2011-11-10T14:25:04-06:00 2010-12-31 KPMG LLP 4200 WELLS FARGO CENTER 90 SOUTH 7T MINNEAPOLIS MN 55402 990 2010-01-01 391279567 HUDSON HOSPITAL FOUNDATION INC HUDS 7155316000 405 STAGELINE ROAD HUDSON WI 54016 KAREN K RAMBO 7155316000 2011-11-10 1 CINDI R FULLER 6123055000 2010 2016-02-24 21:20:13Z KAREN K RAMBO 405 STAGELINE ROAD HUDSON WI 54016 369325 0 X WWW.HUDSONHOSPITAL.ORG X 1977 WI SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS 11 10 0 48 0 0 157800 131573 0 0 164894 157511 71629 58739 394323 347823 92963 14497 0 0 0 0 0 0 22666 81032 96892 173995 111389 220328 236434 1235248 1577088 5358 11376 1229890 1565712 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 16477 14497 18591 SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS 16477 1 1 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 0 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 X 11 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X X SHEILA PROEHL 7155316095 405 STAGELINE ROAD HUDSON WI 54016 X RYAN CARI 0.20 X 0 0 0 BILL FRIEDLANDER 0.10 X X 0 0 0 CRAIG J GIBSON 0.70 X X 0 0 0 DAVE GRAMBOW 0.20 X 0 0 0 KIM HEINEMANN 0.20 X 0 0 0 KEN HEISER 0.10 X 0 0 0 MIKE LEVERTY 0.40 X 0 0 0 RICHARD O'CONNOR 1.00 X X 0 0 0 STEPHEN SCHMITZ MD 0.50 X 0 0 0 LINDA ZEITS 0.40 X 0 0 0 MARIAN M FURLONG 50.00 X 0 276342 51337 KAREN K RAMBO 40.00 X 0 93069 11152 0 369411 62489 0 0 1 0 0 13350 118223 131573 157511 157511 24761 6170 18591 18591 18591 55480 13350 15332 40148 40148 347823 18591 0 197659 14497 14497 66930 66930 22666 22666 1980 1980 ADMINISTRATIVE EXPENSE 3717 3717 MISCELLANEOUS EXPENSE 1599 1599 111389 16477 72246 22666 16432 118659 29144 6585 134097 128112 101216 98326 4870 2890 986263 1249362 64442 71480 1235248 1577088 5358 11376 5358 11376 X 949206 1285028 198994 198994 81690 81690 1229890 1565712 1235248 1577088 X 236434 99388 X 0 1 1 X 0 X 184084 208830 87892 157800 118223 756829 184084 208830 87892 157800 118223 756829 756829 44476 85726 35358 164894 157511 487965 1244794 330782 0.60800 0.74700 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15 78571 23236 254329 1 1 81690 81690 81690 81690 81690 81690 0.00000 1.00000 0.00000 0 0 101216 98326 2890 2890 347823 111389 236434 99388 99388 335822 369325 0 369325 -21502 -21502 347823 132891 21502 21502 111389 0 111389 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: TO SUPPORT THE MISSION OF HUDSON HEALTH FOUNDATION, INC. PART XI, LINE 8 - OTHER ADJUSTMENTS: HUDSON HOSPITAL, INC. NET ASSET TRANSFER 99,388. PART XII, LINE 4B - OTHER ADJUSTMENTS: GOLF TOURNAMENT EXPENSE -12,943. WINE TASTING EVENT EXPENSE -2,389. LIFELINE UNIT EXPENSE -6,170. PART XIII, LINE 2D - OTHER ADJUSTMENTS: GOLF TOURNAMENT EXPENSE 12,943. WINE TASTING EVENT EXPENSE 2,389. LIFELINE UNIT EXPENSE 6,170. WI MN GOLF TOURNAMENT 51940 6300 45640 12943 WINE TASTING 16890 7050 9840 2389 68830 13350 55480 15332 15332 40148 1 HUDSON HOSPITAL INC 405 STAGELINE ROAD HUDSON WI 54016 390804125 501(C)(3) 14497 EQUIPMENT, PROGRAM SUPPORT & MEMORIALS 1 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 225586 0 50756 0 0 0 0 0 51337 0 327679 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. (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 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 CARE. HEALTHPARTNERS, INC., 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, CAPITAL VIEW TRANSITIONAL CARE CENTER (FORMERLY NORTH ST. PAUL TRANSITIONAL CARE CENTER), AND RAMSEY INTEGRATED HEALTH SERVICES, 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). HEALTHPARTNERS, INC. IS ALSO THE SOLE CORPORATE MEMBER OF THE FOLLOWING ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C) (3): GROUP HEALTH PLAN, INC. (A STAFF MODEL HMO) WHICH IS ITSELF THE SOLE CORPORATE MEMBER OF HEALTHPARTNERS RESEARCH FOUNDATION, PHYSICIANS NECK & BACK CLINICS AND HEALTHPARTNERS CENTRAL MINNESOTA CLINICS, INC. (FORMERLY CENTRAL MINNESOTA GROUP HEALTH, INC.), ALL OF WHICH ARE EXEMPT UNDER SECTION 501(C) (3), HEALTHPARTNERS INSTITUTE FOR MEDICAL EDUCATION, AND RHSC, INC. RH-WISCONSIN, INC. AND GROUP HEALTH PLAN, INC. ARE CORPORATE MEMBERS OF THE HOSPITAL AND WESTFIELDS HOSPITAL, INC., BOTH OF 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, 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 11 MEMBERS WHO INCLUDE COMMUNITY REPRESENTATIVES, MEDICAL STAFF AND THE PRESIDENT & CEO OF THE HOSPITAL. II. ACTIVITIES PROGRAM SUPPORT IN 2010, THE HHF PROVIDED FUNDING FOR FOUR PROGRAMS AT THE HOSPITAL AS A RESULT OF CONTRIBUTIONS FROM DONORS. BELOW IS AN OVERVIEW OF THOSE PROGRAMS: - EMERGENCY CENTER: IN 2010, HHF CONTRIBUTED $15,000 TO PURCHASE THE LUCAS CHEST COMPRESSION DEVICE FROM MEDTRONIC, INC, THE LUCAS IS A PORTABLE, EASY-TO-USE DEVICE THAT DELIVERS AUTOMATED CHEST COMPRESSIONS TO VICTIMS OF CARDIAC ARREST IN ORDER TO IMPROVE BLOOD FLOW IN VICTIMS OF CARDIAC ARREST. THE LUCAS IMPROVES THE QUALITY AND CONSISTENCY OF CHEST COMPRESSIONS AND ALLOWS STAFF TO MORE EFFICIENTLY ASSESS THE PATIENT'S CONDITION AND PROVIDE OTHER LIFESAVING TREATMENTS. - HEALING ARTS: IN A UNIQUE PARTNERSHIP WITH THE PHIPPS CENTER FOR THE ARTS, ORIGINAL ARTWORK WAS INSTALLED THROUGHOUT THE ENTIRE HOSPITAL CAMPUS, INCLUDING PATIENT ROOMS. EXHIBITS WERE CAREFULLY SELECTED FOR THEIR ABILITY TO INSPIRE, REDUCE STRESS AND CREATE DIVERSION, PARTICULARLY FOR PEOPLE GOING THROUGH CHALLENGING TIMES. ART EXHIBITS ARE CHANGED CONTINUALLY, CREATING A REGULARLY NEW EXPERIENCE. HHF CONTRIBUTED $20,000 TO THE PROGRAM IN 2010. THE HEALING ARTS PROGRAM PROVIDES: - AN ART ENRICHED ENVIRONMENT THAT SUPPORTS STAFF AND EFFORTS TO PROVIDE OPTIMAL CARE. - ARTISTIC PIECES PROVIDED BY REGIONAL ARTISTS THAT REFLECT THE COMMUNITY. - APPROXIMATELY 150 PIECES OF ART ON DISPLAY AT ANY GIVEN TIME. - A STRONG RELATIONSHIP WITH THE COMMUNITY THROUGH THIS UNIQUE PUBLIC ARTS PROGRAM AND QUARTERLY PUBLIC RECEPTIONS TO MEET THE ARTISTS. - LIFELINE HOME MONITORING: LIFELINE IS AN ELECTRONIC HOME MONITORING SYSTEM THAT 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, 24 HOURS A DAY, SEVEN DAYS A WEEK. THE LIFELINE SERVICE IS AVAILABLE FOR A NOMINAL MONTHLY FEE. IN 2010, HHF CONTRIBUTED $8,000 TO THE LIFELINE PROGRAM. - 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 HUDSON. HHF CONTRIBUTED $27,000 TO HEART2HEART IN 2010. GRANTWRITING IN 2010, HHF WAS AWARDED $18,000 IN FUNDING FROM THE FRED C. & KATHERINE B. ANDERSEN FOUNDATION AND THE BAILEY FAMILY FOUNDATION FOR THE HEART2HEART PROGRAM. THESE GRANT DOLLARS WILL PROVIDE UP TO 500 AMERICAN HEART ASSOCIATION ANYTIME KITS FOR MIDDLE SCHOOL STUDENTS TO LEARN THE BASICS OF CPR/AED TRAINING AS WELL AS EDUCATE UP TO FOUR FAMILY MEMBERS AT HOME FOR COURSE CREDIT. COMMUNITY GIVING IN 2010, HHF SOLICITED FUNDS FROM THE HOSPITAL EMPLOYEES, HUDSON PHYSICIAN EMPLOYEES, AND THE HUDSON COMMUNITY DURING THE ANNUAL FUND DRIVE. HHF RAISED FUNDS TO SUPPORT VARIOUS PROGRAMS WITHIN THE HOSPITAL AS A NEEDED ADDITION TO DEPARTMENTAL BUDGETS. ADDITIONALLY, THE RAISED FUNDS WERE USED TO SUPPORT A SCHOLARSHIP PROGRAM AT THE LOCAL HIGH SCHOOL AND AN EMPLOYEE EMERGENCY GRANT PROGRAM. THE EMPLOYEES OF THE HOSPITAL CONTRIBUTED $25,500 TO THE ANNUAL FUND DRIVE IN 2010. 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 GROUP HEALTH PLAN, INC. (GHI), THE MANAGEMENT TEAM OF HHF, GHI'S INTERNAL LEGAL DEPARTMENT AND HEALTHPARTNERS, INC.'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. ONCE THAT REVIEW PROCESS HAS BEEN COMPLETED, IT IS THE POLICY OF HHF TO MAKE AVAILABLE TO THE FINANCE AND AUDIT COMMITTEE OF IT'S BOARD OF DIRECTORS, AND TO IT'S BOARD OF DIRECTORS, A COPY OF THE 990 PRIOR TO THE FILING OF THE 990 RETURN. THIS COPY WILL BE PROVIDED IN A MAILING TO THE FINANCE AND AUDIT COMMITTEE MEMBERS AND TO THE BOARD OF DIRECTORS MEMBERS PRIOR TO THE FILING OF THE 990. EACH MEMBER WILL HAVE AN OPPORTUNITY TO COMMENT OR ASK QUESTIONS ABOUT THE 990 BEFORE IT IS FILED. THIS PROCESS WILL BE NOTED AND DOCUMENTED IN A WRITTEN MEMO IN THE FILES OF THE BOARD OF DIRECTORS. 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 5: HUDSON HOSPITAL, INC. NET ASSET TRANSFER 99,388. TOTAL TO FORM 990, PART XI, LINE 5: 99,388. HUDSON HOSPITAL INC 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 390804125 HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) RH-WISCONSIN 0 RH WISCONSIN 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 202287016 CORPORATE PLANNING AND OVERSIGHT WI 501(C)(3) 509(A)(3) HPI - RAMSEY 0 HPI RAMSEY 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 411793333 CORPORATE PLANNING AND OVERSIGHT MN 501(C)(3) 509(A)(3) HEALTHPARTNERS INC 0 GROUP HEALTH PLAN INC 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 410797853 STAFF MODEL HEALTH MAINTENANCE ORGANIZATION MN 501(C)(3) 170(B)(1) (A)(III) HEALTHPARTNERS INC 0 HEALTHPARTNERS INC 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 411693838 HYBRID STAFF MODEL/NETWORK MODEL HEALTH MAINTENANCE ORGANIZATION MN 501(C)(4) N/A 0 HEALTHPARTNERS CENTRAL MINNESOTA CLINICS INC 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 411236798 PRIMARY AND SPECIALTY PATIENT CARE MN 501(C)(3) 170(B)(1) (A)(III) GROUP HEALTH PLAN INC 0 HEALTHPARTNERS INSTITUTE FOR MEDICAL EDUCATION 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 411835843 MEDICAL EDUCATION MN 501(C)(3) 509(A)(3) TYPE I HEALTHPARTNERS INC 0 HEALTHPARTNERS RESEARCH FOUNDATION 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 411670163 HEALTHCARE RESEARCH MN 501(C)(3) 509(A)(3) TYPE I GROUP HEALTH PLAN INC 0 CAPITAL VIEW TRANSITIONAL CARE CENTER 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 412011453 POST HOSPITALIZATION PATIENT CARE MN 501(C)(3) 170(B)(1) (A)(III) HPI - RAMSEY 0 RAMSEY INTEGRATED HEALTH SERVICES 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 411503090 IN-HOME PATIENT CARE MN 501(C)(3) 509(A)(3) TYPE II HPI - RAMSEY 0 REGIONS HOSPITAL 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 410956618 HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) HPI - RAMSEY 0 REGIONS HOSPITAL FOUNDATION 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 411888902 PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT MN 501(C)(3) 170(B)(1) (A)(VI) HPI - RAMSEY 0 RHSC INC 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 411891928 HEALTHCARE STAFFING MN 501(C)(3) 509(A)(3) TYPE II HEALTHPARTNERS INC 0 WESTFIELDS HOSPITAL INC 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 390808442 HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) RH-WISCONSIN 0 WESTFIELDS HOSPITAL FOUNDATION INC 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 391770913 PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT WI 501(C)(3) 509(A)(3) TYPE I WESTFIELDS HOSPITAL INC 0 PHYSICIANS NECK AND BACK CLINICS 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 270684883 SPECIALTY PATIENT CARE MN 501(C)(3) 509(A)(3) TYPE II GROUP HEALTH PLAN INC 0 WESTERN WISCONSIN EMERGENCY MEDICAL SERVICES COMPANY 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 263616590 PROVIDE MEDICAL TRANSPORT SERVICES WI 501(C)(3) 509(A)(3) TYPE II RH-WISCONSIN 0 HEALTHPARTNERS ADMINISTRATORS INC 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 411629390 THIRD PARTY ADMINISTRATOR MN HEALTHPARTNERS INC C HEALTHPARTNERS ASSOCIATES INC 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 522365151 MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT MN HEALTHPARTNERS ADMINISTRATORS INC C HEALTHPARTNERS SERVICES INC 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 411683568 MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT MN HEALTHPARTNERS ADMINISTRATORS INC C HEALTHPARTNERS VENTURES INC 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 411838197 DEVELOP HEALTHCARE BUSINESS OPPORTUNITIES MN HEALTHPARTNERS INC C HEALTHPARTNERS INSURANCE COMPANY 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 411683523 MEDICAL AND DENTAL INSURANCE MN HEALTHPARTNERS ADMINISTRATORS INC C 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0