2025-05-15T09:03:52-05:00 2023-03-31 420714325 RSM US LLP 227 WEST FIRST STREET SUITE 700 DULUTH MN 55802 990 2022-04-01 411724637 CUYUNA REGIONAL MEDICAL CENTER CUYU 2185467000 320 EAST MAIN STREET CROSBY MN 56441 KATIE BERG CFO 2185467000 2025-05-14 1 0 JULIE BOYER P01278549 2187275025 2025-05-14 2022 2025-03-06 01:10:19Z X AMY HART 320 EAST MAIN STREET CROSBY MN 56441 191565387 0 X WWW.CUYUNAMED.ORG X 1992 MN ACCOMMODATING YOU WITH CARE AND COMPASSION BY DEDICATING OURSELVES TO YOU EVERY DAY. 10 8 1304 15 0 0 3727130 345419 175411828 190392674 67028 224642 476342 586668 179682328 191549403 330198 122784 0 0 80441033 87551716 0 0 0 93155750 104779719 173926981 192454219 5755347 -904816 120942776 129107679 56476673 88329031 64466103 40778648 X ACCOMMODATING YOU WITH CARE AND COMPASSION BY DEDICATING OURSELVES TO YOU EVERY DAY. 0 0 180458208 122784 190392674 AS A COMMUNITY-BASED HOSPITAL AND HEALTHCARE PROVIDER, CRMC'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITY AND PROVIDE QUALITY HEALTHCARE 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. IN FY23 A TOTAL OF $169,177 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 $2,892,761 IN THE UNPAID COSTS OF MEDICAID FOR LOW-INCOME INDIVIDUALS. 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 $2,428,179 IN SERVICES IN FY23 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.CRMC'S HEALTH AND WELLNESS EVENTS IN FY23 WERE ATTENDED BY 18,976 PEOPLE. COMMUNITY FUN RUNS, BIKE RIDES, AND OTHER OUTDOOR ACTIVITIES AND WELLNESS FAIRS WERE SUPPORTED FINANCIALLY AND WITH VOLUNTEERS. ALL COMMUNITY EVENTS INCLUDED AN ACTIVITY FOR YOUTH AND 150 BIKE HELMETS WERE GIVEN FREE OF CHARGE TO AREA CHILDREN AT DEERWOOD SUMMERFEST. CRMC COORDINATED THE COMMUNITY WALK WITH THE DOC PROGRAM WEEKLY THROUGHOUT THE YEAR. THE ORGANIZATION ALSO PROVIDED ATHLETIC TRAINING SERVICES AND SPORTS PHYSICALS TO AREA SCHOOLS, THE COLLEGE, AND STUDENTS AS WELL AS AN EDUCATIONAL SEMINAR FOR ATHLETIC COACHES. IN ADDITION, STANDBY AMBULANCES AND FIRST AID BOOTHS WERE PROVIDED FOR THE COMMUNITY. CRMC RECRUITED ADDITIONAL MENTAL HEALTH PRACTITIONERS FOR THE COMMUNITY AND PARTNERED WITH SMILES FOR JAKE, A SUICIDE PREVENTION COALITION, TO BRING POSITIVE EVENTS TO FAMILIES IN THE AREA AT NO COST. A TOTAL OF 4,601 LUNCHES WERE PROVIDED FOR YOUTH IN THE CUYUNA LAKES LUNCH BUNCH FREE SUMMER LUNCH PROGRAM. IN ADDITION, CASH AND DONATIONS OF STAPLES WERE MADE TO THE CUYUNA LAKES AREA, AND EMILY FOOD BANKS, AND THE CROSBY FARMER'S MARKET AND ITS POWER OF PRODUCE PROGRAM WERE SUPPORTED. MORE THAN 6,000 FROZEN MEALS WERE DISTRIBUTED TO SENIOR CITIZENS IN CONJUNCTION WITH CATHOLIC CHARITIES. CRMC OFFERS YEAR-ROUND COURSES ON FIRST AID, CPR, CHILDBIRTH, WOMEN'S HEALTH, LIFESTYLE CHANGE, AND WEIGHT MANAGEMENT TOGETHER WITH SUPPORT GROUPS ON MENTAL HEALTH, CANCER, GRIEF, AND WEIGHT LOSS, AND FOR CAREGIVERS OF THOSE WITH DEMENTIA. IN ADDITION, CRMC OFFERED THE FREE, MONTHLY COMMUNITY AREA CONNECTIONS LUNCH AND LEARN PROGRAMS FOR SENIOR CITIZENS. THE VALUE OF CRMC'S COMMUNITY EDUCATION AND SUPPORT IN FY23 TOTALED $678,435.CRMC ALSO SUPPORTS OTHER ORGANIZATIONS AND INITIATIVES THAT SHARE ITS GOAL TO IMPROVE THE HEALTH OF OUR COMMUNITY. IN FY23, THAT INCLUDED $277,105 IN CASH AND IN-KIND DONATIONS 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; CROSBY-IRONTON, BRAINERD, NISSWA, AND PEQUOT LAKES SCHOOLS; NORTHLAND ARBORETUM; AREA CHURCHES; UNITED WAY; 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 MEALS FOR STUDENTS, HEALTHY FOOD AT COMMUNITY EVENTS, AND STOCKING AREA FOOD SHELVES AND MINI PANTRIES.CRMC ALSO INVESTS APPROXIMATELY $6 MILLION PER YEAR IN CAPITAL IMPROVEMENTS SUCH AS NEW EQUIPMENT, FACILITIES, AND TECHNOLOGY INFRASTRUCTURE. 180458208 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 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 134 0 1 1304 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 8 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 FAWN ATCHISON ANESTHESIOLOGIST 40.00 X 606072 0 33379 LEAH KIPPES ANESTHESIOLOGIST 40.00 X 557988 0 55523 KYLE DURGIN PHYSICIAN 40.00 X 498441 0 43604 AARON HOLLEY PHYSICIAN 40.00 X 474346 0 53873 CHRISTOPHER KACZMARCZYK PHYSICIAN 40.00 X 470564 0 16215 AMY HART CEO 40.00 X X 441206 0 34253 KATIE BERG CFO 40.00 X 330534 0 17551 GINNY SAVALOJA DIRECTOR UNTIL 1/20/23 1.00 X 0 0 0 ANDREA BEDARD DIRECTOR UNTIL 1/20/23 1.00 X 0 0 0 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 1.00 X 0 0 0 JOEL STAEHLING DIRECTOR 1.00 X 0 0 0 JULIE MOHS DIRECTOR START 2/21/23 1.00 X 0 0 0 LORI BURGSTALER DIRECTOR START 2/21/23 1.00 X 0 0 0 KENT FELTZ DIRECTOR 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 3379151 0 254398 107 0 1 0 PREMIER SURGICAL ASSOCIATES PA 318 E MAIN STREET CROSBY MN 56441 PHYSICIAN FEES 11901469 CENTRAL LAKES PHYSICIANS PA 318 E MAIN STREET CROSBY MN 56441 PHYSICIAN FEES 5713302 MINNESOTA INTERVENTIONAL SPINE CONSULTAN 23080 CROSS DR DEERWOOD MN 56444 PHYSICIAN FEES 2379850 CENTRAL MN DIAGNOSTIC INC PO BOX 158 MILACA MN 56353 RADIOLOGY SERVICES 2292721 MEDICAL SOLUTIONS INC PO BOX 850737 MINNEAPOLIS MN 554850737 PHYSICIAN FEES 2129944 20 314282 31137 345419 PATIENT REVENUE 621110 177359849 177359849 PROFESSIONAL SERVICES 621110 9145075 9145075 RETAIL PHARMACY 456110 1948482 1924558 23924 OTHER OPERATING REVENUE 900099 1939268 1939268 190392674 220170 220170 20456 15984 4472 4472 4472 CAFETERIA 722514 586668 586668 586668 191549403 190368750 0 835234 X 68409 68409 54375 54375 822688 822688 69660156 68489394 1170762 2786113 2786113 9569909 9569909 4712850 4601839 111011 146622 75936 70686 221632 221632 3522 3522 37316042 36257084 1058958 512752 512752 2699423 2335240 364183 339636 339636 2518058 2378516 139542 500982 408033 92949 1572443 4874 1567569 9400042 5989706 3410336 515312 4430 510882 MEDICAL SUPPLIES 19694763 19691432 3331 DRUGS 15747304 15747304 REPAIRS & MAINTENANCE 2990370 2964413 25957 IMPLICIT PRICE CONCESSI 2638915 2638915 7961901 5539898 2422003 192454219 180458208 11996011 0 22024328 12625490 52902 53134 26892491 32569355 4078844 5038208 3117361 3060065 156374995 96924395 59830096 59450600 3403773 3740714 424696 364025 1118285 12206088 120942776 129107679 16726881 17379376 30087479 27308048 11257 13102 9651056 43628505 56476673 88329031 X 64466103 40778648 64466103 40778648 120942776 129107679 X -904816 -154321 -22665591 37273 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3522 3522 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 86571771 42388987 44182784 66053522 52175067 13878455 3445362 2360341 1085021 59450600 DUE FROM AFFILIATES 1756738 RIGHT-OF-USE LEASE ASSETS 10449350 12206088 DUE TO AFFILIATE 2813132 CRM DUE TO MEDICARE 29916960 RIGHT-OF-USE LEASE LIABILITIES 10771906 FINANCE LEASE LIABILITIES 126507 43628505 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 2019. 1 1 X 1 X 175.000000000000 1 X 1 1 0 1 1 3071839 3071839 0.01620 27930193 20623008 7307185 0.03850 31002032 20623008 10379024 0.05470 16 7219 362006 362006 0.00190 5 9257 277105 277105 0.00150 21 16476 639111 639111 0.00340 21 16476 31641143 20623008 11018135 0.05810 1 14675 14675 0.00010 1 2500 24649 24649 0.00010 2 2500 39324 39324 0.00020 1 2638915 0 41443404 44049834 -2606430 X 1 1 1 1 CUYUNA REGIONAL MEDICAL CENTER 320 EAST MAIN STREET CROSBY MN 56441 406043 X X X X N/A CUYUNA REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 20 1 0 1 1 X SEE PART V, PAGE 8 X 1 20 1 SEE PART V, PAGE 8 0 1 X 175.000000000000 200.000000000000 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 6B: CROW WING COUNTY HEALTH DEPARTMENT AND SHERIFF, HALLETT COMMUNITY CENTER, CENTRAL LAKES COLLEGE, LAKES AREA FOOD SHELF, CROSBY-IRONTON SCHOOL DISTRICT, PEQUOT LAKES SCHOOL DISTRICT, UPLIFTED WELLNESS STUDIO, CONSOLIDATED TELECOMMUNICATIONS COMPANY, GREAT RIVER EYE CLINIC, CUYUNA LAKES CHAMBER OF COMMERCE, BRAINERD LAKES AREA CHAMBER OF COMMERCE, NISSWA CHAMBER OF COMMERCE AND SMILES FOR JAKE. CUYUNA REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: MENTAL HEALTH INITIATIVES AT CUYUNA REGIONAL MEDICAL CENTER (CRMC)AT CRMC, WE RECOGNIZE THE CRITICAL IMPORTANCE OF ADDRESSING MENTAL HEALTH NEEDS IN OUR COMMUNITY. OUR APPROACH IS COMPREHENSIVE, ENCOMPASSING TREATMENT, PREVENTION, EDUCATION, AND COMMUNITY ENGAGEMENT TO FOSTER A SUPPORTIVE AND MENTALLY HEALTHY ENVIRONMENT. HERE ARE THE KEY INITIATIVES WE HAVE IMPLEMENTED:1) RECRUITMENT OF MENTAL HEALTH PROVIDERS:UNDERSTANDING THE VITAL ROLE MENTAL HEALTH PROFESSIONALS PLAY, CRMC HAS PRIORITIZED THE RECRUITMENT OF ADDITIONAL EXPERTS IN THE FIELD. BY ADDING A NEW PSYCHIATRIST AND PSYCHOLOGIST TO OUR TEAM, WE ARE SIGNIFICANTLY INCREASING ACCESS TO MENTAL HEALTH SERVICES WITHIN THE COMMUNITY, ENSURING THAT INDIVIDUALS HAVE TIMELY AND EFFECTIVE SUPPORT.2) PARTNERSHIP WITH SMILES FOR JAKE:IN A COLLABORATIVE EFFORT, CRMC HAS ESTABLISHED A MEANINGFUL PARTNERSHIP WITH SMILES FOR JAKE, A PROMINENT SUICIDE PREVENTION MOVEMENT. THIS PARTNERSHIP INVOLVES COMMUNITY EDUCATION AND EVENTS FEATURING RENOWNED SPEAKERS ON SUICIDE AND MENTAL HEALTH. PERSONAL STORIES FROM INDIVIDUALS LIKE EMMA BENOIT AND KEVIN HINES HAVE BEEN SHARED TO RAISE AWARENESS AND FACILITATE OPEN DISCUSSIONS ON SUICIDE. THESE DISCUSSIONS EXTEND TO PROVIDERS IN THE AITKIN, BRAINERD, CROSBY, AND PILLAGER SCHOOL DISTRICTS, AS WELL AS ENGAGING PARENTS, CORPORATIONS, AND BUSINESS ENTITIES.3) COMMUNITY INITIATIVES WITH SMILES FOR JAKE:IN COLLABORATION WITH SMILES FOR JAKE, CRMC HAS UNDERTAKEN COMMUNITY INITIATIVES, SUCH AS CREATING A HOPE WALKING PATH IN THE CROSBY COMMUNITY AT IMMANUEL LUTHERAN CHURCH. ADDITIONALLY, EMERGENCY MEDICAL HEALTH TECHNICIANS WERE PRESENT AT THE LAKES JAM MUSIC FESTIVAL TO ASSIST CONCERT-GOERS STRUGGLING WITH THEIR MENTAL HEALTH. THESE INITIATIVES AIM TO BRING MENTAL HEALTH SUPPORT DIRECTLY TO THE COMMUNITY IN DIVERSE AND ACCESSIBLE WAYS.4) SCREENING FOR DEPRESSION:PROACTIVELY ADDRESSING MENTAL HEALTH, CRMC SCREENS ALL CLINIC PATIENTS FOR DEPRESSION. FOR INDIVIDUALS WITH POSITIVE RESULTS, WE PROVIDE IMMEDIATE ASSISTANCE, CONNECTING THEM WITH THE NECESSARY RESOURCES AND SUPPORT. THIS PROACTIVE SCREENING APPROACH ENSURES THAT MENTAL HEALTH CONCERNS ARE IDENTIFIED EARLY, ALLOWING FOR TIMELY INTERVENTION AND SUPPORT.5) PROMOTION OF WELLBEING THROUGH COMMUNITY ENGAGEMENT:CRMC ACTIVELY ENGAGES THE COMMUNITY IN VARIOUS WAYS TO PROMOTE MENTAL WELLBEING. THIS INCLUDES SPREADING POSITIVE MESSAGES, ORGANIZING SOCIAL ACTIVITIES, AND PROVIDING CREATIVE OUTLETS LIKE PAINTING ROCKS WITH POSITIVE MESSAGES AT COMMUNITY EVENTS. THESE INITIATIVES FOSTER A SENSE OF COMMUNITY, SUPPORT, AND POSITIVITY.6) WELLNESS PROMOTION PROGRAMS:CRMC IS COMMITTED TO PROMOTING WELLNESS THROUGH VARIOUS INITIATIVES, INCLUDING EDUCATION AND NOTEBOOKS ON "3 GOOD THINGS," ENCOURAGING GRATITUDE JOURNALING, SETTING UP RANDOM ACTS OF KINDNESS TREES, AND OFFERING STRESS RELIEF ACTIVITIES DURING COMMUNITY EVENTS. THESE PROGRAMS CONTRIBUTE TO THE HOLISTIC WELL-BEING OF INDIVIDUALS, EMPHASIZING THE IMPORTANCE OF MENTAL HEALTH IN OVERALL HEALTH AND HAPPINESS.THROUGH THESE INITIATIVES, CRMC REMAINS DEDICATED TO CREATING A MENTALLY HEALTHY COMMUNITY WHERE INDIVIDUALS ARE SUPPORTED, INFORMED, AND EMPOWERED ON THEIR MENTAL HEALTH JOURNEYS.PROMOTING HEALTHY EATING AT CUYUNA REGIONAL MEDICAL CENTER (CRMC)AT CRMC, WE ACTIVELY ADDRESS THE IDENTIFIED NEEDS RELATED TO HEALTHY EATING THROUGH A VARIETY OF IMPACTFUL PROGRAMS AND STRATEGIC PARTNERSHIPS. OUR KEY EFFORTS UNDERSCORE OUR COMMITMENT TO ENHANCING THE OVERALL HEALTH AND WELL-BEING OF OUR COMMUNITY:1) DIABETES EDUCATION AND SUPPORT GROUPS:CRMC TAKES A PROACTIVE APPROACH TO EMPOWER INDIVIDUALS DEALING WITH DIABETES THROUGH SPECIALIZED EDUCATION AND SUPPORT GROUPS. THESE INITIATIVES EMPHASIZE THE CRUCIAL ROLE OF HEALTHY EATING IN MANAGING THE CONDITION, PROVIDING INDIVIDUALS WITH PRACTICAL KNOWLEDGE AND RESOURCES FOR MAKING INFORMED DIETARY CHOICES.2) SPONSORSHIP OF FARMER'S MARKET AND POWER OF PRODUCE PROGRAMS:CRMC PROUDLY SPONSORS THE LOCAL FARMER'S MARKET AND ITS POWER OF PRODUCE PROGRAM. BY SUPPORTING THESE INITIATIVES, WE ENCOURAGE BOTH YOUTH AND SENIORS TO INCREASE THEIR CONSUMPTION OF FRESH FRUITS AND VEGETABLES, PROMOTING HEALTHY EATING HABITS WITHIN THE COMMUNITY.3) MEDICAL WEIGHT MANAGEMENT PROGRAM:RECOGNIZING THE IMPORTANCE OF WEIGHT MANAGEMENT IN OVERALL HEALTH, CRMC HAS EXPANDED ITS MEDICAL WEIGHT MANAGEMENT PROGRAM. OUR TEAM OF NEW PROVIDERS IS DEDICATED TO OFFERING SPECIALIZED SERVICES THAT SUPPORT INDIVIDUALS IN ADOPTING HEALTHIER EATING PRACTICES AND MANAGING THEIR WEIGHT EFFECTIVELY.4) VIRTUAL WEIGHT LOSS SUPPORT GROUPS AND SEMINARS:CRMC CONTINUES TO ADAPT TO THE EVOLVING HEALTHCARE LANDSCAPE BY OFFERING VIRTUAL WEIGHT LOSS SUPPORT GROUPS AND SEMINARS. THESE RESOURCES PROVIDE ONGOING GUIDANCE AND SUPPORT FOR INDIVIDUALS ON THEIR WEIGHT LOSS JOURNEYS, ENSURING ACCESSIBILITY AND CONVENIENCE IN OUR COMMITMENT TO PROMOTING HEALTHIER LIFESTYLES.5) FINANCIAL SPONSORSHIP OF FISHING TO END HUNGER TOURNAMENT:CRMC PROUDLY SPONSORS THE FISHING TO END HUNGER TOURNAMENT, BENEFITING THE COMMUNITY OUTREACH PROGRAM. THIS INITIATIVE PLAYS A VITAL ROLE IN ADDRESSING FOOD INSECURITY ISSUES IN THE COMMUNITY, ALIGNING WITH OUR COMMITMENT TO ENSURING THAT EVERYONE HAS ACCESS TO NUTRITIOUS MEALS.6) SENIOR FROZEN MEAL DISTRIBUTION:IN COLLABORATION WITH CATHOLIC CHARITIES, CRMC COORDINATES, PUBLICIZES, AND DISTRIBUTES FREE SENIOR FROZEN MEALS IN DEERWOOD. THIS INITIATIVE ENSURES THAT SENIORS IN THE COMMUNITY HAVE CONVENIENT ACCESS TO NUTRITIOUS MEALS, PROMOTING HEALTHY EATING AMONG THIS VULNERABLE POPULATION.7) CARE MANAGEMENT ADDRESSING FOOD INSECURITY:OUR CARE MANAGEMENT TEAM ACTIVELY COLLABORATES WITH CRMC DEPARTMENTS AND STAFF TO REPLENISH LOCAL FOOD PANTRIES BUILT BY HIGH SCHOOL STUDENTS IN THE COMMUNITY. THIS COLLABORATIVE EFFORT AIMS TO ENSURE THAT ALL COMMUNITY MEMBERS HAVE ACCESS TO A MEAL. IN ADDITION TO THE PANTRIES, THE TEAM DISTRIBUTES SUPER ONE GIFT CARDS TO PATIENTS IN NEED, OFFERING A PRACTICAL AND TARGETED APPROACH TO ADDRESSING FOOD-RELATED CHALLENGES IN OUR COMMUNITY.THROUGH THESE DIVERSE INITIATIVES, CRMC REMAINS DEDICATED TO PROMOTING AND SUPPORTING HEALTHY EATING PRACTICES, FOSTERING A COMMUNITY WHERE NUTRITIOUS FOOD IS ACCESSIBLE, AND INDIVIDUALS ARE EMPOWERED TO MAKE CHOICES THAT CONTRIBUTE TO THEIR OVERALL WELL-BEING.PROMOTING ACTIVE LIVING AT CUYUNA REGIONAL MEDICAL CENTER (CRMC)CRMC REMAINS DEDICATED TO ACTIVELY ADDRESSING THE SIGNIFICANT NEED IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). OUR KEY INITIATIVES REFLECT A COMMITMENT TO PROMOTING ACTIVE LIVING WITHIN OUR WORKFORCE AND THE BROADER COMMUNITY:1) WELLBEATS ON-DEMAND FITNESS PROGRAM:CRMC PRIORITIZES THE WELL-BEING OF ITS STAFF BY OFFERING THE WELLBEATS ON-DEMAND FITNESS PROGRAM. THIS INITIATIVE NOT ONLY PROMOTES ACTIVE LIVING AMONG OUR WORKFORCE BUT ALSO SETS AN INSPIRING EXAMPLE FOR THE COMMUNITY, ENCOURAGING INDIVIDUALS TO PRIORITIZE PHYSICAL ACTIVITY IN THEIR DAILY LIVES.2) PROVISION OF BIKES AND HELMETS:IN SUPPORT OF PHYSICAL ACTIVITY, CRMC PROVIDES BIKES FOR STAFF USE DURING BREAKS AND AFTER WORK, ENCOURAGING A HEALTHY AND ACTIVE LIFESTYLE. ADDITIONALLY, THE HOSPITAL SUPPLIES BIKE HELMETS TO AREA STUDENTS, PROMOTING SAFE AND ACTIVE TRANSPORTATION AND INSTILLING HEALTHY HABITS FROM A YOUNG AGE.3) ATHLETIC TRAINING SERVICES:CRMC EXTENDS ITS COMMITMENT TO PHYSICAL WELL-BEING BY PROVIDING ATHLETIC TRAINER SERVICES FOR CROSBY-IRONTON SCHOOL, CENTRAL LAKES COLLEGE, AND PEQUOT LAKES HIGH SCHOOL ATHLETES. THIS ENSURES THAT STUDENT ATHLETES RECEIVE PROPER CARE, SUPPORT, AND GUIDANCE TO MAINTAIN THEIR PHYSICAL HEALTH WHILE PARTICIPATING IN SPORTS.4) SPORTS PHYSICALS:CRMC PLAYS A VITAL ROLE IN SUPPORTING STUDENT ATHLETES BY OFFERING SPORTS PHYSICALS FOR CROSBY-IRONTON SCHOOLS STUDENT ATHLETES AND CENTRAL LAKES COLLEGE ATHLETES. THIS ENSURES THAT STUDENTS ENGAGING IN SPORTS HAVE THEIR HEALTH NEEDS THOROUGHLY ADDRESSED, PROMOTING SAFE AND ACTIVE PARTICIPATION IN ATHLETIC ACTIVITIES.5) SPONSORSHIP OF CUYUNA CRUSHER:CRMC PROUDLY SPONSORS THE CUYUNA CRUSHER, THE AREA'S LARGEST MOUNTAIN BIKE RACE. THIS SPONSORSHIP NOT ONLY PROMOTES ACTIVE LIVING BUT ALSO ENCOURAGES COMMUNITY ENGAGEMENT IN OUTDOOR RECREATIONAL ACTIVITIES, FOSTERING A CULTURE OF HEALTH AND WELL-BEING.6) COMMUNITY EDUCATION CLASSES AND SEMINARS:CRMC GOES BEYOND HEALTHCARE SERVICES BY PROVIDING COMMUNITY EDUCATION CLASSES, INCLUDING LIVING WELL, COACHES SEMINARS, AND ACTIVITIES AT LOCAL FESTIVALS. THESE INITIATIVES CONTRIBUTE TO RAISING AWARENESS ABOUT THE IMPORTANCE OF ACTIVE LIVING AND PROVIDE VALUABLE RESOURCES FOR COMMUNITY MEMBERS TO INCORPORATE PHYSICAL ACTIVITY INTO THEIR LIVES.SEE PART V, PAGE 8 FOR CONTINUATION AND COMMUNITY HEALTH NEEDS NOT ADDRESSED. 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: 7) SPONSORSHIP OF LOCAL YOUTH RUN AND TRIATHLON:THE HOSPITAL TAKES AN ACTIVE ROLE IN PROMOTING ACTIVE LIVING AMONG THE YOUNGER POPULATION BY SPONSORING A LOCAL YOUTH RUN AND TRIATHLON. THESE EVENTS ENCOURAGE YOUTH PARTICIPATION IN PHYSICAL ACTIVITIES, FOSTERING A FOUNDATION FOR A LIFETIME OF HEALTHY HABITS.THROUGH THESE DIVERSE INITIATIVES, CRMC IS ACTIVELY SHAPING A COMMUNITY WHERE ACTIVE LIVING IS NOT ONLY ENCOURAGED BUT ALSO READILY ACCESSIBLE, FOSTERING A CULTURE OF HEALTH, VITALITY, AND WELL-BEING.PRIORITIES NOT SELECTED: MANY OF THE OTHER HEALTH ISSUES WERE NOT SELECTED BECAUSE EFFORTS IN THESE THREE AREAS WOULD ALSO IMPACT THOSE ISSUES. FOR EXAMPLE, IN ADDRESSING MENTAL HEALTH ISSUES, CRMC WILL ALSO TACKLE SUBSTANCE ABUSE, DEPRESSION, ANXIETY, PANIC ATTACKS, AND STRESS. IF CRMC IS SUCCESSFUL IN IMPROVING NUTRITION AND INCREASING ACTIVITY, IT WILL REDUCE THE OBESITY AND OVERWEIGHT RATES, ADDRESS THE LACK OF NUTRITIOUS FOODS, REDUCE DIABETES, HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL. BY ENCOURAGING INDIVIDUALS TO BE MORE ACTIVE, OVERWEIGHT RATES WILL BE REDUCED TOGETHER WITH STRESS AND DEPRESSION. OTHER ISSUES WERE NOT CHOSEN BECAUSE THEY CONSISTENTLY RANKED AS A LOWER PRIORITY IN THE SURVEYS AND STATISTICS. 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 $2,638,915. PART II, COMMUNITY BUILDING ACTIVITIES: CUYUNA REGIONAL MEDICAL CENTER (CRMC) ACTIVELY PARTICIPATED IN COMMUNITY-BUILDING INITIATIVES THAT SIGNIFICANTLY ADVANCED THE WELL-BEING OF THE COMMUNITIES IT SERVES. HERE ARE THE KEY INITIATIVES:1) FINANCIAL SUPPORT FOR ECONOMIC DEVELOPMENT: CRMC PROVIDED VITAL FINANCIAL SUPPORT TO THE BRAINERD LAKES AREA ECONOMIC DEVELOPMENT CORPORATION. THIS ASSISTANCE WAS DIRECTED TOWARDS STIMULATING THE CREATION OF NEW JOBS, ATTRACTING FRESH INDUSTRIES TO THE REGION, AND AIDING LOCAL BUSINESSES. BY CONTRIBUTING TO ECONOMIC DEVELOPMENT, CRMC PLAYED A CRUCIAL ROLE IN ENHANCING EMPLOYMENT OPPORTUNITIES AND OVERALL ECONOMIC WELL-BEING, THEREBY POSITIVELY IMPACTING COMMUNITY HEALTH. 2) SUPPORT FOR CHAMBERS OF COMMERCE AND COMMUNITY EVENTS: CRMC DEMONSTRATED SUPPORT FOR LOCAL CHAMBERS OF COMMERCE, INCLUDING THE BRAINERD LAKES, CUYUNA LAKES, AND NISSWA CHAMBERS. THIS BACKING EXTENDED TO VARIOUS COMMUNITY EVENTS, FOSTERING COLLABORATION, SUPPORTING LOCAL BUSINESSES, AND CULTIVATING A SENSE OF COMMUNITY COHESION. THROUGH THESE ENDEAVORS, CRMC ACTIVELY CONTRIBUTED TO COMMUNITY BUILDING AND THE OVERALL WELL-BEING OF THE LOCAL POPULACE. 3) FOOD INSECURITY INITIATIVES:CRMC ADDRESSED THE CRITICAL ISSUE OF FOOD INSECURITY THROUGH COMMENDABLE EFFORTS SUCH AS THE CUYUNA LAKES LUNCH BUNCH PROGRAM AND FREE SENIOR MEAL DISTRIBUTION IN COLLABORATION WITH CATHOLIC CHARITIES. THESE INITIATIVES WERE DESIGNED TO ENSURE THAT ECONOMICALLY INSECURE INDIVIDUALS HAVE RELIABLE ACCESS TO NUTRITIOUS MEALS, THEREBY PROMOTING COMMUNITY HEALTH AND WELLNESS.4) VIRTUAL HEALTH AND WELLNESS EDUCATIONAL CLASSES:CRMC TOOK PROACTIVE STEPS BY OFFERING A MULTITUDE OF VIRTUAL HEALTH AND WELLNESS EDUCATIONAL CLASSES AND SUPPORT GROUPS. THESE INITIATIVES DIRECTLY FACILITATED COMMUNITY HEALTH BY PROVIDING VALUABLE INFORMATION AND RESOURCES TO COMMUNITY MEMBERS. BY EMPOWERING INDIVIDUALS TO MAKE INFORMED DECISIONS ABOUT THEIR WELL-BEING, CRMC CONTRIBUTED SIGNIFICANTLY TO THE ENHANCEMENT OF OVERALL COMMUNITY HEALTH.6) SUPPORT FOR BRIDGES ACADEMY CAREER DAY:CRMC ACTIVELY ENCOURAGED STUDENTS TO EXPLORE HEALTHCARE CAREERS BY SUPPORTING BRIDGES ACADEMY CAREER DAY. THIS IMPACTFUL EVENT PROVIDED HIGH SCHOOL STUDENTS WITH THE OPPORTUNITY TO HEAR FROM HEALTHCARE PROFESSIONALS ABOUT THEIR JOBS, FOSTERING INTEREST IN HEALTH-RELATED CAREER PATHS AND CONTRIBUTING TO THE DEVELOPMENT OF FUTURE HEALTHCARE LEADERS.7) CPR/FIRST AID TRAINING CLASSES AND DEMONSTRATIONS:CRMC, THROUGH ITS EMERGENCY MEDICAL SERVICES, CONDUCTED NUMEROUS CPR/FIRST AID TRAINING CLASSES AND DEMONSTRATIONS. THIS INITIATIVE EQUIPPED COMMUNITY MEMBERS WITH LIFE-SAVING SKILLS, ENHANCING OVERALL COMMUNITY HEALTH AND SAFETY. BY EMPOWERING INDIVIDUALS TO RESPOND EFFECTIVELY IN EMERGENCY SITUATIONS, CRMC PLAYED A CRITICAL ROLE IN BUILDING A RESILIENT AND PREPARED COMMUNITY. 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 FINANCIAL STATEMENT EFFECTS OF USING THIS PRACTICAL EXPEDIENT ARE NOT MATERIALLY DIFFERENT FROM AN INDIVIDUAL CONTRACT APPROACH.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 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 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)CRMC EMPLOYS A MULTIFACETED APPROACH TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. A KEY ASPECT OF THIS APPROACH INVOLVES MONITORING THE HEALTH OF PATIENTS AT ITS FIVE PHYSICIAN CLINICS LOCATED IN CROSBY, BAXTER, BREEZY POINT, LONGVILLE, AND SUPER ONE CROSBY. THIS ON-THE-GROUND PRESENCE ENABLES CRMC TO GATHER DIRECT AND REAL-TIME DATA ON HEALTH CONDITIONS, PREVALENT ISSUES, AND SPECIFIC HEALTHCARE REQUIREMENTS WITHIN THE LOCAL POPULATION.KEY COMPONENTS OF CRMC'S HEALTH ASSESSMENT APPROACH:1) PHYSICIAN CLINICS MONITORING:CRMC MAINTAINS A STRONG PRESENCE THROUGH ITS FIVE PHYSICIAN CLINICS STRATEGICALLY POSITIONED IN DIFFERENT COMMUNITIES. THIS ALLOWS US TO CLOSELY MONITOR THE HEALTH STATUS OF PATIENTS, IDENTIFY TRENDS, AND ADDRESS SPECIFIC HEALTHCARE NEEDS UNIQUE TO EACH LOCALITY. THE PROXIMITY OF THESE CLINICS ENSURES THAT HEALTHCARE SERVICES ARE TAILORED TO THE SPECIFIC REQUIREMENTS OF EACH COMMUNITY.2) COMMUNITY ENGAGEMENT PROGRAM:CRMC HAS ESTABLISHED A ROBUST COMMUNITY ENGAGEMENT PROGRAM DESIGNED TO ACTIVELY INVOLVE AND UNDERSTAND THE HEALTH NEEDS OF THE COMMUNITY. THIS PROGRAM ENCOMPASSES ACTIVE PARTICIPATION IN VARIOUS COMMUNITY EVENTS WHERE CRMC STAFF ENGAGE WITH RESIDENTS, LOCAL ORGANIZATIONS, AND COMMUNITY LEADERS. THROUGH THESE INTERACTIONS AND DISCUSSIONS, CRMC GAINS VALUABLE INSIGHTS INTO THE UNIQUE HEALTH CHALLENGES, CONCERNS, AND PRIORITIES OF THE COMMUNITY.3) PATIENT ADVISORY COMMITTEE:AS PART OF THE COMMUNITY ENGAGEMENT PROGRAM, CRMC HAS INSTITUTED A PATIENT ADVISORY COMMITTEE THAT CONVENES QUARTERLY. THIS COMMITTEE SERVES AS A PLATFORM FOR OPEN DIALOGUE AND COLLABORATION BETWEEN HEALTHCARE PROVIDERS AND THE COMMUNITY. DURING THESE MEETINGS, CONCERNS ARE DISCUSSED, AND AREAS OF IMPROVEMENT ARE IDENTIFIED, ALLOWING CRMC TO TAILOR ITS SERVICES TO MEET THE EVOLVING NEEDS OF THE COMMUNITY.BENEFITS OF CRMC'S APPROACH:-REAL-TIME DATA: THE ON-THE-GROUND PRESENCE AT PHYSICIAN CLINICS PROVIDES CRMC WITH REAL-TIME DATA ON THE HEALTH CONDITIONS AND NEEDS OF THE LOCAL POPULATION.-TAILORED HEALTHCARE SERVICES: BY UNDERSTANDING THE UNIQUE CHALLENGES AND PRIORITIES OF EACH COMMUNITY, CRMC CAN TAILOR HEALTHCARE SERVICES TO MEET SPECIFIC REQUIREMENTS.-PROACTIVE COMMUNITY ENGAGEMENT: ACTIVE PARTICIPATION IN COMMUNITY EVENTS AND THE PATIENT ADVISORY COMMITTEE DEMONSTRATES CRMC'S COMMITMENT TO PROACTIVE COMMUNITY ENGAGEMENT, FOSTERING A COLLABORATIVE APPROACH TO HEALTHCARE.-CONTINUOUS IMPROVEMENT: THE REGULAR ASSESSMENTS AND DISCUSSIONS WITH THE COMMUNITY ALLOW CRMC TO IDENTIFY AREAS FOR IMPROVEMENT AND IMPLEMENT STRATEGIES TO ENHANCE THE OVERALL HEALTH AND WELL-BEING OF THE POPULATION.CRMC'S MULTIFACETED APPROACH ENSURES THAT THE HEALTHCARE SERVICES PROVIDED ARE NOT ONLY RESPONSIVE TO IMMEDIATE NEEDS BUT ALSO ANTICIPATE AND ADDRESS THE EVOLVING HEALTH CHALLENGES OF THE COMMUNITIES IT SERVES. PART VI, LINE 3: PATIENT-FOCUSED FINANCIAL ASSISTANCE AT CUYUNA REGIONAL MEDICAL CENTER (CRMC)AT CUYUNA REGIONAL MEDICAL CENTER, WE ARE COMMITTED TO ENSURING A TRANSPARENT AND SUPPORTIVE FINANCIAL EXPERIENCE FOR OUR PATIENTS. AS PART OF OUR PATIENT-FOCUSED FINANCIAL ASSISTANCE PROGRAM, WE HAVE IMPLEMENTED SEVERAL INITIATIVES TO PROACTIVELY ADDRESS FINANCIAL CONCERNS AND PROVIDE ACCESSIBLE RESOURCES:1. COURTESY PHONE CALL AFTER THE FIRST STATEMENT:CRMC VALUES CLEAR COMMUNICATION AND TRANSPARENCY IN FINANCIAL MATTERS. AFTER THE FIRST STATEMENT IS ISSUED, OUR DEDICATED TEAM REACHES OUT TO PATIENTS THROUGH A COURTESY PHONE CALL. DURING THIS CALL, WE DISCUSS OUR FINANCIAL ASSISTANCE POLICY, ENSURING THAT PATIENTS ARE INFORMED ABOUT AVAILABLE OPTIONS AND CAN ADDRESS ANY QUESTIONS OR CONCERNS THEY MAY HAVE.2. AVAILABILITY OF FINANCIAL ADVISORS:RECOGNIZING THE IMPORTANCE OF PERSONALIZED SUPPORT, CRMC HAS FINANCIAL ADVISORS AVAILABLE DURING NORMAL BUSINESS HOURS WITHIN OUR FACILITIES. PATIENTS HAVE THE OPPORTUNITY TO MEET WITH THESE ADVISORS TO DISCUSS THEIR INDIVIDUAL FINANCIAL SITUATIONS, EXPLORE AVAILABLE ASSISTANCE PROGRAMS, AND RECEIVE GUIDANCE ON NAVIGATING THE FINANCIAL ASPECTS OF THEIR HEALTHCARE.3. MAILED FINANCIAL ASSISTANCE POLICY AND APPLICATION:TO PROACTIVELY ADDRESS POTENTIAL CHALLENGES, CRMC TAKES THE INITIATIVE TO MAIL OUT THE FINANCIAL ASSISTANCE POLICY AND APPLICATION TO PATIENTS PRIOR TO THE ESCALATION OF BILLING ISSUES. THIS ENSURES THAT PATIENTS HAVE COMPREHENSIVE INFORMATION ABOUT AVAILABLE FINANCIAL ASSISTANCE OPTIONS WELL BEFORE BILLS MAY REACH COLLECTIONS.4. ACCESSIBILITY THROUGHOUT FACILITIES:THE FINANCIAL ASSISTANCE POLICY IS MADE READILY AVAILABLE THROUGHOUT ALL OUR FACILITIES. PATIENTS CAN ACCESS THIS INFORMATION EASILY, WHETHER THEY ARE AT A CLINIC, HOSPITAL, OR OTHER CRMC FACILITY. OUR COMMITMENT TO ACCESSIBILITY ENSURES THAT PATIENTS HAVE THE RESOURCES THEY NEED AT THEIR FINGERTIPS.5. ONLINE ACCESSIBILITY ON THE WEBSITE:IN ADDITION TO PHYSICAL ACCESSIBILITY, CRMC UNDERSTANDS THE IMPORTANCE OF DIGITAL RESOURCES. OUR FINANCIAL ASSISTANCE POLICY IS PROMINENTLY POSTED ON OUR WEBSITE, ALLOWING PATIENTS TO ACCESS THE INFORMATION CONVENIENTLY AND EMPOWERING THEM TO MAKE INFORMED DECISIONS ABOUT THEIR FINANCIAL HEALTHCARE JOURNEY.BENEFITS OF OUR APPROACH:-PROACTIVE EDUCATION: PATIENTS RECEIVE INFORMATION ABOUT FINANCIAL ASSISTANCE OPTIONS EARLY IN THE BILLING PROCESS, PROMOTING PROACTIVE UNDERSTANDING AND ENGAGEMENT.-PERSONALIZED SUPPORT: THE AVAILABILITY OF FINANCIAL ADVISORS ALLOWS PATIENTS TO RECEIVE PERSONALIZED SUPPORT TAILORED TO THEIR SPECIFIC FINANCIAL CIRCUMSTANCES.-TIMELY INFORMATION: MAILING OUT THE FINANCIAL ASSISTANCE POLICY BEFORE COLLECTIONS HELP PATIENTS ADDRESS POTENTIAL ISSUES BEFORE THEY ESCALATE, PROMOTING TIMELY RESOLUTION.-TRANSPARENCY AND ACCESSIBILITY: MAKING THE POLICY AVAILABLE THROUGHOUT OUR FACILITIES AND ONLINE EMPHASIZES OUR COMMITMENT TO TRANSPARENCY AND ACCESSIBILITY.CRMC'S PATIENT-FOCUSED FINANCIAL ASSISTANCE APPROACH REFLECTS OUR DEDICATION TO SUPPORTING PATIENTS THROUGH CLEAR COMMUNICATION, PROACTIVE EDUCATION, AND PERSONALIZED ASSISTANCE. WE BELIEVE IN EMPOWERING INDIVIDUALS TO NAVIGATE THE FINANCIAL ASPECTS OF THEIR HEALTHCARE WITH CONFIDENCE AND EASE. 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 15 PATIENTS.-THE MEDICAL CENTER SERVES AROUND 1,400 INPATIENTS AND ACCOMMODATES 170,000 OUTPATIENTS ANNUALLY.-IT MANAGES OVER 8,000 EMERGENCY ROOM VISITS AND FACILITATES APPROXIMATELY 200 BIRTHS EACH YEAR.PATIENT DEMOGRAPHICS:-65% OF CRMC'S PATIENTS RESIDE IN BRAINERD, BAXTER, LONGVILLE, AITKIN, ONAMIA, AND THEIR SURROUNDING AREAS.-ANOTHER 35% 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 60% OF THE POPULATION RESIDES IN RURAL AREAS.AGE DISTRIBUTION:-APPROXIMATELY 22% OF RESIDENTS ARE UNDER 18 YEARS OLD.-ANOTHER 22% ARE 65 YEARS AND OLDER.SOCIOECONOMIC SNAPSHOT:-THE MEDIAN HOUSEHOLD INCOME IS $53,500.-ABOUT 85% OF RESIDENTS ARE HIGH SCHOOL GRADUATES, AND 71% HAVE SOME COLLEGE EDUCATION.-THIRTY PERCENT OF CHILDREN LIVE IN SINGLE-PARENT HOUSEHOLDS.-17% OF CHILDREN LIVE IN POVERTY.-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.-GOVERNING BOARD: AN 18-MEMBER GOVERNING BOARD, ELECTED BY RESIDENTS OF CRMC'S COMMUNITIES, PLAYS A VITAL ROLE IN OVERSEEING FINANCIAL OBLIGATIONS AND DEBT REPAYMENT, ENSURING FINANCIAL SUSTAINABILITY.5) CAPITAL INVESTMENTS FOR ADVANCED CARE:-COMMITMENT TO ADVANCED CARE: CRMC INVESTS APPROXIMATELY $6 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 COURAGE CABINET - HELPING LOCAL CANCER PATIENTS 54 54375 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 606072 0 0 0 0 0 14500 0 18879 0 639451 0 0 0 LEAH KIPPES ANESTHESIOLOGIST 557988 0 0 0 0 0 14500 0 41023 0 613511 0 0 0 KYLE DURGIN PHYSICIAN 498441 0 0 0 0 0 0 0 43604 0 542045 0 0 0 AARON HOLLEY PHYSICIAN 474346 0 0 0 0 0 14500 0 39373 0 528219 0 0 0 CHRISTOPHER KACZMARCZYK PHYSICIAN 470564 0 0 0 0 0 14500 0 1715 0 486779 0 0 0 AMY HART CEO 441206 0 0 0 0 0 14500 0 19753 0 475459 0 0 0 KATIE BERG CFO 330534 0 0 0 0 0 14235 0 3316 0 348085 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 7545000 14245000 655181 227309 13390489 2015 0 0 1 1 B 8495000 15470000 15470000 2013 1 0 1 1 C 3785649 10000000 40741 6042592 3916667 2020 1 0 1 1 D 3767936 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 2626622 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 CARLA CARLSON SISTER-IN-LAW OF ANDREA BEDARD, DIRECTOR 34696 EMPLOYMENT 0 CHRIS CARLSON BROTHER TO ANDREA BEDARD, DIRECTOR 33382 EMPLOYMENT 0 JODI BEDARD DAUGHTER-IN-LAW OF ANDREA BEDARD, DIRECTOR 60432 EMPLOYMENT 0 SHERRY SKJEVELAND WIFE OF JAMIE SKJEVELAND, DIRECTOR 35425 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 20,639,135. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,639,135. OTHER FEES: PROGRAM SERVICE EXPENSES 4,179,212. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,179,212. OTHER FEES FOR SERVICES (NON EMPLOYEES): PROGRAM SERVICE EXPENSES 11,438,737. MANAGEMENT AND GENERAL EXPENSES 1,058,958. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,497,695. FORM 990, PART XI, LINE 9: BOOK/TAX DIFFERENCE 37,273. 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