2023-08-07T08:05:39-05:00 2022-09-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2021-10-01 390808526 BALDWIN AREA MEDICAL CENTER INC BALD 7156841111 1100 BERGSLIEN STREET BALDWIN WI 540020300 EILIDH PEDERSON CEO 7156841111 2023-07-28 1 EILIDH PEDERSON 999009999 MICHAEL J PETERSON CPA P01833529 2187224705 2023-07-28 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z WESTERN WISCONSIN HEALTH EILIDH PEDERSON 1100 BERGSLIEN STREET BALDWIN WI 540020300 71414317 0 X WWW.WWHEALTH.ORG X 1936 WI TO BUILD A HEALTHIER TOMORROW...TOGETHER. 9 9 465 49 139405 0 4878305 4831406 59974220 65488822 101517 1077243 -321 -11639 64953721 71385832 29418 4829 0 0 31226246 37896345 0 0 0 27082845 28527785 58338509 66428959 6615212 4956873 73481051 72065532 41172255 36781818 32308796 35283714 X TO BUILD A HEALTHIER TOMORROW...TOGETHER. 0 0 38809370 4829 46807714 THE MEDICAL CENTER OPERATES A CRITICAL ACCESS HOSPITAL, INCLUDING A PROVIDER-BASED, RURAL HEALTH CLINIC, A RURAL HEALTH CLINIC IN A NEIGHBORING COMMUNITY, AND A FITNESS CENTER WITH A CLEAR AND CONSISTENT CHARITABLE PURPOSE WHICH IS TO PROVIDE HEALTH AND WELLNESS SERVICES TO ALL RESIDENTS OF THE COMMUNITIES SERVED WITHOUT REGARD TO AGE, RACE, GENDER, CREED, NATIONAL ORIGIN, ABILITY TO PAY, AND PHYSICAL OR MENTAL HANDICAP. THE DEDICATION OF THE MEDICAL CENTER'S WORKFORCE PROVIDES A STRONG FOUNDATION FOR PROGRAM DEVELOPMENT THAT IS BASED UPON COMMUNITY NEED AND IN ALIGNMENT WITH ORGANIZATIONAL VALUES OF CARING, INNOVATION AND SUSTAINABILITY.DURING FISCAL YEAR 2022, THERE WERE 1319 MEDICAL/SURGICAL (ACUTE AND OBSERVATIONS) ADMISSIONS, 342 SWING BED DAYS, AND 274 NEWBORN DELIVERIES. THE MEDICAL CENTER ALSO HAD 4665 EMERGENCY ROOM VISITS IN FISCAL YEAR 2022. THE MEDICAL CENTER FOCUSSES ON HEALTH AND WELLNESS AND INTEGRATIVE HEALTH SERVICES THAT INCLUDES HOLISTIC SERVICES PROVIDED BY TRADITIONAL MEDICAL PRACTITIONERS, SPECIALISTS, INTEGRATIVE HEALTH CARE PROVIDERS, HEALTH COACHES, DIETICIANS, BEHAVIORAL HEALTH SPECIALISTS, THERAPISTS AND FITNESS EXPERTS. THE MEDICAL CENTER HAS DEVELOPED SPECIFIC SERVICES IN THE AREA OF EMOTIONAL RESILIENCY TRAINING (I.E. A COLLECTION OF SERVICES AIMED AT TEACHING PEOPLE TO MANAGE THEIR OWN PHYSICAL AND EMOTIONAL WELLBEING). IN ADDITION, THE MEDICAL CENTER PROVIDES A FULL SPECTRUM OF GERIATRIC SERVICES ON SITE AND WITHIN AREA NURSING HOMES AND ASSISTED LIVING FACILITIES. THIS INCLUDES 24/7 CALL AND THE REGULAR PROVISION OF ON-SITE CARE TO OVER 200 PATIENTS. THIS SERVICE IS NOT WELL REIMBURSED AND THUS, REQUIRES A SIGNIFICANT IN-KIND INVESTMENT FROM THE MEDICAL CENTER.IN ADDITION, THE MEDICAL CENTER OPERATES A SIMPLE HEALTH AND A FUNCTIONAL MEDICINE PROGRAM. THESE PROGRAMS ARE AIMED AT IMPROVING PATIENTS' HEALTH AND WELLNESS, AT THE PREVENTIVE LEVEL. THIS TYPE OF PROGRAM KEEPS PATIENT HEALTHCARE COSTS LOW, BY STARTING AT A FOUNDATIONAL LEVEL OF DIET AND EXERCISE. BOTH PROGRAMS HAVE DOCUMENTED OUTCOMES OF LOWERING UNNECESSARY EMERGENCY DEPARTMENT VISITS AND REDUCING HOSPITAL RE-ADMISSIONS. THE CHALLENGE IS IN A FEE FOR SERVICE ENVIRONMENT, THERE IS NOT COMPREHENSIVE REIMBURSEMENT FOR INNOVATIVE PROGRAMMING, SUCH AS OFFERED THROUGH THESE SERVICES. AS A RESULT, WWH MAKES SIGNIFICANT INVESTMENT TO ENSURE THESE SERVICES CONTINUE TO BE AVAILABLE TO WWH PATIENTS AND OUR COMMUNITY.MEDICAL CENTER REPRESENTATIVES PROVIDE A VARIETY OF VOLUNTEER SERVICES TO ENHANCE THE COMMUNITY BY PARTICIPATING IN COLLABORATIVE EFFORTS RELATED TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, RELAY FOR LIFE, LOCAL SCHOOL EDUCATION PROGRAMS FOR STUDENTS REGARDING CAREER CHOICES AND MENTAL HEALTH SUPPORT, AND MANY OTHER INITIATIVES. THE MEDICAL CENTER OFFERS SCHOLARSHIP FUNDS TO SELECT AREA HIGH SCHOOL SENIORS LOOKING TO PURSUE A CAREER IN HEALTHCARE AND GRANT PROGRAM DOLLARS TO EMPLOYEES LOOKING TO ENHANCE THEIR PROFESSIONAL SKILLS IN A HEALTH-RELATED EDUCATION FIELD. THE MEDICAL CENTER FURTHER SERVES THE COMMUNITY BY PROVIDING OUTREACH PROGRAMS AND SERVICES THAT ARE INTENDED TO ENHANCE THE HEALTH AND WELL-BEING OF THE PEOPLE IN THE COMMUNITY. SOME OF THESE SERVICES AND/OR SUPPORT GROUPS INCLUDE THE FOLLOWING: COMMUNITY-WIDE HEALTH AND WELLNESS PROGRAMS; SCHOOL BASED MENTAL HEALTH SERVICES AND SCHOOL ATHLETIC TRAINING; CARDIAC, DIABETES, MENTAL HEALTH AND DEPRESSION SUPPORT GROUPS; DIABETES SELF-MANAGEMENT CLASSES; NUTRITION AND LIFESTYLE CONSULTATION AND PROGRAMS; EXPECTANT PARENT CLASSES AND BREASTFEEDING EDUCATION; AND COMMUNITY WIDE COVID-19 VACCINATION CLINICS FOR ELIGIBLE PARTICIPANTS.UNCOMPENSATED CARE:THE MOST SIGNIFICANT EXPRESSION OF CHARITABLE SERVICE IS THE PROVISION OF UNCOMPENSATED HEALTHCARE SERVICES.A. CHARITY CARETHE MEDICAL CENTER PROVIDES HEALTHCARE SERVICES TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY. FOR THOSE INDIVIDUALS WITH VERIFIED INCOME THAT IS AT OR BELOW 100% OF THE FEDERAL POVERTY GUIDELINES, SERVICES ARE PROVIDED WITHOUT ANY EXPECTATION OF PAYMENT. FOR INDIVIDUALS THAT HAVE VERIFIED INCOME AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINE, CARE IS AVAILABLE ON A DISCOUNTED SLIDING SCALE. THE MEDICAL CENTER SCREENS POTENTIAL CHARITY CARE PROGRAM PARTICIPANTS AND MAKES PATIENT INFORMATION READILY AVAILABLE ON THE CHARITY CARE PROGRAM. PROCEDURES ARE IN PLACE THAT ACTIVELY SEEK TO IDENTIFY PATIENTS WHO MAY QUALIFY FOR CHARITY CARE. SEE ADDITIONAL INFORMATION ON THE COST OF THIS COMMUNITY BENEFIT IN THE SCHEDULE H OF THE FORM 990.B. PROVISION FOR BAD DEBT -UNCOLLECTABLE ACCOUNTSTHE MEDICAL CENTER ESTABLISHED A PROVISION FOR BAD DEBT EXPENSE (VALUED AT THE USUAL AND CUSTOMARY CHARGE) THAT REPRESENTS THOSE HEALTHCARE SERVICES WHICH WERE PROVIDED TO PATIENTS THAT WERE UNABLE OR UNWILLING TO PAY. SEE ADDITIONAL INFORMATION ON THE COST OF THIS COMMUNITY BENEFIT IN THE SCHEDULE H OF THE FORM 990.GOVERNMENT PROGRAMS SUCH AS MEDICARE AND MEDICAID PROVIDE PAYMENT FOR SERVICES OFTEN AT RATES THAT ARE SUBSTANTIALLY BELOW THE USUAL AND CUSTOMARY CHARGE. SEE ADDITIONAL INFORMATION ON THE COST OF THESE COMMUNITY BENEFITS PROVIDED IN SCHEDULE H OF THE FORM 990. 17590820 0 18499055 WESTERN WISCONSIN HEALTH ALSO PROVIDES OUTPATIENT HEALTHCARE SERVICES AT TWO CLINICS THAT IT OPERATES. DURING FISCAL YEAR 2022, TOTAL OUTPATIENT ENCOUNTERS AT THESE CLINICS WERE 50,244. BOTH CLINICS ARE DESIGNATED AS RURAL HEALTH CLINICS.IN ADDITION, THE TWO CLINICS PROVIDED CHARITY CARE AND BAD DEBT EXPENSE FOR FISCAL YEAR 2022 IN THE AMOUNT OF $905,673. 829659 0 44450 WESTERN WISCONSIN HEALTH HAS A FITNESS CENTER THAT IS OPEN TO ALL EMPLOYEES, PATIENTS, AND THE GENERAL PUBLIC. THE CENTER HAS AN AVERAGE OF APPROXIMATELY 560 MEMBERS WITH OVER 31,000 ANNUAL VISITS. FOR PART OF THE FISCAL YEAR 2022, THE MEDICAL CENTER OFFERED FREE FITNESS CENTER MEMBERSHIPS TO COMMUNITY MEMBERS AND PATIENTS. WESTERN WISCONSIN HEALTH IS EXPANDING SERVICES TO BUSINESSES IN THE COMMUNITIES SERVED. THESE SERVICES INCLUDED HEALTH SCREENING, EDUCATION, OCCUPATIONAL HEALTH SERVICES, PRE-EMPLOYMENT SCREENING AND WORKPLACE EVALUATION. DURING THE COVID-19 PANDEMIC, WWHEALTH HAS SUPPORTED BUSINESSES WITH EDUCATION, TESTING AND VACCINATIONS. THE MEDICAL CENTER IS DEVELOPING SPECIALTY SERVICES IN MANY AREAS, INCLUDING EXPANSION OF BEHAVIORAL HEALTH SERVICES, IN PARTICULAR TELEHEALTH BEHAVIORAL AND SUBSTANCE USE DISORDER SERVICES IN EARLY 2023. 57229849 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 58 0 465 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X LEA KAISER 7156841111 1100 BERGSLIEN STREET BALDWIN WI 540020300 DANIELLE JOHNSON PRESIDENT 1.00 X X 0 0 0 JOHN BUELOW VICE PRESIDENT 1.00 X X 0 0 0 DEANNE KOLL SECRETARY/TREASURER 1.00 X X 0 0 0 PATRICK HAYES DIRECTOR (THRU FEBRUARY) 1.00 X 0 0 0 RYMA LINDQUIST DIRECTOR (THRU JANUARY) 1.00 X 0 0 0 RON SILER DIRECTOR 1.00 X 0 0 0 CHRISTINE PENFIELD DIRECTOR 1.00 X 0 0 0 ERIC RUSSELL DIRECTOR 1.00 X 0 0 0 BRANDON GRABER DIRECTOR 1.00 X 0 0 0 ROBERT STEVENS DIRECTOR 1.00 X 0 0 0 DANE RASMUSSEN DIRECTOR 1.00 X 0 0 0 ALISON PAGE CEO (THRU JANUARY) 50.00 1.00 X 352770 0 36044 EILIDH PEDERSON CEO (BEG JAN 22) 50.00 X 0 0 0 LEA KAISER CFO (BEG MAY 22) 50.00 X 0 0 0 MARK ROMZEK ORTHOPEDIC SURGEON 40.00 X 506073 0 31272 PETER DAHLBERG GENERAL SURGEON 40.00 X 390668 0 8700 DENNIS HARTUNG OB/GYN 40.00 X 423939 0 8700 CHUKWUNONSO CHIME MD 40.00 X 595757 0 36044 FAISAL ANWAR MD 40.00 X 391395 0 7991 ADAM GINGERY CFO (FORMER) 50.00 X 144872 0 3406 2805474 0 132157 60 1 1 0 EMERGENCY CARE CONSULTANTS 2829 UNIVERSITY AVE SE STE 730 MINNEAPOLIS MN 55407 ER PHYSICIANS 3053002 ALLINA HEALTH SYSTEM NW 7710 PO BOX 9383 MINNEAPOLIS MN 554409383 INFORMATION SYSTEM, PHARMACY, EKG 1959351 RIVER VALLEY ANESTHESIA PO BOX 118 NEW RICHMOND WI 54017 CRNA SERVICES 1126019 CENTRAL MINNESOTA DIAGNOSTICS PO BOX 64756 ST PAUL MN 56353 RADIOLOGY SERVICES 995187 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 554850737 STAFFING AGENCY 326357 16 41135 4581576 208695 18087 4831406 PATIENT SERVICES REVENUE 621400 63191520 63191520 PHARMACY 340(B) REVENUE 621400 1534866 1395461 139405 OTHER HOSPITAL SERVICES/CAFETERIA 621400 717986 717986 WELLNESS CENTER REVENUE 621400 44450 44450 65488822 171755 171755 900590 4898 0 0 900590 4898 905488 905488 15044 41135 28485 -13441 -13441 AUXILIARY REVENUE 900099 1802 1802 1802 71385832 65351219 139405 1063802 X 4829 4829 661494 661494 29596576 25565113 4031463 760602 650931 109671 4966754 4201396 765358 1910919 1569347 341572 113889 113889 33000 33000 5589 5589 9808981 9221832 587149 304260 56 304204 328565 233976 94589 537885 45100 492785 556079 551641 4438 247731 193220 54511 782438 680721 101717 3009800 2609497 400303 366463 366463 MEDICAL SUPPLIES AND PH 7500924 7495096 5828 BAD DEBT EXPENSE 1487324 1487324 REPAIRS AND MAINTENANCE 1213843 849649 364194 NON-MEDICAL SUPPLIES 481002 274084 206918 1750012 1596037 153975 66428959 57229849 9199110 0 274159 489072 17922912 11655847 3971 3971 8956581 8301108 1532784 1712697 306851 369079 55795579 22055201 35870806 33740378 5690237 10606783 272352 198117 2650398 4988480 73481051 72065532 4739700 4498733 3398236 634703 4930685 4722494 26906780 25865870 1196854 1060018 41172255 36781818 X 32305048 35279966 3748 3748 32308796 35283714 73481051 72065532 4956873 -1981955 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5589 5589 0 PART II-B, LINE 1: BALDWIN AREA MEDICAL CENTER, INC. (THE "MEDICAL CENTER") PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE WISCONSIN HOSPITAL ASSOCIATION (WHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). THESE DUES ARE PRIMARILY FOR ACCESS TO EDUCATIONAL MATERIALS AND STAFF TRAINING AND DEVELOPMENT. WHA AND AHA HAVE NOTIFIED THE MEDICAL CENTER THAT A PORTION OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT. THE MEDICAL CENTER IS ALSO A MEMBER OF THE RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). EACH YEAR, BAMC PAYS MEMBERSHIP FEES TO 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 PROVIDES AN ANALYSIS ON CURRENT HEALTHCARE ISSUES IN AN EFFORT TO PROMOTE BETTER HEALTHCARE OPERATIONS FOR HOSPITALS IN RURAL COMMUNITIES THROUGHOUT WISCONSIN. ONE OF THESE EFFORTS ALSO INCLUDES SOME LOBBYING ON THE PART OF THE MEMBER ORGANIZATIONS. RWHC DETERMINED THAT A PORTION OF THE FEES PAID BY THE MEDICAL CENTER RELATED TO LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE HEALTHCARE ENVIRONMENT IN THE STATE OF WISCONSIN. 2636824 2636824 39808741 14507745 25300996 13178351 7547456 5630895 171663 171663 33740378 CASH SURRENDER VALUE OF LIFE INSURANCE 513003 ADVANCES TO MEDICAL PROFESSIONALS 238204 AMOUNTS PAYABLE TO THIRD-PARTY REIMBURSEMENT PROGRAMS 4237273 4988480 457(B) PLAN LIABILITY 1060018 1060018 GOLF OUTING 29622 21922 7700 523 4510 3303 6330 ROSE GOLD GALA 26557 19213 7344 5018 7299 1502 56179 41135 15044 523 9528 10602 7832 28485 -13441 1 1 X 1 X 1 X 1 1 1 0 1 1 590387 590387 0.00890 8087439 5460232 2627207 0.03960 8677826 5460232 3217594 0.04850 769037 191831 577206 0.00870 28754807 18661299 10093508 0.15210 19671 19671 0.00030 29543515 18853130 10690385 0.16110 38221341 24313362 13907979 0.20960 0 970073 485037 17031394 16964082 67312 X 1 1 1 1 BALDWIN AREA MEDICAL CENTER INC 1100 BERGSLIEN STREET BALDWIN WI 54002 WWW.WWHEALTH.ORG 1052 X X X X RURAL HEALTH CLINIC BALDWIN AREA MEDICAL CENTER INC 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X HTTPS://WWW.WWHEALTH.ORG/ABOUT/DOCUMENTS/ X SEE SUPPLEMENTAL INFORMATION X X 1 19 1 HTTPS://WWW.WWHEALTH.ORG/ABOUT/DOCUMENTS/ 0 1 X 200.000000000000 300.000000000000 X X X 1 1 X X X 1 X WWW.WWHEALTH.ORG/YOUR-VISIT/FINANCIAL-ASSISTANCE/ X WWW.WWHEALTH.ORG/YOUR-VISIT/FINANCIAL-ASSISTANCE/ X WWW.WWHEALTH.ORG/YOUR-VISIT/FINANCIAL-ASSISTANCE/ X X X X X X X 1 X 0 X X X X 1 X 0 0 BALDWIN AREA MEDICAL CENTER, INC. PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SOUGHT INPUT FROM DIVERSE STAKEHOLDERS, INCLUDING HEALTHCARE PROVIDERS, COMMUNITY LEADERS, AND THE PUBLIC. A SURVEY WAS CREATED AND COMPLETED BY THE RESIDENTS OF ST. CROIX AND PIERCE COUNTIES, WHERE PARTICIPANTS IDENTIFIED THE HEALTH PRIORITIES THAT THEY FEEL ARE THE MOST IMPERATIVE TO ADDRESS IN THE REGION. BALDWIN AREA MEDICAL CENTER, INC. PART V, SECTION B, LINE 6A: CONDUCTED WITH: HUDSON HOSPITAL AND CLINICS, HUDSON, WISCONSINRIVER FALLS AREA HOSPITAL; RIVER FALLS, WISCONSIN WESTFIELDS HOSPITAL; NEW RICHMOND, WISCONSIN BALDWIN AREA MEDICAL CENTER, INC. PART V, SECTION B, LINE 6B: CONDUCTED WITH ST. CROIX COUNTY PUBLIC HEALTH DEPARTMENT, PIERCE COUNTY PUBLIC HEALTH, HUDSON HOSPITAL AND CLINIC-HEALTH PARTNERS, WESTFIELDS HOSPITAL AND CLINICHEALTH PARTNERS, RIVER FALLS HOSPITAL AND CLINICALLINA HEALTH AND UNITED WAY OF ST. CROIX VALLEY. BALDWIN AREA MEDICAL CENTER, INC. PART V, SECTION B, LINE 7D: SCHEDULE H, PART V, LINE 7B:HTTP://WWW.HEALTHIERTOGETHERSTCROIX.ORG/FEATURE-STORYABOUTUSCHNA/ BALDWIN AREA MEDICAL CENTER, INC. PART V, SECTION B, LINE 11: WESTERN WISCONSIN HEALTH WILL COLLABORATE WITH OTHER AREA ORGANIZATIONS AS A PARTNER IN THE HEALTHIER TOGETHER PIERCE - ST. CROIX COALITION TO IMPROVE THE HEALTH OF OUR COMMUNITY. WESTERN WISCONSIN HEALTH HAS PLANNED TO IMPLEMENT THE FOLLOWING OBJECTIVES AND ACTIVITIES TO ADDRESS THE IDENTIFIED HEALTH NEEDS IN OUR LOCAL PATIENT SERVICE AREA FROM 2020-2022 AS FOLLOWS: PRIORITY 1: MENTAL HEALTH GOAL 1: INCREASE HEALTHY COPING SKILLS AND STRESS REDUCTION STRATEGIES. STRATEGY 1: BY DECEMBER 2022, INCREASE RESILIENCE AND COPING SKILLS AMONG SCHOOL-AGE YOUTH (ADOPTED DECEMBER 2020 AND CONTINUED/EXPANDED THROUGH DECEMBER 2022). STRATEGY 2: BY DECEMBER 2022, INCREASE COPING AND RESILIENCE SKILLS IN ALL AGE GROUPS (ADOPTED IN MAY 2022). STRATEGY 3: BY DECEMBER 2022, INCREASE AFFORDABLE OPPORTUNITIES FOR COMMUNITY MEMBERS TO ENGAGE IN AN ACTIVE LIFESTYLE TO IMPROVE MENTAL HEALTH AND IMPLEMENT ACTIVITIES THAT CONNECT KIDS TO NATURE (ADOPTED MARCH 2021 AND CONTINUED THROUGH DECEMBER 2022). GOAL 2: SUPPORT COORDINATION OF MENTAL HEALTH CARE SERVICES BETWEEN SCHOOLS, PROVIDERS, AND COUNTIES. STRATEGY 1: BY DECEMBER 2022, IMPLEMENT AND EXPAND SCHOOL BASED MENTAL HEALTH SERVICES IN LOCAL SCHOOL DISTRICTS (ADOPTED OCTOBER 2020 AND CONTINUED THROUGH DECEMBER 2022 ). STRATEGY 2: BY DECEMBER 2022, HIRE ADDITIONAL BEHAVIORAL HEALTH PROVIDERS TO ENSURE ADEQUATE ACCESS FOR OUTPATIENT SERVICES (ADOPTED AND COMPLETED BY OCTOBER 2022).STRATEGY 3: BY DECEMBER 2022, EXPLORE USE OF SOCIAL-EMOTIONAL SCREENING TOOLS FOR WELL CHILD CHECKS (ADOPTED SEPTEMBER 2021 AND CONTINUED THROUGH DECEMBER 2022). GOAL 3: INCREASE WELLNESS SERVICE OFFERINGS THAT PROMOTE FAMILY STABILITY. STRATEGY 1: BY DECEMBER 2022, IMPROVE ACCESS TO HEALTHY FOOD AND IMPROVE FOOD SECURITY IN OUR COMMUNITY (ADOPTED NOVEMBER 2020 AND CONTINUED THROUGH DECEMBER 2022). STRATEGY 2: BY DECEMBER 2022, INCREASE PARENTING SUPPORT MEETINGS THAT INCLUDE CHILDCARE (ABANDONED BY DECEMBER 2022 DUE TO GATHERING RESTRICTIONS WITH COVID-19). STRATEGY 3: BY DECEMBER 2022, SUPPORT ROLL OUT OF UNITED WAY 211 TO CONNECT PATIENTS TO COMMUNITY RESOURCES (ADOPTED OCTOBER 2021 AND CONTINUED THROUGH DECEMBER 2022). PRIORITY 2: SUBSTANCE USE DISORDER GOAL 1: ADVOCATE FOR POLICIES THAT INCREASE ACCESS TO SUBSTANCE USE DISORDER TREATMENT. STRATEGY 1: BY DECEMBER 2022, PARTNER TO PROVIDE SUBSTANCE USE DISORDER OUTPATIENT SERVICES LOCALLY (IN PROGRESS THROUGH DECEMBER 2022 ). STRATEGY 2: BY DECEMBER 2022, INCREASE OUTPATIENT SERVICES ACCESS FOR INTEGRATIVE HEALTH SERVICES (ADOPTED JANUARY 2021 AND CONTINUED THROUGH DECEMBER 2022). GOAL 2: INCREASE EARLY INTERVENTION, EDUCATION, AND PREVENTION SERVICES RELATED TO SUBSTANCE USE IN THE COMMUNITY. STRATEGY 1: BY DECEMBER 2022, INCREASE ACCESS TO INTEGRATIVE AND HOLISTIC SERVICES FOR PAIN MANAGEMENT FOR INPATIENT AND OUTPATIENT SERVICES TO REDUCE THE USE OF PAIN MEDICATIONS (ADOPTED OCTOBER 2021 AND CONTINUED THROUGH DECEMBER 2022). STRATEGY 2: BY DECEMBER 2022, INCREASE USE OF ROBOTIC SURGERY IN EFFORT TO REDUCE POST-SURGICAL PAIN (ADOPTED FEBRUARY 2021 AND CONTINUED THROUGH DECEMBER 2022).GOAL 3: INCREASE COORDINATED YOUTH PREVENTION WORK, PROVIDING EDUCATION, HEALTH ACTIVITIES, AND RESILIENCE TRAINING. STRATEGY 1: BY DECEMBER 2022, CONTINUE OR EXPAND YOUTH RESILIENCE TRAINING IN LOCAL SCHOOLS (ADOPTED DECEMBER 2020 AND CONTINUED/EXPANDED THROUGH DECEMBER 2022)STRATEGY 2: BY DECEMBER 2022, SUPPORT EFFORTS TO PROVIDE VAPING PREVENTION PROGRAMS IN LOCAL SCHOOL DISTRICTS (IN PROGRESS THROUGH DECEMBER 2022). BALDWIN AREA MEDICAL CENTER, INC. PART V, SECTION B, LINE 13H: CATASTROPHIC FINANCIAL ASSISTANCE: IN THE EVENT THE PATIENT OR FAMILY EXPERIENCES A CATASTROPHIC MEDICAL EVENT RESULTING IN MEDICAL BILLS THAT ARE LARGE IN COMPARISON TO THE UNINSURED ASSETS OR FINANCIAL MEANS, AN APPLICANT MAY REQUEST SPECIAL CONSIDERATION OF THE CATASTROPHICNEED. THE MEDICAL CENTER WILL TAKE INTO CONSIDERATION THE FOLLOWING FACTORS IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE AS A RESULT OF A CATASTROPHIC EVENT: 1. THE AMOUNT OWED BY THE PATIENT IN RELATIONSHIP TO HIS/HER TOTAL FINANCIAL MEANS. 2. THE MEDICAL STATUS OF THE PATIENT OR OF HIS/HER FAMILY MEMBER. 3. WHETHER THE PATIENT LIVES ON A FIXED INCOME BALDWIN AREA MEDICAL CENTER, INC. PART V, SECTION B, LINE 16J: AVAILABILITY OF THE FAP IS ALSO PRINTED PATIENT BILLING STATEMENTS WHICH ARE MAILED MONTHLY TO ANY PATIENT HAVING A SELF PATIENT ACCOUNT BALANCE. 1 1 - ROBERTS MEDICAL CLINIC 503 CHERRY LANE ROBERTS WI 54023 RURAL HEALTH CLINIC PART I, LINE 7: THE COSTING METHOD USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO WHICH IS DEVELOPED BASED ON THE MEDICAL CENTER'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS 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. (THE COSTING METHODOLOGY FOR SUBSIDIZED HEALTH SERVICES FOR LINE 7G ON THE FIRST PAGE OF SCHEDULE H OF THE FORM 990 IS BASED ON COST ALLOCATIONS FROM THE MEDICARE COST REPORT. THIS ALLOCATION METHOD AND PRINCIPLES OF ALLOCATION WERE USED TO DERIVE A SPECIFIC AMOUNT OF COST ALLOCATION TO THE VARIOUS PROGRAMS AND COST CENTERS OPERATED BY BALDWIN AREA MEDICAL CENTER, INC.) PART I, LINE 7G: THE COST OF SUBSIDIZED HEALTH SERVICES IS BASED ON COST ALLOCATIONS FROM THE MEDICARE COST REPORT. ALLOWABLE COSTS ARE ASSIGNED DIRECTLY TO DEPARTMENTS THROUGHOUT THE YEAR AND THEN THE COST REPORT USES THE ALLOCATION METHODOLOGY TO ASSIGN ALL OTHER COSTS TO CALCULATE SERVICE LINE COSTS. SUBSIDIZED HEALTH SERVICES INCLUDE THE OPERATION OF THE ADULTS AND PEDIATRICS HOSPITAL INPATIENT UNIT, THE EMERGENCY DEPARTMENT, AND THE RURAL HEALTH CLINIC. THESE SERVICES ARE UNAVAILABLE TO MEMBERS OF THE COMMUNITY OTHER THAN THROUGH BALDWIN AREA MEDICAL CENTER, INC. IT IS THE GOAL OF BALDWIN AREA MEDICAL CENTER, INC. TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENT'S ABILITY TO PAY. 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 $ 1,487,324. PART II, COMMUNITY BUILDING ACTIVITIES: BALDWIN AREA MEDICAL CENTER, INC. PROVIDES SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS AND IN ADDITION, THE MEDICAL CENTER BELIEVES THAT IT PROVIDES A CRITICALLY IMPORTANT BENEFIT WHICH IS NOT QUANTIFIED. BALDWIN AREA MEDICAL CENTER, INC., LIKE MOST COMMUNITY HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY WHICH WITHOUT THE HOSPITAL, WOULD NOT BE AVAILABLE LOCALLY. BEYOND INPATIENT HOSPITALIZATIONS, THE MEDICAL CENTER PROVIDES LOCAL ACCESS TO MANY SERVICES INCLUDING: BIRTHING CENTER, DIAGNOSTICS, EMERGENCY SERVICES, INFUSION SERVICES, SWING-BED SERVICES, CLINICAL SERVICES, LABORATORY SERVICES, OCCUPATIONAL HEALTH, REHABILITATION SERVICES, SPECIALTY MEDICINE, SLEEP CENTER, SPEECH PATHOLOGY, SURGICAL SERVICES, WOUND CARE, BEHAVIORAL HEALTH, AND WOMEN'S SERVICES, TO NAME SOME OF THE MAJOR SERVICES PROVIDED. PART III, LINE 2: THE COSTING METHOD AND CALCULATIONS USED ON FORM 990 ARE BASED ON TOTAL OPERATING EXPENSES EXCLUDING BAD DEBT EXPENSE. THE COMMUNITY BENEFIT EXPENSE PERCENTAGES ARE CALCULATED BY DIVIDING THE COMMUNITY BENEFIT EXPENSE FOR EACH CATEGORY OF COMMUNITY SERVICES PROVIDED BY BALDWIN AREA MEDICAL CENTER, INC. REPORTED IN THE TABLE ON LINE 7 PART I OF THE SCHEDULE H BY THE TOTAL OPERATING EXPENSES OF THE MEDICAL CENTER LESS THE PROVISION FOR BAD DEBTS. 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 MEDICAL CENTER HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE. MANY TIMES PATIENTS DO NOT COMPLETE REQUIRED CHARITY CARE APPLICATION AND ARE TRANSFERRED TO COLLECTION SERVICES EVEN THOUGH THE MEDICAL CENTER PROVIDES THIS INFORMATION TO ALL PATIENTS AND PROVIDES ASSISTANCE WITH THE APPLICATION. DUE TO NO RESPONSES FROM SOME PATIENTS A PORTION AMOUNT OF BAD DEBTS COULD BE CONSIDERED AS CHARITY CARE AND THE MEDICAL CENTER HAS REFLECTED AN AMOUNT OF THESE ADDITIONAL BAD DEBTS IN PART III OF SCHEDULE H OF THE 990. PART III, LINE 4: IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, BALDWIN AREA MEDICAL CENTER, INC. ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF PATIENT REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, BALDWIN AREA MEDICAL CENTER, INC. ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), BALDWIN AREA MEDICAL CENTER, INC. RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES, IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE. PART III, LINE 8: THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H TO THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE MEDICAL CENTER, AND ALSO DOES NOT CONSIDER ALL CONTRACTUAL ADJUSTMENTS FOR SERVICES REIMBURSED BY THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT AT THE MEDICAL CENTER AS WELL AS HOSPITAL INPATIENT PHYSICIAN PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN PROFESSIONAL SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULE REIMBURSEMENTS AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY AND PHYSICIAN 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 BALDWIN AREA MEDICAL CENTER, INC. PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD USED ABOVE FOR IRS FORM 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED SEPTEMBER 30, 2022, AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES, AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUE (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE).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 HEALTHCARE 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: UNDER THE MEDICAL CENTER'S COLLECTION AND CHARITY CARE POLICIES, BALDWIN AREA MEDICAL CENTER, INC. MAKES EVERY ATTEMPT TO IDENTIFY AND PROMOTE CHARITY CARE TO PATIENTS. INCLUDED IN THE MEDICAL CENTER'S CHARITY CARE POLICY IT IS NOTED THAT PATIENTS MAY QUALIFY FOR CHARITY CARE EITHER PRIOR TO ADMISSION OR FOLLOWING DISCHARGE. ALL INPATIENT SELF-PAY ADMISSIONS ARE SCREENED BY THE MEDICAL CENTER'S PATIENT FINANCIAL COUNSELOR OR SOCIAL WORKERS TO ALLOW THESE PATIENTS THE ABILITY TO COMPLETE THEIR APPLICATION DURING THEIR STAY AT THE MEDICAL CENTER, DEPENDING UPON THE PATIENT'S CONDITION, THE PATIENT'S RESPONSIBLE PARTY MAY BE CONTACTED TO COMPLETE AND RETURN THE FORMS AT A LATER TIME WHEN THEIR CARE ALLOWS THIS COMPLETION. DURING THE PATIENT ACCOUNT COLLECTION PROCESS, SELF-PAY PATIENTS ARE ALSO INFORMED OF THE MEDICAL CENTER'S COLLECTION POLICIES AS WELL AS THE CHARITY CARE PROGRAM TO ALLOW PATIENTS THE OPPORTUNITY TO COMPLETE THE APPROPRIATE FORMS AND QUALIFY UNDER THE PROGRAM. PART VI, LINE 2: WESTERN WISCONSIN HEALTH (WW HEALTH) ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES BY REVIEWING LOCAL DEMOGRAPHIC AND TRENDS TO DETERMINE WHICH SERVICES COULD AND SHOULD BE MADE AVAILABLE TO THE COMMUNITY. WESTERN WISCONSIN HEALTH IS ALSO A PARTICIPATING MEMBER IN HEALTHIER TOGETHER-PIERCE AND ST. CROIX COUNTIES, A GROUP IN WHICH LOCAL HOSPITALS, PUBLIC HEALTH, AND OTHER HEALTH RELATED AND GOVERNMENT ENTITIES, AND COMMUNITY MEMBERS IN PIERCE AND ST. CROIX COUNTIES WORK TOGETHER TO BETTER UNDERSTAND THE CURRENT AND FUTURE HEALTH NEEDS OF THE REGION. HEALTHIER TOGETHER-PIERCE AND ST. CROIX COUNTIES TEAM FOLLOW THE CENTERS FOR DISEASE CONTROL (CDC) COMMUNITY HEALTH ASSESSMENT AND GROUP EVALUATION (CHANGE) TOOL, WHICH WAS DESIGNED TO HELP COMMUNITIES DEVELOP AN ACTION PLAN THROUGH ASSESSMENT AND PRIORITIZATION. WW HEALTH PARTICIPATES IN MULTIPLE COMMUNITY GROUPS AND COLLABORATIONS WITH LOCAL AND STATE ORGANIZATIONS TO STAY ABREAST OF CURRENT TRENDS IN COMMUNITY HEALTH NEEDS. PART VI, LINE 3: UNINSURED AND UNDERINSURED PATIENTS ARE ASKED TO MEET WITH THE WESTERN WISCONSIN HEALTH'S FINANCIAL COUNSELOR EITHER AT THE TIME SERVICE IS PROVIDED OR WHEN THE PATIENT'S BILL IS GENERATED. THE FINANCIAL COUNSELOR EXPLAINS THE VARIOUS PAYMENT OPTIONS AVAILABLE TO THE PATIENT AS WELL AS THE CHARITY CARE PROGRAM AND OFFERS THE CHARITY CARE APPLICATION WHEN APPLICABLE. IF OTHER PROGRAMS ARE AVAILABLE TO THE PATIENT, SUCH AS THE MEDICAID OR BADGERCARE PROGRAMS, THESE PATIENTS ARE REFERRED TO THE APPROPRIATE GOVERNMENT AGENCY FOR FURTHER ASSISTANCE. PART VI, LINE 4: WESTERN WISCONSIN HEALTH IS LOCATED IN WESTERN WISCONSIN RIGHT OFF OF I-94 IN BALDWIN, WI. THE PRIMARY SERVICE AREA INCLUDE COMMUNITIES IN A 25 MILES RADIUS. PART VI, LINE 5: WESTERN WISCONSIN HEALTH IS ENGAGED IN MANY ASPECTS OF PROMOTING HEALTH AND WELLNESS IN THE COMMUNITY. WW HEALTH OFFERS EDUCATIONAL SESSIONS THAT ARE OPEN THE COMMUNITY MEMBERS ON A BROAD RANGE OF HEALTH AND WELLNESS TOPICS SUCH AS HEART HEATH, PAIN MANAGEMENT, BEHAVIORAL HEALTH AND RESILIENCY, HEALTHY COOKING, CANCER PREVENTION, JOINT PAIN, AND MUCH MORE. WW HEALTH PROVIDES A BROAD VARIETY OF WELLNESS PROGRAMS AND CLASSES ON-SITE IN ADDITION TO PROVIDING HEALTH AND WELLNESS CLASSES, PRESENTATIONS, AND HEALTH SCREENINGS AT LOCAL SCHOOLS AND BUSINESSES. WW HEALTH ALSO HAS A COMMUNITY FITNESS CENTER OPEN TO THE PUBLIC PART VI, LINE 7, REPORTS FILED WITH STATES WI X X 0 0 0 0 0 0 0 0 0 CHUKWUNONSO CHIME MD 557807 0 37950 0 0 0 8700 0 27344 0 631801 0 0 0 MARK ROMZEK ORTHOPEDIC SURGEON 446515 0 59558 0 0 0 8486 0 22786 0 537345 0 0 0 DENNIS HARTUNG OB/GYN 382672 0 41267 0 0 0 8700 0 0 0 432639 0 0 0 FAISAL ANWAR MD 372678 0 18717 0 0 0 7991 0 0 0 399386 0 0 0 PETER DAHLBERG GENERAL SURGEON 342695 0 47973 0 0 0 8700 0 0 0 399368 0 0 0 ALISON PAGE CEO (THRU JANUARY) 352170 0 600 0 0 0 8700 0 27344 0 388814 0 0 0 ADAM GINGERY CFO (FORMER) 144872 0 0 0 0 0 3406 0 0 0 148278 0 0 0 A BALDWIN VILLAGE OF 396006200 2014-11-14 6000000 HOSPITAL CONSTRUCTION 0 0 0 A 200486 6000000 161527 5838473 2017 0 0 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY BALDWIN AREA MEDICAL CENTER, INC.'S MANAGEMENT. THE FORM 990 IS ALSO PROVIDED TO THE BOARD MEMBERS FOR REVIEW AND FINAL APPROVAL PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS DISCUSSED AT THE ANNUAL MEETING, AND BOARD MEMBERS ARE REQUIRED TO REVIEW, UPDATE, AND SIGN ANNUAL DISCLOSURE STATEMENTS. THE BOARD CHAIR MONITORS FOR CONFLICTS AND ANY BOARD MEMBERS WITH KNOWN CONFLICTS ARE ASKED TO REFRAIN FROM VOTING ON THOSE CONFLICTED ITEMS. FORM 990, PART VI, SECTION B, LINE 15 FOR ALL POSITIONS, SALARY SURVEYS ARE COMPLETED BY BALDWIN AREA MEDICAL CENTER, INC. AND THE DATA IS COLLECTED BY A THIRD-PARTY. THE REVIEW OF THE DATA IS CONDUCTED BY BALDWIN AREA MEDICAL CENTER, INC. IN THE CASE OF THE CEO, THE DATA IS REVIEWED BY THE BOARD CHAIR AND EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS WHO DETERMINE WHAT THE CEO RECEIVES FOR A SALARY INCREASE. SENIOR MANAGER POSITIONS ARE REVIEWED BY THE CEO WHO MAKES THE FINAL DECISION AS TO THE INCREASE AMOUNT OR WAGE ADJUSTMENT. HOWEVER, IN THE MAJORITY OF INSTANCES IT HAS BEEN BASED UPON WHAT THE MEDICAL CENTER CAN AFFORD, WHICH HAS BEEN HELD LOWER THAN SUGGESTED MARKET OR MERIT INCREASES. FOR ALL OTHER POSITIONS, THE HUMAN RESOURCES DIRECTOR MAKES THE RECOMMENDATION AND THE SENIOR MANAGER REVIEWS THE RECOMMENDATION AND FINALLY THE ENTIRE PLAN IS REVIEWED BY THE CEO. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G EMERGENCY ROOM SERVICES: PROGRAM SERVICE EXPENSES 2,939,230. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,939,230. LAB SERVICES: PROGRAM SERVICE EXPENSES 970,535. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 970,535. RADIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 1,193,828. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,193,828. ANESTHESIA SERVICES: PROGRAM SERVICE EXPENSES 1,178,468. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,178,468. CLINIC SERVICES: PROGRAM SERVICE EXPENSES 135,659. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 135,659. PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 445,181. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 445,181. HOUSEKEEPING SERVICES: PROGRAM SERVICE EXPENSES 151,247. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 151,247. HOSPITALIST SERVICES: PROGRAM SERVICE EXPENSES 55. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55. OTHER SERVICES: PROGRAM SERVICE EXPENSES 2,207,629. MANAGEMENT AND GENERAL EXPENSES 587,149. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,794,778. ST CROIX VALLEY SHARED SERVICES INC 990 MAIN STREET BALDWIN WI 540029248 391791601 HOME HEALTH AND HOSPICE WI 501(C)(3) LINE 10 BALDWIN AREA MEDICAL CENTER INC 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 ST CROIX VALLEY SHARED SERVICES INC L 50895 CASH ST CROIX VALLEY SHARED SERVICES INC Q 131830 CASH ST CROIX VALLEY SHARED SERVICES INC P 12900 CASH