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HEALTHPARTNERS RC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
HEALTHPARTNERS RC (EIN 84-4261122)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-13
IRS object ID
202433189349305413
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-13T11:37:53-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1350 N 5TH STREET SUITE 600AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55401ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN844261122EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTHPARTNERS RCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone9529935603PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18170 33RD AVE SOUTHAddressLine1Txt
CityBLOOMINGTONCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55425ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNATHAN PULSCHERPersonNm
Person TitlePRESIDENT, OLIVIA HOSPITALPersonTitleTxt
Phone9529935603PhoneNum
Signature2024-11-13SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHOLLY K MOENPreparerPersonNm
PTINP01800653PTIN
Phone6123055000PhoneNum
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1OLIVIA HOSPITAL & CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerNATHAN PULSCHERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18170 33RD AVE SOUTHAddressLine1Txt
CityBLOOMINGTONCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55425ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$40,183,451GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HEALTHPARTNERS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2020FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee190TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$254,804PYContributionsGrantsAmt
CY Contributions Grants$699,740CYContributionsGrantsAmt
PY Program Service Revenue$35,019,978PYProgramServiceRevenueAmt
CY Program Service Revenue$38,826,385CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$477,120CYInvestmentIncomeAmt
PY Other Revenue$182,427PYOtherRevenueAmt
CY Other Revenue$180,206CYOtherRevenueAmt
PY Total Revenue$35,457,209PYTotalRevenueAmt
CY Total Revenue$40,183,451CYTotalRevenueAmt
PY Grants And Similar Paid$42,037PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$66,272CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$18,545,460PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$19,597,335CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$60,794CYTotalFundraisingExpenseAmt
PY Other Expenses$11,778,484PYOtherExpensesAmt
CY Other Expenses$11,339,148CYOtherExpensesAmt
PY Total Expenses$30,365,981PYTotalExpensesAmt
CY Total Expenses$31,002,755CYTotalExpensesAmt
PY Revenues Less Expenses$5,091,228PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$9,180,696CYRevenuesLessExpensesAmt
Total Assets BOY$82,644,354TotalAssetsBOYAmt
Total Assets EOY$96,302,346TotalAssetsEOYAmt
Total Liabilities BOY$29,356,531TotalLiabilitiesBOYAmt
Total Liabilities EOY$29,525,523TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$53,287,823NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$66,776,823NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$27,112,200ExpenseAmt
Grant$66,272GrantAmt
Revenue$38,905,123RevenueAmt
DescSEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTSDesc
Total Program Service Expenses$27,112,200TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee190EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KEVIN J BRANDTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9528836584PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18170 33RD AVE SAddressLine1Txt
CityBLOOMINGTONCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55440ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SHERRI BRODERIUS
DIRECTOR & CHAIR0.500.00Yes (X)Yes (X)$0$0$0
JEREMY FRANK
DIRECTOR, SEC. & TREASURER0.500.00Yes (X)Yes (X)$0$0$0
BRENDA HOLM
DIRECTOR0.500.00Yes (X)$0$0$0
JAMES LYONS
DIRECTOR0.5039.50Yes (X)$0$381,275$80,939
CARIN MARTINSON MD
DIRECTOR & VPMA44.500.50Yes (X)Yes (X)$346,288$0$53,935
JENNIFER MYSTER
DIRECTOR0.5049.50Yes (X)$0$657,914$140,179
GREG SNOW
DIRECTOR & VICE CHAIR0.500.00Yes (X)Yes (X)$0$0$0
NATHAN S PULSCHER
DIRECTOR & PRESIDENT0.5049.50Yes (X)Yes (X)$0$313,799$66,188
LISA HERGES
DIRECTOR0.500.00Yes (X)$0$0$0
MATT WESTERLUND
DIRECTOR0.5049.50Yes (X)$0$332,526$58,836
AMY L DEWAYNE
DIRECTOR (JAN-APRIL)0.50Yes (X)$0$458,049$67,579
NANCY ANDERSON
CFO, VP FINANCE45.000.00Yes (X)$209,639$0$44,981
JENNIFER MACIK
CNO, VP PATIENT CARE SVCS57.000.00Yes (X)$192,512$0$44,012
KELSEY J FISCHER
NURSE PRACTICIONER42.000.00$207,708$0$46,724Yes (X)
JON R KEMP
PHYSICIAN45.000.00$334,730$0$53,767Yes (X)
JASON C MABEE
NURSE ANESTHETIST40.000.00$334,129$0$53,758Yes (X)
MELISSA A MARVIN
PHYSICIAN40.000.00$207,112$0$28,183Yes (X)
JASON D RASMUSSEN
NURSE PRACTICIONER36.000.00$231,349$0$47,963Yes (X)
NATHAN BLAD
FORMER PRESIDENT0.000.00$0$302,156$51,046Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,063,467TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,445,719TotReportableCompRltdOrgAmt
Total Other Compensation$838,090TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K24IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BIG STONE THERAPIES INC
500 CROSS STBIG STONE CITYSD57216MEDICAL SERVICES$2,179,887
BUFFALO LAKE HEALTHCARE CENTER
703 W YE PO BOX 368BUFFALOMN55314MEDICAL SERVICES$847,803
AYA HEALTHCARE INC
PO BOX 123519 DEPT 3519DALLASTX75312MEDICAL SERVICES$565,713
PETER SANDERS
2989 CANYON RDCHASKAMN55318MEDICAL SERVICES$237,500
SAGILITI
23505 SMITHTOWN RD STE 280EXCELSIORMN55331UTILITY CONSULTING$217,405
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Related Organizations$68,063RelatedOrganizationsAmt
Government Grants$412,811GovernmentGrantsAmt
All Other Contributions$218,866AllOtherContributionsAmt
Total Contributions$699,740TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES623990$36,651,852$36,651,852
MEDICAL RETAIL623990$2,156,307$2,156,307
CMDI REVENUE623990$18,226$18,226
FieldValueIRS element (for citing)
Total Program Service Revenue$38,826,385TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$477,120TotalRevenueColumnAmt
Exclusion$477,120ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$101,468RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$101,468RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$101,468TotalRevenueColumnAmt
Exclusion$101,468ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCAFETERIA SALESDesc
Business445200BusinessCd
Total Revenue Column$78,738TotalRevenueColumnAmt
Related Or Exempt Func Income$78,738RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$78,738OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,183,451TotalRevenueColumnAmt
Related Or Exempt Func Income$38,905,123RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$578,588ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$66,272TotalAmt
Program Services$66,272ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$891,367TotalAmt
Management And General$891,367ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$14,813,824TotalAmt
Program Services$13,638,755ProgramServicesAmt
Management And General$1,135,934ManagementAndGeneralAmt
Fundraising$39,135FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$582,985TotalAmt
Program Services$548,466ProgramServicesAmt
Management And General$34,519ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,291,097TotalAmt
Program Services$2,964,642ProgramServicesAmt
Management And General$312,219ManagementAndGeneralAmt
Fundraising$14,236FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$18,062TotalAmt
Program Services$18,062ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,139TotalAmt
Management And General$2,139ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$24,687TotalAmt
Management And General$24,687ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,571,805TotalAmt
Program Services$3,225,223ProgramServicesAmt
Management And General$339,159ManagementAndGeneralAmt
Fundraising$7,423FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$128,443TotalAmt
Program Services$8,882ProgramServicesAmt
Management And General$119,561ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$133,841TotalAmt
Program Services$75,183ProgramServicesAmt
Management And General$58,658ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$515,530TotalAmt
Program Services$94,590ProgramServicesAmt
Management And General$420,940ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$625,424TotalAmt
Program Services$593,591ProgramServicesAmt
Management And General$31,833ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$79,595TotalAmt
Program Services$77,094ProgramServicesAmt
Management And General$2,501ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$66,500TotalAmt
Program Services$52,010ProgramServicesAmt
Management And General$14,490ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$503,776TotalAmt
Program Services$492,651ProgramServicesAmt
Management And General$11,125ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,294,520TotalAmt
Program Services$1,106,463ProgramServicesAmt
Management And General$188,057ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$70,102TotalAmt
Program Services$67,377ProgramServicesAmt
Management And General$2,725ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$3,166,259$3,166,259
EQUIPMENT EXPENSES$563,747$536,176$27,571
TAXES AND ASSESSMENTS$313,470$313,470
OTHER/MISC FEES$278,741$66,830$211,911

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$569TotalAmt
Program Services$204ProgramServicesAmt
Management And General$365ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$31,002,755TotalAmt
Program Services$27,112,200ProgramServicesAmt
Management And General$3,829,761ManagementAndGeneralAmt
Fundraising$60,794FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$18,388,545BOYAmt
EOY$19,256,667EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,277,051BOYAmt
EOY$5,010,207EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$296,105BOYAmt
EOY$471,285EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$102,450BOYAmt
EOY$189,066EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$33,215,602LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,418,133LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$20,341,100BOYAmt
EOY$20,797,469EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$37,735,325BOYAmt
EOY$50,199,465EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$428,418BOYAmt
EOY$378,187EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$75,360BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$82,644,354BOYAmt
EOY$96,302,346EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,219,157BOYAmt
EOY$7,777,892EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$4,443,708EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,137,374BOYAmt
EOY$17,303,923EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,356,531BOYAmt
EOY$29,525,523EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$53,287,823BOYAmt
EOY$66,776,823EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$53,287,823BOYAmt
EOY$66,776,823EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$82,644,354BOYAmt
EOY$96,302,346EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$9,180,696ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,308,305NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Total Lobbying Expenditures$0TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1 LOBBYING ACTIVITIESFormAndLineReferenceDesc
ExplanationHPRC PAYS CERTAIN CORPORATE AND EMPLOYEE PROFESSIONAL ASSOCIATION MEMBERSHIPS. A PORTION OF SUCH MEMBERSHIP DUES POTENTIALLY COULD BE USED BY THE PROFESSIONAL ASSOCIATIONS FOR LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,235,542OtherCostOrOtherBasisAmt
Depreciation$1,989,029DepreciationAmt
Book Value$17,246,513BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,344,336OtherCostOrOtherBasisAmt
Depreciation$10,423,062DepreciationAmt
Book Value$1,921,274BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,635,724OtherCostOrOtherBasisAmt
Depreciation$6,042DepreciationAmt
Book Value$1,629,682BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$20,797,469TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLEASE OBLIGATIONDesc
Amt$17,303,923Amt
FieldValueIRS element (for citing)
Total Liability$17,303,923TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationHEALTHPARTNERS RC DBA OLIVIA HOSPITAL AND CLINIC (OHC) 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, 2023 OR 2022 FOR UNRECOGNIZED TAX BENEFITS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$620,377TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$620,377NetCommunityBenefitExpnsAmt
Total Expense0.02000TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,620,388TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,983,121DirectOffsettingRevenueAmt
Net Community Benefit Expns$637,267NetCommunityBenefitExpnsAmt
Total Expense0.02060TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,240,765TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,983,121DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,257,644NetCommunityBenefitExpnsAmt
Total Expense0.04060TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$100,156TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$100,156NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$69,536TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$69,536NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$169,692TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$169,692NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,410,457TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,983,121DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,427,336NetCommunityBenefitExpnsAmt
Total Expense0.04600TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$728,335BadDebtExpenseAmt
Reimbursed By Medicare$9,324,107ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$9,508,345CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$184,238MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTHPARTNERS RC DBA OLIVIA HOSPITAL & CLINIC (OHC)BusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 HEALTHY WAYAddressLine1Txt
CityOLIVIACityNm
State AbbreviationMNStateAbbreviationCd
ZIP56277ZIPCd
FieldValueIRS element (for citing)
Website AddressHTTPS://OLIVIAHOSPITAL.COM.WebsiteAddressTxt
State License396652StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HEALTHPARTNERS RC - OLIVIA HOSPITAL & CLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/OLIVIA/ABOUT/COMMUNITY-HEALTHOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/OLIVIA/ABOUT/COMMUNITY-HEALTHStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/OLIVIA/PATIENT-GUEST/PATIENT-FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/OLIVIA/PATIENT-GUEST/PATIENT-FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/OLIVIA/PATIENT-GUEST/PATIENT-FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
HEALTHPARTNERS RC - OLIVIA HOSPITAL & CLINIC (OHC)PART V, SECTION B, LINE 5: TO COMPREHENSIVELY UNDERSTAND AND DESCRIBE THE NEEDS OF THE COMMUNITIES HEALTHPARTNERS SERVES, WE SYSTEMATICALLY IDENTIFIED A LIST OF PUBLICLY AVAILABLE DATA SOURCES AND A LIST OF INTERNALLY AVAILABLE HEALTHPARTNERS DATA SOURCES. WITH THE CHNA WORKGROUP THAT HAD EXPERTISE FROM PUBLIC HEALTH, HEALTHCARE AND EPIDEMIOLOGY, WE CAREFULLY REVIEWED THE LIST TO IDENTIFY OPPORTUNITIES WITH A SPECIFIC LENS TOWARDS INCLUDING MEMBERS WITH UNIQUE INSIGHT INTO NEEDS OF OUR UNDERSERVED COMMUNITIES WHERE HEALTH AND OTHER DISPARITIES EXIST. TO FURTHER ROUND OUT UNDERSTANDING, WE SOUGHT ADDITIONAL DATA SOURCES TOGETHER WITH OUR COMMUNITY PARTNERS. WHERE OPPORTUNITIES STILL REMAIN FOR BETTER UNDERSTANDING DUE TO LACK OF CURRENTLY AVAILABLE DATA, WE HAVE NOTED IN THE REPORT. FOR EXAMPLE, WE IDENTIFIED SPECIFIC GAPS IN DATA AVAILABLE TO UNDERSTAND THE COVID-19 PANDEMIC CONTEXT AND THE INFLUENCE OF STRUCTURAL RACISM ON THE NEEDS AREAS. THUS, WE SPECIFICALLY DESIGNED OUR QUALITATIVE COMMUNITY CONVERSATIONS AND OUR QUANTITATIVE HEALTHPARTNERS PROVIDER SURVEYS TO FILL THESE GAPS. HEALTHPARTNERS PROVIDER SURVEYS: SELECT HEALTHPARTNERS STAFF WHO PROVIDE DIRECT CARE FOR OUR PATIENTS WERE INVITED BY HOSPITAL LEADERS AND THE CHNA EXPERT PANEL MEMBERS TO COMPLETE A BRIEF WEB SURVEY ABOUT THE NEEDS OF THE PATIENTS THEY SERVE. THE SURVEY WAS DEVELOPED BY AN EXPERT SURVEY METHODOLOGIST WITH INPUT FROM THE CHNA WORKGROUP. OVERALL, 444 PROVIDERS INCLUDING DOCTORS, CARE COORDINATORS, PHARMACISTS, PHYSICAL OR OCCUPATIONAL THERAPISTS, DIETITIANS, NURSES, AND SOCIAL WORKERS COMPLETED SURVEYS ACROSS ALL HEALTHPARTNERS HOSPITALS. DESCRIPTIVE STATISTICS AND A THEMATIC ANALYSIS WERE COMPLETED AND INCLUDED IN THE NEEDS AREA SUMMARIES BELOW.COMMUNITY CONVERSATIONS: A TOTAL OF 41 COMMUNITY CONVERSATIONS WERE HELD OR ATTENDED BY HEALTHPARTNERS WORKGROUP MEMBERS. RESULTS WERE SUMMARIZED AND KEY THEMES AND QUOTES WERE ADDED TO THE NEEDS AREA SUMMARIES THROUGHOUT. ADDITIONAL DETAILS ABOUT THE COMMUNITY CONVERSATIONS CAN BE FOUND IN THE APPENDIX OF THE OHC 2021 CHNA AT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/OLIVIA/ABOUT/COMMUNITY-HEALTH-NEEDS/
HEALTHPARTNERS RC - OLIVIA HOSPITAL & CLINIC (OHC)PART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES INCLUDED IN THE HEALTHPARTNERS CHNA WERE:- HUDSON HOSPITAL, HUDSON, WI- WESTFIELDS HOSPITAL, NEW RICHMOND, WI- LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, STILLWATER, MN- PARK NICOLLET METHODIST HOSPITAL, ST. LOUIS PARK, MN- AMERY REGIONAL MEDICAL CENTER, AMERY, WI- HUTCHINSON HEALTH, HUTCHINSON, MN- REGIONS HOSPITAL, ST. PAUL, MN
HEALTHPARTNERS RC - OLIVIA HOSPITAL & CLINIC (OHC)PART V, SECTION B, LINE 11: COMMITTED TO HELPING OUR COMMUNITIES BE HEALTHIER, OHC COMPLETES A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS.IN 2021, WE WERE PART OF A COMPREHENSIVE CHNA THAT INCLUDED ALL THE HOSPITALS IN THE HEALTHPARTNERS SYSTEM. IN CONSULTATION WITH THE IMPROVE GROUP, THE ASSESSMENT ANALYZED HEALTH DATA AND INPUT FROM COMMUNITY MEMBERS TO IDENTIFY THE BIGGEST NEEDS:ACCESS TO CARE. THROUGHOUT HEALTHPARTNERS OUR TEAMS ARE WORKING TO EXPAND THE USE OF TECHNOLOGY (TELEMEDICINE, EMAILS, TEXT MESSAGES, MYCHART MESSAGES, ETC.) TO ENGAGE PATIENTS BETWEEN VISITS AND PROMOTE HEALTHY BEHAVIORS. ACCESS TO HEALTH. OUR FOUNDATION IS ASSISTING TO HELP TRANSFORM THE FOOD SHELF BY MAKING HEALTHY, CULTURALLY SPECIFIC FOODS ACCESSIBLE AND APPEALING (SUPER SHELF). IN ADDITION, CREATED A MOBILE FOOD SHELF FOR RESIDENTS IN OUR COUNTY. WORK CONTINUES TO EXPAND THE USAGE OF THE MOBILE FOOD SHELF, WORKING WITH ADDITIONAL COMMUNITY PARTNERS. MENTAL HEALTH AND WELL-BEING. IMPROVING ACCESS BY ADDING A PSYCHIATRIST AND SOON A THERAPIST ONSITE IN OLIVIA IN COLLABORATION WITH HUTCHINSON HEALTH. A PARTNERSHIP WITH 2B CONTINUED AND OUR FOUNDATION TO OFFER TEENAGE MENTAL HEALTH FIRST AID IN OUR AREA SCHOOLS. CONTINUE TO IMPROVE PROVIDER COMMUNICATION, CARE MANAGEMENT AND COORDINATION.NUTRITION AND PHYSICAL ACTIVITY. OUR FOUNDATION CONTINUES TO WORK ON A COMMUNITY-WIDE INITIATIVE TO SUPPORT EATING BETTER, MOVING MORE AND FEELING GOOD INCLUDING: POWERUP SCHOOL CHALLENGE, CLASSES FOR COOKING AND SPORTS NUTRITION ONLINE, COMMUNITY OPTIONS FOR PHYSICAL ACTIVITY, FAMILY MAGAZINES, ONLINE RESOURCES, AND MORE. A PARTNERSHIP WITH OUR COUNTY BACK THE PACK TO FURTHER EXPAND NUTRITION AND PHYSICAL ACTIVITY. IMPLEMENTATION OF A POWERUP FRUIT & VEGGIE RX PROGRAM THAT OFFERS EDUCATION AND VOUCHERS FOR FRUITS AND VEGETABLES AT AREA FARMERS MARKETS AND GROCERY STORES. SUBSTANCE ABUSE. COLLABORATION WITH COMMUNITY PARTNERS TO INCREASE SUBSTANCE ABUSE PREVENTION AND EDUCATION.
HEALTHPARTNERS RC - OLIVIA HOSPITAL & CLINIC (OHC)PART V, SECTION B, LINE 13B: IN ACCORDANCE WITH OUR AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL, UNINSURED PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS LESS THAN $125,000 ARE ELIGIBLE FOR A DISCOUNT ON THEIR CHARGES. THE DISCOUNT IS ESTABLISHED AT THE AVERAGE CONTRACTUAL DISCOUNT FOR OHC'S LARGEST CONTRACT PAYER. THE DISCOUNT FOR 2023 WAS 36.3% OF GROSS CHARGES. PATIENTS WHO RECEIVE THIS DISCOUNT ARE ALSO ELIGIBLE FOR OUR FAP PROGRAM BASED ON FPL.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - RURAL HEALTH CLINICS RENVILLE CLINIC
420 MAIN STREET NRENVILLEMN562840606HEALTH CLINIC
2 - HECTOR CLINIC
131 BIRCH AVENUEHECTORMN553420117HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:OHC PARTICIPATES IN A MINNESOTA ATTORNEY GENERAL'S (MN AG) AGREEMENT THAT GIVES ALL PATIENTS AT LEAST THE SAME DISCOUNT AS OUR HIGHEST VOLUME COMMERCIAL PAYER. HPRC APPLIES THE MN AG OR THE 501R DISCOUNT, WHICHEVER IS GREATER.
PART I, LINE 7:OHC USES THE COST-TO-CHARGE RATIO METHOD WHEN CALCULATING THE AMOUNTS REPORTED ON PART I. LINE 7. THE COST-TO-CHARGE RATIO WAS DERIVED USING WORKSHEET 2, RATIO OF PATIENT CARE-COST-TO-CHARGE, FROM THE SCHEDULE H INSTRUCTIONS.
16A, B, CHTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/OLIVIA/PATIENT-GUEST/PATIENT-INFORMATION/FINANCIAL-SUPPORT/
PART II, COMMUNITY BUILDING ACTIVITIES:AS A NOT-FOR-PROFIT COMMUNITY HOSPITAL SERVING THE RENVILLE COUNTY RESIDENTS SINCE 1951, OHC CONTINUES TO PLAY AN IMPORTANT ROLE AND IS POSITIONED WELL TO MEET THE HEALTH CARE NEEDS OF THE AREA. OHC IS A FULL-SERVICE MEDICAL CAMPUS OFFERING EMERGENCY SERVICES, SPECIALTY CLINICS AND RURAL HEALTH CLINIC, AS WELL AS INPATIENT, OUTPATIENT, AND MATERNITY SERVICES. OHC IS GOVERNED BY A BOARD OF DIRECTORS WITH REPRESENTATION FROM COMMUNITY MEMBERS AND RENVILLE COUNTY COMMISSIONERS.WORKING IN PARTNERSHIP WITH EACH OTHER, OHC, THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS, AND THE COMMUNITY ACCOMPLISHED A GREAT DEAL IN 2021. ADVANCEMENTS WERE MADE IN SUPPORT OF THE TRIPLE AIM: TO ENSURE BETTER HEALTH FOR ALL, IMPROVED PATIENT EXPERIENCE AND AFFORDABLE HEALTH CARE. DEDICATED STAFF PROMOTE COMMUNITY HEALTH IN THE FOLLOWING WAYS: COMMUNITY WELLNESS PROGRAMS, LACTATION CONSULTS, EXTENSIVE RECRUITMENT FOR PROVIDERS, NURSING STAFF AND OTHER SUPPORT STAFF, DIABETES, NUTRITION AND WEIGHT MANAGEMENT AND CAREGIVERS; ATHLETIC TRAINERS WERE PLACED IN SCHOOLS TO EDUCATE AND ASSIST ATHLETIC PROGRAMS; TRAININGS FOR HEALTH CARE PROFESSIONALS AND NURSING STUDENTS; FLU CLINICS WERE BROUGHT TO BUSINESSES AND COMMUNITY; AND COUNTY LEADER IN PANDEMIC AND DISASTER PREPAREDNESS.OHC ENCOURAGES PATIENTS AND THEIR FAMILIES - THEIR PARTNERS IN HEALTH - TO BE ACTIVELY INVOLVED IN DECISIONS ABOUT THEIR OWN HEALTH CARE. RESEARCH SHOWS THAT PATIENTS AND THEIR FAMILIES WHO ARE MORE INVOLVED WITH THEIR CARE FEEL THEY GET BETTER RESULTS AND ARE MORE SATISFIED. SAFETY AND SATISFACTION ARE OUR PRIORITIES. BENEFITS TO PATIENTS AND THE COMMUNITY IN 2023BETTER RURAL HEALTH CARE STARTS FROM THE GROUND UP. WE'RE MAKING OUR COMMUNITIES HEALTHIER WHEREVER WE CAN WHETHER THAT'S INSIDE A DOCTOR'S OFFICE OR AT YOUR LOCAL FARMER'S MARKET.WE'RE PROUD TO PARTNER WITH HOMETOWN COMMUNITY AND SERVICE ORGANIZATIONS, PUBLIC HEALTH EXPERTS, FRIENDS, NEIGHBORS, AND MORE. OHC STAFF PROVIDED 1088 HOURS OF TIME AS PRECEPTORS FOR STUDENT PROFESSIONAL INTERNS IN A VARIETY OF MEDICAL FIELDS.REVOLUTION WELLNESS EMBRACING A HEALTH AND ACTIVE LIFESTYLE TO HELP GROW A COMMUNITY OF WELLNESS. THROUGH MINDFUL DECISIONS, SUPPORT, AND GUIDANCE WE CAN HELP EACH OTHER IN MAKING BETTER CHOICES FOR OURSELVES, OUR FAMILIES, AND OUR COMMUNITIES. 2023 ACCOMPLISHMENTS INCLUDE: OHC CONTINUES TO RECEIVE A 5-STAR RATING FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) FOR THE QUALITY OF PATIENT CARE. OHC CONTINUES TO BE AN ACUTE STROKE READY HOSPITAL WITH A LEVEL 4 TRAUMA REDESIGNATION. WE ARE ACTIVELY INVOLVED IN INCREASING SCORING ON THE PRIMEWEST ARCH QUALITY PROGRAM AND MNCARES MINNESOTA COMMUNITY MEASURES. IN 2023, TEAM MEMBERS COMPLETED A QUALITY COHORT WITH SUCCESS IN INCREASING HEALTH PARTNERS RELATED REFERRALS FOR SPECIALTY CARE BY KEEPING CARE CLOSE TO HOME. AS THE ONLY HEALTHCARE FACILITY IN THE COUNTY, WE CONTINUE EFFORTS TO INCREASE ADMINISTRATION OF COVID VACCINATIONS AND OUTPATIENT ANTI-VIRAL MEDICATIONS. WE HAVE IMPLEMENTED AN EVENT REPORTING SOFTWARE TO CAPTURE CRITICAL DATA USED TO IMPROVE QUALITY AND PATIENT CARE SATISFACTION. WE ARE CONTINUALLY STRIVING FOR EXCELLENCE IN QUALITY AND SAFETY FOR OUR PATIENTS IN ALL AREAS OF HEALTHCARE.
PART III, LINE 2:BAD DEBT IS ACCOUNTED FOR ON THE FINANCIAL STATEMENTS BY ESTIMATING PATIENT LIABILITY NET OF ANY CHARITY CARE AND THEN CALCULATING WHAT PORTION OF THAT WILL NOT BE COLLECTED BASED HISTORICAL UNCOLLECTABLE RATES. WHEN A PATIENT MEETS OUR FINANCIAL REQUIREMENTS IT IS CLASSIFIED AS CHARITY CARE; IF THEY DO NOT QUALIFY, THEIR SERVICES WILL BE WRITTEN OFF AS BAD DEBT. OHC DOES NOT INCLUDE ANY CHARITY CARE IN THEIR BAD DEBT EXPENSE CALCULATION.
PART III, LINE 3:OHC AND ITS AFFILIATES WORK WITH THOSE QUALIFYING FOR CHARITY CARE ALONG EVERY STEP OF THE PROCESS, INCLUDING ACCEPTING APPLICATIONS FOR FINANCIAL ASSISTANCE AFTER PREVIOUS ATTEMPTS TO WORK WITH THE PATIENT FAIL. EVERY EFFORT IS MADE TO WORK WITH THE PATIENT TO PROVIDE FINANCIAL ASSISTANCE WHEN APPROPRIATE. WHILE THERE ARE PEOPLE WHO DO NOT COOPERATE WITH OHC REGARDING PAYMENT PLANS, FINANCIAL ASSISTANCE OR WITH THOSE TRYING TO HELP THEM GET ON GOVERNMENT PROGRAMS, IT IS IMPOSSIBLE TO KNOW THEIR REASON FOR NOT COOPERATING AND THEREFORE KNOW WHETHER THEY MAY HAVE QUALIFIED FOR CHARITY CARE. OHC DOESN'T HAVE PREDICTIVE SOFTWARE WHICH WOULD MAKE ASSUMPTIONS BASED ON HOUSING SITUATION, CREDIT REPORTS, ETC. AND RECOMMEND ASSISTANCE WITHOUT A PROCESS FOR GATHERING INCOME VERIFICATION. IN LIGHT OF THE FOREGOING FACTS, OHC IS UNABLE TO REASONABLY DETERMINE WHETHER ANY AMOUNT OF BAD DEBT COULD HAVE BEEN CLASSIFIED AS CHARITY CARE.
PART III, LINE 4:ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CHARITY CARE: THE FINANCIAL STATEMENTS DO NOT HAVE A SEPARATE BAD DEBT FOOTNOTE. THE FOLLOWING IS PART OF OHC'S PATIENT ACCOUNTS RECEIVABLE AND CREDIT POLICY:ACCOUNTS RECEIVABLE ARE REDUCED BY AN ANNUAL ALLOWANCE FOR DOUBTFUL ACCOUNTS OR CHARITY CARE, BASED ON ESTABLISHED GUIDELINES FOR IDENTIFYING UNCOLLECTIBLE PATIENT ACCOUNTS AND CLASSIFYING THESE ACCOUNTS AS EITHER DOUBTFUL ACCOUNTS OR CHARITY. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, OHC'S MANAGEMENT PERIODICALLY ASSESSES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CHARITY CARE BY TAKING INTO CONSIDERATION BY PAYER CATEGORY, THE EXPECTED NET COLLECTIONS, ACCOUNTS RECEIVABLE AGING, HISTORICAL COLLECTIONS EXPERIENCE, ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THE PRIMARY SOURCE OF THE ALLOWANCE FOR CHARITY CARE IS CHARGES FOR UNINSURED PATIENTS. PATIENTS WHO ARE INSURED ARE ASSESSED SEPARATELY FOR COLLECTABILITY FROM UNINSURED PATIENTS. THE RESULTS OF THESE ASSESSMENTS ARE USED TO ESTABLISH THE NET REALIZABLE VALUE OF PATIENT ACCOUNTS RECEIVABLE AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CHARITY CARE.
PART III, LINE 8:OHC'S MEDICARE COST IS DERIVED BASED ON THE RATIO OF MEDICARE FFS CHARGES TO TOTAL CHARGES MULTIPLIED BY TOTAL EXPENSES (LESS CHARITY CARE & BAD DEBT). NONE OF THE MEDICARE FFS LOSS REPORTED ON SCHEDULE H, PART III, LINE 7 IS TREATED AS COMMUNITY BENEFIT ON SCHEDULE H, PART I, LINE 7A.
PART III, LINE 9B:THE COLLECTION POLICY INCORPORATES THE REQUIREMENTS AS STATED BY THE MINNESOTA ATTORNEY GENERAL AND VIEWS ACCOUNT RESOLUTION THROUGH THE OHC FINANCIAL ASSISTANCE PROGRAM AS AN OPTION FOR ACCOUNT RESOLUTION. THIS OPTION IS SHARED WITH PATIENTS VIA STATEMENTS, LETTERS AND AS PART OF COLLECTION CALLS TO AND FROM PATIENTS AND COLLECTION AGENCIES. OHC'S FINANCIAL ASSISTANCE PROGRAM IS ALSO DESCRIBED IN PAMPHLETS AND ON OUR WEBSITE. THE WEBSITE INCLUDES OUR FINANCIAL ASSISTANCE POLICY. IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, COLLECTION EFFORTS CEASE AND CHARGES ARE CLEARED FROM THEIR ACCOUNT.
PART VI, LINE 2:TO COMPREHENSIVELY UNDERSTAND AND DESCRIBE THE NEEDS OF THE COMMUNITIES HEALTHPARTNERS SERVES, WE SYSTEMATICALLY IDENTIFIED A LIST OF PUBLICLY AVAILABLE DATA SOURCES AND A LIST OF INTERNALLY AVAILABLE HEALTHPARTNERS DATA SOURCES. WITH THE CHNA WORKGROUP THAT HAD EXPERTISE FROM PUBLIC HEALTH, HEALTHCARE AND EPIDEMIOLOGY, WE CAREFULLY REVIEWED THE LIST TO IDENTIFY OPPORTUNITIES WITH A SPECIFIC LENS TOWARDS INCLUDING MEMBERS WITH UNIQUE INSIGHT INTO NEEDS OF OUR UNDERSERVED COMMUNITIES WHERE HEALTH AND OTHER DISPARITIES EXIST. TO FURTHER ROUND OUT UNDERSTANDING, WE SOUGHT ADDITIONAL DATA SOURCES TOGETHER WITH OUR COMMUNITY PARTNERS. WHERE OPPORTUNITIES STILL REMAIN FOR BETTER UNDERSTANDING DUE TO LACK OF CURRENTLY AVAILABLE DATA, WE HAVE NOTED IN THE REPORT. FOR EXAMPLE, WE IDENTIFIED SPECIFIC GAPS IN DATA AVAILABLE TO UNDERSTAND THE COVID-19 PANDEMIC CONTEXT AND THE INFLUENCE OF STRUCTURAL RACISM ON THE NEEDS AREAS. THUS, WE SPECIFICALLY DESIGNED OUR QUALITATIVE COMMUNITY CONVERSATIONS AND OUR QUANTITATIVE HEALTHPARTNERS PROVIDER SURVEYS TO FILL THESE GAPS. HEALTHPARTNERS PROVIDER SURVEYS: SELECT HEALTHPARTNERS STAFF WHO PROVIDE DIRECT CARE FOR OUR PATIENTS WERE INVITED BY HOSPITAL LEADERS AND THE CHNA EXPERT PANEL MEMBERS TO COMPLETE A BRIEF WEB SURVEY ABOUT THE NEEDS OF THE PATIENTS THEY SERVE. THE SURVEY WAS DEVELOPED BY AN EXPERT SURVEY METHODOLOGIST WITH INPUT FROM THE CHNA WORKGROUP. OVERALL, 444 PROVIDERS INCLUDING DOCTORS, CARE COORDINATORS, PHARMACISTS, PHYSICAL OR OCCUPATIONAL THERAPISTS, DIETITIANS, NURSES, AND SOCIAL WORKERS COMPLETED SURVEYS ACROSS ALL HEALTHPARTNERS HOSPITALS. DESCRIPTIVE STATISTICS AND A THEMATIC ANALYSIS WERE COMPLETED AND INCLUDED IN THE NEEDS AREA SUMMARIES BELOW.COMMUNITY CONVERSATIONS: A TOTAL OF 41 COMMUNITY CONVERSATIONS WERE HELD OR ATTENDED BY HEALTHPARTNERS WORKGROUP MEMBERS. RESULTS WERE SUMMARIZED AND KEY THEMES AND QUOTES WERE ADDED TO THE NEEDS AREA SUMMARIES THROUGHOUT. ADDITIONAL DETAILS ABOUT THE COMMUNITY CONVERSATIONS CAN BE FOUND IN THE APPENDIX OF THE OHC 2021 CHNA AT THEIR CHNA WEBSITE.
PART VI, LINE 3:WE INFORM OUR PATIENTS IN MULTIPLE WAYS ABOUT OUR FA PROGRAM AND OTHER FINANCIAL ASSISTANCE OPTIONS FOR SERVICES RECEIVED AT OHC. A LIST OF COMMUNICATIONS FOR PATIENTS RELATING TO FINANCIAL ASSISTANCE FOLLOWS: WEB SITE HAS FA INFORMATION FOUND UNDER PATIENT ACCOUNTS AND BILLING. OUR FINANCIAL ASSISTANCE APPLICATION OUR FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY (PLS) OUR FINANCIAL ASSISTANCE POLICYALL STATEMENTS THAT ARE SENT TO PATIENTS INCLUDE A COVER PAGE THAT INCLUDES INFORMATION ON OUR FINANCIAL ASSISTANCE PROGRAM.IN ADDITION TO THE WRITTEN MATERIAL, CUSTOMER SERVICE, COLLECTIONS, FINANCIAL COUNSELORS, AND ACCOUNT SPECIALISTS INFORM PATIENTS ABOUT ASSISTANCE OPTIONS, INCLUDING GOVERNMENT PROGRAMS AND FA. MOST CUSTOMER SERVICE AND COLLECTION WORK IS DONE OVER THE PHONE, THOUGH THE HOSPITAL HAS STAFF ON SITE TO ASSIST IN APPLYING FOR FA AND GOVERNMENT PROGRAMS.
PART VI, LINE 4:OHC SERVES THE ENTIRE RENVILLE COUNTY AREA, AN AGRICULTURAL COMMUNITY LOCATED IN THE SOUTHCENTRAL MINNESOTA, APPROXIMATELY 100 MILES WEST OF MINNEAPOLIS, MINNESOTA. THERE ARE 14,548 RESIDENTS IN RENVILLE COUNTY, INCLUDING 3,390 CHILDREN UNDER THE AGE OF 18, AND 3,070 CITIZENS OVER 65, AS OF THE LAST CENSUS. ADDITIONALLY, THERE IS A LARGE POPULATION OF MIGRANT AND SEASONAL FARMWORKERS THAT SERVE THE AREA THROUGHOUT THE YEAR. THE THREE CLINICS THAT ARE ASSOCIATED WITH OHC LOCATED IN RENVILLE, HECTOR AND OLIVIA ARE DEDICATED TO ENSURING ACCESSIBLE HEALTH SERVICES FOR THE ENTIRE COUNTY. OHC PROVIDES PRIMARY CARE AND CARE COORDINATION TO 6,815 PATIENTS THROUGHOUT OUR THREE CLINICS IN RENVILLE COUNTY, MINNESOTA. OHC HAS BEEN SERVING THE AREA RESIDENTS FOR OVER 70 YEARS AND PROVIDES ACCESS TO HIGH-VALUE PRIMARY CARE AND CARE COORDINATION REGARDLESS OF THEIR ABILITY TO PAY, HEALTH CONDITIONS, AGE, OR ETHNICITY.
PART VI, LINE 6:PLEASE SEE OHC'S SCHEDULE O: DISCUSSION OF EXEMPT PURPOSE AND ACHIEVEMENTS - "I: CORPORATE STRUCTURE, PURPOSE, GOVERNANCE."

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1OLIVIA HOSPITAL & CLINIC FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18170 33RD AVE SAddressLine1Txt
CityBLOOMINGTONCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55440ZIPCd
FieldValueIRS element (for citing)
Recipient EIN411839619RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$66,272CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantPROGRAM SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JENNIFER MYSTER
DIRECTOR$0$473,822$0$146,111$0$37,981$0$94,631$0$45,548$0$798,093$0$16,047
AMY L DEWAYNE
DIRECTOR (JAN-APRIL)$0$333,972$0$104,314$0$19,763$0$24,750$0$42,829$0$525,628$0$0
JAMES LYONS
DIRECTOR$0$286,419$0$87,181$0$7,675$0$30,280$0$50,659$0$462,214$0$0
CARIN MARTINSON MD
DIRECTOR & VPMA$328,373$0$15,639$0$2,276$0$16,500$0$37,435$0$400,223$0$0$0
MATT WESTERLUND
DIRECTOR$0$256,502$0$71,252$0$4,772$0$30,182$0$28,654$0$391,362$0$0
JON R KEMP
PHYSICIAN$330,544$0$0$0$4,186$0$16,500$0$37,267$0$388,497$0$0$0
JASON C MABEE
NURSE ANESTHETIST$292,795$0$0$0$41,334$0$16,500$0$37,258$0$387,887$0$0$0
NATHAN S PULSCHER
DIRECTOR & PRESIDENT$0$261,957$0$45,121$0$6,721$0$28,036$0$38,152$0$379,987$0$0
NATHAN BLAD
FORMER PRESIDENT$0$217,354$0$83,562$0$1,240$0$27,462$0$23,584$0$353,202$0$0
JASON D RASMUSSEN
NURSE PRACTICIONER$172,091$0$0$0$59,258$0$12,195$0$35,768$0$279,312$0$0$0
NANCY ANDERSON
CFO, VP FINANCE$172,345$0$37,294$0$0$0$9,528$0$35,453$0$254,620$0$0$0
KELSEY J FISCHER
NURSE PRACTICIONER$176,774$0$0$0$30,934$0$11,299$0$35,425$0$254,432$0$0$0
JENNIFER MACIK
CNO, VP PATIENT CARE SVCS$159,365$0$33,147$0$0$0$8,807$0$35,205$0$236,524$0$0$0
MELISSA A MARVIN
PHYSICIAN$105,775$0$80,000$0$21,337$0$10,395$0$17,788$0$235,295$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BDEFERRED COMPENSATION IN COLUMN C OF SCHEDULE J, PART II INCLUDES AMOUNTS FROM A NONQUALIFIED 457(F) PLAN FOR THE FOLLOWING DIRECTORS AND OFFICERS: JENNIFER L. MYSTER 45,684
PART I, LINE 6OHC OFFICERS, DIRECTORS AND HIGHEST COMPENSATION EMPLOYEES ARE EMPLOYED BY GROUP HEALTH PLAN, INC. (GHI) OR PARK NICOLLET HEALTH SERVICES (PNHS), RELATED ORGANIZATIONS, OR BY OHC. THE PRESIDENT OF OHC IS EMPLOYED BY PARK NICOLLET HEALTH SERVICES (PNHS), A RELATED ORGANIZATION. COMPENSATION REPORTED IN FORM 990, PART VII INCLUDES ANY COMPENSATION DERIVED FROM OHC, GHI OR PNHS' MANAGEMENT LEADERSHIP INCENTIVE PROGRAMS, WHICH INCENTS AND REWARDS BUSINESS LEADERS WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC FISCAL YEAR. THE PROGRAMS ARE A KEY ELEMENT OF THE PARTICIPANT'S TOTAL COMPENSATION PACKAGE. THE MANAGEMENT LEADERSHIP INCENTIVE PROGRAMS' REWARDS ARE BASED ON POSITION IN THE ORGANIZATION (E.G., SENIOR VICE PRESIDENT, VICE PRESIDENT, DIRECTOR, MANAGER, OTHER SPECIFICALLY IDENTIFIED LEADERS) 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 PLAN 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, SCHEDULE J, PART II - PRIOR REPORTED COMPENSATIONCOLUMN (F) INCLUDES AMOUNTS PAID TO PARTICIPANTS IN THE CURRENT YEAR, WHICH WERE PREVIOUSLY REPORTED IN COLUMN (C) OF PRIOR YEARS' 990'S, AS RETIREMENT AND DEFERRED COMPENSATION, FOR THE FOLLOWING DIRECTORS DIRECTOR: JENNIFER L. MYSTER $16,047 ANY ANALYSIS OF EARNINGS FOR THE CURRENT YEAR, FOR THESE PARTICIPANTS OF THE PLAN, SHOULD EXCLUDE THE AMOUNT IN COLUMN F AS PART OF THE ANALYSIS SINCE THOSE EARNINGS WERE ALREADY REPORTED IN COLUMN (C) OF PREVIOUS YEARS' 990'S.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTSHEALTHPARTNERS RC, DBA OLIVIA HOSPITAL AND CLINIC (OHC) IS A NON-PROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3). IS THE SOLE MEMBER OF OLIVIA HOSPITAL FOUNDATION AND IS PART OF THE 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 2,000 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. OHC IS A MEDICAL CENTER DEDICATED TO PROVIDING QUALITY PATIENT CARE WITH A PASSION FOR CLINICAL EXCELLENCE, PATIENT SAFETY, AND A COMMITMENT TO ASSURE THE VERY BEST HEALTH CARE FOR THOSE WE SERVE. OHC IS CHANGING THE FACE OF RURAL HEALTH CARE; STRIVING TO BUILD A HEALTHIER TODAY AND TOMORROW FOR OUR COMMUNITIES WE ARE PROUD TO CALL HOME. OUR FOCUS IS NOT ONLY TO GETTING PATIENTS HEALTHY, BUT ALSO KEEPING OUR COMMUNITY WELL. IN 1951 THE RENVILLE COUNTY HOSPITAL WAS DEDICATED AND OPENED AS A NEW HEALTH OPPORTUNITY FOR RESIDENTS IN THE AREA. OVER THE YEARS, SERVICES HAVE EVOLVED, AND BUILDINGS HAVE BEEN RENOVATED TO MEET THE DYNAMIC NEEDS OF OUR COMMUNITY. IN 2007, RURAL HEALTH CLINICS LOCATED IN THE CITIES OF HECTOR, OLIVIA AND RENVILLE WERE INTEGRATED INTO THE HOSPITAL BUSINESS WHEN PRAIRIE FAMILY PRACTICE, A PHYSICIAN OWNED CLINIC SYSTEM, WAS PURCHASED BY THE HOSPITAL TO ESTABLISH WHAT WE RECOGNIZE TODAY AS THE OHV. IN 2015, A NEW MEDICAL CENTER IN OLIVIA OPENED. ON MAY 1, 2020, OHC, FORMERLY RC HOSPITAL & CLINICS, OFFICIALLY JOINED HEALTHPARTNERS. OHC, WHICH INCLUDES CLINICS IN HECTOR AND RENVILLE, HAS REMAINED A DISTINCT, LOCALLY GOVERNED ENTITY AS PART OF HEALTHPARTNERS. THROUGH THE AFFILIATION, OHC PATIENTS AND COMMUNITIES HAVE BETTER ACCESS TO MORE CARE OPTIONS AND SERVICES. HEALTHPARTNERS IS THE LARGEST CONSUMER-GOVERNED, NON-PROFIT HEALTH CARE ORGANIZATION IN THE NATION WITH A MISSION TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH MEMBERS, PATIENTS, AND THE COMMUNITY. TODAY OHC IS MADE UP OF: OUTPATIENT CLINICS IN OLIVIA, HECTOR, AND RENVILLE A 16-BED CRITICAL ACCESS HOSPITAL IN OLIVIA IN 2023, OHC HAD 150 EMPLOYEES ON AVERAGE THROUGHOUT THE YEAR. CHARITY CARE: CHARITY CARE IS DEFINED AS FREE OR DISCOUNTED HEALTH CARE SERVICES PROVIDED TO PEOPLE WHO CANNOT AFFORD TO PAY AND WHO MEET THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY CRITERIA. THE HOSPITAL PROVIDED FREE OR DISCOUNTED CARE TO LOW-INCOME AND UNINSURED PATIENTS AT AN UNCOMPENSATED COST OF $317,262.45 IN 2023. GOVERNMENT-SPONSORED MEANS TESTED HEALTH CARE: OHC PROVIDED INPATIENT AND OUTPATIENT CARE, INCLUDING EMERGENCY DEPARTMENT SERVICE TO MEDICAID PATIENTS. A SHORTFALL IS CREATED WHEN PAYMENTS RECEIVED FOR THESE SERVICES ARE LESS THAN THE COST OF PROVIDING THE SERVICE. OHC HAD A SHORTFALL OF $278,467 IN 2023. COMMUNITY BENEFIT TO THE COMMUNITY: BETTER RURAL HEALTH CARE STARTS FROM THE GROUND UP. WE'RE MAKING OUR COMMUNITIES HEALTHIER WHEREVER WE CAN WHETHER THAT'S INSIDE A DOCTOR'S OFFICE OR AT YOUR LOCAL FARMER'S MARKET. WE'RE PROUD TO PARTNER WITH HOMETOWN COMMUNITY AND SERVICE ORGANIZATIONS, PUBLIC HEALTH EXPERTS, FRIENDS, NEIGHBORS, AND MORE. HEALTH PROFESSIONAL EDUCATION: OHC STAFF PROVIDED APPROXIMATELY 2,581 HOURS WITH 62 STUDENTS AS MENTORS FOR STUDENT PROFESSIONALS PURSUING VARIETY OF MEDICAL DEGREES. FINANCIAL CONTRIBUTIONS: -OHC DONATED A TOTAL OF $7,735 IN 2023 TO THE FOLLOWING ORGANIZATIONS: -AREA SCHOOLS, AREA COMMUNITY TOWN DAYS, RENVILLE COUNTY AG SOCIETY, TIM ORTH MEMORIAL FOUNDATION, RENVILLE COUNTY WALK IN THE PARK, ETC. COMMUNITY BUILDING ACTIVITIES: -OHC, ALONG WITH THE FOUNDATION PROVIDES LEADERSHIP AND PARTICIPATES IN SEVERAL STRATEGIC COMMUNITY COLLABORATIONS AND INITIATIVES, INCLUDING: COLLABORATING AND WORKING TO ADDRESS COMMUNITY HEALTH NEEDS WITH MANY LOCAL PARTNERS. -MN RURAL POPULATION HEALTH COLLABORATIVE, MN CARES (HEALTH CARE HOMES)- RENVILLE COUNTY CHA/CHIP, ETC. -PARTICIPATION IN COMMUNITY-BUILDING ACTIVITIES THAT SUPPORTED ECONOMIC DEVELOPMENT, EMERGENCY PREPAREDNESS, LEADERSHIP DEVELOPMENT, COALITION BUILDING, HEALTH IMPROVEMENT ADVOCACY AND WORKFORCE DEVELOPMENT. -ENGAGING WITH OUR LOCAL SHIP COORDINATOR TO FACILITATE COMMUNITY IMPROVEMENTS AND INITIATIVES, SUCH AS A SUPER FOOD SHELF, HEALTH, AND WELLNESS EFFORTS, AND MORE. COMMUNITY OUTREACH: COMMUNITY BLOOD DRIVES AT OHC. ENCOURAGING OUR STAFF TO DONATE BLOOD IN ADDITION TO OUR COMMUNITY MEMBERS. THESE EVENTS ARE HELD TWICE PER YEAR AT THE OLIVIA SITE. ADULT GRIEF SUPPORT GROUP CLASSES ARE HELD THROUGHOUT THE YEAR FOR ALL. IT'S A TIME FOR INDIVIDUALS TO EXPLORE, SHARE, PROCESS FEELING, AND RECEIVE COMFORT AND COMPANIONSHIP. THESE CLASSES ARE HELD IN PERSON AT OHC. COMMUNITY BENEFIT OPERATIONS: OHC STAFF'S TIME TO COLLECT, ANALYZE AND REPORT COMMUNITY BENEFITS FOR 2023 WAS APPROXIMATELY 32 HOURS.
FORM 990, PART VI, SECTION A, LINE 6PARK NICOLLET HEALTH SERVICE (PNHS) IS THE SOLE CORPORATE MEMBER OF OHC.
FORM 990, PART VI, SECTION A, LINE 7AOHC'S BOARD OF DIRECTORS IS COMPRISED OF 10 VOTING DIRECTORS AS FOLLOWS: FIVE COMMUNITY DIRECTORS NOMINATED BY THE BOARD AND APPOINTED BY THE CORPORATE MEMBER, TWO PHYSICIAN DIRECTORS NOMINATED BY THE BOARD AND APPOINTED BY THE CORPORATE MEMBER, AND THREE MEMBER DIRECTORS DESIGNATED BY THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BPNHS THE SOLE CORPORATE MEMBER, MUST APPROVE THE DECISIONS OF OHC'S BOARD OF DIRECTORS AS FOLLOWS: - AMENDMENT OF ARTICLES OR BYLAWS -APPOINTMENT AND REMOVAL OF THE CORPORATION'S PRESIDENT - MERGER, CONSOLIDATION, LIQUIDATION OR DISSOLUTION OR THE CORPORATION. -BORROWING , MORTGAGE, PLDEGE, ENCUMBERING OR TRANSFER OF CORPORATE ASSETS -AFFILIATIONS OR JOINT VENTURES WITH ANY OTHER ORGANIZATION - ADDITIONS, EXPANSIONS, ELIMINATIONS OR REDUCTIONS OF MAJOR SERVICES LINES - UNBUDGETED CAPITAL EXPENDITURES OR OTHER FINANCIAL COMMITMENTS IN EXCESS OF $1,000,000
FORM 990, PART VI, SECTION B, LINE 11BOHC'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF OHC. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GROUP HEALTH PLAN, INC. (GHI), THE MANAGEMENT TEAM OF OHC, GHI'S INTERNAL LEGAL DEPARTMENT AND OHC'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 OHC. OHC 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.
FORM 990, PART VI, SECTION B, LINE 12CTHE OHC 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 GENERAL COUNSEL 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. IF A DISCLOSED CONFLICT OF INTEREST IMPACTS AN AGENDA ITEM OR DECISION, THE COVERED PERSON WOULD BE EXCLUDED FROM VOTING AND MAY BE EXCLUDED FROM RECEIVING INFORMATION AND/OR PARTICIPATING IN DELIBERATIONS, DEPENDING ON THE CIRCUMSTANCES.
FORM 990, PART VI, SECTION B, LINE 15OHC OFFICERS, DIRECTORS AND HIGHEST COMPENSATION EMPLOYEES ARE EMPLOYED BY GROUP HEALTH PLAN, INC. (GHI) OR PARK NICOLLET HEALTH SERVICES (PNHS), RELATED ORGANIZATIONS, OR BY OHC. GHI, PNHS AND OHC HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF THE OHC 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 COMPENSATION COMMITTEE OF GHI OR THE OHC FINANCE COMMITTEE (THE "COMMITTEES") DETERMINE MINIMUM AND MAXIMUM SALARY AND TOTAL COMPENSATION RANGES EACH EMPLOYED OFFICER. IN INTERIM YEARS, GHI'S HUMAN RESOURCES STAFF, UNDER 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 COMMITTEES REVIEW AND APPROVE EACH YEAR'S COMPENSATION RESULTS. IN ALL CASES, OHC BOARD OF DIRECTOR MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY TO ASSURE THE FINANCE 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 OHC BOARD OF DIRECTORS INPUT, THE PRESIDENT OF PNHS CONDUCTS THE ANNUAL PERFORMANCE REVIEW AND, WITH OHC'S BOARD APPROVAL, DETERMINES THE COMPENSATION OF THE OHC PRESIDENT. THE PRESIDENT OF OHC ALSO DETERMINES THE COMPENSATION OF OTHER EMPLOYED OHC'S OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE PRESIDENT, OHC HR DIRECTOR AND THE PNHS SENIOR DIRECTOR OF COMPENSATION & BENEFITS. THE OHC BOARD HAS DELEGATED TO OHC'S PRESIDENT THE ACCOUNTABILITY TO CONDUCT ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL OHC-EMPLOYED OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE SURVEY, THE OHC PRESIDENT, OHC HR DIRECTOR AND PNHS SENIOR DIRECTOR OF COMPENSATION & BENEFITS.
FORM 990, PART VI, SECTION C, LINE 19OHC'S FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM OHC OR HEALTHPARTNERS. OHC'S ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. OHC'S CONFLICT OF INTEREST POLICY THROUGH ITS RELATED ORGANIZATION, HEALTHPARTNERS, INC. CAN BE VIEWED THROUGH THE HEALTHPARTNERS.COM WEBSITE.
FORM 990, PART IX, LINE 11GMEDICAL SUPPORT SERVICES: PROGRAM SERVICE EXPENSES 1,673,689. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,673,689. OTHER CONSULTANTS: PROGRAM SERVICE EXPENSES 1,551,534. MANAGEMENT AND GENERAL EXPENSES 339,159. FUNDRAISING EXPENSES 7,423. TOTAL EXPENSES 1,898,116.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
LAKEVIEW HEALTH FOUNDATION
8170 33RD AVE S PO BOX 1309MPLSMN554401309411386635PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTHMN501(C)(3)170(B)(1) (A)(VI)LAKEVIEW HEALTH0
LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC
8170 33RD AVE S PO BOX 1309MPLSMN554401309410811697HOSPITALMN501(C)(3)170(B)(1) (A)(III)LAKEVIEW HEALTH0
STILLWATER MEDICAL GROUP
8170 33RD AVE S PO BOX 1309MPLSMN554401309830379473CLINIC STAFF AND FACILITIESMN501(C)(3)509(A)(3) TYPE ILAKEVIEW HEALTH0
LAKEVIEW HEALTH
8170 33RD AVE S PO BOX 1309MPLSMN554401309300221189CORPORATE PLANNING AND OVERSIGHTMN501(C)(3)509(A)(3) TYPE IIHPI - RAMSEY0
WESTFIELDS HOSPITAL INC
8170 33RD AVE S PO BOX 1309MPLSMN554401309390808442HOSPITALWI501(C)(3)170(B)(1)(A)(III)RH-WISCONSIN INC0
WESTFIELDS HOSPITAL FOUNDATION INC
8170 33RD AVE S PO BOX 1309MPLSMN554401309391770913PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTHWI501(C)(3)170(B)(1) (A)(VI)WESTFIELDS HOSPITAL INC0
PARK NICOLLET HEALTH SERVICES
6500 EXCELSIOR BLVDST LOUIS PARKMN55426363465840CORPORATE PLANNING AND OVERSIGHTMN501(C)(3)509(A)(2)HEALTHPARTNERS INC0
PARK NICOLLET FOUNDATION
6500 EXCELSIOR BLVDST LOUIS PARKMN55426237346465SUPPORT TO RELATED ENTITIES AND COMMUNITY HEALTHMN501(C)(3)170(B)(1) (A)(VI)PARK NICOLLET HEALTH SERVICES0
PARK NICOLLET METHODIST HOSPITAL
6500 EXCELSIOR BLVDST LOUIS PARKMN55426410132080HOSPITALMN501(C)(3)170(B)(1) (A)(III)PARK NICOLLET HEALTH SERVICES0
PARK NICOLLET HEALTH CARE PRODUCTS
6500 EXCELSIOR BLVDST LOUIS PARKMN55426010638901DURABLE MEDICAL EQUIPMENT AND OTHER HEALTH CARE RETAIL SALESMN501(C)(3)509(A)(3) TYPE IPARK NICOLLET HEALTH SERVICES0
PARK NICOLLET CLINIC
6500 EXCELSIOR BLVDST LOUIS PARKMN55426410834920CLINIC SERVICESMN501(C)(3)170(B)(1) (A)(III)PARK NICOLLET HEALTH SERVICES0
PNMC HOLDINGS
6500 EXCELSIOR BLVDST LOUIS PARKMN55426411741792HEALTHCARE REAL ESTATEMN501(C)(3)509(A)(3) TYPE IPARK NICOLLET HEALTH SERVICES0
AMERY REGIONAL MEDICAL CENTER INC
8170 33RD AVE S PO BOX 1309MPLSMN554401309390908320HOSPITALWI501(C)(3)170(B)(1) (A)(III)RH-WISCONSIN INC0
AMERY REGIONAL MEDICAL CENTER FOUNDATION INC
8170 33RD AVE S PO BOX 1309MPLSMN554401309391726539PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTHWI501(C)(3)170(B)(1) (A)(VI)AMERY REGIONAL MEDICAL CENTER INC0
HUTCHINSON HEALTH
8170 33RD AVE S PO BOX 1309MPLSMN554401309841715908HOSPITALMN501(C)(3)170(B)(1) (A)(III)PARK NICOLLET HEALTH SERVICES0
HUTCHINSON HEALTH FOUNDATION
8170 33RD AVE S PO BOX 1309MPLSMN554401309363317820PROVIDE SUPPORT TO HOSPITALMN501(C)(3)170(B)(1) (A)(VI)HUTCHINSON HEALTH0
OLIVIA HOSPITAL & CLINIC FOUNDATION
8170 33RD AVE S PO BOX 1309MPLSMN554401309411839619PROVIDE SUPPORT TO HOSPITALMN501(C)(3)509(A)(3) TYPE IHEALTHPARTNERS RCYes (1)
HEALTHPARTNERS INC
8170 33RD AVE S PO BOX 1309MPLSMN554401309411693838HYBRID STAFF MODEL/NETWORK MODEL HEALTH MAINTENANCE ORGANIZATIONMN501(C)(4)0N/A
GROUP HEALTH PLAN INC
8170 33RD AVE S PO BOX 1309MPLSMN554401309410797853STAFF MODEL HEALTH MAINTENANCE ORGANIZATIONMN501(C)(3)170(B)(1) (A)(III)HEALTHPARTNERS INC0
HPI-RAMSEY
8170 33RD AVE S PO BOX 1309MPLSMN554401309411793333CORPORATE PLANNING AND OVERSIGHTMN501(C)(3)509(A)(3) TYPE IHEALTHPARTNERS INC0
RH WISCONSIN INC
8170 33RD AVE S PO BOX 1309MPLSMN554401309202287016CORPORATE PLANNING AND OVERSIGHTWI501(C)(3)509(A)(3) TYPE IHPI - RAMSEY0
HEALTHPARTNERS INSTITUTE
8170 33RD AVE S PO BOX 1309MPLSMN554401309411670163HEALTHCARE EDUCATION AND RESEARCHMN501(C)(3)509(A)(3) TYPE IHEALTHPARTNERS INC0
CAPITOL VIEW TRANSITIONAL CARE CENTER
8170 33RD AVE S PO BOX 1309MPLSMN554401309412011453TRANSITIONAL CARE SERVICES, STEP DOWN FROM INPATIENT HOSPITALMN501(C)(3)170(B)(1) (A)(III)HPI - RAMSEY0
REGIONS HOSPITAL
8170 33RD AVE S PO BOX 1309MPLSMN554401309410956618HOSPITALMN501(C)(3)170(B)(1) (A)(III)HPI - RAMSEY0
REGIONS HOSPITAL FOUNDATION
8170 33RD AVE S PO BOX 1309MPLSMN554401309411888902PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTHMN501(C)(3)170(B)(1) (A)(VI)HPI - RAMSEY0
RHSC INC
8170 33RD AVE S PO BOX 1309MPLSMN554401309411891928HEALTHCARE STAFFING AND INTENSE REHAB SERVICESMN501(C)(3)509(A)(3) TYPE IIHEALTHPARTNERS INC0
HUDSON HOSPITAL INC
8170 33RD AVE S PO BOX 1309MPLSMN554401309390804125HOSPITALWI501(C)(3)170(B)(1) (A)(III)RH-WISCONSIN INC0
HUDSON HOSPITAL FOUNDATION INC
8170 33RD AVE S PO BOX 1309MPLSMN554401309391279567PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTHWI501(C)(3)170(B)(1) (A)(VI)HUDSON HOSPITAL INC0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
HEALTHPARTNERS ADMINISTRATORS INC
8170 33RD AVE S PO BOX1309MPLSMN554401309411629390THIRD PARTY ADMINISTRATORMNHEALTHPARTNERS INCC0
HEALTHPARTNERS ASSOCIATES INC
8170 33RD AVE S PO BOX1309MPLSMN554401309522365151MEDICAL CLINIC STAFFING AND ASSET MANAGEMENTMNHEALTHPARTNERS ADMINISTRATORS INCC0
HEALTHPARTNERS SERVICES INC
8170 33RD AVE S PO BOX1309MPLSMN554401309411683568MEDICAL CLINIC STAFFING AND ASSET MANAGEMENTMNHEALTHPARTNERS ADMINISTRATORS INCC0
HEALTHPARTNERS INSURANCE COMPANY
8170 33RD AVE S PO BOX1309MPLSMN554401309411683523MEDICAL AND DENTAL INSURANCEMNHEALTHPARTNERS ADMINISTRATORS INCC0
DENTAL SPECIALTIES INC
8170 33RD AVE S PO BOX1309MPLSMN554401309451297583DENTAL CLINIC STAFFINGMNHEALTHPARTNERS ADMINISTRATORS INCC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
OLIVIA HOSPITAL & CLINIC FOUNDATION
B$66,272CASH
OLIVIA HOSPITAL & CLINIC FOUNDATION
C$68,063CASH