2026-01-29T10:13:12-06:00 2024-03-31 420714325 RSM US LLP 227 WEST FIRST STREET SUITE 700 DULUTH MN 55802 990 2023-04-01 411724637 CUYUNA REGIONAL MEDICAL CENTER CUYU 2185467000 320 EAST MAIN STREET CROSBY MN 56441 KATIE BERG CFO 2185467000 2026-01-28 1 1 JULIE BOYER P01278549 2187275025 2026-01-28 2023 2025-03-06 01:10:19Z X AMY HART 320 EAST MAIN STREET CROSBY MN 56441 201863010 0 X WWW.CUYUNAMED.ORG X 1992 MN ACCOMMODATING YOU WITH CARE AND COMPASSION BY DEDICATING OURSELVES TO YOU EVERY DAY. 9 6 1408 15 0 0 345419 516663 190392674 200461396 224642 158527 586668 726424 191549403 201863010 122784 473452 0 0 87551716 93792865 0 0 0 104779719 115419927 192454219 209686244 -904816 -7823234 129107679 113824434 88329031 80929409 40778648 32895025 X ACCOMMODATING YOU WITH CARE AND COMPASSION BY DEDICATING OURSELVES TO YOU EVERY DAY. 0 0 197921582 473452 200549109 CRMC MAKES SIGNIFICANT EFFORTS TO ENSURE CHARITY CARE IS GRANTED TO ALL PATIENTS WHO QUALIFY. IN FY24 A TOTAL OF $563,353 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. THE CUYUNA LAKES AREA HAS A HIGH NEED FOR SEVERAL HEALTHCARE SERVICES THAT DO NOT GENERATE ENOUGH REVENUE TO COVER THE COST OF PROVIDING THEM. CRMC SUBSIDIZED A TOTAL OF $2,687,115 IN SERVICES IN FY24 TO ENSURE THEIR AVAILABILITY TO OUR COMMUNITY.THROUGH ITS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, CRMC IDENTIFIED THREE PRIORITIES TO IMPROVE AREA RESIDENTS' HEALTH. THEY ARE TO IMPROVE THEIR HEALTH AND WELL-BEING, NUTRITION, AND ACTIVITY. THE ORGANIZATION'S HEALTH-RELATED EDUCATION FOR THE COMMUNITY THROUGH EVENTS, CLASSES, LECTURES, AND WELLNESS SCREENINGS FOCUSED ON THESE AREAS.IN FY24, CRMC SUPPORTED HEALTH AND WELLNESS THROUGH EVENTS ATTENDED BY 21,885 INDIVIDUALS, INCLUDING COMMUNITY WALKS, TRIATHLONS, BIKE RIDES, RACES, AND SENIOR EXPOS. WEEKLY WALK WITH THE DOC SESSIONS WERE HELD THROUGHOUT THE YEAR. CRMC ALSO PROVIDED ATHLETIC TRAINING SERVICES, SPORTS PHYSICALS FOR LOCAL SCHOOLS AND COLLEGES, AND AN EDUCATIONAL SEMINAR FOR ATHLETIC COACHES. STANDBY AMBULANCES AND FIRST AID BOOTHS WERE AVAILABLE AT COMMUNITY EVENTS.CRMC PARTNERED WITH SMILES FOR JAKE, A SUICIDE PREVENTION COALITION, TO ORGANIZE THE SNOW MANY SMILES EVENT. THIS FREE, FAMILY-FRIENDLY EVENT PROMOTED MENTAL HEALTH, REDUCED SOCIAL ISOLATION, AND STRENGTHENED COMMUNITY CONNECTIONS.TO ADDRESS FOOD INSECURITY, CRMC PROVIDED 4,601 FREE LUNCHES TO YOUTH THROUGH THE CUYUNA LAKES LUNCH BUNCH PROGRAM AND CONTRIBUTED FUNDS TO OPERATION SANDWICH FOR BRAINERD-AREA STUDENTS. DONATIONS OF STAPLES AND FINANCIAL ASSISTANCE WERE MADE TO LOCAL FOOD BANKS, WHILE FRESH PRODUCE TOKENS WERE DISTRIBUTED FOR USE AT THE CROSBY FARMER'S MARKET. OVER 900 FROZEN MEALS WERE DELIVERED TO SENIOR CITIZENS IN COLLABORATION WITH CATHOLIC CHARITIES, AND FOOD PACKS WERE PROVIDED TO PATIENTS IN NEED. CRMC INVESTED OVER $20,000 IN THESE EFFORTS.CRMC OFFERED YEAR-ROUND EDUCATION, INCLUDING COURSES ON FIRST AID, CPR, CHILDBIRTH, WOMEN'S HEALTH, AND WEIGHT MANAGEMENT, AS WELL AS SUPPORT GROUPS FOR MENTAL HEALTH, CANCER, GRIEF, WEIGHT LOSS, AND CAREGIVERS. MONTHLY COMMUNITY AREA CONNECTIONS LUNCH-AND-LEARN PROGRAMS FOR SENIORS WERE ALSO PROVIDED.ADDITIONAL COMMUNITY INITIATIVES INCLUDED FUNDING A MOUNTAIN BIKE TRAIL AT AN ELEMENTARY SCHOOL AND CONTRIBUTING $446,006 IN CASH AND IN-KIND DONATIONS TO LOCAL ORGANIZATIONS ADDRESSING HEALTH, SOCIAL, CULTURAL, AND EDUCATIONAL NEEDS. CRMC STAFF ALSO DONATED TIME AND LEADERSHIP TO MORE THAN 47 COMMUNITY GROUPS, INCLUDING SCHOOLS, CHAMBERS OF COMMERCE, FIRE DEPARTMENTS, AND NONPROFIT ORGANIZATIONS.THE COURAGE CABINET PROVIDED $58,900 IN FINANCIAL ASSISTANCE TO LOCAL CANCER PATIENTS FOR TREATMENT-RELATED TRAVEL AND ESSENTIAL NEEDS, SUCH AS FOOD, HOUSING, AND HEAT.THE TOTAL COMMUNITY BENEFIT IMPACT OF CRMC'S INITIATIVES IN FY24-INCLUDING HEALTH PROGRAMS, FOOD SECURITY EFFORTS, EDUCATIONAL OPPORTUNITIES, AND COMMUNITY PARTNERSHIPS-WAS VALUED AT $666,004.CRMC ALSO INVESTS APPROXIMATELY $2 MILLION PER YEAR IN CAPITAL IMPROVEMENTS SUCH AS NEW EQUIPMENT, FACILITIES, AND TECHNOLOGY INFRASTRUCTURE. 197921582 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 128 0 1 1408 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 6 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 1 1 MN X KATIE BERG 2185467000 320 EAST MAIN STREET CROSBY MN 56441 AMY HART CEO 40.00 X X 481422 0 35545 DR JOSHUA HOROWITZ DIRECTOR/PHYSICIAN 1.00 X 0 0 0 DR PAIGE HOLMGREN DIRECTOR/PHYSICIAN 1.00 X 0 0 0 JAMIE SKJEVELAND DIRECTOR UNTIL 12/19/23 1.00 X 0 0 0 JOEL STAEHLING DIRECTOR UNTIL 2/4/24 1.00 X 0 0 0 JULIE MOHS DIRECTOR 1.00 X 0 0 0 LORI BURGSTALER DIRECTOR 1.00 X 0 0 0 KENT FELTZ DIRECTOR UNTIL 8/15/23 1.00 X 0 0 0 GRETCHEN ROGERS DIRECTOR START 12/19/23 1.00 X 0 0 0 WADE LEONARD VICE CHAIR 1.00 X X 0 0 0 BART TAYLOR CHAIR 1.00 X X 0 0 0 KATIE BERG CFO 40.00 X 315554 0 19852 FAWN ATCHISON ANESTHESIOLOGIST 40.00 X 632356 0 30783 LEAH KIPPES ANESTHESIOLOGIST 40.00 X 569905 0 55935 KYLE MOORE PHYSICIAN 40.00 X 514084 0 45659 KYLE DURGIN PHYSICIAN 40.00 X 489335 0 44772 CHRISTOPHER KACZMARCZYK PHYSICIAN 40.00 X 498904 0 17537 3501560 0 250083 154 0 1 0 PREMIER SURGICAL ASSOCIATES PA 318 E MAIN STREET CROSBY MN 56441 PHYSICIAN FEES 14373293 CENTRAL LAKES PHYSICIANS PA 318 E MAIN STREET CROSBY MN 56441 PHYSICIAN FEES 5739216 MEDICAL SOLUTIONS INC PO BOX 850737 MINNEAPOLIS MN 554850737 PHYSICIAN FEES 3233421 CENTRAL MN DIAGNOSTIC INC PO BOX 158 MILACA MN 56353 RADIOLOGY SERVICES 2826894 MINNESOTA INTERVENTIONAL SPINE CONSULTAN 23080 CROSS DR DEERWOOD MN 56444 PHYSICIAN FEES 2331575 26 373757 142906 516663 PATIENT REVENUE 621110 185901165 185901165 PROFESSIONAL SERVICES 621110 8855998 8855998 OTHER OPERATING REVENUE 900099 3535581 3535581 RETAIL PHARMACY 456110 2168652 2144900 23752 200461396 158527 158527 CAFETERIA 722514 726424 726424 726424 201863010 200437644 0 908703 X 414552 414552 58900 58900 858266 858266 75386870 73916322 1470548 1897252 1897252 10462447 10462447 5188030 5051108 136922 220145 69305 150840 61509 61509 1999 1999 41899372 40914650 984722 275879 275879 2808374 2325596 482778 269079 269079 2400371 2261343 139028 376547 283832 92715 1077670 1828 1075842 9534565 6294524 3240041 524988 3072 521916 MEDICAL SUPPLIES 22592316 22588960 3356 DRUGS 15108085 15108085 IMPLICIT PRICE CONCESSI 7549003 7549003 REPAIRS & MAINTENANCE 3328592 3307591 21001 7391433 4868254 2523179 209686244 197921582 11764662 0 12625490 2718778 53134 0 32569355 29778724 5038208 5478473 3060065 2823565 159972299 104003909 59450600 55968390 3740714 4992359 364025 303354 12206088 11760791 129107679 113824434 17379376 16779206 27308048 22477972 13102 14076 43628505 41658155 88329031 80929409 X 40778648 32895025 40778648 32895025 129107679 113824434 X -7823234 -47554 -12835 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1999 1999 0 PART II-B, LINE 1: CUYUNA REGIONAL MEDICAL CENTER PAYS 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. 0 1 X 304340 304340 86837980 47340200 39497780 67923487 55266429 12657058 4906492 1397280 3509212 55968390 DUE FROM AFFILIATES 977573 RIGHT-OF-USE LEASE ASSETS 10783218 11760791 DUE TO AFFILIATE 2954847 CRM DUE TO MEDICARE 27549516 RIGHT-OF-USE LEASE LIABILITIES 11121852 FINANCE LEASE LIABILITIES 31940 41658155 X 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: CRMC 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 NOTE DISCLOSURES. CRMC HAS NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE THE ACCRUAL OF AN INCOME TAX PROVISION. GENERALLY, CRMC IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL OR STATE TAX AUTHORITIES FOR YEARS BEFORE 2021. 1 1 X 1 X 1 X 1 1 0 0 3021717 3021717 0.01490 26879136 16184519 10694617 0.05290 29900853 16184519 13716334 0.06780 16 6989 202381 202381 0.00100 446006 446006 0.00220 16 6989 648387 648387 0.00320 16 6989 30549240 16184519 14364721 0.07100 1 4305 4305 0.00000 1 13312 13312 0.00010 2 17617 17617 0.00010 1 7549003 0 31758452 32270247 -511795 X 1 1 1 1 CUYUNA REGIONAL MEDICAL CENTER 320 EAST MAIN STREET CROSBY MN 56441 410629 X X X X N/A CUYUNA REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 23 1 1 1 1 X SEE PART V, PAGE 8 X 1 23 1 SEE PART V, PAGE 8 0 1 X 200.000000000000 250.000000000000 X X X 1 1 X X X 1 X HTTPS://CUYUNAMED.ORG/PATIENT-INFORMATION/BILLING X HTTPS://CUYUNAMED.ORG/PATIENT-INFORMATION/BILLING X HTTPS://CUYUNAMED.ORG/PATIENT-INFORMATION/BILLING X X X X X X 1 X 0 X X X X 1 X 0 0 CUYUNA REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: IN COLLABORATION WITH ESSENTIA HEALTH/ST. JOSEPH MEDICAL CENTER, CUYUNA REGIONAL MEDICAL CENTER (CRMC) TOOK A PROACTIVE APPROACH TO UNDERSTAND AND ADDRESS THE HEALTHCARE NEEDS OF CROW WING COUNTY. HERE IS AN OVERVIEW OF OUR COMPREHENSIVE SURVEY INITIATIVES:1) COMMUNITY HEALTH NEEDS SURVEY (SUMMER 2021):CRMC, IN PARTNERSHIP WITH ESSENTIA HEALTH/ST. JOSEPH MEDICAL CENTER, CONDUCTED A THOROUGH SURVEY IN THE SUMMER OF 2021 TO ASSESS THE HEALTH NEEDS OF CROW WING COUNTY. THIS COLLABORATIVE EFFORT AIMED TO GATHER INSIGHTS INTO THE SPECIFIC CHALLENGES AND REQUIREMENTS OF THE COMMUNITY, LAYING THE FOUNDATION FOR TARGETED AND EFFECTIVE HEALTHCARE INITIATIVES.2) PATIENT SURVEY (FEBRUARY 2023):IN FEBRUARY 2023, CRMC CONDUCTED A SURVEY AMONG ITS PATIENTS TO OBTAIN DIRECT FEEDBACK ON THEIR HEALTHCARE EXPERIENCES. THIS INITIATIVE WAS CRUCIAL IN UNDERSTANDING THE PERSPECTIVES OF THOSE RECEIVING MEDICAL SERVICES, ALLOWING US TO IDENTIFY AREAS FOR IMPROVEMENT AND BETTER CATER TO THE NEEDS OF OUR PATIENT POPULATION.3) STAKEHOLDER SURVEY (MARCH 2023):RECOGNIZING THE IMPORTANCE OF ENGAGING WITH KEY COMMUNITY STAKEHOLDERS, CRMC CONDUCTED A SURVEY IN MARCH 2023. REPRESENTATIVES FROM VARIOUS ORGANIZATIONS, INCLUDING CROSBY-IRONTON SCHOOL DISTRICT, SMILES FOR JAKE, HALLETT COMMUNITY CENTER, POPULATION HEALTH NURSES, CENTRAL MINNESOTA COUNCIL ON AGING, NORTHLAND ARBORETUM, CROW WING COUNTY PUBLIC HEALTH, CITY OF CROSBY, YMCA, AND CROW WING COUNTY AGING SERVICES, PROVIDED VALUABLE INSIGHTS. THIS COLLABORATIVE EFFORT ENSURED A COMPREHENSIVE UNDERSTANDING OF THE DIVERSE PERSPECTIVES AND PRIORITIES WITHIN THE COMMUNITY.4) DATA COMPILATION FROM CROW WING COUNTY PUBLIC HEALTH AND LOCAL SCHOOLS:TO ENHANCE THE DEPTH OF OUR RESEARCH, CRMC GATHERED ADDITIONAL DATA FROM CROW WING COUNTY PUBLIC HEALTH AND LOCAL SCHOOLS. THIS MULTI-FACETED APPROACH ALLOWED US TO CROSS-REFERENCE INFORMATION, ENSURING A COMPREHENSIVE AND ACCURATE REPRESENTATION OF THE COMMUNITY'S HEALTH NEEDS.BY SYNTHESIZING DATA FROM DIVERSE SOURCES AND ENGAGING WITH COMMUNITY STAKEHOLDERS, CRMC IS WELL-POSITIONED TO DEVELOP AND IMPLEMENT TARGETED HEALTHCARE INITIATIVES THAT ADDRESS THE UNIQUE NEEDS OF CROW WING COUNTY. WE REMAIN COMMITTED TO FOSTERING A HEALTHIER COMMUNITY THROUGH INFORMED, COLLABORATIVE, AND PATIENT-CENTRIC APPROACHES TO HEALTHCARE. CUYUNA REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A: ESSENTIA HEALTH/ST. JOSEPH'S MEDICAL CENTER IN BRAINERD CUYUNA REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6B: CROW WING COUNTY HUMAN SERVICES, CENTRAL MINNESOTA COUNCIL ON AGING, CITY OF CROSBY, HALLETT CENTER OF CROSBY, BRAINERD YMCA, CROSBY-IRONTON SCHOOLS, CROW WING COUNTY PUBLIC HEALTH, NORTHLAND ARBORETUM, CTC, AND SMILES FOR JAKE. CUYUNA REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: MENTAL HEALTH INITIATIVES AT CUYUNA REGIONAL MEDICAL CENTER (CRMC)CUYUNA REGIONAL MEDICAL CENTER (CRMC) HAS IMPLEMENTED A COMPREHENSIVE AND PROACTIVE STRATEGY TO ADDRESS SIGNIFICANT MENTAL HEALTH NEEDS IDENTIFIED IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). CRMC'S MENTAL HEALTH INITIATIVES EMPHASIZE TREATMENT, PREVENTION, EDUCATION, AND COMMUNITY ENGAGEMENT, REFLECTING A BROAD COMMITMENT TO FOSTERING A SUPPORTIVE ENVIRONMENT FOR MENTAL WELLNESS.1. PARTNERSHIP WITH SMILES FOR JAKE:CRMC COLLABORATES WITH SMILES FOR JAKE, A SUICIDE PREVENTION INITIATIVE, PROMOTING THE S.M.I.L.E. ADVOCATE PROGRAM. THIS PROGRAM INCREASES AWARENESS OF MENTAL HEALTH RISK FACTORS, PROTECTIVE FACTORS, WARNING SIGNS, AND AVAILABLE RESOURCES. BY FOCUSING ON EDUCATION AND PEER SUPPORT, CRMC AIMS TO EQUIP COMMUNITY MEMBERS WITH TOOLS TO SUPPORT EACH OTHER EFFECTIVELY.2. COMMUNITY MENTAL HEALTH INITIATIVES:CRMC'S PARTNERSHIP WITH SMILES FOR JAKE EXTENDS TO A VARIETY OF COMMUNITY ENGAGEMENT ACTIVITIES. THESE INCLUDE THE CREATION OF A HOPE WALKING PATH AT IMMANUEL LUTHERAN CHURCH, SPONSORSHIP OF EVENTS LIKE PAINT THE TOWN BLUE FOR MENTAL HEALTH, AND ORGANIZING "SNOW MANY SMILES," A FREE HOLIDAY EVENT THAT ENCOURAGES COMMUNITY CONNECTION AND SUPPORT. CRMC PROVIDES RESOURCES, VOLUNTEERS, AND LOGISTICAL SUPPORT FOR THESE EVENTS, ENHANCING COMMUNITY RESILIENCE AND REDUCING SOCIAL ISOLATION.3. DEPRESSION SCREENING IN CLINICS:TO ADDRESS MENTAL HEALTH PROACTIVELY, CRMC SCREENS ALL CLINIC PATIENTS FOR DEPRESSION. POSITIVE SCREENINGS ARE MET WITH IMMEDIATE ASSISTANCE AND REFERRALS TO APPROPRIATE MENTAL HEALTH RESOURCES, ENSURING TIMELY INTERVENTION AND CONTINUITY OF CARE.4. PROMOTION OF MENTAL WELLBEING:CRMC PROMOTES MENTAL WELLBEING THROUGH COMMUNITY ENGAGEMENT BY SHARING POSITIVE MESSAGES, ORGANIZING SOCIAL AND CREATIVE ACTIVITIES, AND PROVIDING INTERACTIVE OUTLETS LIKE PAINTING ROCKS WITH AFFIRMATIONS. THESE ACTIVITIES ARE DESIGNED TO FOSTER POSITIVITY AND COMMUNITY SPIRIT.5. WELLNESS PROMOTION PROGRAMS:CRMC ENCOURAGES HOLISTIC WELLNESS WITH INITIATIVES SUCH AS "3 GOOD THINGS" GRATITUDE JOURNALS, RANDOM ACTS OF KINDNESS TREES, AND STRESS RELIEF ACTIVITIES. THESE PROGRAMS EMPHASIZE MENTAL HEALTH AS A CORNERSTONE OF OVERALL WELL-BEING AND HAPPINESS.NEEDS NOT ADDRESSEDWHILE CRMC'S EFFORTS COMPREHENSIVELY TARGET MENTAL HEALTH, CERTAIN NEEDS MAY REMAIN UNMET DUE TO RESOURCE LIMITATIONS OR THE NEED FOR SPECIALIZED SERVICES. FOR EXAMPLE, IF A LACK OF SPECIALIZED INPATIENT PSYCHIATRIC CARE OR CERTAIN DEMOGRAPHIC-SPECIFIC SERVICES EXISTS, THESE GAPS ARE ATTRIBUTED TO WORKFORCE AVAILABILITY. CRMC REMAINS COMMITTED TO EVALUATING THESE GAPS AND EXPLORING POTENTIAL PARTNERSHIPS OR RESOURCES TO EXPAND ITS IMPACT AS OPPORTUNITIES ARISE. THROUGH THESE INITIATIVES, CRMC IS DEDICATED TO FOSTERING A HEALTHIER, MORE SUPPORTIVE COMMUNITY WHILE CONTINUOUSLY EVALUATING AND ENHANCING ITS MENTAL HEALTH SERVICES IN RESPONSE TO EVOLVING NEEDS.SEE PART V, PAGE 8 FOR CONTINUATION. 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 PART V, SECTION B, LINE 11, CONTINUED: PROMOTING HEALTHY EATING AT CUYUNA REGIONAL MEDICAL CENTER (CRMC)CUYUNA REGIONAL MEDICAL CENTER (CRMC) HAS DEVELOPED A COMPREHENSIVE APPROACH TO ADDRESS THE SIGNIFICANT NEED FOR PROMOTING HEALTHY EATING, AS IDENTIFIED IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). BY COMBINING EDUCATION, DIRECT SUPPORT, AND STRATEGIC COMMUNITY PARTNERSHIPS, CRMC FOSTERS A HEALTHIER COMMUNITY AND SUPPORTS INDIVIDUALS IN MAKING NUTRITIOUS CHOICES.1. DIABETES EDUCATION AND SUPPORT GROUPS:CRMC OFFERS SPECIALIZED EDUCATION AND SUPPORT GROUPS FOR INDIVIDUALS MANAGING DIABETES. THESE PROGRAMS EMPHASIZE THE VITAL ROLE OF HEALTHY EATING IN MANAGING THE CONDITION, PROVIDING PARTICIPANTS WITH KNOWLEDGE AND TOOLS TO MAKE INFORMED DIETARY DECISIONS.2. SPONSORSHIP OF FARMER'S MARKET, POWER OF PRODUCE PROGRAMS AND COMMUNITY FALL HARVEST DINNER:CRMC SPONSORS THE LOCAL FARMER'S MARKET AND ITS POWER OF PRODUCE PROGRAM, WHICH ENCOURAGES YOUTH AND SENIORS TO INCREASE INCREASED THEIR CONSUMPTION OF FRESH FRUITS AND VEGETABLES. ADDITIONALLY, CRMC SUPPORTS THE COMMUNITY FALL HARVEST DINNER TO PROMOTE HEALTHY EATING BY FOSTERING COMMUNITY ENGAGEMENT AND ACCESS TO NUTRITIOUS MEALS. 3. YOUTH NUTRITION PROGRAMS - LUNCH BUNCH:TO COMBAT FOOD INSECURITY AMONG CHILDREN, CRMC ACTIVELY PARTICIPATES IN THE CUYUNA LAKES LUNCH BUNCH PROGRAM, PROVIDING 4,601 FREE LUNCHES TO LOCAL YOUTH. CRMC ALSO CONTRIBUTES FUNDS TO OPERATION SANDWICH, SUPPORTING BRAINERD AREA STUDENTS. THESE INITIATIVES ENSURE THAT CHILDREN HAVE CONSISTENT ACCESS TO NUTRITIOUS MEALS DURING TIMES WHEN SCHOOL-BASED MEAL PROGRAMS ARE UNAVAILABLE.4. SUPPORTED COMMUNITY TABLE:CRMC PROVIDES FINANCIAL SUPPORT AND VOLUNTEERS TO HELP PREPARE AND SERVE MEALS AT ST. JOSEPH'S CHURCH AS PART OF THE COMMUNITY TABLE INITIATIVE. THIS PROGRAM PROMOTES ACCESS TO NUTRITIOUS MEALS, NOURISHES COMMUNITY SPIRT AND STRENGTHENS SOCIAL CONNECTIONS. 5. SENIOR FROZEN MEAL DISTRIBUTION:IN PARTNERSHIP WITH CATHOLIC CHARITIES, CRMC COORDINATES AND DISTRIBUTES FREE FROZEN MEALS TO SENIORS IN DEERWOOD. THIS INITIATIVE IMPROVES ACCESS TO CONVENIENT, NUTRITIOUS MEALS FOR OLDER ADULTS, SUPPORTING THEIR OVERALL HEALTH AND WELL-BEING.6. CARE MANAGEMENT TEAM ADDRESSING FOOD INSECURITY:CRMC'S CARE MANAGEMENT TEAM COLLABORATES WITH HOSPITAL DEPARTMENTS AND STAFF TO STOCK LOCAL FOOD PANTRIES BUILT BY HIGH SCHOOL STUDENTS. THE TEAM ALSO DISTRIBUTES SUPER ONE GIFT CARDS AND FOOD PACKS TO PATIENTS IN NEED, PROVIDING PRACTICAL, IMMEDIATE SUPPORT TO THOSE INDIVIDUALS FACING FOOD INSECURITY. NEEDS NOT ADDRESSEDDESPITE SUBSTANTIAL PROGRESS, CERTAIN NEEDS REMAIN UNADDRESSED DUE TO LIMITED RESOURCES, FUNDING CONSTRAINTS, OR SPECIALIZED SERVICE REQUIREMENTS. EXAMPLES INCLUDE:- SPECIALIZED DIETARY SERVICES: THERE IS LIMITED ACCESS TO PERSONALIZED NUTRITION COUNSELING OR MEAL PLANNING FOR INDIVIDUALS WITH DIETARY NEEDS BEYOND DIABETES MANAGEMENT.- EXPANDED MEAL DELIVERY PROGRAMS: RESOURCE LIMITATIONS RESTRICT THE EXPANSION OF MEAL PROGRAMS TO ADDITIONAL UNDERSERVED AREAS OR POPULATIONS.CRMC REMAINS COMMITTED TO ONGOING EVALUATION AND THE PURSUIT OF ADDITIONAL RESOURCES AND PARTNERSHIPS TO FILL THESE GAPS AS OPPORTUNITIES ARISE.BY PRIORITIZING EDUCATION, DIRECT SUPPORT, AND COMMUNITY ENGAGEMENT, CRMC CONTINUES TO ENHANCE ACCESS TO HEALTHY FOOD AND FOSTER BETTER DIETARY HABITS FOR A HEALTHIER COMMUNITY.PROMOTING ACTIVE LIVING AT CUYUNA REGIONAL MEDICAL CENTER (CRMC)CUYUNA REGIONAL MEDICAL CENTER (CRMC) ACTIVELY ADDRESSES THE SIGNIFICANT NEED FOR PROMOTING ACTIVE LIVING, AS IDENTIFIED IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THROUGH DIVERSE INITIATIVES TARGETING STUDENTS, ATHLETES, AND THE BROADER COMMUNITY, CRMC FOSTERS A CULTURE OF PHYSICAL ACTIVITY AND WELL-BEING.1. C-I SCHOOLS MOUNTAIN BIKE TRAIL AND OUTDOOR CLASSROOM:CRMC PROVIDED SUBSTANTIAL FINANCIAL SUPPORT FOR THE CREATION OF A 0.5-MILE MOUNTAIN BIKE TRAIL AND OUTDOOR CLASSROOM AT CROSBY-IRONTON ELEMENTARY SCHOOL (CRES). THIS PROJECT INTRODUCES STUDENTS IN GRADES 3 THROUGH 6 TO MOUNTAIN BIKING SKILLS, OFFERING ACCESS TO A UNIQUE LOCAL RESOURCE. SINCE THE TRAILS WERE BUILT IN 2011 AROUND OLD MINING PITS TURNED LAKES, THE AREA HAS BECOME RENOWNED FOR MOUNTAIN BIKING. THIS INITIATIVE HELPS STUDENTS EXPERIENCE WHAT THEIR COMMUNITY IS KNOWN FOR WHILE PROMOTING OUTDOOR PHYSICAL ACTIVITY.2. ATHLETIC TRAINING SERVICES:CRMC ENHANCES THE HEALTH AND SAFETY OF STUDENT ATHLETES BY PROVIDING ATHLETIC TRAINING SERVICES TO CROSBY-IRONTON SCHOOL, CENTRAL LAKES COLLEGE, AND PEQUOT LAKES HIGH SCHOOL. THIS ENSURES THAT ATHLETES RECEIVE PROPER CARE, INJURY PREVENTION, AND REHABILITATION GUIDANCE, SUPPORTING SAFE SPORTS PARTICIPATION.3. SPONSORSHIP OF THE CUYUNA CRUSHER:CRMC SPONSORS THE CUYUNA CRUSHER, THE AREA'S LARGEST MOUNTAIN BIKE RACE. THIS EVENT ENCOURAGES COMMUNITY PARTICIPATION IN OUTDOOR RECREATION, SUPPORTING BOTH PHYSICAL HEALTH AND SOCIAL ENGAGEMENT.4. COMMUNITY EDUCATION CLASSES AND SEMINARS:CRMC PROVIDES EDUCATION ON ACTIVE LIVING THROUGH CLASSES SUCH AS LIVING WELL, YOUTH SPORTS COACHING, AND COACHES' SEMINARS. ACTIVITIES AT LOCAL FESTIVALS AND NEW PARTNERSHIPS, INCLUDING WITH CROSSLAKE CARES, OFFER SENIORS EDUCATION ON MAINTAINING AN ACTIVE LIFESTYLE. THESE PROGRAMS RAISE AWARENESS ABOUT THE BENEFITS OF PHYSICAL ACTIVITY AND PROVIDE PRACTICAL RESOURCES FOR STAYING ACTIVE.5. SPONSORSHIP OF LOCAL YOUTH RUN AND TRIATHLON:CRMC ACTIVELY PROMOTES PHYSICAL ACTIVITY AMONG YOUTH BY SPONSORING A LOCAL YOUTH RUN AND TRIATHLON. THESE EVENTS FOSTER LIFELONG HEALTHY HABITS BY ENGAGING CHILDREN IN RUNNING, BIKING, AND SWIMMING.NEEDS NOT ADDRESSED WHILE CRMC'S INITIATIVES PROMOTE ACTIVE LIVING BROADLY, CERTAIN GAPS REMAIN DUE TO RESOURCE LIMITATIONS OR SPECIALIZED SERVICE REQUIREMENTS, SUCH AS:- ACCESSIBLE FITNESS PROGRAMS FOR SPECIFIC POPULATIONS: PROGRAMS TAILORED TO INDIVIDUALS WITH DISABILITIES OR CHRONIC CONDITIONS MAY BE LIMITED BY AVAILABLE FUNDING OR PERSONNEL.- YEAR-ROUND INDOOR ACTIVITY SPACES: ACCESS TO INDOOR FACILITIES FOR WINTER ACTIVITY PROMOTION MAY BE RESTRICTED BY BUDGET OR PARTNERSHIPS.CRMC REMAINS COMMITTED TO CONTINUOUSLY ASSESSING AND ADDRESSING THESE NEEDS AS OPPORTUNITIES AND RESOURCES ALLOW.THROUGH A COMBINATION OF DIRECT SERVICES, COMMUNITY SUPPORT, AND EDUCATION, CRMC CONTINUES TO BUILD A HEALTHIER, MORE ACTIVE COMMUNITY THAT VALUES PHYSICAL WELLNESS AND VITALITY. 5 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 4 - BREEZY POINT CLINIC 30833 NORTH STAR DRIVE SUITE 1 BREEZY POINT MN 56472 FREE-STANDING CLINIC 5 - SUPER ONE CLINIC 22418 STATE HWY 6 SUITE 300 CROSBY MN 56441 FREE-STANDING CLINIC 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): IMPLICIT PRICE CONCESSIONS THAT WERE SUBTRACTED FROM TOTAL EXPENSE TO OBTAIN THE % OF COMMUNITY BENEFIT TO TOTAL EXPENSE AMOUNTED TO $7,549,003. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES AT CUYUNA REGIONAL MEDICAL CENTER (CRMC)CUYUNA REGIONAL MEDICAL CENTER (CRMC) IS DEEPLY COMMITTED TO FOSTERING COMMUNITY WELL-BEING THROUGH A RANGE OF COMMUNITY-BUILDING ACTIVITIES. THESE INITIATIVES ALIGN WITH CRMC'S MISSION TO PROMOTE HEALTH, ENHANCE ECONOMIC STABILITY, AND STRENGTHEN SOCIAL CONNECTIONS, ALL OF WHICH CONTRIBUTE TO IMPROVED HEALTH OUTCOMES IN THE COMMUNITIES IT SERVES.1. FINANCIAL SUPPORT FOR ECONOMIC DEVELOPMENTCRMC PROVIDED FINANCIAL ASSISTANCE TO THE CASS COUNTY ECONOMIC DEVELOPMENT CORPORATION TO SUPPORT THE LONGVILLE LAKES CLINIC. THIS INVESTMENT SUPPORTED JOB CREATION, BUSINESS GROWTH, AND ECONOMIC DIVERSIFICATION IN THE REGION. BY ENHANCING EMPLOYMENT OPPORTUNITIES AND ECONOMIC VITALITY, THIS INITIATIVE ADDRESSED SOCIAL DETERMINANTS OF HEALTH, CONTRIBUTING TO A MORE STABLE AND HEALTHIER COMMUNITY ENVIRONMENT.2. SUPPORT FOR LOCAL CHAMBERS OF COMMERCE AND COMMUNITY EVENTSCRMC ACTIVELY SUPPORTED LOCAL CHAMBERS OF COMMERCE, INCLUDING THE BRAINERD LAKES AND LONGVILLE CHAMBERS. THESE COLLABORATIONS STRENGTHENED THE LOCAL BUSINESS ENVIRONMENT, PROMOTED ECONOMIC RESILIENCE, AND FOSTERED A SENSE OF COMMUNITY CONNECTION. SUPPORTING COMMERCE AND COMMUNITY EVENTS HELPS BUILD A COHESIVE AND THRIVING COMMUNITY, WHICH IS FOUNDATIONAL TO LONG-TERM HEALTH AND WELLNESS.3. COALITION BUILDING THROUGH COMMUNITY EVENTSIN PARTNERSHIP WITH SMILES FOR JAKE, CRMC HOSTED SNOW MANY SMILES/CUYUNA CHRISTMAS, A FREE, FAMILY-ORIENTED EVENT ATTENDED BY OVER 1,100 PEOPLE. THE EVENT TRANSFORMED A COMMUNITY PARK INTO A FESTIVE WINTER CELEBRATION, DIRECTLY ADDRESSING KEY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PRIORITIES, INCLUDING PROMOTING MENTAL HEALTH, ENCOURAGING PHYSICAL ACTIVITY, AND INCREASING ACCESS TO FOOD. - MENTAL HEALTH PROMOTION: THE EVENT CREATED A JOYFUL, INCLUSIVE ENVIRONMENT THAT STRENGTHENED SOCIAL CONNECTIONS, COMBATED ISOLATION, AND FOSTERED A SENSE OF BELONGING - KEY ELEMENTS IN SUPPORTING MENTAL HEALTH. - PHYSICAL ACTIVITY: FUN, ENGAGING ACTIVITIES LIKE REINDEER RACES EMPHASIZED THE IMPORTANCE OF EXERCISE IN A SEASONAL, CREATIVE WAY. - ACCESS TO NUTRITIOUS FOOD: CRMC PROVIDED COMPLIMENTARY CHICKEN NOODLE SOUP, HOT CHOCOLATE, POPCORN, AND COOKIES, ENSURING ATTENDEES HAD ACCESS TO FOOD WHILE ENJOYING THE FESTIVITIES.ATTENDEES EXPERIENCED LIVE MUSIC, FIRE DANCERS, A PETTING ZOO, CAROLERS, AND MORE, CULMINATING IN A FIREWORKS DISPLAY. THE EVENT ENCOURAGED PARTICIPANTS TO DISCONNECT FROM DAILY STRESS AND ENJOY A SUPPORTIVE COMMUNITY ATMOSPHERE, IMPROVING MENTAL WELL-BEING AND BUILDING LASTING COMMUNITY TIES.CRMC'S COMMUNITY-BUILDING INITIATIVES DEMONSTRATE ITS PROACTIVE COMMITMENT TO ADDRESSING SOCIAL DETERMINANTS OF HEALTH BY ENHANCING ECONOMIC DEVELOPMENT, FOSTERING COMMUNITY ENGAGEMENT, AND CREATING SPACES THAT PROMOTE PHYSICAL AND MENTAL WELLNESS. THESE ACTIVITIES REINFORCE CRMC'S DEDICATION TO IMPROVING THE HEALTH AND VITALITY OF THE POPULATIONS IT SERVES. PART III, LINE 2: REVENUES GENERALLY RELATE TO CONTRACTS WITH PATIENTS IN WHICH THE PERFORMANCE OBLIGATIONS ARE TO PROVIDE HEALTH CARE SERVICES TO THE PATIENTS. REVENUES ARE RECORDED DURING THE PERIOD THE PERFORMANCE OBLIGATIONS TO PROVIDE HEALTH CARE SERVICES ARE SATISFIED. THE CENTER'S PERFORMANCE OBLIGATIONS FOR INPATIENT SERVICES ARE GENERALLY SATISFIED OVER PERIODS THAT AVERAGE APPROXIMATELY THREE DAYS AND REVENUES ARE RECOGNIZED BASED ON CHARGES INCURRED IN RELATION TO TOTAL EXPECTED CHARGES. PERFORMANCE OBLIGATIONS FOR OUTPATIENT SERVICES ARE GENERALLY SATISFIED OVER A PERIOD OF LESS THAN ONE DAY.REVENUES ARE BASED UPON THE ESTIMATED AMOUNTS THE CENTER EXPECTS TO BE ENTITLED TO RECEIVE FROM PATIENTS, INCLUDING PAYMENTS MADE BY THIRD-PARTY PAYORS ON BEHALF OF PATIENTS. ESTIMATES OF CONTRACTUAL ALLOWANCES UNDER MANAGED CARE AND COMMERCIAL INSURANCE PLANS ARE BASED UPON THE PAYMENT TERMS SPECIFIED IN THE RELATED CONTRACTUAL AGREEMENTS. REVENUES RELATED TO UNINSURED PATIENTS AND UNINSURED COPAYMENTS AND DEDUCTIBLE AMOUNTS FOR PATIENTS WHO HAVE HEALTH CARE COVERAGE MAY HAVE DISCOUNTS APPLIED (UNINSURED DISCOUNTS AND CONTRACTUAL DISCOUNTS). THE CENTER ALSO RECORDS ESTIMATED IMPLICIT PRICE CONCESSIONS (BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE) RELATED TO UNINSURED ACCOUNTS TO RECORD SELF-PAY REVENUES AT THE ESTIMATED AMOUNTS THE CENTER EXPECTS TO COLLECT.UNDER THE PROVISIONS OF FASB ASC 606, WHEN THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME, THE RIGHT IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THE CENTER HAS THE UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYORS FOR RETROACTIVE ADJUSTMENTS ARE RECEIVABLES IF THE CENTER'S RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. ESTIMATED UNCOLLECTIBLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT ACCOUNTS RECEIVABLE RATHER THAN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE CENTER DETERMINES THIS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTION EXPERIENCE WITH CERTAIN CLASSES OF PATIENTS USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR PATIENT CONTRACTS AS COLLECTIVE GROUPS RATHER THAN INDIVIDUALLY. THE CONSOLIDATED FINANCIAL STATEMENT EFFECTS OF USING THIS PRACTICAL EXPEDIENT ARE NOT MATERIALLY DIFFERENT FROM AN INDIVIDUAL CONTRACT APPROACH.IF THERE IS A SUBSEQUENT CHANGE IN ALLOWANCE FACTORS CONSIDERED, A DECLINE IN THE ECONOMIC CONDITION OF THE CENTER'S PATIENT OR THIRD-PARTY PAYER GROUPS, A CHANGE IN THE AGING OF ACCOUNTS RECEIVABLE OR CLAIMS NOT TIMELY FILED, THE ORIGINAL ESTIMATE OF NET ACCOUNTS RECEIVABLE MAY NOT BE ADEQUATE AND MAY RESULT IN ADDITIONAL ADJUSTMENTS IN THE PERIOD OF THE CHANGE IN ESTIMATE. ACCORDINGLY, THE CENTER INCURRED APPROXIMATELY $2,840,000 IN ADDITIONAL CONTRACTUAL ADJUSTMENTS THAT ARE REFLECTED IN THE 2024 NET PATIENT REVENUES RELATED TO ADVERSE DEVELOPMENT ON PRIOR-YEAR COLLECTION ESTIMATES.THE PRIMARY COLLECTIONS RISKS RELATE TO UNINSURED PATIENT ACCOUNTS, INCLUDING PATIENT ACCOUNTS FOR WHICH THE PRIMARY INSURANCE CARRIER HAS PAID THE AMOUNTS COVERED BY THE APPLICABLE AGREEMENT BUT THE PATIENT RESPONSIBILITY AMOUNTS (DEDUCTIBLES AND COPAYMENTS) REMAIN OUTSTANDING. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO AMOUNTS DUE DIRECTLY FROM PATIENTS. ESTIMATED IMPLICIT PRICE CONCESSIONS ARE RECORDED FOR ALL UNINSURED ACCOUNTS, REGARDLESS OF THE AGING OF THOSE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN PERFORMED. PART III, LINE 3: AT CUYUNA REGIONAL MEDICAL CENTER IMPLICIT PRICE CONCESSIONS ARE CONSIDERED THE UNWILLINGNESS TO PAY, WHILE CHARITY CARE AND FREE CARE ARE INABILITY TO PAY. PART III, LINE 4: SEE FOOTNOTE 1 ON PAGES 8-9 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 REVENUE CYCLE 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 REVENUE CYCLE 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 REVENUE CYCLE 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: COMPREHENSIVE HEALTH ASSESSMENT AT CUYUNA REGIONAL MEDICAL CENTER (CRMC)CUYUNA REGIONAL MEDICAL CENTER (CRMC) EMPLOYS A COMPREHENSIVE, MULTIFACETED APPROACH TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. BEYOND THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DESCRIBED IN PART V, SECTION B, CRMC CONTINUOUSLY EVALUATES LOCAL HEALTH CHALLENGES THROUGH DIRECT PATIENT INTERACTION, PROACTIVE COMMUNITY ENGAGEMENT, AND STRUCTURED ADVISORY FEEDBACK.KEY COMPONENTS OF CRMC'S HEALTH ASSESSMENT APPROACH1. PHYSICIAN CLINICS MONITORING:CRMC OPERATES FIVE PHYSICIAN CLINICS LOCATED IN CROSBY, BAXTER, BREEZY POINT, LONGVILLE, AND SUPER ONE CROSBY. THIS NETWORK ENABLES CRMC TO MONITOR THE HEALTH OF ITS PATIENTS ACROSS DIVERSE GEOGRAPHIC AREAS, PROVIDING REAL-TIME INSIGHTS INTO PREVALENT HEALTH CONDITIONS AND SPECIFIC CARE NEEDS WITHIN EACH LOCALITY. THE CLINICS' PROXIMITY TO PATIENTS ALLOWS SERVICES TO BE TAILORED TO THE UNIQUE NEEDS OF THE POPULATIONS THEY SERVE.2. COMMUNITY ENGAGEMENT PROGRAM:CRMC'S ROBUST COMMUNITY ENGAGEMENT PROGRAM ACTIVELY INVOLVES STAFF AND HEALTHCARE PROFESSIONALS IN LOCAL EVENTS AND OUTREACH ACTIVITIES. BY ENGAGING DIRECTLY WITH RESIDENTS, COMMUNITY ORGANIZATIONS, AND LEADERS, CRMC GATHERS QUALITATIVE DATA ON HEALTH CONCERNS, PRIORITIES, AND ACCESS CHALLENGES THAT MIGHT NOT BE EVIDENT THROUGH TRADITIONAL CLINICAL DATA ALONE.3. PATIENT ADVISORY COMMITTEE:CRMC CONVENES A PATIENT ADVISORY COMMITTEE QUARTERLY TO PROVIDE A FORMAL PLATFORM FOR OPEN DIALOGUE BETWEEN HEALTHCARE PROVIDERS AND COMMUNITY MEMBERS. THIS COMMITTEE IDENTIFIES AREAS FOR SERVICE IMPROVEMENT AND EMERGING HEALTH CONCERNS, ENABLING CRMC TO REFINE ITS PROGRAMS AND DELIVERY STRATEGIES BASED ON PATIENT-CENTERED FEEDBACK.BENEFITS OF CRMC'S APPROACH- REAL-TIME DATA COLLECTION: THE PRESENCE OF PHYSICIAN CLINICS ACROSS MULTIPLE LOCATIONS PROVIDES TIMELY, LOCALIZED HEALTH DATA TO IDENTIFY TRENDS AND EMERGING HEALTH NEEDS.- TAILORED HEALTHCARE SERVICES: INSIGHTS FROM DIRECT PATIENT CARE AND COMMUNITY ENGAGEMENT ALLOW CRMC TO CUSTOMIZE ITS SERVICES TO MEET THE SPECIFIC REQUIREMENTS OF EACH COMMUNITY.- PROACTIVE COMMUNITY COLLABORATION: PARTICIPATION IN COMMUNITY ACTIVITIES AND THE PATIENT ADVISORY COMMITTEE DEMONSTRATES CRMC'S PROACTIVE ENGAGEMENT, FOSTERING TRUST AND COLLABORATIVE PROBLEM-SOLVING.- CONTINUOUS IMPROVEMENT: REGULAR ASSESSMENTS AND OPEN DISCUSSIONS SUPPORT ONGOING REFINEMENT OF HEALTHCARE DELIVERY, ENSURING RESPONSIVE, PATIENT-CENTERED CARE.BY INTEGRATING CLINICAL MONITORING, COMMUNITY ENGAGEMENT, AND ADVISORY INPUT, CRMC'S HEALTH ASSESSMENT APPROACH IS DYNAMIC AND ADAPTIVE, ENSURING THAT HEALTHCARE SERVICES ARE BOTH RESPONSIVE TO CURRENT NEEDS AND FORWARD-LOOKING IN ADDRESSING FUTURE HEALTH CHALLENGES. PART VI, LINE 3: CUYUNA REGIONAL MEDICAL CENTER'S COMMITMENT TO COMMUNITY HEALTH AND WELLNESSCUYUNA REGIONAL MEDICAL CENTER (CRMC) FURTHERS ITS EXEMPT PURPOSE BY PROMOTING COMMUNITY HEALTH AND WELLNESS THROUGH A COMPREHENSIVE RANGE OF INITIATIVES THAT EXTEND BEYOND CLINICAL CARE. CRMC'S EFFORTS ENCOMPASS WELLNESS PROGRAMS, PHYSICIAN RECRUITMENT, FINANCIAL SUPPORT, VOLUNTEER ENGAGEMENT, STRATEGIC GOVERNANCE, AND CAPITAL INVESTMENTALL AIMED AT IMPROVING ACCESS TO QUALITY HEALTHCARE AND ADDRESSING COMMUNITY-SPECIFIC HEALTH CHALLENGES.1. COMPREHENSIVE COMMUNITY HEALTH PROGRAMSCRMC OFFERS PROGRAMS DESIGNED TO IDENTIFY HEALTH RISKS AND PROVIDE PROACTIVE CARE:- WELLNESS SCREENINGS: BREAST AND CERVICAL HEALTH SCREENINGS ARE CONDUCTED TO PROMOTE EARLY DETECTION AND INTERVENTION. - HEALTH EDUCATION: CLASSES AND COMMUNITY EVENTS PROVIDE EDUCATION ON CRITICAL HEALTH TOPICS, EMPOWERING INDIVIDUALS TO MAKE INFORMED LIFESTYLE AND HEALTHCARE DECISIONS.2. PROACTIVE PHYSICIAN RECRUITMENT AND RETENTIONCRMC CONTINUALLY ASSESSES THE COMMUNITY'S HEALTHCARE NEEDS TO ENSURE THE AVAILABILITY OF ESSENTIAL SERVICES:- NEEDS ASSESSMENT AND RECRUITMENT: IDENTIFIES SPECIALTY GAPS AND ALLOCATES RESOURCES TO RECRUIT PHYSICIANS ACCORDINGLY.- RETENTION STRATEGIES: FOCUSES ON RETAINING SKILLED MEDICAL PROFESSIONALS TO ENSURE CONTINUITY OF CARE AND MAINTAIN LONG-TERM PROVIDER-PATIENT RELATIONSHIPS.3. FINANCIAL ASSISTANCE AND VOLUNTEERISMCRMC DEMONSTRATES A STRONG COMMITMENT TO SUPPORTING PATIENTS AND ENGAGING IN COMMUNITY SERVICE:- FINANCIAL SUPPORT: PROVIDED $58,900 IN FINANCIAL ASSISTANCE TO LOCAL CANCER PATIENTS TO EASE THE BURDEN OF TREATMENT-RELATED EXPENSES.- VOLUNTEERISM: STAFF DEDICATED 3,255 VOLUNTEER HOURS TO COMMUNITY INITIATIVES, REINFORCING CRMC'S ROLE AS A PROACTIVE PARTNER IN PUBLIC HEALTH.4. GOVERNANCE STRUCTURECRMC'S GOVERNANCE MODEL PRIORITIZES COMMUNITY REPRESENTATION AND HIGH-QUALITY CARE:- NON-PROFIT BOARD OF DIRECTORS: A NINE-MEMBER BOARD COMPRISING COMMUNITY LEADERS, DISTRICT BOARD MEMBERS, MEDICAL STAFF, AND THE CEO GOVERNS CRMC. THIS STRUCTURE ENSURES SERVICES MEET LOCAL NEEDS AND ADHERE TO THE HIGHEST STANDARDS OF SAFETY AND QUALITY.5. CAPITAL INVESTMENTS FOR ADVANCED CARECRMC ALLOCATES APPROXIMATELY $2 MILLION ANNUALLY TO CAPITAL IMPROVEMENTS, REINFORCING ITS COMMITMENT TO STATE-OF-THE-ART, PATIENT-CENTERED HEALTHCARE THROUGH THE LATEST TREATMENTS AND TECHNOLOGIES.CRMC'S COMPREHENSIVE AND PROACTIVE INITIATIVES REFLECT ITS DEEP COMMITMENT TO ADVANCING HEALTH AND WELL-BEING ACROSS ITS SERVICE AREA. BY INTEGRATING CLINICAL EXCELLENCE WITH COMMUNITY OUTREACH AND STRATEGIC INVESTMENTS, CRMC CONTINUALLY ENHANCES ACCESS TO CARE AND PROMOTES A HEALTHIER, MORE VIBRANT COMMUNITY. PART VI, LINE 4: OVERVIEW OF CUYUNA REGIONAL MEDICAL CENTER (CRMC) AND ITS COMMUNITY:CUYUNA REGIONAL MEDICAL CENTER (CRMC) STANDS AS A COMMUNITY-BUILT FACILITY, SERVING APPROXIMATELY 60,000 RESIDENTS IN THE BRAINERD LAKES AREA, RENOWNED AS MINNESOTA'S VACATION DESTINATION FOR ITS PICTURESQUE LAKES AND WOODLANDS, OFFERING DIVERSE OUTDOOR RECREATION OPPORTUNITIES.HEALTHCARE STATISTICS:- CRMC HANDLES AN AVERAGE DAILY CENSUS OF 16 PATIENTS.- THE MEDICAL CENTER SERVES AROUND 4,700 INPATIENTS AND ACCOMMODATES 195,000 OUTPATIENTS ANNUALLY.- IT MANAGES OVER 10,700 EMERGENCY ROOM VISITS AND FACILITATES APPROXIMATELY 225 BIRTHS EACH YEAR.PATIENT DEMOGRAPHICS:- 70% OF CRMC'S PATIENTS RESIDE IN BRAINERD, BAXTER, LONGVILLE, AITKIN, ONAMIA, AND THEIR SURROUNDING AREAS.- ANOTHER 30% COME FROM VARIOUS HOSPITAL DISTRICTS, INCLUDING BAY LAKE, CROSBY, CUYUNA, DEAN LAKE, DEERFIELD, DEERWOOD, EMILY, FAIRFIELD, FIFTY LAKES, LITTLE PINE, RABBIT LAKE, RIVERTON, TROMMALD, AND WOLFORD.COMMUNITY DEMOGRAPHICS:- THE MAJORITY OF RESIDENTS (95%) IN THE CRMC SERVICE AREA ARE OF WHITE ETHNICITY.- GENDER DISTRIBUTION IS ROUGHLY EQUAL, WITH ABOUT HALF MALE AND HALF FEMALE RESIDENTS.- OVER 77% OF THE POPULATION RESIDES IN RURAL AREAS.AGE DISTRIBUTION:- APPROXIMATELY 20.1% OF RESIDENTS ARE UNDER 18 YEARS OLD.- ANOTHER 25% ARE 65 YEARS AND OLDER.SOCIOECONOMIC SNAPSHOT:- THE MEDIAN HOUSEHOLD INCOME IS $60,810.- ABOUT 94% OF RESIDENTS ARE HIGH SCHOOL GRADUATES, AND 26% HAVE A BACHELOR'S DEGREE OR HIGHER.- 27% OF CHILDREN LIVE IN SINGLE-PARENT HOUSEHOLDS.- CHILDREN LIVING IN POVERTY, UNDER 18 YEARS OLD IS 8.6%- 37% OF CHILDREN ARE ELIGIBLE FOR FREE OR REDUCED-PRICE LUNCH.SUMMARY:CRMC PLAYS A VITAL ROLE IN PROVIDING HEALTHCARE SERVICES TO A DIVERSE COMMUNITY, CATERING TO A MIX OF RURAL AND URBAN RESIDENTS. UNDERSTANDING THE DEMOGRAPHICS AND SOCIOECONOMIC FACTORS OF ITS SERVICE AREA, CRMC IS WELL-POSITIONED TO ADDRESS THE UNIQUE HEALTHCARE NEEDS OF THE POPULATION IT SERVES, CONTRIBUTING TO THE OVERALL WELL-BEING OF THE COMMUNITY. PART VI, LINE 5: CUYUNA REGIONAL MEDICAL CENTER'S COMMITMENT TO COMMUNITY HEALTH AND WELLNESS:CUYUNA REGIONAL MEDICAL CENTER (CRMC) IS DEDICATED TO PROMOTING THE HEALTH, HEALING, AND WELLNESS OF ITS COMMUNITY. RECOGNIZING THAT FACTORS INFLUENCING HEALTH EXTEND BEYOND TRADITIONAL HEALTHCARE SETTINGS, CRMC ACTIVELY ENGAGES IN COMMUNITY-FOCUSED INITIATIVES TO ADDRESS SPECIFIC HEALTH NEEDS:1) COMPREHENSIVE COMMUNITY HEALTH PROGRAMS:- WELLNESS SCREENINGS: CRMC CONDUCTS WELLNESS SCREENINGS TO IDENTIFY HEALTH RISKS EARLY ON, ALLOWING FOR PROACTIVE INTERVENTION.- HEALTH EDUCATION CLASSES AND EVENTS: CRMC OFFERS INFORMATIVE CLASSES AND EVENTS TO EDUCATE THE COMMUNITY ON VARIOUS HEALTH TOPICS, EMPOWERING INDIVIDUALS TO MAKE INFORMED DECISIONS ABOUT THEIR WELL-BEING.- HEALTH FAIRS: CRMC ORGANIZES HEALTH FAIRS TO PROVIDE ACCESSIBLE HEALTH INFORMATION, SCREENINGS, AND RESOURCES TO A BROAD AUDIENCE.2) PROACTIVE PHYSICIAN RECRUITMENT AND RETENTION:- NEEDS ASSESSMENT: CRMC PROACTIVELY ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY TO DETERMINE THE REQUIRED PHYSICIAN SPECIALTIES.- RECRUITMENT PLANNING: THE ORGANIZATION PLANS AND ALLOCATES RESOURCES TO RECRUIT PHYSICIANS BASED ON THE IDENTIFIED NEEDS, ENSURING THAT THE COMMUNITY IS SERVED BY A DIVERSE AND SKILLED MEDICAL STAFF.- RETENTION EFFORTS: CRMC WORKS DILIGENTLY TO RETAIN ITS MEDICAL STAFF, RECOGNIZING THE IMPORTANCE OF CONTINUITY OF CARE AND BUILDING LONG-TERM RELATIONSHIPS WITH HEALTHCARE PROFESSIONALS.3) FINANCIAL ASSISTANCE AND VOLUNTEERISM:- FINANCIAL ASSISTANCE: CRMC DEMONSTRATES ITS COMMITMENT TO COMMUNITY WELL-BEING BY PROVIDING $52,000 IN FINANCIAL ASSISTANCE TO AREA CANCER PATIENTS REQUIRING SUPPORT DURING TREATMENT.- VOLUNTEERISM: CRMC STAFF CONTRIBUTE 2,353 HOURS OF THEIR TIME THROUGH VOLUNTEER ACTIVITIES, FURTHERING THE ORGANIZATION'S IMPACT ON COMMUNITY HEALTH BEYOND THE CLINICAL SETTING.4. GOVERNANCE STRUCTURE:- NON-PROFIT BOARD OF DIRECTORS: CRMC IS GOVERNED BY A NINE-MEMBER NON-PROFIT BOARD OF DIRECTORS, CONSISTING OF COMMUNITY LEADERS, DISTRICT BOARD MEMBERS, MEDICAL STAFF, AND THE CEO. THE BOARD ENSURES THAT SERVICES MEET COMMUNITY STANDARDS, PRIORITIZE PATIENT SAFETY, AND UPHOLD THE HIGHEST QUALITY OF HEALTHCARE SERVICES.5. CAPITAL INVESTMENTS FOR ADVANCED CARE:COMMITMENT TO ADVANCED CARE: CRMC INVESTS APPROXIMATELY $2 MILLION ANNUALLY IN CAPITAL IMPROVEMENTS. THIS INVESTMENT ENSURES THAT THE MEDICAL CENTER CAN DELIVER COMPASSIONATE, PATIENT-CENTERED CARE USING THE LATEST TREATMENTS AND TECHNOLOGIES AVAILABLE.CRMC'S MULTIFACETED APPROACH, ENCOMPASSING COMMUNITY HEALTH PROGRAMS, PROACTIVE PHYSICIAN RECRUITMENT, FINANCIAL ASSISTANCE, VOLUNTEERISM, AND STRATEGIC GOVERNANCE, REFLECTS ITS UNWAVERING COMMITMENT TO ENHANCING THE WELL-BEING OF THE COMMUNITIES IT SERVES. THE ORGANIZATION CONTINUES TO EVOLVE AND INVEST IN RESOURCES THAT POSITIVELY IMPACT THE HEALTH AND VITALITY OF ITS COMMUNITY MEMBERS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM:N/A PART VI, LINE 7, REPORTS FILED WITH STATES MN 1 CROSBY SENIOR SERVICES 2845 N HAMLINE AVE ROSEVILLE MN 55113 204631039 501(C)(3) 75000 0 TO SUPPORT HEARTWOOD SENIOR LIVING COMMUNITY CENTRAL LAKES COLLEGE 501 WEST COLLEGE DRIVE BRAINERD MN 56401 411687554 GOVERNMENTAL 10000 0 ANNUAL DONATION TOWARDS BUILDING THE SCOREBOARD AT THE FOOTBALL STADIUM PGA TOUR ENTERPRISES LLC PO BOX 1065 PONTE VEDRA BEACH FL 32004 372113106 250000 0 2024 CRMC CHAMPIONSHIP SPONSORSHIP CROSBY-IRONTON SCHOOLS 711 POPLAR STREET CROSBY MN 56441 416000760 GOVERNMENTAL 10000 0 DONATION FOR BUILDING THE MOUNTAIN BIKE TRAILS AT THE ELEMENTARY SCHOOL CROSBY FIRE DEPARTMENT PO BOX 6 CROSBY MN 56441 416005078 GOVERNMENTAL 0 5521 FMV GIVEAWAYS AT THE CROSBY 4TH OF JULY CELEBRATION 12,750 GIVEAWAYS HANDED OUT TO THE COMMUNITY ON THE CROSBY 4TH OF JULY CELEBRATION PARADE ROUTE 4 1 COURAGE CABINET - HELPING LOCAL CANCER PATIENTS 57 58900 PART I, LINE 2: CRMC'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INVOLVE A COMBINATION OF REPORTING, FINANCIAL REVIEW, ONGOING COMMUNICATION, PROJECT EVALUATION, AND RECORDKEEPING. THESE MEASURES ARE IMPLEMENTED TO UPHOLD TRANSPARENCY, MEET CONTRACTUAL OBLIGATIONS, AND ENSURE THAT GRANT FUNDS CONTRIBUTE EFFECTIVELY TO THE INTENDED PURPOSES OUTLINED IN THE GRANT AGREEMENTS. X X 0 0 0 0 0 0 0 0 0 FAWN ATCHISON ANESTHESIOLOGIST 632229 0 0 0 127 0 15250 0 15533 0 663139 0 0 0 LEAH KIPPES ANESTHESIOLOGIST 569822 0 0 0 83 0 15250 0 40685 0 625840 0 0 0 KYLE MOORE PHYSICIAN 514034 0 0 0 50 0 14954 0 30705 0 559743 0 0 0 KYLE DURGIN PHYSICIAN 489291 0 0 0 44 0 15250 0 29522 0 534107 0 0 0 AMY HART CEO 481056 0 0 0 366 0 15250 0 20295 0 516967 0 0 0 CHRISTOPHER KACZMARCZYK PHYSICIAN 498854 0 0 0 50 0 15250 0 2287 0 516441 0 0 0 KATIE BERG CFO 315499 0 0 0 55 0 15250 0 4602 0 335406 0 0 0 A CUYUNA RANGE HOSPITAL DISTRICT 410879376 000000000 2013-09-30 14245000 SERIES 2013A - CONSTRUCTION 0 0 0 B CUYUNA RANGE HOSPITAL DISTRICT 410879376 000000000 2013-09-30 15470000 SERIES 2013B - REFINANCING OF 9/13/05 AND 8/30/05 BOND ISSUES 0 0 0 C CUYUNA RANGE HOSPITAL DISTRICT 410879376 000000000 2018-11-30 10000000 SERIES 2018A - CONSTRUCTION AND REFINANCING OF 4/25/07 BOND ISSUE 0 0 0 D CUYUNA RANGE HOSPITAL DISTRICT 410879376 000000000 2018-11-30 10000000 SERIES 2018B - CONSTRUCTION AND REFINANCING OF 4/25/07 BOND ISSUE 0 0 0 A 8555000 14245000 655181 227309 13390489 2015 0 0 1 1 B 9595000 15470000 15470000 2013 1 0 1 1 C 6313521 10000000 40741 6042592 3916667 2020 1 0 1 1 D 4761716 10000000 40741 6042592 3916667 2020 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 1 0 0 0 1 D 0 0 1 0 1 0 0 0 1 A 1 B 1 C 1 D 1 A CUYUNA RANGE HOSPITAL DISTRICT 410879376 000000000 2018-11-30 7000000 SERIES 2018C - CONSTRUCTION AND REFINANCING OF 4/25/07 BOND ISSUE 0 0 0 A 1746772 7000000 28518 4229816 2741666 2020 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 A 1 SHERRY SKJEVELAND WIFE OF JAMIE SKJEVELAND, DIRECTOR 43601 EMPLOYMENT 0 BRIAN HOLMGREN HUSBAND OF PAIGE HOLMGREN, DIRECTOR 254696 EMPLOYMENT 0 PAGE 1, ITEM B - AMENDED RETURN EXPLANATION THE AUDITED FINANCIAL REPORT WAS NOT COMPLETE WHEN THE ORIGINAL FORM 990 WAS FILED. THE FORM 990 HAS BEEN AMENDED TO REFLECT CHANGES IN THE FINAL AUDIT REPORT THAT WERE MADE AFTER THE ORIGINAL FORM 990 WAS FILED. THESE CHANGES ARE REFLECTED THROUGHOUT THE FORM 990, SCHEDULE D, SCHEDULE H, AND SCHEDULE O. 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 MEMBERS 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 22,604,763. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,604,763. OTHER FEES: PROGRAM SERVICE EXPENSES 5,256,794. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,256,794. OTHER FEES FOR SERVICES (NON EMPLOYEES): PROGRAM SERVICE EXPENSES 13,053,093. MANAGEMENT AND GENERAL EXPENSES 984,722. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,037,815. FORM 990, PART XI, LINE 9: BOOK/TAX DIFFERENCE -12,835. 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