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CANCER CENTER OF WESTERN WISCONSIN INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
CANCER CENTER OF WESTERN WISCONSIN INC (EIN 27-3238660)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-13
IRS object ID
202513179349308356
Schema version
2024v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-13T14:26:54-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14150 2ND STREET SOUTH SUITE 400AddressLine1Txt
CityST CLOUDCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56301ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN273238660EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CANCER CENTER OF WESTERN WISCONSIN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCANCBusinessNameControlTxt
Phone7152432879PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1501 HOSPITAL ROADAddressLine1Txt
CityNEW RICHMONDCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54017ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVE MASSEYPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7152432879PhoneNum
Signature2025-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKRISTIN L SCHMIDT CPAPreparerPersonNm
PTINP01487323PTIN
Phone3202035500PhoneNum
Preparation2025-11-12PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEVE MASSEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1501 HOSPITAL ROADAddressLine1Txt
CityNEW RICHMONDCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54017ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,779,492GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CC-WW.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO IMPROVE HEALTH, HEALING AND LIFE FOR THOSE EXPERIENCING CANCER.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$36,394PYContributionsGrantsAmt
CY Contributions Grants$8,809CYContributionsGrantsAmt
PY Program Service Revenue$3,862,886PYProgramServiceRevenueAmt
CY Program Service Revenue$4,202,126CYProgramServiceRevenueAmt
PY Investment Income$336,304PYInvestmentIncomeAmt
CY Investment Income$562,192CYInvestmentIncomeAmt
PY Other Revenue$2,708PYOtherRevenueAmt
CY Other Revenue$2,303CYOtherRevenueAmt
PY Total Revenue$4,238,292PYTotalRevenueAmt
CY Total Revenue$4,775,430CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,000,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,987,509PYOtherExpensesAmt
CY Other Expenses$4,330,214CYOtherExpensesAmt
PY Total Expenses$3,987,509PYTotalExpensesAmt
CY Total Expenses$6,330,214CYTotalExpensesAmt
PY Revenues Less Expenses$250,783PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,554,784CYRevenuesLessExpensesAmt
Total Assets BOY$4,078,532TotalAssetsBOYAmt
Total Assets EOY$3,745,818TotalAssetsEOYAmt
Total Liabilities BOY$475,690TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,697,760TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,602,842NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,048,058NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMISSION: 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,283,756ExpenseAmt
Grant$2,000,000GrantAmt
Revenue$2,129,952RevenueAmt
DescONCOLOGIST SERVICES: PURCHASE OF MD TIME TO SERVE THE OWNER COMMUNITIES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,924,804ExpenseAmt
Revenue$1,933,848RevenueAmt
DescRADIATION TREATMENT SERVICES: PROVIDE RADIATION TREATMENT SERVICES THROUGH OUR PARTNERSHIP.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Revenue$138,326RevenueAmt
DescONCOLOGY SERVICES - NEW RICHMOND: PROVIDE MEDICAL ONCOLOGY SERVICES IN NEW RICHMOND, WISCONSIN.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$6,208,560TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NATHAN WAYNEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7152432879PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1535 HOSPITAL ROADAddressLine1Txt
CityNEW RICHMONDCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54017ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
STEVEN MASSEY
PRESIDENT2.0040.00Yes (X)Yes (X)$0$413,747$67,660
MICHAEL YOUSO
VICE PRESIDENT1.0040.00Yes (X)Yes (X)$0$543,547$26,211
THOMAS BOROWSKI
BOARD MEMBER1.0040.00Yes (X)$0$413,947$67,660
KELLY MACKEN-MARBLE
BOARD MEMBER1.0040.00Yes (X)$0$358,425$47,351
EILIDH PEDERSON
BOARD MEMBER1.0040.00Yes (X)$0$351,485$52,717
DEBRA RUDQUIST
BOARD MEMBER1.0040.00Yes (X)$0$414,133$67,666
DOUGLAS JOHNSON
TREASURER 1/1 TO 7/12.0040.00Yes (X)$0$511,654$29,214
NATHAN WAYNE
TREASURER 9/12 TO 12/312.0040.00Yes (X)$0$189,760$56,036
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,196,698TotReportableCompRltdOrgAmt
Total Other Compensation$414,515TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
GROUP HEALTH INC
PO BOX 64059ST PAULMN55164ONCOLOGIST SERVICES$2,445,734
REGIONS HOSPITAL
640 JACKSON STREETST PAULMN55101CANCER REGISTRY SERVICES$121,537
WESTFIELD HOSPITAL INC
8170 33RD AVE S PO BOX 1309MINNEAPOLISMN55401RADIATION TREATMENT CENTER OF WESTERN WI$106,171
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$8,809AllOtherContributionsAmt
Total Contributions$8,809TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PHYSICIAN SERVICES621110$2,129,952$2,129,952
RADIATION TREATMENT621110$1,933,848$1,933,848
ONCOLOGY SERVICES WEST621110$138,326$138,326
FieldValueIRS element (for citing)
Total Program Service Revenue$4,202,126TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$562,192TotalRevenueColumnAmt
Exclusion$562,192ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$6,365FundraisingGrossIncomeAmt
Fundraising Direct Expenses$4,062FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,303TotalRevenueColumnAmt
Exclusion$2,303ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,775,430TotalRevenueColumnAmt
Related Or Exempt Func Income$4,202,126RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$564,495ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,000,000TotalAmt
Program Services$2,000,000ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,073TotalAmt
Management And General$7,073ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$472TotalAmt
Management And General$472ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,283,756TotalAmt
Program Services$2,283,756ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$98,306TotalAmt
Management And General$98,306ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,151TotalAmt
Management And General$1,151ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescRADIATION TREATMENT EXPDesc
Total$1,924,804TotalAmt
Program Services$1,924,804ProgramServicesAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$14,652TotalAmt
Management And General$14,652ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,330,214TotalAmt
Program Services$6,208,560ProgramServicesAmt
Management And General$121,654ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,907,811BOYAmt
EOY$153,632EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$261,064BOYAmt
EOY$747,360EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$717,579BOYAmt
EOY$543,987EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$203,917LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$203,917LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$558BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$191,520BOYAmt
EOY$2,300,839EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,078,532BOYAmt
EOY$3,745,818EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$475,690BOYAmt
EOY$197,760EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$1,500,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$475,690BOYAmt
EOY$1,697,760EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,602,842BOYAmt
EOY$2,048,058EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,602,842BOYAmt
EOY$2,048,058EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,078,532BOYAmt
EOY$3,745,818EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,554,784ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations6SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (6 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
AMERY REGIONAL MEDICAL CENTER INC
3909083203Yes (1)$463,855$0
WESTERN WISCONSIN HEALTH
3908085263Yes (1)$72,290$0
HUDSON HOSPITAL INC
3908041253Yes (1)$463,855$0
OSCEOLA MEDICAL CENTER
3907739703Yes (1)$72,290$0
ST CROIX REGIONAL MEDICAL CENTER INC
3908906763Yes (1)$463,855$0
WESTFIELDS HOSPITAL INC
3908084423Yes (1)$463,855$0
FieldValueIRS element (for citing)
Supported Organizations Total6SupportedOrganizationsTotalCnt
Support Sum$2,000,000SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$203,917OtherCostOrOtherBasisAmt
Depreciation$203,917DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN RTCWW$200,565F
BREMER BANK CD$2,100,274C
FieldValueIRS element (for citing)
Total Book Value Securities$2,300,839TotalBookValueSecuritiesAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
AMERY REGIONAL MEDICAL CENTER INC
265 GRINFIN STREET EASTAMERYWI54001390908320501(C) (3)$463,855$0EQUITY PAYMENT FOR AMERY REGIONAL MEDICAL CENTER, INC.
WESTERN WISCONSIN HEALTH
730 10TH AVENUEBALDWINWI54002390808526501(C) (3)$72,290$0EQUITY PAYMENT FOR WESTERN WISCONSIN HEALTH
HUDSON HOSPITAL INC
405 STAGELINE RDHUDSONWI54016390804125501(C) (3)$463,855$0EQUITY PAYMENT FOR HUDSON HOSPITAL, INC.
OSCEOLA MEDICAL CENTER
2600 65TH AVEOSCEOLAWI54020390773970501(C) (3)$72,290$0EQUITY PAYMENT FOR OSCEOLA MEDICAL CENTER
ST CROIX REGIONAL MEDICAL CENTER INC
235 STATE STREETST CROIX FALLSWI54024390890676501(C) (3)$463,855$0EQUITY PAYMENT FOR ST. CROIX REGIONAL MEDICAL CENTER, INC.
WESTFIELDS HOSPITAL INC
8170 33RD AVENUE SOUTHMINNEAPOLISMN55401390808442501(C) (3)$463,855$0EQUITY PAYMENT FOR WESTFIELDS HOSPITAL, INC.
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANTS AND OTHER ASSISTANCE TO ENTITIES IN THE U.S.: TRANSFERS ARE TO RELATED ENTITIES UNDER COMMON MANAGEMENT AND TRACKED THROUGH THE INTERNAL FINANCIAL REPORTING PROCESS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL YOUSO
VICE PRESIDENT$0$543,547$0$0$0$0$0$0$0$26,211$0$569,758$0$0
DOUGLAS JOHNSON
TREASURER 1/1 TO 7/1$0$198,865$0$136,445$0$176,344$0$0$0$29,214$0$540,868$0$121,739
DEBRA RUDQUIST
BOARD MEMBER$0$315,747$0$86,676$0$11,710$0$27,756$0$39,910$0$481,799$0$0
THOMAS BOROWSKI
BOARD MEMBER$0$315,611$0$85,787$0$12,549$0$27,756$0$39,904$0$481,607$0$0
STEVEN MASSEY
PRESIDENT$0$316,990$0$86,551$0$10,206$0$27,756$0$39,904$0$481,407$0$0
KELLY MACKEN-MARBLE
BOARD MEMBER$0$327,090$0$31,335$0$0$0$10,051$0$37,300$0$405,776$0$0
EILIDH PEDERSON
BOARD MEMBER$0$351,485$0$0$0$0$0$0$0$52,717$0$404,202$0$0
NATHAN WAYNE
TREASURER 9/12 TO 12/31$0$171,004$0$14,997$0$3,759$0$9,416$0$46,620$0$245,796$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THIS CORPORATION HAS SIX MEMBERS WITH VOTING RIGHTS: AMERY REGIONAL MEDICAL CENTER, INC.; WESTERN WISCONSIN HEALTH; HUDSON MEMORIAL HOSPITAL, INC.; OSCEOLA MEDICAL CENTER; ST. CROIX REGIONAL MEDICAL CENTER, INC.; AND WESTFIELDS HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE 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 8BTHE CENTER DOES NOT HAVE ANY COMMITTEES WITH BROAD AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CTHE 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 DOCUMENTED IN THE MEETING MINUTES OR AS OTHERWISE APPROPRIATE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART IX, LINE 11GPROVIDER CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 2,129,952. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,129,952. CANCER PHARMACY SUPPORT: PROGRAM SERVICE EXPENSES 41,616. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,616. CANCER REGISTRY SERVICES: PROGRAM SERVICE EXPENSES 112,188. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,188.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
AMERY REGIONAL MEDICAL CENTER INC
265 GRINFIN STREET EASTAMERYWI54001390908320MEDICAL SERVICESWI501(C)(3)LINE 3N/A0
WESTERN WISCONSIN HEALTH
730 10TH AVENUEBALDWINWI54002390808526MEDICAL SERVICESWI501(C)(3)LINE 3N/A0
HUDSON HOSPITAL INC
405 STAGELINE ROADHUDSONWI54016390804125MEDICAL SERVICESWI501(C)(3)LINE 3N/A0
OSCEOLA MEDICAL CENTER
2600 65TH AVENUE PO BOX 218OSCEOLAWI54020390773970MEDICAL SERVICESWI501(C)(3)LINE 3N/A0
ST CROIX REGIONAL MEDICAL CENTER INC
235 STATE STREETST CROIX FALLSWI54024390890676MEDICAL SERVICESWI501(C)(3)LINE 3N/A0
WESTFIELDS HOSPITAL INC
8170 33RD AVENUE SOUTH PO BOX 1309MINNEAPOLISMN55401390808442MEDICAL SERVICESMN501(C)(3)LINE 3N/A0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1RADIATION THERAPY CENTER OF WESTERN WISCONSIN LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line17401 METRO BLVD STE 210AddressLine1Txt
CityEDINACityNm
State AbbreviationMNStateAbbreviationCd
ZIP55439ZIPCd
FieldValueIRS element (for citing)
EIN272836404EIN
Primary ActivitiesRADIATION TREATMENTPrimaryActivitiesTxt
Legal Domicile StateMNLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$439,046ShareOfTotalIncomeAmt
Share Of EOY Assets$200,565ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.50000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
RADIATION TREATMENT CENTER OF WESTERN WISCONSIN
M$430,000FAIR MARKET VALUE
AMERY REGIONAL MEDICAL CENTER INC
R$463,855FAIR MARKET VALUE
HUDSON HOSPITAL INC
R$463,855FAIR MARKET VALUE
OSCEOLA MEDICAL CENTER
R$72,290FAIR MARKET VALUE
ST CROIX REGIONAL MEDICAL CENTER INC
R$463,855FAIR MARKET VALUE
WESTFIELDS HOSPITAL INC
R$463,855FAIR MARKET VALUE
WESTERN WISCONSIN HEALTH
R$72,290FAIR MARKET VALUE