2020-11-12T13:22:31-06:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 818 SECOND STREET SOUTH SUITE 320 WAITE PARK MN 56387 990 2019-01-01 273238660 CANCER CENTER OF WESTERN WISCONSIN INC CANC 7152432879 501 HOSPITAL ROAD NEW RICHMOND WI 54017 STEVE MASSEY PRESIDENT 7152432879 2020-11-10 1 NICOLE FOLKERTS CPA P01677599 3202035500 67.137.57.251 2020-11-10 21:25:58 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 C9F61423AF2F111496A7978B75BE10D20F1A0AB3 2019 2021-01-29 14:40:06Z STEVE MASSEY 501 HOSPITAL ROAD NEW RICHMOND WI 54017 3868598 0 X WWW.CC-WW.ORG X 2010 WI TO IMPROVE HEALTH, HEALING AND LIFE FOR THOSE EXPERIENCING CANCER. 6 6 0 20 0 0 38774 26342 3548009 3397216 444213 432465 0 10727 4030996 3866750 7123 0 0 0 0 0 0 0 0 3201308 3286352 3208431 3286352 822565 580398 2861039 3140673 300764 0 2560275 3140673 X MISSION: TO PROVIDE SCREENING, PREVENTION, TREATMENT, RECOVERY AND SURVIVORSHIP SERVICES TO PEOPLE IN OUR COMMUNITIES. VISION: TO BE THE LEADER IN OUR COMMUNITIES IN PREVENTING AND TREATING CANCER WITH THE BEST MEDICAL EXPERTISE BY PROVIDING COMPREHENSIVE SERVICES AND CARE TO PATIENTS AND FAMILIES CLOSE TO HOME.ORGANIZATION: THE CANCER CENTER OF WESTERN WISCONSIN BRINGS THE EXPERTISE OF SIX COMMUNITY HOSPITALS, ONCOLOGY CARE AND RADIATION THERAPY TOGETHER INTO A CIRCLE OF SEAMLESS SERVICES AIMED AT PREVENTION, EARLY DETECTION AND TREATMENT OF CANCER, THROUGH CLINICAL TRIAL. FORMED IN MAY OF 2011, THE CANCER CENTER PARTNERS WITH BOTH MINNEAPOLIS RADIATION ONCOLOGY AND HEALTHPARTNERS TO FOCUS ON TREATING THOSE DIAGNOSED WITH CANCER AND HELPING THEM TO MAINTAIN A HIGH QUALITY LIFE. 0 0 1658268 1511880 ONCOLOGIST SERVICES: PURCHASE OF MD TIME TO SERVE THE OWNER COMMUNITIES. 1498958 1781774 RADIATION TREATMENT SERVICES: PROVIDE RADIATION TREATMENT SERVICES THROUGH OUR PARTNERSHIP. 103562 ONCOLOGY SERVICES - NEW RICHMOND: PROVIDE MEDICAL ONCOLOGY SERVICES IN NEW RICHMOND, WISCONSIN. 3157226 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 0 1 0 0 0 0 1 1 1 0 0 0 0 0 WI X DOUG JOHNSON 7152432879 501 HOSPITAL ROAD NEW RICHMOND WI 54017 DOUGLAS JOHNSON TREASURER 2.00 40.00 X 0 380795 153262 DAVE DOBOSENSKI BOARD MEMBER 1.00 40.00 X 0 389510 24784 DEBRA RUDQUIST BOARD MEMBER 1.00 40.00 X 0 329096 61861 STEVE MASSEY PRESIDENT 2.00 40.00 X X 0 324232 55776 THOMAS BOROWSKI BOARD MEMBER 1.00 40.00 X 0 316394 61631 ALLISON PAGE VICE PRESIDENT 1.00 40.00 X X 0 315414 52895 JASON LUHRS FORMER TREASURER 2.00 40.00 X 0 231591 53365 MATTHEW FORGE BOARD MEMBER 1.00 40.00 X 0 192155 0 0 2479187 463574 0 1 1 0 GROUP HEALTH INC PO BOX 64059 ST PAUL MN 55164 ONCOLOGIST SERVICES 1740982 REGIONS HOSPITAL 640 JACKSON STREET ST PAUL MN 55101 CANCER REGISTRY SERVICES 126550 2 26342 26342 RADIATION TREATMENT 621110 1781774 1781774 PHYSICIAN SERVICES 621110 1511880 1511880 ONCOLOGY SERVICES WEST 621110 103562 103562 3397216 432465 432465 12575 1848 10727 10727 3866750 3397216 0 443192 X 4990 4990 3903 3903 1658268 1658268 30290 30290 48352 48352 RADIATION TREATMENT EXP 1498958 1498958 MEMBER HOSPITAL DISBURS 21450 21450 MEALS AND ENTERTAINMENT 650 650 REGISTRATION COSTS 265 265 19226 19226 3286352 3157226 129126 0 847997 422486 114141 213712 416463 285882 203917 203917 0 0 1482438 2218593 2861039 3140673 300764 0 300764 0 X 2560275 3140673 2560275 3140673 2861039 3140673 580398 0 X 0 0 0 X X X 6 AMERY REGIONAL MEDICAL CENTER INC 390908320 3 1 0 0 BALDWIN AREA MEDICAL CENTER INC 390808526 3 1 0 0 HUDSON HOSPITAL INC 390804125 3 1 0 0 OSCEOLA MEDICAL CENTER 390773970 3 1 0 0 ST CROIX REGIONAL MEDICAL CENTER INC 390890676 3 1 0 0 WESTFIELDS HOSPITAL INC 390808442 3 1 0 0 6 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 203917 203917 0 0 INVESTMENT IN WWRTC 1522327 F BREMER INVESTMENTS 696266 F 2218593 0 0 0 0 0 0 0 0 0 DOUGLAS JOHNSON TREASURER 0 299890 0 55505 0 25400 0 121094 0 32168 0 534057 0 0 DAVE DOBOSENSKI BOARD MEMBER 0 348389 0 35000 0 6121 0 0 0 24784 0 414294 0 0 DEBRA RUDQUIST BOARD MEMBER 0 270025 0 49041 0 10030 0 30600 0 31261 0 390957 0 0 STEVE MASSEY PRESIDENT 0 265426 0 50239 0 8567 0 24600 0 31176 0 380008 0 0 THOMAS BOROWSKI BOARD MEMBER 0 254412 0 51993 0 9989 0 30600 0 31031 0 378025 0 0 ALLISON PAGE VICE PRESIDENT 0 265360 0 30000 0 20054 0 25000 0 27895 0 368309 0 0 JASON LUHRS FORMER TREASURER 0 191700 0 33727 0 6164 0 23722 0 29643 0 284956 0 0 MATTHEW FORGE BOARD MEMBER 0 182653 0 0 0 9502 0 0 0 0 0 192155 0 0 FORM 990, PART VI, SECTION A, LINE 6 THIS CORPORATION HAS SIX MEMBERS WITH VOTING RIGHTS: AMERY REGIONAL MEDICAL CENTER, INC,; BALDWIN AREA MEDICAL CENTER; HUDSON MEMORIAL HOSPITAL, INC.; OSCEOLA MEDICAL CENTER; ST. CROIX REGIONAL MEDICAL CENTER, INC.; AND WESTFIELDS HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF THIS CORPORATION SHALL CONSIST OF THE NUMBER OF DIRECTORS EQUAL TO THE NUMBER OF MEMBERS OF THIS CORPORATION. THE INITIAL BOARD OF DIRECTORS CONSISTS OF THE PERSONS LISTED IN THE ARTICLES OF INCORPORATION OF THIS CORPORATION, WHO SHALL SERVE UNTIL THE CONCLUSION OF THE ANNUAL MEETING OF THE BOARD OF DIRECTORS IN THE YEARS INDICATED IN THE ARTICLES OF INCORPORATION, OR UNTIL THEIR PRIOR DEATH, RESIGNATION OR REMOVAL. UPON THE EXPIRATION OF A DIRECTOR'S TERM, THE MEMBER THAT APPOINTED SUCH DIRECTOR SHALL APPOINT HIS OR HER SUCCESSOR. FORM 990, PART VI, SECTION A, LINE 8B THE CENTER DOES NOT HAVE ANY COMMITTEES WITH BROAD AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE BOARD PRESIDENT AND TREASURER PRIOR TO FILING. THE BOARD IS MADE AWARE THE FORM 990 HAS BEEN FILED AND OFFERED COPIES IF THEY WOULD LIKE THEM. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ALL BOARD MEMBERS AND OPERATIONS COMMITTEE MEMBERS TO ANNUALLY ACKNOWLEDGE REVIEWING THE CONFLICT OF INTEREST POLICY BY SIGNING THE CONFLICT OF INTEREST STATEMENT. IF A CONFLICT OF INTEREST EXISTS, HE OR SHE SHALL REFRAIN FROM PARTICIPATION IN ANY DECISION ON SUCH A MATTER WITH REMAINING MEMBERS DETERMINING WHETHER A CONFLICT EXISTS. PROCEEDINGS RELATED TO CONFLICTS OF INTEREST ARE DOCUMETNED IN THE MEETING MINUTES OR AS OTHERWISE APPROPRIATE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART IX, LINE 11G PROVIDER CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,511,880. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,511,880. CANCER PHARMACY SUPPORT: PROGRAM SERVICE EXPENSES 37,464. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,464. CANCER REGISTRY SERVICES: PROGRAM SERVICE EXPENSES 108,924. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 108,924. AMERY REGIONAL MEDICAL CENTER INC 265 GRINFIN STREET EAST AMERY WI 54001 390908320 MEDICAL SERVICES WI 501(C)(3) LINE 3 N/A 0 BALDWIN AREA MEDICAL CENTER INC 730 10TH AVENUE BALDWIN WI 54002 390808526 MEDICAL SERVICES WI 501(C)(3) LINE 3 N/A 0 HUDSON HOSPITAL INC 405 STAGELINE ROAD HUDSON WI 54016 390804125 MEDICAL SERVICES WI 501(C)(3) LINE 3 N/A 0 OSCEOLA MEDICAL CENTER 2600 65TH AVENUE PO BOX 218 OSCEOLA WI 54020 390773970 MEDICAL SERVICES WI 501(C)(3) LINE 3 N/A 0 ST CROIX REGIONAL MEDICAL CENTER INC 235 STATE STREET ST CROIX FALLS WI 54024 390890676 MEDICAL SERVICES WI 501(C)(3) LINE 3 N/A 0 WESTFIELDS HOSPITAL INC 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 55401 390808442 MEDICAL SERVICES MN 501(C)(3) LINE 3 N/A 0 RADIATION TREATMENT CENTER OF WESTERN WISCONSIN 6950 FRANCE AVENUE SOUTH SUITE 200 EDINA MN 55435 272836404 RADIATION TREATMENT MN N/A RADIATION TREATMENT 282816 141125 0 0 0.50000 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 RADIATION TREATMENT CENTER OF WESTERN WISCONSIN M 375000 FAIR MARKET VALUE