2015-11-16T10:21:29-06:00 2014-12-31 410746749 CLIFTONLARSONALLEN LLP 818 SECOND ST SO SUITE 320 WAITE PARK MN 56387 990 2014-01-01 273238660 CANCER CENTER OF WESTERN WISCONSIN INC CANC 7152432800 501 HOSPITAL ROAD NEW RICHMOND WI 54017 JOHN TREMBLE TREASURER 7152432800 2015-11-12 1 KRISTIN L SCHMIDT P01487323 3202035500 2015-11-11 2014 2016-02-25 16:41:14Z STEVE MASSEY 501 HOSPITAL ROAD NEW RICHMOND WI 54017 3213604 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 20735 12119 2614901 2991425 67 210060 0 0 2635703 3213604 0 0 0 0 0 0 0 0 0 3033049 3416338 3033049 3416338 -397346 -202734 1803540 1585530 323797 308521 1479743 1277009 TO IMPROVE HEALTH, HEALING AND LIFE FOR THOSE EXPERIENCING CANCER WITH THE COMPASSION THAT DEFINES OUR COMMUNITIES. THIS REGIONAL PARTNERSHIP OF HEALTHCARE ORGANIZATIONS BRINGS HIGH-CALIBER AND TIMELY TREATMENT INTO EACH PATIENT'S FAMILIAR AND TRUSTED HOME COMMUNITY. 0 0 2221753 1971240 RADIATION TREATMENT SERVICES - PROVIDE RADIATION TREATMENT SERVICES THROUGH OUR PARTNERSHIP 1020185 1020185 ONCOLOGIST SERVICES - PURCHASE OF MD TIME TO SERVE THE OWNER COMMUNITIES 113447 ONCOLOGY SERVICES; NEW RICHMOND - PROIVDE MEDICAL ONCOLOGY SERVICES IN NEW RICHMOND WISCONSIN 3355385 1 0 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 X 6 6 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 WI X JOHN TREMBLE 7154830317 235 STATE STREET ST CROIX FALLS WI 54024 STEVE MASSEY PRESIDENT 2.00 40.00 X X 0 263412 51339 ALISON PAGE VICE PRESIDENT 1.00 40.00 X X 0 241556 29590 TOM GESKERMAN SECRETARY 1.00 40.00 X X 0 166952 28650 JOHN TREMBLE TREASURER 2.00 40.00 X X 0 187149 45209 MARIAN FULONG BOARD MEMBER 1.00 40.00 X 0 289239 53621 DAVE DOBOSENSKI BOARD MEMBER 1.00 40.00 X 0 279334 40285 DEBRA RUDQUIST BOARD MEMBER 1.00 40.00 X 0 92591 10284 MIKE KARUSCHAK FORMER BOARD MEMBER 0.50 40.00 X 0 276126 92182 0 1796359 351160 0 0 1 0 GROUP HEALTH INC PO BOX 64059 ST PAUL MN 55164 ONCOLOGIST SERVICES 1020185 1 12119 12119 RADIATION TREATMENT 621110 1971240 1971240 PHYSICIAN SERVICES 621110 1020185 1020185 2991425 210060 210060 3213604 2991425 0 210060 X 325 325 1500 1500 1181062 1181062 6132 6132 94 94 40783 40783 RADIATION TREATMENT EXP 2174323 2174323 OTHER EXPENSE 12119 12119 3416338 3355385 60953 0 203920 118119 105352 50000 237970 361380 203917 146139 98561 57778 1157737 998253 1803540 1585530 323797 308521 323797 308521 X 1479743 1277009 1479743 1277009 1803540 1585530 -202734 0 X 0 0 0 X X X 6 AMERY REGIONAL MEDICAL CENTER INC 390908320 3 1 0 0 BALDWIN AREA MEDICAL CENTER 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 203917 146139 57778 57778 INVESTMENT IN WWRTC 998253 F 998253 0 0 0 0 0 0 0 0 0 STEVE MASSEY PRESIDENT 0 217846 0 45566 0 0 0 21320 0 30019 0 314751 0 0 ALISON PAGE VICE PRESIDENT 0 241556 0 0 0 0 0 0 0 29590 0 271146 0 0 TOM GESKERMAN SECRETARY 0 166952 0 0 0 0 0 0 0 28650 0 195602 0 0 JOHN TREMBLE TREASURER 0 187149 0 0 0 0 0 20190 0 25019 0 232358 0 0 MARIAN FULONG BOARD MEMBER 0 253909 0 35330 0 0 0 21320 0 32301 0 342860 0 0 DAVE DOBOSENSKI BOARD MEMBER 0 269334 0 10000 0 0 0 0 0 40285 0 319619 0 0 MIKE KARUSCHAK FORMER BOARD MEMBER 0 276126 0 0 0 0 0 0 0 92182 0 368308 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 B, LINE 11 THE FORM 990 IS DISTRIBUTED TO THE BOARD MEMBERS AND APPROVED PRIOR TO FILING. 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 1,020,185. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,020,185. ONCOLOGY SERVICES WESTFIELDS: PROGRAM SERVICE EXPENSES 113,447. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 113,447. CANCER REGISTRY SERVICES: PROGRAM SERVICE EXPENSES 47,430. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,430. 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 540020300 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 554011309 390808442 MEDICAL SERVICES MN 501(C)(3) LINE 3 N/A 0 RADIATION TREATMENT CENTER OF WESTERN WISCONSIN 6950 FRANCE AVENUE SOUTH SUITE200 EDINA MN 55435 272836404 RADIATION TREATMENT MN RADIATION TREATMENT 1278088 157030 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 210000 FAIR MARKET VALUE