CUYUNA REGIONAL MEDICAL CENTER: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- CUYUNA REGIONAL MEDICAL CENTER (EIN 41-1724637)
- Tax period
- 2018-04-01 to 2019-03-31
- Filed
- 2020-02-12
- IRS object ID
- 202000439349301780
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-02-12T16:25:32-06:00 | ReturnTs |
| Tax Period End | 2019-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 WEST FIRST STREET SUITE 700 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 558021926 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411724637 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CUYUNA REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CUYU | BusinessNameControlTxt |
| Phone | 2185467000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 EAST MAIN STREET | AddressLine1Txt |
| City | CROSBY | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56441 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATIE BERG | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2185467000 | PhoneNum |
| Signature | 2020-02-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JULIE BOYER | PreparerPersonNm |
| PTIN | P01278549 | PTIN |
| Phone | 2187275025 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 66.98.98.134 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-02-04 | IPDt |
| IP Tm | 11:48:57 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 930171E15D686EC555C78A932CEAB980F20E2170 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KYLE BAUER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 EAST MAIN STREET | AddressLine1Txt |
| City | CROSBY | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56441 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $132,528,514 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CUYUNAMED.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | ACCOMMODATING YOU WITH CARE AND COMPASSION BY DEDICATING OURSELVES TO YOU EVERY DAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 1130 | TotalEmployeeCnt |
| Total Volunteers | 60 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $229,879 | PYContributionsGrantsAmt |
| CY Contributions Grants | $250,873 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $128,108,044 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $131,281,634 | CYProgramServiceRevenueAmt |
| PY Investment Income | $140,861 | PYInvestmentIncomeAmt |
| CY Investment Income | $429,630 | CYInvestmentIncomeAmt |
| PY Other Revenue | $577,535 | PYOtherRevenueAmt |
| CY Other Revenue | $566,377 | CYOtherRevenueAmt |
| PY Total Revenue | $129,056,319 | PYTotalRevenueAmt |
| CY Total Revenue | $132,528,514 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $59,473,989 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $62,273,619 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $64,140,601 | PYOtherExpensesAmt |
| CY Other Expenses | $67,344,262 | CYOtherExpensesAmt |
| PY Total Expenses | $123,614,590 | PYTotalExpensesAmt |
| CY Total Expenses | $129,617,881 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,441,729 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,910,633 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $101,663,372 | TotalAssetsBOYAmt |
| Total Assets EOY | $120,424,119 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $54,838,579 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $70,688,693 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $46,824,793 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $49,735,426 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ACCOMMODATING YOU WITH CARE AND COMPASSION BY DEDICATING OURSELVES TO YOU EVERY DAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $120,181,536 | ExpenseAmt |
| Revenue | $131,281,634 | RevenueAmt |
| Desc | AS A COMMUNITY-BASED HOSPITAL AND HEALTH CARE PROVIDER, CRMC'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITY AND PROVIDE QUALITY HEALTH CARE SERVICES FOR ALL CITIZENS, REGARDLESS OF ABILITY TO PAY. EACH YEAR, CRMC GIVES BACK TO THE COMMUNITY THROUGH EDUCATION, HEALTH SERVICES, DONATIONS, AND FREE AND REDUCED COST HEALTH CARE TO ENSURE THAT FINANCIAL ISSUES DO NOT PREVENT PATIENTS FROM SEEKING OR RECEIVING CARE.CRMC MAKES SIGNIFICANT EFFORTS TO ENSURE CHARITY CARE IS GRANTED TO ALL PATIENTS WHO QUALIFY. A TOTAL OF $82,837 IN SERVICES WERE PROVIDED TO LOW-INCOME PATIENTS AT FREE OR REDUCED PRICES, AND WAS PROVIDED TO THOSE WHO HAVE EXHAUSTED THIRD PARTY RESOURCES, DO NOT QUALIFY FOR MEDICAID OR HAVE INSUFFICIENT INCOMES. CRMC ALSO EXPERIENCED A LOSS OF $2,143,175 IN THE UNPAID COSTS OF MEDICAID FOR LOW-INCOME INDIVIDUALS. THE CUYUNA LAKES AREA HAS A HIGH NEED FOR SEVERAL HEALTH CARE SERVICES THAT DO NOT GENERATE SUFFICIENT REVENUE TO COVER THE COST OF PROVIDING THEM. CRMC SUBSIDIZES A TOTAL OF $976,825 IN SERVICES TO ENSURE THEIR AVAILABILITY TO OUR COMMUNITY.THE ORGANIZATION ALSO PROVIDES HEALTH-RELATED EDUCATION TO THE COMMUNITY THROUGH EVENTS, CLASSES, LECTURES AND WELLNESS SCREENINGS COMPLETELY FREE-OF-CHARGE TO THE COMMUNITY. CRMC'S HEALTH AND WELLNESS EVENT ATTRACTED NEARLY 10,000 PARTICIPANTS IN 2018-19, AND OVER 1,000 LUNCHES WERE PROVIDED FOR YOUTH IN THE CUYUNA LAKES FREE SUMMER LUNCH PROGRAM. ANOTHER $5,000 WAS DONATED TO SUPPORT SUMMER LUNCHES FOR BRAINERD'S OPERATION SANDWICH PROGRAM. CRMC OFFERS YEAR-ROUND COURSES ON FIRST AID, CPR, CHILDBIRTH, BREASTFEEDING, AND DIABETES PREVENTION TOGETHER WITH SUPPORT GROUPS ON MEMORY LOSS, BRAIN INJURY AND STROKE, CANCER AND WEIGHT LOSS. CRMC ALSO SUPPORTS OTHER ORGANIZATIONS AND INITIATIVES THAT SHARE ITS GOAL TO IMPROVE THE HEALTH OF OUR COMMUNITY. IN 2018-19, THAT INCLUDED $1.1 MILLION IN CASH AND IN-KIND DONATIONS, CHARITY CARE, AND SUBSIDIZED SERVICES TO ORGANIZATIONS FOCUSED ON THE HEALTH, SOCIAL, CULTURAL, AND EDUCATIONAL NEEDS OF THE AREA. IN ADDITION, CRMC STAFF DONATES TIME, MATERIALS, AND LEADERSHIP TO MORE THAN 20 COMMUNITY GROUPS INCLUDING VARIOUS SCHOOLS; CUYUNA LAKES, BRAINERD LAKES AND NISSWA CHAMBERS OF COMMERCE; HALLETT COMMUNITY CENTER; NORTHLAND ARBORETUM; RACE FOR THE CURE; KINSHIP PARTNERS; CROSBY, IRONTON, CUYUNA AND DEERWOOD FIRE DEPARTMENTS AND OTHERS. BECAUSE FOOD INSECURITY IS A GREAT NEED FOR THE AREA, CRMC ANNUALLY INVESTS ABOUT $20,000 TOWARDS FREE SUMMER LUNCH AND HOLIDAY BREAK MEALS FOR STUDENTS, HEALTHY FOOD AT COMMUNITY EVENTS, AND STOCKING THE CUYUNA FOOD SHELF.CRMC ALSO INVESTS APPROXIMATELY $3 MILLION PER YEAR IN CAPITAL IMPROVEMENTS SUCH AS NEW EQUIPMENT, FACILITIES, AND TECHNOLOGY INFRASTRUCTURE. | Desc |
| Total Program Service Expenses | $120,181,536 | 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 | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | 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 | 0 | 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 | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 73 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1130 | 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 | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | 0 | 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 | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| 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 | KATIE BERG | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2185467000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 EAST MAIN STREET | AddressLine1Txt |
| City | CROSBY | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56441 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| ANDREA BEDARD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KEVIN EGAN | |||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| BRUCE KRAEMER | |||||||
| FORMER DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR SHAWN ROBERTS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD SCHILLER | |||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| BART TAYLOR | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DENISE LAUDENBACH | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR PETER MACKAY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KYLE BAUER | |||||||
| CEO | 40.00 | Yes (X) | $391,386 | $0 | $43,471 | Yes (X) | |
| AMY HART | |||||||
| COO | 40.00 | $246,503 | $0 | $33,250 | Yes (X) | ||
| KATIE BERG | |||||||
| CFO | 40.00 | $188,288 | $0 | $14,644 | Yes (X) | ||
| JOSHUA HOROWITZ | |||||||
| PHYSICIAN | 40.00 | $921,849 | $0 | $28,890 | Yes (X) | ||
| FAWN ATCHISON | |||||||
| ANESTHESIOLOGIST | 40.00 | $652,840 | $0 | $28,790 | Yes (X) | ||
| THOMAS LORENZ | |||||||
| PHYSICIAN | 40.00 | $435,580 | $0 | $36,393 | Yes (X) | ||
| LEAH KIPPES | |||||||
| ANESTHESIOLOGIST | 40.00 | $565,223 | $0 | $43,948 | Yes (X) | ||
| RAJESH BHARGAVA | |||||||
| HOSPITALIST | 40.00 | $496,710 | $0 | $47,142 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,898,379 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $276,528 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 64 | 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 |
|---|---|---|---|---|---|
| PREMIER SURGICAL ASSOCIATES PA | |||||
| 318 E MAIN STREET | CROSBY | MN | 56441 | PHYSICIAN FEES | $7,616,352 |
| CENTRAL LAKES PHYSICIANS PA | |||||
| 318 E MAIN STREET | CROSBY | MN | 56441 | PHYSICIAN FEES | $4,793,578 |
| RJ MECHANICAL | |||||
| 901 NORTH IND PARK RD | MORA | MN | 55051 | BUILDING CONTRACTOR | $2,809,844 |
| CENTRAL MN DIAGNOSTIC INC | |||||
| PO BOX 158 | MILACA | MN | 56353 | RADIOLOGY SERVICES | $1,774,495 |
| ALLINA HOSPITALS & CLINICS | |||||
| NW 7710 | MINNEAPOLIS | MN | 554409383 | COMPUTER SERVICES | $1,120,534 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 36 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $250,873 | AllOtherContributionsAmt |
| Total Contributions | $250,873 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 621500 | $122,399,171 | $122,399,171 |
| PROFESSIONAL SERVICES | 621500 | $5,950,417 | $5,950,417 |
| RETAIL PHARMACY | 446110 | $1,706,926 | $1,706,926 |
| OTHER OPERATING REVENUE | 900099 | $1,225,120 | $1,225,120 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $131,281,634 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $429,630 | TotalRevenueColumnAmt |
| Exclusion | $429,630 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA | Desc |
| Business | 722210 | BusinessCd |
| Total Revenue Column | $566,377 | TotalRevenueColumnAmt |
| Exclusion | $566,377 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $566,377 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $132,528,514 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $131,281,634 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $996,007 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $675,025 | TotalAmt |
| Management And General | $675,025 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,831,890 | TotalAmt |
| Program Services | $49,111,093 | ProgramServicesAmt |
| Management And General | $720,797 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,818,226 | TotalAmt |
| Program Services | $1,818,226 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,619,158 | TotalAmt |
| Program Services | $6,619,158 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,329,320 | TotalAmt |
| Program Services | $3,256,901 | ProgramServicesAmt |
| Management And General | $72,419 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,396 | TotalAmt |
| Program Services | $58,431 | ProgramServicesAmt |
| Management And General | $154,965 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,843 | TotalAmt |
| Management And General | $92,843 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,169 | TotalAmt |
| Management And General | $3,169 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,314,388 | TotalAmt |
| Program Services | $20,710,288 | ProgramServicesAmt |
| Management And General | $604,100 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $467,314 | TotalAmt |
| Program Services | $467,314 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,654,784 | TotalAmt |
| Program Services | $2,243,081 | ProgramServicesAmt |
| Management And General | $411,703 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,547 | TotalAmt |
| Program Services | $170,547 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,776,853 | TotalAmt |
| Program Services | $1,645,154 | ProgramServicesAmt |
| Management And General | $131,699 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $539,224 | TotalAmt |
| Program Services | $399,535 | ProgramServicesAmt |
| Management And General | $139,689 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,616,262 | TotalAmt |
| Management And General | $1,616,262 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,629,462 | TotalAmt |
| Program Services | $3,891,930 | ProgramServicesAmt |
| Management And General | $2,737,532 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $236,021 | TotalAmt |
| Program Services | $2,615 | ProgramServicesAmt |
| Management And General | $233,406 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $10,961,817 | $10,948,661 | $13,156 |
| DRUGS | $10,131,987 | $10,131,987 | |
| PROVISION FOR DOUBTFUL | $2,633,384 | $2,633,384 | |
| REPAIRS & MAINTENANCE | $2,266,982 | $2,260,579 | $6,403 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,635,829 | TotalAmt |
| Program Services | $3,812,652 | ProgramServicesAmt |
| Management And General | $1,823,177 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,617,881 | TotalAmt |
| Program Services | $120,181,536 | ProgramServicesAmt |
| Management And General | $9,436,345 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,198,804 | BOYAmt |
| EOY | $28,920,523 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,361 | BOYAmt |
| EOY | $52,031 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,765,810 | BOYAmt |
| EOY | $21,333,466 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,303,500 | BOYAmt |
| EOY | $10,303,500 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,803,843 | BOYAmt |
| EOY | $3,105,934 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,879,659 | BOYAmt |
| EOY | $2,505,939 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $127,157,999 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $75,605,147 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,955,030 | BOYAmt |
| EOY | $51,552,852 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,448,837 | BOYAmt |
| EOY | $2,649,874 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,528 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,663,372 | BOYAmt |
| EOY | $120,424,119 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,820,133 | BOYAmt |
| EOY | $11,338,457 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,435 | BOYAmt |
| EOY | $26,511 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,400,000 | BOYAmt |
| EOY | $14,400,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,604,011 | BOYAmt |
| EOY | $44,923,725 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,838,579 | BOYAmt |
| EOY | $70,688,693 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,824,793 | BOYAmt |
| EOY | $49,735,426 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,824,793 | BOYAmt |
| EOY | $49,735,426 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,663,372 | BOYAmt |
| EOY | $120,424,119 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,910,633 | ReconcilationRevenueExpnssAmt |
| 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 |
| Other Activities | $3,169 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,169 | 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 | CUYUNA REGIONAL MEDICAL CENTER PAY DUES TO CERTAIN ORGANIZATIONS RELATED TO THE INDUSTRY WHICH HAVE LOBBYING EXPENSES. THE AMOUNT LISTED IS THE PERCENTAGE OF THE DUES PAID THAT WERE USED FOR LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $313,640 | OtherCostOrOtherBasisAmt |
| Book Value | $313,640 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $56,685,454 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,623,658 | DepreciationAmt |
| Book Value | $28,061,796 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $58,554,678 | OtherCostOrOtherBasisAmt |
| Depreciation | $45,249,441 | DepreciationAmt |
| Book Value | $13,305,237 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,604,227 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,732,048 | DepreciationAmt |
| Book Value | $9,872,179 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $51,552,852 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO CUYUNA RANGE HOSPITAL DISTRICT | $43,125,493 |
| DUE TO AFFILIATE | $371,094 |
| THIRD PARTY PAYOR SETTLEMENTS | $1,427,138 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $44,923,725 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $129,026,049 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $1,888,320 | OtherRevenueAmt |
| Revenue Not Reported | $1,888,320 | RevenueNotReportedAmt |
| Revenue Subtotal | $127,137,729 | RevenueSubtotalAmt |
| Other Revenues Not Included | $5,390,785 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $5,390,785 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $132,528,514 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $125,749,171 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $890,699 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $890,699 | ExpensesNotReportedAmt |
| Expenses Subtotal | $124,858,472 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $4,759,409 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $4,759,409 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $129,617,881 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE HOSPITAL IS A CUSTODIAN OF FUNDS FOR RESIDENTS. THE HOSPITAL HOLDS THESE FUNDS FOR PURCHASES MADE BY THE RESIDENTS. |
| PART X, LINE 2: | THE CENTER IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. NONPROFIT ORGANIZATIONS MAY BECOME SUBJECT TO INCOME TAXES IF QUALIFICATION AS A TAX-EXEMPT ENTITY CHANGES, IF UNRELATED BUSINESS INCOME IS GENERATED AND IN CERTAIN OTHER INSTANCES. NONPROFIT ORGANIZATIONS ARE REQUIRED TO ASSESS THE CERTAINTY OF THEIR TAX POSITIONS RELATED TO THESE MATTERS AND, IN SOME CASES, RECORD LIABILITIES FOR POTENTIAL TAXES, INTEREST AND PENALTIES ACCOMPANIED BY FOOTNOTE DISCLOSURES. THE CENTER HAS NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE THE ACCRUAL OF AN INCOME TAX PROVISION. GENERALLY, THE CENTER IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL OR STATE TAX AUTHORITIES FOR YEARS BEFORE 2016. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | MINNESOTA RADIOLOGY INSTITUTE REVENUE 1,888,320. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR UNCOLLECTIBLE ACCOUNTS 2,633,384. ELIMINATIONS RELATED TO MINNESOTA RADIOLOGY INSTITUTE 2,757,401. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | MINNESOTA RADIOLOGY INSTITUTE EXPENSES 890,699. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR UNCOLLECTIBLE ACCOUNTS 2,633,384. ELIMINATIONS RELATED TO MINNESOTA RADIOLOGY INSTITUTE 2,126,025. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 175.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,780,332 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,780,332 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02190 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,211,935 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,813,589 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,398,346 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07400 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,992,267 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,813,589 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,178,678 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09590 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 2955 | PersonsServedCnt |
| Total Community Benefit Expns | $234,154 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $234,154 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 252 | PersonsServedCnt |
| Total Community Benefit Expns | $119,768 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $119,768 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 22 | ActivitiesOrProgramsCnt |
| Persons Served | 3207 | PersonsServedCnt |
| Total Community Benefit Expns | $353,922 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $353,922 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 22 | ActivitiesOrProgramsCnt |
| Persons Served | 3207 | PersonsServedCnt |
| Total Community Benefit Expns | $24,346,189 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,813,589 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,532,600 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09860 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $14,945 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,945 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 800 | PersonsServedCnt |
| Total Community Benefit Expns | $34,935 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $34,935 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 2582 | PersonsServedCnt |
| Total Community Benefit Expns | $3,059 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,059 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 3382 | PersonsServedCnt |
| Total Community Benefit Expns | $52,939 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $52,939 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,633,384 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $42,759,359 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $45,362,858 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,603,499 | 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 | CUYUNA REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 EAST MAIN STREET | AddressLine1Txt |
| City | CROSBY | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56441 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 385516 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| 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 | CUYUNA REGIONAL MEDICAL CENTER | 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 | 17 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, PAGE 8 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, PAGE 8 | 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 | 175.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 | HTTPS://CUYUNAMED.ORG/PATIENT-INFORMATION | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://CUYUNAMED.ORG/PATIENT-INFORMATION | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://CUYUNAMED.ORG/PATIENT-INFORMATION | 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 Translated | Yes (X) | FAPTranslatedInd |
| 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 (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CUYUNA REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 5: CRMC USED DATA COLLECTED FROM A COMMUNITY HEALTH SURVEY CONDUCTED AT IT ANNUAL WOMEN'S WELLNESS EVENT AND ALSO USED INPUT FROM DISCUSSION AT A COMMUNITY KEY STAKEHOLDERS' FOCUS GROUP. INFORMATION FROM RESULTS OF THE 2016 CHNA DEVELOPED BY ESSENTIA HEALTH/ST. JOSEPH'S MEDICAL CENTER AS WELL AS THE 2017 CROW WING COUNTY COMMUNITY HEALTH SURVEY WAS ALSO UTILIZED. DATA FROM CRMC'S CLINIC PATIENT RECORDS, THE U.S. CENSUS, STATE OF MINNESOTA AND AREA PUBLIC SCHOOLS WAS ALSO INCLUDED. |
| CUYUNA REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 6B: CROW WING COUNTY HEALTH DEPARTMENT |
| CUYUNA REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 11: OBESITY/OVERWEIGHT - CRMC HAS MADE HEALTHY FOODS AVAILABLE IN ITS EMPLOYEE LOUNGE AND IS PROVIDING HEALTHY OPTIONS AT ALL OF ITS COMMUNITY EVENTS AND INTERNAL MEETINGS. ROOTY THE CARROT WAS ADOPTED AS A MASCOT AND ENCOURAGED YOUTH AND ADULTS TO EAT VEGETABLES BY HANDING OUT SEEDS AT A COMMUNITY EVENT WHERE YOUTH COULD PLANT THEM AND TAKE THEM HOME. THE LOCAL FARMER'S MARKET WAS SPONSORED TOGETHER WITH A POWER OF PRODUCE PROGRAM FOR YOUTH. SEVERAL ACTIVITIES WERE PROVIDED FOR YOUTH THROUGH PARTNERSHIP WITH THE LOCAL HEALTH CLUB. EMPLOYEES WERE OFFERED REDUCED PRICE SUMMER ACTIVITY CAMPS FOR THEIR CHILDREN AND BICYCLES TO RIDE FOR FREE DURING THEIR BREAKS. LIVING WELL CLASSES THAT FOCUSED ON HEALTHY EATING AND ACTIVITY ARE PROVIDED TWICE A YEAR AT NO COST TO THE PARTICIPANTS. SUMMER YOUTH LUNCH PROGRAMS IN THE CUYUNA LAKES AND BRAINERD WERE SPONSORED TO PROVIDE HEALTHY BROWN BAG LUNCHES TO YOUTH WHO RECEIVE FREE MEALS DURING SCHOOL YEAR. FRUIT AND VEGETABLE VOUCHERS WERE DISTRIBUTED THROUGH THE SCHOOLS AND CUYUNA FOOD SHELF. DIETITIANS AND EXERCISE SPECIALISTS PROVIDED EDUCATION AT LOCAL SCHOOLS AND HEALTH FAIRS. FUN RUNS AND OUTDOOR RECREATION EVENTS WERE SPONSORED AND EMPLOYEES WERE ENCOURAGED TO PARTICIPATE. A COMMUNITY HEALTH CHALLENGE, MARCH THE MISSISSIPPI, WAS HELD TO ENCOURAGE ADULTS AND YOUTH TO BE ACTIVE.MENTAL HEALTH - CRMC HOSTED A MENTAL HEALTH FOR BUSINESS WORKSHOP. CRMC ALSO PARTNERED WITH THE UNITED WAY OF CROW WING AND CASS COUNTIES TO HELP PUBLICIZE THE AREA'S MAKE IT OKAY PROGRAM. STAFF ATTENDED FIRST AID TRAINING AND A FACILITATOR WAS BROUGHT ON CAMPUS TO TRAIN THE LEADERSHIP TEAM. THE SAVING HEARTS SUICIDE PREVENTION WALK WAS SUPPORTED BY NUMEROUS STAFF. A SERIES OF MENTAL HEALTH EDUCATIONAL PROGRAMS WERE OFFERED FOR EMPLOYEES. CRMC ALSO SUPPORTED SMILES FOR JAKE SUICIDE PREVENTION EFFORTS IN THE COMMUNITY AND ITS BEHAVIORAL HEALTH PROVIDERS WERE PRESENT AT THEIR EVENTS.ADVANCED DIRECTIVES - CRMC THROUGH A PARTNERSHIP WITH SILOS TO CIRCLES EDUCATED THE PUBLIC ON THE NEED FOR ADVANCED DIRECTIVES WITH MONTHLY INDIVIDUAL AND GROUP MEETINGS. FREE FORMS WERE MADE AVAILABLE THROUGHOUT CRMC'S FACILITY AND CLINICS AND PROVIDERS WERE ENCOURAGED TO SHARE THEM WITH PATIENTS. A MEDIA CAMPAIGN WAS ISSUED AROUND NATIONAL DECISIONS DAY TO CREATE ADDITIONAL AWARENESS. PRIORITIES NOT SELECTED:MANY OF THE OTHER HEALTH ISSUES WERE NOT SELECTED BECAUSE EFFORTS IN THE THREE SELECTED AREAS WOULD ALSO IMPACT THOSE ISSUES. FOR EXAMPLE, IF CRMC IS SUCCESSFUL IN REDUCING THE OBESITY AND OVERWEIGHT RATES, IT WILL ALSO BE ADDRESSING THE LACK OF NUTRITIOUS FOODS, NOT MEETING ACTIVITY GUIDELINES, DIABETES, HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL IN ADDRESSING MENTAL HEALTH ISSUES, CRMC WILL ALSO TACKLE SUBSTANCE ABUSE, DEPRESSION, ANXIETY, PANIC ATTACKS, AND STRESS. BY ENCOURAGING INDIVIDUALS TO HAVE AN ADVANCED DIRECTIVE IN PLACE, CRMC IS ADDRESSING THE AGING POPULATION. |
| PART V, LINE 7A, CHNA - HOSPITAL'S WEBSITE | HTTPS://WWW.CUYUNAMED.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT |
| PART V, LINE 10, IMPLEMENTATION PLAN WEBSITE: | HTTPS://WWW.CUYUNAMED.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - BAXTER CLINIC | ||||
| 13205 ISLE DRIVE | BAXTER | MN | 56425 | FREE-STANDING CLINIC |
| 2 - LONGVILLE CLINIC | ||||
| 180 JORDAN LANE | LONGVILLE | MN | 56655 | RURAL HEALTH CLINIC |
| 3 - CARE CENTER | ||||
| 320 EAST MAIN | CROSBY | MN | 56441 | SKILLED NURSING FACILITY |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | COSTS ARE CALCULATED USING FINANCIAL DATA AND THE COST TO CHARGE RATIO FROM THE AS FILED MEDICARE COST REPORT. |
| PART I, LN 7 COL(F): | BAD DEBT EXPENSE THAT WAS SUBTRACTED FROM TOTAL EXPENSE TO OBTAIN THE % OF COMMUNITY BENEFIT TO TOTAL EXPENSE AMOUNTED TO $2,633,384. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | CRMC PROMOTED THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH THE FOLLOWING COMMUNITY BUILDING PROJECTS. CRMC FINANCIALLY SUPPORTED THE BRAINERD LAKES AREA ECONOMIC DEVELOPMENT CORPORATION TO HELP FOSTER THE CREATION OF NEW JOBS, ATTRACT NEW INDUSTRY TO THE REGION AND ASSIST AREA BUSINESSES. IT ALSO SUPPORTS THE BRAINERD LAKES, CUYUNA LAKES, AND NISSWA CHAMBERS OF COMMERCE AND THEIR COMMUNITY EVENTS TO ASSIST IN BUILDING HEALTHY AND SUCCESSFUL BUSINESS COMMUNITIES. HEALTH OF THE COMMUNITY WAS IMPROVED THROUGH NUMEROUS HEALTH AND WELLNESS EDUCATIONAL CLASSES AND EVENTS AND SUPPORT GROUPS. CRMC ALSO COORDINATED A CUYUNA CHRISTMAS AND MUSIC IN THE PARK COMMUNITY EVENTS BY PROVIDING HEALTHY FOOD, OFFERING PHYSICAL ACTIVITIES, AND DISTRIBUTING FREE KNIT HATS AND T-SHIRTS TO THOSE IN NEED. FOOD WAS ALSO PROVIDED TO ECONOMICALLY INSECURE FAMILIES THROUGH THE CUYUNA LAKES LUNCH BUNCH AND BRAINERD'S OPERATION SANDWICH PROGRAMS WHERE LUNCHES ARE GIVEN TO YOUTH IN THE SUMMER WHEN SCHOOL FREE LUNCHES ARE NOT AVAILABLE. FRUIT AND VEGETABLE VOUCHERS WERE DISTRIBUTED THROUGH THE PUBLIC SCHOOLS AND CUYUNA FOOD SHELF.TO ENCOURAGE STUDENTS TO SEEK A HEALTH CARE CAREER, CRMC SUPPORTED BRIDGES ACADEMY CAREER DAY, AN EVENT WHERE AREA HIGH SCHOOL STUDENTS COME TO THE LOCAL COMMUNITY COLLEGE TO HEAR FROM PROFESSIONALS ABOUT THEIR SPECIFIC JOBS. SEVERAL FIELD TRIPS TO THE FACILITIES ARE HOSTED BY THE HOSPITAL'S VARIOUS DEPARTMENTS AND EMERGENCY MEDICAL SERVICES PROVIDED NUMEROUS DEMONSTRATIONS. CRMC ALSO SPONSORED SCRUBS CAMP WHICH ENCOURAGES YOUTH TO ENTER A MEDICAL FIELD. |
| PART III, LINE 2: | THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ONGOING ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS FOR EACH MAJOR PAYOR SOURCE CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY INSURANCE COVERAGE (INCLUDING COPAYMENT AND DEDUCTIBLE AMOUNTS FROM PATIENTS), THE CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH PRIVATE-PAY PATIENTS, THE CENTER RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS HISTORICAL EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.THE CENTER FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN PERFORMED. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS AND ARE REVISED AS NEEDED IN FUTURE PERIODS. THE CENTER HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEAR 2019. THE CENTER DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD-PARTY PAYORS. |
| PART III, LINE 3: | AT CUYUNA REGIONAL MEDICAL CENTER BAD DEBT IS CONSIDERED THE UNWILLINGNESS TO PAY, WHILE CHARITY CARE AND FREE CARE ARE INABILITY TO PAY. |
| PART III, LINE 4: | SEE FOOTNOTE 1 ON PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE COSTING METHODOLOGY USED IN DETERMINING THE MEDICARE ALLOWABLE COST REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6:THE HOSPITAL FOLLOWED MEDICARE'S PRESCRIBED METHODS OF DETERMINING COSTS PAYABLE UNDER TITLE XVIII (MEDICARE) IN COMPLETING ITS ANNUAL MEDICARE COST REPORT (COST REPORT) USING DATA AVAILABLE FROM THE INSTITUTION'S BASIC ACCOUNTS, AS USUALLY MAINTAINED, TO ARRIVE AT EQUITABLE AND PROPER PAYMENT FOR SERVICES. THE COST REPORT WAS COMPLETED USING THE HOSPITAL'S TRIAL BALANCE OF EXPENSES, AS WELL AS OTHER STATISTICAL AND FINANCIAL RECORDS MAINTAINED BY THE HOSPITAL. AS REQUIRED BY MEDICARE REGULATIONS, CERTAIN RECLASSIFICATIONS AND ADJUSTMENTS TO COSTS WERE INCLUDED IN THE COST REPORT TO DETERMINE MEDICARE ALLOWABLE COSTS.AFTER MEDICARE ALLOWABLE COSTS ARE DETERMINED, THE COST REPORT PROVIDES FOR THE STEP DOWN METHOD OF COST FINDING. THIS METHOD PROVIDES FOR ALLOCATING THE COST OF SERVICES RENDERED BY EACH GENERAL SERVICE COST CENTER TO OTHER COST CENTERS, WHICH UTILIZE THE SERVICES. ONCE THE COSTS OF A GENERAL SERVICE COST CENTER HAVE BEEN ALLOCATED, THAT COST CENTER IS CONSIDERED CLOSED. ONCE CLOSED, IT DOES NOT RECEIVE ANY OF THE COSTS SUBSEQUENTLY ALLOCATED FROM THE REMAINING GENERAL SERVICE COST CENTERS. AFTER ALL COSTS OF THE GENERAL SERVICE COST CENTERS HAVE BEEN ALLOCATED TO THE REMAINING COST CENTERS, THE TOTAL COSTS OF THESE REMAINING COST CENTERS ARE FURTHER DISTRIBUTED TO THE DEPARTMENTAL CLASSIFICATION TO WHICH THEY PERTAIN, E.G., HOSPITAL GENERAL INPATIENT ROUTINE, SUBPROVIDER, ANCILLARY, ETC.AFTER THE STEP-DOWN PROCESS, THE COST REPORT PROVIDES FOR THE APPORTIONMENT OF COSTS TO THE MEDICARE PROGRAM BASED ON A NUMBER OF DIFFERENT METHODOLOGIES INCLUDING PER PATIENT DAY, PER VISIT, AND PERCENTAGE OF CHARGES, AS MOST PREVALENT. MEDICARE COSTS AS DETERMINED BY THE COST REPORT METHODOLOGIES DESCRIBED PREVIOUSLY WERE UTILIZED TO COMPLETE THE APPLICABLE MEDICARE ALLOWABLE COSTS OF CARE FOR SCHEDULE H (FORM 990) PART III SECTION B LINE 6. |
| PART III, LINE 9B: | IT IS OUR GOAL TO PROVIDE AFFORDABLE HEALTHCARE SERVICES TO ALL PATIENTS REGARDLESS OF THE ABILITY TO PAY AND ASSIST UNINSURED OR UNDERINSURED PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE.WE ALLOW PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE TO PAY WHAT THEY ARE WILLING AND ABLE TO PAY BUT WE DO NOT REQUEST PAYMENT. PATIENT ASSISTANCE IS NOT CONSIDERED TO BE A SUBSTITUTE FOR PERSONAL RESPONSIBILITY. PATIENTS MUST COOPERATE WITH CRMC PROCEDURES FOR OBTAINING FINANCIAL ASSISTANCE. PATIENTS ARE EXPECTED TO CONTRIBUTE TO THE COST OF THEIR CARE BASED ON THEIR ABILITY TO PAY. INDIVIDUALS WITH THE FINANCIAL MEANS TO PURCHASE HEALTH INSURANCE SHALL BE URGED TO DO SO. THIS ASSURES ACCESS TO HEALTH CARE SERVICES AND PROTECTS THEIR ASSETS.CUYUNA REGIONAL MEDICAL CENTER'S PAYMENT AND COLLECTION POLICY STATES:PURPOSE: CRMC HAS ESTABLISHED A STRONG MISSION OF MEETING THE MEDICAL NEEDS OF THE COMMUNITIES IT SERVES. A SOUND PAYMENT AND COLLECTION POLICY IS A FUNDAMENTAL COMPONENT OF THIS MISSION. CRMC WILL MAINTAIN A POLICY OF COMMUNICATING FINANCIAL RESPONSIBILITY TO OUR PATIENTS WITH THE EXPECTATION OF PAYMENT AT TIME OF SERVICE. CRMC WILL ASSIST PATIENTS IN ALIGNING THEM WITH RESOURCES NEEDED TO FACILITATE THE PROMPT PAYMENT OF ANY PATIENT BALANCE. THE POLICY WILL KEEP IN MIND THE PATIENT'S UNIQUE FINANCIAL SITUATION AND PRESERVE THE DIGNITY OF THOSE INVOLVED.RESPONSIBILITY: CFO, DIRECTOR OF FINANCE AND DESIGNATED PERSONNEL ARE RESPONSIBLE FOR THE CREATION, REVISION AND ENFORCEMENT OF THIS POLICY.DEFINITIONS: 1. PATIENT FINANCING OPTIONS: CUYUNA REGIONAL MEDICAL CENTER WILL PROVIDE THE FOLLOWING PAYMENT OPTIONS:A. CASH PAYMENTSI. THE EXPECTATION OF CRMC IS SELF PAY BALANCES WILL BE PAID ON DATE OF SERVICE OR PRIOR TO SERVICE. INQUIRIES INTO PROCEDURE COSTS AND PAYMENT ARRANGEMENTS ARE DIRECTED TO THE DIRECTOR OF FINANCE OR REPRESENTATIVE. SELF PAY BALANCES SHOULD BE PAID WITHIN 15 DAYS OF RECEIPT OF FIRST STATEMENT.B. CREDIT CARDSI. CRMC WILL ACCEPT CREDIT CARD PAYMENTS FOR PATIENT'S SELF-PAY PORTION OF BALANCES. MOST MAJOR CREDIT CARDS ARE ACCEPTED.C. MEDICAID ELIGIBILITY & OTHER FUNDING SOURCESI. THE BUSINESS OFFICE OF CRMC WORKS CLOSELY WITH THE STATE MEDICAID ELIGIBILITY PROGRAM TO ENSURE PATIENTS HAVE ACCESS TO AVAILABLE PROGRAMS. NON-INSURED PATIENTS ARE REFERRED TO THE STATE MEDICAID PROGRAM FOR A PROBABILITY OF ELIGIBILITY ASSESSMENT. APPLICATIONS ARE AVAILABLE FROM THE BUSINESS OFFICE. SERVICE ITEMIZATIONS ARE AVAILABLE UPON REQUEST FOR SUBMISSION TO FLEX ACCOUNTS OR HSA'S.D. UNCOMPENSATED CAREI. APPLICATIONS ARE AVAILABLE FROM THE BUSINESS OFFICE. DOCUMENTATION OF INCOME AND MEDICAID ELIGIBILITY MAY BE REQUIRED. FEDERAL POVERTY GUIDELINES MAY BE UTILIZED IN DETERMINING UNCOMPENSATED CARE REDUCTIONS.2. SELF PAY DISCOUNTS: A. CRMC IN COOPERATION WITH THE MN ATTORNEY GENERAL AGREEMENT HAS AGREED TO INITIATE A DISCOUNT EQUAL TO ITS LARGEST COMMERCIAL PAYER TO ANY PATIENT WITHOUT HEALTH INSURANCE. A PAYMENT IN FULL DISCOUNT MAY BE OFFERED TO PATIENTS WITH A SELF-PAY ACCOUNT BALANCE ABOVE $500 WHEN PAID WITHIN THE FIRST BILLING CYCLE. SERVICES EXCLUDED FROM THESE DISCOUNTS MAY INCLUDE: LONG TERM CARE, HOME CARE SPEND DOWNS, ASSISTED LIVING SERVICES, LIFE LINE, AND OTHER CONTRACTED ANCILLARY SERVICES. 3. COLLECTION OF CO-PAYS, DEDUCTIBLES AND CO-INSURANCE:A. COLLECTION OF CO-PAYS, DEDUCTIBLES, AND CO-INSURANCE MAY BE COLLECTED FROM PATIENTS AT THE TIME OF SERVICE OR PRIOR TO SERVICE WHEN THE BENEFIT LEVELS HAVE BEEN VERIFIED. 4. PAYMENT CONTRACTS:A. PATIENTS THAT CANNOT PAY THEIR BALANCE IN FULL MAY ESTABLISH A PAYMENT CONTRACT. CRMC PROMOTES ACHIEVING PATIENT BALANCES AT ZERO WITHIN 6 MONTHS FROM DATE OF SERVICE. IN THE EVENT THAT EXTENDED ARRANGEMENTS NEED TO BE MADE, CONSULTATION WITH THE DIRECTOR OF FINANCE OR REPRESENTATIVE WILL BE REQUIRED. CRMC WILL ESTABLISH REASONABLE PAYMENT ARRANGEMENTS BUT NO LESS THAN A MINIMAL PAYMENT OF 4% OF PATIENT'S BALANCE OR $20 PER MONTH WHICHEVER IS GREATER FOR A MAXIMUM PAYMENT CONTRACT OF 24 MONTHS PER ACCOUNT BALANCE. CRMC WILL NOT PROMOTE CONSOLIDATING ACCOUNTS AND WILL WORK WITH PATIENTS TO ENSURE UNDERSTANDING OF ACCOUNTS BALANCES DUE.5. BILLING CONCERNS:A. OUR BUSINESS OFFICE IS OPEN MONDAY THROUGH FRIDAY FROM 7:30 AM UNTIL 4:30 PM TO ANSWER ANY BILLING QUESTIONS. PLEASE HAVE YOUR ACCOUNT NUMBER AVAILABLE WHEN REQUESTING ACCOUNT INFORMATION.6. ESTIMATES:A. PROCEDURE ESTIMATES MAY BE OBTAINED BY CONTACTING THE DIRECTOR OF MANAGED CONTRACTS.POLICY STATEMENT: CUYUNA REGIONAL MEDICAL CENTER'S (CRMC) PAYMENT AND COLLECTION POLICY IS THAT PAYMENT IS DUE WHEN SERVICES ARE RENDERED. HOWEVER, AS A COURTESY, CRMC WILL SUBMIT THIRD PARTY CLAIMS FOR OUR PATIENTS. ANY SELF-PAY PORTION IS DUE AT THE TIME OF SERVICE UNLESS PRIOR ARRANGEMENTS HAVE BEEN MADE WITH THE BUSINESS OFFICE. FOR THE PURPOSES OF THIS POLICY, SELF-PAY PORTION IS DEFINED AS CO-PAYMENTS, DEDUCTIBLES, AND NON COVERED SERVICES (IF KNOWN AT THE TIME OF SERVICE.) SELF-PAY PORTION ALSO REFERS TO AMOUNTS OWED BY INDIVIDUALS WITHOUT INSURANCE. |
| PART VI, LINE 2: | NEEDS ASSESSMENT:AS A HOSPITAL, CUYUNA REGIONAL MEDICAL CENTER IS CONSTANTLY ASSESSING THE HEALTH OF THE COMMUNITY. A LARGE PART OF ASSESSING THE COMMUNITY'S NEEDS IS A NEWLY-IMPLEMENTED ANNUAL WELLNESS PROCESS. THE GOAL OF CUYUNA REGIONAL MEDICAL CENTER IS TO REDUCE HEALTH RISKS AND PROMOTE OVERALL WELLNESS AMONG EMPLOYEE GROUPS AND INDIVIDUALS IN THE CUYUNA LAKES AND ITS SURROUNDING COMMUNITIES. CRMC EMPHASIZES PREVENTION, SELF-RESPONSIBILITY, SELF-EMPOWERMENT, AND AWARENESS. WE ALSO OFFER CLASSES, SUPPORT GROUPS AND COMMUNITY EVENTS DESIGNED TO EMPOWER INDIVIDUALS WHO WANT TO TAKE AN ACTIVE ROLE IN THEIR OWN HEALTH CARE TO MAKE POSITIVE, HEALTHY, AND LONG-LASTING LIFESTYLE CHANGES. FOR ADDITIONAL INFORMATION ABOUT CRMC'S WELLNESS PROGRAM VISIT THE WEBSITE AT: HTTPS://WWW.CUYUNAMED.ORG/WELLNESS. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:WE PROVIDE A COURTESY PHONE CALL AFTER THE FIRST STATEMENT. AT THAT TIME THE FINANCIAL ASSISTANCE POLICY IS DISCUSSED. WE ALSO HAVE FINANCIAL ADVISORS AVAILABLE DURING NORMAL BUSINESS HOURS IN THE FACILITY. WE ALSO MAIL OUT THE FINANCIAL ASSISTANCE POLICY AND APPLICATION PRIOR TO SENDING A PATIENT TO COLLECTIONS. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE AVAILABLE THROUGHOUT OUR FACILITIES AND ONLINE AT: HTTPS://WWW.CUYUNAMED.ORG/PATIENT-INFORMATION. |
| PART VI, LINE 4: | COMMUNITY INFORMATION:A COMMUNITY-BUILT FACILITY, CUYUNA REGIONAL MEDICAL CENTER SERVES APPROXIMATELY 30,000 PEOPLE IN THE BRAINERD LAKES, AN AREA KNOWN AS MINNESOTA'S VACATION DESTINATION BECAUSE OF ITS BEAUTIFUL LAKES AND WOODLANDS OFFERING A VARIETY OF OUTDOOR RECREATION OPPORTUNITIES. WITH AN AVERAGE DAILY CENSUS OF 18 PATIENTS, CRMC SERVES APPROXIMATELY 1,600 INPATIENTS AND 185,000 OUTPATIENTS ANNUALLY AND HAS NEARLY 10,000 ER VISITS AND ABOUT 200 BIRTHS. THE MAJORITY OF CRMC'S PATIENTS, 65 PERCENT, RESIDE IN BRAINERD, BAXTER, LONGVILLE, AITKIN, ONAMIA AND THEIR SURROUNDING AREAS. ANOTHER 35 PERCENT OF ITS PATIENTS LIVE IN THE HOSPITAL DISTRICT OF BAY LAKE, CROSBY, CUYUNA, DEAN LAKE, DEERFIELD, DEERWOOD, EMILY, FAIRFIELD, FIFTY LAKES, LITTLE PINE, RABBIT LAKE, RIVERTON, TROMMALD, AND WOLFORD. |
| PART VI, LINE 5: | PROMOTION OF COMMUNITY HEALTH:CRMC FURTHERS ITS MISSION BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH PROGRAMS AND ACTIVITIES THAT FOSTER HEALTH, HEALING AND WELLNESS. CRMC KNOWS THAT MUCH OF WHAT INFLUENCES HEALTH HAPPENS OUTSIDE OF THE HOSPITAL OR DOCTOR'S OFFICE IN OUR SCHOOLS, WORKPLACES AND NEIGHBORHOODS. JUST AS ITS CARE TEAMS DEVOTE THEMSELVES TO MEETING THE NEEDS OF PATIENTS, CRMC IS DRIVEN TO ADDRESS ITS SPECIFIC COMMUNITY HEALTH NEEDS WITH WELLNESS SCREENINGS, HEALTH EDUCATION, HEALTH FAIRS AND OTHER COMMUNITY OUTREACH. CRMC PRO-ACTIVELY RECRUITS THE PHYSICIANS AND SPECIALISTS NEEDED TO MEET THE COMMUNITY'S HEALTHCARE NEEDS AND WORKS HARD TO RETAIN ITS MEDICAL STAFF. CRMC STRIVES TO KNOW WHAT KIND OF PHYSICIANS ARE GOING TO BE NEEDED AND THEN PLANS AND ALLOCATES RESOURCES ACCORDINGLY. THE ORGANIZATION ALSO ASSESSES THE DEMOGRAPHICS AND PRACTICE PATTERNS OF CURRENT STAFF TO SHOW POTENTIAL RECRUITING CANDIDATES THAT THERE IS A NEED FOR THEIR SERVICES. CRMC IS GOVERNED BY A NINE-MEMBER, NON-PROFIT BOARD OF DIRECTORS CONSISTING OF FOUR LEADERS WHO LIVE IN AREAS GEOGRAPHICALLY REPRESENTATIVE OF CRMC'S SERVICE AREA, TWO DISTRICT BOARD MEMBERS, TWO MEDICAL STAFF AND THE CEO. THE BOARD'S PRIMARY RESPONSIBILITY IS TO ASSURE THE SERVICES PROVIDED BY CRMC MEET COMMUNITY STANDARDS, PROMOTE PATIENT SAFETY AND ENSURE THE HOSPITAL IS PROVIDING THE HIGHEST QUALITY OF HEALTH CARE SERVICES TO THE COMMUNITIES CRMC SERVES. CRMC ALSO HAS AN 18-MEMBER GOVERNING BOARD ELECTED BY RESIDENTS OF ITS COMMUNITIES. MEMBERS OF THIS GROUP ASSURE THAT PAYMENT ON THE OUTSTANDING DEBT AND OTHER OBLIGATIONS OF CRMC ARE SATISFIED. CRMC INVESTS APPROXIMATELY $3 MILLION PER YEAR IN CAPITAL IMPROVEMENTS TO ENSURE ITS STAFF CAN CONTINUE TO PROVIDE COMPASSIONATE, PATIENT-CENTERED CARE UTILIZING THE MOST ADVANCED TREATMENTS AND TECHNOLOGIES AVAILABLE. |
| PART VI, LINE 6: | AFFILIATED HEALTH CARE SYSTEM:N/A |
| PART VI, LINE 7, REPORTS FILED WITH STATES | MN |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KYLE BAUER | ||||||||||||||
| CEO | $391,206 | $0 | $0 | $0 | $180 | $0 | $13,750 | $0 | $29,721 | $0 | $434,857 | $0 | $0 | $0 |
| AMY HART | ||||||||||||||
| COO | $245,987 | $0 | $0 | $0 | $516 | $0 | $13,231 | $0 | $20,019 | $0 | $279,753 | $0 | $0 | $0 |
| KATIE BERG | ||||||||||||||
| CFO | $188,180 | $0 | $0 | $0 | $108 | $0 | $9,935 | $0 | $4,709 | $0 | $202,932 | $0 | $0 | $0 |
| JOSHUA HOROWITZ | ||||||||||||||
| PHYSICIAN | $921,741 | $0 | $0 | $0 | $108 | $0 | $13,750 | $0 | $15,140 | $0 | $950,739 | $0 | $0 | $0 |
| FAWN ATCHISON | ||||||||||||||
| ANESTHESIOLOGIST | $652,660 | $0 | $0 | $0 | $180 | $0 | $13,750 | $0 | $15,040 | $0 | $681,630 | $0 | $0 | $0 |
| THOMAS LORENZ | ||||||||||||||
| PHYSICIAN | $434,056 | $0 | $0 | $0 | $1,524 | $0 | $13,750 | $0 | $22,643 | $0 | $471,973 | $0 | $0 | $0 |
| LEAH KIPPES | ||||||||||||||
| ANESTHESIOLOGIST | $565,103 | $0 | $0 | $0 | $120 | $0 | $13,750 | $0 | $30,198 | $0 | $609,171 | $0 | $0 | $0 |
| RAJESH BHARGAVA | ||||||||||||||
| HOSPITALIST | $495,918 | $0 | $0 | $0 | $792 | $0 | $13,750 | $0 | $33,392 | $0 | $543,852 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| CARLA CARLSON | |||
| SISTER-IN-LAW OF ANDREA BEDARD, DIRECTOR | $35,868 | EMPLOYMENT | 0 |
| CHRIS CARLSON | |||
| BROTHER TO ANDREA BEDARD, DIRECTOR | $31,534 | EMPLOYMENT | 0 |
| JODI BEDARD | |||
| DAUGHTER-IN-LAW OF ANDREA BEDARD, DIRECTOR | $51,310 | EMPLOYMENT | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE CFO AND CEO WILL REVIEW THE FINAL 990 PRIOR TO ITS FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY ALL EMPLOYEES COMPLETE A CONFLICT OF INTEREST FORM. IT'S REVIEWED BY OUR HUMAN RESOURCES, AND ANY CONCERNS ARE BROUGHT TO THE COMPLIANCE OFFICERS AND THE SENIOR LEADERSHIP TEAM. 1. DUTY TO DISCLOSE: IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. 2. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS: AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS BY MAJORITY VOTE. 3. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST: A. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. B. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. C. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. D. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY UNANIMOUS VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. 4. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY: A. IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. B. IF, AFTER HEARING THE MEMBER'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. RECORDS OF PRECEDINGS: THE MINUTES OF THE GOVERNING BOARD AND ALL COMMITTEES WITH BOARD DELEGATED POWERS SHALL CONTAIN: 1. THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE GOVERNING BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED. 2. THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION WITH THE PROCEEDINGS. COMPENSATION: 1. A VOTING MEMBER OF THE GOVERNING BOARD WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM THE ORGANIZATION FOR SERVICES IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT MEMBER'S COMPENSATION. 2. A VOTING MEMBER OF ANY COMMITTEE WHOSE JURISDICTION INCLUDES COMPENSATION MATTERS AND WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM THE ORGANIZATION FOR SERVICES IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT MEMBER'S COMPENSATION. 3. NO VOTING MEMBER OF THE GOVERNING BOARD OR ANY COMMITTEE WHOSE JURISDICTION INCLUDES COMPENSATION MATTERS AND WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM THE ORGANIZATION, EITHER INDIVIDUALLY OR COLLECTIVELY, IS PROHIBITED FROM PROVIDING INFORMATION TO ANY COMMITTEE REGARDING COMPENSATION. ANNUAL STATEMENTS: EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: 1. HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, 2. HAS READ AND UNDERSTANDS THE POLICY, 3. HAS AGREED TO COMPLY WITH THE POLICY. PERIODIC REVIEWS: TO ENSURE THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH PUBLIC HOSPITAL DISTRICT REQUIREMENTS, PERIODIC REVIEWS SHALL BE CONDUCTED. THE PERIODIC REVIEWS SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: 1. WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION AND THE RESULT OF ARM'S LENGTH BARGAINING. 2. WHETHER PARTNERSHIPS, JOINT VENTURES AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS CONFORM TO THE ORGANIZATION'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENTS FOR GOODS AND SERVICES, FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION. |
| FORM 990, PART VI, SECTION B, LINE 15A | A COMMITTEE MADE UP OF INDEPENDENT BOARD MEMEBERS REVIEWED COMPENSATION AND MARKET DATA TO DETERMINE COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND THE FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 13,421,881. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,421,881. OTHER FEES: PROGRAM SERVICE EXPENSES 888,239. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 888,239. OTHER FEES FOR SERVICES (NON-EMPLOYEES): PROGRAM SERVICE EXPENSES 6,400,168. MANAGEMENT AND GENERAL EXPENSES 604,100. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,004,268. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| LONGVILLE DEVELOPMENT LLC | |||||||||
| 320 EAST MAIN STREET | CROSBY | MN | 56441 | 411724637 | LEASE REVENUE | MN | $233,239 | $11,555,168 | CUYUNA REGIONAL MEDICAL CENTER |
| CUYUNA LAKES PHARMACY LLC | |||||||||
| 320 EAST MAIN STREET | CROSBY | MN | 56441 | 411999938 | RETAIL PHARMACY | MN | $1,706,926 | $403,909 | CUYUNA REGIONAL MEDICAL CENTER |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MINNESOTA RADIOLOGY INSTITUTE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 EAST MAIN STREET | AddressLine1Txt |
| City | CROSBY | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56441 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203803271 | EIN |
| Primary Activities | RADIOLOGY SERVICE CENTER | PrimaryActivitiesTxt |
| Legal Domicile State | MN | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CUYUNA REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $629,373 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $280,924 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.63250 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | 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 |
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