE. - $1,000 TO PURCHASE NALOXONE (NARCAN) FOR PATIENTS WHO CANNOT AFFORD THE MEDICATION. OPIOID OVERDOSES ARE AN EPIDEMIC, AND NALOXONE IS THE REVERSAL AGENT THAT CAN BE SUPPLIED VIA A PRESCRIPTION AT THE AMERY COMMUNITY PHARMACY. PATIENTS MAY NOT BE ABLE TO AFFORD THE CO-PAY; THUS, THE FOUNDATION SUPPORTS THE GAP IN AFFORDABILITY WHEN NEEDED. - $600 FOR OUTPATIENT CHILD-RELATED MENTAL HEALTH RESOURCE TOOLS SUCH AS THOUGHT CARDS, RELATIONSHIP WORKBOOKS, DIVORCE FEELINGS CARD GAME, AND TRAUMA REACTION CARDS. THIS WAS FUNDED BY A LOCAL 17-YEAR-OLD WHO RAISED FUNDS SELLING SUCCULENTS AS A SCHOOL PROJECT. - COMMUNITY GARDEN: THE FOUNDATION SUPPORTED THE COMMUNITY GARDEN PROGRAM WITH $7,200 FOR OPERATIONAL EXPENSES OF THE COMMUNITY WIDE GARDEN PLOTS. THE VOLUNTEERS OF THE COMMUNITY GARDEN PARTNER WITH THE CITY OF AMERY, THE HUNGRY TURTLE FOOD INSTITUTE, THE AMERY HOUSING AUTHORITY, AND THE AMERY FOOD SHELF. COOKING CLASSES WITH FRESH LOCALLY GROWN FOODS ARE OFFERED LOCALLY. OVER 200 POUNDS OF FRESH VEGETABLES ARE GROWN AND DISTRIBUTED TO THE FOOD SHELF. THE AMERY HOUSING AUTHORITY BUILDS RAISED BEDS AT NO COST TO GROW FOOD, AND AHC DONATES GARDEN BED SPACE TO SUPPORT THIS WELLNESS EFFORT. - IN 2021, THE FOUNDATION PARTNERED WITH HUMAN RESOURCES TO OFFER A NEW 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 OF THEIR CHOICE. AFTER MEETING PROGRAM CRITERIA, AND AFTER GRADUATION FROM THE STUDENT'S CHOSEN PROGRAM, 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 OFFICERS AND KEY EMPLOYEES ARE PAID BY GROUP HEALTH PLAN, INC. (GHI), REGIONS HOSPITAL, LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION OR AMERY REGIONAL MEDICAL CENTER, RELATED ORGANIZATIONS. ANY COMPENSATION DISCLOSED IS PAID AND 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 - 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