2025-10-30T11:18:51-05:00 2024-12-31 393647910 WIPFLI ADVISORY LLC 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2024-01-01 390890676 ST CROIX REGIONAL MEDICAL CENTER STCR 7154830556 235 STATE STREET ST CROIX FALLS WI 54024 KIMBERLY ERICSON CFO 7154830556 2025-10-29 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2025-10-29 2024 2025-03-06 01:10:19Z MICHAEL YOUSO 235 STATE STREET ST CROIX FALLS WI 54024 148775014 0 X WWW.SCRMC.ORG X 1954 WI WE HELP PEOPLE TO LIVE HEALTHIER, HAPPIER, AND LONGER LIVES. 6 4 1078 15 0 0 400808 2320076 70123524 144953514 305205 327195 268512 470504 71098049 148071289 0 14520 0 0 33694438 77321244 0 0 0 33712730 58582229 67407168 135917993 3690881 12153296 97943269 108555961 16085150 15208154 81858119 93347807 X WE HELP PEOPLE TO LIVE HEALTHIER, HAPPIER, AND LONGER LIVES. 1 1 87481827 14520 109643746 OUTPATIENT SERVICES - SURGICAL, LABORATORY, BASIC, AND ADVANCED RADIOLOGY PROCEDURES. DURING 2024, THERE WERE 11,109 EMERGENCY ROOM VISITS RECORDED, 5,516 OUTPATIENT SURGERIES, AND 36,785 HOSPITAL OUTPATIENT VISITS.INPATIENT SERVICES - OBSTETRIC, MEDICAL-SURGICAL, INTENSIVE CARE, AND SHORT STAY INPATIENT CARE. DURING 2024, THERE WERE 209 BIRTHS, 1,099 INPATIENT ADMISSIONS, AND A TOTAL OF 4,063 INPATIENT DAYS FOR AN AVERAGE LENGTH OF 3.69 DAYS. 15370332 0 19264124 ST. CROIX REGIONAL MEDICAL CENTER OPERATES FOUR PROVIDER-BASED CLINICS AND ONE FREE STANDING CLINIC. TOGETHER, THE CLINICS STRIVE TO MEET THE HEALTHCARE NEEDS OF PATIENTS AND FAMILIES WHO LIVE AND WORK IN THE COMMUNITIES THEY SERVE. A TOTAL OF 106,455 CLINIC VISITS OCCURRED DURING 2024. 11580804 0 14514589 ST. CROIX VALLEY PHARMACIES PROVIDE LOCAL PHARMACY CARE TO THE SERVICE AREA OF ST. CROIX REGIONAL MEDICAL CENTER. ST. CROIX VALLEY PHARMACIES IS THE SOLE MEMBER OF THE FOLLOWING COMMUNITY PHARMACIES: UNITY PHARMACY LOCATED IN THE UNITY CLINIC BUILDING NEAR BALSAM LAKE, WI, FREDERIC PHARMACY LOCATED IN THE FREDERIC CLINIC BUILDING IN FREDERIC, WI, AND, ST. CROIX FALLS PHARMACY LOCATED IN THE ST. CROIX FALLS CLINIC BUILDING IN ST. CROIX FALLS, WI. 1221587 0 1531054 CONTRACT PHARMACY - ST. CROIX REGIONAL MEDICAL CENTER BECAME ELIGIBLE TO PARTICIPATE IN THE 340B DRUG PRICING PROGRAM, WHICH IS MANAGED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) OFFICE OF PHARMACY AFFAIRS (OPA), RESULTING IN THE REALIZATION OF A CONTRACT PHARMACY SERVICE. PARTICIPATION IN THE 340B DRUG PRICING PROGRAM RESULTS IN SIGNIFICANT SAVINGS, ESTIMATED TO BE 20-50%, ON THE COST OF PHARMACEUTICALS FOR USE BY OUTPATIENTS OF THE FACILITY. THROUGH THIS PROGRAM, ST. CROIX REGIONAL MEDICAL CENTER IS ABLE TO REACH MORE ELIGIBLE PATIENTS AND PROVIDE MORE COMPREHENSIVE SERVICES. 1221587 0 1531054 115654550 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 1 68 0 1078 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 4 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI MN X KIMBERLY ERICSON 7154830556 235 STATE STREET ST CROIX FALLS WI 54024 REBECCA LYMAN TRUSTEE (THRU 08/2024)/PHYSICIAN 40.00 X 314251 0 56381 TRUDY CANINE VICE CHAIR/CHAIR 0.50 X X 0 0 0 KAREN HAUER SECRETARY 0.50 X X 0 0 0 MARK BURANDT TRUSTEE 0.50 X 0 0 0 JOHN CUMMING TRUSTEE (THRU 01/2024) 0.50 X 0 0 0 SUSAN ROESER TRUSTEE 0.50 X 0 0 0 WILLIAM TIES TRUSTEE 0.50 X 0 0 0 ERIN VOGLAND TRUSTEE/NURSE PRACTITIONER 40.00 X 182048 0 46461 JAMES WALLACE TRUSTEE/PHYSICIAN 40.00 X 480461 0 62315 MICHAEL YOUSO CFO/CEO 40.00 X 543547 0 26211 KIMBERLY ERICSON CFO 40.00 X 260354 0 26289 DAVID NORDIN PHYSICIAN 40.00 X 764174 0 77342 VITTAL NAGAR PHYSICIAN 40.00 X 657850 0 68176 CLAUDIO NUNES PHYSICIAN 40.00 X 603456 0 69348 MUHAMMAD KHAN PHYSICIAN 40.00 X 531187 0 63254 JOHN KAMPA PHYSICIAN 40.00 X 519410 0 50703 PATRICK MCDONOUGH FORMER VC/SPORTS MED MD 40.00 X 278858 0 55718 DAVE DOBOSENSKI FORMER CEO 0.00 X 720781 0 0 GURDESH BEDI FORMER TRUSTEE/PHYSICIAN 0.00 X 201264 0 0 6057641 0 602198 113 1 1 0 REGIONS HOSPITAL PO BOX 772953 DETROIT MI 482772953 PHYSICIAN SERVICES 3309986 ST CROIX VALLEY ANESTHESIA LLC BOX 45 OSCEOLA WI 54020 PHYSICIAN SERVICES 2021537 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 554850737 CONTRACT LABOR 1742830 ALLINA HEALTH LABORATORY 2925 CHICAGO AVENUE MINNEAPOLIS MN 55407 LABORATORY SERVICES 1148854 MIDWEST RADIOLOGY PA 2355 HWY 36 WEST STE 100 ROSEVILLE MN 55113 PHYSICIAN SERVICES 1083672 30 216645 2103431 2320076 PATIENT SERVICES 624100 127998492 127998492 FREDERIC PHARMACY 456110 5482828 5482828 SCF PHARMACY 456110 4544516 4544516 UNITY PHARMACY 456110 4487245 4487245 340(B) PROGRAM 456110 1531054 1531054 909379 909379 144953514 869625 869625 161295 703725 -542430 -542430 -542430 JOINT VENTURE REVENUE 900099 470504 470504 470504 148071289 144953514 0 797699 1520 1520 13000 13000 2174506 1462800 711706 61227032 52019780 9207252 2574852 1963705 611147 7840467 5969315 1871152 3504387 2655946 848441 115438 29898 85540 116200 116200 485 485 11945500 8278554 3666946 235260 231932 3328 1097910 180133 917777 1062051 59411 1002640 1146292 1145691 601 27590 26021 1569 157585 58265 99320 12852 11899 953 4583455 4230938 352517 386594 272737 113857 DRUGS AND MEDS 23401286 23392502 8784 MEDICAL SUPPLIES 10095687 9944675 151012 BAD DEBT 1846504 1846504 REPAIRS AND MAINTENANCE 959995 938410 21585 1391545 920914 470631 135917993 115654550 20263443 0 30926 7834097 26759900 39337021 15722841 15858523 293032 899064 4208497 3653499 1019688 984132 80713981 52488871 32267228 28225110 1765052 1512305 316250 258750 15559855 9993460 97943269 108555961 7870468 8633946 450484 0 648498 353835 7115700 6220373 16085150 15208154 X 81858119 92004873 0 1342934 81858119 93347807 97943269 108555961 X 12153296 -663608 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 485 485 0 PART II-B, LINE 1: ST CROIX REGIONAL MEDICAL CENTER (THE ORGANIZATION") PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THESE DUES ARE PRIMARILY FOR ACCESS TO EDUCATIONAL MATERIALS AND STAFF TRAINING AND DEVELOPMENT. A PORTION OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTH CARE ENVIRONMENT. THE ORGANIZATION IS ALSO A MEMBER OF THE RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). EACH YEAR, THE ORGANIZATION PAYS MEMBERSHIP FEES TO THE RWHC. RWHC PROVIDES SUPPORT SERVICES FOR A NUMBER OF ITS MEMBER HOSPITALS THROUGHOUT THE STATE OF WISCONSIN. SOME OF THE MANY SERVICES PROVIDED TO MEMBER HOSPITALS INCLUDE PROVIDING ASSISTANCE TO ORGANIZATIONS IN FINDING GRANT FUNDING FOR NEW PROGRAMS, LEGAL SERVICES, REIMBURSEMENT REVIEW SERVICES, ACCOUNTING ASSISTANCE, CONTRACTING FOR THERAPIST AND EMERGENCY ROOM PATIENT CARE COVERAGE, AND ADMINISTRATIVE CONSULTING SERVICES. AS A PART OF THESE SERVICES, THE RWHC ALSO DOES PROVIDE ANALYSIS ON CURRENT HEALTH CARE ISSUES IN AN EFFORT TO PROMOTE AND BETTER HEALTH CARE FOR HOSPITALS IN RURAL COMMUNITIES THROUGHOUT WISCONSIN. ONE OF THESE EFFORTS ALSO INCLUDES SOME LOBBYING ON THE PART OF THE MEMBER ORGANIZATIONS. THE ORGANIZATION IS ALSO A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION. THESE DUES PAID ARE PRIMARILY USED TO ENSURE THEIR MEMBERS' PERSPECTIVES AND NEEDS ARE HEARD AND ADDRESSED IN NATIONAL HEALTH POLICY DEVELOPMENT, LEGISLATIVE AND REGULATORY DEBATES AND JUDICIAL MATTERS. THE ORGANIZATION IS ALSO A MEMBER OF THE NATIONAL RURAL HEALTH ASSOCIATION. THESE DUES PAID ARE PRIMARILY USED TO SUPPORT RURAL HEALTH ISSUES THROUGH ADVOCACY, COMMUNICATIONS, EDUCATION AND RESEARCH. 4800069 4800069 26865158 18048862 8816296 21241782 14824697 6417085 27656066 19615312 8040754 150906 150906 28225110 UNEMPLOYMENT RESERVE FUND 292573 DEFERRED COMPENSATION PLAN 6041430 AMOUNTS RECEIVABLE FROM THIRD-PARTY REIMBURSEMENT PROGRAMS 3659457 9993460 ASSET RETIREMENT OBLIGATION 178943 DEFERRED COMPENSATION PLAN 6041430 6220373 1 1 X 1 X 1 X 1 1 0 1 1 340188 340188 0.00250 12871520 9631756 3239764 0.02420 13211708 9631756 3579952 0.02670 27072270 19023833 8048437 0.06000 27072270 19023833 8048437 0.06000 40283978 28655589 11628389 0.08670 156769 156769 0.00120 3087 3087 0.00000 155402 155402 0.00120 163161 163161 0.00120 4984 4984 0.00000 131190 131190 0.00100 614593 614593 0.00460 0 946870 473435 31922963 32032930 -109967 X 1 1 1 1 ST CROIX REGIONAL MEDICAL CENTER 235 STATE STREET ST CROIX FALLS WI 54024 WWW.SCRMC.ORG 1041 X X X X ST CROIX REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C, LINE 7D X 1 22 1 SEE PART V, SECTION C, LINE 7D 0 1 X 200.000000000000 300.000000000000 X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 ST. CROIX REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: IN CONDUCTING OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ST. CROIX HEALTH ACTIVELY GATHERED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WE SERVE. WE ENGAGED STAKEHOLDERS ACROSS MULTIPLE SECTORS TO ENSURE DIVERSE AND RELEVANT PERSPECTIVES INFORMED OUR ASSESSMENT.HOW INPUT WAS COLLECTED:COMMUNITY CONVERSATIONS AND FOCUS GROUPS: WE FACILITATED SESSIONS WITH COMMUNITY MEMBERS TO BETTER UNDERSTAND THEIR VIEWS ON KEY HEALTH CONCERNS AND PRIORITIES. PARTICIPANTS SHARED PERSONAL AND COLLECTIVE EXPERIENCES RELATED TO COMMUNITY WELL-BEING.KEY INFORMANT INTERVIEWS: WE INTERVIEWED STAKEHOLDERS WITH SPECIFIC INSIGHT INTO COMMUNITY HEALTH ISSUES, INCLUDING THOSE WHO SERVE MARGINALIZED POPULATIONS. SOME INTERVIEWS INCLUDED INDIVIDUALS DIRECTLY IMPACTED BY HEALTH DISPARITIES TO ENSURE FIRSTHAND PERSPECTIVES WERE CAPTURED.SURVEYS: WE DISTRIBUTED COMMUNITY-WIDE SURVEYS TO COLLECT FEEDBACK ON PERCEIVED HEALTH NEEDS, AVAILABLE RESOURCES, AND BARRIERS TO CARE. THE RESULTS HELPED IDENTIFY TRENDS AND PRIORITIZE FOCUS AREAS.COMMUNITY SECTORS REPRESENTED:- WE OBTAINED INPUT FROM A BROAD RANGE OF SECTORS AND GROUPS, INCLUDING:- PARENTS AND CAREGIVERS- SCHOOLS AND YOUTH-SERVING ORGANIZATIONS- LOCAL BUSINESSES AND MEDIA- FAITH-BASED AND CIVIC GROUPS- HEALTHCARE PROFESSIONALS AND PUBLIC HEALTH AGENCIES- LAW ENFORCEMENT AND SOCIAL SERVICE PROVIDERS- LOCAL AND STATE GOVERNMENTAL ENTITIES ST. CROIX REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A: AMERY HOSPITAL AND CLINIC AND OSCEOLA MEDICAL CENTER ST. CROIX REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6B: POLK COUNTY HEALTH DEPARTMENT, UNITED WAY ST. CROIX VALLEY, UNIVERSITY OF WISCONSIN EXTENSION, MENTAL HEALTH TASK FORCE OF POLK COUNTY ST. CROIX REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 7D: SECTION B, LINE 7A & 10A:HTTPS://WWW.SAINTCROIXHEALTH.ORG/LEGAL-NOTICES/ ST. CROIX REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: IN 2024, WE CONTINUED TO STRENGTHEN COMMUNITY HEALTH AND WELL-BEING THROUGH FOCUSED EFFORTS IN ACCESS, SUPPORT, AND INCLUSION. GROUNDED IN COLLABORATION AND EQUITY, OUR WORK CENTERED ON BUILDING MEANINGFUL CONNECTIONS, EXPANDING COMMUNITY-DRIVEN PROGRAMS, AND INVESTING IN SPACES AND SYSTEMS THAT REFLECT SHARED PRIORITIES. THE HIGHLIGHTS BELOW REPRESENT A SAMPLE OF THIS WORK AND ARE NOT LIMITED TO EVERYTHING ACCOMPLISHED THROUGHOUT THE YEAR:- COLLABORATED WITH ARCHITECTS AND CONSULTANTS TO EXPLORE THE FEASIBILITY OF A NEW FACILITY, PRIORITIZING ACCESSIBILITY AND EXPANDED SPACE FOR COMMUNITY-CENTERED PROGRAMMING.- CONTINUED PLANNING FOR PHYSICAL IMPROVEMENTS AND ENVIRONMENTALLY FRIENDLY BUILDING ENHANCEMENTS, INCLUDING A ROOFTOP UNIT THAT IMPROVES ENERGY EFFICIENCY AND ENHANCES SHARED SPACES.- PARTNERED ON THE DEVELOPMENT OF AFFORDABLE HOUSING STRATEGIES AND SITE-SPECIFIC PLANNING ROOTED IN COMMUNITY OWNERSHIP.- CONTRIBUTED TO NEIGHBORHOOD REVITALIZATION EFFORTS BY PARTICIPATING IN COMMUNITY ECONOMIC DEVELOPMENT CONVERSATIONS WITH LOCAL PARTNERS.- SUPPORTED INITIATIVES THAT INCREASED ACCESS TO EDUCATION, HEALTH FAIRS, AND WELLNESS EVENTS FOR STUDENTS, FAMILIES, AND UNDERSERVED GROUPS ACROSS THE REGION.- CONTINUED REGULAR COLLABORATION WITH SCHOOL DISTRICTS, CHAMBERS, AND COMMUNITY EDUCATION PROGRAMS TO CONNECT RESOURCES, ELEVATE YOUTH VOICE, AND ALIGN COMMUNITY EFFORTS.- LAUNCHED BEHAVIORAL HEALTH EDUCATION PROJECTS, INCLUDING MATERIALS TO HELP INDIVIDUALS UNDERSTAND THEIR OPTIONS WHILE AWAITING MENTAL HEALTH SERVICES.- CREATED AND DISTRIBUTED CULTURALLY AND LINGUISTICALLY APPROPRIATE EDUCATIONAL MATERIALS TO SUPPORT COMMUNITY UNDERSTANDING OF HEALTH AND SAFETY TOPICS.- PROVIDED BREASTFEEDING EDUCATION AND PARENTING SUPPORT THROUGH REGULARLY SCHEDULED CLASSES AND TRAINING, LED BY OB NURSES AND LACTATION CONSULTANTS.- INCREASED COORDINATION WITH SCHOOLS AND LOCAL ORGANIZATIONS TO PROVIDE SAFETY RESOURCES, YOUTH PROGRAMMING, AND AGE-APPROPRIATE HEALTH EDUCATION.- HOSTED MULTIPLE COMMUNITY EVENTS FOCUSED ON EMERGENCY PREPAREDNESS, FAMILY WELLNESS, AND HEALTH CAREER EXPOSURE FOR YOUNG PEOPLE.- SUPPORTED LOCAL MUTUAL AID EFFORTS SUCH AS DIAPER DRIVES, HEALTH FAIRS, AND COMMUNITY DONATION EVENTS THROUGH STAFF COORDINATION AND OUTREACH.- DEVELOPED AND LAUNCHED A NEW COMMUNITY RELATIONS ROLE DESIGNED TO STRENGTHEN LISTENING, ENGAGEMENT, AND REPRESENTATION OF DIVERSE COMMUNITY VOICES. PART V, LINES 16A-C: HTTPS://WWW.SAINTCROIXHEALTH.ORG/PATIENTS-VISITORS/INSURANCE-BILLING/FINANCIAL-ASSISTANCE/ 5 1 - ST CROIX FALLS CLINIC 216 SOUTH ADAMS STREET ST CROIX FALLS WI 54024 RHC PROVIDER BASED CLINIC 2 - LINDSTROM CLINIC 12375 LINDSTROM LANE LINDSTROM MN 55045 FREE STANDING CLINIC 3 - WEBSTER HEALTH CENTER 26425 LAKELAND AVE SOUTH WEBSTER WI 54893 RHC PROVIDER BASED CLINIC 4 - FREDERIC CLINIC 205 OAK STREET WEST FREDERIC WI 54837 RHC PROVIDER BASED CLINIC 5 - UNITY CLINIC 1504 190TH AVENUE BALSAM LAKE WI 54810 RHC PROVIDER BASED CLINIC PART I, LINE 3C: ST. CROIX REGIONAL MEDICAL CENTER, THROUGH ITS PATIENT ADVOCATES, EVALUATES EACH APPLICANT'S SITUATION IN ACCORDANCE WITH CRITERIA ESTABLISHED ANNUALLY BY THE BOARD OF DIRECTORS. THE CRITERIA INCLUDE:{1) INDIVIDUAL OR FAMILY INCOME{2) FAMILY SIZE{3) OTHER SOURCES OF PAYMENT FOR SERVICES. QUALIFICATION IS BASED ON ASSET LEVELS ESTABLISHED BY MEDICAL ASSISTANCE, FAMILY SIZE, AND INCOME LEVELS BASED ON 100% OF THE FEDERAL POVERTY GUIDELINES AS PUBLISHED ANNUALLY BY THE FEDERAL GOVERNMENT. IN ADDITION TO THE ABOVE LISTED ELIGIBILITY REQUIREMENTS DEPENDENT UPON INCOME, SCRMC MAY ALSO PRESUMPTIVELY DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. PORTIONS OF OR THE ENTIRE FINANCIAL APPLICATION PROCESS MAY BE WAIVED FOR CERTAIN PATIENTS/GUARANTORS WHO PRESUMPTIVELY QUALIFY FOR FINANCIAL ASSISTANCE AND ARE SUBSEQUENTLY VERIFIED BASED ON SCRMC POLICIES AND PROCEDURES. EXAMPLES MAY INCLUDE PATIENTS/GUARANTORS WHO ARE HOMELESS, DECEASED WITHOUT AN ESTATE, BANKRUPTCY, FOOD STAMPS AND/OR PATIENTS/GUARANTORS WHO QUALIFY BY EXTERNAL AVAILABLE DATA SOURCES SUCH AS CREDIT AGENCIES OR SOCIAL ECONOMIC STATUS OF QUALIFYING FOR FINANCIAL ASSISTANCE. PART I, LINE 7: THE COSTING METHODOLOGY USED ON FROM 990 IS BASED ON A COST-TO-CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR THE FORM 990. PART I, LINE 7G: THE ORGANIZATION INCLUDED THE ACTIVITY OF FOUR RURAL HEALTH CLINICS FOR SUBSIDIZED HEALTH SERVICES. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,846,504. PART II, COMMUNITY BUILDING ACTIVITIES: ST. CROIX HEALTH ENGAGES IN A WIDE RANGE OF COMMUNITY BUILDING ACTIVITIES THAT SUPPORT LONG-TERM HEALTH AND WELL-BEING ACROSS THE REGION. IN 2024, THIS INCLUDED INVESTMENTS IN INFRASTRUCTURE PLANNING, SUCH AS A BUILDING FEASIBILITY STUDY AND ARCHITECTURAL WORK FOR FUTURE FACILITY DEVELOPMENT, AND SUSTAINABILITY PROJECTS LIKE ENERGY-EFFICIENT ROOFTOP UNIT UPGRADES AND ADOPTION OF GREEN SEAL-CERTIFIED CLEANING SUPPLIES.TO STRENGTHEN THE REGIONAL HEALTH WORKFORCE, ST. CROIX HEALTH DEDICATED RESOURCES TO PROVIDER RECRUITMENT, LEADERSHIP DEVELOPMENT, AND A NEW EDUCATION MODEL FOR ONBOARDING AND BEST PRACTICE TRAINING. THE ORGANIZATION ALSO SUPPORTED ECONOMIC DEVELOPMENT EFFORTS THROUGH ACTIVE PARTICIPATION IN THE POLK COUNTY ECONOMIC DEVELOPMENT CORPORATION AND REGIONAL COLLABORATION WITH SCHOOL DISTRICTS, CHAMBERS, AND PLANNING COMMITTEES.STAFF CONTRIBUTED TIME AND EXPERTISE TO YOUTH ENGAGEMENT THROUGH SCHOOL SAFETY EVENTS, HEALTH EDUCATION SESSIONS, CAREER FAIRS, AND PARTNERSHIP WITH CESA #11'S YOUTH APPRENTICESHIP PROGRAM. COMMUNITY HEALTH PROMOTION INCLUDED ACTIVITIES SUCH AS BREASTFEEDING EDUCATION, LACTATION AND EXPECTANT PARENT CLASSES, BLOOD DRIVES, THE POLK COUNTY SUICIDE AWARENESS WALK, AND SAFETY TRAINING FOR LOCAL FIRST RESPONDERS.THESE INITIATIVES RANGING FROM STRATEGIC PLANNING TO HANDS-ON COMMUNITY INVOLVEMENT REFLECT ST. CROIX HEALTH'S COMMITMENT TO ADDRESSING THE BROADER FACTORS THAT INFLUENCE HEALTH IN THE RURAL COMMUNITIES IT SERVES. PART III, LINE 2: THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO, WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES EXCLUDING THE PROVISION FOR BAD DEBT, DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT ARE WRITTEN OFF DURING THE YEAR TO ESTIMATE THE COST OF CARE OF PATIENTS WHO HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE HOSPITAL. THE HOSPITAL ALSO RECOGNIZES THAT IT ALSO PROVIDES A DISCOUNT TO SELF-PAY OR UNINSURED PATIENTS. THESE AMOUNTS ARE EXCLUDED FROM GROSS PATIENT SERVICE REVENUE ON THE FINANCIAL STATEMENTS AND ARE NOT INCLUDED IN THE RATIO AS DESCRIBED ABOVE AND APPROVED BY THE IRS FOR USE ON FORM 990. IF CONSIDERED, THESE ADDITIONAL WRITE-OFF AMOUNTS TO UNINSURED ACCOUNTS WOULD ALSO INCREASE THE ESTIMATED BAD DEBT EXPENSE AMOUNT ASSOCIATED WITH THESE UNCOLLECTIBLE ACCOUNTS TO THE HOSPITAL. PART III, LINE 3: MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER THE HOSPITAL HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE MEDICAL CENTER EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE SERVICES. PATIENT ACCOUNTS RECEIVABLE ARE RECORDED IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS NET OF CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS THAT REFLECT MANAGEMENT'S ESTIMATE OF THE TRANSACTION PRICE. THE MEDICAL CENTER ESTIMATES THE TRANSACTION PRICE BASED ON NEGOTIATED CONTRACTUAL AGREEMENTS, HISTORICAL EXPERIENCE, AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS AND IS RECORDED THROUGH A REDUCTION OF GROSS REVENUE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE.THE MEDICAL CENTER DOES NOT HAVE A POLICY TO CHARGE INTEREST ON PAST DUE ACCOUNTS. PART III, LINE 8: THE MEDICAL CENTER PROVIDES CARE TO INDIVIDUALS WHERE GOVERNMENT DEPARTMENTS DETERMINE THE AMOUNT OF REIMBURSEMENT OF SERVICE REGARDLESS OF THE COST TO PROVIDE THE SERVICE. THE TOTAL MEDICARE REVENUE SHOWN BASED ON THE IRS 990 INSTRUCTIONS INCLUDES GROSS MEDICARE REVENUE BUT DOES NOT CONSIDER CONTRACTUAL ADJUSTMENTS FOR THE REIMBURSEMENT THAT IS ACTUALLY RECEIVED FROM THE MEDICARE PROGRAM. THE AMOUNTS LISTED FOR MEDICARE ALSO DOES NOT INCLUDE PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT AT THE HOSPITAL AS WELL AS RADIOLOGIST, RESPIRATORY THERAPY, URGENT CARE, OR ANESTHESIA PROFESSIONAL SERVICES. PHYSICIAN COVERAGE IS REIMBURSED PRIMARILY ON A FEE SCHEDULE REIMBURSEMENT AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT THE HOSPITAL PROVIDES TO THE COMMUNITY AND SURROUNDING AREA. THE CALCULATION IS ALSO NOT INCLUDING THE ACTIVITY FROM FOUR RURAL HEALTH CLINICS AS THOSE AMOUNTS ARE BEING INCLUDED AS SUBSIDIZED SERVICES. THE COSTING METHOD USED ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON AN OVERALL AVERAGE COST-TO-CHARGE RATIO AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE) DIVIDED BY TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT EXPENSE. THIS RATIO IS THEN MULTIPLIED BY THE TOTAL MEDICARE SERVICES WHICH ARE REIMBURSED ON A COST METHODOLOGY EXCLUDING THE FEE SCHEDULE ITEMS LIKE PHYSICIAN SERVICES WHICH THE HOSPITAL WOULD SHOW A LARGE LOSS ON THESE SERVICES.WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHICH ARE TYPICALLY ELDERLY OR DISABLED MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTH CARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. PART III, LINE 9B: THE FOLLOWING PROCEDURES ARE SECTION 8 IN SCRMC'S BILLING AND COLLECTION POLICY INCLUDED ON THEIR WEBSITE AND DESCRIBE THE POLICY AND PROCEDURES USED FOR PATIENTS THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE. ST. CROIX REGIONAL MEDICAL CENTER WILL MAKE REASONABLE EFFORTS TO PATIENT/GUARANTORS THAT FINANCIAL ASSISTANCE IS AVAILABLE, WHERE TO GET THE INFORMATION, HOW TO APPLY, AND ASSISTANCE AVAILABLE WITH APPLYING. ST. CROIX REGIONAL MEDICAL CENTER WILL ALLOW AND PROCESS A FINANCIAL ASSISTANCE APPLICATION UP TO 240 DAYS AFTER THE PATIENT/GUARANTOR'S FIRST BILLING STATEMENT AFTER A DATE OF SERVICE. ST. CROIX REGIONAL MEDICAL CENTER WILL TAKE STEPS TO NOTIFY PATIENT/GUARANTOR ABOUT OUR FINANCIAL ASSISTANCE POLICY AND WILL NOT TAKE EXTRAORDINARY COLLECTION ACTIONS BEFORE 120 DAYS FROM PATIENT/GUARANTOR'S FIRST BILLING STATEMENT AFTER A DATE OF SERVICE. IF A FINANCIAL ASSISTANCE APPLICATION IS RECEIVED DURING THE APPLICATION PERIOD, ST. CROIX REGINAL MEDICAL CENTER WILL SUSPEND ANY EXTRAORDINARY COLLECTION ACTIONS TO OBTAIN PAYMENT, MAKE AN ELIGIBILITY DETERMINATION AS TO WHETHER THE PATIENT/GUARANTOR IS ELIGIBLE FOR FINANCIAL ASSISTANCE AND NOTIFY THE PATIENT/GUARANTOR IN WRITING. IF ELIGIBLE, THE FINAL NOTIFICATION PERIOD WILL BE RESET FOR ANOTHER 30-DAY PERIOD. IF A PATIENT/GUARANTOR DOES NOT APPLY FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY BY THE LAST DAY OF THE FINAL NOTIFICATION PERIOD, AND THE PATIENT/GUARANTOR HAS RECEIVED THE 30-DAY NOTICE DESCRIBED IN FINAL NOTIFICATION PERIOD, THEN ST. CROIX REGIONAL MEDICAL CENTER MAY INITIATE EXTRAORDINARY COLLECTION ACTIONS. IF A PATIENT/GUARANTOR HAS APPLIED FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY IN THE LAST SIX MONTHS, AND IT WAS DETERMINED THAT THE PATIENT/GUARANTOR IS NOT ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY, THEN SCRMC MAY INITIATE EXTRAORDINARY COLLECTION ACTIONS. IF AN INCOMPLETE FINANCIAL ASSISTANCE APPLICATION UNDER THE FINANCIAL ASSISTANCE POLICY IS RECEIVED PRIOR TO THE FINAL NOTICE, THEN EXTRAORDINARY COLLECTION ACTIONS WILL BE SUSPENDED, AND PATIENT/GUARANTOR WILL BE PROVIDED A WRITTEN NOTICE THAT DESCRIBES ADDITIONAL INFORMATION REQUIRED UNDER THE FINANCIAL ASSISTANCE POLICY. IF ADDITIONAL INFORMATION REQUESTED IS NOT PROVIDED, THEN THE FINAL NOTIFICATION PERIOD WILL BE RESET. PART VI, LINE 2: BEYOND THE REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ST. CROIX HEALTH REMAINS ACTIVELY INVOLVED IN COMMUNITY-WIDE HEALTH IMPROVEMENT EFFORTS BY CONTRIBUTING TO LOCAL COMMUNITY HEALTH IMPROVEMENT PLANS (CHIPS). WE COLLABORATE REGULARLY WITH PUBLIC HEALTH DEPARTMENTS AND A WIDE RANGE OF COMMUNITY SECTORS, HELPING TO ALIGN GOALS, SHARE UPDATES, AND RESPOND TO EVOLVING NEEDS. WHILE DATA IS REVIEWED FORMALLY DURING CHNA CYCLES, ONGOING CONVERSATIONS WITH LOCAL PARTNERS AND COMMUNITY MEMBERS ALLOW US TO STAY RESPONSIVE BETWEEN ASSESSMENTS. PART VI, LINE 3: INFORMATION ABOUT FINANCIAL ASSISTANCE IS AVAILABLE ON OUR WEBSITE AT WWW.SAINTCROIXHEALTH.ORG, INCLUDING DETAILS ABOUT PRICE TRANSPARENCY, HOW TO PAY A BILL, AND OUR FINANCIAL ASSISTANCE POLICY. PRINTED FINANCIAL ASSISTANCE PACKETS ARE AVAILABLE AT EACH REGISTRATION STATION ACROSS ALL LOCATIONS.WHEN A PATIENT CALLS WITH CONCERNS ABOUT PAYING A BILL OR ASKS ABOUT FINANCIAL HELP, ST. CROIX HEALTH PATIENT ACCESS REPRESENTATIVES CONNECT THEM WITH A PATIENT FINANCIAL COUNSELOR. THE COUNSELOR REVIEWS ELIGIBILITY BASED ON INCOME AND OTHER FACTORS AND WALKS THE PATIENT THROUGH AVAILABLE OPTIONS. DEPENDING ON THE PATIENT'S QUALIFICATIONS, THIS MAY INCLUDE A DISCOUNTED RATE AND A FLEXIBLE PAYMENT PLAN. PART VI, LINE 4: ST. CROIX HEALTH SERVES A TRI-COUNTY REGION INCLUDING POLK COUNTY (WI), BURNETT COUNTY (WI), AND CHISAGO COUNTY (MN), WITH A COMBINED POPULATION OF APPROXIMATELY 119,500 RESIDENTS. THE SERVICE AREA SPANS OVER 2,150 SQUARE MILES AND INCLUDES BOTH ENTIRELY RURAL COUNTIES (POLK AND BURNETT) AND A MORE MIXED COUNTY (CHISAGO) WITH 34% OF RESIDENTS LIVING IN URBAN AREAS.POLK AND BURNETT COUNTIES FACE CHALLENGES TIED TO LOW POPULATION DENSITY, SUCH AS LIMITED TRANSPORTATION AND ACCESS TO SERVICES. BURNETT COUNTY HAS THE OLDEST POPULATION (31.3% AGE 65+), WHILE CHISAGO HAS THE YOUNGEST (22.6% AGE 017). POLK COUNTY HAS A BALANCED AGE DISTRIBUTION.ALL THREE COUNTIES ARE PREDOMINANTLY WHITE (OVER 90%) WITH SMALLER BLACK, ASIAN, AMERICAN INDIAN, AND HISPANIC/LATINO POPULATIONS. BURNETT COUNTY HAS THE HIGHEST PROPORTION OF AMERICAN INDIAN RESIDENTS (3.5%), AND ALL THREE COUNTIES ARE LESS RACIALLY DIVERSE THAN STATE AND NATIONAL AVERAGES.BURNETT AND CHISAGO COUNTIES HAVE SEEN POPULATION GROWTH SINCE 2010, WHILE POLK'S GROWTH HAS BEEN SLOWER. RURAL STATUS IN POLK AND BURNETT CONTRIBUTES TO GAPS IN HEALTHCARE ACCESS AND INFRASTRUCTURE. THESE GEOGRAPHIC AND DEMOGRAPHIC FACTORS DRIVE ST. CROIX HEALTH'S EFFORTS TO ADDRESS AGING, WORKFORCE NEEDS, TRANSPORTATION, AND ACCESS TO CARE. PART VI, LINE 5: ST. CROIX HEALTH PROMOTES COMMUNITY HEALTH BY REINVESTING ANY AVAILABLE SURPLUS FUNDS INTO INITIATIVES THAT IMPROVE ACCESS TO CARE, ADDRESS HEALTH DISPARITIES, AND SUPPORT LONG-TERM COMMUNITY WELL-BEING. THESE INVESTMENTS INCLUDE INFRASTRUCTURE UPDATES, SERVICE EXPANSION IN RURAL AREAS, AND PROGRAMS THAT RESPOND TO LOCAL NEEDS IDENTIFIED THROUGH COMMUNITY HEALTH ASSESSMENTS.THE ORGANIZATION IS GOVERNED BY A COMMUNITY-BASED BOARD OF DIRECTORS, ENSURING THAT DECISION-MAKING REFLECTS LOCAL PRIORITIES AND INPUT. IN ADDITION, ST. CROIX HEALTH ENGAGES IN PARTNERSHIPS AND OUTREACH EFFORTS, SUCH AS SCHOOL-BASED SERVICES AND LOCAL EVENT PARTICIPATION, THAT EXTEND ITS IMPACT BEYOND TRADITIONAL CLINICAL SETTINGS.THESE STRATEGIES ALIGN WITH THE ORGANIZATION'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. PART VI, LINE 6: ST. CROIX HEALTH COLLABORATES WITH SEVERAL AFFILIATED ORGANIZATIONS TO ENHANCE THE DELIVERY OF CARE AND PROMOTE COMMUNITY HEALTH. THE ORGANIZATION CONTRACTS WITH THE ALLINA HEALTH SYSTEM FOR ELECTRONIC HEALTH RECORD (EHR) SERVICES, INCLUDING SYSTEM UPGRADES, ACCESS SUPPORT, WORKFLOW IMPROVEMENTS, AND REPORTING.CLINICAL PARTNERSHIPS FURTHER EXPAND SPECIALTY CARE ACCESS IN THE REGION. MIDWEST BRAIN & SPINE AND MINNEAPOLIS HEART INSTITUTE PROVIDE SPECIALTY PROVIDER SERVICES. MIDWEST RADIOLOGY SUPPORTS DIAGNOSTIC IMAGING THROUGH PROFESSIONAL READING SERVICES. HEALTHPARTNERS DELIVERS ONCOLOGY SERVICES ON-SITE, AND TAREEN DERMATOLOGY RENTS CLINICAL SPACE WITHIN THE FACILITY.THESE AFFILIATIONS SUPPORT ACCESS TO HIGH-QUALITY SPECIALTY CARE AND ADVANCED TECHNOLOGY, HELPING ST. CROIX HEALTH MEET THE DIVERSE NEEDS OF ITS RURAL SERVICE AREA. PART VI, LINE 7, REPORTS FILED WITH STATES WI 0 SCHOLARSHIPS 13 13000 X X X X X 1 1 0 0 0 0 0 0 0 DAVID NORDIN PHYSICIAN 743630 0 0 0 20544 0 28957 0 48385 0 841516 0 0 0 VITTAL NAGAR PHYSICIAN 657306 0 0 0 544 0 23809 0 44367 0 726026 0 0 0 DAVE DOBOSENSKI FORMER CEO 0 0 0 0 720781 0 0 0 0 0 720781 0 415672 0 CLAUDIO NUNES PHYSICIAN 603451 0 0 0 5 0 24351 0 44997 0 672804 0 0 0 MUHAMMAD KHAN PHYSICIAN 530643 0 0 0 544 0 21788 0 41466 0 594441 0 0 0 JOHN KAMPA PHYSICIAN 498866 0 0 0 20544 0 10094 0 40609 0 570113 0 0 0 MICHAEL YOUSO CFO/CEO 543543 0 0 0 4 0 0 0 26211 0 569758 0 0 0 JAMES WALLACE TRUSTEE/PHYSICIAN 480455 0 0 0 6 0 22040 0 40275 0 542776 0 0 0 REBECCA LYMAN TRUSTEE (THRU 08/2024)/PHYSICIAN 314245 0 0 0 6 0 17697 0 38684 0 370632 0 0 0 PATRICK MCDONOUGH FORMER VC/SPORTS MED MD 278853 0 0 0 5 0 16332 0 39386 0 334576 0 0 0 KIMBERLY ERICSON CFO 245350 0 15000 0 4 0 7915 0 18374 0 286643 0 0 0 ERIN VOGLAND TRUSTEE/NURSE PRACTITIONER 181882 0 0 0 166 0 10708 0 35753 0 228509 0 0 0 GURDESH BEDI FORMER TRUSTEE/PHYSICIAN 0 0 0 0 201264 0 0 0 0 0 201264 0 201264 0 PART I, LINE 3 THE BOARD OF DIRECTORS CONDUCTS AN ANNUAL PERFORMANCE EVALUATION, SOLICITS A COMPENSATION STUDY THROUGH AN INDEPENDENT COMPENSATION CONSULTANT, REVIEWS A LIST OF COMPARABLE ORGANIZATION'S 990 COMPENSATION DATA FOR CEO ROLE, AND FOLLOWS THE COMPENSATION AND PERFORMANCE REVIEW CLAUSE WITHIN THE CEO'S EMPLOYMENT CONTRACT. UPON COMPLETION OF PERFORMANCE REVIEW AND REVIEW OF COMPENSATION INFORMATION, THE BOARD REACHES CONSENSUS ON RATING AND PLACEMENT OF COMPENSATION IN COMPARISON TO MARKET RANKING, FOLLOWING THE REASONABLENESS STANDARD. PART I, LINES 4A-B DURING CALENDAR YEAR 2024, DAVE DOBOSENSKI RECEIVED A SEVERANCE PAYMENT OF $285,340 DAVE DOBOSENSKI, DR. REBECCA LYMAN, DR. PATRICK MCDONOUGH, DR. GURDESH BEDI, DR. MUHAMMAD KHAN, AND DR. CLAUDIA NUNES AND ARE ALL PARTICIPANTS IN A 457(F) PLAN. DURING 2024, THE FOLLOWING INDIVIDUALS RECEIVED DISTRIBUTIONS FROM THE PLAN: DAVE DOBOSENSKI - $226,425 GURDESH BEDI - $36,318 JILL TIES FAMILY MEMBER OF WILLIAM TIES (BOARD MEMBER) 510569 EMPLOYEE OF THE HOSPITAL 0 FORM 990, PART III, LINE 2 WE ADDED AN OBGYN AND ENT SPECIALISTS FORM 990, PART III, LINE 3 ST CROIX WAS ABLE TO UPGRADE ITS CT MACHINE WHICH IS MUCH FASTER AND HAS HIGHER ACCURACY WHICH RESULTED IN HIGHER VOLUME AND FASTER PATIENT THROUGHPUT. THE QUICK CARE CLINIC MOVED TO SATURDAYS ONLY AND THE PRIMARY CLINIC OPENED UP MORE SAME DAY APPOINTMENTS. FORM 990, PART VI, SECTION A, LINE 4 AMENDED CORPORATE BYLAWS EFF. 12/19/2024 TO REDUCE THE MINIMUM NUMBER OF TRUSTEES TO NO LESS THAN SEVEN (7) AND NO MORE THAN THIRTEEN (13). FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WENT THROUGH THE FOLLOWING REVIEW PROCESS BEFORE FILING WITH THE IRS: A DETAILED REVIEW WAS CONDUCTED BY THE ORGANIZATION'S CFO AND CEO. A COPY OF THE 990 IS PROVIDED TO THE BOARD OF DIRECTORS ELECTRONICALLY PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERSHIP IS CONTINGENT UPON ANNUAL DISCLOSURE OF POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. THE DETERMINATION IS MADE AT THE BOARD LEVEL AND ALL BOARD MEMBERS MUST CERTIFY ANNUALLY. IF A BOARD MEMBER HAS A CONFLICT, THEY REFRAIN FROM VOTING OR PARTICIPATING IN DISCUSSIONS CONCERNING THE TOPIC. FORM 990, PART VI, SECTION B, LINE 15 CEO - ANNUAL PERFORMANCE AND SALARY REVIEW IS CONDUCTED THROUGH THE EXECUTIVE COMMITTEE USING OUTSIDE CONSULTANTS AND VARIOUS COMPENSATION SURVEYS AS DEEMED NECESSARY. REVIEWS ARE TYPICALLY DONE IN THE FIRST QUARTER OF EACH CALENDAR YEAR. BASED UPON THE COMMITTEE'S RECOMMENDATION, IT IS PRESENTED TO THE GOVERNING BOARD FOR FINAL REVIEW AND APPROVAL. OTHER OFFICERS - THE CHIEF ADMINISTRATIVE OFFICER AND HUMAN RESOURCE MANAGER WORKING WITH THE CEO CONDUCT OUTSIDE RESEARCH USING COMPENSATION SURVEYS AND DATA TO DETERMINE REASONABLE COMPENSATION. THE CEO IN CONJUNCTION WITH THE CHIEF ADMINISTRATIVE OFFICER AND HUMAN RESOURCE MANAGER'S RECOMMENDATION DETERMINES THE COMPENSATION OF THESE EMPLOYEES. REVIEWS ARE TYPICALLY DONE IN JANUARY/FEBRUARY OF EACH CALENDAR YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE MEDICAL CENTER'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: OTHER CHANGE IN NET ASSETS -663,608. UNITY PHARMACY LLC 1504 190TH AVENUE SUITE 100 BALSAM LAKE WI 54810 454471131 PHARMACEUTICALS WI 7437979 927539 SCV PHARMACIES FREDERIC PHARMACY LLC 201 OAK STREET WEST FREDERIC WI 54837 464469897 PHARMACEUTICALS WI 9127560 1174335 SCV PHARMACIES ST CROIX VALLEY PHARMACY LLC 235 STATE STEET ST CROIX FALLS WI 54024 464463191 PHARMACEUTICALS WI 0 0 ST CROIX REGIONAL MEDICAL CENTER ST CROIX FALLS PHARMACY LLC 216 SOUTH ADAMS STREET ST CROIX FALLS WI 54024 464487348 PHARMACEUTICALS WI 7769826 1170264 SCV PHARMACIES WEBSTER DENTAL CLINIC LLC 26425 LAKELAND AVENUE S WEBSTER WI 54893 371911164 DENTAL SERVICES WI 78106 0 ST CROIX DENTAL HEALTH LLC ST CROIX DENTAL HEALTH LLC 26425 LAKELAND AVENUE S WEBSTER WI 54893 831635026 DENTAL SERVICES WI 0 0 ST CROIX REGIONAL MEDICAL CENTER ST CROIX VALLEY EMERGENCY MEDICAL SERVICES INC 235 EAST STATE STREET ST CROIX FALLS WI 54024 452872803 TO LEASE, MAINTAIN, AND OPERATE AN EMERGENCY AMBULANCE SERVICE WI 501(C)(3) LINE 10 ST CROIX REGIONAL MEDICAL CENTER 1 CANCER CENTER OF WESTERN WISCONSIN 501 HOSPITAL ROAD NEW RICHMOND WI 54017 273238660 TO PROVIDE CARE TO CANCER PATIENTS WI 501(C)(3) LINE 12A, I N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0