Regions Hospital

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

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

“Hpi ramsey, as the sole corporate member of regions, 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' 990 return has a comprehensive review process that is followed before it is presented to the governing body of regions. The review process includes a layered review by the tax department of ghi, the management team of regions, the organization's internal legal department and regions' 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. Regions 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 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 requested 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, and reinforces 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' president and its officers are employed by either group health plan, inc. (ghi), a related organization, or by regions. Ghi and regions have an annual process to review the market comparability of the total compensation of the regions' 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 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 board of directors input, the president & ceo of ghi conducts the annual performance review and, with region's board approval, determines the compensation of the regions ceo. The ghi president & ceo 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 ceo 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 financial statements and 990 returns are made available to any person who requests the information from regions 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 the hospital are employed and compensated by the 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.”

“I. Corporate structure, purpose, governance regions hospital (regions) 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 system of health care delivery and health care financing organizations, and is one of the largest consumer-governed organizations 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, all at the same time. Healthpartners includes an array of tax-exempt and taxable organizations with health care activities primarily operating in minnesota, western wisconsin and expanding into other midwestern states. Healthpartners provides a full-range of health care delivery and health plan services including insurance, patient care, plan 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 physicians and dentists, six owned hospitals with over 1,000 acute care beds, over 100 owned and leased primary and specialty care medical facilities and 25 dental facilities with practices in minnesota and western wisconsin. Healthpartners also contracts with other primary and specialty medical facilities and dental facilities, physician groups, hospitals and related healthcare providers located primarily in minnesota, western wisconsin and expanding into other midwestern states. Healthpartners also provides medical education and training to medical professionals and conducts research and fundraising activities that support the health care delivery system. A complete listing of all organizations within the healthpartners family, 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 is driving change that helps our members and patients live healthier lives. 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 2017 are total cost of care measurements (development of 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). 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 (a full service hospital and level 1 trauma center), regions hospital foundation, capitol view transitional care center, stillwater health system (which i”

“Financial counseling: to secure access to ongoing medical care, and to mitigate charity care write-offs, regions established a financial counseling program in 1995. Since then, the program has been implemented throughout regions, to include the emergency department and regions-based outpatient clinics. Eleven patient financial counselors (pfc), 18 registration financial specialists (rfs) and a ramsey country worker are dedicated to help patients enroll in government programs or find other sources of coverage. Specifically, the pfcs and rfss are able to screen patients for eligibility for available programs and offer assistance completing applications with minnesota health care programs, regions medical assistance/charity care applications, and setting up payment plans. The regions emergency departments provide financial counseling 24 hours a day, 7 days a week, while the inpatient units departments provide counseling seven days a weeks during normal business hours. Clinic-based financial counseling is also available during normal business hours. In 2017, pfss and rfss were also enrolled as certified application specialists 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 2017, pfcs and rfss enrolled 2,543 patients in government health care programs. This provided approximately $9.7 million to regions for care that otherwise would have been considered charity care. For 2017, the minnesota health care programs application breakdown was as follows: in the emergency department and outpatient clinics, 1,352 applications were successfully opened; for inpatients, 1,191 applications were successfully opened. Emergency preparedness: regions is a leader in emergency management for the east metro. Regions 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. Regions' participation in an inspection conducted by the centers for medicare and medicaid services received high marks for emergency management and overall plan of sustainability. Regions also has the only mass (non-military) decontamination site in ramsey county that stands ready to handle any major event. Regions can treat up to 10 people per hour in the event of biological, chemical or nuclear incidents and is completely compliant with the occupational safety and health administration. This system is tested annually in conjunction with a mass casualty drill that involves our community partners and public safety agencies. Regions is a member of the metropolitan hospital compact, along with 30 other twin cities hospitals. Regions has played a vital role in the development of community wide planning to improve emergency management throughout health care and establish interfacing with public safety, including city and county emergency managers. Additionally, regions collaborates with city, county and state public health officials to plan appropriately for pandemic events. Regions is a designated closed pod dispensing (cpd) site. A cpd is an antibiotic dispensing site for anthrax prophylaxis when there is an immediate threat or known exposure to the public. Multilingual health resources exchange: the multilingual health resources exchange (exchange) is a collaboration among many minnesota organizations (including hospitals, clinic systems, health plans, public health agencies and community groups) to share translated health materials and information to meet the health education and information needs of people with limited english proficiency. Regions was instrumental in starting the exchange in 2001. Members of the exchange contribute materials translated by their organization to the exchange website (www.health-exchange.net) where all partner organizations can download them for use with their clients and patients. This greatly”

“Community paramedic: regions ems implemented the use of a community paramedic (cp) to follow up with congestive heart failure (chf) hospital patients in their homes. The initial implementation focused on patients with congestive heart failure; based on that experience the program was broadened to include other conditions such as copd and diabetes. The community paramedic, under the orders of a physician, will make one or more home visits to support clinical stabilization, patient education, and prevent unnecessary hospital readmissions and emergency department visits. One cp provided two home-visits per week for 4-6 weeks for patients. Physical assessments, medication reconciliation, education, home safety assessment, connections to community and health care resources were completed during enrollment. Additionally, the program is involved in a three-year medtronic foundation - healthrise grant. This grant project builds on the pilot and will embed community paramedics into a community-based primary federally qualified health center (fqhc), east side family clinic, to provide home visits between primary care appointments to diabetic and cardiovascular patients. Life link iii: regions is a corporate member (along with nine other local and/or regional health systems) of life link iii, a critical care transport service that provides helicopter and airplane options to the most severely ill and injured trauma patients. By collaborating across the community and greater region, these area health care systems avoid duplication of expensive air transport services, thereby reducing the cost of health care. Medical resource control center (mrcc): mrcc serves as the online triage liaison between emergency medical services (ems) ambulance crews and destination hospitals. Mrcc provides medical control communications to ambulance services and pre-hospital emergency care providers in the east metro counties of dakota, ramsey and washington in minnesota and areas of western wisconsin. Mrcc is in contact with metro area emergency departments. The communications center itself is located in regions emergency center. Mrcc staff provides ambulance personnel with a single contact point for relaying patient information, an ems guideline resource, hospital diversion information, medical resource access, coordination of mass casualties, ems communication education and continuous quality improvement (cqi) and ems call data collection. The mrcc operates its secondary, off-site backup center and occasionally occupies its hospital location to test and assure contingency operations. Burn and trauma services: regions is the only east metro level i adult and level i pediatric trauma center, and one of two verified burn programs in the state. The trauma program tracks burn and trauma-related injuries for each specific registry used for performance improvement, quality assurance and public health reporting. The burn center and the trauma center are each verified by the american college of surgeons, as a level i adult trauma center and a level i pediatric trauma center and the american burn association as a verified burn center. Minnesota state trauma system: regions is active in the minnesota state trauma system (stac). Dr. Aaron burnett, regions ems medical director and appointed state ems medical director, is a member of stac. Dr. Peter cole, chief of regions orthopedic department, also severs as a member of the stac. Regions staff participated in subcommittees associated with stac, including the injury prevention and data elements. Trauma leadership provides a consultative role to hospitals in minnesota by helping them prepare for their state trauma system hospital verification site reviews. This is a service provided to the facilities at no cost. In addition, medical director of trauma services, director of trauma and burn programs, and pediatric trauma program manager conduct state trauma system hospital site visits for trauma designation. Additionally, reg”

“In addition, hovander house is a short-term crisis stabilization facility and program for behavioral health patients who are clinically and physically stable but who require further support and assistance before returning to a community setting. Hovander house is staffed by mental health professionals and can accommodate up to nine adults at a time. In 2017, hovander house served 223 adults with an average length of stay of 5.3 days. Approximately 17 percent of patients referred to hovander house did not have insurance. In addition to helping patients transition into the community, hovander house has saved an estimated 1,724 inpatient hospital days. Additionally, safe house is a licensed intensive residential treatment program, providing supportive and treatment services for up to 90 days to approximately 60 adults per year suffering from mental and chemical health problems. Safe alternatives assists clients in finding safe and affordable housing as well as providing long-term support in maintaining housing to over 160 adults with mental and chemical health problems each year. Portico healthnet: regions believes that access to health care coverage is a major factor in averting more expensive emergency room visits. Our mission is to reduce the number of people without coverage for health care services. Portico healthnet (portico) is a nonprofit organization that helps about 350 people per month enroll in free or low-cost health coverage programs. Since 1995, portico outreach workers have provided assistance in completing applications for programs such as minnesota care or medical assistance. In addition, portico offers its own coverage program, and covers primary and specialty care clinic visits, urgent care services, and prescription drugs along with interpreter and transportation services. In 2017, regions provided $159,474 to portico to improve access and cover administrative costs for people without health insurance. Catholic charities dorothy day center catholic charities' mission is to serve those most in need and to advocate for justice in the community. They accomplish this by working in and with the broader community. In the construction of their new facility in st. Paul called higher ground, the organization advanced a new vision and included a medical respite center for homeless patients needing shelter while recovering from a hospital stay. In 2017, 97 patients were able to be discharged from regions sooner with follow up care because they could go to the respite center. Regions contributed $105,164 in 2017 to the program. Community building activities environmental improvements: regions continues to be a leader in recycling, resource conservation and waste reduction. Regions has implemented many programs around hazardous waste reduction by recycling laboratory solvents and preferentially purchasing items that are safe for the environment. In 2017, regions donated over 26 tons of equipment to local non-profit organizations and mission groups. In total, regions recycled over 633 tons of materials in 2017. Regions has also partnered with xcel energy to evaluate all of our programs and systems. The partnership has led to significant sustainable energy reductions over the years. In 2017, regions saved over 909,000 kilowatt hours through investments in more efficient equipment as well as the programming of devices by our building automation team. Additionally, regions takes advantage of opportunities to become "green" with respect to new construction, remodels, chemicals and energy management. The regions 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 2017, all goals were met and regions has received a top 25 award from practice green health for our sustainability efforts. National recognition regions has been regularly recognized for its care. In 2017, regions”

“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, and park nicollet health care products, group health plan inc, healthpartners administrators inc., healthpartners insurance company. In accordance with reporting requirements for schedule k, all outstanding tax exempt bonds are reported solely on the schedule k of group health plan inc.”

“Beneficial interest in the net assets of regions hospital foundation 1,323,465.”