Regions Hospital

“Hpi ramsey is the sole corporate member of regions hospital.”

“Hpi-ramsey, as the sole corporate member of regions hospital, appoints up to 12 members of the up to 19 member board of directors.”

“Hpi ramsey, as the sole corporate member of regions hospital, approves actions as follows: amendment of articles or bylaws, annual operating and capital budgets and long-range plans, unbudgeted special projects in excess of $1,000,000, guaranteeing the debt of any other person or entity in excess of $1,000,000, a loan or other indebtedness in excess of $1,000,000, merger or consolidation with another corporation, disposition of substantially all assets, dissolution, appointment of the chair of the board and president.”

“Regions hospital's 990 return has a comprehensive review process that is followed before it is presented to the governing body. The review process includes a layered review by the tax department of ghi, the management team of regions hospital, the organization's internal legal department and regions hospital'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 regions hospital. Regions hospital makes available, to the finance and audit committee of regions' board of directors and to the full board of directors, a copy of the 990 for review and comment prior to the filing of the 990 return. This copy is provided to the finance and audit committee and the full board of directors in a pre-meeting packet, and is an agenda item at the committee meeting. This process is noted and documented in the written committee minutes of the meeting. These minutes are presented to the full board of directors.”

“The region's hospital 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.”

“Regions hospital's president and its officers are employed by either group health plan, inc. (ghi), park nicollet health services (pnhs), both of whom are related organizations, or by regions hospital. Ghi, pnhs and regions hospital have an annual process to review the market comparability of the total compensation of the regions hospital'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 hospital or the compensation committee of ghi (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 committee reviews and approves each year's compensation results. In all cases, committee members complete an annual conflict of interest survey to assure the compensation committee 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 regions hospital board of directors input, the ceo and president of ghi conducts the annual performance review and, with region hospital's board approval, determines the compensation of the regions hospital president. The ceo and president of ghi also determines the compensation of other ghi-employed regions officers within the compensation ranges determined by the committee. Any exceptions to compensation in excess of the approved ranges are approved by the committee. The regions board has delegated to the regions hospital president the accountability to conduct annual performance reviews and determine the compensation of all regions-employed officers within the compensation ranges determined by the committee. Any exceptions in excess of the approved ranges need to be approved by the executive committee. Total compensation is appropriately documented on the form 990 and on the employee's w-2”

“Regions hospital financial statements and 990 returns are made available to any person who requests the information from regions hospital or healthpartners. Regions' articles of incorporation are available to any person who requests the information through the minnesota secretary of state's office.”

“Average weekly hours: the compensated board members and officers of regions hospital are employed and compensated by regions hospital, ghi or park nicollet. The compensated board members and officers devote their time to multiple related organizations. Reported average hours worked are based on their total compensation from all related organizations.”

“Corporate structure, purpose, governance regions hospital is a minnesota nonprofit corporation recognized as exempt from federal income tax under internal revenue code ("irc") section 501(c)(3) and is part of the family of healthpartners organizations ("healthpartners"). Founded in 1957, healthpartners is an integrated health care organization, providing health care services and health plan financing and administration. Healthpartners' mission is to improve health and well-being in partnership with our members, patients and community. Healthpartners seeks to transform health care through a relentless focus on the triple aim - providing exceptional experience for the individual, improving the health of the population, and maintaining affordability. Healthpartners, inc. (hpi) is a minnesota nonprofit corporation and licensed health maintenance organization (hmo) recognized as exempt from federal income tax under internal revenue code (irc) section 501(c)(4) and is the parent entity of healthpartners organizations referred to collectively as "healthpartners". Healthpartners includes an array of tax-exempt and taxable organizations. Healthpartners provides a full range of health care delivery and health plan services including insurance, patient care, administration and health and well-being programs. Healthpartners health plans serve more than 1.8 million medical and dental members nationwide. Healthpartners medical care system includes more than 1,900 employed physicians and dentists, eight owned hospitals with over 1,000 acute care beds, over 100 primary and specialty care medical facilities and dental facilities with practices in minnesota and western wisconsin serving more than 1.34 million patients. Healthpartners health plans contract with other primary and specialty medical facilities and dental facilities, physician groups, hospitals and related healthcare providers to serve plan members. Healthpartners also provides medical education and training to medical professionals and conducts research and fundraising activities that support the health care delivery system. Healthpartners collaborates with other plans, care providers and other community and business organizations in the region and throughout the nation to increase access, create and share quality measures and initiatives, participate in development of public policy, and collaborate in improvements that support the triple aim. Among healthpartners' signature initiatives are total cost of care measurements (a nationally recognized metric, enabling measurement and incentives based on coordination and evidence-based practices), mental health (reducing stigma, and assuring access to high quality care in the most appropriate settings), children's health (improving child health by promoting early brain development, providing family centered care, and strengthening communities), equity, inclusion, and anti-racism (addressing health equity, eliminating health care disparities, increasing diversity and inclusion in our workplaces, building an anti-racist culture, and deepening our collective understanding of cultural humility) and sustainability (energy efficiency, waste reduction, and resource management). A complete listing of all organizations within healthpartners, and the relationship between them, can be found on schedule r within this 990 return. Detailed information about the community benefit activities and accomplishments of each tax-exempt organization can be found in the individual form 990 return for that organization. Healthpartners, inc. (hpi) is the parent entity of healthpartners and is the sole corporate member of hpi-ramsey. Hpi is a minnesota non-profit corporation and licensed health maintenance organization (hmo) recognized as exempt from federal income tax under internal revenue code (irc) section 501(c)(4). Hpi-ramsey is the sole corporate member of the following non-profit corporations all of which are exempt under irc section 501(c)(3): regions hos”

“Responsibility for monitoring disparity data lies with the interdisciplinary regions hospital health equity committee as well as with leaders in our quality and experience departments. In 2022, the committee focused on: 1. Working with leaders to include diversity, equity, and inclusion goals into their annual plans. 2. Addressing disparities by race in patient experience. 3. Actively addressing food insecurity in our community as part of our community health needs assessment implementation plan. 4. Maintaining reduction in african american dual eligible readmissions. 5. Increasing awareness of diversity, equity, inclusion and anti-racism through an internal and external communication plan 6. Integrating medical residents into regions' strategy to eliminate health care disparities. Financial counseling: to secure access to ongoing medical care, and to mitigate charity care write-offs, regions hospital established a financial counseling program in 1995. Since then, the program has been implemented throughout regions hospital, to include the emergency department and regions-based outpatient clinics. In 2022, regions hospital employed, 15 patient financial counselors (pfc), 21 registration financial specialists (rfs), 2 financial counseling team leads and a ramsey country worker dedicated to help patients enroll in government programs or find other sources of coverage. Specifically, the pfcs and rfss can screen patients for eligibility for available programs and offer assistance completing applications with minnesota health care programs, regions hospital medical assistance/charity care applications, and setting up payment plans. The regions hospital emergency department provides financial counseling 24 hours a day, 7 days a week, while the inpatient units departments provide counseling seven days a week during normal business hours. Clinic-based financial counseling is also available during normal business hours. In 2014, pfss and rfss were also enrolled as certified application counselors with the mnsure insurance exchange, allowing them the ability to further assist in enrolling in minnesota ma, minnesotacare and qualified health plans via the state insurance exchange. In 2022 we have maintained the certified application counselors status with all staff and continue to onboard new pfc's and rfs's with this certification. In late 2016 regions hospital also started participating as a medicaid presumptive eligibility provider. This meant the registration and financial counseling staff completed additional training on screening individuals for presumptive eligibility which provides patients with a temporary form of medicaid on date of service. In 2022 regions hospital completed 154 presumptive eligibility applications for patients with no health insurance coverage. Despite ppe challenges and navigating various changes in operational workflows due to the covid pandemic, in 2022, pfcs and rfss completed 2,148 applications, successfully enrolling 1,648 individuals in government health care programs. This provided approximately $ 3.2 million to regions for care that otherwise would have been considered charity care. For 2022, the minnesota health care programs application breakdown was as follows: in the emergency department and outpatient clinics, 621 applications were successfully opened; for inpatient units, 1,027 applications were successfully opened. We anticipate higher volumes in 2023 with the phe (public health emergency) ending as patients will now have to renew coverages which means an increase in applications being completed. Emergency preparedness: regions hospital is a leader in emergency management for the east metro. As the only level 1 adult and pediatric trauma center in the east metro regions hospital staff are prepared for any situation that may arise and collaborate with other hospitals and public safety officials to ensure that planning and response plans are integrated. Physicians from regions hospital ems provid”

“Health profession education: regions hospital is a major teaching hospital in minnesota, training fellow and resident physicians and advanced practice clinicians, as well as medical and advanced practice students from across the state. In partnership with the healthpartners institute, the university of minnesota medical school and hennepin healthcare, regions hospital trains more than 600 resident physicians (160 ftes) from 30 different training programs annually. Areas of residency and fellowship training included: anesthesia, emergency medical services, emergency medicine, family medicine, foot & ankle surgery, hand surgery, internal medicine and medical subspecialties (such as gastroenterology, cardiology, etc.), neurology, obstetrics & gynecology, occupational medicine, orthopedics, otolaryngology, pediatric emergency medicine, plastic surgery, surgery and urology. In addition, the faculty from regions hospital and healthpartners clinics teach and support 300+ medical student clinical rotations and 200+ nurse practitioner and physician assistant student clinical rotations. Resident physicians and students provided care in many high-intensity areas of regions hospital, including the emergency department, intensive care, surgical suites and medical patient units. They provide care for patients from underserved and disadvantaged communities. Residents and students contributed to medical research, quality and patient safety initiatives, and the academic environment that sustains regions hospital's and healthpartners' cutting-edge approach to care. The office of health professional education (ohpe) at regions hospital, a branch of the healthpartners institute, manages all medical and advanced practice student and graduate medical educational activities across the healthpartners system, including managing training contracts and institutional affiliation agreements, and facilitating clinical rotations and observations for many prospective and current students in medical education programs. Ohpe also oversees and ensures compliance with institutional and program requirements of the accreditation council for graduate medical education (acgme) and council of podiatric medical education (cpme). Ohpe further ensures compliance with policies and procedures and manages all operational aspects of the undergraduate and gme training activities at the various clinics and hospitals in the healthpartners system. Emergency medical services (ems): regions hospital ems delivers 24-hour medical direction and consultation to a diverse group of pre-hospital providers in minnesota and western wisconsin. One unique way is by providing a customized resource directory. This directory includes best practice guidelines and state regulations, along with a customized medical direction plan for each organization based on its local resources and environment. The department currently represents 18 services with 1,500 providers, including rural volunteer firefighters and emergency medical technicians, urban paramedics and suburban public safety personnel. Community paramedic and hospital@home: regions hospital has a community paramedicine program to support patients in their home after a visit the hospital, and to serve our growing hospital@home program. The community paramedic, under the orders of a physician, will make one or more home visits to provide acute medical care, medication administration, lab sample collection, patient education, and prevent unnecessary hospital readmissions and emergency department return visits. These home visits also include physical assessments, medication reconciliation, education, home safety assessment and connections to community and health care resources. In 2021, the community paramedicine program served 557 patients of which 247 were admitted to our hospital@home program. The team completed 2256 home visits in total. Participants had an estimated 1,608 fewer hospital days when compared to a matched group within the syst”

“Wisconsin regional trauma advisory committee region 1 subcommittee: regions hospital is an active member of the wisconsin regional trauma advisory committee (rtac), which was created to serve as the regional trauma system for a portion of the western wisconsin region. The system coordinates with regions hospital as the area's only level i adult and level i pediatric trauma centers to treat severe trauma patients from pierce, polk and st. Croix counties in wisconsin. Regions hospital trauma outreach coordinator acts as the chairperson for the region 1 subcommittee. In addition, trauma medical leadership provides a consultative role to hospitals in wisconsin by helping them prepare for their state trauma system hospital verification site reviews. This is a service provided to the facilities at no cost. Additionally, regions hospital staff participated in trauma and emergency conferences such as local and regional emergency nursing association conferences, ems and trauma education. Several community grand round educational events are provided by professional staff. Sexual assault nurse examiner: regions hospital sexual assault nurse examiner (sane) program is a team of specially trained nurses that provide comprehensive, compassionate care to victims of sexual assault, age 13 and older. Our program was founded in 2002 in the years since to include lakeview hospital (2011) and three m health fairview locations; woodwinds, st. Joseph's and st. John's (2013). Response to st. Joseph's ended in 2022 when the facility closed. In 2022 we responded to 397 patients amongst all of our locations. This was an increase from the 296 patients we saw in 2021. Our team is comprised of our medical director, dr. Amy dooley, supervisor, melissa jackson, educator, ellen johnson and 21 per-diem sanes (including melissa and ellen) taking call to provide a 24/7 response to hospitals. We partner closely with two advocacy agencies to ensure our patients receive additional crisis support during an exam and have access to resources after discharge. Ramsey county sexual violence services (sos) responds to our two ramsey county sites, regions and st. John's, and canvas health is our partner for our washington county sites, lakeview and woodwinds. Advocates are available in person to respond to the hospital during exams. Ellen johnson conducted two volunteer advocate trainings at regions as part of their sos orientation this past year. In 2022 we conducted 33 forensic suspect exams in coordination with ramsey county sex crimes investigators. This process requires continual collaboration between our program and all agencies. To support this, we facilitated three trainings in 2022 for the sex crimes investigators we work with. We continued this past year with the best-practice guideline implemented in 2021 of conducting these exams outside of the hospital. Exams are primarily done at the ramsey county law enforcement center to best support our hospital and community. Benefits include improved victim safety during exams, support of regions emergency department's high patient volumes during the pandemic, community safety by limiting transport of suspects between the lec and hospital, and support of investigator's workflow as this process takes extensive time to execute. Our program is involved in many multi-disciplinary teams within ramsey and washington county to best support a coordinated response to victim/survivors of sexual assault, including: ramsey co. Sexual assault protocol team (rcsapt) ramsey co. Criminal sexual conduct (csc) work group, formerly the implementation plan for systems change ramsey co. Sexually exploited youth protocol team rcsapt colleges subcommittee washington co. Sexually exploited youth multi-disciplinary team washington co sexual assault response team (currently on hold due to leadership changes) within these multi-disciplinary teams, there is a lot of education and collaboration that occurs outside of the designated meeting times. I”

“Community building activities environmental improvements: regions hospital continues to be a leader in recycling, resource conservation and waste reduction in order to better the lives of our patients, members and staff through sustainable practices. Regions hospital has implemented many programs around hazardous waste reduction by recycling laboratory solvents and preferentially purchasing items that are safe for the environment. In 2022, regions hospital donated nearly 11 tons of equipment to local non-profit organizations and mission groups. In total, regions hospital recycled nearly 900 tons of materials. Regions hospital also collected 830 pounds of medications from our community through our medicine take back program and responsibly disposed of it. Regions hospital food & nutrition services department also donated 5,480 pounds of food to local food shelters in 2022. Additionally, our community solar garden subscription agreement produced over 7.8 million kilowatt hours of clean renewable energy and saved us nearly $175,000 on utility bills. Regions hospital takes advantage of opportunities to be more sustainable with respect to new construction, remodels, chemicals and energy management. The regions hospital sustainability team continues to establish specific goals around reductions in waste, paper usage, and energy consumption, as well as educating and encouraging staff to recycle more across the organization. In 2023, regions hospital has received a top 25 award and top 10 circle of excellence awards for food, energy efficiency, and waste minimization from practice green health for our sustainability efforts. National recognition regions hospital has been regularly recognized for its care. In 2022, regions received the following awards and recognitions. Healthpartners was named to the ibm watson health 15 top health systems list. For a consecutive year, u.s. News & world report has named regions hospital a 2021-2022 best regional hospital. Ranked high performing in 7 procedures/conditions by u.s. News & world report including stroke, heart attack, and heart & kidney failure. Practice greenhealth 2021 environmental excellence award leadership waste chemicals greening the or food energy water climate”

“Healthpartners inc., along with related organizations, is jointly liable for the tax exempt bonds held by healthpartners inc. Under a master trust agreement. The members of the jointly liable group, which is collectively referred to as the "obligated group", include park nicollet health services, park nicollet clinic, park nicollet methodist hospital, pnmc holdings, regions hospital, park nicollet health care products, group health plan inc, healthpartners administrators inc., and healthpartners insurance company. In addition to the tax exempt bonds listed in this schedule k, the other outstanding tax exempt bonds of the healthpartners obligated group are reported solely on the schedule k of regions hospital.”

“Beneficial interest in the net assets of regions hospital foundation 472,474.”