HEALTHPARTNERS RC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- HEALTHPARTNERS RC (EIN 84-4261122)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-14
- IRS object ID
- 202323189349309872
- Schema version
- 2022v5.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-14T13:22:03-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4200 WELLS FARGO CTR 90 S 7TH | AddressLine1Txt |
| Address Line2 | STREET | AddressLine2Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 844261122 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHPARTNERS RC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 9529935603 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8170 33RD AVENUE SOUTH | AddressLine1Txt |
| City | BLOOMINGTON | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55425 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NATHAN BLAD | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9529935603 | PhoneNum |
| Signature | 2023-11-14 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | NATHAN | PersonFirstNm |
| Person Last | BLAD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | HOLLY K MOEN | PreparerPersonNm |
| PTIN | P01800653 | PTIN |
| Phone | 6123055000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OLIVIA HOSPITAL & CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | NANCY A ANDERSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8170 33RD AVENUE SOUTH | AddressLine1Txt |
| City | BLOOMINGTON | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55425 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $35,457,209 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HEALTHPARTNERS.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2020 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 196 | TotalEmployeeCnt |
| Total Volunteers | 7 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,141,428 | PYContributionsGrantsAmt |
| CY Contributions Grants | $254,804 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $37,342,512 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $35,019,978 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $189,843 | PYOtherRevenueAmt |
| CY Other Revenue | $182,427 | CYOtherRevenueAmt |
| PY Total Revenue | $39,673,783 | PYTotalRevenueAmt |
| CY Total Revenue | $35,457,209 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $8,685 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $42,037 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,327,803 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,545,460 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,038,357 | PYOtherExpensesAmt |
| CY Other Expenses | $11,778,484 | CYOtherExpensesAmt |
| PY Total Expenses | $29,374,845 | PYTotalExpensesAmt |
| CY Total Expenses | $30,365,981 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $10,298,938 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,091,228 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $83,715,905 | TotalAssetsBOYAmt |
| Total Assets EOY | $82,644,354 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $32,540,800 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $29,356,531 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $51,175,105 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $53,287,823 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $23,507,413 | ExpenseAmt |
| Grant | $42,037 | GrantAmt |
| Revenue | $35,100,903 | RevenueAmt |
| Desc | SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS | Desc |
| Total Program Service Expenses | $23,507,413 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 196 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEVIN J BRANDT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9528836584 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8170 33RD AVE S | AddressLine1Txt |
| City | BLOOMINGTON | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55440 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| SHERRI BRODERIUS | ||||||||
| VICE CHAIR & DIRECTOR | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JEREMY FRANK | ||||||||
| DIRECTOR, SEC. & TREASURER | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARK AHLQUIST MD | ||||||||
| VPMA & DIRECTOR (JAN-JULY) | 55.00 | 0.00 | Yes (X) | Yes (X) | $147,863 | $0 | $30,492 | |
| AMY DEWANE | ||||||||
| DIRECTOR | 0.40 | 51.60 | Yes (X) | $0 | $428,046 | $62,187 | ||
| BOB FOX | ||||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BRENDA HOLM | ||||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES LYONS | ||||||||
| DIRECTOR | 0.50 | 39.50 | Yes (X) | $0 | $357,559 | $76,282 | ||
| CARIN MARTINSON MD | ||||||||
| DIRECTOR & VPMA | 40.00 | 0.50 | Yes (X) | Yes (X) | $415,453 | $0 | $53,110 | |
| JENNIFER MYSTER | ||||||||
| DIRECTOR | 0.50 | 52.50 | Yes (X) | $0 | $640,479 | $130,531 | ||
| GREG SNOW | ||||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| NATHAN S PULSCHER | ||||||||
| DIRECTOR & PRESIDENT (DEC) | 0.50 | 49.50 | Yes (X) | $0 | $246,031 | $47,355 | ||
| NATHAN BLAD | ||||||||
| PRESIDENT | 39.00 | 1.00 | Yes (X) | $0 | $349,135 | $56,900 | ||
| NANCY ANDERSON | ||||||||
| CFO | 50.00 | 0.00 | Yes (X) | $186,426 | $0 | $43,763 | ||
| JENNIFER MACIK | ||||||||
| CNO | 60.00 | 0.00 | Yes (X) | $179,305 | $0 | $42,635 | ||
| ANDREW JOHNSON CRNA | ||||||||
| CRNA | 40.00 | 0.00 | $457,984 | $0 | $53,727 | Yes (X) | ||
| JON KEMP MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $331,409 | $0 | $51,892 | Yes (X) | ||
| BENJAMIN LINDER MD | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $244,323 | $0 | $35,647 | Yes (X) | ||
| JASON MABEE CRNA | ||||||||
| CRNA | 40.00 | 0.00 | $312,390 | $0 | $51,616 | Yes (X) | ||
| JANET S SCHARMER | ||||||||
| NURSE PRACTITONER | 36.00 | 0.00 | $218,960 | $0 | $35,461 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,494,113 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,021,250 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $771,598 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 23 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NATIONAL GOVERNMENT SERVICES | |||||
| PO BOX 88966 | MILWAUKEE | WI | 53288 | CONSULTING | $1,710,889 |
| BIG STONE THERAPIES INC | |||||
| 500 CROSS ST | BIG STONE CITY | SD | 57216 | MEDICAL SERVICES | $1,652,865 |
| CANNON MEDICAL SYSTEMS USA INC | |||||
| 2441 MICHELLE DR | TUSTIN | CA | 92780 | CONSULTING | $635,647 |
| SAGILITI | |||||
| 23505 SMITHTOWN RD STE 280 | EXCELSIOR | MN | 55331 | MEDICAL SERVICES | $375,297 |
| AYA HEALTHCARE INC | |||||
| PO 123519 | DALLAS | TX | 75312 | MEDICAL SERVICES | $358,992 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $31,448 | RelatedOrganizationsAmt |
| Government Grants | $223,356 | GovernmentGrantsAmt |
| Total Contributions | $254,804 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES | 623990 | $32,397,102 | $32,397,102 |
| MEDICAL RETAIL | 623990 | $2,508,788 | $2,508,788 |
| CMDI REVENUE | 623990 | $114,088 | $114,088 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $35,019,978 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $101,502 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $101,502 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $101,502 | TotalRevenueColumnAmt |
| Exclusion | $101,502 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CAFETERIA SALES | 445200 | $65,889 | $65,889 |
| MEDICAL RECORDS | 323100 | $15,036 | $15,036 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $80,925 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,457,209 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $35,100,903 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $101,502 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,037 | TotalAmt |
| Program Services | $42,037 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,099,047 | TotalAmt |
| Management And General | $1,099,047 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,003,408 | TotalAmt |
| Program Services | $11,537,826 | ProgramServicesAmt |
| Management And General | $2,465,582 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $518,388 | TotalAmt |
| Program Services | $406,597 | ProgramServicesAmt |
| Management And General | $111,791 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,153,263 | TotalAmt |
| Program Services | $1,463,526 | ProgramServicesAmt |
| Management And General | $689,737 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $771,354 | TotalAmt |
| Program Services | $588,458 | ProgramServicesAmt |
| Management And General | $182,896 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,610 | TotalAmt |
| Management And General | $2,610 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,846,011 | TotalAmt |
| Program Services | $2,574,945 | ProgramServicesAmt |
| Management And General | $271,066 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,597 | TotalAmt |
| Program Services | $5,051 | ProgramServicesAmt |
| Management And General | $130,546 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $285,860 | TotalAmt |
| Program Services | $109,167 | ProgramServicesAmt |
| Management And General | $176,693 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,767 | TotalAmt |
| Program Services | $66,913 | ProgramServicesAmt |
| Management And General | $121,854 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $608,994 | TotalAmt |
| Program Services | $438,846 | ProgramServicesAmt |
| Management And General | $170,148 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,755 | TotalAmt |
| Program Services | $42,849 | ProgramServicesAmt |
| Management And General | $1,906 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $249 | TotalAmt |
| Management And General | $249 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $528,285 | TotalAmt |
| Program Services | $528,285 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,234,879 | TotalAmt |
| Program Services | $435,090 | ProgramServicesAmt |
| Management And General | $799,789 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,202 | TotalAmt |
| Program Services | $47,202 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $3,655,132 | $3,537,974 | $117,158 |
| EQUIPMENT LEASING AND O | $753,230 | $670,983 | $82,247 |
| EQUIPMENT MAINTENANCE | $735,659 | $300,410 | $435,249 |
| TAXES AND ASSESSMENTS | $626,422 | $626,422 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,832 | TotalAmt |
| Program Services | $84,832 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,365,981 | TotalAmt |
| Program Services | $23,507,413 | ProgramServicesAmt |
| Management And General | $6,858,568 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,185,140 | BOYAmt |
| EOY | $18,388,545 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,623,803 | BOYAmt |
| EOY | $5,277,051 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $449,147 | BOYAmt |
| EOY | $296,105 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,101 | BOYAmt |
| EOY | $102,450 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $31,594,939 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,253,839 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,100,906 | BOYAmt |
| EOY | $20,341,100 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,725,429 | BOYAmt |
| EOY | $37,735,325 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $451,379 | BOYAmt |
| EOY | $428,418 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $75,360 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,715,905 | BOYAmt |
| EOY | $82,644,354 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,002,916 | BOYAmt |
| EOY | $11,219,157 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,537,884 | BOYAmt |
| EOY | $18,137,374 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,540,800 | BOYAmt |
| EOY | $29,356,531 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,175,105 | BOYAmt |
| EOY | $53,287,823 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,175,105 | BOYAmt |
| EOY | $53,287,823 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,715,905 | BOYAmt |
| EOY | $82,644,354 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $5,091,228 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,978,510 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Total Lobbying Expenditures | $0 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | HPRC PAYS FOR 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,197,800 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,438,037 | DepreciationAmt |
| Book Value | $17,759,763 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,251,318 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,815,096 | DepreciationAmt |
| Book Value | $2,436,222 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $145,821 | OtherCostOrOtherBasisAmt |
| Depreciation | $706 | DepreciationAmt |
| Book Value | $145,115 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $20,341,100 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | UNRESTRICTED LT INVESTMENT | Desc |
| Book Value | $37,735,325 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $37,735,325 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LEASE OBLIGATION | Desc |
| Amt | $18,137,374 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $18,137,374 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | OLIVIA 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, 2022 OR 2021 FOR UNRECOGNIZED TAX BENEFITS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $685,850 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $685,850 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02260 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,852,704 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,009,585 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $843,119 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02780 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,538,554 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,009,585 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,528,969 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05040 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $58,417 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $58,417 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,221 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,221 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $73,638 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $73,638 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,612,192 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,009,585 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,602,607 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05280 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $866,069 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $8,377,560 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,504,410 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$126,850 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHPARTNERS RC DBA OLIVIA HOSPITAL & CLINIC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 HEALTHY WAY | AddressLine1Txt |
| City | OLIVIA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56277 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTPS://OLIVIAHOSPITAL.COM. | WebsiteAddressTxt |
| State License | 396652 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHPARTNERS RC DBA OLIVIA HOSPITAL & | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/OLIVIA/ABOUT/COMMUNITY-HEALTH | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/OLIVIA/ABOUT/COMMUNITY-HEALTH | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/OLIVIA/PATIENT-GUEST/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/OLIVIA/PATIENT-GUEST/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/OLIVIA/PATIENTS-GUEST | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HEALTHPARTNERS RC DBA OLIVIA HOSPITAL & CLINIC | 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 OLIVIA HOSPITAL & CLINIC 2021 CHNA AT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/OLIVIA/ABOUT/COMMUNITY-HEALTH-NEEDS/ |
| HEALTHPARTNERS RC DBA OLIVIA HOSPITAL & CLINIC | 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 DBA OLIVIA HOSPITAL & CLINIC | PART V, SECTION B, LINE 11: COMMITTED TO HELPING OUR COMMUNITIES BE HEALTHIER, OLIVA HOSPITAL & CLINIC 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 DBA OLIVIA HOSPITAL & CLINIC | 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 OLIVIA'S LARGEST CONTRACT PAYER. THE DISCOUNT FOR 2022 WAS 33% OF GROSS CHARGES. PATIENTS WHO RECEIVE THIS DISCOUNT ARE ALSO ELIGIBLE FOR OUR FAP PROGRAM BASED ON FPL. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - RURAL HEALTH CLINICS RENVILLE CLINIC | ||||
| 420 MAIN STREET N | RENVILLE | MN | 562840606 | HEALTH CLINIC |
| 2 - HECTOR CLINIC | ||||
| 131 BIRCH AVENUE | HECTOR | MN | 553420117 | HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | HPRC 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: | HPRC 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. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | AS A NOT-FOR-PROFIT COMMUNITY HOSPITAL SERVING THE RENVILLE COUNTY RESIDENTS SINCE 1951, HPRC CONTINUES TO PLAY AN IMPORTANT ROLE AND IS POSITIONED WELL TO MEET THE HEALTH CARE NEEDS OF THE AREA. HPRC IS A FULL-SERVICE MEDICAL CAMPUS OFFERING EMERGENCY SERVICES, SPECIALTY CLINICS AND RURAL HEALTH CLINIC, AS WELL AS INPATIENT, OUTPATIENT, AND MATERNITY SERVICES. OLIVIA IS GOVERNED BY A BOARD OF DIRECTORS WITH REPRESENTATION FROM COMMUNITY MEMBERS AND RENVILLE COUNTY COMMISSIONERS.WORKING IN PARTNERSHIP WITH EACH OTHER, HPRC, 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.HPRC 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 2022BETTER 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. HPRC 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. 2022 ACCOMPLISHMENTS INCLUDE: HPRC HOSPITAL & CLINIC CONTINUES TO RECEIVE A 5-STAR RATING FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) FOR THE QUALITY OF PATIENT CARE. OLIVIA 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 2022, 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. OLIVIA HOSPITAL AND CLINIC DOES NOT INCLUDE ANY CHARITY CARE IN THEIR BAD DEBT EXPENSE CALCULATION. |
| PART III, LINE 3: | HPRC 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 HPRC 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. HPRC 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, HPRC IS UNABLE TO REASONABLY DETERMINE WHETHER ANY AMOUNT OF BAD DEBT COULD HAVE BEEN CLASSIFIED AS CHARITY CARE. |
| PART III, LINE 4: | SEE THE ORGANIZATION'S FOOTNOTES 1.O AND 1.Q OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENT. |
| PART III, LINE 8: | HPRC'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 OLIVIA 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. HPRC'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 HPRC 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 OLIVIA. 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: | HPRC 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 HPRC LOCATED IN RENVILLE, HECTOR AND OLIVIA ARE DEDICATED TO ENSURING ACCESSIBLE HEALTH SERVICES FOR THE ENTIRE COUNTY. HPRC PROVIDES PRIMARY CARE AND CARE COORDINATION TO 6,815 PATIENTS THROUGHOUT OUR THREE CLINICS IN RENVILLE COUNTY, MINNESOTA. HPRC 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 HPRC'S SCHEDULE O: DISCUSSION OF EXEMPT PURPOSE AND ACHIEVEMENTS - "I: CORPORATE STRUCTURE, PURPOSE, GOVERNANCE." |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OLIVIA HOSPITAL & CLINIC FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8170 33RD AVE S | AddressLine1Txt |
| City | BLOOMINGTON | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55440 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 411839619 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $33,827 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | PROGRAM SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JENNIFER MYSTER | ||||||||||||||
| DIRECTOR | $0 | $452,929 | $0 | $125,611 | $0 | $61,939 | $0 | $88,461 | $0 | $42,070 | $0 | $771,010 | $0 | $19,970 |
| ANDREW JOHNSON CRNA | ||||||||||||||
| CRNA | $447,884 | $0 | $0 | $0 | $10,100 | $0 | $15,250 | $0 | $38,477 | $0 | $511,711 | $0 | $0 | $0 |
| AMY DEWANE | ||||||||||||||
| DIRECTOR | $0 | $318,940 | $0 | $89,679 | $0 | $19,427 | $0 | $22,875 | $0 | $39,312 | $0 | $490,233 | $0 | $0 |
| CARIN MARTINSON MD | ||||||||||||||
| DIRECTOR & VPMA | $303,539 | $0 | $105,000 | $0 | $6,914 | $0 | $15,250 | $0 | $37,860 | $0 | $468,563 | $0 | $0 | $0 |
| JAMES LYONS | ||||||||||||||
| DIRECTOR | $0 | $275,455 | $0 | $74,881 | $0 | $7,223 | $0 | $28,041 | $0 | $48,241 | $0 | $433,841 | $0 | $0 |
| NATHAN BLAD | ||||||||||||||
| PRESIDENT | $0 | $273,606 | $0 | $72,116 | $0 | $3,413 | $0 | $28,041 | $0 | $28,859 | $0 | $406,035 | $0 | $0 |
| JON KEMP MD | ||||||||||||||
| PHYSICIAN | $331,409 | $0 | $0 | $0 | $0 | $0 | $15,250 | $0 | $36,642 | $0 | $383,301 | $0 | $0 | $0 |
| JASON MABEE CRNA | ||||||||||||||
| CRNA | $298,577 | $0 | $2,210 | $0 | $11,603 | $0 | $15,250 | $0 | $36,366 | $0 | $364,006 | $0 | $0 | $0 |
| NATHAN S PULSCHER | ||||||||||||||
| DIRECTOR & PRESIDENT (DEC) | $0 | $188,129 | $0 | $36,241 | $0 | $21,661 | $0 | $13,083 | $0 | $34,272 | $0 | $293,386 | $0 | $0 |
| BENJAMIN LINDER MD | ||||||||||||||
| PHYSICIAN | $177,466 | $0 | $35,000 | $0 | $31,857 | $0 | $9,881 | $0 | $25,766 | $0 | $279,970 | $0 | $0 | $0 |
| JANET S SCHARMER | ||||||||||||||
| NURSE PRACTITONER | $190,360 | $0 | $0 | $0 | $28,600 | $0 | $11,556 | $0 | $23,905 | $0 | $254,421 | $0 | $0 | $0 |
| NANCY ANDERSON | ||||||||||||||
| CFO | $167,139 | $0 | $19,287 | $0 | $0 | $0 | $9,224 | $0 | $34,539 | $0 | $230,189 | $0 | $0 | $0 |
| JENNIFER MACIK | ||||||||||||||
| CNO | $148,264 | $0 | $31,041 | $0 | $0 | $0 | $8,199 | $0 | $34,436 | $0 | $221,940 | $0 | $0 | $0 |
| MARK AHLQUIST MD | ||||||||||||||
| VPMA & DIRECTOR (JAN-JULY) | $128,815 | $0 | $2,970 | $0 | $16,078 | $0 | $7,279 | $0 | $23,213 | $0 | $178,355 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | DEFERRED 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 22,205 NANCY L. EVERT 47,347 |
| PART I, LINE 6 | THE PRESIDENT OF OLIVIA HOSPITAL AND CLINIC (OLIVIA) IS EMPLOYED BY PARK NICOLLET HEALTH SERVICES (PNHS), A RELATED ORGANIZATION. COMPENSATION REPORTED IN FORM 990, PART VII INCLUDES ANY COMPENSATION DERIVED FROM PNHS' MANAGEMENT INCENTIVE PROGRAM, 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 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 CARE 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 COMPENSATION | COLUMN (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 $19,970 NANCY L. EVERT $37,844 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS | HEALTHPARTNERS RC, DBA OLIVIA HOSPITAL AND CLINIC 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 1,900 EMPLOYED PHYSICIANS AND DENTISTS, EIGHT OWNED HOSPITALS WITH OVER 1,000 ACUTE CARE BEDS, OVER 100 PRIMARY AND SPECIALTY CARE MEDICAL FACILITIES AND DENTAL FACILITIES WITH PRACTICES IN MINNESOTA AND WESTERN WISCONSIN SERVING MORE THAN 1.34 MILLION PATIENTS. HEALTHPARTNERS HEALTH PLANS CONTRACT WITH OTHER PRIMARY AND SPECIALTY MEDICAL FACILITIES AND DENTAL FACILITIES, PHYSICIAN GROUPS, HOSPITALS AND RELATED HEALTHCARE PROVIDERS TO SERVE PLAN MEMBERS. HEALTHPARTNERS ALSO PROVIDES MEDICAL EDUCATION AND TRAINING TO MEDICAL PROFESSIONALS AND CONDUCTS RESEARCH AND FUNDRAISING ACTIVITIES THAT SUPPORT THE HEALTH CARE DELIVERY SYSTEM. HEALTHPARTNERS COLLABORATES WITH OTHER PLANS, CARE PROVIDERS AND OTHER COMMUNITY AND BUSINESS ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION TO INCREASE ACCESS, CREATE AND SHARE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY, AND COLLABORATE IN IMPROVEMENTS THAT SUPPORT THE TRIPLE AIM. AMONG HEALTHPARTNERS' SIGNATURE INITIATIVES ARE TOTAL COST OF CARE MEASUREMENTS (A NATIONALLY RECOGNIZED METRIC ENABLING MEASUREMENT AND INCENTIVES BASED ON COORDINATION AND EVIDENCE-BASED PRACTICES), MENTAL HEALTH (REDUCING STIGMA, AND ASSURING ACCESS TO HIGH QUALITY CARE IN THE MOST APPROPRIATE SETTINGS), CHILDREN'S HEALTH (IMPROVING CHILD HEALTH BY PROMOTING EARLY BRAIN DEVELOPMENT, PROVIDING FAMILY CENTERED CARE, AND STRENGTHENING COMMUNITIES), EQUITY, INCLUSION, AND ANTI-RACISM (ADDRESSING HEALTH EQUITY, ELIMINATING HEALTH CARE DISPARITIES, INCREASING DIVERSITY AND INCLUSION IN OUR WORKPLACES, BUILDING AN ANTI-RACIST CULTURE, AND DEEPENING OUR COLLECTIVE UNDERSTANDING OF CULTURAL HUMILITY) AND SUSTAINABILITY (ENERGY EFFICIENCY, WASTE REDUCTION, AND RESOURCE MANAGEMENT). A COMPLETE LISTING OF ALL ORGANIZATIONS WITHIN HEALTHPARTNERS, AND THE RELATIONSHIP BETWEEN THEM, CAN BE FOUND ON SCHEDULE R WITHIN THIS 990 RETURN. DETAILED INFORMATION ABOUT THE COMMUNITY BENEFIT ACTIVITIES AND ACCOMPLISHMENTS OF EACH TAX-EXEMPT ORGANIZATION CAN BE FOUND IN THE INDIVIDUAL FORM 990 RETURN FOR THAT ORGANIZATION. OLIVIA HOSPITAL & CLINIC (OLIVIA) 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. OLIVIA IS CHANGING THE FACE OF RURAL HEALTHCARE; STRIVING TO BUILD A HEALTHIER TODAY AND TOMORROW FOR OUR COMMUNITIES WE ARE PROUD TO CALL HOME. OUR FOCUS IS NOT ONLY TO GET OUR PATIENTS HEALTHY, BUT ALSO TO KEEP 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 OLIVIA. IN 2015, A NEW MEDICAL CENTER IN OLIVIA OPENED. |
| FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS | ON MAY 1, 2020, OLIVIA HOSPITAL & CLINIC ACQUIRED THE HOSPITAL AND RELATED HEALTH CARE FACILITIES FORMERLY OPERATED BY RENVILLE COUNTY, MINNESOTA. OLIVIA IS A LOCALLY GOVERNED ENTITY THAT IS PART OF THE FAMILY OF HEALTHPARTNERS ORGANIZATIONS ("HEALTHPARTNERS"). AS PART OF HEALTHPARTNERS, OLIVIA HOSPITAL & CLINIC PATIENTS AND COMMUNITIES WILL HAVE BETTER ACCESS TO MORE CARE OPTIONS AND SERVICES. OLIVIA IS MADE UP OF: OUTPATIENT CLINICS IN OLIVIA, HECTOR, AND RENVILLE A 16- BED CRITICAL ACCESS HOSPITAL IN OLIVIA OVER 170 EMPLOYEES 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. OLIVIA PROVIDED FREE OR DISCOUNTED CARE TO LOW-INCOME AND UNINSURED PATIENTS AT AN UNCOMPENSATED COST OF $117,580 IN 2022. COMMUNITY BENEFIT TO THE COMMUNITY: BETTER RURAL HEALTH CARE STARTS FROM THE GROUND UP. WE ARE MAKING OUR COMMUNITIES HEALTHIER WHEREVER WE CAN WHETHER THAT IS INSIDE A DOCTOR'S OFFICE OR AT YOUR LOCAL FARMER'S MARKET. WE ARE PROUD TO PARTNER WITH HOMETOWN COMMUNITY AND SERVICE ORGANIZATIONS, PUBLIC HEALTH EXPERTS, FRIENDS, NEIGHBORS, AND MORE. 1. HEALTH PROFESSIONAL EDUCATION: OLIVIA STAFF PROVIDED 1,916 HOURS ($15,221) OF TIME AS PRECEPTORS FOR STUDENT PROFESSIONAL INTERNS IN A VARIETY OF MEDICAL FIELDS. 2. FINANCIAL CONTRIBUTIONS: -OLIVIA HOSPITAL AUXILIARY DONATED A TOTAL OF $8,210 IN 2022 TO THE FOLLOWING ORGANIZATIONS: -AREA SCHOOLS -AREA COMMUNITY TOWN DAYS -RENVILLE COUNTY AG SOCIETY -TIM ORTH MEMORIAL FOUNDATION -RENVILLE COUNTY WALK IN THE PARK 3. COMMUNITY BUILDING ACTIVITIES: OLIVIA HOSPITAL & CLINIC, 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. THE HOSPITAL CONTRIBUTED $33,827 TO THE YMCA TO PROVIDE LOCAL CHILDREN WITH SUMMER PROGRAMS AND ACTIVITIES. MN RURAL POPULATION HEALTH COLLABORATIVE -MN CARES (HEALTH CARE HOMES) -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. 4. COMMUNITY OUTREACH: COMMUNITY BLOOD DRIVES AT OLIVIA HOSPITAL & CLINIC. ENCOURAGING OUR STAFF TO DONATE BLOOD IN ADDITION TO OUR COMMUNITY MEMBERS. THESE EVENTS ARE HELD TWICE PER YEAR AT THE OLIVIA SITE. GROWTH AND HUMAN DEVELOPMENT CLASSES IN AREA SCHOOLS. NURSING STAFF WENT INTO THE CLASSROOM TO TEACH STUDENTS ABOUT THEIR BODY CHANGES AND GROWING UP. WHAT'S NEW IN MEDICARE CLASS? LEARN ABOUT YOUR MEDICARE OPTIONS AND HOW TO COMPARE PLANS IN ADDITION TO CHANGES FOR 2023. THE CLASS WAS HELD IN PERSON IN COLLABORATION WITH SENIOR LINKAGE LINE AND RENVILLE COUNTY. 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 OLIVIA HOSPITAL & CLINIC. 5. COMMUNITY BENEFIT OPERATIONS: OLIVIA STAFF'S TIME TO COLLECT, ANALYZE AND REPORT COMMUNITY BENEFITS FOR 2022 WAS APPROXIMATELY 22 HOURS. |
| FORM 990, PART VI, SECTION A, LINE 6 | PARK NICOLLET HEALTH SERVICE (PNHS) IS THE SOLE CORPORATE MEMBER OF OLIVIA. |
| FORM 990, PART VI, SECTION A, LINE 7A | OLIVIA'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 7B | PNHS THE SOLE CORPORATE MEMBER, MUST APPROVE THE DECISIONS OF OLIVIA'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 11B | OLIVIA'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF OLIVIA. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GROUP HEALTH PLAN, INC. (GHI), THE MANAGEMENT TEAM OF OLIVIA, GHI'S INTERNAL LEGAL DEPARTMENT AND OLIVIA'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 OLIVIA. OLIVIA 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 12C | THE OLIVIA 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. |
| FORM 990, PART VI, SECTION B, LINE 15 | OLIVIA HOSPITAL AND CLINIC'S (OLIVIA) OFFICERS, DIRECTORS AND HIGHEST COMPENSATION EMPLOYEES ARE EMPLOYED BY GROUP HEALTH PLAN, INC. (GHI) OR PARK NICOLLET HEALTH SERVICES (PNHS), RELATED ORGANIZATIONS, OR BY OLIVIA. GHI, PNHS AND OLIVIA HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF THE OLIVIA 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 OLIVIA 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, OLIVIA 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 OLIVIA BOARD OF DIRECTORS INPUT, THE PRESIDENT OF PNHS CONDUCTS THE ANNUAL PERFORMANCE REVIEW AND, WITH OLIVIA'S BOARD APPROVAL, DETERMINES THE COMPENSATION OF THE OLIVIA PRESIDENT. THE PRESIDENT OFOLIVIA ALSO DETERMINES THE COMPENSATION OF OTHER EMPLOYED HPRCS OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE PRESIDENT, OLIVIA HR DIRECTOR AND THE PNHS SENIOR DIRECTOR OF COMPENSATION & BENEFITS. THE OLIVIA BOARD HAS DELEGATED TO OLIVIA'S PRESIDENT THE ACCOUNTABILITY TO CONDUCT ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL OLIVIA-EMPLOYED OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE SURVEY, THE OLIVIA PRESIDENT, OLIVIA HR DIRECTOR AND PNHS SENIOR DIRECTOR OF COMPENSATION & BENEFITS. |
| FORM 990, PART VI, SECTION C, LINE 19 | OLIVIA'S FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM OLIVIA OR HEALTHPARTNERS. OLIVIA'S ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. OLIVIA'S CONFLICT OF INTEREST POLICY THROUGH ITS RELATED ORGANIZATION, HEALTHPARTNERS, INC. CAN BE VIEWED THROUGH THE HEALTHPARTNERS.COM WEBSITE. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LAKEVIEW HEALTH FOUNDATION | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411386635 | PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH | MN | 501(C)(3) | 170(B)(1) (A)(VI) | LAKEVIEW HEALTH | 0 | |
| LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 410811697 | HOSPITAL | MN | 501(C)(3) | 170(B)(1) (A)(III) | LAKEVIEW HEALTH | 0 | |
| STILLWATER MEDICAL GROUP | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 830379473 | CLINIC STAFF AND FACILITIES | MN | 501(C)(3) | 509(A)(3) TYPE I | LAKEVIEW HEALTH | 0 | |
| LAKEVIEW HEALTH | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 300221189 | CORPORATE PLANNING AND OVERSIGHT | MN | 501(C)(3) | 509(A)(3) TYPE II | HPI - RAMSEY | 0 | |
| WESTFIELDS HOSPITAL INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 390808442 | HOSPITAL | WI | 501(C)(3) | 170(B)(1)(A)(III) | RH-WISCONSIN INC | 0 | |
| WESTFIELDS HOSPITAL FOUNDATION INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 391770913 | PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH | WI | 501(C)(3) | 170(B)(1) (A)(VI) | WESTFIELDS HOSPITAL INC | 0 | |
| PARK NICOLLET HEALTH SERVICES | |||||||||||
| 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 363465840 | CORPORATE PLANNING AND OVERSIGHT | MN | 501(C)(3) | 509(A)(2) | HEALTHPARTNERS INC | 0 | |
| PARK NICOLLET FOUNDATION | |||||||||||
| 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 237346465 | SUPPORT TO RELATED ENTITIES AND COMMUNITY HEALTH | MN | 501(C)(3) | 170(B)(1) (A)(VI) | PARK NICOLLET HEALTH SERVICES | 0 | |
| PARK NICOLLET METHODIST HOSPITAL | |||||||||||
| 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 410132080 | HOSPITAL | MN | 501(C)(3) | 170(B)(1) (A)(III) | PARK NICOLLET HEALTH SERVICES | 0 | |
| PARK NICOLLET HEALTH CARE PRODUCTS | |||||||||||
| 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 010638901 | DURABLE MEDICAL EQUIPMENT AND OTHER HEALTH CARE RETAIL SALES | MN | 501(C)(3) | 509(A)(3) TYPE I | PARK NICOLLET HEALTH SERVICES | 0 | |
| PARK NICOLLET CLINIC | |||||||||||
| 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 410834920 | CLINIC SERVICES | MN | 501(C)(3) | 170(B)(1) (A)(III) | PARK NICOLLET HEALTH SERVICES | 0 | |
| PNMC HOLDINGS | |||||||||||
| 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 411741792 | HEALTHCARE REAL ESTATE | MN | 501(C)(3) | 509(A)(3) TYPE I | PARK NICOLLET HEALTH SERVICES | 0 | |
| AMERY REGIONAL MEDICAL CENTER INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 390908320 | HOSPITAL | WI | 501(C)(3) | 170(B)(1) (A)(III) | RH-WISCONSIN INC | 0 | |
| AMERY REGIONAL MEDICAL CENTER FOUNDATION INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 391726539 | PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH | WI | 501(C)(3) | 170(B)(1) (A)(VI) | AMERY REGIONAL MEDICAL CENTER INC | 0 | |
| HUTCHINSON HEALTH | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 841715908 | HOSPITAL | MN | 501(C)(3) | 170(B)(1) (A)(III) | PARK NICOLLET HEALTH SERVICES | 0 | |
| HUTCHINSON HEALTH FOUNDATION | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 363317820 | PROVIDE SUPPORT TO HOSPITAL | MN | 501(C)(3) | 170(B)(1) (A)(VI) | HUTCHINSON HEALTH | 0 | |
| OLIVIA HOSPITAL & CLINIC FOUNDATION | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411839619 | PROVIDE SUPPORT TO HOSPITAL | MN | 501(C)(3) | 509(A)(3) TYPE I | HEALTHPARTNERS RC | Yes (1) | |
| HEALTHPARTNERS INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411693838 | HYBRID STAFF MODEL/NETWORK MODEL HEALTH MAINTENANCE ORGANIZATION | MN | 501(C)(4) | 0 | N/A | ||
| GROUP HEALTH PLAN INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 410797853 | STAFF MODEL HEALTH MAINTENANCE ORGANIZATION | MN | 501(C)(3) | 170(B)(1) (A)(III) | HEALTHPARTNERS INC | 0 | |
| HPI-RAMSEY | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411793333 | CORPORATE PLANNING AND OVERSIGHT | MN | 501(C)(3) | 509(A)(3) TYPE I | HEALTHPARTNERS INC | 0 | |
| RH WISCONSIN INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 202287016 | CORPORATE PLANNING AND OVERSIGHT | WI | 501(C)(3) | 509(A)(3) TYPE I | HPI - RAMSEY | 0 | |
| HEALTHPARTNERS INSTITUTE | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411670163 | HEALTHCARE EDUCATION AND RESEARCH | MN | 501(C)(3) | 509(A)(3) TYPE I | HEALTHPARTNERS INC | 0 | |
| CAPITOL VIEW TRANSITIONAL CARE CENTER | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 412011453 | TRANSITIONAL CARE SERVICES, STEP DOWN FROM INPATIENT HOSPITAL | MN | 501(C)(3) | 170(B)(1) (A)(III) | HPI - RAMSEY | 0 | |
| REGIONS HOSPITAL | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 410956618 | HOSPITAL | MN | 501(C)(3) | 170(B)(1) (A)(III) | HPI - RAMSEY | 0 | |
| REGIONS HOSPITAL FOUNDATION | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411888902 | PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH | MN | 501(C)(3) | 170(B)(1) (A)(VI) | HPI - RAMSEY | 0 | |
| RHSC INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411891928 | HEALTHCARE STAFFING AND INTENSE REHAB SERVICES | MN | 501(C)(3) | 509(A)(3) TYPE II | HEALTHPARTNERS INC | 0 | |
| HUDSON HOSPITAL INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 390804125 | HOSPITAL | WI | 501(C)(3) | 170(B)(1) (A)(III) | RH-WISCONSIN INC | 0 | |
| HUDSON HOSPITAL FOUNDATION INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 391279567 | PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH | WI | 501(C)(3) | 170(B)(1) (A)(VI) | HUDSON HOSPITAL INC | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| HEALTHPARTNERS ADMINISTRATORS INC | |||||||||
| 8170 33RD AVE S PO BOX1309 | MPLS | MN | 554401309 | 411629390 | THIRD PARTY ADMINISTRATOR | MN | HEALTHPARTNERS INC | C | 0 |
| HEALTHPARTNERS ASSOCIATES INC | |||||||||
| 8170 33RD AVE S PO BOX1309 | MPLS | MN | 554401309 | 522365151 | MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT | MN | HEALTHPARTNERS ADMINISTRATORS INC | C | 0 |
| HEALTHPARTNERS SERVICES INC | |||||||||
| 8170 33RD AVE S PO BOX1309 | MPLS | MN | 554401309 | 411683568 | MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT | MN | HEALTHPARTNERS ADMINISTRATORS INC | C | 0 |
| HEALTHPARTNERS INSURANCE COMPANY | |||||||||
| 8170 33RD AVE S PO BOX1309 | MPLS | MN | 554401309 | 411683523 | MEDICAL AND DENTAL INSURANCE | MN | HEALTHPARTNERS ADMINISTRATORS INC | C | 0 |
| DENTAL SPECIALTIES INC | |||||||||
| 8170 33RD AVE S PO BOX1309 | MPLS | MN | 554401309 | 451297583 | DENTAL CLINIC STAFFING | MN | HEALTHPARTNERS ADMINISTRATORS INC | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OLIVIA HOSPITAL & CLINIC FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | B | TransactionTypeTxt |
| Involved | $33,827 | InvolvedAmt |
| Method Of Amount Determination | CASH | MethodOfAmountDeterminationTxt |