2022-10-28T07:04:42-05:00 2021-12-31 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2021-01-01 363311936 Stevens Community Medical Center STEV 3205891313 400 E 1st St Morris MN 56267 Kerrie McEvilly President/CEO 3205891313 2022-10-27 1 Kerrie McEvilly 999009999 Kim Hunwardsen CPA P00484560 6122536500 2022-10-27 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z Kerrie McEvilly 400 E 1st St Morris MN 56267 52515719 0 X www.scmcinc.org X 1984 MN Promotion of health 12 8 356 20 0 0 3239688 6715124 38816295 45441915 270504 309633 39192 35671 42365679 52502343 26828 25860 0 0 24434505 26651280 0 0 0 16036182 17932949 40497515 44610089 1868164 7892254 65001127 69174057 13702995 10337963 51298132 58836094 X Stevens Community Medical Center's mission is to strive for excellence in the delivery of inpatient and outpatient care through cooperation with qualified health care providers; through the provision of appropriate facilities and technology; and through active promotion of health education among the public.Our pledge to the recipients of this Medical Center's health care is to address their needs in as expert, efficient, compassionate, and convenient manner as possible. 0 0 38174480 25860 45441915 Stevens Community Medical Center is a not-for-profit integrated health care system. The mission of the Medical Center is to make available high-quality health care. The Medical Center serves the population of West Central Minnesota and is becoming a regional health care center."CARING IS OUR REASON FOR BEING"SCMC provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of SCMC, it is recognized that not all individuals possess the ability to purchase essential medical services. To further that, our mission is to serve the community with respect to providing health care services and health care education. For example, the Medical Center is committed to provide medical services to all members of its community, provide free care and/or subsidized care, promote health activities and programs to support the community, and provide care to persons covered by governmental programs at below cost. Therefore, financial assistance will be considered where the need and/or an individual's inability to pay exists. SCMC had 41,208 hospital outpatient visits, 43,507 clinic and urgent care visits, 1,268 inpatient days, 7,037 outpatient counseling visits, 84 deliveries, 532 surgeries, 2,394 emergency room visits, and 21,476 therapy treatments in 2021. SCMC also owns and operates the Courage Cottage, an assisted living facility specializing in care for the terminally ill. In 2021, 11 residents were served, and the cost to provide their care was subsidized by community donations.Recognizing its mission to the community, SCMC provides services to Medicare, Medicaid, and other patients covered by governmental programs, sometimes at a reimbursement below cost. The total discounts accepted for providing care to patients was $33,765,552 in 2021. The charges foregone for services supplied under SCMC's charity care policy (free and/or subsidized care) was $1,041,783 in 2021.Charity care is also provided through many reduced price services and free SCMC programs and information offered throughout the year based on activities and services which SCMC believes will serve a bona fide community need. These include: various brochures to educate patients; staff speaking for a variety of community events including SCMC sponsored "health nights," elderly and adult education; sponsoring a smoking cessation program and a variety of other "wellness" type programs at subsidized cost; providing meeting facilities for various community groups; offering support groups; and providing assistance to educators through our work with student nurses. 38174480 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 93 0 1 356 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 8 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 1 0 0 MN X Jeff Lewis 3205897627 400 E 1st St Morris MN 56267 David Paul Chair 1.00 X X 630 0 0 Bart Finzel Vice Chair 1.00 X X 720 0 0 Ward Voorhees Secretary 1.00 X X 540 0 0 Jan Hagen Treasurer 1.00 X X 660 0 0 Jodi DeCamp Director 1.00 X 550 0 0 Paul Martin Director 1.00 X 500 0 0 Darryl Larson Director 1.00 X 500 0 0 Rachel Johnson Director 1.00 X 550 0 0 Toby Christie-Perkins DO Director/Physician 40.00 X 319799 0 49083 Jason Huikko MD Director/Physician 40.00 X 290327 0 25864 Elizabeth Meichsner MD Director/Physician 40.00 X 366290 0 51833 Kerrie McEvilly President/CEO 40.00 X X 343793 0 51408 Jeffery Lewis Director of Finance 40.00 X 155119 0 17419 Timothy Jay Orthopedic Surgeon 40.00 X 581167 0 43327 Andrea Giambi DO Radiologist 40.00 X 554772 0 43680 Michael Holte MD Orthopedic Surgeon 32.00 X 795269 0 47331 Randell Lussenden CRNA 40.00 X 430220 0 42579 Eric Larson CRNA 40.00 X 437766 0 50137 John Rau Former Officer (President/CEO) 0.00 X 461142 0 0 4740314 0 422661 40 1 1 0 Novacare Rehabilitation 2965 Patridge Road Roseville MN 55113 Therapy Services 837828 Carlson-Lavine Inc 400 E First St Morris MN 56267 Construction Management 773304 Converdia 301 Sheyenne St West Fargo ND 58078 Locums Services 463558 Centracare 1406 6th Ave N St Cloud MN 56303 Software Implementation and Services 435026 Cerner Health Services Inc PO Box 959156 St Louis MO 63195 Software Implementation/Support 332622 10 6396350 318774 6715124 Patient Service Revenue 621110 45346477 45346477 Supporting Revenue 900099 95438 95438 45441915 305948 305948 41859 0 41859 41859 41859 3685 0 3685 3685 3685 7188 13376 -6188 -6188 52502343 45441915 0 345304 X 25860 25860 1680784 1107076 573708 461142 461142 19574846 17231842 2343004 944398 824095 120303 2589847 2012036 577811 1400263 1176793 223470 23893 23893 72692 72692 4632763 4176165 456598 137284 18270 119014 2445306 2039933 405373 486209 486209 479357 348019 131338 48892 46299 2593 50938 44424 6514 43407 43407 2192802 1814941 377861 340747 330068 10679 Medical Supplies 4138928 4138928 Pharmacy 340B Program c 1881468 1881468 MN Care Tax 612670 612670 DHS Medicare Surcharge 345593 345593 44610089 38174480 6435609 0 7442 1666 24221316 12969446 5958296 10051539 1516940 1731944 287069 86454 54559183 36113914 18622667 18445269 13460077 25503958 927320 383781 65001127 69174057 5885571 6883812 2070886 523573 3642200 0 2104338 2930578 13702995 10337963 X 51188954 58611929 109178 224165 51298132 58836094 65001127 69174057 X 7892254 -360480 6188 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 22495 7188 13376 16307 0 371723 371723 31857787 17707870 14149917 21613063 17874220 3738843 716610 531824 184786 18445269 Deferred compensation obligation 2280505 Estimated third party payor settlements 650073 2930578 X 52148051 -360480 -360480 52508531 -6188 -6188 52502343 44610089 0 44610089 0 44610089 Part IV, Line 1b: The organization holds the assets for the Stevens Community Medical Center Ladies' Auxiliary/Gift Shop. The assets are not included on the books of the Medical Center. The revenue and expense have been recorded on the applicable lines of the Form 990. Part X, Line 2: The Medical Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Medical Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 4b - Other Adjustments: Auxiliary net income not included in financial statements -6,188. 1 1 X 1 X 1 X 170.000000000000 1 1 1 0 1 1 571188 571188 0.01280 6342329 5321302 1021027 0.02290 2620135 2419199 200936 0.00450 9533652 7740501 1793151 0.04020 85084 85084 0.00190 1489 1489 0.00000 500 500 0.00000 87073 87073 0.00190 9620725 7740501 1880224 0.04210 25860 25860 0.00060 61292 61292 0.00140 87152 87152 0.00200 1 2054288 0 10596353 10491439 104914 X 1 1 1 1 Stevens Community Medical Center 400 East 1st Street Morris MN 56267 www.scmcinc.org 00653 X X X X one provider-based clinic Stevens Community Medical Center 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X See Section C 1 19 1 See Section C 0 1 X 100.000000000000 170.000000000000 X X X X X 1 1 X X X X 1 X https://www.scmcinc.org/patient_resources/financial-forms/ X https://www.scmcinc.org/patient_resources/financial-forms/ X https://www.scmcinc.org/patient_resources/financial-forms/ X X X X X X 1 X 0 X X X X 1 X 0 0 Stevens Community Medical Center Part V, Section B, Line 5: SCMC conducted a community conversation on November 12, 2019 as part of the Community Health Needs Assessment. The meeting consisted of 26 individuals from specific stakeholder groups in the community. These people represented organizations in the community and individual interests in the overall health of the community. Representatives included local school and college officials, public health staff, health and wellness providers, local business representatives and owners, and community leaders. The conversation was specifically designed for discussion and data collection. Tobias Spanier from the University of Minnesota Extension Service facilitated the "World Cafe" format discussion. The group was divided into smaller discussion groups to answer four specific questions. Each group reported back after each question to help with further discussion and data collection. Stevens Community Medical Center Part V, Section B, Line 11: Community Health Needs Assessment 2021 Efforts in Addressing the Significant Needs Identified in 2019 CHNAThe 2019 Community Health Needs Assessment conducted by the Stevens Community Medical Center (SCMC) identified a wide range of current issues in the county, as well as the residents and community leaders' concerns for the future. Included in those issues are increased transportation options for the population. This includes transportation options that can serve patients outside of the Morris city limits and patients that require non-ambulatory transport after regular weekday business hours, the lack of child care options available, and the lack of an online central community communication hub for events and updates.1. TransportationSCMC continues to cover the cost of transit for area residents to travel to SCMC for appointments using either the Morris Transit or Rainbow Rider services. Signage and a phone were added to the front entrance to help assist patients and guests to contact local transportation. We added a transportation service called Julia's Place that will provide transport from the city of Hancock to Morris and outside of the Stevens County line into Swift County. Julia's Place can bill MA which allows for more payment flexibility in patient transport. The SCMC marketing department has added links directly to the SCMC website to enable patients with transportation options and gain access to transportation resources.2. Child CareIn June of 2021 a representative of SCMC attended the meeting hosted by the Stevens County Board of Commissioners. State funds had recently been awarded to Stevens County by the federal American Rescue Act 2021 for the Commissioners to allocate to community programs. SCMC commented during the meeting that they support the effort for increasing child care capacity and would like to see funds allocated to this area of need. Specifically, Kerrie McEvilly, CEO of SCMC issued a letter to the commissioners with the request for them to fund the Hancock community child care center building plans, allow for grant request proposals to be submitted by current care providers for their needs, and for the commissioners to provide funding for a local provider recruitment program. To date $50,000 has been allocated and awarded in the form of an RFP for local daycare providers to directly apply grant funds to their daycare businesses in the form of structural upgrades, site improvements, and training reimbursements. Ongoing county daycare subcommittee meetings continue and focus on the remaining funds being used for a new construction build that will increase daycare capacity in Stevens County. This structure is hopeful to be in operation and occupied by independent providers in 2023.3. Community CommunicationsSCMC collaborated with the Morris Area Chamber of Commerce and the Stevens County Building Resilience committee to apply for a community resilience initiative micro grant. We received the grant and hired a student to perform the necessary work for building out a communication tool. This project has resulted in a community calendar for all individuals in Stevens County to post meetings and events as well as a community resource page. This tool is active and is being used by SCMC to promote its classes, activities, and current events. A promotional magnet was designed and purchased with remaining grant funds to communicate out the resource to community members. The magnets are available for free at community social events, the Morris Chamber, and Horizon Public Health buildings. In addition, SCMC launched a new website in April of 2021 that hosts a facility calendar which is continually updated to include all community impacting events. Since 2019 a strategic effort has been made to utilize the SCMC Facebook page to promote all COVID communications, facility updates, job postings, and community sponsored events. The page has over 5000 followers to date that can receive the communication. Increased awareness is being brought directly to the business community by having a hospital representative participate in The Chamber Connection group activities hosted by the Morris Area Chamber. This outlet gives SCMC the opportunity to speak directly to the business leaders of our community and provide updates on the community health needs strategic plan and responses from our facility. This includes updates on providers, equipment, services, and employment opportunities. Stevens Community Medical Center Part V, Section B, Line 13b: The organization considers the patient's ability to make reasonable monthly payments on a balance owed. When income and expense documentation (such as pay stubs and tax returns) doesn't reflect an accurate picture of a patient's ability to pay, additional considerations are made. Stevens Community Medical Center Part V, Section B, Line 13h: Federal guidelines and Minnesota Attorney General agreement percentage discounts were used to determine eligibility for discounts. Stevens Community Medical Center Part V, Section B, Line 15e: We send MNSure applications and assist patients in applying for programs where there is a need and possibility for basis of eligibility. We are also an HPE (Hospital Presumptive Eligibility) site and provide and screen for short term medical assistance approvals. Schedule H, Part V, Section B, line 7a: https://www.scmcinc.org/about/community-health-needs-assessment/ Schedule H, Part V, Section B, line 10a: https://www.scmcinc.org/about/community-health-needs-assessment/ 2 1 - Starbuck Clinic 501 Poler Street Starbuck MN 56381 Rural Health Care Clinic 2 - Courage Cottage 409 East 1st Street Morris MN 56267 Assisted Living Facility Part I, Line 3c: The following factors are used by the organization to help determine eligibility for Financial Assistance: * Proof of household income (such as social security award letters, pay stubs and tax returns).* Assessing the patient's ability to make reasonable monthly payments on balance owed (expense form reflecting household income and expenses).* When income and expense documentation doesn't reflect an accurate picture of a patient's ability to pay, additional considerations are made (e.g. wages have changed since the last filed tax return).*Medical Indigency is also considered.* SCMC provides assistance in applying for healthcare programs where applicable. Status of insurance is reviewed at application. * SCMC does not consider assets in the determination of eligibility for Financial Assistance.Along with the above considerations, the Federal Poverty Guidelines (FPG) are reviewed and the most appropriate discount is offered. The organization provides a 40% discount to 80% discount when income levels meet 170% down to 101% of the FPG. For example, an 80% discount is given for income ranges from 101% to 120% of the FPG. Outside of the FPG and FAP application process we standardly apply the 23% self-pay discount which is based off our Amounts Generally Billed (AGB) for all self-pay patients with qualifying services (i.e. medical necessary services which are not cosmetic or elective). Part I, Line 6a: The organization's community benefit report is available to the public upon request. Part I, Line 7: Charity care expense was converted to cost based on an overall cost-to-charge ratio addressing all patient segments. Medicaid and Other Mean's Tested was converted to cost using the cost-charge-ratio derived from Worksheet 2. Community health improvement services, health professions education, and cash and in-kind contributions are reported based on actual expenses recorded to the general ledger. Part II, Community Building Activities: In 2021 SCMC supported several significant health related community initiatives such as the Regional Fitness Center, Habitat for Humanity, and the local chapter of the American Cancer Society to name just a few. We also paid over $61,292 in local real estate taxes for our two medical clinics, which would certainly have a positive impact on the health of the communities we serve. Part III, Line 2: The amount reported on line 2 represents implicit price concessions. The Medical Center determines its estimate of implicit price concessions based on its historical collection experience with this class of patients. Part III, Line 3: The Hospital does not have a way to reasonably estimate the amount of implicit price concessions that are attributable to patients who would qualify for financial assistance. Part III, Line 4: The footnote to the organization's financial statements addressing implicit price concessions may be found on page 9 and 10 of the attached audited financial statements. Part III, Line 8: Medicare allowable cost is based on the Medicare Cost Report. The Medicare Cost report is completed based on the rules & regulations set forth by Centers for Medicaid and Medicare Services. Part III, Line 9b: Patients that qualify for FAP are sent an approval letter with percentage of discount extended and effective dates of approval. For partial FAP eligibility the letter outlines any remaining balance due and lists several options including reasonable payments to satisfy the remainder of the balance. The collections cycle starts over for FAP qualifying applicants. There would need to be another 120 days before ECA's would be initiated but we try to avoid this wherever possible being flexible with payments that are reasonable. The 30-day notice is satisfied via the final notice letter provided in absence of payment for an account with no payments or contact at 90 days from billing cycle (plain language summary is sent at this time). The patient has 240 days from first billing cycle in which to apply for FAP. Our collections agency is aware of these regulations and assists us with patient coordination if they show interest in applying should they be sent to collections after 120 days but within the 240-day application period window. Part VI, Line 2: Many of our department heads are members of other boards or organizations throughout the community. These include the Chamber of Commerce, the Morris Area Community Development Committee, and Morris Area Child Care Center in addition to others. The information obtained from participating in these committees is utilized to continually assess the appropriateness of existing services and the need for potential new areas of health related opportunities. Conference committee meetings are also used to get input from all employees, who are also consumers of our services, regarding areas of potential growth. In addition we conducted a Community Health Needs Assessment in 2019. Part VI, Line 3: Stevens Community Medical Center provides a copy of our charity guidelines and financial assistance contact information to interested patients as part of our intake/screening process; self-pay patients (particularly inpatients) are asked if they have financial concerns and are referred to a financial counselor if a need is discovered. A variety of tools are used to determine potential needs through the registration, prior authorization, and billing processes - social worker's referral, identification of uninsured or underinsured status, and/or a previous history of inability to pay. The charity care guidelines, policy, plain language summary, application, instructions and contact information are posted on our website. We also post financial assistance contact information for persons interested in applying for Charity Care and/or Medicaid in patient common areas such as registration, waiting areas, physician rooms and the Cashier's office.In addition, if payments are not being made after 2-3 statements have been sent, a Financial Counselor will call to inform the patient of their options. At that time, we would send out an application for Financial Assistance, discuss with the patient the availability of various government benefits, such as Medicaid or state programs, and assist the patient with qualification for such programs, where applicable. At the time final notices for non-payment are sent at least 90 days after first statement delivery, the plain language summary is also mailed. Calls are also being placed throughout this timeframe to prevent accounts from going to bad debt by obtaining reasonable payment and educating on FAP availability. Part VI, Line 4: Stevens Community Medical Center serves the County of Stevens including the towns of Morris, Donnelly, Hancock, Chokio and Alberta. We also serve areas of Pope, Swift, Traverse, Grant, and Big Stone. We anticipate the total primary service area to be approximately 15,000, with a secondary market of an additional 20,000.The service area is primarily rural, with a strong agricultural base. We are also fortunate to have a university presence with the University of Minnesota, Morris. Approximately 51% of our inpatients are Medicare and/or Medicare HMO and another 16% are Medicaid and/or MN Care.There are three hospitals in the area that are larger than SCMC located in towns 50 miles from Morris in different directions. There are also hospitals in Benson, Wheaton, Graceville, Glenwood, Elbow Lake and Appleton, all of which are within a 30 mile radius of Morris.Stevens County is a federally designated Health Professional Shortage Area (HPSA) for both primary care and mental health. Pope County, where the Starbuck Clinic is located, is also a federally designated HPSA. Part VI, Line 5: As described earlier, SCMC has a community Board of Directors that represent specific portions of our service area. Medical staff privileges are extended to all qualified physicians in the community. We also own and operate an assisted living facility which specializes in the terminally ill. This is currently subsidized by community donations. The Emergency Room is open 24 hours a day 7 days a week and is open to all patients regardless of ability to pay. All our employed physicians attend several educational opportunities, as do the balance of our licensed and professional staff. SCMC works to provide education to staff or opportunities for education on the latest most up to date care techniques and strategies as well as education related to compliance, billing, fraud, abuse and other regulatory rules. SCMC also works with a variety of higher education schools to provide onsite internships, residency experience, and fieldwork. Every dollar generated in excess of expenses at SCMC is reinvested in the organization to improve the services offered to the communities we serve. This includes effectively funding the depreciation of our building and equipment, investment in facilities and equipment, expansion of services to meet community need, and investment in education of staff to provide high quality effective care to our community members. The community health service activities are designed to complement the identified health needs in our area. SCMC promotes community health with partnerships with other community groups such as the Farmer's Market, local food drop, local elementary/high school education programs, providing an athletic trainer to the local high school, and a community health group that coordinates activities such as the Fall Into Health. SCMC's dietician and diabetic educator provide diabetes presentations to local service groups. Much of the emphasis associated with these events is toward prevention and early detection.We are also acutely aware of the fact that a large percentage of the population we serve are senior citizens and value the benefit of the free transit services we provide for clinic appointments.Charity care is also provided through many reduced price services and free SCMC programs and information offered throughout the year based on activities and services which SCMC believes will serve a bona fide community need. These include: various brochures to educate patients; staff speaking for a variety of community events including SCMC sponsored "health nights", elderly and adult education; sponsoring a smoking cessation program and a variety of other "wellness" type programs at subsidized cost; providing meeting facilities for various community groups; offering support groups; and providing assistance to educators through our work with student nurses.SCMC provides many opportunities for community involvement through volunteering. Approximately 20 people volunteer for a variety of activities at SCMC. Volunteers are from a wide range of ages including youth from the local schools.SCMC is the only hospital in Morris.MERC Program/Residency/Internships- SCMC has benefited from Medical Residency and FNP programs that participate in the MERC funding program. This assists SCMC with the costs associated with clinical rotations, such as extra hours and lodging expenditures. It allows SCMC to continue to support the growth of students in Rural Health Care programs. Courage Cottage donations are used to support end of life care, as SCMC identified that as a community need. SCMC's administration advocates with government contacts to encourage measures that will improve the overall health of the community we serve.SCMC is an advocate for the change to tobacco sales in Stevens County. Commissioners voted to ban the sale of tobacco products to those under the age of 21 effective August 1st. SCMC removed the smoking shed from its property in 2019. Part VI, Line 7, Reports Filed With States MN 1 Stevens County Food Shelf 701 Atlantic Ave Morris MN 56267 411829830 501(c)(3) 10000 0 Food Assistance 1 0 Part I, Line 2: The President/CEO reviews requests for all grants/projects. For Projects under $5000, we do not require reports back after funds have been given out. For projects over $5,000, we review the results with the organization's representative. X X X 1 0 0 1 0 0 0 0 0 Michael Holte MD Orthopedic Surgeon 791193 0 512 0 3564 0 22475 0 25336 0 843080 0 0 0 Timothy Jay Orthopedic Surgeon 580223 0 512 0 432 0 14394 0 29413 0 624974 0 0 0 Andrea Giambi DO Radiologist 517819 0 32762 0 4191 0 22475 0 22597 0 599844 0 0 0 Eric Larson CRNA 246929 0 190403 0 434 0 17400 0 33171 0 488337 0 0 0 Randell Lussenden CRNA 134193 0 293750 0 2277 0 22475 0 20222 0 472917 0 0 0 John Rau Former Officer (President/CEO) 5856 0 0 0 455286 0 0 0 0 0 461142 0 0 0 Elizabeth Meichsner MD Director/Physician 304618 0 59841 0 1831 0 17400 0 34747 0 418437 0 0 0 Kerrie McEvilly President/CEO 341733 0 512 0 1548 0 22475 0 29269 0 395537 0 0 0 Toby Christie-Perkins DO Director/Physician 271432 0 48055 0 312 0 17400 0 34968 0 372167 0 0 0 Jason Huikko MD Director/Physician 281314 0 8579 0 434 0 15225 0 10919 0 316471 0 0 0 Jeffery Lewis Director of Finance 151418 0 525 0 3176 0 4391 0 14011 0 173521 0 0 0 Part I, Line 4a John Rau received a severance payment of $405,410 as stipulated in his employment contract. Part I, Line 5 The physicians are eligible to receive quarterly incentive compensation based on their personal gross revenue production for non-ancillary services, according to the terms of their contracts. The CRNAs also receive quarterly bonuses contingent on the services they provide to patients of SCMC. Form 990, Part VI, Section A, line 8b The organization does not have any committees with authority to act on behalf of the governing board. Form 990, Part VI, Section B, line 11b Prior to filing, the 990 is reviewed in detail by the Director of Finance and President/CEO. The Board of Directors is given the opportunity to review a copy prior to filing. A copy of the Form 990 is attached to the state filing. The state filing requires a Board Resolution approving the filing. During that time the board is briefed on information contained within the Form 990. Form 990, Part VI, Section B, line 12c The organization has two conflict of interest policies - one that covers officers and directors and one that covers other management staff (including other key employees, if applicable). Potential conflicts identified by officers and directors are reviewed by the remaining board members; those identified by management are reviewed by the President/CEO. Officers and directors are to abstain from voting on any such matter where they have a potential conflict of interest. The President/CEO evaluates each potential conflict identified by management on an individual basis in order to determine the appropriate restrictions to put in place. Form 990, Part VI, Section B, line 15a The Board of Directors references the MN Hospital Association CEO Compensation Survey as well as other hospitals' Form 990s when reviewing the CEO's compensation on an annual basis. Besides participating in MHA compensation surveys, SCMC also references the Medi-Sota compensation survey that includes approximately 50 hospitals in MN for various positions. The President/CEO reviews salary ranges for officers and key employees of the organization on an annual basis. SCMC receives an annual assessment from the Faegre Drinker Midwest Rural Hospital Compensation Survey regarding compensation ranges for primary care and specialty physicians. The President/CEO also reviews the MGMA (Medical Group Management Association) compensation survey for physician compensation and the MHA compensation survey for the Director of Finance compensation annually. Form 990, Part VI, Section C, line 19 The audited financial statements, governing documents and conflict of interest policy are made available to the general public upon request. The audited financial statements are also attached to the Form 990. Form 990, Part IX, line 11g Repairs and Maintenance: Program service expenses 681,333. Management and general expenses 833. Fundraising expenses 0. Total expenses 682,166. Purchased Services: Program service expenses 3,348,148. Management and general expenses 375,008. Fundraising expenses 0. Total expenses 3,723,156. Equipment Rent: Program service expenses 146,684. Management and general expenses 17,754. Fundraising expenses 0. Total expenses 164,438. Physician Recruitment: Program service expenses 0. Management and general expenses 63,003. Fundraising expenses 0. Total expenses 63,003. Form 990, Part XI, line 9: Auxiliary Net Income/Loss 6,188.