2013-11-13T15:47:04-06:00 2012-12-31 135665207 KPMG LLP 4200 WELLS FARGO CENTER 90 SOUTH 7TH ST MINNEAPOLIS MN 55402 990 2012-01-01 391279567 HUDSON HOSPITAL FOUNDATION INC HUDS 7155316000 405 STAGELINE ROAD HUDSON WI 54016 DOUGLAS E JOHNSON 7155316000 2013-11-13 1 JASON DIVINE P01076050 6123055000 2012 2016-02-24 21:20:13Z DOUGLAS E JOHNSON 405 STAGELINE ROAD HUDSON WI 54016 459169 0 X WWW.HUDSONHOSPITAL.ORG X 1977 WI SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS 11 11 0 16 0 0 141422 182806 0 0 -28985 177082 64934 74059 177371 433947 52962 67667 0 0 0 0 0 0 10398 104404 137829 157366 205496 20005 228451 1942837 2149272 196323 0 1746514 2149272 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 81558 67667 25745 SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS 81558 1 1 0 0 0 1 0 0 0 1 1 0 0 0 0 0 1 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 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X X DOUGLAS E JOHNSON 6514304581 405 STAGELINE ROAD HUDSON WI 54016 X RYAN CARI 1.00 X 92 0 0 DAVE GRAMBOW 1.00 X 92 0 0 GENE HABERMAN 1.00 X 92 0 0 NICK HATHWORTHY 1.00 X 92 0 0 KIM HEINEMANN 0.20 X 92 0 0 ALAN KIECKER 1.00 X 92 0 0 MIKE LEVERTY 1.00 X 92 0 0 RICHARD O'CONNOR 1.50 X 92 0 0 LINDA ROBERTSON 1.00 X 92 0 0 STEPHEN SCHMITZ MD 1.00 X 92 0 0 LINDA ZEITS 1.00 X 92 0 0 MARIAN M FURLONG 0.50 49.50 X 92 296406 74382 KAREN K RAMBO 40.00 X X 92 104499 14335 1196 400905 88717 0 0 1 0 0 10590 172216 182806 177082 177082 32428 6683 25745 25745 25745 66853 10590 18539 48314 48314 433947 25745 0 225396 67667 67667 89475 1071 88404 7764 7764 13890 6681 4575 2634 1985 1985 6139 6139 ADMINISTRATIVE EXPENSE 18576 18576 205496 81558 113540 10398 234974 83138 157457 77161 223741 168564 37923 17443 26621 20480 1300044 1725020 74909 1942837 2149272 196323 0 196323 0 X 1378255 1719634 286569 347948 81690 81690 1746514 2149272 1942837 2149272 X 228451 174307 X 0 1 X 1 0 X 87892 157800 118223 130107 172216 666238 87892 157800 118223 130107 172216 666238 666238 35358 164894 157511 -28995 177082 505850 1172088 398935 0.56840 0.62900 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 19 80605 19226 347948 1 1 81690 81690 81690 81690 81690 81690 81690 81690 81690 81690 0.00000 1.00000 0.00000 0 0 37923 17443 20480 20480 459169 0 459169 -25222 -25222 433947 230718 25222 25222 205496 0 205496 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: TO SUPPORT THE MISSION OF HUDSON HEALTH FOUNDATION, INC. PART XI, LINE 4B - OTHER ADJUSTMENTS: GOLF TOURNAMENT EXPENSE -14,195. WINE TASTING EVENT EXPENSE -4,344. LIFELINE UNIT EXPENSE -6,683. PART XII, LINE 2D - OTHER ADJUSTMENTS: GOLF TOURNAMENT EXPENSE 14,195. WINE TASTING EVENT EXPENSE 4,344. LIFELINE UNIT EXPENSE 6,683. GOLF TOURNAMENT 54283 3840 50443 14195 WINE TASTING 23160 6750 16410 4344 77443 10590 66853 18539 18539 48314 1 HUDSON HOSPITAL INC 405 STAGELINE ROAD HUDSON WI 54016 390804125 501(C)(3) 20642 EQUIPMENT, PROGRAM SUPPORT & MEMORIALS ST CROIX VALLEY YMCA 2211 VINE STREET HUDSON WI 54016 501(C)(3) 20000 PROGRAM SUPPORT ST CROIX EMS 505 THIRD STREET HUDSON WI 54016 501(C)(3) 15000 PROGRAM SUPPORT 3 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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. X X 0 0 0 0 0 0 0 0 0 MARIAN M FURLONG 0 237893 0 58513 92 0 0 43096 0 31286 92 370788 0 0 PART I, LINE 6 HUDSON HOSPITAL FOUNDATION, INC. (HHF) HAS NO EMPLOYEES. HHF'S PRESIDENT IS EMPLOYED BY HUDSON HOSPITAL, INC. (HOSPITAL), WHICH HAS AN INCENTIVE PROGRAM WHICH INCENTS AND REWARDS THE HOSPITAL'S EMPLOYEES WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC YEAR. HOW THE PROGRAM WORKS: THE HOSPITAL BOARD OF DIRECTORS HAVE AUTHORITY FOR THE PROGRAM AND APPROVE EACH LEVEL OF THE PROGRAM ON AN ANNUAL BASIS. THE HOSPITAL 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 ORGANIZATIONS STRATEGIC PLAN. THESE AREAS MAY INCLUDE BUT ARE NOT LIMITED TO PATIENT SATISFACTION, EMPLOYEE SATISFACTION, WORK ENVIRONMENT, EMPLOYEE AND/OR LEADERSHIP DEVELOPMENT, CARE DELIVERY, STRATEGIC CAPABILITIES, FINANCIAL PERFORMANCE, ETC., AND WILL BE DEFINED ANNUALLY FOR EACH YEAR'S PROGRAM. INCENTIVE PROGRAM GOALS FOR EACH YEAR WILL TYPICALLY BE DETERMINED BY OCTOBER OF THE PREVIOUS YEAR. SPECIFIC MEASURES FOR THE SELECTED GOAL AREAS WILL BE OUTLINED EACH YEAR IN A SUPPLEMENTAL DOCUMENT AND WILL BE COMMUNICATED TO PARTICIPANTS DURING THE FIRST QUARTER OF THE EACH YEAR. THE ACTUAL ANNUAL PAYMENT IS DETERMINED BY THE LEVEL OF GOAL ATTAINMENT. STEWARDSHIP GOALS ARE TIED TO BUDGET. A NET MARGIN THRESHOLD MUST BE MET FOR ANY PAYMENT TO BE MADE FROM THE HOSPITAL. ADDITIONALLY, THERE IS A CAP ON THE AMOUNT OF NET MARGIN USED UNDER THE PROGRAM AND THERE IS A CAP ON THE MAXIMUM INCENTIVE POTENTIALLY AVAILABLE TO EACH PARTICIPANT. EXEMPT PURPOSE AND ACHIEVEMENTS FORM 990, PART III, LINE 4A 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. (THE HOSPITAL). 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). HHF'S SOLE CORPORATE MEMBER IS THE HOSPITAL, WHICH IS ALSO A NON-PROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C) (3). HHF IS PART OF THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS (HEALTHPARTNERS). HEALTHPARTNERS, INC. (HPI), A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) WHICH IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(4), 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). HPI-RAMSEY IS THE SOLE CORPORATE MEMBER OF REGIONS HOSPITAL AND REGIONS HOSPITAL'S SISTER ORGANIZATIONS, REGIONS HOSPITAL FOUNDATION (RHF), CAPITOL VIEW TRANSITIONAL CARE CENTER (CVTCC), STILLWATER HEALTH SYSTEM (LAKEVIEW HEALTH) AND RAMSEY INTEGRATED HEALTH SERVICES (RIHS), ALL OF WHICH ARE MINNESOTA NON-PROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). HPI-RAMSEY IS ALSO THE SOLE CORPORATE MEMBER OF RH-WISCONSIN, INC., A WISCONSIN NON-STOCK CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). HPI IS ALSO THE SOLE CORPORATE MEMBER OF THE FOLLOWING ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C) (3): HEALTHPARTNERS RESEARCH AND EDUCATION (D/B/A HEALTHPARTNERS INSTITUTE FOR EDUCATION AND RESEARCH (HPIER)), RHSC, INC., GROUP HEALTH PLAN, INC. (GHI) (A MINNESOTA STAFF MODEL HMO) WHICH IS ITSELF THE SOLE CORPORATE MEMBER OF PHYSICIANS NECK & BACK CLINICS (PNBC). RH-WISCONSIN, INC. AND GHI ARE CORPORATE MEMBERS OF THE HOSPITAL AND WESTFIELDS HOSPITAL, INC., WHICH ARE WISCONSIN NON-PROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). RH-WISCONSIN, INC. IS ALSO THE SOLE CORPORATE MEMBER OF WESTERN WISCONSIN EMERGENCY MEDICAL SERVICES COMPANY (WWEMSC), AN AMBULANCE SERVICE WHICH IS A WISCONSIN NON-PROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). TOGETHER, ALL OF THESE RELATED ORGANIZATIONS COMPRISE THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS (HEALTHPARTNERS), WHICH IS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM THAT COMBINES THE PROVISION AND FINANCING OF HEALTH CARE SERVICES, FOR THE PURPOSE OF IMPROVING THE HEALTH OF ITS VARIOUS ENTITIES' MEMBERS, PATIENTS, AND THE BROADER COMMUNITY. HHF IS GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS COMPRISED OF 13 MEMBERS WHO INCLUDE COMMUNITY REPRESENTATIVES, MEDICAL STAFF AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) OF HUDSON. II. ACTIVITIES PROGRAM SUPPORT - PEDIATRIC CARE: HHF PARTNERED WITH MULTIPLE ORGANIZATIONS IN 2012 RESULTING IN NEW OPPORTUNITIES FOR THE COMMUNITY AND MORE PROGRAMMATIC FUNDS TO IMPROVE HEALTH CARE LOCALLY. MINNESOTA VIKING, CHAD GREENWAY AND HIS LEAD THE WAY FOUNDATION DEVELOPED A PROGRAM FOR PEDIATRIC PATIENTS IN HOSPITALS CALLED "CHAD'S LOCKER." THIS LIFE-SIZED LOCKER IS FILLED WITH ELECTRONICS FOR YOUNG PATIENTS AND THEIR FAMILIES TO BORROW DURING THEIR MEDICAL VISIT OR STAY AT THE HOSPITAL. THE LOCKER, WHICH WILL BE UNVEILED IN SPRING 2013, WILL BE ONE OF THREE LOCKERS DISBURSED TO HOSPITALS AND THE FIRST IN WESTERN WISCONSIN. - SPECIALTY CARE: A GRANT WAS PROVIDED BY HHF TO CREATE A LIFE-SIZE "PACKER-VIKING" THEME MURAL IN THE PEDIATRIC CHEMOTHERAPY & INFUSION CENTER PATIENT ROOM. - EMERGENCY CARE: IN 2012, HHF WAS GRANTED $35,000 FOR CAPITAL EQUIPMENT IMPROVEMENTS FOR EMERGENCY CARE, WHICH INCLUDED POWERED STRETCHERS AND CARDIOLOGY TECHNOLOGY. - HEALING ARTS: HHF MADE A MAJOR EFFORT TO RAISE FUNDS FOR A BOARD DESIGNATED HEALING ARTS ENDOWMENT IN ORDER TO HAVE FUTURE PROGRAM RESOURCES. HHF RAISED OVER $25,000 FOR THIS PROGRAM. HEALING ARTS IS A UNIQUE PARTNERSHIP WITH THE PHIPPS CENTER FOR THE ARTS, WHICH INCLUDES ORIGINAL ARTWORK, MUSIC THERAPY, HEALING TOUCH, AROMATHERAPY, AND PET THERAPY. - HOME MONITORING: HHF CHANGED VENDORS TO LIFE ASSIST USA FOR ITS HOME MONITORING PROGRAM FOR SENIORS. THE ELECTRONIC HOME MONITORING SYSTEM WORKS IN CONJUNCTION WITH THE USER'S TELEPHONE SERVICE. IF THE USER NEEDS HELP, HE OR SHE WOULD SIMPLY PUSH A BUTTON (WORN ON A WRISTBAND OR NECKLACE) TO CONTACT THE HOSPITAL OR CARE CENTER, 24 HOURS A DAY, SEVEN DAYS A WEEK. THIS SERVICE IS AVAILABLE FOR A NOMINAL MONTHLY FEE. - HEART2HEART: HEART2HEART IS A COLLABORATION BETWEEN THE HOSPITAL, HHF, ST. CROIX EMS & RESCUE AND THE HUDSON SCHOOL DISTRICT. THE GOAL OF THIS PROGRAM IS TO REDUCE THE TIME TO DEFIBRILLATION AND INCREASE THE CHANCE OF SURVIVAL FOR PEOPLE WITH HEART-RELATED EMERGENCIES IN AND AROUND THE HUDSON AREA. HHF SPONSORED THE CPR/AED EDUCATION OF 450 SIXTH GRADERS ATTENDING THE HUDSON SCHOOL MIDDLE SCHOOL IN AN EFFORT FOR EACH STUDENT TO THEN TRAIN UP TO FOUR FAMILY MEMBERS. STUDENTS RECEIVED COURSE CREDIT FOR THIS EFFORT. COMMUNITY GIVING IN 2012, HHF ALSO PARTNERED WITH THE HUDSON YMCA, ST. CROIX EMS & RESCUE, FREE CLINIC OF PIERCE AND ST. CROIX COUNTY, AND HEALTHIER TOGETHER. LARGE GRANTS, TOTALING $60,000, WERE AWARDED TO THESE ORGANIZATIONS TO PROVIDE HEALTHY LIVING EDUCATION, DIABETES & HEART PREVENTION EDUCATION, PRESCRIPTION DRUGS TO FREE CLINIC PATIENTS, FARM TO SCHOOL PILOT FOR HUDSON SCHOOL DISTRICT, POWERED PATIENT STRETCHERS, AND AN AUTOMATED CHEST COMPRESSION DEVICE FOR HEART EMERGENCIES. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF HHF IS THE 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 THE HOSPITAL AS THE SOLE CORPORATE MEMBER OF HHF. FORM 990, PART VI, SECTION A, LINE 7B HHF'S CORPORATE MEMBER, THE 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 AMMENDMENT 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 SEPERATE ENTITIES - ESTABLISHMNENT 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 11 HHF'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF HHF. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GHI, THE MANAGEMENT TEAM OF HHF, GHI'S INTERNAL LEGAL DEPARTMENT AND HHF'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 HHF. HHF 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 AS REQUIRED BY THE BYLAWS OF HHF, THE BOARD MONITORS POTENTIAL CONFLICTS OF INTEREST ON THE PART OF ITS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES BY MAINTAINING A CONFLICT OF INTEREST POLICY. UNDER THE POLICY, ALL BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS AND KEY EMPLOYEES ANNUALLY ARE PROVIDED WITH A COPY OF THE POLICY AND REQUESTED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTEREST. THE GENERAL COUNSEL WILL SUMMARIZE THE FINDINGS FOLLOWING REVIEW OF THE QUESTIONNAIRE AND SUBMIT A REPORT TO THE CHAIR, THE HOSPITAL PRESIDENT AND HHF'S PRESIDENT. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE MONITORED IN RELATION TO THIS POLICY. FORM 990, PART VI, SECTION B, LINE 15 HHF HAS NO EMPLOYEES. HHF'S PRESIDENT IS EMPLOYED BY THE HOSPITAL, A RELATED ORGANIZATION. HOSPITAL COMPENSATION PROGRAM: KEY POINTS: - SALARY RANGES ARE DETERMINED BY UTILIZING PUBLISHED SALARY SURVEY DATA AND LOCAL JOB MARKET INFORMATION (TYPICALLY HRRAM'S ANNUAL SURVEY). - RANGES ARE UPDATED ANNUALLY DURING MAY BY THE HOSPITAL'S HR DEPARTMENT. - RANGES ARE POSITION SPECIFIC AND ARE 95-100% OF THE TWIN CITY MARKET OR 100% OF THE WISCONSIN DATA (THE HIGHER OF THE TWO). - THE HOSPITAL COMPENSATION DEPARTMENT IS REFERENCED FOR NON-MATCHING POSITIONS WITH HRRAM DATA. - WISCONSIN HOSPITAL ASSOCIATION SALARY SURVEY IS ALSO REFERENCED FOR SENIOR LEADERS AND EXECUTIVE POSITIONS. - PLACEMENT IN THE RANGE IS DETERMINED BY JOB DESCRIPTION REQUIREMENTS, INCLUDING EDUCATION, TRAINING, EXPERIENCE, LENGTH OF TIME IN THE POSITION, AND PERFORMANCE IN THE POSITION. 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 IT'S RELATED ORGANIZATION, THE HOSPITAL, CAN BE VIEWED THROUGH THE HUDSONHOSPITAL.ORG WEBSITE. AVERAGE HOURS - RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) DIRECTORS AND OFFICERS OF HHF ARE EMPLOYED AND COMPENSATED BY REGIONS HOSPITAL OR THE HOSPITAL. REPORTED AVERAGE HOURS WORKED ARE BASED ON THEIR TOTAL COMPENSATION FROM ALL RELATED ORGANIZATIONS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: HUDSON HOSPITAL, INC. NET ASSET TRANSFER 174,307. 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 1 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 1 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 1 HEALTHPARTNERS INSTITUTE FOR EDUCATION AND RESEARCH 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411670163 HEALTHCARE EDUCATION & RESEARCH MN 501(C)(3) 509(A)(3) TYPE I GROUP HEALTH PLAN INC 1 CAPITOL VIEW TRANSITIONAL CARE CENTER 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 412011453 POST HOSPITALIZATION PATIENT CARE MN 501(C)(3) 170(B)(1) (A)(III) HPI - RAMSEY 1 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 1 REGIONS HOSPITAL FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411888902 PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT MN 501(C)(3) 170(B)(1) (A)(VI) HPI - RAMSEY 1 RHSC INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411891928 HEALTHCARE STAFFING MN 501(C)(3) 509(A)(3) TYPE II HEALTHPARTNERS INC 1 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 1 WESTFIELDS HOSPITAL FOUNDATION INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 371770913 PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT WI 501(C)(3) 509(A)(3) TYPE I WESTFIELDS HOSPITAL INC 1 RH-WISCONSIN 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 202287016 CORPORATE PLANNING AND OVERSIGHT WI 501(C)(3) 509(A)(3) TYPE II HPI - RAMSEY 1 PHYSICIANS NECK AND BACK CLINICS 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 270684883 SPECIALTY PATIENT CARE MN 501(C)(3) 509(A)(3) TYPE II GROUP HEALTH PLAN INC 1 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 1 WESTERN WISCONSIN EMERGENCY MEDICAL SERVICES COMPANY 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 263616590 PROVIDE MEDICAL TRANSPORT SERVICES WI 501(C)(3) 509(A)(3) TYPE II RH-WISCONSIN 1 LAKEVIEW MEMORIAL HOSPITAL FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411386635 PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT MN 501(C)(3) 509(A)(3) TYPE II STILLWATER HEALTH SYSTEM 1 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) STILLWATER HEALTH SYSTEM 1 ST CROIX VALLEY HEALTHCARE & RESEARCH FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411923524 FOUNDATION MN 501(C)(3) PF STILLWATER HEALTH SYSTEM 1 STILLWATER MEDICAL GROUP 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 830379473 PHYSICIANS GROUP MN 501(C)(3) 509(A)(2) STILLWATER HEALTH SYSTEM 1 STILLWATER HEALTH SYSTEM 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 1 RAMSEY INTEGRATED HEALTH SERVICES 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411503090 IN-HOME PATIENT CARE MN 501(C)(3) 509(A)(2) HPI - RAMSEY 1 HEALTHPARTNERS ADMINISTRATORS INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411629390 THIRD PARTY ADMINISTRATOR MN HEALTHPARTNERS INC C 1 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 1 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 1 HEALTHPARTNERS VENTURES INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411838197 DEVELOP HEALTHCARE BUSINESS OPPORTUNITIES MN HEALTHPARTNERS INC C 1 HEALTHPARTNERS INSURANCE COMPANY 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411683523 MEDICAL AND DENTAL INSURANCE MN HEALTHPARTNERS ADMINISTRATORS INC C 1 DENTAL SPECIALTIES INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 451297583 DENTAL CLINIC STAFFING MN HEALTHPARTNERS ADMINISTRATORS INC C 1 HEALTHPARTNERS CENTRAL MINNESOTA CLINICS 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411236798 MEDICAL CLINIC STAFFING AND MANAGEMENT MN HEALTHPARTNERS ADMINISTRATORS INC C 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0