2026-02-11T15:21:42-06:00 2025-03-31 420714325 RSM US LLP 227 WEST FIRST STREET SUITE 700 DULUTH MN 55802 990 2024-04-01 411724637 CUYUNA REGIONAL MEDICAL CENTER CUYU 2185467000 320 EAST MAIN STREET CROSBY MN 56441 KATIE BERG CFO 2185467000 2026-02-11 1 1 JULIE BOYER P01278549 2187275025 2026-02-11 2024 2025-03-06 01:10:19Z AMY HART 320 EAST MAIN STREET CROSBY MN 56441 214831497 0 X WWW.CUYUNAMED.ORG X 1992 MN ACCOMMODATING YOU WITH CARE AND COMPASSION BY DEDICATING OURSELVES TO YOU EVERY DAY. 9 6 1426 22 0 0 516663 481098 200549109 212870506 158527 -813385 726424 1389396 201950723 213927615 473452 450266 0 0 93792865 94427443 0 0 0 115507640 117327404 209773957 212205113 -7823234 1722502 113824434 110364038 80929409 75787188 32895025 34576850 X ACCOMMODATING YOU WITH CARE AND COMPASSION BY DEDICATING OURSELVES TO YOU EVERY DAY. 0 0 200428919 450266 212870506 CUYUNA REGIONAL MEDICAL CENTER (CRMC) IS COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITIES IT SERVES. IN FY25, CRMC DELIVERED COMMUNITY BENEFIT PROGRAMS FOCUSED ON SUPPORTING ESSENTIAL BUT UNDER REIMBURSED SERVICES AND ADDRESSING COMMUNITY HEALTH PRIORITIES IDENTIFIED THROUGH ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THESE EFFORTS REFLECT CRMC'S CHARITABLE PURPOSE AND ITS COMMITMENT TO SERVING INDIVIDUALS AND FAMILIES REGARDLESS OF ABILITY TO PAY.CRMC MAINTAINS A COMPREHENSIVE FINANCIAL ASSISTANCE POLICY TO ENSURE THAT PATIENTS WHO QUALIFY RECEIVE CHARITY CARE OR DISCOUNTED SERVICES. IN FY25, CRMC PROVIDED $608,857 IN CHARITY CARE TO LOW-INCOME PATIENTS AT FREE OR REDUCED RATES. CHARITY CARE WAS PROVIDED TO INDIVIDUALS WHO EXHAUSTED THIRD-PARTY RESOURCES, DID NOT QUALIFY FOR MEDICAID, OR HAD INSUFFICIENT INCOME TO COVER THE COST OF CARE.IN ADDITION, CRMC SUBSIDIZED $2,351,282 IN ESSENTIAL HEALTH SERVICES THAT ARE NECESSARY TO MEET COMMUNITY NEED BUT DO NOT GENERATE SUFFICIENT REVENUE TO COVER THE COST OF PROVIDING CARE. THESE SUBSIDIES ENSURED CONTINUED ACCESS TO CRITICAL HEALTHCARE SERVICES FOR RESIDENTS OF THE BRAINERD LAKES AREA AND SURROUNDING RURAL COMMUNITIES.CRMC'S COMMUNITY BENEFIT PROGRAMS ARE GUIDED BY ITS CHNA, WHICH IDENTIFIED PRIORITY FOCUS AREAS FOR THE 2023-2025 CYCLE: MENTAL HEALTH, NUTRITION, AND PHYSICAL ACTIVITY. IN FY25, CRMC INTENTIONALLY ALIGNED ITS COMMUNITY HEALTH PROGRAMS, OUTREACH, AND PARTNERSHIPS WITH THESE PRIORITIES.PHYSICAL ACTIVITY AND ACTIVE LIVINGIN FY25, CRMC SUPPORTED HEALTH AND WELLNESS THROUGH COMMUNITY EVENTS ATTENDED BY APPROXIMATELY 35,202 INDIVIDUALS, INCLUDING COMMUNITY WALKS, TRIATHLONS, BIKE RIDES, RACES, AND SENIOR EXPOS. CRMC ALSO PROVIDED ATHLETIC TRAINING SERVICES TO LOCAL SCHOOL DISTRICTS, SUPPORTING SAFE PARTICIPATION IN YOUTH ATHLETICS.CRMC SUPPORTED THE LONGVILLE PARK PROJECT, WHICH SERVES AS A COMMUNITY GATHERING SPACE UTILIZED BY LOCAL RESIDENTS AND VISITORS FROM SURROUNDING TOWNSHIPS. THE BROADER COMMUNITY DRAWS MORE THAN 5,000 INDIVIDUALS ANNUALLY, WITH INCREASED PARTICIPATION DURING PEAK SUMMER MONTHS DUE TO SEASONAL TOURISM. SUPPORT FOR THE PARK CONTRIBUTED TO OPPORTUNITIES FOR OUTDOOR RECREATION, ACTIVE PLAY FOR YOUTH AND FAMILIES, AND COMMUNITY ENGAGEMENT.TO PROMOTE SAFETY AT LARGE COMMUNITY GATHERINGS, CRMC STAFFED FIRST AID TENTS AT MAJOR EVENTS, INCLUDING THE WORLD'S LARGEST ICE FISHING CONTEST HOSTED BY THE BRAINERD JAYCEES, THE CUYUNA CRUSHER, AND THE CUYUNA TRIATHLON. ADDITIONAL ACTIVITIES INCLUDED FUN RUNS, TRIATHLONS, AND A 5K EVENT FOCUSED ON MENTAL HEALTH AWARENESS.MENTAL HEALTH AND SOCIAL CONNECTIONCRMC CONTINUED ITS PARTNERSHIP WITH SMILES FOR JAKE, A LOCAL SUICIDE PREVENTION MOVEMENT, TO HOST CUYUNA CHRISTMAS - SNOW MANY SMILES, A FREE, FAMILY-FRIENDLY COMMUNITY EVENT. THE EVENT PROVIDED OPPORTUNITIES FOR SOCIAL CONNECTION, COMMUNITY ENGAGEMENT, AND PARTICIPATION IN SHARED EXPERIENCES THAT SUPPORTED MENTAL WELL-BEING AND REDUCED SOCIAL ISOLATION.IN FY25, CRMC ALSO LAUNCHED MENTAL HEALTH MINUTE, A WEEKLY PUBLIC SERVICE ANNOUNCEMENT AIRED FRIDAY'S DURING PEAK MORNING DRIVE TIME ON LOCAL RADIO. THE PROGRAM SHARED BRIEF MENTAL HEALTH TIPS AND MESSAGES INTENDED TO INCREASE AWARENESS AND NORMALIZE CONVERSATIONS AROUND MENTAL HEALTH.FOOD ACCESS AND NUTRITIONTO ADDRESS FOOD INSECURITY, CRMC PARTNERED WITH AREA CHURCHES TO PROVIDE 6,521 FREE LUNCHES TO YOUTH THROUGH THE CUYUNA LAKES LUNCH BUNCH PROGRAM, CRMC ALSO PROVIDE FINANCIAL SUPPORT TO OPERATION SANDWICH FOR BRAINERD-AREA STUDENTS.ADDITIONAL NUTRITION AND FOOD ACCESS EFFORTS INCLUDED SUPPORT FOR MEALS ON WHEELS, THE OUTREACH PROGRAM, LOCAL FOOD SHELVES, AND THE CROSBY FARMERS MARKET. CRMC PROVIDED SUPERONE GIFT CARDS TO PATIENTS EXPERIENCING FOOD INSECURITY, DISTRIBUTED 59 FOOD BOXES AND ESTABLISHED A SMALL IN-HOUSE FOOD PANTRY FOR PATIENTS AND STAFF IN NEED. THROUGH PARTNERSHIPS WITH THE OUTREACH PROGRAM AND BRAINERD HIGH SCHOOL'S WARRIOR DAY OF SERVICE, 22,464 MEALS WERE PACKED AND DISTRIBUTED TO THE CROSBY COMMUNITY AND LOCAL FOOD SHELVES. CRMC ALSO SUPPORTED THE LAKES AREA FOOD SHELF, WHICH SERVES MORE THAN 256 NEW HOUSEHOLDS EVERY SIX MONTHS.HEALTH EDUCATION AND COMMUNITY ENGAGEMENTCRMC PROVIDED YEAR-ROUND EMS EDUCATION, INCLUDING FIRST AID AND CPR COURSES, AND FACILITATED SUPPORT GROUPS FOCUSED ON MENTAL HEALTH, CANCER, GRIEF, DEMENTIA, AND CAREGIVER SUPPORT. MONTHLY COMMUNITY AREA CONNECTIONS LUNCH-AND-LEARN PROGRAMS OFFERED EDUCATIONAL OPPORTUNITIES FOR HEALTH AND WELLNESS TOPICS.COMMUNITY CONTRIBUTIONS AND VOLUNTEERISMIN FY25, CRMC CONTRIBUTED $171,436 IN CASH AND IN-KIND DONATIONS TO COMMUNITY ORGANIZATIONS ADDRESSING CHNA PRIORITIES. CRMC STAFF SERVED ON OR SUPPORTED 30 COMMUNITY ORGANIZATIONS, INCLUDING SCHOOLS, CHAMBERS OF COMMERCE, FAITH-BASED ORGANIZATIONS, CORRECTIONAL FACILITIES, AND NONPROFIT ORGANIZATIONS.CRMC EMPLOYEES DONATED MORE THAN 557 HOURS OF WORK-RELATED VOLUNTEER SERVICE AND 1,818 HOURS OF PERSONAL VOLUNTEER TIME TO MORE THAN 22 LOCAL ORGANIZATIONS, REFLECTING A STRONG CULTURE OF COMMUNITY ENGAGEMENT.TARGETED PATIENT ASSISTANCETHROUGH THE COURAGE CABINET, CRMC PROVIDED $67,000 IN DIRECT FINANCIAL ASSISTANCE TO LOCAL CANCER PATIENTS TO SUPPORT TREATMENT-RELATED TRAVEL AND ESSENTIAL NEEDS, INCLUDING FOOD, HOUSING, AND HEATING ASSISTANCE.OVERALL COMMUNITY BENEFIT IMPACTIN FY25, CRMC'S COMMUNITY BENEFIT ACTIVITIES, INCLUDING CHARITY CARE, SUBSIDIZED SERVICES, HEALTH EDUCATION, FOOD ACCESS INITIATIVES, AND COMMUNITY PARTNERSHIPS, RESULTED IN A TOTAL COMMUNITY BENEFIT IMPACT OF $3,300,213 . THESE PROGRAMS DEMONSTRATE CRMC'S CONTINUED COMMITMENT TO ITS CHARITABLE MISSION AND TO ADDRESSING THE PRIORITY HEALTH NEEDS OF THE COMMUNITIES IT SERVES. 200428919 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 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 112 0 1 1426 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 446554 0 30218 LORI BURGSTALER DIRECTOR 1.00 X 0 0 0 TYLER GLYNN DIRECTOR START 12/27/24 1.00 X 0 0 0 DR PAIGE HOLMGREN DIRECTOR/PHYSICIAN 1.00 X 0 0 0 DR JOSHUA HOROWITZ DIRECTOR/PHYSICIAN 1.00 X 0 0 0 JULIE MOHS DIRECTOR 1.00 X 0 0 0 GRETCHEN ROGERS 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 KATIE BERG CFO 40.00 X 287420 0 14239 ATLANTIS RUSS PHYSICIAN 40.00 X 653819 0 19685 FAWN ATCHISON ANESTHESIOLOGIST 40.00 X 621089 0 25836 AARON HOLLEY PHYSICIAN 40.00 X 523122 0 46217 KYLE DURGIN PHYSICIAN 40.00 X 498907 0 44995 CHRISTOPHER KACZMARCZYK PHYSICIAN 40.00 X 505048 0 12187 3535959 0 193377 174 0 1 0 PREMIER SURGICAL ASSOCIATES PA 318 E MAIN STREET CROSBY MN 56441 PHYSICIAN FEES 13790989 CENTRAL LAKES PHYSICIANS PA 318 E MAIN STREET CROSBY MN 56441 PHYSICIAN FEES 6371282 CENTRAL MN DIAGNOSTIC INC PO BOX 158 MILACA MN 56353 RADIOLOGY SERVICES 2514623 MINNESOTA INTERVENTIONAL SPINE CONSULTAN 23080 CROSS DR DEERWOOD MN 56444 PHYSICIAN FEES 2375950 ALLINA MEDICAL LABORATORIES PO BOX 77008 MINNEAPOLIS MN 55480 LABORATORY SERVICES 1532643 31 346322 134776 481098 PATIENT REVENUE 621110 200058501 200058501 PROFESSIONAL SERVICES 621110 7791894 7791894 RETAIL PHARMACY 456110 2653810 2630799 23011 OTHER OPERATING REVENUE 900099 2366301 2366301 212870506 90497 90497 903882 -903882 -903882 -903882 EARNINGS IN CMDI 900099 770338 770338 CAFETERIA 722514 619058 619058 1389396 213927615 213617833 0 -171316 X 383266 383266 67000 67000 776857 776857 75885363 74559198 1326165 3143877 3143877 9450279 9450279 5171067 5056388 114679 182139 51960 130179 170470 170470 1835 1835 39379554 38342702 1036852 198249 198249 2331373 1976505 354868 87047 87047 2333001 2191911 141090 235744 186284 49460 1169994 2217 1167777 9159897 6004345 3155552 566888 566888 MEDICAL SUPPLIES 26065602 26061860 3742 DRUGS 18777937 18777937 IMPLICIT PRICE CONCESSI 6031934 6031934 REPAIRS & MAINTENANCE 3410719 3402321 8398 7225021 4453639 2771382 212205113 200428919 11776194 0 2718778 7943866 29778724 28397963 5478473 6042419 2823565 2546550 160542019 110402014 55968390 50140005 4992359 4664758 303354 242683 11760791 10385794 113824434 110364038 16779206 18121991 22477972 0 14076 0 20400000 41658155 37265197 80929409 75787188 X 32895025 34576850 32895025 34576850 113824434 110364038 X 1722502 -29257 -11420 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1835 1835 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 85894994 49859343 36035651 68843652 58075616 10768036 5499033 2467055 3031978 50140005 DUE FROM AFFILIATES 329734 RIGHT-OF-USE LEASE ASSETS 10056060 10385794 DUE TO AFFILIATE 1539430 CRM DUE TO MEDICARE 25166151 OPERATING LEASE LIABILITIES 10559616 37265197 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 2022. 1 1 X 1 X 1 X 1 1 1 0 0 3099203 3099203 0.01500 24178893 14058001 10120892 0.04910 27278096 14058001 13220095 0.06410 13 5870 161139 161139 0.00080 2 3 7499 7499 0.00000 5 29329 171436 171436 0.00080 20 35202 340074 340074 0.00160 20 35202 27618170 14058001 13560169 0.06570 1 10000 10000 0.00000 2 3750 10221 10221 0.00000 3 3750 20221 20221 0.00000 1 6031934 0 34178153 34093059 85094 X 1 1 1 1 CUYUNA REGIONAL MEDICAL CENTER 320 EAST MAIN STREET CROSBY MN 56441 415509 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://WWW.CUYUNAMED.ORG/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.CUYUNAMED.ORG/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.CUYUNAMED.ORG/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ 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: CUYUNA REGIONAL MEDICAL CENTER (CRMC) COLLABORATED WITH ESSENTIA HEALTH-ST. JOSEPH'S MEDICAL CENTER TO ENSURE BROAD, MEANINGFUL INPUT FROM INDIVIDUALS REPRESENTING THE INTERESTS OF CROW WING COUNTY DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS.CRMC SOUGHT INPUT FROM THE COMMUNITY THROUGH MULTIPLE METHODS:1) COMMUNITY HEALTH NEEDS SURVEY (SUMMER 2021):A COMMUNITY-WIDE SURVEY WAS CONDUCTED TO GATHER INPUT FROM RESIDENTS REGARDING PERCEIVED HEALTH NEEDS, BARRIERS, AND PRIORITIES WITHIN CROW WING COUNTY.2) PATIENT SURVEY (FEBRUARY 2023):CRMC SURVEYED ITS PATIENTS TO OBTAIN DIRECT FEEDBACK FROM INDIVIDUALS RECEIVING CARE AT THE FACILITY, ENSURING PATIENT PERSPECTIVES WERE INCORPORATED INTO THE ASSESSMENT.3) STAKEHOLDER SURVEY (MARCH 2023):CRMC SOLICITED INPUT FROM INDIVIDUALS AND ORGANIZATIONS REPRESENTING BROAD COMMUNITY INTERESTS AND MEDICALLY UNDERSERVED OR VULNERABLE POPULATIONS. STAKEHOLDERS WHO PARTICIPATED INCLUDED REPRESENTATIVES FROM: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, YMCAAND CROW WING COUNTY AGING SERVICES.4) ADDITIONAL COMMUNITY DATA SOURCES:CRMC REVIEWED AND INCORPORATED SUPPLEMENTAL DATA PROVIDED BY CROW WING COUNTY PUBLIC HEALTH AND LOCAL SCHOOL DISTRICTS TO ENSURE THE CHNA REFLECTED A COMPREHENSIVE VIEW OF COMMUNITY CONDITIONS AND NEEDS.THROUGH THESE COMBINED EFFORTS, CRMC ENSURED THAT INPUT FROM INDIVIDUALS REPRESENTING THE COMMUNITY-INCLUDING PUBLIC HEALTH OFFICIALS, EDUCATION LEADERS, AGING AND SOCIAL SERVICE ORGANIZATIONS, MENTAL HEALTH ADVOCATES, AND ITS OWN PATIENTS-WAS MEANINGFULLY CONSIDERED IN IDENTIFYING AND PRIORITIZING SIGNIFICANT COMMUNITY HEALTH NEEDS. 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 HEALTH DEPARTMENT AND SHERIFF, HALLETT COMMUNITY CENTER, CENTRAL LAKES COLLEGE, LAKES AREA FOOD SHELF, CROSBY-IRONTON SCHOOL DISTRICT, 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: CRMC IS ADDRESSING THE SIGNIFICANT MENTAL HEALTH NEEDS IDENTIFIED IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT THROUGH MULTIPLE STRATEGIES FOCUSED ON EDUCATION, SCREENING, COMMUNITY ENGAGEMENT, AND COORDINATION OF SERVICES.NEEDS BEING ADDRESSED:- COMMUNITY EDUCATION AND AWARENESS:THE HOSPITAL PARTNERS WITH THE NONPROFIT SMILES FOR JAKE TO PROVIDE SUICIDE-PREVENTION EDUCATION, INCLUDING PROMOTION OF THE S.M.I.L.E. ADVOCATE PROGRAM, WHICH INFORMS COMMUNITY MEMBERS ABOUT RISK FACTORS, PROTECTIVE FACTORS, WARNING SIGNS, AND AVAILABLE RESOURCES.- COMMUNITY ENGAGEMENT ACTIVITIES SUPPORTING MENTAL WELL-BEING:THE HOSPITAL COLLABORATES ON COMMUNITY EVENTS AND INITIATIVES DESIGNED TO REDUCE SOCIAL ISOLATION AND SUPPORT POSITIVE MENTAL HEALTH, INCLUDING PUBLIC AWARENESS ACTIVITIES AND COMMUNITY-BASED MENTAL WELLNESS EVENTS.- CLINICAL SCREENING AND REFERRAL:ALL CLINIC PATIENTS ARE SCREENED FOR DEPRESSION. INDIVIDUALS WITH POSITIVE SCREENINGS ARE CONNECTED TO APPROPRIATE MENTAL HEALTH SERVICES TO ENSURE TIMELY FOLLOW-UP AND ACCESS TO CARE.- WELLNESS AND PREVENTION ACTIVITIES:THE HOSPITAL SUPPORTS MENTAL WELL-BEING THROUGH COMMUNITY AND PATIENT-FACING ACTIVITIES THAT ENCOURAGE STRESS REDUCTION, SOCIAL CONNECTION, AND RESILIENCE.NEEDS NOT BEING ADDRESSED AND REASONS:SOME IDENTIFIED NEEDS - SUCH AS ACCESS TO SPECIALIZED INPATIENT PSYCHIATRIC SERVICES OR CERTAIN DEMOGRAPHIC-SPECIFIC MENTAL HEALTH PROGRAMS - ARE NOT CURRENTLY BEING ADDRESSED DUE TO LIMITATIONS IN AVAILABLE WORKFORCE, FINANCIAL RESOURCES, AND THE ABSENCE OF LOCAL SPECIALIZED PSYCHIATRIC CAPACITY. THE HOSPITAL CONTINUES TO EVALUATE THESE GAPS AND CONSIDER POTENTIAL PARTNERSHIPS OR FUTURE SERVICE EXPANSIONS AS RESOURCES ALLOW.SEE PART V, PAGE 8 FOR CONTINUATION. PART V, LINE 7A, CHNA - HOSPITAL'S WEBSITE HTTPS://WWW.CUYUNAMED.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ PART V, LINE 10, IMPLEMENTATION PLAN WEBSITE: HTTPS://WWW.CUYUNAMED.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ PART V, SECTION B, LINE 11, CONTINUED: CRMC IS ADDRESSING THE SIGNIFICANT NEED FOR PROMOTING HEALTHY EATING, AS IDENTIFIED IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, THROUGH EDUCATION, COMMUNITY PARTNERSHIPS, AND PROGRAMS AIMED AT IMPROVING ACCESS TO NUTRITIOUS FOOD.NEEDS BEING ADDRESSED:- DIABETES EDUCATION AND SUPPORT:THE HOSPITAL PROVIDES DIABETES EDUCATION AND SUPPORT GROUPS THAT INCLUDE GUIDANCE ON HEALTHY EATING AND NUTRITION AS PART OF CHRONIC DISEASE MANAGEMENT.- SUPPORT FOR FARMERS MARKETS AND NUTRITION INCENTIVE PROGRAMS:THE HOSPITAL SPONSORS THE LOCAL FARMERS MARKET AND THE POWER OF PRODUCE PROGRAM, WHICH INCREASES ACCESS TO FRESH FRUITS AND VEGETABLES FOR YOUTH AND OLDER ADULTS. THE HOSPITAL ALSO SUPPORTS A COMMUNITY FALL HARVEST DINNER THAT PROMOTES NUTRITIOUS EATING AND COMMUNITY ENGAGEMENT.- YOUTH FOOD ACCESS PROGRAMS:THE HOSPITAL PARTICIPATES IN THE CUYUNA LAKES LUNCH BUNCH PROGRAM, PROVIDING FREE LUNCHES TO LOCAL YOUTH, AND FINANCIALLY SUPPORTS OPERATION SANDWICH TO ASSIST STUDENTS IN THE BRAINERD AREA. THESE EFFORTS ADDRESS FOOD INSECURITY WHEN SCHOOL-BASED MEALS ARE UNAVAILABLE.- COMMUNITY MEAL PROGRAMS:THE HOSPITAL PROVIDES FINANCIAL SUPPORT AND VOLUNTEERS FOR THE COMMUNITY TABLE PROGRAM AT ST. JOSEPH'S CHURCH, HELPING PREPARE AND SERVE NUTRITIOUS MEALS TO COMMUNITY MEMBERS.- SENIOR FROZEN MEAL DISTRIBUTION:IN PARTNERSHIP WITH CATHOLIC CHARITIES, THE HOSPITAL COORDINATES THE DISTRIBUTION OF FREE FROZEN MEALS TO SENIORS IN DEERWOOD TO IMPROVE ACCESS TO CONVENIENT AND NUTRITIOUS FOOD OPTIONS.- CARE MANAGEMENT FOOD INSECURITY SUPPORT:THE HOSPITAL'S CARE MANAGEMENT TEAM DISTRIBUTES GROCERY GIFT CARDS AND FOOD PACKS TO PATIENTS EXPERIENCING FOOD INSECURITY AND COORDINATES WITH STAFF TO HELP STOCK LOCAL FOOD PANTRIES.NEEDS NOT BEING ADDRESSED AND REASONS:CERTAIN NEEDS IDENTIFIED IN THE CHNA ARE NOT CURRENTLY BEING ADDRESSED DUE TO RESOURCE AND CAPACITY LIMITATIONS. EXAMPLES INCLUDE:- SPECIALIZED DIETARY SERVICES: LIMITED AVAILABILITY OF PERSONALIZED NUTRITION COUNSELING OR EXPANDED DIETITIAN SERVICES FOR CONDITIONS BEYOND DIABETES MANAGEMENT.- EXPANDED MEAL DISTRIBUTION: RESOURCE CONSTRAINTS LIMIT THE ABILITY TO BROADEN MEAL DELIVERY PROGRAMS TO ADDITIONAL GEOGRAPHIC AREAS OR UNDERSERVED POPULATIONS.THE HOSPITAL CONTINUES TO EVALUATE UNMET NEEDS AND WILL PURSUE ADDITIONAL PARTNERSHIPS AND RESOURCES AS OPPORTUNITIES ALLOW.CRMC IS ADDRESSING THE SIGNIFICANT NEED TO PROMOTE ACTIVE LIVING, AS IDENTIFIED IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, THROUGH PROGRAMS AND PARTNERSHIPS THAT SUPPORT PHYSICAL ACTIVITY FOR YOUTH, ADULTS, AND COMMUNITY MEMBERS.NEEDS BEING ADDRESSED:- SUPPORT FOR SCHOOL-BASED PHYSICAL ACTIVITY:THE HOSPITAL PROVIDED FINANCIAL SUPPORT TO CROSBY-IRONTON ELEMENTARY SCHOOL FOR THE DEVELOPMENT OF A MOUNTAIN BIKE TRAIL AND OUTDOOR CLASSROOM, WHICH PROMOTES OUTDOOR PHYSICAL ACTIVITY AMONG STUDENTS IN GRADES 3-6.- ATHLETIC TRAINING SERVICES:THE HOSPITAL PROVIDES ATHLETIC TRAINING SERVICES TO CROSBY-IRONTON SCHOOL, CENTRAL LAKES COLLEGE, AND PEQUOT LAKES HIGH SCHOOL TO SUPPORT SAFE SPORTS PARTICIPATION, INJURY PREVENTION, AND REHABILITATION FOR STUDENT ATHLETES.- SPONSORSHIP OF COMMUNITY RECREATION EVENTS:THE HOSPITAL SPONSORS THE CUYUNA CRUSHER MOUNTAIN BIKE RACE AND A LOCAL YOUTH RUN AND TRIATHLON TO ENCOURAGE COMMUNITY PARTICIPATION IN OUTDOOR RECREATION AND PHYSICAL ACTIVITY.- ACTIVE LIVING EDUCATION:THE HOSPITAL OFFERS COMMUNITY EDUCATION ON ACTIVE LIVING THROUGH CLASSES AND SEMINARS, INCLUDING PROGRAMS FOR YOUTH, ADULTS, AND SENIORS. PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS PROVIDE ADDITIONAL OPPORTUNITIES FOR EDUCATION ON MAINTAINING AN ACTIVE LIFESTYLE.NEEDS NOT BEING ADDRESSED AND REASONS:SOME NEEDS IDENTIFIED IN THE CHNA ARE NOT CURRENTLY BEING ADDRESSED DUE TO RESOURCE AND CAPACITY LIMITATIONS. EXAMPLES INCLUDE:- FITNESS PROGRAMS FOR SPECIALIZED POPULATIONS: LIMITED AVAILABILITY OF ACCESSIBLE OR ADAPTED PHYSICAL ACTIVITY PROGRAMS FOR INDIVIDUALS WITH DISABILITIES OR CHRONIC HEALTH CONDITIONS.- YEAR-ROUND INDOOR PHYSICAL ACTIVITY OPPORTUNITIES: LIMITED ACCESS TO INDOOR FACILITIES FOR PROMOTING PHYSICAL ACTIVITY DURING WINTER MONTHS DUE TO BUDGET CONSTRAINTS AND FACILITY AVAILABILITY.THE HOSPITAL CONTINUES TO REVIEW UNMET NEEDS AND MAY PURSUE ADDITIONAL PARTNERSHIPS OR RESOURCES TO ADDRESS THESE GAPS AS OPPORTUNITIES ARISE. 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 $6,031,934. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES AT CUYUNA REGIONAL MEDICAL CENTER (CRMC):CUYUNA REGIONAL MEDICAL CENTER (CRMC) ENGAGES IN COMMUNITY-BUILDING ACTIVITIES THAT SUPPORT THE OVERALL WELL-BEING OF THE COMMUNITIES IT SERVES BY STRENGTHENING SOCIAL CONNECTIONS, SUPPORTING ECONOMIC STABILITY, ENCOURAGING OUTDOOR ENGAGEMENT, AND IMPROVING ACCESS TO COMMUNITY RESOURCES. THESE ACTIVITIES COMPLEMENT CRMC'S HEALTHCARE SERVICES AND REFLECT ITS COMMITMENT TO ADDRESSING FACTORS THAT INFLUENCE COMMUNITY HEALTH.DURING THE TAX YEAR, CRMC PROVIDED FINANCIAL SUPPORT TO THE BRAINERD LAKES ECONOMIC DEVELOPMENT CORPORATION (BLAEDC) TO SUPPORT REGIONAL ECONOMIC DEVELOPMENT EFFORTS IN COMMUNITIES SERVED BY CRMC, INCLUDING CROSBY, BAXTER, BREEZY POINT, AND SURROUNDING AREAS. THESE EFFORTS FOCUSED ON JOB RETENTION, BUSINESS DEVELOPMENT, AND REGIONAL ECONOMIC VITALITY. BY SUPPORTING LOCAL ECONOMIC DEVELOPMENT INITIATIVES, CRMC CONTRIBUTED TO COMMUNITY STABILITY AND INFRASTRUCTURE THAT CAN INFLUENCE ACCESS TO SERVICES, EMPLOYMENT OPPORTUNITIES, AND OVERALL QUALITY OF LIFE.CRMC ALSO COLLABORATED WITH COMMUNITY PARTNERS TO HOST INCLUSIVE, COMMUNITY-WIDE EVENTS DESIGNED TO ENCOURAGE SOCIAL INTERACTION, OUTDOOR ENGAGEMENT, AND ACCESS TO FOOD RESOURCES. IN PARTNERSHIP WITH SMILES FOR JAKE AND OTHER LOCAL ORGANIZATIONS, CRMC HOSTED CUYUNA CHRISTMAS - SNOW MANY SMILES, A FREE, FAMILY-ORIENTED EVENT ATTENDED BY MORE THAN 1,100 INDIVIDUALS. THE EVENT WAS HELD IN A PUBLIC PARK AND PROVIDED OPPORTUNITIES FOR COMMUNITY MEMBERS AND FAMILIES TO GATHER AND PARTICIPATE IN SEASONAL ACTIVITIES. COMPLIMENTARY SOUP, BEVERAGES, AND SNACKS WERE PROVIDED BY CRMC, AND THE EVENT INCLUDED LIVE MUSIC, CAROLERS, A PETTING ZOO, AND A FIREWORKS DISPLAY, CONTRIBUTING TO A WELCOMING COMMUNITY ATMOSPHERE AND BROAD PARTICIPATION.IN ADDITION, CRMC PARTNERED WITH THE CUYUNA LAKES CHAMBER OF COMMERCE AND AUTOSMITH SERVICES TO HOST THE SEASON'S FIRST MUSIC IN THE PARK EVENT IN 2024. THIS FREE OUTDOOR COMMUNITY EVENT FEATURED LIVE MUSIC PROVIDED BY THE CUYUNA LAKES CHAMBER OF COMMERCE, INTERACTIVE CHILDREN'S GAMES PROVIDED BY AUTOSMITH SERVICES, AND A COMPLIMENTARY MEAL AND CAKE PROVIDED BY CRMC IN RECOGNITION OF ITS 60TH ANNIVERSARY. THE EVENT PROVIDED OPPORTUNITIES FOR FAMILIES AND INDIVIDUALS TO GATHER, ENGAGE IN OUTDOOR ACTIVITIES, AND PARTICIPATE IN A SHARED COMMUNITY EXPERIENCE.THROUGH THESE COMMUNITY-BUILDING ACTIVITIES, CRMC SUPPORTED CONDITIONS THAT CONTRIBUTE TO COMMUNITY WELL-BEING, INCLUDING SOCIAL COHESION, COMMUNITY ENGAGEMENT, AND ACCESS TO SHARED RESOURCES. BY PARTNERING WITH LOCAL ORGANIZATIONS AND HOSTING INCLUSIVE PUBLIC EVENTS, CRMC REINFORCED ITS ROLE AS A COMMUNITY PARTNER COMMITTED TO SUPPORTING THE OVERALL HEALTH AND QUALITY OF LIFE 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 $1,630,000 AND $2,840,000 IN ADDITIONAL CONTRACTUAL ADJUSTMENTS THAT ARE REFLECTED IN THE 2025 AND 2024 NET PATIENT REVENUES, RESPECTIVELY, 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, ONGOING PROCESS TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES, IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DESCRIBED IN PART V, SECTION B. THIS CONTINUOUS APPROACH INTEGRATES CLINICAL INSIGHT, COMMUNITY ENGAGEMENT, AND STRUCTURED PATIENT FEEDBACK TO INFORM PRIORITIES AND GUIDE SERVICE DELIVERY.1. MONITORING THROUGH PHYSICIAN CLINICSCRMC OPERATES FIVE PHYSICIAN CLINICS ACROSS ITS SERVICE AREA (CROSBY, BAXTER, BREEZY POINT, LONGVILLE, AND SUPER ONE CROSBY). THESE CLINICS PROVIDE REAL-TIME, LOCALIZED DATA ON EMERGING HEALTH TRENDS, CHRONIC CONDITIONS, ACCESS BARRIERS, AND UTILIZATION PATTERNS. THE BREADTH OF THE CLINIC NETWORK ENABLES CRMC TO IDENTIFY UNIQUE NEEDS WITHIN DIFFERENT POPULATIONS AND ADJUST SERVICES ACCORDINGLY.2. COMMUNITY ENGAGEMENT ACTIVITIESCRMC MAINTAINS AN ACTIVE COMMUNITY ENGAGEMENT PROGRAM THAT INCLUDES PARTICIPATION IN LOCAL EVENTS, PARTNERSHIPS, OUTREACH INITIATIVES, AND REGULAR INTERACTION WITH RESIDENTS AND COMMUNITY ORGANIZATIONS. THESE ACTIVITIES PROVIDE QUALITATIVE INSIGHT INTO HEALTH CONCERNS, SOCIAL DETERMINANTS AFFECTING ACCESS, AND GAPS NOT READILY CAPTURED THROUGH CLINICAL ENCOUNTERS OR QUANTITATIVE DATA.3. PATIENT ADVISORY COMMITTEEA PATIENT ADVISORY COMMITTEE MEETS QUARTERLY TO OFFER STRUCTURED, PATIENT-CENTERED FEEDBACK ON HEALTHCARE EXPERIENCES, SERVICE GAPS, AND EMERGING NEEDS. THIS COMMITTEE ENHANCES CRMC'S UNDERSTANDING OF COMMUNITY EXPECTATIONS AND PROVIDES A FORMAL MECHANISM FOR INCORPORATING COMMUNITY VOICE INTO PLANNING AND QUALITY IMPROVEMENT EFFORTS.BENEFITS OF CRMC'S ONGOING ASSESSMENT PROCESS- TIMELY IDENTIFICATION OF HEALTH TRENDS ACROSS MULTIPLE COMMUNITIES THROUGH CONTINUOUS CLINICAL MONITORING.- TAILORED SERVICES AND PROGRAMS INFORMED BY REAL-WORLD PATIENT EXPERIENCES AND COMMUNITY DIALOGUE.- PROACTIVE COLLABORATION WITH RESIDENTS AND PARTNERS TO STRENGTHEN TRUST AND ADDRESS BARRIERS TO CARE.- CONTINUOUS REFINEMENT OF CARE DELIVERY, ENSURING SERVICES REMAIN RESPONSIVE TO CHANGING COMMUNITY NEEDS.BY INTEGRATING CLINICAL DATA, COMMUNITY INPUT, AND ADVISORY FEEDBACK, CRMC MAINTAINS A DYNAMIC, ADAPTIVE APPROACH TO UNDERSTANDING AND ADDRESSING THE HEALTH NEEDS OF ITS REGIONENSURING THAT CARE DELIVERY REMAINS ALIGNED WITH BOTH CURRENT AND EMERGING HEALTH CHALLENGES. PART VI, LINE 3: CUYUNA REGIONAL MEDICAL CENTER'S (CRMC) PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:CRMC IS COMMITTED TO ENSURING THAT NO PATIENT IS DENIED MEDICALLY NECESSARY CARE DUE TO AN INABILITY TO PAY. FINANCIAL ASSISTANCE IS AVAILABLE TO ELIGIBLE INDIVIDUALS BASED ON INCOME, ASSETS, FAMILY SIZE, AND OTHER CRITERIA. CRMC OFFERS FREE CARE AND DISCOUNTED CARE OPTIONS AND ENSURES THAT FINANCIAL ASSISTANCE-ELIGIBLE PATIENTS ARE NOT CHARGED MORE THAN THE AGB FOR SUCH SERVICES. CRMC WILL SCREEN ALL PATIENTS FOR POTENTIAL ELIGIBILITY FOR FINANCIAL ASSISTANCE AND DETERMINE WHETHER A PATIENT WHO IS UNINSURED, UNDERINSURED, OR WHOSE INSURANCE COVERAGE STATUS IS NOT KNOWN BY CRMC IS ELIGIBLE FOR FINANCIAL ASSISTANCE. CRMC WILL ATTEMPT TO COMPLETE THE SCREENING PROCESS EITHER IN PERSON OR BY TELEPHONE WITHIN 30 DAYS AFTER THE PATIENT RECEIVES SERVICES.CRMC'S FINANCIAL ASSISTANCE INFORMATION IS POSTED AT ALL CRMC'S LOCATIONS, AVAILABLE AT THE BUSINESS SUPPORT SERVICES BUILDING OF CRMC, AND ALSO ON CRMC'S WEBSITE. TRANSLATIONS OF THE FINANCIAL ASSISTANCE POLICY, APPLICATIONS AND A PLAIN LANGUAGE SUMMARY ARE AVAILABLE IN ENGLISH AND 15 ADDITIONAL LANGUAGES: SPANISH, HMONG, CUSHITE (OROMO), VIETNAMESE, CHINESE, RUSSIAN, LAOTIAN, AMHARIC, KREN, GERMAN, NONKHMER/CAMBODIAN, ARABIC, FRENCH, KOREON, AND TAGALOG, ALONG WITH BRAILLE WHEN REQUESTED. CRMC COMMITS TO PROVIDE TIMELY AND ACCURATE LANGUAGE ASSISTANCE SERVICES UPON REQUEST AND WITHIN A REASONABLE TIMELINE TO PREVENT RESTRICTIONS REGARDING ACCESS TO THIS INFORMATION. PART VI, LINE 4: OVERVIEW OF CUYUNA REGIONAL MEDICAL CENTER (CRMC) AND ITS COMMUNITY:CUYUNA REGIONAL MEDICAL CENTER (CRMC) IS A COMMUNITY-BUILT, NONPROFIT HEALTHCARE FACILITY SERVING APPROXIMATELY 60,000 RESIDENTS ACROSS THE BRAINERD LAKES REGION. THE AREA IS CHARACTERIZED BY A MIX OF YEAR-ROUND RESIDENTS, SEASONAL POPULATIONS, AND A STRONG TOURISM-DRIVEN ECONOMY SUPPORT BY EXTENSIVE OUTDOOR RECREATION. HEALTHCARE STATISTICS:IN FISCAL YEAR 2025, CRMC PROVIDE CARE TO:- 1,533 INPATIENTS, AND 240,475 OUTPATIENTS- 10,691 EMERGENCY DEPARTMENT VISITS - 232 BIRTHS DELIVERED- AVERAGE DAILY CENSUS: 17.4 PATIENTSPATIENT DEMOGRAPHICS:- APPROXIMATELY, 81% OF PATIENTS RESIDE IN AITKIN, BRAINERD, BAXTER, CROSBY, CROSSLAKE, DEERWOOD, IRONTON, LONGVILLE, NISSWA, PEQUOT LAKES, PINE RIVER, AND SURROUNDING RURAL COMMUNITIES.- THE REMAINING 19% COME FROM OTHER SMALL TOWNS, RURAL LOCATIONS, OR UNORGANIZED TERRITORIES. - GENDER: 54.4% MALE; 45.6% FEMALE- AGE DISTRIBUTION: 38.6% AGES 65 AND OLDER; 25% AGES 46-64- RACE/ETHNICITY: APPROXIMATELY 94.7% WHITE, WITH SMALLER PERCENTAGES REPRESENTING OTHER RACIAL/ETHNIC GROUPSCOMMUNITY DEMOGRAPHICS:- CRMC'S BROADER SERVICE AREA INCLUDES CROW WING, CASS, AND AITKIN COUNTIES WHERE THE POPULATION IS PREDOMINANTLY WHITE (CROW WING: 93.6%; CASS: 81.7%; AITKIN: 93.5%).- THE REGION'S MEDIAN AGE IS SIGNIFICANTLY OLDER THAN MINNESOTA'S STATEWIDE MEDIAN OF 39.1 (CROW WING: 46.4; CASS: 49.7; AITKIN: 56.5).- GENDER DISTRIBUTION IS APPROXIMATELY AND EQUAL MALE - FEMALE SPLITAGE DISTRIBUTION:- ABOUT 22% OF THE RESIDENTS ACROSS THE THREE-COUNTY REGION ARE UNDER THE AGE OF 18.- APPROXIMATELY 22% ARE 65 YEARS OR OLDER- THE 65+ POPULATION IS THE FASTEST-GROWING AGE GROUP, INCREASING BY MORE THAN 44% IN RECENT DECADES.SOCIOECONOMIC SNAPSHOT:THE BRAINERD LAKES AREA EXPERIENCES SOCIOECONOMIC VARIABILITY, WITH SEVERAL INDICATORS FALLING BELOW STATEWIDE AVERAGES:- MEDIAN HOUSEHOLD INCOME IS LOWER THAN MINNESOTA MEDIAN OF $85,086 (CROW WING: $76,050; CASS: $64,937; AITKIN: $59,498).- HIGH SCHOOL GRADUATION RATES EXCEED THE STATE AVERAGE; HOWEVER, FEWER RESIDENTS COMPLETE BACHELOR'S DEGREES. (HIGH SCHOOL DIPLOMA: CROW WING 25.7%; CASS: 31.9%; AITKIN: 37.6% & BACHELOR'S DEGREE: CROW WING: 21.0%; CASS: 18.0%; AITKIN 12.9%)- POVERTY RATES VARY ACROSS THE REGION (CROW WING: 8.5%; CASS: 12.8%; AITKIN: 12.4%)- CHILDREN IN POVERTY FOLLOW A SIMILAR PATTERN (CROW WING: 8.6%; CASS: 20.3%; AITKIN 14.5% )- SINGLE-PARENT HOUSEHOLD PREVALENCE (CROW WING: 20%; CASS: 22%; AITKIN: 25%)- CHILD FOOD INSECURITY IS ELEVATED IN CASS AND AITKIN COUNTIES (CROW WING 11.5%; CASS: 12.5%; AITKIN: 13.6%)- 45% - 66% OF CHILDREN ARE ELIGIBLE FOR FREE OR REDUCED-PRICE LUNCH (CROW WING: 45%; CASS: 66%; AITKIN: 57%)- FAMILIES REPORT CHALLENGES RELATED TO HOUSING AVAILABILITY, CHILDCARE COSTS, TRANSPORTATION ACCESS, AND RELIANCE ON SEASONAL EMPLOYMENT.SUMMARY:CRMC PLAYS A VITAL ROLE IN MEETING THE HEALTHCARE NEEDS OF A PREDOMINANTLY RURAL, AGING, AND ECONOMICALLY DIVERSE POPULATION. THE ORGANIZATION SERVES COMMUNITIES WITH VARYING LEVELS OF ACCESS TO TRANSPORTATION, STABLE INCOME, EDUCATION, AND FOOD SECURITY. BY UNDERSTANDING THE GEOGRAPHIC AND DEMOGRAPHIC CHARACTERISTICS OF THE BRAINERD LAKES REGION, CRMC REMAINS POSITIONED TO ADDRESS THE COMMUNITY'S UNIQUE HEALTH NEEDS AND SUPPORT THE OVERALL WELL-BEING OF ITS RESIDENTS. PART VI, LINE 5: CUYUNA REGIONAL MEDICAL CENTER'S COMMITMENT TO COMMUNITY HEALTH AND WELLNESS:CUYUNA REGIONAL MEDICAL CENTER (CRMC) FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH AND WELL-BEING OF THE COMMUNITIES IT SERVES THROUGH PROGRAMS, GOVERNANCE PRACTICES, AND INVESTMENTS THAT EXTEND BEYOND DIRECT PATIENT CARE. CRMC'S INITIATIVES STRENGTHEN ACCESS TO CARE, SUPPORT POPULATION HEALTH, AND ENSURE THE LONG-TERM AVAILABILITY OF HIGH-QUALITY MEDICAL SERVICES FOR THE REGION.1. COMMUNITY HEALTH AND WELLNESS PROGRAMSCRMC OFFERS A BROAD RANGE OF PROGRAMS DESIGNED TO IDENTIFY HEALTH RISKS, INCREASE AWARENESS, AND ENCOURAGE HEALTHY LIFESTYLES:- WELLNESS SCREENINGS SUPPORTING EARLY DETECTION OF CHRONIC CONDITIONS.- HEALTH EDUCATION CLASSES AND COMMUNITY EVENTS THAT EMPOWER INDIVIDUALS TO MAKE INFORMED HEALTH AND LIFESTYLE DECISIONS.- COMMUNITY HEALTH FAIRS THAT PROVIDE ACCESSIBLE SCREENINGS, PREVENTION RESOURCES, AND CONNECTIONS TO LOCAL SERVICES.2. PHYSICIAN RECRUITMENT AND RETENTIONTO ENSURE ADEQUATE ACCESS TO ESSENTIAL MEDICAL SERVICES, CRMC REGULARLY EVALUATES COMMUNITY HEALTH NEEDS AND IDENTIFIES SPECIALTY GAPS. THE ORGANIZATION ALLOCATES RESOURCES TO RECRUIT AND RETAIN QUALIFIED PHYSICIANS, SUPPORTING CONTINUITY OF CARE AND SUSTAINING A DIVERSE, OPEN MEDICAL STAFF CAPABLE OF MEETING COMMUNITY DEMAND.3. FINANCIAL ASSISTANCE AND VOLUNTEER ENGAGEMENTCRMC STRENGTHENS COMMUNITY WELL-BEING THROUGH DIRECT FINANCIAL SUPPORT AND STAFF ENGAGEMENT:- FINANCIAL ASSISTANCE TOTALING $52,000 WAS PROVIDED TO AREA CANCER PATIENTS TO REDUCE THE FINANCIAL BURDEN OF TREATMENT AND IMPROVE ACCESS TO NEEDED CARE.- VOLUNTEERISM, WITH STAFF CONTRIBUTING 2,353 HOURS, EXPANDS CRMC'S IMPACT THROUGH PARTICIPATION IN LOCAL INITIATIVES AND OUTREACH PROGRAMS THAT ADDRESS SOCIAL AND HEALTH-RELATED NEEDS.4. COMMUNITY-BASED GOVERNANCECRMC IS GOVERNED BY A NINE-MEMBER, NON-PROFIT BOARD OF DIRECTORS COMPOSED OF COMMUNITY LEADERS, DISTRICT BOARD REPRESENTATIVES, MEDICAL STAFF, AND THE CHIEF EXECUTIVE OFFICER. THIS STRUCTURE ENSURES THAT DECISION-MAKING REFLECTS COMMUNITY PRIORITIES, PROMOTES AN OPEN AND ACCESSIBLE MEDICAL STAFF, AND SUPPORTS HIGH-QUALITY, PATIENT-CENTERED CARE.5. STRATEGIC CAPITAL INVESTMENTSCRMC REINVESTS APPROXIMATELY $2 MILLION ANNUALLY IN CAPITAL IMPROVEMENTS TO ENHANCE FACILITIES, TECHNOLOGY, AND EQUIPMENT. THESE INVESTMENTS ENSURE CONTINUED ACCESS TO MODERN, HIGH-QUALITY HEALTHCARE AND REINFORCE CRMC'S COMMITMENT TO MEETING EVOLVING COMMUNITY NEEDS.THROUGH THESE PROGRAMS, INVESTMENTS, AND GOVERNANCE PRACTICES, CRMC CONSISTENTLY PROMOTES THE HEALTH OF ITS REGION AND ADVANCES ITS CHARITABLE MISSION. THE ORGANIZATION REMAINS COMMITTED TO IMPROVING COMMUNITY WELL-BEING THROUGH ACCESSIBLE CARE, PREVENTIVE HEALTH INITIATIVES, AND STRATEGIC SUPPORT OF LOCAL HEALTH PRIORITIES. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM:N/A PART VI, LINE 7, REPORTS FILED WITH STATES MN 1 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 501(C)(6) 250000 0 2025 CRMC CHAMPIONSHIP SPONSORSHIP CUYUNA CHAMBER OF COMMERCE 21236 ARCHIBALD ROAD DEERWOOD MN 56444 411712864 501(C)(6) 7730 0 DONATION SUPPORTING EVENTS, PROGRAMS IN COMMUNITY AND CRMC VOLUNTEER PROGRAM BRAINERD LAKES ECONOMIC DEVELOPMENT (BLAEDC) 224 WEST WASHINGTON STREET BRAINERD MN 56401 411543292 501(C)(3) 10000 0 ANNUAL MEMBERSHIP SMILES FOR JAKE 406 WEST WASHINGTON ST NO 5 PMB 113 BRAINERD MN 56401 364953527 501(C)(3) 5539 0 DONATIONS SUPPORTING MENTAL HEALTH ACTIVITIES AND PRGRAMS IN THE COMMUNITY AND CRMC VOLUNTEER PROGRAMS 3 2 COURAGE CABINET - HELPING LOCAL CANCER PATIENTS 67 67000 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 ATLANTIS RUSS PHYSICIAN 653819 0 0 0 0 0 0 0 19685 0 673504 0 0 0 FAWN ATCHISON ANESTHESIOLOGIST 620962 0 0 0 127 0 9900 0 15936 0 646925 0 0 0 AARON HOLLEY PHYSICIAN 522995 0 0 0 127 0 9900 0 36317 0 569339 0 0 0 KYLE DURGIN PHYSICIAN 498857 0 0 0 50 0 9900 0 35095 0 543902 0 0 0 CHRISTOPHER KACZMARCZYK PHYSICIAN 504998 0 0 0 50 0 9900 0 2287 0 517235 0 0 0 AMY HART CEO 446188 0 0 0 366 0 9900 0 20318 0 476772 0 0 0 KATIE BERG CFO 287337 0 0 0 83 0 9471 0 4768 0 301659 0 0 0 BRIAN HOLMGREN HUSBAND OF PAIGE HOLMGREN, DIRECTOR 313818 EMPLOYMENT 0 MINNESOTA INTERVENTIONAL SPINE CONSULTANTS DR. JOSHUA HOROWITZ, DIRECTOR, IS 50% OWNER 2375950 INDEPENDENT CONTRACTOR - PHYSICIAN FEES 0 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. STATEMENTS: THE MEDICAL CENTER'S GOVERNING BODY, PRINCIPAL OFFICERS, COMMITTEE MEMBERS WITH POWER DELEGATED BY THE BOARD OF DIRECTORS, OR EXECUTIVE STAFF MEMBERS WITH A FINANCIAL INTEREST (DEFINED AS CHIEF OFFICERS, DIRECTORS, MANAGERS AND PAID MEDICAL DIRECTORS) SHALL SIGN OFF ON THIS WHEN APPOINTED NEW INTO ONE OF THESE POSITIONS, WHICH AFFIRMS SUCH PERSON: 1. HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY (AD-205), 2. DECLARES ANY POTENTIAL CONFLICT OF INTEREST, AND 3. IS RESPONSIBLE FOR NOTIFYING THE ORGANIZATION OF ANY NEW CONFLICTS OF INTEREST AS THEY ARISE. 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 24,411,396. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,411,396. OTHER FEES: PROGRAM SERVICE EXPENSES 1,099,208. MANAGEMENT AND GENERAL EXPENSES 58,500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,157,708. OTHER FEES FOR SERVICES (NON EMPLOYEES): PROGRAM SERVICE EXPENSES 12,832,098. MANAGEMENT AND GENERAL EXPENSES 978,352. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,810,450. FORM 990, PART XI, LINE 9: BOOK/TAX DIFFERENCE -11,420. LONGVILLE DEVELOPMENT LLC 320 EAST MAIN STREET CROSBY MN 56441 411724637 LEASE REVENUE MN 0 5479987 CUYUNA REGIONAL MEDICAL CENTER CUYUNA LAKES PHARMACY LLC 320 EAST MAIN STREET CROSBY MN 56441 411999938 RETAIL PHARMACY MN 2653810 436349 CUYUNA REGIONAL MEDICAL CENTER MINNESOTA RADIOLOGY INSTITUTE 320 EAST MAIN STREET CROSBY MN 56441 203803271 RADIOLOGY SERVICE CENTER MN CUYUNA REGIONAL MEDICAL CENTER RELATED 2413769 891284 0 1 0.63250 SLEEP CENTER OF CENTRAL MINNESOTA LLC 320 EAST MAIN STREET CROSBY MN 56441 260580544 DIAGNOSIS AND TREATMENT OF SLEEP DISORDERS MN CUYUNA REGIONAL MEDICAL CENTER RELATED 23948 416792 0 0 0.75000 0 0 0 1 1 0 0 0 0 1 0 1 1 0 0 0 0 0 0 MINNESOTA RADIOLOGY INSTITUTE J 116950 FMV MINNESOTA RADIOLOGY INSTITUTE L 198477 FMV MINNESOTA RADIOLOGY INSTITUTE M 4293567 FMV MINNESOTA RADIOLOGY INSTITUTE D 10155934 FMV SLEEP CENTER OF CENTRAL MINNESOTA LLC L 770619 FMV SLEEP CENTER OF CENTRAL MINNESOTA LLC D 788302 FMV MINNESOTA RADIOLOGY INSTITUTE E 9370673 FMV