2023-10-30T13:28:21-05:00 2022-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2022-01-01 391834962 GRANT REGIONAL HEALTH CENTER INC GRAN 6087232143 507 SOUTH MONROE STREET LANCASTER WI 53813 JOEL GEHLING CFO 6087232143 2023-10-27 1 JOEL GEHLING 999009999 0 MICHAEL J PETERSON CPA P01833529 2187224705 2023-10-27 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JOEL GEHLING 507 SOUTH MONROE STREET LANCASTER WI 53813 55074391 0 X WWW.GRANTREGIONAL.COM X 1955 WI WE ARE THE REGION'S FIRST CHOICE FOR EXCEPTIONAL HEALTHCARE SERVICES. 11 10 353 90 182895 0 4028398 3797611 41493948 45906080 1208093 692619 10055 -768226 46740494 49628084 7100 9838 0 0 22323446 26223512 0 0 0 16754910 18095420 39085456 44328770 7655038 5299314 74588669 76756881 37936185 37397713 36652484 39359168 X TOGETHER WE ARE DEDICATED TO IMPROVE THE HEALTH AND WELLNESS OF ALL GENERATIONS THROUGH HIGH QUALITY, COMPASSIONATE, AND PATIENT-CENTERED CARE. 0 0 36233712 9838 45551556 GRANT REGIONAL HEALTH CENTER, INC. ("GRANT REGIONAL") PROVIDES HEALTH CARE SERVICES AND OTHER SUPPORT THROUGH VARIOUS PROGRAMS THAT ARE DESIGNED, AMONG OTHER MATTERS, TO ENHANCE THE HEALTH OF THE COMMUNITY, INCLUDING THE HEALTH OF LOW-INCOME PATIENTS. THE ORGANIZATION OPERATES A CRITICAL ACCESS HOSPITAL WHICH PROVIDES INPATIENT ACUTE CARE AND SWING BED SERVICES; ALONG WITH AN EMERGENCY DEPARTMENT, WHICH IS OPEN TWENTY-FOUR HOURS PER DAY; AND OTHER OUTPATIENT SERVICES. AMONG THE SERVICES PROVIDED ARE DIAGNOSTIC CARE INCLUDING LABORATORY AND RADIOLOGY SERVICES, OBSTETRICS, REHABILITATION, SURGICAL SERVICES, AND WALK-IN CARE. GRANT REGIONAL ALSO HAS RELATIONSHIPS WITH REGIONAL CENTERS IN MADISON, WISCONSIN AND DUBUQUE, IOWA WHO COME TO THE FACILITY ON A REGULAR BASIS TO PROVIDE SPECIALTY SERVICES. GRANT REGIONAL'S LOCAL AND CONTRACTED SPECIALTY SERVICES INCLUDE, BUT ARE NOT LIMITED TO: AUDIOLOGY, OPHTHALMOLOGY, ORTHOPEDICS, UROLOGY, ENT, AND NEUROLOGY. DURING 2022, GRANT REGIONAL HAD 1,001 ROUTINE MED/SURG PATIENT DAYS, 1,000 SWING BED DAYS, 217 NURSERY DAYS, 257 OBSTETRIC DAYS, AND 22 DAYS OF ROUTINE HOSPICE CARE FOR INPATIENT CARE AND PROVIDED 8.376 VISITS TO PATIENTS NEEDING EMERGENCY OR URGENT CARE IN THE EMERGENCY DEPARTMENT. GRANT REGIONAL ALSO OPERATES TWO SATELLITE CLINICS IN POTOSI AND CASSVILLE. OUR TWO HOMETOWN CLINICS PROVIDE IMPORTANT HEALTHCARE SERVICES FOR SURROUNDING COMMUNITIES. THE CLOSE PROXIMITY HELPS THOSE WHO HAVE DIFFICULTY WITH TRANSPORTATION GET THE IMPORTANT HEALTH CARE THEY REQUIRE WITH LESS TRAVEL.CONSISTENT WITH THE MISSION OF GRANT REGIONAL, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, INCLUDING PROVIDING SERVICES TO THOSE PERSONS WHO ARE EITHER UNDERINSURED OR CANNOT AFFORD HEALTH INSURANCE BECAUSE OF INADEQUATE RESOURCES. HEALTH CARE SERVICES TO PATIENTS UNDER GOVERNMENT PROGRAMS, SUCH AS MEDICAID HOSPITAL SERVICES, ARE ALSO CONSIDERED PART OF GRANT REGIONAL'S BENEFIT PROVIDED TO THE COMMUNITY, SINCE A SUBSTANTIAL PORTION OF SUCH SERVICES ARE REIMBURSED AT AMOUNTS LESS THAN THE COSTS OF PROVIDING CARE.PATIENTS WHO MEET CERTAIN CRITERIA FOR CHARITY CARE, BASED ON FEDERAL POVERTY GUIDELINES, ARE PROVIDED CARE AT A SIGNIFICANTLY REDUCED RATE, DETERMINED BASED ON QUALIFYING CRITERIA AS DEFINED IN GRANT REGIONAL'S COMMUNITY CARE POLICY, AND FROM APPLICATIONS COMPLETED BY PATIENTS. THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THIS POLICY FOR 2022 TOTALED APPROXIMATELY $354,000. IN ADDITION, PATIENT CHARGES TO BENEFICIARIES OF THE WISCONSIN MEDICAID PROGRAM WERE REDUCED BY APPROXIMATELY $5,643,000 IN DISCOUNTS IN 2022. (SEE ALSO SCHEDULE H TO THE FORM 990 FOR ADDITIONAL INFORMATION ON THE COST OF PROVIDING THESE MEDICAL SERVICES TO MEMBERS OF THE COMMUNITY.)IN ADDITION TO THE VARIOUS INPATIENT, OUTPATIENT, AND CHARITY CARE SERVICES, GRANT REGIONAL PROVIDED NUMEROUS BENEFITS TO ITS SURROUNDING COMMUNITIES. GRANT REGIONAL PROVIDED EDUCATION ON TOPICS SUCH AS BREASTFEEDING, CANCER, DIABETES, HEART DISEASE, AND WOMEN'S HEALTH. HEALTH SCREENINGS INCLUDING BLOOD PRESSURE, CHOLESTEROL, DIABETES, HEARING, MAMMOGRAPHY, AND WOMEN'S HEALTH WERE ALSO PROVIDED. (SEE ALSO SCHEDULE H TO THE FORM 990 FOR INFORMATION ON THE COST OF PROVIDING THESE SERVICES IN THE COMMUNITY AND SURROUNDING AREAS.)GRANT REGIONAL ALSO PROVIDES ON-THE-JOB EDUCATION TO COLLEGE STUDENTS PURSUING CAREERS IN HEALTH CARE. STUDENTS ARE MENTORED DURING THEIR TIME AT THE FACILITY BY EMPLOYEES OF GRANT REGIONAL AND GRANT REGIONAL PROVIDES PRACTICAL EXPERIENCE THROUGH ITS CARE ENVIRONMENT FOR STUDENTS TO USE THROUGHOUT THEIR FUTURE CAREERS IN THE NURSING SERVICES FIELD. 36233712 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 93 0 353 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 11 10 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X JOEL GEHLING 6087232143 507 SOUTH MONROE STREET LANCASTER WI 53813 TOM GILDERSLEEVE CHAIR 1.00 X X 0 0 0 TOM VONDRUM CHAIR (THRU 05/22) 1.00 X X 0 0 0 JASON KENNEY VICE-CHAIR 1.00 X X 0 0 0 ROBERT HOFFMAN SECRETARY 1.00 X X 0 0 0 CRAIG BIERMAN DIRECTOR 0.50 X 0 0 0 ANDY BUTTLES DIRECTOR 0.50 X 0 0 0 RICH DHYANCHAND DIRECTOR 0.50 X 0 0 0 JESSICA HERMSEN DIRECTOR 0.50 X 0 0 0 MARK HOEHNE DIRECTOR 0.50 X 0 0 0 SARAH KIRSCHBAUM DIRECTOR 0.50 X 0 0 0 DR NEIL MARTIN DIRECTOR/PHYSICIAN 24.00 X 280736 0 45044 KRIS WOLF DIRECTOR 0.50 X 0 0 0 DAVID SMITH PRESIDENT/CEO 40.00 X 335277 0 48697 JOEL GEHLING CHIEF FINANCIAL OFFICER 40.00 X 178883 0 23005 TAMARA CHAMBERS CHIEF CLINICAL OFFICER 40.00 X 162660 0 10310 DARREN W PERTTU SURGEON 40.00 X 759934 0 45909 BRADLEY G BINSFELD ORTHOPEDIC SURGEON 40.00 X 677084 0 30089 IAN STORMONT MD PHYSICIAN 36.00 X 595389 0 23325 KIMBERLY A PERTTU PHYSICIAN 40.00 X 454778 0 20475 ERIN L HUEBSCHMAN MD PHYSICIAN 40.00 X 489178 0 18369 3933919 0 265223 38 0 1 0 UNITY POINT HEALTH PO BOX 83381 CHICAGO IL 606910381 NEW EPIC/REFERENCE LABS 2334660 CG SCHMIDT INC 11777 WEST LAKE PARK DRIVE MILWAUKEE WI 532243047 OR & ENDO RM RENOVATIONS 934943 OLYMPUS AMERICA INC PO BOX 200194 PITTSBURGH PA 152510194 SERVICE CONTRACTS 702954 RURAL WISCONSIN HEALTH COOPERATIVE 800 INDEPENDENCE LANE SAUK CITY WI 53583 NUCLEAR MED EXAMS 364416 SHARED IMAGING SERVICES PO BOX 88450 MILWAUKEE WI 53288 HEALTHCARE SERVICES 281646 14 42309 3178883 576419 3797611 NET PATIENT REVENUE 621400 45495939 45406702 89237 DIETARY 621400 141240 141240 THERAPEUTIC SERVICE REVENUE 812900 78082 78082 CONTRACT SERVICE REVENUE 621400 15576 15576 LIFELINE 621990 3614 3614 171629 171629 45906080 357994 357994 53214 47370 5844 5844 5844 5689976 35000 5385194 5157 304782 29843 334625 334625 8100 42309 8586 -486 -486 LOSS ON REFINANCING 900099 -773584 -773584 -773584 49628084 45551556 182895 96022 9838 9838 1084613 325780 758833 19786358 17196896 2589462 710873 569951 140922 3373556 2648319 725237 1268112 982610 285502 54579 54579 70950 70950 5810 5810 56042 56042 2578659 2001390 577269 277465 48688 228777 744850 419008 325842 903763 903763 466689 454415 12274 24241 22514 1727 42795 37238 5557 934136 792794 141342 3505041 2948841 556200 222904 65419 157485 MEDICAL SUPPLIES 4339794 4242294 97500 PHARMACEUTICALS 1559364 1559364 EQUIPMENT RENTAL AND RE 1148002 1096289 51713 BAD DEBT EXPENSE 712672 712672 447664 99392 348272 44328770 36233712 8095058 0 247083 221609 14854480 13735388 6733702 6815135 946178 1216770 738414 3412348 65162100 28235409 38123522 36926691 12945290 14059702 0 369238 74588669 76756881 2829949 3407955 3291747 63247 29108415 33813933 144692 20921 2561382 91657 37936185 37397713 X 36308786 39084982 343698 274186 36652484 39359168 74588669 76756881 X 5299314 -2237813 -354817 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 5810 5810 0 PART II-B, LINE 1: GRANT REGIONAL HEALTH CENTER, INC. PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING. THE WHA HAS NOTIFIED GRANT REGIONAL THAT $1,686 OF THE ANNUAL DUES PAID WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT. GRANT REGIONAL HEALTH CENTER, INC. IS ALSO A MEMBER OF THE RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). EACH YEAR, GRANT REGIONAL HEALTH CENTER, INC. PAYS MEMBERSHIP FEES TO THE RWHC AND IN RETURN, THE RWHC PROVIDES VARIOUS SERVICES FOR 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 OF CURRENT HEALTHCARE ISSUES IN AN EFFORT TO PROMOTE AND BETTER HEALTHCARE FOR HOSPITALS IN RURAL COMMUNITIES THROUGHOUT WISCONSIN. THESE EFFORTS ALSO INCLUDE LOBBYING ON THE PART OF MEMBER ORGANIZATIONS. THE RWHC DETERMINED THAT $2,581 OF THE FEES PAID BY GRANT REGIONAL HEALTH CENTER, INC. DURING 2022 RELATED TO LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE HEALTHCARE ENVIRONMENT IN THE STATE OF WISCONSIN. GRANT REGIONAL HEALTH CENTER, INC. IS ALSO A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA). THE MEMBERSHIP PROVIDES REAL-TIME HEALTH CARE NEWS, ADVOCACY FOR ISSUES THAT IMPACT CAHS AND RHCS, AND DATA DERIVED FROM AHA SPONSORED SURVEYS. AHA HAS DETERMINED THAT $1,543 OF THE FEES PAID BY GRANT REGIONAL HEALTH CENTER, INC. DURING 2022 ARE RELATED TO LOBBYING ACTIVITIES. 1 1 2076187 2076187 44826387 17478772 27347615 16531735 10756637 5775098 1727791 1727791 36926691 OPERATING LEASE OBLIGATIONS 91657 91657 46037391 -2237813 -712672 -2950485 48987876 56042 584166 640208 49628084 43616012 55956 55956 43560056 56042 712672 768714 44328770 PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -712,672. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS TO RESTRICTED NET ASSETS 285,305. RENTAL EXPENSES NET AGAINST RENTAL INCOME -47,370. FUNDRAISING EXPENSES -8,586. NET ASSETS RELEASED FROM RESTRICTIONS 354,817. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NET AGAINST RENTAL INCOME 47,370. FUNDRAISING EXPENSES 8,586. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 712,672. GOLF OUTING 34148 26048 8100 190 174 4265 2257 856 WINTER SPECTACULAR 16261 16261 844 50409 42309 8100 190 174 4265 2257 1700 8586 -486 1 1 X 1 X 1 X 1 1 1 0 1 1 189639 189639 0.00430 4519977 2239773 2280204 0.05230 4709616 2239773 2469843 0.05660 224022 97284 126738 0.00290 372202 1825 370377 0.00850 6598083 2319714 4278369 0.09810 19303 19303 0.00040 7213610 2418823 4794787 0.10990 11923226 4658596 7264630 0.16650 5659 0 0.00000 41601 0 0.00000 35995 0 0.00000 435 0 0.00000 58741 0 0.00000 78898 0 0.00000 221329 0 0.00000 0 381947 13952088 13941387 10701 X 1 1 1 1 GRANT REGIONAL HEALTH CENTER INC 507 SOUTH MONROE STREET LANCASTER WI 53813 WWW.GRANTREGIONAL.COM 1025 X X X X PROVIDER-BASED RURAL HEALTH CLINIC GRANT REGIONAL HEALTH CENTER INC 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 X X X 1 1 X X X X 1 X HTTPS://WWW.GRANTREGIONAL.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.GRANTREGIONAL.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.GRANTREGIONAL.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/ X X X X X X X 1 X 0 X X X X 1 X 0 0 GRANT REGIONAL HEALTH CENTER, INC. PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ENGAGED DIFFERENT SECTORS OF THE COMMUNITY AT VARIOUS LEVELS OF PARTICIPATION. COMMUNITY PARTICIPANTS WERE DEFINED AS KEY PARTNERS, STAKEHOLDERS, OR GENERAL COMMUNITY. DEFINITIONS AND PARTICIPATION LEVELS ARE DESCRIBED AS FOLLOWS:1. KEY PARTNERS - HOSPITALS, PUBLIC HEALTH, AND UW-EXTENSION: THIS GROUP MET REGULARLY TO CONDUCT THE CHNA. TASKS REQUIRED OF THIS GROUP INCLUDED IDENTIFYING PROCESSES, CREATING SURVEYS, IDENTIFYING TARGET AUDIENCES FOR PARTICIPATION IN THE SURVEYS, ASSEMBLING AND REVIEWING RESULTS OF DATA, IDENTIFYING COMMUNITIES FOR FOCUS GROUPS, AND CONDUCTING FOCUS GROUPS. 2. STAKEHOLDERS: INDIVIDUALS WITH A VESTED INTEREST IN THE COMMUNITY, AND INDIVIDUALS WHO REPRESENT A LARGER DEMOGRAPHIC (I.E.: SOCIAL WORKERS, FREE CLINIC WORKERS, SCHOOL PRINCIPALS, GOVERNMENT OFFICIALS). PARTICIPANTS WERE ASKED TO IDENTIFY THE SECTOR OR SECTORS OF THE POPULATION THEY REPRESENTED, INCLUDING: BUSINESS, HEALTH CARE, FAITH-BASED, EDUCATION, YOUTH-SERVING, AGRICULTURE, GOVERNMENT, AGING, DISABILITIES, LOW INCOME, MINORITY, EDUCATION, OR OTHER. 3. GENERAL COMMUNITY: INDIVIDUALS AND COMMUNITY MEMBERS REPRESENTING THEIR OWN INTERESTS WERE REACHED IN TWO WAYS: A GENERAL SURVEY COMPLETED AT PUBLIC EVENTS (COUNTY FAIRS, LOCAL FESTIVALS) AND FOCUS GROUPS. COMMUNITY MEMBERS COMPLETING THE WRITTEN SURVEY IDENTIFIED THEMSELVES BY AGE AND NUMBER OF CHILDREN IN HOUSEHOLD. FOCUS GROUPS PARTICIPANT WERE IDENTIFIED BY GENDER. GRANT REGIONAL HEALTH CENTER, INC. PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN JOINT EFFORT WITH THE FOLLOWING OTHER HOSPITALS:1. CROSSING RIVERS HEALTH OF PRAIRIE DU CHIEN2. GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS GRANT REGIONAL HEALTH CENTER, INC. PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN JOINT EFFORT WITH THE FOLLOWING OTHER ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: 1. GRANT COUNTY HEALTH DEPARTMENT2. UNIVERSITY OF WISCONSIN-MADISON CRAWFORD COUNTY EXTENSION3. CRAWFORD COUNTY HEALTH AND HUMAN SERVICES4. AGING AND DISABILITY RESOURCE CENTER - CRAWFORD AND GRANT COUNTIES5. UNIVERSITY OF WISCONSIN-MADISON GRANT COUNTY EXTENSION GRANT REGIONAL HEALTH CENTER, INC. PART V, SECTION B, LINE 7D: PART V, SECTION B, LINE 7A:HTTPS://WWW.GRANTREGIONAL.COM/ABOUT-US/CHNA/PART V, SECTION B, LINE 10:HTTPS://WWW.GRANTREGIONAL.COM/ABOUT-US/CHNA/ GRANT REGIONAL HEALTH CENTER, INC. PART V, SECTION B, LINE 11: GRANT REGIONAL HAS A COMMITTEE IN PLACE AND IS ADDRESSING THE TOP PRIORITIES IDENTIFIED IN OUR MOST RECENT CHNA. OUR IMPLEMENTATION PLAN INCLUDES COMMUNITY HEALTH INITIATIVES THAT ALIGN WITH OUR ABILITIES AND SERVICE/PROGRAM STRENGTHS FOR THE BENEFIT OF OUR SURROUNDING COMMUNITIES. WE ARE CURRENTLY WORKING ON THE FOLLOWING INITIATIVES: (1) MENTAL HEALTH - MAKE IT OK PROGRAM: TRAINED GRHC STAFF INTERNALLY AND LAUNCHED CAMPAIGN TO GENERAL PUBLIC.- ADDITIONAL COUNSELING SERVICES NOW OFFERED AT GRHC WITH THE ADDITION OF A SECOND COUNSELOR.- TELEHEALTH IN ER TO CONNECT MENTAL HEALTH PROVIDERS WITH PATIENTS TO AID PLACEMENT/RESOURCES(2) CHRONIC DISEASE:DIABETES-PROVIDE ASSISTANCE AND PROGRAMS AVAILABLE TO DIABETIC/PRE-DIABETIC PATIENTS IN OUR SERVICE AREA.-COLLABORATE WITH AREA ORGANIZATIONS WITH EXISTING PROGRAMS TO PROVIDE EDUCATIONAL MATERIALS AND CREATE AWARENESS (ADRC, HEALTH DEPT).-PARTICIPATE IN COMMUNITY EVENTS TO CREATE AWARENESS OF GRHC'S PROGRAM (SUCH AS DIABETES BREAKFAST, ETC.)-HEALTHY LIVING WITH DIABETES: 6-WEEK PROGRAM THAT GIVES SUPPORT AND EDUCATION TO THOSE LIVING WITH DIABETES.HEART DISEASE-PROVIDE SCREENINGS AT AREA COMMUNITY EVENTS SUCH AS BLOOD PRESSURES AT: DAIRY BREAKFAST, GRANT CO. FAIR, CATFISH FESTIVAL AND ALSO CHOLESTEROL SCREENINGS DURING PATIENT APPREC WEEK AND ELDERFEST.-CONTINUE TO MARKET TO PROVIDERS AND COMMUNITY INFO ABOUT OUR CARDIAC REHAB PROGRAM.BREAST CANCER-CONTINUE BCA CAMPAIGN DURING OCTOBER. COLLABORATE WITH ORGANIZATIONS FOR ONGOING AWARENESS OF EARLY DETECTION (EX. GRANT COUNTY CANCER COALITION).OTHER CHRONIC CONDITIONS-LIVING WELL WITH CHRONIC CONDITIONS: A 6-WEEK PROGRAM THAT OFFERS SUPPORT AND EDUCATION TO THOSE LIVING WITH CHRONIC CONDITIONS.(3) DIVERSITY, EQUITY, INCLUSION-INTERNAL INITIATIVE TO BE MORE INCLUSIVE FOR OUR PATIENTS AND FAMILIES: - DOCUMENT/FORMS TRANSLATION - BILINGUAL SIGNAGE IN HOSPITAL AND CLINIC - NEW LANGUAGE LINE/IPAD FOR TRANSLATION - CULTURAL INTELLIGENCE TRAINING ALL STAFF -GROWING LANCASTER COMMUNITY INITIATIVE TO FOSTER INCLUSIVITY/DIVERSITY ACCEPTANCE(4) WELLNESS/PREVENTION & PHYSICAL ACTIVITY/NUTRITIONLACK OF WELLNESS PROGRAMS OFFERED IN SERVICE AREA -OFFER OR SPONSOR WELLNESS OPPORTUNITIES IN OUR SURROUNDING COMMUNITIES. -RESEARCH GRANTS TO BE ABLE TO OFFER ADDITIONAL RESOURCES OR PROGRAMS IN OUR AREA. -PARTICIPATE IN EXISTING PROGRAMS AND HEALTH FAIRS TO PROMOTE WELLNESS (EX. ELDERFEST, SWTC WELLNESS FAIRS AND OTHERS WHEN OFFERED).OBESITY RATES IN ADULTS AND YOUTH CONTINUE TO RISE IN GRANT COUNTY-OFFER GRHC PROGRAMS OR PARTNER WITH GROUPS/ORGANIZATIONS TO OFFER WELLNESS PROGRAMS TO THE COMMUNITY-NEW PROGRAMS ADDED: HEALTHY DIRECTIONS AND AQUA FITNESS(5) HEALTH NEEDS THAT CAN NOT BE ADDRESSEDWHILE GRANT REGIONAL HEALTH CENTER, INC. IS COMMITTED TO ADDRESSING MANY OF THE UNMET COMMUNITY HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA, SOME AREAS UNFORTUNATELY WILL NOT BE ADDRESSED. THOSE AREAS INCLUDE DRUG/ALCOHOL INTERVENTION, LACK OF ACCESS TO DENTAL PROVIDERS, AND CANCER CARE. GRANT REGIONAL SIMPLY DOES NOT HAVE THE PROGRAMS OR RESOURCES TO IMPACT THESE AREAS EFFECTIVELY. GIVEN THE FACT THAT THESE AREAS RANKED HIGH IN THE CHNA, GRANT REGIONAL RECOGNIZES THE NEED TO CONTINUE TO LOOK FOR WAYS TO COLLABORATE OR INITIATE PROGRAMS AND SERVICES TO THE BEST OF ITS ABILITY. A FEW RECENT STRIDES TOWARD EFFECTIVELY ADDRESSING THESE NEEDS INCLUDE:-GRANT REGIONAL OFFERED A CANCER SUPPORT GROUP WITH MONTHLY SPEAKERS TO EDUCATE AND PROVIDE SUPPORT FOR AREA FAMILIES AFFECTED BY CANCER. DUE TO LACK OF ATTENDANCE, THIS WAS DISCONTINUED. -WHILE GRANT REGIONAL DOES NOT OFFER ANY SUBSTANCE ABUSE SERVICES, THE HOSPITAL HAS BEEN A STRONG COMMUNITY PARTNER IN COORDINATING AND PROMOTING AWARENESS OF THE ANNUAL PLUNGE - UNDERAGE DRINKING PREVENTION CAMPAIGN. ADDITIONALLY, THERE ARE STATE AND NATIONAL PROGRAMS THAT HAVE DEDICATED RESOURCES FOR SMOKING CESSATION AND ALCOHOL ABUSE. GRANT REGIONAL HEALTH CENTER, INC. PART V, SECTION B, LINE 13B: SOME PATIENTS MAY EXCEED 300% OF THE FEDERAL POVERTY GUIDELINES, BUT MAY STILL BE ELIGIBLE FOR CHARITY CARE WHEN ADDITIONAL CRITERIA SUCH AS CATASTROPHIC MEDICAL COSTS ARE CONSIDERED. CATASTROPHIC MEDICAL CARE COSTS ARE DETERMINED ON A CASE-BY-CASE BASIS TO PATIENTS WHO DUE TO A SIGNIFICANT OR RECURRENCE OF MEDICAL BILLS MAY NEED ADDITIONAL COMMUNITY SUPPORT TO HELP A PATIENT OR THEIR FAMILY THROUGH A DIFFICULT TIME. GRANT REGIONAL HEALTH CENTER, INC. PART V, SECTION B, LINE 13H: MEDICARE/MEDICAID ELIGIBILITY IS UTILIZED ALONG WITH ANY GOVERNMENT OR PUBLIC PROGRAMS WITH SIMILAR QUALIFYING CRITERIA SUCH AS HOUSING ASSISTANCE PROGRAMS, INMATES, HOMELESS, DECEASED, ETC. AS DEFINED IN THE FAP POLICY. GRANT REGIONAL HEALTH CENTER, INC. PART V, SECTION B, LINE 16J: THE FAP, FAP APPLICATION, AND FAP SUMMARY ARE ALSO AVAILABLE IN SPANISH LANGUAGE ON THE WEBSITE AND UPON REQUEST. GRANT REGIONAL HEALTH CENTER, INC. PART V, SECTION B, LINE 23: THE HOSPITAL FOLLOWS ITS NORMAL PROCEDURES FOR COLLECTION OF THESE ACCOUNTS, INCLUDING DISCOUNTS BASED ON INCOME/ASSET LEVELS, PROMPT PAYMENT, OR MEDICAL INDIGENCE. PART I, LINE 3C: GRANT REGIONAL HEALTH CENTER, INC. USES THE FEDERAL POVERTY GUIDELINES AS ONE MEANS OF DETERMINING ELIGIBILITY FOR CHARITY CARE. THE FEDERAL POVERTY GUIDELINES ARE UPDATED AND PUBLISHED ANNUALLY BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. AS A GENERAL RULE, A PATIENT'S INCOME, BASED ON FAMILY SIZE, MUST BE AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINES TO BE ELIGIBLE FOR THE CHARITY CARE PROGRAM. A SLIDING SCALE BASED ON THE PATIENT'S INCOME LEVEL UNDER THE FEDERAL POVERTY GUIDELINES WILL BE USED TO DETERMINE THE PRECISE AMOUNT OF CHARITY CARE FOR WHICH A PATIENT WILL BE ELIGIBLE. SOME PATIENTS MAY EXCEED 300% OF THE FEDERAL POVERTY GUIDELINES BUT MAY STILL BE ELIGIBLE FOR CHARITY CARE WHEN ADDITIONAL CRITERIA SUCH AS CATASTROPHIC MEDICAL COSTS ARE CONSIDERED. CATASTROPHIC MEDICAL CARE COSTS ARE DETERMINED ON A CASE-BY-CASE BASIS TO PATIENTS WHO DUE TO A SIGNIFICANT OR RECURRENCE OF MEDICAL BILLS MAY NEED ADDITIONAL COMMUNITY SUPPORT TO HELP A PATIENT OR THEIR FAMILY THROUGH A DIFFICULT TIME. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES AT GRANT REGIONAL HEALTH CENTER, INC. INCLUDE THE ADULTS & PEDIATRICS UNIT. IT IS THE GOAL OF GRANT REGIONAL HEALTH CENTER, INC. TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF A PATIENT'S ABILITY TO PAY. SUBSIDIZED SERVICES ALSO INCLUDES INPATIENT ADULTS & PEDIATRICS AS WELL. 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 $ 712,672. PART II, COMMUNITY BUILDING ACTIVITIES: GRANT REGIONAL HEALTH CENTER, INC. ALSO ENGAGES IN A VARIETY OF COMMUNITY BUILDING ACTIVITIES THAT WOULD OTHERWISE NOT BE PROVIDED TO RESIDENTS OF LANCASTER, WISCONSIN AND SURROUNDING AREAS WITHOUT THE EFFORTS AND SPECIALIZED KNOWLEDGE OF THE LOCAL COMMUNITY HOSPITAL. SOME OF THE COMMUNITY BUILDING ACTIVITIES OF GRANT REGIONAL HEALTH CENTER, INC. INCLUDE (WITHOUT LIMITATION) PARTICIPATION IN LOCAL HEALTH AND WELLNESS FAIRS, SPONSORSHIP OF SUPPORT GROUPS, PROVISION OF EDUCATIONAL MATERIALS TO COMMUNITY MEMBERS, AND LOCAL BLOOD PRESSURE SCREENINGS. THESE ACTIVITIES WERE DETERMINED BY MEMBERS OF THE COMMUNITY OR ASKED BY COMMUNITY REPRESENTATIVES OF GRANT REGIONAL HEALTH CENTER, INC. TO PROVIDE THESE SERVICES SINCE THE HOSPITAL HAS THE EXPERTISE IN THESE AREAS. THE HOSPITAL ALSO PARTICIPATES IN HEALTH EDUCATION AWARENESS AND CAREER BUILDING ACTIVITIES SUCH AS CLINICAL TRAINING EXPERIENCE, FACILITY TOURS TO STUDENTS, SPEAKERS AT LOCAL SCHOOLS, AND CAREER FAIRS. THE HOSPITAL RECOGNIZES THAT IT IS IMPORTANT TO EDUCATE LOCAL COMMUNITY MEMBERS ON THESE CAREERS AS A CAREER BUILDING INITIATIVE SO THAT LOCAL PRIMARY CARE AND ACCESS TO CARE WILL BE CONTINUED IN THE FUTURE WITH WELL-TRAINED AND EDUCATED COMMUNITY MEMBERS IN HEALTHCARE RELATED FIELDS. 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 PATIENT SERVICES REVENUE DIVIDED BY OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT WERE WRITTEN OFF DURING THE FISCAL YEAR TO ESTIMATE THE COST OF THE CARE OF PATIENTS THAT HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS 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 MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE. MANY TIMES, PATIENTS ARE UNABLE TO COMPLETE THE REQUIRED CHARITY CARE APPLICATION AND ARE TRANSFERRED TO COLLECTION SERVICES EVEN THOUGH THE HOSPITAL PROVIDES THIS INFORMATION TO ALL PATIENTS AND ASSISTANCE WITH THE APPLICATIONS. DUE TO NO RESPONSES FROM SOME PATIENTS, A SIGNIFICANT AMOUNT OF BAD DEBTS COULD BE CONSIDERED AS CHARITY CARE. PART III, LINE 4: ACCOUNTS RECEIVABLE AND CREDIT POLICY: IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, GRANT REGIONAL HEALTH CENTER, INC. ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OR REVENUE TO ESTIMATE FOR IMPLICIT PRICE CONCESSIONS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE IMPLICIT PRICE CONCESSIONS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, GRANT REGIONAL HEALTH CENTER, INC. ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES IMPLICIT PRICE CONCESSIONS 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), GRANT REGIONAL HEALTH CENTER, INC. RECORDS PRICE CONCESSIONS 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 OF ACCOUNTS RECEIVABLE. THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE. PART III, LINE 8: GRANT REGIONAL HEALTH CENTER, INC. IS DESIGNATED A CRITICAL ACCESS HOSPITAL AND AS SUCH A PORTION OF ITS REVENUES ARE PAID UNDER A COST REIMBURSEMENT SYSTEM. BASED ON THE INSTRUCTIONS, THE TOTAL MEDICARE REVENUE SHOWN ON THIS FORM 990 INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE THAT IS ACTUALLY RECEIVED BY THE HOSPITAL FROM THE MEDICARE PROGRAM. THE AMOUNTS LISTED FOR MEDICARE DO NOT INCLUDE PHYSICIAN AND MID-LEVEL PRACTITIONER SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT AT GRANT REGIONAL HEALTH CENTER, INC., SPECIALTY PHYSICIAN SERVICES SUCH AS ORTHOPEDICS SERVICES IN THE SPECIALTY CLINIC, OR ANESTHESIA (CRNA) SERVICES. PHYSICIAN COVERAGE IS REIMBURSED PRIMARILY ON A FEE SCHEDULE REIMBURSEMENT METHODOLOGY AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY, CLINICAL, AND ANESTHESIA 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 GRANT REGIONAL HEALTH CENTER, INC. PROVIDES TO THE COMMUNITY AND SURROUNDING AREA OF GRANT COUNTY, WISCONSIN. 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 AND MID-LEVEL PRACTITIONER SERVICES WHICH THE HOSPITAL WOULD SHOW A LARGE LOSS ON THESE SERVICES.WHETHER THERE IS A SHORTFALL OR SURPLUS FROM SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THE RECIPIENTS ARE TYPICALLY ELDERLY AND/OR DISABLED MEMBERS OF THE COMMUNITY AND 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: A PATIENT THAT IS FINANCIALLY RESPONSIBLE FOR THEIR MEDICAL BILLS AND IS NOT COVERED BY AN INSURANCE PLAN MAY TAKE A 25% PROMPT PAYMENT DISCOUNT IF THEY PAY THEIR BALANCE DUE IN FULL WITHIN 25 DAYS OF THE INITIAL SETTLEMENT DATE. GRANT REGIONAL HEALTH CENTER, INC. WILL HONOR SUCH PAYMENT AS PAYMENT IN FULL FOR SERVICES BILLED.WHEN A PATIENT'S INCOME IS LESS THAN 300% OF THE FEDERAL POVERTY LEVEL FOR THEIR FAMILY SIZE, THE PATIENT MAY ACCESS THE 25% DISCOUNT WITH A WRITTEN PAYMENT ARRANGEMENT TO BE PAID WITHIN A TWELVE-MONTH PERIOD UPON APPROVAL OF THE HOSPITAL'S BUSINESS OFFICE MANAGER. HOWEVER, THE PATIENT WILL FIRST BE REFERRED TO THE PATIENT FINANCIAL COUNSELOR. THE PATIENT WILL THEN COMPLETE A FINANCIAL APPLICATION AND SUPPLY SUPPORTING DOCUMENTATION. ONCE THE APPLICATION IS COMPLETED THE BUSINESS OFFICE MANAGER WILL REVIEW AND APPROVE. THE PAYMENT AGREED UPON WILL BE IN ACCORDANCE WITH THE BUSINESS OFFICE'S PAYMENT PLAN POLICY. A LETTER WILL BE SENT TO THE PATIENT ACCEPTING THE FINANCIAL APPLICATION AND PAYMENT AGREEMENT TERMS. PART VI, LINE 2: GRANT REGIONAL HEALTH CENTER, INC. ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES BY LOOKING AT LOCAL AND SURROUNDING COMMUNITY DEMOGRAPHICS TO DETERMINE THE SERVICES THAT ARE MOST NECESSARY IN ORDER TO FULFILL ITS MISSION. THE FACILITY ALSO REVIEWS HOSPITAL STATISTICS OF PATIENT VISITS TO DETERMINE WHAT TYPES OF SERVICES OFFERED BY THE FACILITY ARE BEING UTILIZED. PART VI, LINE 3: CONSISTENT WITH THE MISSION OF GRANT REGIONAL HEALTH CENTER, INC., HEALTH-RELATED SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, INCLUDING PROVIDING SERVICES TO THOSE PERSONS WHO CANNOT AFFORD HEALTH INSURANCE BECAUSE OF INADEQUATE RESOURCES OR THOSE WHO ARE UNDERINSURED. WHEN A PATIENT'S INCOME IS LESS THAN 300% OF THE FEDERAL POVERTY LEVEL, THEY ARE PROVIDED CARE WITHOUT CHARGE OR AT A REDUCED RATE. THIS IS DETERMINED UPON APPROVAL BY THE BUSINESS OFFICE MANAGER AT THE FACILITY AFTER THE PATIENT HAS MET WITH A PATIENT FINANCIAL COUNSELOR AT THE FACILITY AND HAS COMPLETED A FINANCIAL APPLICATION, AND SUPPLIED THE NECESSARY DOCUMENTATION TO SUPPORT A FINANCIAL NEED FOR CARE UNDER GRANT REGIONAL'S COMMUNITY CARE POLICY. INFORMATION ON THE HOSPITAL'S CHARITY CARE POLICIES IS POSTED AT THE HOSPITAL PATIENT REGISTRATION DESK AND REGISTRATION CLERKS AT THE HOSPITAL ARE TRAINED TO INQUIRE WITH SELF-PAY PATIENTS UPON REGISTRATION IF THEY WOULD LIKE FURTHER INFORMATION ON THESE POLICIES OR WOULD LIKE TO MEET WITH A MEMBER OF THE BUSINESS OFFICE STAFF. DURING THE COLLECTION PROCESS, GRANT REGIONAL HEALTH CENTER MAKES AN EFFORT TO ALSO PROVIDE INFORMATION AND SEND CHARITY CARE APPLICATION INFORMATION TO THE MAJORITY OF PRIVATE PAY OR SELF-PAY PATIENTS THAT DO NOT RESPOND WITH PAYMENT ON THE FIRST OR SECOND PATIENT STATEMENT THAT IS SENT ITEMIZING THE BALANCE OF THEIR HOSPITAL BILL. SOCIAL SERVICES AND BUSINESS OFFICE STAFF AT THE HOSPITAL ARE ALSO AVAILABLE TO PROVIDE INFORMATION TO PATIENTS ON OTHER GOVERNMENT PROGRAMS SUCH AS THE MEDICAL ASSISTANCE PROGRAM TO PATIENTS OR TO REFER PATIENTS TO PERSONNEL AT GRANT COUNTY OR OTHER STATE OF WISCONSIN OR COUNTY AGENCIES THAT MAY PROVIDE ACCESS TO CARE FOR ELIGIBLE PATIENTS OR PROVIDE OTHER INFORMATION TO PATIENTS. PART VI, LINE 4: GRANT REGIONAL HEALTH CENTER, INC. IS LOCATED IN LANCASTER, WISCONSIN, WHICH IS A COMMUNITY OF ABOUT 4,000 PEOPLE. LANCASTER IS LOCATED 30 MINUTES FROM DUBUQUE, IOWA AND 1 HOUR 30 MINUTES FROM MADISON, WISCONSIN. THE FACILITY OPERATES A 25-BED, ACUTE CARE CRITICAL ACCESS HOSPITAL. GRANT REGIONAL HEALTH CENTER OFFERS A WIDE VARIETY OF SERVICES IN ORDER TO FULFILL MANY OF THE NEEDS OF THE INDIVIDUALS IN THE LOCAL COMMUNITY. AMONG SERVICES PROVIDED ARE: DIAGNOSTIC CARE, 24-HOUR EMERGENCY ROOM, OBSTETRICS, REHABILITATION, SURGICAL CARE, AND DIABETES SELF-CARE PROGRAMS, ALONG WITH OTHER SPECIALTY SERVICES, WHICH INCLUDE AUDIOLOGY, CARDIOLOGY, AND ORTHOPEDICS, AMONG OTHERS. CARE IS OFFERED TO PATIENTS REGARDLESS OF PAY SOURCE AND REGARDLESS OF A PATIENT'S ABILITY TO PAY. DURING 2022, MEDICARE AND MEDICARE ADVANTAGE PLAN BENEFICIARIES ACCOUNTED FOR APPROXIMATELY 33 PERCENT OF ALL GROSS PATIENT SERVICE REVENUE AT GRANT REGIONAL HEALTH CENTER AND MEDICAID BENEFICIARIES ACCOUNTED FOR APPROXIMATELY 9 PERCENT OF ALL GROSS PATIENT SERVICE REVENUE. MEDICARE AND MEDICAID BENEFICIARIES MAKE UP THE LARGEST PORTION OF PATIENTS THAT ARE SERVED BY GRANT REGIONAL HEALTH CENTER OVER THE PREVIOUS FEW YEARS. PART VI, LINE 5: GRANT REGIONAL HEALTH CENTER, INC. IS ACCREDITED THROUGH THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. THE JOINT COMMISSION IS AN ORGANIZATION THAT EVALUATES HOSPITAL PERFORMANCE STANDARDS, FOCUSING ON THE QUALITY OF HEALTH CARE. ACCREDITATION THROUGH THE JOINT COMMISSION IS RECOGNIZED NATIONWIDE AS A SYMBOL OF QUALITY, AS IT REQUIRES RIGOROUS PERFORMANCE STANDARDS. TO EARN AND MAINTAIN ACCREDITATION, GRANT REGIONAL IS EVALUATED THROUGH AN UNANNOUNCED SURVEY PROCESS COVERING NEARLY 600 STANDARDS RELATED TO QUALITY PATIENT CARE, SAFETY, INFECTION CONTROL, AND ONGOING PERFORMANCE-IMPROVEMENT ACTIVITIES, AMONG OTHERS. ALL HOSPITALS SURVEYED BY THE JOINT COMMISSION ARE EVALUATED AGAINST THE SAME CRITERIA, REGARDLESS OF SIZE OR LOCATION. GRANT REGIONAL HEALTH CENTER HAS ACHIEVED A FIVE-STAR RATING BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) AS ANNOUNCED BY MEDICARE.GOV ON HOSPITAL COMPARE. THE HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS) SUMMARY STAR RATING COMBINES INFORMATION FROM PATIENT SURVEYS ABOUT DIFFERENT ASPECTS OF THEIR EXPERIENCE OF CARE. THE RATINGS, PUBLISHED BY CMS ARE DESIGNED TO HELP CONSUMERS COMPARE HOSPITALS, BY EVALUATING SAFETY, QUALITY AND PATIENT EXPERIENCES AT MORE THAN 4,500 HOSPITALS NATIONWIDE. GRANT REGIONAL IS ONE OF ONLY SIX PERCENT OF ELIGIBLE HOSPITALS IN THE UNITED STATES TO RECEIVE THE FIVE-STAR RATING FOR PATIENT EXPERIENCE SINCE 2017. THE NATIONAL AVERAGE IS THREE OUT OF FIVE STARS. THE ACTIVITIES OF GRANT REGIONAL ARE SUPPORTED LOCALLY BY A VOLUNTEER BOARD OF DIRECTORS WHICH OVERSEE THE OPERATIONS OF THE HOSPITAL. THE BOARD OF DIRECTORS IS MADE UP OF COMMUNITY MEMBERS WHO RESIDE IN LANCASTER, WI AND THE SURROUNDING COMMUNITIES WHICH IS GRANT REGIONAL'S PRIMARY PATIENT SERVICE AREA. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO A MAJORITY OF ALL QUALIFIED PHYSICIANS IN THE COMMUNITY AND SURROUNDING AREAS WHICH WISH TO BETTER SERVE THEIR PATIENTS BY PROVIDING CARE AT GRANT REGIONAL. ANY SURPLUSES IN OPERATIONS THAT ARE ACHIEVED BY THE ORGANIZATION OPERATING IN AN EFFECTIVE MANNER AND CONTROLLING THE COST OF HEALTHCARE ARE PRIMARILY RESERVED FOR FUTURE BUILDING AND CAPITAL PURCHASE NEEDS. GRANT REGIONAL RECOGNIZES THAT IT IS IMPORTANT TO SAVE THESE RESERVES DURING YEARS OF SURPLUS SO THAT IN ANY TIMES OF ECONOMIC DOWNTURN IF A LARGE CAPITAL ADDITION IS NEEDED THE ORGANIZATION WILL NOT HAVE TO PASS HIGHER COSTS ON TO MEMBERS OF THE COMMUNITY. THESE FUNDS ARE TRANSFERRED TO A FUNDED DEPRECIATION INVESTMENT ACCOUNT REGULARLY THROUGHOUT EACH FISCAL YEAR WHERE SURPLUSES IN OPERATIONS ARE ACHIEVED. THE HOSPITAL FURTHER ACHIEVES ITS GOAL OF PROVIDING TRUE COMMUNITY SUPPORT BY EXTENDING CHARITY CARE AS DESCRIBED THROUGHOUT SCHEDULE H AND PROVIDING SERVICES TO MEMBERS OF OTHER PROGRAMS WHICH OFTEN REIMBURSE THE HOSPITAL BELOW THE COST OF PROVIDING THIS CARE SUCH AS CHAMPUS, TRICARE, AND THE WISCONSIN HEALTH INSURANCE RISK SHARING PROGRAM OR "HIRSP" (THE HIRSP PROGRAM REIMBURSES THE HOSPITAL AT RATES SIMILAR TO THE MEDICAID PROGRAM AND IS FOR PATIENTS THAT HAVE PRE-EXISTING ILLNESSES WHICH MAKE IT DIFFICULT TO OBTAIN INSURANCE FROM COMMERCIAL INSURANCE CARRIERS IN THE MARKETPLACE). PART VI, LINE 7, REPORTS FILED WITH STATES WI 1 FOUNDATION SCHOLARSHIPS 16 8000 PART I, LINE 2: GRANT REGIONAL HEALTH CENTER HAS A FOUNDATION COMMITTEE THAT REVIEWS REQUESTS FOR DONATIONS FROM OR OFFERS TO PROVIDE ASSISTANCE TO GRANT REGIONAL HEALTH CENTER, INC. (THE "HOSPITAL") TO FURTHER THE MISSION OF THE HOSPITAL, AS WELL AS SCHOLARSHIPS FOR SCHOLARSHIP APPLICANTS SEEKING TO FURTHER THEIR EDUCATION. THESE GRANTS ARE APPROVED BY THE FOUNDATION COMMITTEE DURING REGULARLY SCHEDULED BOARD OF DIRECTORS' MEETINGS THROUGHOUT THE YEAR. X X X X 0 0 0 0 0 0 0 0 0 DARREN W PERTTU SURGEON 567968 0 157362 0 34604 0 16775 0 29134 0 805843 0 0 0 BRADLEY G BINSFELD ORTHOPEDIC SURGEON 624159 0 52835 0 90 0 16775 0 13314 0 707173 0 0 0 IAN STORMONT MD PHYSICIAN 595329 0 0 0 60 0 16775 0 6550 0 618714 0 0 0 ERIN L HUEBSCHMAN MD PHYSICIAN 361109 0 127979 0 90 0 16775 0 1594 0 507547 0 0 0 KIMBERLY A PERTTU PHYSICIAN 332279 0 82409 0 40090 0 16775 0 3700 0 475253 0 0 0 DAVID SMITH PRESIDENT/CEO 292873 0 42404 0 0 0 16775 0 31922 0 383974 0 0 0 DR NEIL MARTIN DIRECTOR/PHYSICIAN 280676 0 0 0 60 0 15815 0 29229 0 325780 0 0 0 JOEL GEHLING CHIEF FINANCIAL OFFICER 178883 0 0 0 0 0 3553 0 19452 0 201888 0 0 0 TAMARA CHAMBERS CHIEF CLINICAL OFFICER 162660 0 0 0 0 0 8946 0 1364 0 172970 0 0 0 A WISCONSIN HEALTH AND EDUCATIONS FACILITIES AUTHORITY 391337855 2022-05-10 34825500 CAPITAL EXPENDITURES 0 0 0 A 834499 34825500 177045 5000000 29648455 2018 0 0 0 1 A 0 0 0 0 0.00010 0.00010 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 7A UNDER THE TERMS OF THE CORPORATE AND MEDICAL STAFF BYLAWS OF GRANT REGIONAL HEALTH CENTER, INC., THE MEDICAL STAFF APPOINTS ONE MEMBER OF THE BOARD OF DIRECTORS TO BE THE APPOINTED MEDICAL STAFF REPRESENTATIVE ON THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS WAS PROVIDED ACCESS TO A COPY OF THE FORM 990 PRIOR TO THE FILING OF THE RETURN WITH THE IRS. THE FORM 990 IS ALSO REVIEWED BY SENIOR MANAGEMENT OF GRANT REGIONAL HEALTH CENTER, INC. PRIOR TO SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICTS OF INTEREST ARE CONSIDERED TO EXIST IN SITUATIONS WHERE EMPLOYEE'S ACTIONS OR ACTIVITIES INVOLVE: - THE OBTAINING OF AN IMPROPER PERSONAL GAIN OR ADVANTAGE BY REASON OF AN EMPLOYEE'S POSITION WITH GRANT REGIONAL; - AN ADVERSE EFFECT UPON THE INTERESTS OF GRANT REGIONAL HEALTH CENTER, INC.; - THE OBTAINING BY A THIRD PARTY OF AN IMPROPER GAIN, OR OF AN ADVANTAGE TO THE DETRIMENT OF GRANT REGIONAL; OR - THE APPEARANCE OF ANY OF THE ABOVE. ANY RELATED ISSUES TO A CONFLICT OF INTEREST SHALL BE DISCLOSED TO THE APPROPRIATE SUPERVISOR, COMPLIANCE OFFICER, OR HOTLINE. COMPLIANCE WITH THE POLICY IS MONITORED BY HAVING BOARD MEMBERS, OFFICERS, AND EMPLOYEES DISCLOSE ANNUALLY IN A WRITTEN STATEMENT ANY ISSUES THAT MAY GIVE RISE TO A CONFLICT OF INTEREST. IF ANY CONFLICTS ARE KNOWN BY BOARD MEMBERS, THESE BOARD MEMBERS ARE ASKED TO ABSTAIN FROM VOTING ON ANY CONFLICTED MATTERS. FORM 990, PART VI, SECTION B, LINE 15 GRANT REGIONAL HEALTH CENTER, INC. USES THE RURAL WISCONSIN HEALTH COOPERATIVE SURVEY TO DETERMINE PROPER COMPENSATION FOR ITS TOP MANAGEMENT PERSONNEL AND TO REVIEW FOR COMPARABILITY FACTORS. THE RURAL WISCONSIN HEALTH COOPERATIVE SURVEY IS A COMPILATION OF AVERAGE SALARIES AND COMPENSATION AMOUNTS FOR VARIOUS POSITIONS AT ITS MEMBER HOSPITALS WHICH INCLUDE A LARGE NUMBER OF RURAL AND COMMUNITY HOSPITALS LOCATED THROUGHOUT WISCONSIN. GRANT REGIONAL HEALTH CENTER, INC. ALSO PARTICIPATES IN THE ANNUAL WISCONSIN HOSPITAL ASSOCIATION COMPENSATION SURVEY TO ALLOW ACCESS TO SALARY AND BENEFIT COMPARABILITY DATA EACH YEAR. WHEN GRANT REGIONAL'S BUDGET PROCESS IS BEING REVIEWED EACH YEAR, AN AVERAGE WAGE INCREASE IS COMPARED WITH THIS DATA AND PRESENTED TO THE BOARD OF DIRECTORS TO REVIEW BEFORE SETTING TARGET OR BUDGETED PERFORMANCE OR MARKET VALUE ADJUSTED TO COMPENSATION EACH YEAR. GRANT REGIONAL ALSO REVIEWS THIS DATA WHEN IT DETERMINES THAT NEW POSITIONS SHOULD BE ADDED TO BETTER MEET PATIENT SERVICE NEEDS IN THE COMMUNITY. FORM 990, PART VI, SECTION C, LINE 19 GRANT REGIONAL HEALTH CENTER, INC. WILL MAKE A COPY OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. SUMMARIZED FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC AT ANY TIME FOLLOWING THE SUBMISSION OF THE WISCONSIN HOSPITAL SURVEY TO THE WISCONSIN HOSPITAL ASSOCIATION. FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTIONS -354,817. FORM 990, PART VII, SECTION A, RELATED PARTY OFFICERS / OFFICERS' HOURS: TWO OF THE DIRECTORS OF GRANT REGIONAL HEALTH CENTER, INC. PROVIDE EMERGENCY ROOM PHYSICIAN AND HOSPITALIST COVERAGE FOR GRANT REGIONAL IN ADDITION TO THE HOURS WORKED AS A DIRECTOR. THE HOURS LISTED FOR THESE TWO PHYSICIANS IN PART VII OF THE FORM 990 ALSO INCLUDES AN AVERAGE OF 0.50 HOURS PER WEEK FOR SERVICE ON GRANT REGIONAL'S BOARD OF DIRECTORS AS WELL AS TIME SPENT BOTH DIRECTLY PROVIDING PHYSICIAN SERVICES IN THE EMERGENCY ROOM AS WELL AS BEING AVAILABLE FOR ON-CALL AND SUPPORT SERVICES TO MID-LEVEL PRACTITIONERS WHEN PERFORMING SERVICES IN THE EMERGENCY DEPARTMENT SETTING. GRANT REGIONAL HEALTH CENTER AUXILIARY 507 SOUTH MONROE STREET LANCASTER WI 53813 753031038 VOLUNTEERS WI 501(C)(3) LINE 10 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0