2020-11-12T19:42:32-06:00 2019-12-31 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2019-01-01 363311936 Stevens Community Medical Center STEV 3205891313 400 E 1st St Morris MN 56267 John Rau President/CEO 3205891313 2020-11-12 1 Kim Hunwardsen CPA P00484560 6122536500 2020-11-11 63.233.88.226 2020-11-12 11:20:39 CS P 5755687E6BF8D8D10BDE3B83E6631EF3D64C584D F4E1B545B5A64400ED95821F5295FDCB6EE8A6F8 2019 2021-01-29 14:40:06Z John Rau 400 E 1st St Morris MN 56267 38553875 0 X www.scmcinc.org X 1984 MN Promotion of health 12 8 334 45 0 0 276623 201902 39524414 38009477 247213 276252 56032 54282 40104282 38541913 26111 32717 0 0 22760111 22185114 0 0 0 17286394 15049703 40072616 37267534 31666 1274379 54122623 54944719 4915455 5854734 49207168 49089985 X Stevens Community Medical Center's mission is to strive for excellence in the delivery of inpatient and outpatient care through cooperation with qualified health care providers; through the provision of appropriate facilities and technology; and through active promotion of health education among the public.Our pledge to the recipients of this Medical Center's health care is to address their needs in as expert, efficient, compassionate, and convenient manner as possible. 0 0 31638810 32717 38009477 Stevens Community Medical Center is a not-for-profit integrated health care system. The mission of the Medical Center is to make available high-quality health care. The Medical Center serves the population of West Central Minnesota and is becoming a regional health care center."CARING IS OUR REASON FOR BEING"SCMC provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of SCMC, it is recognized that not all individuals possess the ability to purchase essential medical services. To further that, our mission is to serve the community with respect to providing health care services and health care education. For example, the Medical Center is committed to providing medical services to all members of its community, provide free care and/or subsidized care, promote health activities and programs to support the community, and provide care to persons covered by governmental programs at below cost. Therefore, financial assistance will be considered where the need and/or an individual's inability to pay exists. SCMC had 35,925 hospital outpatient visits, 41,743 clinic and urgent care visits, 1,585 inpatient days, 8,348 outpatient counseling visits, 89 deliveries, 440 surgeries, 2,593 emergency room visits, and 21,505 therapy treatments in 2019. SCMC also owns and operates the Courage Cottage, an adult foster care facility specializing in care for the terminally ill. In 2019, 10 residents were served, and the cost to provide their care was subsidized by community donations.Recognizing its mission to the community, SCMC provides services to Medicare, Medicaid, and other patients covered by governmental programs, sometimes at a reimbursement below cost. The total discounts accepted for providing care to patients was $27,068,234 in 2019. The charges foregone for services supplied under SCMC's charity care policy (free and/or subsidized care) was $1,041,000 in 2019.Charity care is also provided through many reduced price services and free SCMC programs and information offered throughout the year based on activities and services which SCMC believes will serve a bona fide community need. These include: various brochures to educate patients; staff speaking for a variety of community events including SCMC sponsored "health nights," elderly and adult education; sponsoring a smoking cessation program and a variety of other "wellness" type programs at subsidized cost; providing meeting facilities for various community groups; offering support groups; and providing assistance to educators through our work with student nurses. 31638810 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 96 0 1 334 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 8 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 1 0 0 MN X Kerrie McEvilly 3205897627 400 E 1st St Morris MN 56267 Andrea Giambi DO Radiologist 40.00 X 521537 0 46697 Randell Lussenden CRNA 40.00 X 465373 0 45779 John Rau President/CEO 40.00 X X 403122 0 46697 Somkiat Viratyosin MD General Surgeon 40.00 X 389850 0 57257 Elizabeth Meichsner MD Director/Physician 40.00 X 372593 0 56697 Eric Larson CRNA 40.00 X 357520 0 52918 Brent Barnstuble MD Physician 40.00 X 355226 0 51397 Toby Christie-Perkins DO Director/Physician 40.00 X 345577 0 54047 Jason Huikko MD Director/Physician 40.00 X 296630 0 25939 Kerrie McEvilly Vice President of Finance 40.00 X 179742 0 49074 David Paul Chair 1.00 X X 665 0 0 Bart Finzel Vice Chair 1.00 X X 600 0 0 Ward Voorhees Secretary 1.00 X X 480 0 0 Jan Hagen Treasurer 1.00 X X 480 0 0 Paul Martin Director 1.00 X 450 0 0 Jodi DeCamp Director 1.00 X 350 0 0 Darryl Larson Director 1.00 X 250 0 0 Rachel Johnson Director (Jun-Dec) 1.00 X 250 0 0 Pieranna Garavaso Director (Jan-May) 1.00 X 200 0 0 3690895 0 486502 27 0 1 0 Novacare Rehabilitation 400 E First St Morris MN 56267 Therapy Services 837875 Weatherby Locums Inc PO Box 972633 Dallas TX 753972633 Pysician Recruitment 421665 St Cloud Hospital 1406 6th Ave N St Cloud MN 56303 Software Implementation and Support 340968 Nazita Adili-Khams 27602 Homestead Rd Laguna Niguel CA 92677 ER Physician 322315 Cullinan Medical Services LLC 846 Holly Ave St Paul MN 55104 ER Physician 230840 13 201902 201902 Patient service revenue 622110 37901004 37901004 Supporting revenue 900099 108473 108473 38009477 267546 267546 52937 0 52937 52937 52937 8706 0 8706 8706 8706 13307 11962 1345 1345 38541913 38009477 0 330534 X 32717 32717 1837100 1153557 683543 16268294 13994727 2273567 873273 741256 132017 2058729 1569233 489496 1147718 930376 217342 68460 68460 92814 92814 4751930 4321676 430254 108371 14635 93736 1923828 1600042 323786 288123 288123 423437 300016 123421 102062 93717 8345 51280 42772 8508 2219765 1837258 382507 319029 306224 12805 Medical supplies 3185370 3185370 MN Care tax 602916 602916 Pharmacy 340B Program C 589625 589625 DHS Medicare Surcharge 322693 322693 37267534 31638810 5628724 0 28388 36569 11166247 12890234 8852756 7695967 1275075 1264252 154466 89133 50421596 32221960 19912128 18199636 12522671 14465195 210892 303733 54122623 54944719 4778999 4847234 136456 1007500 4915455 5854734 X 49136826 48997912 70342 92073 49207168 49089985 54122623 54944719 X 1274379 -1390217 -1345 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 25119 13307 11962 26464 0 371723 371723 29777848 15446729 14331119 19587084 16334622 3252462 684941 440609 244332 18199636 Estimated third party payor settlements 1007500 1007500 X 38540568 0 38540568 1345 1345 38541913 37267534 0 37267534 0 37267534 Part IV, Line 1b: The organization holds the assets for the Stevens Community Medical Center Ladies' Auxiliary/Gift Shop. The assets are not included on the books of the Medical Center. The revenue and expense have been recorded on the applicable lines of the Form 990. Part X, Line 2: The Medical Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Medical Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 4b - Other Adjustments: Auxiliary net income not included in financial statements 1,345. 1 1 X 1 X 1 X 170.000000000000 1 1 1 0 1 1 580726 580726 0.01560 5644060 4802740 841320 0.02260 2264093 2069864 194229 0.00520 8488879 6872604 1616275 0.04340 146755 146755 0.00390 129664 129664 0.00350 3490 3490 0.00010 279909 279909 0.00750 8768788 6872604 1896184 0.05090 30892 30892 0.00080 61802 61802 0.00170 92694 92694 0.00250 1 126102 0 10377175 10429864 -52689 X 1 1 1 1 Stevens Community Medical Center 400 East 1st Street Morris MN 56267 www.scmcinc.org 00653 X X X X one provider-based clinic Stevens Community Medical Center 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X See Section C 1 19 1 See Section C 0 1 X 100.000000000000 170.000000000000 X X X X 1 1 X X X X 1 X See Section C X See Section C X See Section C X X X X X X 1 X 0 X X X 1 X 0 0 Stevens Community Medical Center Part V, Section B, Line 5: SCMC conducted a community conversation on November 12, 2019 as part of the Community Health Needs Assessment. The meeting consisted of 26 individuals from specific stakeholder groups in the community. These people represented organizations in the community and individual interests in the overall health of the community. Representatives included local school and college officials, public health staff, health and wellness providers, local business representatives and owners, and community leaders. The conversation was specifically designed for discussion and data collection. Tobias Spanier from the University of Minnesota Extension Service facilitated the "World Cafe" format discussion. The group was divided into smaller discussion groups to answer four specific questions. Each group reported back after each question to help with further discussion and data collection. Stevens Community Medical Center Part V, Section B, Line 11: The 2019 Community Health Needs Assessment conducted by the Stevens Community Medical Center (SCMC) identified a wide range of current issues in the county, as well as the residents and community leaders' concerns for the future. Included in those are the various needs of the aging population, adequate resources for addressing mental health issues, continuing access to healthcare providers in rural Minnesota, as well as obesity and lifestyle choices which negatively impact a person's health and wellbeing. 1. Mental Health - need for more services and resources In September 2019, SCMC behavioral medicine clinic added Rebecca Rogholt, APRN, CNS Child & Adolescent Psychiatric Clinical Nurse Specialist to staff. Two of SCMC's mental health providers participated in the Day at Home event held in Alexandria, Minnesota in the fall of 2019. Several representatives from the Minnesota Legislature were present to hear the concerns/needs of both mental health professionals and consumers. SCMC was successful in obtaining the services of a Child and Adolescent Psychiatrist from the beginning of 2019 to October of 2019. We also participated in the 2019 Stevens County Health Fair, educating the public about the various services available at SCMC to address behavioral health concerns. 2. Access to Health Care Providers:In January 2019, SCMC hired board-certified Dermatology Nurse Practitioner, Risa Dorweiler, who is able to treat and prescribe therapies and medications for a wide range of dermatological conditions. SCMC has successfully added two nurse practitioners in the urgent care department. Nikki Raths and Kellianne Kim started in the summer of 2019. In September 2019, through a partnership with St. Cloud Hospital Stroke Center, SCMC began providing Telestroke services to patients. Telestroke uses video conferencing technology to allow a stroke neurologist from St. Cloud Hospital Stroke Center to evaluate a patient in another hospital, view diagnostic scans and recommend treatment. This saves valuable time and provides faster treatment to patients.3. Transportation:SCMC continues to cover the cost of transit for area residents to travel to SCMC for appointments using either the Morris Transit or Rainbow Rider services. Signage and a phone were added to the front entrance to help assist patients and guests to contact local transportation. 4. Health Impact for Poor Lifestyle choices:In 2019, SCMC again sponsored the annual Fall into Health free event where the primary goal was to communicate the importance of healthy choices to our community, with all ages welcome. We offered access to free lab tests, flu shots, a free community (healthy) meal, many information booths staffed by SCMC and community members promoted healthy choices. 150 people participated in the lab tests, 60 in the flu shots and 400 enjoyed the healthy free meal. SCMC also provided three breakout sessions to the public during the Fall into Health event including mental health, nutrition and dermatology. SCMC created an internal committee that is committed to sustainability initiatives to better our community. Through research and community partnership we establish practices that reduce our environmental impact. This information is shared with 300 employees at SCMC and the public coming into SCMC. We have reduced plastic waste, Styrofoam cups and established additional recycle bins throughout the building. SCMC joined the movement to increase the legal purchasing age of tobacco products to 21. Dr. Huikko, our Chief of Staff, spoke to county board members and was instrumental in getting this to pass in Stevens County. In November 2019, SCMC provided education and low dose cancer screening for those eligible that includes patients ages 55-77 and significant tobacco users. Stevens Community Medical Center Part V, Section B, Line 13h: Federal guidelines and Minnesota Attorney General agreement percentage discounts were used to determine eligibility for discounts. Stevens Community Medical Center Part V, Section B, Line 15e: We send MNSure applications and assist patients in applying for programs where there is a need and possibility for basis of eligibility. We are also an HPE (Hospital Presumptive Eligibility) site and provide and screen for short term medical assistance approvals. Schedule H, Part V, Section B, line 7a: https://scmcinc.org/news/community-health-needs-assessment Schedule H, Part V, Section B, line 10a: https://scmcinc.org/news/community-health-needs-assessment Schedule H, Part V, Section B, line 16a: https://scmcinc.org/forms-and-faqs/financial-assistance Schedule H, Part V, Section B, line 16b: https://scmcinc.org/forms-and-faqs/financial-assistance Schedule H, Part V, Section B, line 16c: https://scmcinc.org/forms-and-faqs/financial-assistance 2 1 - Starbuck Clinic 501 Poler Street Starbuck MN 56381 Rural Health Care Clinic 2 - Courage Cottage 409 East 1st Street Morris MN 56267 Adult Foster Care Facility Part I, Line 3c: The following factors are used by the organization to help determine eligibility for Financial Assistance: * Proof of household income (such as social security award letters, pay stubs and tax returns).* Assessing the patient's ability to make reasonable monthly payments on balance owed (expense form reflecting household income and expenses).* When income and expense documentation doesn't reflect an accurate picture of a patient's ability to pay, additional considerations are made (e.g. wages have changed since the last filed tax return).* SCMC provides assistance in applying for healthcare programs where applicable. Status of insurance is reviewed at application. * SCMC does not consider assets in the determination of eligibility for Financial Assistance.Along with the above considerations, the Federal Poverty Guidelines (FPG) are reviewed and the most appropriate discount is offered. The organization provides a 40% discount to 80% discount when income levels meet 170% down to 101% of the FPG. For example, an 80% discount is given for income ranges from 101% to 120% of the FPG. Outside of the FPG and FAP application process we standardly apply the 23% self-pay discount which is based off our Amounts Generally Billed (AGB) for all self-pay patients with qualifying services (i.e. medical necessary services which are not cosmetic or elective). Part I, Line 6a: The community benefit report is available to the public upon request. Part I, Line 7: Charity care expense was converted to cost based on an overall cost-to-charge ratio addressing all patient segments. Medicaid and Other Mean's Tested was converted to cost using the cost-charge-ratio derived from Worksheet 2. Community health improvement services, health professions education, and cash and in-kind contributions are reported based on actual expenses recorded to the general ledger. Part II, Community Building Activities: In 2019 SCMC supported several significant health related community initiatives such as the Regional Fitness Center, Habitat for Humanity, and the local chapter of the American Cancer Society to name just a few. We also paid over $61,802 in local real estate taxes for our two medical clinics, which would certainly have a positive impact on the health of the communities we serve. Part III, Line 2: The amount reported on line 2 represents implicit price concessions. The Medical Center determines its estimate of implicit price concessions based on its historical collection experience with this class of patients. Part III, Line 3: The Hospital does not have a way to reasonably estimate the amount of implicit price concessions that are attributable to patients who would qualify for financial assistance. Part III, Line 4: The footnote to the organization's financial statements addressing implicit price concessions may be found on page 12, 13, and 14 of the attached audited financial statements. Part III, Line 8: Medicare allowable cost is based on the Medicare Cost Report. The Medicare Cost report is completed based on the rules & regulations set forth by Centers for Medicaid and Medicare Services.Stevens Community Medical Center is an acute care Critical Access Hospital. There was a shortfall for 2019. Even though Medicare was at a loss, the Hospital provides services to these patients because access to healthcare and individual's health is important to the Hospital. Therefore, the Medicare shortfall is considered a community benefit. Part III, Line 9b: Patients that qualify for FAP are sent an approval letter with percentage of discount extended and effective dates of approval. For partial FAP eligibility the letter outlines any remaining balance due and lists several options including reasonable payments to satisfy the remainder of the balance. The collections cycle starts over for FAP qualifying applicants. There would need to be another 120 days before ECA's would be initiated but we try to avoid this wherever possible being flexible with payments that are reasonable. The 30-day notice is satisfied via the final notice letter provided in absence of payment for an account with no payments or contact at 90 days from billing cycle (plain language summary is sent at this time). The patient has 240 days from first billing cycle in which to apply for FAP. Our collections agency is aware of these regulations and assists us with patient coordination if they show interest in applying should they be sent to collections after 120 days but within the 240-day application period window Part VI, Line 2: Many of our department heads are members of other boards or organizations throughout the community. These include the Chamber of Commerce, the Morris Area Community Development Committee, and Morris Area Child Care Center in addition to others. The information obtained from participating in these committees is utilized to continually assess the appropriateness of existing services and the need for potential new areas of health related opportunities. Conference committee meetings are also used to get input from all employees, who are also consumers of our services, regarding areas of potential growth. In addition we conducted a Community Health Needs Assessment in 2019. Part VI, Line 3: Stevens Community Medical Center provides a copy of our charity guidelines and financial assistance contact information to interested patients as part of our intake/screening process; self-pay patients (particularly inpatients) are asked if they have financial concerns and are referred to a financial counselor if a need is discovered. A variety of tools are used to determine potential needs through the registration, prior authorization, and billing processes - social worker's referral, identification of uninsured or underinsured status, and/or a previous history of inability to pay. The charity care guidelines, policy, plain language summary, application, instructions and contact information are posted on our website. We also post financial assistance contact information for persons interested in applying for Charity Care and/or Medicaid in patient common areas such as registration, waiting areas, physician rooms and the Cashier's office.In addition, if payments are not being made after 2-3 statements have been sent, a Financial Counselor will call to inform the patient of their options. At that time, we would send out an application for Financial Assistance, discuss with the patient the availability of various government benefits, such as Medicaid or state programs, and assist the patient with qualification for such programs, where applicable. At the time final notices for non-payment are sent at least 90 days after first statement delivery, the plain language summary is also mailed. Calls are also being placed throughout this timeframe to prevent accounts from going to bad debt by obtaining reasonable payment and educating on FAP availability. Part VI, Line 4: Stevens Community Medical Center serves the County of Stevens including the towns of Morris, Donnelly, Hancock, Chokio and Alberta. We also serve areas of Pope, Swift, Traverse, Grant, and Big Stone. We anticipate the total primary service area to be approximately 15,000, with a secondary market of an additional 20,000.The service area is primarily rural, with a strong agricultural base. We are also fortunate to have a university presence with the University of Minnesota, Morris. Approximately 64% of our inpatients are Medicare and/or Medicare HMO and another 11% are Medicaid and/or MN Care.There are three hospitals in the area that are larger than SCMC located in towns 50 miles from Morris in different directions. There are also hospitals in Benson, Wheaton, Graceville, Glenwood, Elbow Lake and Appleton, all of which are within a 30 mile radius of Morris.Stevens County is a federally designated Health Professional Shortage Area (HPSA) for both primary care and mental health. Pope County, where the Starbuck Clinic is located, is also a federally designated HPSA. Part VI, Line 5: As described earlier, SCMC has a community Board of Directors that represent specific portions of our service area. Medical staff privileges are extended to all qualified physicians in the community. We also own and operate an adult foster care facility which specializes in the terminally ill. This is currently subsidized by community donations. The Emergency Room is open 24 hours a day 7 days a week and is open to all patients regardless of ability to pay. All our employed physicians attend several educational opportunities, as do the balance of our licensed and professional staff. SCMC works to provide education to staff or opportunities for education on the latest most up to date care techniques and strategies as well as education related to compliance, billing, fraud, abuse and other regulatory rules. SCMC also works with a variety of higher education schools to provide onsite internships, residency experience, and fieldwork. Every dollar generated in excess of expenses at SCMC is reinvested in the organization to improve the services offered to the communities we serve. This includes effectively funding the depreciation of our building and equipment, investment in facilities and equipment, expansion of services to meet community need, and investment in education of staff to provide high quality effective care to our community members. The community health service activities are designed to complement the identified health needs in our area. SCMC promotes community health with partnerships with other community groups such as the Farmer's Market, local food drop, local elementary/high school education programs, providing an athletic trainer to the local high school, and a community health group that coordinates activities such as the Fall Into Health. SCMC's dietician and diabetic educator provide diabetes presentations to local service groups. Much of the emphasis associated with these events is toward prevention and early detection.We are also acutely aware of the fact that a large percentage of the population we serve are senior citizens and value the benefit of the free transit services we provide for clinic appointments.Charity care is also provided through many reduced price services and free SCMC programs and information offered throughout the year based on activities and services which SCMC believes will serve a bona fide community need. These include: various brochures to educate patients; staff speaking for a variety of community events including SCMC sponsored "health nights", elderly and adult education; sponsoring a smoking cessation program and a variety of other "wellness" type programs at subsidized cost; providing meeting facilities for various community groups; offering support groups; and providing assistance to educators through our work with student nurses.SCMC provides many opportunities for community involvement through volunteering. Approximately 45 people volunteer for a variety of activities at SCMC. Volunteers are from a wide range of ages including youth from the local schools.SCMC is the only hospital in Morris.MERC Program/Residency/Internships- SCMC has benefited from Medical Residency and FNP programs that participate in the MERC funding program. This assists SCMC with the costs associated with clinical rotations, such as extra hours and lodging expenditures. It allows SCMC to continue to support the growth of students in Rural Health Care programs. Courage Cottage donations are used to support end of life care, as SCMC identified that as a community need. SCMC's administration advocates with government contacts to encourage measures that will improve the overall health of the community we serve.SCMC is an advocate for the change to tobacco sales in Stevens County. Commissioners voted to ban the sale of tobacco products to those under the age of 21 effective August 1st. SCMC removed the smoking shed from its property in 2019. Part VI, Line 7, Reports Filed With States MN X X 0 0 0 1 0 0 0 0 0 Andrea Giambi DO Radiologist 243049 0 275201 0 3287 0 21700 0 27153 0 570390 0 0 0 Randell Lussenden CRNA 125977 0 335281 0 4115 0 21700 0 24368 0 511441 0 0 0 John Rau President/CEO 400992 0 0 0 2130 0 21700 0 25179 0 450001 0 0 0 Somkiat Viratyosin MD General Surgeon 384190 0 3102 0 2558 0 21700 0 36365 0 447915 0 0 0 Elizabeth Meichsner MD Director/Physician 315087 0 53870 0 3636 0 16800 0 40180 0 429573 0 0 0 Eric Larson CRNA 208031 0 149147 0 342 0 14700 0 38570 0 410790 0 0 0 Brent Barnstuble MD Physician 221616 0 133183 0 427 0 16800 0 35325 0 407351 0 0 0 Toby Christie-Perkins DO Director/Physician 273868 0 71413 0 296 0 16800 0 38440 0 400817 0 0 0 Jason Huikko MD Director/Physician 263560 0 32737 0 333 0 14700 0 11836 0 323166 0 0 0 Kerrie McEvilly Vice President of Finance 164123 0 5101 0 10518 0 14477 0 35598 0 229817 0 0 0 Part I, Line 5 The physicians are eligible to receive quarterly incentive compensation based on their personal gross revenue production for non-ancillary services, according to the terms of their contracts. The CRNAs also receive quarterly bonuses contingent on the services they provide to patients of SCMC. Form 990, Part VI, Section A, line 8b The organization does not have any committees with authority to act on behalf of the governing board. Form 990, Part VI, Section B, line 11b Prior to filing, the 990 is reviewed in detail by the Vice President of Finance and President/CEO. The Board of Directors is given the opportunity to review a copy prior to filing. A copy of the Form 990 is attached to the state filing. The state filing requires a Board Resolution approving the filing. During that time the board is briefed on information contained within the Form 990. Form 990, Part VI, Section B, line 12c The organization has two conflict of interest policies - one that covers officers and directors and one that covers other management staff (including other key employees, if applicable). Potential conflicts identified by officers and directors are reviewed by the remaining board members; those identified by management are reviewed by the President/CEO. Officers and directors are to abstain from voting on any such matter where they have a potential conflict of interest. The President/CEO evaluates each potential conflict identified by management on an individual basis in order to determine the appropriate restrictions to put in place. Form 990, Part VI, Section B, line 15a The Board of Directors references the MN Hospital Association CEO Compensation Survey when reviewing the CEO's compensation on an annual basis. Besides participating in MHA compensation surveys, SCMC also references Medi-Sota and HHRAM compensation surveys that includes 49 hospitals in MN for various positions. The President/CEO reviews salary ranges for officers and key employees of the organization on an annual basis. SCMC receives an annual assessment from Merritt-Hawkins (a recruiting firm) regarding compensation ranges for primary care and specialty physicians. This information is specific to different geographic regions, as well as for groups versus private practices. The President/CEO also reviews the AMGA (American Medical Group Association) compensation survey for physician compensation and the MHA compensation survey for the Vice President of Finance compensation annually. Form 990, Part VI, Section C, line 19 The audited financial statements, governing documents and conflict of interest policy are made available to the general public upon request. The audited financial statements are also attached to the Form 990. Form 990, Part IX, line 11g Repairs and maintenance: Program service expenses 575,841. Management and general expenses 149. Fundraising expenses 0. Total expenses 575,990. Purchased services: Program service expenses 3,745,835. Management and general expenses 430,105. Fundraising expenses 0. Total expenses 4,175,940. Form 990, Part XI, line 9: Auxiliary Activity included for tax -1,345.