2012-05-14T10:07:49-05:00 2011-06-30 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2010-07-01 390890676 ST CROIX REGIONAL MEDICAL CENTER STCR 7154830556 235 STATE STREET ST CROIX FALLS WI 54024 JOHN TREMBLE 7154830556 2012-05-11 1 6123764500 2010 2016-02-24 21:20:13Z DAVE DOBOSENSKI 235 STATE STREET ST CROIX FALLS WI 54024 60890921 0 X WWW.SCRMC.ORG X 1954 WI TO PROVIDE QUALITY HEALTHCARE SERVICES TO ALL RESIDENTS OF THE SERVICE AREA. 9 5 507 140 161 0 0 96022 54164374 60408797 916246 57660 271280 267021 55351900 60829500 15000 24000 0 0 21397109 23744186 0 0 0 32574953 35650284 53987062 59418470 1364838 1411030 40211504 42744679 23971985 25094130 16239519 17650549 THE MISSION OF SCRMC IS TO PROVIDE THE HIGHEST QUALITY, ACCESSIBLE, INTEGRATED, COST EFFECTIVE CARE FOR INDIVIDUALS AND FAMILIES SERVED. 0 0 19230241 24000 21602440 OUTPATIENT SERVICES - SURGICAL, LABORATORY, BASIC, AND ADVANCED RADIOLOGY PROCEDURES. DURING FISCAL YEARY 2011, THERE WERE 7,913 EMERGENCY ROOM VISITS RECORDED, 1,402 OUTPATIENT SURGERIES, AND 210,218 LAB TESTS COMPLETED. 21641663 24311330 CLINIC SERVICES - PRIMARY AND SPECIALTY CARE FOR AMBULATORY PATIENTS AT FOUR SERVICE SITES. 89,875 PATIENT VISITS WERE RECORDED DURING FISCAL YEAR 2011. 12903304 14495027 INPATIENT SERVICES - OBSTETRIC, MEDICAL-SURGICAL, INTENSIVE CARE, AND SHORT STAY INPATIENT CARE. DURING FISCAL YEAR 2011, THERE WERE 308 BIRTHS, 1,848 INPATIENT ADMISSIONS, AND A TOTAL OF 5,128 INPATIENT DAYS FOR AN AVERAGE LENGTH OF STAY OF 2.78 DAYS. 53775208 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 32 0 507 1 0 0 0 0 0 0 0 0 0 0 X 9 5 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 WI X X X JOHN TREMBLE CFO VP 7154830317 235 STATE STREET ST CROIX FALLS WI 54024 HARLEN HEGDAL 4.00 X X 600 0 0 MARSHA BEYER MD 2.00 X X 0 0 0 LARRY COLLINS 3.00 X X 475 0 0 CLYDE VAN OORT 2.00 X X 275 0 0 STEVE TESCH 2.00 X 200 0 0 JEFF HALL MD 2.00 X 0 0 0 JEANINE BRUNCLIK MD 2.00 X 0 0 0 WILLIAM SCHULTZ MD 2.00 X 0 0 0 CARLA GOETZ 2.00 X 200 0 0 JOHN TREMBLE 40.00 X 167619 0 8658 CINDY LUNDMARK 40.00 X 141154 0 12248 DAVE DOBOSENSKI 40.00 X 201775 0 14416 LAURA JENSEN 40.00 X 121953 0 6891 CLAUDIO NUNES 40.00 X 335543 0 17989 TARA YUNKER 40.00 X 123069 0 7013 LENNY LIBIS X 101548 0 0 1194411 0 67215 7 1 1 0 RIVER VALLEY MEDICAL CENTER 208 SOUTH ADAMS STREET ST CROIX FALLS WI 54024 PHYSICIAN SERVICES 8813656 HEALTH PARTNERSREGIONS PO BOX 64059 ST PAUL MN 55164 ER SERVICES 1441292 ST CROIX VALLEY ANESTHESIA 2196 84TH AVENUE OSCEOLA WI 54020 CRNA SERVICES 973153 SURGERY CLINIC OF SPOONER 6142 NORTH LITTLE VALLEY ROAD SPOONER WI 54801 GENERAL SURGEON 302958 VALLEY ORTHOPEDICS 208 SOUTH ADAMS STREET ST CROIX FALLS WI 54024 PHYSICIAN SERVICES 283012 6 8451 87571 96022 PATIENT SERVICES 624100 60135599 60135599 CAFETERIA MEAL SALES 722210 238047 238047 OTHER HOSPITALS 624100 35151 35151 60408797 44081 44081 23929 9321 14608 14608 14608 65679 52100 13579 13579 13579 MISCELLANEOUS 900099 144597 144597 JOINT VENTURE REVENUE 900099 107655 107655 REFERENCE LAB 621500 161 161 252413 60829500 60135599 161 597718 24000 24000 801132 801132 17429677 15164752 2264925 841736 732355 109381 3365149 2927860 437289 1306492 1136718 169774 112868 112868 67750 67750 17713043 17024022 689021 15969 13248 2721 8541922 8402443 139479 629743 576215 53528 2314394 2126199 188195 94519 84534 9985 104202 70463 33739 603382 552095 51287 2626502 2403249 223253 185434 179541 5893 BAD DEBTS 1356904 1356904 OTHER EXPENSES 1005651 952479 53172 COLLECTIONS 156231 156231 DUES AND FEES 121770 48131 73639 59418470 53775208 5643262 0 2902570 2594019 1790966 2077468 8580474 8674927 200010 105000 1036075 1108768 103494 208356 49666649 26013147 22308166 23653502 2785319 3116138 266453 460072 237977 746429 40211504 42744679 10726497 12344112 12671910 12084579 573578 665439 23971985 25094130 X 15989519 17650549 250000 0 16239519 17650549 40211504 42744679 1411030 0 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 899672 899672 25239147 9739183 15499964 779778 419459 360319 22310056 15854505 6455551 437996 437996 23653502 DEFERRED COMPENSATION PLAN 636039 ASSET RETIREMENT OBLIGATION 29400 665439 60829500 59418470 1411030 0 1411030 60624029 9321 9321 60614708 214792 214792 60829500 59427791 9321 9321 59418470 0 59418470 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE MEDICAL CENTER IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE MEDICAL CENTER IS ALSO EXEMPT FROM STATE INCOME TAXES. THE MEDICAL CENTER'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. THE MEDICAL CENTER IS NOT AWARE OF ANY ADDITIONAL ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES THAN ARE CURRENTLY FILED IN THE TAX RETURN. THE TAX RETURNS FOR THE YEARS 2008 TO 2010 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL AND STATE AUTHORITIES. THE MEDICAL CENTER HAS ELECTED TO ADOPT GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE MEDICAL CENTER FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES FOR EVALUATING UNCERTAIN TAX POSITIONS. THE ADOPTION OF THIS STANDARD HAS NO EFFECT ON THE FINANCIAL STATEMENTS. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 9,321. PART XII, LINE 4B - OTHER ADJUSTMENTS: INTEREST INCOME 44,081. GAIN ON SALE OF ASSETS 13,579. OTHER NONOPERATING INCOME 157,132. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 9,321. 1 1 X 1 X 0 1 1 1 0 1 1 980557 980557 0.01690 8762080 6675979 2086101 0.03590 9742637 6675979 3066658 0.05280 50195 50195 0.00090 50195 50195 0.00090 9792832 6675979 3116853 0.05370 2 50 13625 13625 0.00020 16820 16820 0.00030 141466 141466 0.00240 42576 42576 0.00070 52 214487 214487 0.00360 1 714438 714438 22602515 26007057 -3404542 X 1 1 1 CENTRAL MINNESOTA DIAGNOSTICS IMAGING NUCLEAR IMAGING 0.01000 2 CANCER CENTER OF WESTERN WISCONSIN CANCER TREATMENT FACILITY 0.24000 1 1 ST CROIX REGIONAL MEDICAL CENTER

235 STATE STREET ST CROIX FALLS WI 54024

X X X X NA 1 PART I, LINE 3C: ST CROIX REGIONAL MEDICAL CENTER, THROUGH ITS PATIENT ADVOCATES, EVALUATES EACH APPLICANT'S SITUATION IN ACCORDANCE WITH CRITERIA ESTABLISHED ANNUALLY BY THE BOARD OF DIRECTORS. THE CRITERIA INCLUDES:1. INDIVIDUAL OR FAMILY INCOME2. FAMILY SIZE3. OTHER SOURCES OF PAYMENT FOR SERVICESQUALIFICATION IS BASED ON ASSET LEVELS ESTABLISHED BY MEDICAL ASSISTANCE, FAMILY SIZE, AND INCOME LEVELS BASED ON 150% OF FEDERALPOVERTY GUIDELINES AS PUBLISHED ANNUALLY BY THE FEDERAL GOVERNMENT.GRANTING OF COMMUNITY CARE - AMOUNT:PATIENTS THAT QUALIFY FOR ST CROIX REGINAL MEDICAL CENTER'S CHARITY CARE PROGRAM WILL RECEIVE 100% OF THEIR ACCOUNT BALANCE APPLIED TO THE FUND.GRANTING OF COMMUNITY CARE - TERM:PATIENTS THAT QUALIFY FOR ST CROIX REGINAL MEDICAL CENTER'S CHARITY CARE PROGRAM WILL RECEIVE COMMUNITY CARE FOR A SPECIFIC HOSPITALIZATION OR FOR A SPECIFIED COURSE OF TREATMENT.ALL PATIENTS RECEIVEING CHARITY CARE MUST RE-APPLY IF THEIR STATUS CHANGES OR THE TREATMENT DURATION HAS ENDED. PART I, LINE 6A: ST. CROIX REGIONAL MEDICAL CENTER PARTICIPATES IN AN ANNUAL COMMUNITY BENEFIT REPORT PRODUCED BY THE WISCONSIN HOSPITAL ASSOCIATION. PART I, L7 COL(F): BAD DEBT EXPENSES OF $1,356,904 WERE SUBTRACTED FROM THE TOTAL EXPENSES OF $59,418,470 IN CALCULATING THE PERCENTAGES IN PART I, LINE 7, COLUMN F. PART II: THE ORGANIZATION PROVIDES DIRECT SUPPORT TO OVER 45 COMMUNITY ACTIVITIES, PROVIDES OVER 16,000 HOURS OF VOLUNTEER TIME IN INDIRECT PATIENT CARE ACTIVITIES, AND OVER 400 HOURS OF EDUCATION FOR HEALTHCARE PROFESSIONALS. PART III, LINE 4: FROM THE PATIENT ACCOUNTS RECEIVABLE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS PARAGRAPH IN NOTE 1 TO THE AUDITED FINANCIAL STATEMENTS:"PATIENTS ARE NOT REQUIRED TO PROVIDE COLLATERAL FOR SERVICES RENDERED. PAYMENT FOR SERVICES IS REQUIRED UPON RECEIPT OF AN INVOICE, AFTER PAYMENT OF INSURANCE, IF ANY. SELF-PAY ACCOUNTS ARE ANALYZED FOR COLLECTIBILITY BASED ON THE MONTHS PAST DUE AND PAYMENT HISTORY. AN ALLOWANCE IS ESTIMATED FOR THESE ACCOUNTS BASED ON THE HISTORICAL EXPERIENCE OF THE MEDICAL CENTER. ACCOUNTS THAT ARE DETERMINED TO BE UNCOLLECTIBLE ARE SENT TO A COLLECTION AGENCY AND WRITTEN OFF AT THAT TIME."OVERALL COST-TO-CHARGE RATIO PER AUDITED FINANCIAL STATEMENTS FOR FY2011 IS 53%. PART III, LINE 8: OVERALL COST-TO-CHARGE RATIO PER AUDITED FINANCIAL STATEMENTS FOR FY2011 IS 53%.THE MEDICAL CENTER PROVIDES CARE TO INDIVIDUALS WHERE GOVERNMENT DEPARTMENTS DETERMINE THE AMOUNT OF REIMBURSEMENT OF SERVICE REGARDLESS OF THE COST TO PROVIDE THE SERVICE. AMOUNTS REIMBURSED BY GOVERNMENT PAYORS ARE ESTIMATED TO BE LESS THAN THE COSTS TO PROVIDE THE SERVICES AS FOLLOWS:MEDICAID- WISCONSIN 1,716,000MEDICAID- MINNESOTA 154,800CHAMPUS AND VA 23,700MEDICARE - PHYSICIAN 2,784,600MEDICARE - HOSPITAL 249,200MEDICARE ADVANTAGE 1,056,900ALL GOVERNMENT PAYORS $ 5,985,200 TOTAL CHARITY CARE, UNCOMPENSATED CARE AND UNDER COMPENSATED CARE BY GOVERNMENT PAYORS WAS $8,541,831. THIS REPRESENTS 14.1% OF NET OPERATING REVENUES OF THE MEDICAL CENTER. PART III, LINE 9B: THE MEDICAL CENTER HAS ESTABLISHED GUIDELINES FOR THE PROVISION OF HEALTH SERVICES AT REDUCED COSTS FOR INDIVIDUALS BASED UPON THEIR INCOME AND OTHER CIRCUMSTANCES. THE MEDICAL CENTER HAS A POLICY TO PROVIDE AN IMMEDIATE DISCOUNT TO ALL UNINSURED PATIENTS OF 20% OF CHARGES. PART VI, LINE 2: OVERALL MARKETPLACE DEMOGRAPHICS AND COMPETITIVE ANALYSIS IS CONDUCTED ON A REGULAR BASIS. WHEN DEMAND FOR NEW SERVICE LINES IS INTENSIFIED, THEY ARE ADDED SLOWLY UNTIL DEMAND CAPACITY REACH CRITICAL LEVELS. PART VI, LINE 3: ALL PATIENTS HAVE ACCESS TO WRITTEN MATERIALS AND PAMPHLETS AT OR NEAR THE POINT OF REGISTRATION. IN ADDITION, PATENTS HAVE ACCESS TO PATIENT ADVOCATES WITH FULL KNOWLEDGE OF RESOURSES AVAILABLE. PART VI, LINE 4: THE ORGANIZATION SERVES A GEOGRAPHIC AREA OF APPROXIMATELY 300 SQUARE MILES IN WESTERN WISCONSIN THAT INCLUDES THE TOWNS OF ST CROIX FALLS, DRESSER, OSCEOLA, BALSAM LAKE, LUCK, MILLTOWN, FREDERIC, AND GRANTSBERG IN WISCONSIN AND TAYLORS FALLS AND LINDSTROM IN EASTERN MINNESOTA. PART VI, LINE 7: THE CENTER IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. REPORTS FILED WITH STATES PART VI, LINE 7 WI 1 SCHOLARSHIPS 20 24000 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION'S PROCEDURES INCLUDE SUBSTANTIATION OF EXPENSES, GRADES, TRANSCRIPTS AND RECEIPTS, AS WELL AS FOLLOW UP WITH COMMUNITY ORGANIZATIONS AND LEADERS. X X X X X 0 1 0 0 0 1 1 0 0 JOHN TREMBLE 148625 0 0 0 18994 0 4575 0 4083 0 176277 0 0 0 CINDY LUNDMARK 124748 0 0 0 16406 0 3510 0 8738 0 153402 0 0 0 DAVE DOBOSENSKI 201775 0 0 0 0 0 6997 0 7419 0 216191 0 0 0 CLAUDIO NUNES 335543 0 0 0 0 0 4616 0 13373 0 353532 0 0 0 LENNY LIBIS 0 0 0 0 101548 0 0 0 0 0 101548 0 101548 0 PART I, LINE 4B CONTRIBUTIONS TO A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: LENNY LIBIS $17,755 JOHN TREMBLE $18,994 CINDY LUNDMARK $16,406 LAURA JENSEN $13,713 PART I, LINE 6 ANNUAL EMPLOYER CONTRIBUTIONS TO THE 457F PLAN ARE CONDITIONED UPON ATTAINING CERTAIN PRE-SET GOALS AND ARE CONTINGENT ON APPROVAL BY THE BOARD OF DIRECTORS. SUPPLEMENTAL INFORMATION PART III COMPENSATION REPORTED TO LENNY LEBIS IS THE RESULT OF THE PRIOR EMPLOYEE CHOOSING TO HAVE THE DISTRIBUTION FROM THEIR 457 SAVINGS PLAN BE DISTRIBUTED FROM THE AGENT HOLDING THEIR FUNDS TO SCRMC. SCRMC DEPOSITS THE DISTRIBUTION AND THEN PAYS THE PRIOR EMPLOYEE THROUGH THE PAYROLL PROCESS, WITHHOLDING FEDERAL AND STATE INCOME TAXES ON THE DISTRIBUTION. THESE TRANSACTION DO NOT RESULT IN SCRMC HAVING ANY ADDITIONAL EXPENSE. THIS DISTRIBUTION IS THE RESULT OF SAVINGS THE FORMER EMPLOYEE DID WHILE AN EMPLOYEE OF SCRMC. AT THE TIME SAVINGS WERE SET ASIDE, THEY WERE REPORTED ON THE 990 TAX RETURN. POLK COUNTY 396005730 2006-05-11 13000000 REFUND SERIES 2000 BONDS, FACILITY CONSTRUCTION AND EQUIPMENT PURCHASES 0 0 0 POLK COUNTY 396005730 2006-12-27 3683432 FACILITY CONSTRUCTION 0 0 0 4220150 13000000 13000000 2008 1 0 1 1 828703 3863432 3863432 2008 0 0 0 1 0 1 0 0 0.01000 0.01000 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 RIVER VALLEY MEDICAL CENTER FOUR OF RMVC OWNERS SERVE ON THE BOARD OF DIRECTORS OF SCRMC 8813656 PHYSICIAN SERVICES 0 FORM 990, PART VI, SECTION A, LINE 1 ST. CROIX REGIONAL MEDICAL CENTER HAS AN EXECUTIVE COMMITTEE WITH BROAD AUTHORITY TO ACT ON BEHALF OF ITS BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE INCLUDES THE CHAIR, VICE CHAIR, SECRETARY, TREASURER AND ONE OTHER TRUSTEE FROM THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE HAS POWER TO TRANSACT ALL REGULAR BUSINESS OF THE ORGANIZATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF TRUSTEES, SUBJECT TO ANY PERIOD LIMITATION IMPOSED BY THE BOARD OF TRUSTEES AND WITH THE UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE WILL BE REFERRED TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 4 DURING THE YEAR, THE ORGANIZATION MADE THE FOLLOWING CHANGES TO THEIR BYLAWS: 1. INCREASE THE PERCENTAGE OF MEMBERS THAT CONSITUTE A QUORUM TO 25%. 2. UPDATE THE GENERAL POWERS OF THE BOARD OF TRUSTEES TO INCLUDE THE SELECTION AND RETENTION OF A QUALIFIED INDEPENDENT AUDITOR FOR THE AUDIT OF THE ANNUAL FINANCIAL STATEMENTS. 3. ADDED A STANDARD OF CONDUCT FOR THE BOARD OF TRUSTEES. 4. ADDED THE ABILITY TO HAVE WRITTEN ACTION WITHOUT A MEETING. FORM 990, PART VI, SECTION A, LINE 6 ST. CROIX REGIONAL MEDICAL CENTER HAS TWO CLASSES OF MEMBERS - SPONSORING MEMBERS AND PHYSICIAN ELECTORS. INDIVIDUALS AND CORPORATIONS MAY BECOME SPONSORING MEMBERS THROUGH DONATIONS OF A SPECIFIED AMOUNT TO THE MEDICAL CENTER. INDIVIDUALS MAY BECOME PHYSICIAN ELECTORS BY PROVIDING SERVICES AT ST. CROIX REGIONAL MEDICAL CENTER THROUGH SPECIFIED EMPLOYMENT CONDITIONS. FORM 990, PART VI, SECTION A, LINE 7A PHYSICIAN ELECTORS VOTE IN THE ELECTION OF FOUR PHYSICIAN TRUSTEES. SPONSORING MEMBERS VOTE IN THE ELECTION OF FIVE COMMUNITY TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS VOTE ON THE AUDITORS EMPLOYED TO AUDIT THE BOOKS OF THE MEDICAL CENTER AND TO PREPARE AN ANNUAL REPORT. AN OPS COUNCIL, CONSISTING OF FIVE INDIVIDUALS APPOINTED BY RIVER VALLEY MEDICAL CENTER, A RELATED ORGANIZATION, HAS SIGNIFICANT OVERSIGHT AUTHORITY AT THE MEDICAL CENTER. THE OPS COUNCIL'S AUTHORITY INCLUDES, BUT IS NOT LIMITED TO, REVIEW AND APPROVE OF ALL POLICIES AND PROCEDURES AS THEY RELATE TO MEDICAL OPERATIONS AND RECCOMMENDATION OF THE ANNUAL CAPITAL AND OPERATING BUDGETS TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WENT THROUGH THE FOLLOWING REVIEW PROCESS BEFORE FILING WITH THE IRS: (A) A DETAILED REVIEW WAS CONDUCTED BY THE ORGANIZATION'S CFO, (B) THE FORM 990 WAS PRESENTED FOR REVIEW AND APPROVAL TO THE ORGANIZATION'S FINANCE COMMITTEE ON APRIL 2012, AND (C) THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWED AND APPROVED THE FORM 990 IN APRIL 2012. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERSHIP IS CONTINGENT UPON ANNUAL DISCOSURE OF POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. THE DERTERMINATION IS MADE AT THE BOARD LEVEL AND ALL BOARD MEMBERS MUST CERTIFY ANNUALLY. IF A BOARD MEMBER HAS A CONFLICT, THEY REFRAIN FROM VOTING OR PARTICIPATING IN DISCUSSIONS CONCERNING THAT TOPIC. FORM 990, PART VI, SECTION B, LINE 15A CEO - ANNUAL PERFORMANCE AND SALARY REVIEW IS CONDUCTED BY THE BOARD OF DIRECTORS USING SUCH OUTSIDE INFORMATION AS DEEMED NECESSARY. REVIEWS ARE CONDUCTED EACH JUNE. THE PROCESS LAST INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2011. OTHER OFFICERS - THE HUMAN RESOURCE DEPARTMENT CONDUCTS OUTSIDE RESEARCH TO DETERMINE REASONABLE COMPENSATION. THE CEO THEN DETERMINES THE COMPENSATION OF THESE INDIVIDUALS. REVIEWS ARE CONDUCTED EACH JUNE. THIS PROCESS LAST OCCURED IN FISCAL YEAR 2011. FORM 990, PART VI, SECTION C, LINE 19 THE MEDICAL CENTER'S GOVERING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. REIMBURSEMENTS FOR PHYSICIAN SERVICES SCHEDULE L, PART IV AND SCHEDULE R, PART V, LINE 1O ST. CROIX REGIONAL MEDICAL CENTER REIMBURSES RIVER VALLEY MEDICAL CENTER (RVMC), FOR PHYSICIAN SERVICES PROVIDED BY EMPLOYEES OF RVMC. ALL PAYMENTS ARE "GROSS", MEANING THAT THEY INCLUDE UNIDENTIFIED AMOUNTS FOR BENEFITS AND MALPRACTICE INSURANCE, AS WELL AS W-2 COMPENSATION.