2023-10-31T09:21:21-05:00 2023-03-31 420714325 RSM US LLP 227 WEST FIRST STREET SUITE 700 DULUTH MN 55802 990 2022-04-01 391536207 MEDICAL SERVICES INC D/B/A HAYWARD AREA MEMORIAL HOSPITAL MEDI 7159344321 11040 N STATE ROAD 77 HAYWARD WI 548436391 LUKE BEIRL CEO 7159344321 2023-10-30 1 LUKE BEIRL 999009999 0 JULIE BOYER P01278549 2187275025 2023-10-30 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z HAYWARD AREA MEMORIAL HOSPITAL & WATER'S EDGE LUKE BEIRL 11040 N STATE ROAD 77 HAYWARD WI 548436391 81653846 0 X HTTP://HAYWARDMEMORIALHOSPITAL.COM X 1986 WI TO CONTINUOUSLY IMPROVE THE HEALTH STATUS OF THE PEOPLE OF THE HAYWARD AREA 13 11 538 93 0 0 1662922 25076 67472394 76023726 2986829 -111410 138316 161460 72260461 76098852 0 0 0 0 36579221 39098235 0 0 0 26543967 31546277 63123188 70644512 9137273 5454340 112931072 114127248 21142836 16987532 91788236 97139716 X CONTINUOUSLY IMPROVE THE HEALTH STATUS OF THE PEOPLE OF THE HAYWARD AREA 0 0 62024441 76069793 HAYWARD AREA MEMORIAL HOSPITAL & WATER'S EDGE IS A 25-BED CRITICAL ACCESS HOSPITAL, 50 BED NURSING HOME, AND 40 APARTMENT RCAC FACILITY. THE HOSPITAL CAMPUS ALSO CONTAINS TWO ATTACHED CLINICS THAT ARE OWNED AND OPERATED BY ESSENTIA HEALTH AND NORTHLAKES COMMUNITY HEALTH CENTER. THESE CLINICS EMPLOY APPROXIMATELY 18 FULL-TIME PHYSICIANS, AND ADDITIONAL PART-TIME SPECIALTY CARE PHYSICIANS WHO DO ROUNDS AND SEE PATIENTS AT THE HOSPITAL THROUGHOUT THE MONTH. THE HOSPITAL, NURSING HOME AND ASSISTED LIVING EMPLOY CLOSE TO 555 EMPLOYEES. IN FY '22-'23 THE HOSPITAL HAD 835 INPATIENT ADMISSIONS AND 3,024 IP DAYS, 476 OBSERVATION ADMISSIONS WITH 14,781 HOURS OF CARE, AND 62 TCU ADMISSIONS WITH 844 CENSUS DAYS OF CARE. THE NURSING HOME HAD 31 ADMISSIONS WITH 15,179 CENSUS DAYS, AND THE ASSISTED LIVING HAD 13,744 RESIDENT DAYS WITH AN AVERAGE MONTHLY CENSUS OF 37.65 FOR THE FISCAL YEAR WITH 40 TOTAL APARTMENTS. THE EMERGENCY ROOM IS STAFFED BY A PHYSICIAN 24/7/365 SEEING 9,035 PATIENTS. AIR AND GROUND AMBULANCES ARE AVAILABLE FOR THOSE REQUIRING A HIGHER LEVEL OF TRAUMA CARE. AS A RESULT OF A 2015 COMMUNITY HEALTH NEEDS ASSESSMENT, AN URGENT CARE WAS OPENED IN 2017. IT SERVED 5,843 PATIENTS DURING ITS SIXTH FULL FISCAL YEAR OF OPERATION. THE OPERATING ROOM PERFORMED 1,139 CASES AND ENDOSCOPY PERFORMED 838 PROCEDURES. THE HOSPITAL HAS ADDED SEVERAL SPECIALTY SERVICES OVER THE LAST SEVERAL YEARS. ORTHOPEDICS OPENED IN APRIL 2018 WITH A SPORTS MEDICINED CERTIFIED SURGEON ADDED IN FEBRUARY 2020. WOUND CARE WAS ADDED IN LATE 2018. UROLOGY WAS ADDED IN AUGUST 2019. IN FY '20-'21, PODIATRY, GENERAL SURGERY, AND ADVANCED PAIN MANAGEMENT WERE ADDED. EAR, NOSE, AND THROAT (ENT) WAS ADDED IN FY '22-'23. OUR SPECIALTY SERVICES PROGRAMS HAD 8,975 CLINIC VISITS AND 756 SURGERIES IN FY '22-'23. A FAMILY MEDICINE/PRIMARY CARE CLINIC WAS OPENED IN MAY 2022 AND WAS CERTIFIED AS A RURAL HEALTH CLINIC (RHC) IN DECEMBER 2022. IT SERVED 4,786 PATIENTS IN ITS FIRST (PARTIAL) YEAR OF OPERATION. RADIOLOGY EXAMS TOTAL 28,713, AND LAB EXAMS TOTAL 104,991 PER YEAR. HAYWARD HOSPITAL PERFORMED 116 DELIVERIES LAST YEAR WITH 223 NEWBORN DAYS. HAYWARD IS A POPULAR VACATION HOME DESTINATION AND ATTRACTS TOURISTS THROUGHOUT THE YEAR. HAYWARD IS ALSO A POPULAR RECREATIONAL AREA ATTRACTING MOUNTAIN BIKERS, SKIERS, BOATING, FISHING, AND GENERAL OUTDOOR ACTIVITIES. MEDICAL PROFESSIONALS ARE ATTRACTED TO THIS POPULAR RECREATIONAL AREA BY THE QUALITY OF LIFE THEY FIND HERE. 62024441 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 46 0 1 538 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X HEATHER SHEEHAN 7159344245 11040 N STATE ROAD 77 HAYWARD WI 548436391 JASON DOUGLAS DIRECTOR/PRESIDENT-REI 1.00 39.00 X X 0 641559 59634 LUKE BEIRL DIRECTOR/CEO-MSI 38.00 2.00 X X 413486 0 66933 MARY HANSEN DIRECTOR 1.00 X 0 0 0 BRENT KELLEY DO DIRECTOR 1.00 X 0 0 0 BARBARA KOERPEL-DUFFY DIRECTOR 1.00 X 0 0 0 GREGG LUNDBERG DIRECTOR 1.00 X 0 0 0 HARRY MALCOLM MD DIRECTOR 1.00 X 0 0 0 BENJAMIN TURNER MD DIRECTOR 1.00 X 0 0 0 DODSON THOMPSON DO DIRECTOR 1.00 X 0 0 0 JOHN GARRETT TREASURER 1.00 1.00 X X 0 0 0 NED WOLF SECRETARY 1.00 2.00 X X 0 0 0 JAMES MILLER VICE CHAIR 1.00 1.00 X X 0 0 0 RICH HOBAN CHAIR 1.00 2.00 X X 0 0 0 KENT DUMONSEAU CFO - REI 1.00 39.00 X 0 409610 57855 HEATHER SHEEHAN COO 39.00 1.00 X 224894 0 56195 AINDREA LINDSAY CCO 38.00 2.00 X 218840 0 55679 PAUL TONKIN PHYSICIAN 40.00 X 956385 0 62185 BRIAN DONAHUE PHYSICIAN 40.00 X 1015786 0 63013 DAVID LYNN PHYSICIAN 40.00 X 662648 0 63353 IMTIAZ MOHAMED PHYSICIAN 40.00 X 408027 0 61213 RYAN SPORTEL CHIEF CRNA 40.00 X 393725 0 62307 4293791 1051169 608367 48 0 1 0 MARKET & JOHNSON 2350 GALLOWAY STREET PO BOX 63 EAU CLAIRE WI 54702 CONTRACTOR FOR BUILDING PROJECTS 5444807 REGIONAL ENTERPRISES INC 1615 MAPLE LANE ASHLAND WI 54806 PRO FEES/RENT 3031970 MAXIM HEALTHCARE STAFFING SERVICES INC 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 TRAVEL STAFFING 1966655 NEI ELECTRIC 4815 WHITE BEAR PARKWAY WHITE BEAR LAKE MN 55110 ELECTRICAL CONTRACTOR FOR BUILDING WORK 425334 SMDC CLINICAL LABORATORY 407 E THIRD STREET DULUTH MN 55805 PRO FEES 360140 17 2400 22676 9862 25076 HOSPITAL 621500 70157402 70157402 NURSING HOME 623000 3974464 3974464 ASSISTED LIVING 623000 1891029 1891029 DIABETES 621500 831 831 76023726 604725 604725 32838 3538 29300 29300 29300 4811135 24186 5538470 12986 -727335 11200 -716135 -716135 CAFETERIA 900099 82982 82982 MISCELLANEOUS 900099 46067 46067 GIFT SHOP 900099 3111 3111 132160 76098852 76069793 0 3983 1040777 1040777 28657208 27102157 1555051 1272978 1198893 74085 6170444 5773396 397048 1956828 1795242 161586 206362 206362 85886 85886 5305 5305 3834528 3435224 399304 161026 918 160108 1102642 835858 266784 2872184 2872184 1298288 1227262 71026 391411 301700 89711 269990 251091 18899 5262091 4893745 368346 244801 244801 DRUGS 5844265 5844265 MEDICAL SUPPLIES 4013269 4012632 637 IMPLICIT PRICE CONCESSI 2623168 2623168 REPAIRS & MAINTENANCE 1568789 1548623 20166 1762272 1180267 582005 70644512 62024441 8620071 0 65199 7505 29962966 25740926 8779881 10206252 150000 0 2074073 2475088 1204258 1484526 82125058 36761682 43340324 45363376 5955748 6798130 6181957 9819450 15216666 12231995 112931072 114127248 6724428 6135907 12228530 10397825 2189878 453800 21142836 16987532 X 91788236 97139716 91788236 97139716 112931072 114127248 X 5454340 -453088 350228 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 5305 5305 0 PART II-B, LINE 1: HAYWARD AREA MEMORIAL HOSPITAL AND WATER'S EDGE PAY DUES TO CERTAIN ORGANIZATIONS RELATED TO THE INDUSTRY WHICH HAVE LOBBYING EXPENSES. THE AMOUNT LISTED IS THE PERCENTAGE OF THE DUES PAID THAT WERE USED FOR LOBBYING. 45799 45799 58545625 25765792 32779833 17738971 9504612 8234359 5794663 1491278 4303385 45363376 MUTUAL FUNDS 8090730 F ALTERNATIVE INVESTMENTS 1728720 F 9819450 ASSETS LIMITED AS TO USE 11292248 INTEREST RATE SWAP 939747 12231995 THIRD-PARTY PAYOR SETTLEMENTS 453800 453800 X 73365162 -453088 -2272940 -2726028 76091190 7662 7662 76098852 68013682 -7662 -7662 68021344 2623168 2623168 70644512 PART X, LINE 2: THE COMPANY IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. NONPROFIT ORGANIZATIONS MAY BECOME SUBJECT TO INCOME TAXES IF QUALIFICATION AS A TAX-EXEMPT ENTITY CHANGES, IF UNRELATED BUSINESS INCOME IS GENERATED AND IN CERTAIN OTHER INSTANCES. NONPROFIT ORGANIZATIONS ARE REQUIRED TO ASSESS THE CERTAINTY OF THEIR TAX POSITIONS RELATED TO THESE MATTERS AND, IN SOME CASES, RECORD LIABILITIES FOR POTENTIAL TAXES, INTEREST AND PENALTIES ACCOMPANIED BY FOOTNOTE DISCLOSURES. THE COMPANY HAS NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE THE ACCRUAL OF AN INCOME TAX PROVISION. GENERALLY, THE COMPANY IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL OR STATE TAX AUTHORITIES FOR YEARS BEFORE 2020. PART XI, LINE 2D - OTHER ADJUSTMENTS: IMPLICIT PRICE CONCESSIONS -2,623,168. GAIN ON INTEREST RATE SWAPS 350,228. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -3,538. GAIN ON DISPOSAL OF FIXED ASSETS 11,200. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 3,538. GAIN ON DISPOSAL OF FIXED ASSETS -11,200. PART XII, LINE 4B - OTHER ADJUSTMENTS: IMPLICIT PRICE CONCESSIONS 2,623,168. 1 1 X 1 X 1 X 1 1 0 1 1 378548 378548 0.00560 11180880 7112027 4068853 0.05980 11559428 7112027 4447401 0.06540 48049 48049 0.00070 12418818 8638052 3780766 0.05560 50225 50225 0.00070 12517092 8638052 3879040 0.05700 24076520 15750079 8326441 0.12240 16973 16973 0.00020 16973 16973 0.00020 1 2623168 0 20445022 20764825 -319803 X 1 1 1 1 HAYWARD AREA MEMORIAL HOSPITAL 11040 N STATE ROAD 77 HAYWARD WI 54843 HAYWARDMEMORIALHOSPITAL.COM 1040 X X X X N/A HAYWARD AREA MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X SEE PART V, PAGE 8 X X 1 21 1 SEE PART V, PAGE 8 0 1 X 100.000000000000 200.000000000000 X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X 1 X 0 X X X X 1 X 0 0 HAYWARD AREA MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: THE PROCESS BEGAN IN MARCH 2021, WHEN THE HAYWARD AREA MEMORIAL HOSPITAL CREATED A 14 QUESTION DIGITAL SURVEY. SURVEY QUESTIONS WERE DRAFTED BASED ON THE GOALS OF WISCONSIN'S HEALTHIEST WISCONSIN 2020 PLAN AND MIRRORED SEVERAL OF THE SURVEY QUESTIONS FROM THE ORGANIZATION'S 2018 COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY.ONLINE SURVEYS WERE DISTRIBUTED VIA EMAIL, USING TARGETED SOCIAL MEDIA CHANNELS AND LINKED TO THE HOSPITALS'S WEBSITE.SURVEY AWARENESS WAS ALSO PROMOTED VIA A PRESS RELEASE, SOCIAL MEDIA ANNOUNCEMENTS AND THE LOCAL RADIO PROGRAM LIFESTYLES NORTH. DUE TO THE COVID-19 PANDEMIC THERE WERE A FEW POPULATIONS WHERE PAPER SURVEYS WERE WARRENTED INCLUDING 200 DISTRIBUTED TO SAWYER COUNTY SENIOR RESOURCE CENTER MEALS ON WHEELS PARTICIPANTS. THEIR SURVEY RESULTS WERE MANUALLY ENTERED INTO THE SURVEY MONKEY DATABASE TOOL.THERE WERE OVER 770 SURVEY RESPONSES, WHICH SIGNIFICANTLY SURPASSED PREVIOUS SURVEYS (2018 SURVEY-547 RESPONDENTS). SURVEY DATA COLLECTED INCLUDED DEMOGRAPHICS OF AGE, RACE, GENDER, INCOME LEVEL AND ZIP CODE.INTERNAL RECIPIENTS OF SURVEY:HAMHWE STAFF, PROVIDERS, VOLUNTEERS AND PARTNERSWATER'S EDGE TENANTS, RESIDENTS AND FAMILIESHAMHWE FAMILY ADVISORY COUNCILHAMHWE BOARD OF DIRECTORSSAWYER COUNTY EMPLOYEESEXTERNAL SURVEY DISTRIBUTION:AREA SCHOOLS FOR DISTRIBUTION TO STAFF AND FAMILIES (HAYWARD, LCO, WINTER, NORTHWOODS, BIRCHWOOD)ESSENTIA HEALTH-HAYWARD AND NORTHLAKES CLINIC-HAYWARD STAFFNORTHWEST CONNECTION FAMILY RESOURCE CENTERGREATER HAYWARD AREA MINISTERIAL ASSOCIATIONREGIONAL CHAMBERS OF COMMERCE FOR DISTRIBUTION TO BUSINESS MEMBERS (HAYWARD, CABLE, WINTER)SAWYER COUNTY/LCO ECONOMIC DEVELOPMENTAMERICAN BIRKEBEINER SKI FOUNDATION VOLUNTEERS AND OTHER AREA VOLUNTEER DISTRIBUTION LISTS. HAYWARD AREA MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: SAWYER COUNTY HEALTH AND HUMAN SERVICES HAYWARD AREA MEMORIAL HOSPITAL PART V, SECTION B, LINE 7D: HAMH DID A SOCIAL MEDIA POST AS WELL AS GAVE PAPER COPIES OF THE REPORT TO THE PARTNERING ORGANIZATIONS THAT IT WORKED ON THE CHNA WITH, FOR AVAILABILITY AT THEIR LOCATIONS. HAYWARD AREA MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: HAYWARD AREA MEMORIAL HOSPITAL PARTNERED WITH SAWYER COUNTY PUBLIC HEALTH TO COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOP AND IMPLEMENT THE 2023-2025 COMMUNITY HEALTH IMPROVEMENT PLAN. THIS PARTNERSHIP IS SUPPORTED BY THE FACT THAT APPROXIMATELY 68% OF ALL HAYWARD AREA MEMORIAL PATIENTS ORIGINATE FROM COMMUNITIES LOCATED IN SAWYER COUNTY.PLAN IMPLEMENTATION1. CREATE A HEALTH AND WELLNESS COUNTY WIDE RESOURCE DATABASE TO SHARE SERVICES, EDUCATIONAL OPPORTUNITIES, PROGRAMS, SUPPORT GROUPS, ETC. THAT ARE AVAILABLE IN SAWYER COUNTY. THIS PROJECT WILL BE PARTIALLY FUNDED BY SAWYER COUNTY PUBLIC HEALTH DEPARTMENT THROUGH A RECENT GRANT APPLICATION AND SUPPORTED BY HAYWARD AREA MEMORIAL HOSPITAL WITH RESOURCES AND FUNDING. IN ADDITION, THIS RESOURCE MAY ALSO SUPPORT SMALL EMPLOYERS WITHIN THE COUNTY WHO DO NOT HAVE THE MEANS TO PROVIDE AN EMPLOYEE ASSISTANCE PROGRAM. 2. CREATE COMMUNITY ACTION GROUP(S) FOR EACH AGE AND FOCUS AREA. GROUPS WILL PRIORITIZE IDENTIFIED FOCUS AREAS, DEVELOPING GOALS AND CREATING ACTIONABLE STEPS TO IMPROVE THE IDENTIFIED NEEDS. THESE COMMUNITY GROUPS WILL BE BY INVITATION AND/OR VOLUNTEERING TO SERVE. THE HOPE IS THAT AS A COMMUNITY WE WILL CULTIVATE A COMMITTEE THAT HAS A BROAD BASE OF COUNTY REPRESENTATION, PROMOTES DIVERSITY IN RACE AND GENDER AND CONSTITUTES A VARIETY OF BACKGROUNDS AND LIFE EXPERIENCE. 3. EXPLORE OFFERING CHRONIC DISEASE MANAGEMENT SKILL BUILDING USING THE STANFORD CURRICULUM OF LIVING BETTER WITH CHRONIC DISEASE FOR YOUNG ADULTS THROUGH SENIORS. IMPLEMENTATION WOULD INVOLVE TRAINING COMMUNITY LEADERS TO SERVE AS GROUP FACILITATORS. GROUPS MAY BE DIVIDED BASED ON AGE, DIAGNOSIS, OR SKILL. YEAR 1 PROGRESS: APRIL 1, 2022 - MARCH 31, 2023PRIORITY 1: CREATE A HEALTH AND WELLNESS COUNTY WIDE RESOURCE DATABASE TO SHARE SERVICES, EDUCATIONAL OPPORTUNITIES, PROGRAMS, SUPPORT GROUPS, ETC. THAT ARE AVAILABLE IN SAWYER COUNTY.IT WAS DETERMINED THAT A WEBSITE WAS THE BEST WAY TO PROCEED TO FULFILL THE NEED FOR A COUNTY WIDE RESOURCE DATABASE. SAWYER COUNTY PUBLIC HEALTH LED THE CHARGE TO FIND A WEBSITE PLATFORM AND WITH INPUT FROM HAYWARD AREA MEMORIAL HOSPITAL SELECTED THE NETWORK OF CARE PLATFORM. THE WEBSITE WAS DEVELOPED FROM LATE SUMMER 2022 THROUGH MARCH 2023. THE PURPOSE OF THE WEBSITE IS TO SUPPORT A HEALTHIER SAWYER COUNTY BY PROVIDING COUNTY WIDE HEALTH AND WELLNESS RESOURCE DATABASE TO SHARE SERVICES, EDUCATIONAL OPPORTUNITIES, PROGRAMS AND SUPPORT GROUPS THAT ARE AVAILABLE IN SAWYER COUNTY. THE WEBSITE ALSO HAS AN EXTENSIVE LIBRARY OF RESOURCES RELATED TO A VARIETY OF HEALTH AND WELLNESS TOPICS.IN FEBRUARY 2022, A COMPREHENSIVE COMMUNICATION PLAN, INCLUDING PRESS RELEASES, PRESENTATIONS TO AGENCIES AND ORGANIZATIONS, POSTERS AND INFORMATION CARDS, WERE IMPLEMENTED IN ORDER TO COMMUNICATE THE AVAILABILITY AND PURPOSE OF THE WEBSITE. THE COMMUNICATION PLAN WAS LAUNCHED IN LATE FEBRUARY 2023, CONCLUDING IN LATE JULY 2023. A SPECIFIC POSTER AND INFORMATION CARD WERE DEVELOPED TO COMMUNICATE THE AVAILABILITY OF THE SAWYER COUNTY NETWORK OF CARE WEBSITE AT HTTPS://SAWYER.WI.NETWORKOFCARE.ORG/FAMILY.HAYWARD AREA MEMORIAL HOSPITAL CONTRIBUTED $5000 TO SAWYER COUNTY PUBLIC HEALTH IN ORDER TO SUPPORT THE INITIAL WEBSITE DEVELOPMENT AND ANNUAL MAINTENANCE FOR THE FIRST YEAR. PRIORITY 2: CREATE COMMUNITY ACTION GROUP(S) FOR EACH AGE AND FOCUS AREA. GROUPS WILL PRIORITIZE IDENTIFIED FOCUS AREAS, DEVELOPING GOALS AND CREATING ACTIONABLE STEPS TO IMPROVE THE IDENTIFIED NEEDS.IN JUNE 2022, A CONVENING COMMITTEE WAS CREATED TO HELP DEVELOP THE CHIP IMPLEMENTATION PLAN AND IDENTIFY COMMUNITY STAKEHOLDERS TO HELP MOVE THE PLAN FORWARD. DURING THREE SEPARATE MEETINGS THEY REVIEWED THE IDENTIFIED NEEDS OF THE 2023-2025 CHIP, DISCUSSED GAPS, CHALLENGES AND BARRIERS THAT EXIST IN SAWYER COUNTY RELEVANT TO EACH NEED AND IDENTIFIED THE TOP PRIORITIES AND SMART GOALS IN ORDER TO DETERMINE WHERE THE WORK SHOULD START. THE CONVENING COMMITTEE ESTABLISHED THE TOP 3 PRIORITIES & SMART GOALS -CHILDREN AND YOUNG ADULTS: HEALTH EDUCATION PREVENTION1. SURVEY WHAT IS CURRENTLY BEING OFFERED IN SCHOOLS AND COMMUNITY. ANALYZE FOR GAPS. CREATE A PLAN FOR CLOSING AT LEAST ONE GAP. 2. OFFER AT LEAST ONE HEALTHY LIFESTYLE PRESENTATION TO YOUTH. USE THIS AS A LAUNCHING EVENT FOR A YOUTH HEALTHY LIFESTYLE GROUP. 3. PARTICIPATE IN COMMUNITY ACE (ADVERSE CHILDHOOD EVENTS) PRESENTATION WHICH MAY FOCUS MORE ON PARENTS/GUARDIANS. CONSIDER WHAT ACE TRAINING AND INTERVENTION STRATEGIES MAY BE APPROPRIATE FOR MIDDLE SCHOOLERS/HIGH SCHOOLERS.-ADULTS: ALCOHOL & DRUG RECOVERY GROUPS/SERVICES1. DISSEMINATE AND PUBLICIZE RECOVERY GROUP MEETING INFORMATION AND DETAILS THROUGHOUT THE COUNTY. THIS SHOULD INCLUDE INFO ON MEDICATION ASSISTED THERAPY AND HOW AND WHERE TO ACCESS SERVICES. 2. CREATE AND PUBLICIZE ROAD MAP FOR RECOVERY SERVICES IN SAWYER COUNTY/REGIONALLY FOR INDIVIDUAL AND FAMILIES TO ACCESS. 3. IDENTIFY AND DOCUMENT GAPS IN RECOVERY SERVICES. CLOSE AT LEAST ONE GAP IN RECOVERY SERVICE CARE.-ADULTS: MENTAL HEALTH TRAUMA INFORMED CARE1. UPDATE TRAUMA INFORMED CARE TRAINING FOR PUBLIC HEALTH STAFF, HEALTH CARE STAFF, SCHOOL STAFF, BEHAVIORAL HEALTH STAFF, PASTORS, ETC. CREATE BEST PRACTICE SHEET FOR IMPLEMENTATION INTO EVERY PRACTICE. 2. HOST COMMUNITY EVENT ON ACES AND ACE INTERVENTIONS. 3. CREATE AND PUBLICIZE ROAD MAP FOR COUNTY/REGIONALLY WIDE BEHAVIORAL HEALTH SERVICES AND HOW TO ACCESS THEM.THE CONVENING COMMITTEE WAS ALSO ASKED TO IDENTIFY INDIVIDUALS AND GROUPS TO SERVE ON A STEERING TEAM AND WORK GROUPS.THE STEERING TEAM WAS IDENTIFIED AND HELD THEIR FIRST MEETING IN NOVEMBER 2022. THE FIRST TASK OF THE STEERING TEAM WAS TO DEVELOP A CHARTER.WORK GROUP MEETINGSIN FEBRUARY 2023, PLANNING OCCURRED TO IMPLEMENT WORK GROUPS FOR THE 3 PRIORITIES AS IDENTIFIED BY THE CONVENING COMMITTEE. CHIP WORK GROUPS, ARE MADE UP OF REPRESENTATIVES FROM A VARIETY OF AGENCIES AND ORGANIZATIONS IN SAWYER COUNTY BASED ON THE CURRENT HEALTH PRIORITIES. THE WORK GROUPS ARE LED BY A CHAIR OR CO-CHAIRS WHO ARE ALSO MEMBERS OF THE STEERING COMMITTEE. EACH WORK GROUP MEMBER IS ASKED TO BE AN ACTIVE PARTICIPANT IN DEVELOPING TACTICS AND PLANS TO ACHIEVE THE ESTABLISHED SMART GOALS FOR THE HEALTH PRIORITY THEY WERE RECRUITED TO SUPPORT. THE CHIP WORK GROUPS WILL BEGIN MEETING AND WORKING ON THE SMART GOALS AS IDENTIFIED BY THE CONVENING COMMITTEE IN YEAR TWO OF THE CHIP PLAN. 1. CHILDREN AND YOUNG ADULTS: HEALTH EDUCATION PREVENTION2. ADULTS: ALCOHOL & DRUG RECOVERY GROUPS/SERVICES3. ADULTS: MENTAL HEALTH TRAUMA INFORMED CAREPRIORITY 3: EXPLORE OFFERING CHRONIC DISEASE MANAGEMENT SKILL BUILDING USING THE STANFORD CURRICULUM OF LIVING BETTER WITH CHRONIC DISEASE FOR YOUNG ADULTS THROUGH SENIORS.WORK HAS NOT BEGUN ON THIS PRIORITY.SEE PART V, PAGE 8 FOR COMMUNITY HEALTH NEEDS NOT ADDRESSED. PART V, LINE 16A, FAP WEBSITE: HTTP://HAYWARDMEMORIALHOSPITAL.COM/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE-POLICY/ PART V, LINE 16B, FAP APPLICATION FORM WEBSITE: HTTPS://HAYWARDMEMORIALHOSPITAL.COM/WP-LIB/WP-CONTENT/UPLOADS/2022/03/HAMH-FINANCIAL-ASSISTANCE-APPLICATION-UPDATED-2.22.22.PDF PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY: HTTPS://HAYWARDMEMORIALHOSPITAL.COM/WP-LIB/WP-CONTENT/UPLOADS/2022/03/2022-HAMH-FAP-PLAIN-LANGUAGE-SUMMARY-FANCY-W-BLANK-FONT.PDF PART V, LINE 16I, FAP TRANSLATION: DUE TO THE SMALL SIZES OF THE LIMITED ENGLISH PROFICIENCY (LEP) POPULATIONS OF THE COMMUNITIES SERVED BY THE ORGANIZATION, THE ORGANIZATION WAS NOT REQUIRED TO TRANSLATE THE FINANCIAL ASSISTANCE POLICY (FAP), THE FAP APPLICATION FORM, OR THE PLAIN LANGUAGE SUMMARY OF THE FAP TO OTHER LANGUAGES. PART V, LINE 7A, CHNA - HOSPITAL'S WEBSITE: HTTPS://HAYWARDMEMORIALHOSPITAL.COM/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ PART V, LINE 10, IMPLEMENTATION PLAN WEBSITE: HTTPS://HAYWARDMEMORIALHOSPITAL.COM/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ PART V, SECTION B, LINE 11, CONTINUED: COMMUNITY HEALTH NEEDS NOT ADDRESSED/ADDITIONAL IDENTIFIED PRIORITIES: THE COMMUNITY HEALTH IMPROVEMENT PLAN COMMITTEE IDENTIFIED SEVERAL OTHER HEALTH CONCERNS PREVALENT IN OUR COMMUNITIES WHICH INCLUDED, BUT WERE NOT LIMITED TO: COMMUNICABLE DISEASE, INJURY AND VIOLENCE, NUTRITION, GROWTH AND DEVELOPMENT, PHYSICAL HEALTH, TABACCO USE. ENVIRONMENTAL AND OCCUPATION, ORAL HEALTH, REPRODUCTIVE AND SEXUAL ISSUES, ETC.STAKEHOLDERS WERE ASKED TO RANK THESE HEALTH CONCERNS BY PRIORITY, AND WHILE ALL ARE IMPORTANT AND DEMAND TO BE ACKNOWLEDGED, THE COMMITTEE DECIDED TO USE AVAILABLE RESOURCES IN THE MOST EFFICIENT WAY POSSIBLE. THIS MEANT PRIORITIZING THREE ISSUES FOR THE GREATEST IMPACT, RATHER THAN TRYING TO DO A LITTLE IN EACH AREA. 2 1 - WATER'S EDGE 11040 N STATE ROAD 77 HAYWARD WI 54843 NURSING HOME 2 - WATER'S EDGE 11040 N STATE ROAD 77 HAYWARD WI 54843 ASSISTED LIVING FACILITY PART I, LINE 7: COSTS ARE CALCULATED USING FINANCIAL DATA AND THE COST TO CHARGE RATIO FROM THE AS FILED MEDICARE COST REPORT. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDE RESPIRATORY THERAPY, REHAB SERVICES, OBSERVATION BEDS, NURSING HOME AND ASSISTED LIVING. PART I, LN 7 COL(F): IMPLICIT PRICE CONCESSIONS FROM FINANCIAL STATEMENTS IS $2,623,168. PART II, COMMUNITY BUILDING ACTIVITIES: MANY PROGRAMS HAVE BEEN DESIGNED TO HELP PATIENTS OF THE COMMUNITY. BLOOD DRIVES, LIFELINE, PALS CLASSES, NRP CLASS, AND ACLS CLASSES ARE EXAMPLES OF THE COMMUNITY ACTIVITIES HAYWARD HOSPITAL IS CURRENTLY INVOLVED IN. IN ADDITION, COMMUNITY BENEFIT OPERATIONS THAT THE HOSPITAL IS INVOLVED WITH INCLUDE COMMUNITY SUPPERS, BIRKIE MEDICAL DIRECTORSHIP, BIRKIE MEDICAL TEAM, COMMUNITY PICNIC, AND TEAM DINNERS. THE ACTIVITIES HAVE BEEN REPORTED ON SCHEDULE H, PART I, LINE 7E.WORKFORCE DEVELOPMENT - HAMH PURCHASED A LARGE, MULTI-ROOM HOME IN DECEMBER 2018 TO HOUSE MEDICAL STUDENTS AND LOCUM PROVIDERS WITH THE INTENT TO ATTRACT MEDICAL STUDENTS TO COME TO HAYWARD FOR THEIR RESIDENCY AND SEEK EMPLOYMENT IN THE HAYWARD AREA AFTER GRADUATION. PART III, LINE 2: REVENUES GENERALLY RELATE TO CONTRACTS WITH PATIENTS IN WHICH THE PERFORMANCE OBLIGATIONS ARE TO PROVIDE HEALTH CARE SERVICES TO THE PATIENTS. REVENUES ARE RECORDED DURING THE PERIOD THE PERFORMANCE OBLIGATIONS TO PROVIDE HEALTH CARE SERVICES ARE SATISFIED. THE COMPANY'S PERFORMANCE OBLIGATIONS FOR INPATIENT SERVICES ARE GENERALLY SATISFIED OVER PERIODS THAT AVERAGE APPROXIMATELY THREE DAYS, AND REVENUES ARE RECOGNIZED BASED ON CHARGES INCURRED IN RELATION TO TOTAL EXPECTED CHARGES. PERFORMANCE OBLIGATIONS FOR OUTPATIENT SERVICES ARE GENERALLY SATISFIED OVER A PERIOD OF LESS THAN ONE DAY.REVENUES ARE BASED UPON THE ESTIMATED AMOUNTS THE COMPANY EXPECTS TO BE ENTITLED TO RECEIVE FROM PATIENTS, INCLUDING PAYMENTS MADE BY THIRD-PARTY PAYORS ON BEHALF OF PATIENTS. ESTIMATES OF CONTRACTUAL ALLOWANCES UNDER MANAGED CARE AND COMMERCIAL INSURANCE PLANS ARE BASED UPON THE PAYMENT TERMS SPECIFIED IN THE RELATED CONTRACTUAL AGREEMENTS. REVENUES RELATED TO UNINSURED PATIENTS AND UNINSURED COPAYMENTS AND DEDUCTIBLE AMOUNTS FOR PATIENTS WHO HAVE HEALTH CARE COVERAGE MAY HAVE DISCOUNTS APPLIED (UNINSURED DISCOUNTS AND CONTRACTUAL DISCOUNTS). THE COMPANY ALSO RECORDS ESTIMATED IMPLICIT PRICE CONCESSIONS (BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE) RELATED TO UNINSURED ACCOUNTS TO RECORD SELF-PAY REVENUES AT THE ESTIMATED AMOUNTS THE COMPANY EXPECTS TO COLLECT.UNDER THE PROVISIONS OF ACCOUNTING STANDARDS UPDATE (ASU) NO. 2014-09, WHEN THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME, THE RIGHT IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THE COMPANY HAS THE UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYORS FOR RETROACTIVE ADJUSTMENTS ARE RECEIVABLES IF THE COMPANY'S RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTIBLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT ACCOUNTS RECEIVABLE RATHER THAN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE COMPANY DETERMINES THIS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTION EXPERIENCE WITH CERTAIN CLASSES OF PATIENTS USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR PATIENT CONTRACTS AS COLLECTIVE GROUPS RATHER THAN INDIVIDUALLY. THE FINANCIAL STATEMENT EFFECTS OF USING THIS PRACTICAL EXPEDIENT ARE NOT MATERIALLY DIFFERENT FROM AN INDIVIDUAL CONTRACT APPROACH.THE PRIMARY COLLECTIONS RISKS RELATE TO UNINSURED PATIENT ACCOUNTS, INCLUDING PATIENT ACCOUNTS FOR WHICH THE PRIMARY INSURANCE CARRIER HAS PAID THE AMOUNTS COVERED BY THE APPLICABLE AGREEMENT, BUT THE PATIENT RESPONSIBILITY AMOUNTS (DEDUCTIBLES AND COPAYMENTS) REMAIN OUTSTANDING. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO AMOUNTS DUE DIRECTLY FROM PATIENTS. ESTIMATED IMPLICIT PRICE CONCESSIONS ARE RECORDED FOR ALL UNINSURED ACCOUNTS, REGARDLESS OF THE AGING OF THOSE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN PERFORMED. PART III, LINE 3: AT HAYWARD AREA MEMORIAL HOSPITAL, IMPLICIT PRICE CONCESSIONS ARE CONSIDERED THE UNWILLINGNESS TO PAY, WHILE CHARITY CARE AND FREE CARE ARE INABILITY TO PAY. PART III, LINE 4: SEE FOOTNOTE 1 ON PAGE 8 OF THE AUDITED FINANCIAL STATEMENTS PART III, LINE 8: THE COSTING METHODOLOGY USED IN DETERMINING THE MEDICARE ALLOWABLE COST REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6:THE HOSPITAL FOLLOWED MEDICARE'S PRESCRIBED METHODS OF DETERMINING COSTS PAYABLE UNDER TITLE XVIII (MEDICARE) IN COMPLETING ITS ANNUAL MEDICARE COST REPORT (COST REPORT) USING DATA AVAILABLE FROM THE INSTITUTION'S BASIC ACCOUNTS, AS USUALLY MAINTAINED, TO ARRIVE AT EQUITABLE AND PROPER PAYMENT FOR SERVICES. THE COST REPORT WAS COMPLETED USING THE HOSPITAL'S TRIAL BALANCE OF EXPENSES, AS WELL AS OTHER STATISTICAL AND FINANCIAL RECORDS MAINTAINED BY THE HOSPITAL. AS REQUIRED BY MEDICARE REGULATIONS, CERTAIN RECLASSIFICATIONS AND ADJUSTMENTS TO COSTS WERE INCLUDED IN THE COST REPORT TO DETERMINE MEDICARE ALLOWABLE COSTS.AFTER MEDICARE ALLOWABLE COSTS ARE DETERMINED, THE COST REPORT PROVIDES FOR THE STEP DOWN METHOD OF COST FINDING. THIS METHOD PROVIDES FOR ALLOCATING THE COST OF SERVICES RENDERED BY EACH GENERAL SERVICE COST CENTER TO OTHER COST CENTERS, WHICH UTILIZE THE SERVICES. ONCE THE COSTS OF A GENERAL SERVICE COST CENTER HAVE BEEN ALLOCATED, THAT COST CENTER IS CONSIDERED CLOSED. ONCE CLOSED, IT DOES NOT RECEIVE ANY OF THE COSTS SUBSEQUENTLY ALLOCATED FROM THE REMAINING GENERAL SERVICE COST CENTERS. AFTER ALL COSTS OF THE GENERAL SERVICE COST CENTERS HAVE BEEN ALLOCATED TO THE REMAINING COST CENTERS, THE TOTAL COSTS OF THESE REMAINING COST CENTERS ARE FURTHER DISTRIBUTED TO THE DEPARTMENTAL CLASSIFICATION TO WHICH THEY PERTAIN, E.G., HOSPITAL GENERAL INPATIENT ROUTINE, SUBPROVIDER, ANCILLARY, ETC.AFTER THE STEP-DOWN PROCESS, THE COST REPORT PROVIDES FOR THE APPORTIONMENT OF COSTS TO THE MEDICARE PROGRAM BASED ON A NUMBER OF DIFFERENT METHODOLOGIES INCLUDING PER PATIENT DAY, PER VISIT, AND PERCENTAGE OF CHARGES, AS MOST PREVALENT. MEDICARE COSTS AS DETERMINED BY THE COST REPORT METHODOLOGIES DESCRIBED PREVIOUSLY WERE UTILIZED TO COMPLETE THE APPLICABLE MEDICARE ALLOWABLE COSTS OF CARE FOR SCHEDULE H (FORM 990) PART III SECTION B LINE 6. PART III, LINE 9B: HAYWARD AREA MEMORIAL HOSPITAL'S BILLING AND COLLECTION POLICY STATES:A. SUBJECT TO COMPLIANCE WITH THE PROVISIONS OF THIS POLICY, HAMH MAY TAKE ANY AND ALL LEGAL ACTIONS, INCLUDING EXTRAORDINARY COLLECTION ACTIONS, TO OBTAIN PAYMENT FOR MEDICAL SERVICES PROVIDED.B. ALL PATIENTS WILL BE OFFERED A PLAIN LANGUAGE SUMMARY (APPENDIX A) AND AN APPLICATION FORM (APPENDIX B) FOR FINANCIAL ASSISTANCE UNDER THE FAP AS PART OF THE DISCHARGE OR INTAKE PROCESS FROM A HOSPITAL.C. AT LEAST THREE SEPARATE STATEMENTS FOR COLLECTION OF SELF-PAY ACCOUNTS SHALL BE MAILED OR EMAILED TO THE LAST KNOWN ADDRESS OF EACH RESPONSIBLE INDIVIDUAL(S); PROVIDED, HOWEVER, THAT NO ADDITIONAL STATEMENTS NEED BE SENT AFTER A RESPONSIBLE INDIVIDUAL(S) SUBMITS A COMPLETE APPLICATION FOR FINANCIAL ASSISTANCE UNDER THE FAP OR HAS PAID IN-FULL. AT LEAST 60 DAYS SHALL HAVE ELAPSED BETWEEN THE FIRST AND LAST OF THE REQUIRED THREE MAILINGS. IT IS THE RESPONSIBLE INDIVIDUAL(S) OBLIGATION TO PROVIDE A CORRECT MAILING ADDRESS AT THE TIME OF SERVICE OR UPON MOVING. IF AN ACCOUNT DOES NOT HAVE A VALID ADDRESS, THE DETERMINATION FOR "REASONABLE EFFORT" WILL HAVE BEEN MADE. ALL SINGLE PATIENT ACCOUNT STATEMENTS OF SELF-PAY ACCOUNTS WILL INCLUDE BUT NOT LIMITED TO:1. AN ACCURATE SUMMARY OF THE HOSPITAL SERVICES COVERED BY THE STATEMENT;2. THE CHARGES FOR SUCH SERVICES;3. THE AMOUNT REQUIRED TO BE PAID BY THE RESPONSIBLE INDIVIDUAL(S) (OR, IF SUCH AMOUNT IS NOT KNOWN, A GOOD FAITH ESTIMATE OF SUCH AMOUNT AS OF THE DATE OF THE INITIAL STATEMENT); AND4. A CONSPICUOUS WRITTEN NOTICE THAT NOTIFIES AND INFORMS THE RESPONSIBLE INDIVIDUAL(S) ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE HOSPITAL FAP INCLUDING THE TELEPHONE NUMBER OF THE DEPARTMENT AND DIRECT WEBSITE ADDRESS WHERE COPIES OF DOCUMENTS MAY BE OBTAINED.D. AT LEAST ONE OF THE STATEMENTS MAILED OR EMAILED WILL INCLUDE WRITTEN NOTICE THAT INFORMS THE RESPONSIBLE INDIVIDUAL(S) ABOUT THE ECAS THAT ARE INTENDED TO BE TAKEN IF THE RESPONSIBLE INDIVIDUAL(S) DOES NOT APPLY FOR FINANCIAL ASSISTANCE UNDER THE FAP OR PAY THE AMOUNT DUE BY THE BILLING DEADLINE. SUCH STATEMENT MUST BE PROVIDED TO THE RESPONSIBLE INDIVIDUAL(S) AT LEAST 30 DAYS BEFORE THE DEADLINE SPECIFIED IN THE STATEMENT. A PLAIN LANGUAGE SUMMARY WILL ACCOMPANY THIS STATEMENT. IT IS THE RESPONSIBLE INDIVIDUAL(S) OBLIGATION TO PROVIDE A CORRECT MAILING ADDRESS AT THE TIME OF SERVICE OR UPON MOVING. IF AN ACCOUNT DOES NOT HAVE A VALID ADDRESS,THE DETERMINATION FOR "REASONABLE EFFORT" WILL HAVE BEEN MADE.E. RESPONSIBLE INDIVIDUAL(S) PROPENSITY TO PAY WILL BE SCORED BASED ON THAT ASSESSMENT OF THE RESPONSIBLE INDIVIDUAL(S) LIKELIHOOD TO PAY AND DOLLAR AMOUNT OF THE SELF-PAY ACCOUNT.F. HAMH OFFERS PAYMENT PLANS THAT BEAR NO INTEREST.G. PRIOR TO INITIATION OF ANY ECAS, AN ORAL ATTEMPT WILL BE MADE TO CONTACT RESPONSIBLE INDIVIDUAL(S) BY TELEPHONE AT THE LAST KNOWN TELEPHONE NUMBER, IF ANY, AT LEAST ONCE DURING THE SERIES OF MAILED OR EMAILED STATEMENTS IF THE ACCOUNT REMAINS UNPAID. DURING ALL CONVERSATIONS, THE PATIENT OR RESPONSIBLE INDIVIDUAL(S) WILL BE INFORMED ABOUT THE FINANCIAL ASSISTANCE THAT MAY BE AVAILABLE UNDER THE FAP.H. ECAS MAY BE COMMENCED AS FOLLOWS:1. IF ANY RESPONSIBLE INDIVIDUAL(S) FAIL TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE FAP BY 120 DAYS AFTER THE FIRST POST DISCHARGE STATEMENT, AND THE RESPONSIBLE PARTIES HAVE RECEIVED A STATEMENT WITH A BILLING DEADLINE DESCRIBED IN SECTION III.E ABOVE, THEN HAMH OR COLLECTION AGENCY MAY INITIATE ECAS.2. IF ANY RESPONSIBLE INDIVIDUAL(S) SUBMITS AN INCOMPLETE APPLICATION FOR FINANCIAL ASSISTANCE UNDER THE FAP PRIOR TO THE APPLICATION DEADLINE, THEN ECAS MAY NOT BE INITIATED UNTIL AFTER EACH OF THE FOLLOWING STEPS HAS BEEN COMPLETED:A. PFS PROVIDES THE RESPONSIBLE INDIVIDUAL(S) WITH A WRITTEN NOTICE THAT DESCRIBES THE ADDITIONAL INFORMATION OR DOCUMENTATION REQUIRED UNDER THE FAP IN ORDER TO COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE, WHICH NOTICE WILL INCLUDE A COPY OF THE PLAIN LANGUAGE SUMMARY.B. PFS PROVIDES THE RESPONSIBLE INDIVIDUAL(S) WITH AT LEAST 30 DAYS' PRIOR WRITTEN NOTICE OF THE ECAS THAT HAMH OR COLLECTION AGENCY MAY INITIATE AGAINST THE RESPONSIBLE INDIVIDUAL(S) IF THE FAP APPLICATION IS NOT COMPLETED OR PAYMENT IS NOT MADE; PROVIDED, HOWEVER, THAT THE COMPLETION DEADLINE FOR PAYMENT MAY NOT BE SET PRIOR TO 120 DAYS AFTER THE FIRST POST DISCHARGE STATEMENT.C. IF THE RESPONSIBLE INDIVIDUAL(S) WHO HAS SUBMITTED THE INCOMPLETE APPLICATION COMPLETES THE APPLICATION FOR FINANCIAL ASSISTANCE, AND PFS DETERMINES DEFINITIVELY THAT THE RESPONSIBLE INDIVIDUAL(S) IS INELIGIBLE FOR ANY FINANCIAL ASSISTANCE UNDER THE FAP, HAMH WILL INFORM THE RESPONSIBLE INDIVIDUAL(S) IN WRITING THE DENIAL AND INCLUDE A 30 DAYS' PRIOR WRITTEN NOTICE OF THE ECAS THAT HAMH OR COLLECTION AGENCY MAY INITIATE AGAINST THE RESPONSIBLE INDIVIDUAL(S); PROVIDED, HOWEVER, THAT THE BILLING DEADLINE MAY NOT BE SET PRIOR TO 120 DAYS AFTER THE FIRST POST DISCHARGE STATEMENT.D. IF THE RESPONSIBLE INDIVIDUAL(S) WHO HAS SUBMITTED THE INCOMPLETE APPLICATION FAILS TO COMPLETE THE APPLICATION BY THE COMPLETION DEADLINE SET IN THE NOTICE PROVIDED PURSUANT TO SECTION III.G.3.B ABOVE, THEN ECAS MAY BE INITIATED.E. IF AN APPLICATION, COMPLETE OR INCOMPLETE, FOR FINANCIAL ASSISTANCE UNDER THE FAP IS SUBMITTED BY A RESPONSIBLE INDIVIDUAL(S), AT ANY TIME PRIOR TO THE APPLICATION DEADLINE, HAMH WILL SUSPEND ECAS WHILE SUCH FINANCIAL ASSISTANCE APPLICATION IS PENDING.I. AFTER THE COMMENCEMENT OF ECAS IS PERMITTED UNDER SECTION III.G ABOVE, COLLECTION AGENCIES SHALL BE AUTHORIZED TO REPORT UNPAID ACCOUNTS TO CREDIT AGENCIES, AND TO FILE JUDICIAL OR LEGAL ACTION, GARNISHMENT, OBTAIN JUDGMENT LIENS AND EXECUTE UPON SUCH JUDGMENT LIENS USING LAWFUL MEANS OF COLLECTION; PROVIDED, HOWEVER, THAT PRIOR APPROVAL OF PFS SHALL BE REQUIRED BEFORE INITIAL LAWSUITS MAY BE INITIATED. HAMH AND EXTERNAL COLLECTION AGENCIES MAY ALSO TAKE ANY AND ALL LEGAL OTHER ACTIONS INCLUDING BUT NOT LIMITED TO TELEPHONE CALLS, EMAILS, TEXTS, MAILING NOTICES, AND SKIP TRACING TO OBTAIN PAYMENT FOR MEDICAL SERVICES PROVIDED.IV. POLICY AVAILABILITYCONTACT OUR BUSINESS OFFICE AT 715-934-4267 FOR INFORMATION REGARDING ELIGIBILITY OR THE PROGRAMS THAT MAY BE AVAILABLE TO YOU, TO REQUEST A COPY OF THE FAP, FAP APPLICATION FORM, OR COLLECTION POLICY TO BE MAILED TO YOU, OR IF YOU NEED A COPY OF THE FAP, FAP APPLICATION FORM, OR COLLECTION POLICY TRANSLATED TO SPANISH. FULL DISCLOSURE OF THE FAP, FAP APPLICATION FORM, OR COLLECTION POLICY MAY BE FOUND AT WWW.HAYWARDMEMORIALHOSPITAL.COM/FINANCIAL-SERVICES/ . A PAPER COPY OF OUR FAP, FAP APPLICATION FORM, OR COLLECTION POLICY CAN BE OBTAINED AT OUR FACILITY LOCATED AT 11040N STATE RD. 77, HAYWARD, WI 54843 AT THE REGISTRATION DESK.PATIENTS REQUEST ASSISTANCE AND AT THAT POINT RECEIVE THE DOCUMENTS TO APPLY FOR CHARITY CARE. MEDICAL SERVICES, INC DOES POST A LARGE SIGN IN THE LOBBY THAT STATES "THIS HEALTH CARE FACILITY IS REQUIRED TO GIVE A REASONABLE AMOUNT OF ITS SERVICES FREE OR AT A REDUCED CHARGE TO PERSONS WHO CANNOT AFFORD TO PAY FOR MEDICAL CARE. IF YOU ARE NOT ABLE TO PAY FOR ALL OR PART OF THE CARE YOU NEED, PLEASE CONTACT THE ADMISSIONS OR BUSINESS OFFICE OF THIS FACILITY AND ASK ABOUT THE AVAILABILITY OF SUCH CARE". THIS SIGN IS PLACED IN A LOCATION THAT ALL PATIENTS CAN SEE AND ASK FOR DOCUMENTS TO COMPLETE TO START THE CHARITY CARE APPLICATION PROCESS. COMMUNITY CARE INFORMATION IS ALSO INCLUDED IN ALL ADMISSION FOLDERS AND ALL ROOMS HAVE INFORMATIONAL BINDERS WITH CHARITY CARE INFORMATION. OUR FINANCIAL ASSISTANCE POLICY IS ALSO AVAILABLE ON OUR WEBSITE ALONG WITH THE APPLICATION. PART VI, LINE 2: NEEDS ASSESSMENT:FACILITY STAFF PARTICIPATE IN THE COMMUNITY NEEDS ASSESSMENT PROCESS WITH THE SAWYER COUNTY HEALTH DEPARTMENT, COMMUNITY HEALTH CLINICS, ASSISTED LIVING FACILITY, AND PHYSICIANS FROM THE COMMUNITY. FOLLOWING THE COMPLETION OF THE ASSESSMENT, VARIOUS WORK GROUPS ARE CONVENED. APPROPRIATE STAFF MEMBERS FROM THE FACILITY THEN WORK WITH COMMUNITY MEMBERS TO DEVELOP PROGRAMS AND APPROACHES TO ADDRESS THE IDENTIFIED HEALTH ISSUES. SOME EXAMPLES INCLUDE ABUSE OF PRESCRIPTION DRUGS, SEXUAL ABUSE PREVENTION PROGRAMS, UNDERAGE ALCOHOL USE, TRANSPORT ISSUES, TELEHEALTH, PATIENT ADVOCACY PROGRAM, AND REDUCED COST CLINIC. SENIOR LEADERS OF THE ORGANIZATION, ALONG WITH OUR BOARD OF DIRECTORS, CONTINUALLY EVALUATE THE NEED FOR ADDITIONAL SERVICES IN OUR COMMUNITY. WE ALSO HAVE A PATIENT FAMILY ADVISORY COMMITTEE (PFAC) WE UTILIZE TO PROVIDE COMMUNITY/PATIENT FEEDBACK REGARDING SERVICES/NEEDS, ETC. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:ALL PATIENTS ARE BILLED THE SAME, HOWEVER, IF A PATIENT BECOMES DELINQUENT ON A BILL, A LETTER IS SENT TO THE PATIENT ASKING THAT THE PATIENT CONTACT PATIENT FINANCIAL SERVICES FOR ASSISTANCE. PATIENTS HAVE THE OPTION TO DISCUSS PAYMENT OPTIONS WITH PATIENT FINANCIAL SERVICES AND POSSIBLE ELIGIBILITY FOR CHARITY CARE. PART VI, LINE 4: COMMUNITY INFORMATION:HAYWARD WISCONSIN IS LOCATED IN NORTHERN WISCONSIN AND CONSISTS OF A HIGH MEDICARE AND MEDICAID POPULATION. THE MEDICARE AND MEDICAID POPULATION ACCOUNTS FOR 69% OF THE HOSPITAL'S GROSS REVENUES AND 57% OF ITS NET PATIENT SERVICE REVENUES. HAYWARD IS CONSIDERED A SUMMER VACATION DESTINATION THAT BRINGS LARGE CROWDS DURING THE SUMMER MONTHS. THE EMERGENCY DEPARTMENT SERVES A LARGE NUMBER OF PATIENTS THAT RANGE FROM COMMERCIAL INSURANCE, MEDICARE, MEDICAID, IHS (INDIAN HEALTH SERVICES), ETC. HAYWARD HOSPITAL IS FOCUSED ON PROVIDING HIGH QUALITY HEALTHCARE IN A RURAL LOCATION. MANY SERVICES ARE PROVIDED BY HAYWARD HOSPITAL, ALLOWING LESS PATIENT TRAVEL AT A TIME WHEN THE PATIENT IS LIKELY NOT FEELING WELL. THE HAYWARD COMMUNITY IS AN AGING POPULATION AND WE RECOGNIZE THAT NEED AND HAVE COMMITTED MILLIONS OF DOLLARS INTO SERVICES FOR THE OLDER POPULATION. WE BELIEVE HAYWARD HOSPITAL PROVIDES EXCEPTIONAL CARE IN A RURAL LOCATION. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH:OPEN MEDICAL STAFF. COMMUNITY CALL PROGRAM FOR MEDICAL STAFF. LOCAL COMMUNITY BOARD WITH 12 VOTING MEMBERS. NONPROFIT STATUS WITH PROFITS (IF ANY) USED FOR ADDITIONAL SERVICES, CAPITAL PURCHASES SUCH AS A CT SCANNER, LAB EQUIPMENT, ELECTRONIC HEALTH RECORD, IMPROVED INPATIENT SERVICES, OB PROGRAM, CONTINUED EDUCATION FOR ALL STAFF, GROWING SENIOR SERVICES PROGRAM AND A FOCUS ON THE NEEDS OF THE COMMUNITY. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM:MEDICAL SERVICES, INC. IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. PART VI, LINE 7, REPORTS FILED WITH STATES WI 0 0 0 0 0 0 0 0 0 BRIAN DONAHUE PHYSICIAN 999202 0 15000 0 1584 0 15250 0 47763 0 1078799 0 0 0 PAUL TONKIN PHYSICIAN 946145 0 10000 0 240 0 15250 0 46935 0 1018570 0 0 0 DAVID LYNN PHYSICIAN 647288 0 15000 0 360 0 15250 0 48103 0 726001 0 0 0 JASON DOUGLAS DIRECTOR/PRESIDENT-REI 0 486235 0 154358 0 966 0 15250 0 44384 0 701193 0 0 LUKE BEIRL DIRECTOR/CEO-MSI 334732 0 78538 0 216 0 15250 0 51683 0 480419 0 0 0 IMTIAZ MOHAMED PHYSICIAN 406995 0 0 0 1032 0 15250 0 45963 0 469240 0 0 0 KENT DUMONSEAU CFO - REI 0 317750 0 91500 0 360 0 15250 0 42605 0 467465 0 0 RYAN SPORTEL CHIEF CRNA 338438 0 54938 0 349 0 15250 0 47057 0 456032 0 0 0 HEATHER SHEEHAN COO 186990 0 37733 0 171 0 9527 0 46668 0 281089 0 0 0 AINDREA LINDSAY CCO 181881 0 36711 0 248 0 9388 0 46291 0 274519 0 0 0 PART I, LINE 3 JASON DOUGLAS, PRESIDENT OF RELATED ORGANIZATION REGIONAL ENTERPRISES INC., DETERMINES CEO LUKE BEIRL'S SALARY AND COMPENSATION. HE UTILIZED DATA PREPARED BY THE INDEPENDENT COMPENSATION CONSULTANT WHICH INCLUDES 990 COMPARABILITY DATA. A TOWN OF HAYWARD WISCONSIN 396031517 2020-07-15 10000000 PROPERTY AND EQUIPMENT 0 0 0 B TOWN OF HAYWARD WISCONSIN 396031517 2020-07-15 3100000 REFINANCE 0 0 0 A 954510 10000000 149019 9850981 2021 0 0 1 1 B 1614046 3100000 62793 3037207 2010 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 1 JOHNSON BANK 11.000000000000 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 A 1 B 1 SARAH DUMONSEAU FAMILY MEMBER OF OFFICER KENT DUMONSEAU 132315 EMPLOYMENT 0 HALEY STELLMACHER FAMILY MEMBER OF OFFICER LUKE BEIRL 94487 EMPLOYMENT 0 FORM 990, PART VI, SECTION A, LINE 6 REGIONAL ENTERPRISES, INC. IS THE SOLE CORPORATE MEMBER OF MEDICAL SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A THE PRESIDENT OF REI SHALL BE AN EX OFFICIO MEMBER OF THE MSI BOARD WITH FULL VOTING PRIVILEGES. FORM 990, PART VI, SECTION A, LINE 7B AS THE SOLE MEMBER OF MEDICAL SERVICES, INC., REGIONAL ENTERPRISES, INC. HAS THE FOLLOWING RESERVE POWERS: A. TO MAKE, AMEND, OR REPEAL MSI'S BYLAWS AND ARTICLES OF INCORPORATION. B. TO APPROVE ANY CHANGE IN MSI'S PHILOSOPHY, MISSION OR VISION STATEMENTS, AND APPROVE THE LONG-RANGE GOALS AND STRATEGIC PLAN FOR MSI. C. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGET. D. TO APPROVE ALL BUILDING PROGRAMS THAT EXCEED $500,000 IN VALUE. E. TO SELECT AND RETAIN AN INDEPENDENT AUDITING FIRM. F. TO APPOVE THE PURCHASE, SALE, LEASE, DISPOSITION, OR ALIENATION OF ANY REAL PROPERTY OWNED BY MSI. ANY SUCH ACTION SHALL BE JOINTLY APPROVED BY THE BOARD OF DIRECTORS OF MEMORIAL MEDICAL CENTER OF ASHLAND, WISCONSIN. G. TO APPROVE ANY PLAN OF DISSOLUTION OR MERGER, CONSOLIDATION, ACQUISITION OR DISPOSITION OF REAL PROPERTY OR RELOCATION OF THE FACILITIES OF MSI. ANY SUCH ACTION SHALL BE JOINTLY APPROVED BY THE BOARD OF DIRECTORS OF MEMORIAL MEDICAL CENTER OF ASHLAND, WISCONSIN. H. TO AUTHORIZE THE PRESIDENT OF REI TO RECOMMEND TO THE BOARD OF MSI, THE INDIVIDUAL WHO WILL SERVE AS THE CHIEF EXECUTIVE OFFICER FOR MSI, SUBJECT TO RATIFICATION BY THE MSI BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE AND ACCOUNTING TEAM REVIEW THE 990 PRIOR TO FILING TO CONFIRM ACCURACY OF INFORMATION. THE 990 IS REVIEWED BY THE BOARD OF DIRECTORS BEFORE IT IS FILED. IF ANY CHANGES ARE MADE, A FINAL COPY OF THE 990 IS PROVIDED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR AND OFFICER SHALL DISCLOSE TO THE BOARD OF DIRECTORS, OR TO THE OTHER MEMBERS OF ANY COMMITTEE CONSIDERING A PROPOSED BUSINESS TRANSACTION OR ARRANGEMENT, THE EXISTENCE AND NATURE OF ANY FINANCIAL INTEREST SUCH PERSON OR A MEMBER OF SUCH PERSON'S FAMILY MAY HAVE WITH RESPECT TO SUCH PROPOSED TRANSACTION OR ARRANGEMENT. EACH DIRECTOR AND PRINCIPAL OFFICER SHALL PROMPTLY MAKE DISCLOSURES AS MAY BE NECESSARY TO KEEP THE BOARD OR COMMITTEE FULLY APPRISED OF SUCH PERSON'S FINANCIAL INTERESTS. DISCLOSURE SHALL ALSO BE ACCOMPLISHED ON AN ANNUAL BASIS BY HAVING EACH DIRECTOR AND PRINCIPAL OFFICER EXECUTE AND DELIVER TO MSI A CERTIFICATE REGARDING CONFLICTS OF INTEREST. IF ANY DIRECTOR OR PRINCIPAL OFFICER DISCLOSES A POTENTIAL FINANCIAL INTEREST TO THE BOARD OF DIRECTORS OR ANY COMMITTEE REGARDING A PROPOSED TRANSACTION OR ARRANGEMENT, THE BOARD OR COMMITTEE SHALL FIRST DETERMINE WHETHER THE PROPOSED TRANSACTION OR ARRANGEMENT COULD BE CONSIDERED AN INSIDER TRANSACTION. IF THE BOARD OR COMMITTEE IS CERTAIN THAT THE TRANSACTION OR ARRANGEMENT WILL NOT INVOLVE AN INSIDER, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF IT IS DETERMINED NO CONFLICT EXISTS, THE INTERESTED PERSON MAY REJOIN THE MEETING AND PARTICIPATE IN THE DISCUSSIONS AND ACTIONS REGARDING THIS AGENDA ITEM. THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER MSI CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN MSI'S BEST INTEREST AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO MSI. IF THE BOARD OR COMMITTEE BELIEVES AN ALTERNATE TRANSACTION COULD BE CONSIDERED THAT WOULD BE MORE ADVANTAGEOUS TO MSI, THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION. FURTHER ACTION BY THE BOARD OR COMMITTEE SHALL BE TABLED UNTIL SUCH TIME AS THE DISINTERESTED PERSON HAS BEEN ABLE TO REPORT HIS OR HER FINDINGS TO THE APPROPRIATE GOVERNING BODY. THE BOARD OR COMMITTEE SHALL NOT APPROVE ANY TRANSACTION OR ARRANGEMENT THAT IS NOT IN THE BEST INTERESTS OF MSI AND THAT IS NOT FAIR AND REASONABLE TO MSI. ONCE DISCUSSION AND/OR ACTION REGARDING THE AGENDA ITEM RELATING TO THE DIRECTOR'S FINANCIAL INTEREST HAS BEEN COMPLETED, THE INTERESTED PERSON MAY REJOIN THE BOARD OR COMMITTEE MEETING. IF THE TRANSACTION OR ARRANGEMENT INVOLVES OR MAY INVOLVE AN INSIDER, THE BOARD OR COMMITTEE SHALL FOLLOW THE PROCEDURES ABOVE AND THE INSIDER SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE INSIDER TRANSACTION IS DISCUSSED. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE WHETHER THE TRANSACTION OR ARRANGEMENT UNDER CONSIDERATION COULD CONSTITUTE AN INSIDER TRANSACTION. AS PART OF THIS CONSIDERATION, THE BOARD OR COMMITTEE SHALL ALSO CONSIDER WHETHER THEIR ACTION COULD BE CONSTRUED TO BE AN EXCESS BENEFIT TRANSACTION SUBJECT TO INTERMEDIATE SANCTIONS. IN DETERMINING WHETHER A TRANSACTION OR ARRANGEMENT IS AN EXCESS BENEFIT TRANSACTION, THE BOARD OR COMMITTEE CONSIDERING THE TRANSACTION OR ARRANGEMENT SHOULD REVIEW APPROPRIATE DATA AS TO COMPARABILITY (SUCH AS COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS IN THE REGION, NATIONAL COMPENSATION STUDIES, COMPETING OFFERS RECEIVED BY THE INSIDER, ASSET APPRAISALS OR RENTAL ANALYSES BY QUALIFIED APPRAISERS AND OTHER INFORMATION THAT MAY BE OBTAINED ABOUT COMPARABLE AGREEMENTS, PURCHASES, SALES AND LEASES). THE BOARD OR COMMITTEE MAY RELY ON SUCH INFORMATION OR DATA PROVIDED BY MSI'S MANAGEMENT. THE BOARD OR COMMITTEE SHALL NOT APPROVE ANY TRANSACTION OR ARRANGEMENT THAT IS AN EXCESS BENEFIT TRANSACTION. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A DIRECTOR OR PRINCIPAL OFFICER HAS FAILED TO DISCLOSE A FINANCIAL INTEREST, IT SHALL INFORM THE DIRECTOR OR PRINCIPAL OFFICER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE DIRECTOR OR PRINCIPAL OFFICER AN OPPORTUNITY TO EXPLAIN WHY DISCLOSURE WAS NOT MADE. IF, AFTER HEARING THE RESPONSE OF THE DIRECTOR OR PRINCIPAL OFFICER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE DIRECTOR HAS IN FACT FAILED TO DISCLOSE A FINANCIAL INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND/OR CORRECTIVE ACTION, WHICH MAY INCLUDE, BUT NOT BE LIMITED TO: SUSPENSION OF VOTING RIGHTS, RECISION OF ANY AGREEMENTS, AND TERMINATION OF DIRECTOR OR OFFICER STATUS. FORM 990, PART VI, SECTION B, LINE 15 HR WILL RESEARCH SALARY DATA FOR OUR REGION AND PROVIDE ADMINISTRATION WITH A TYPICAL COMPENSATION RANGE. DIFFICULT POSITIONS TO FILL, DEMANDS OF THE POSITION, EXPERIENCE, EDUCATION, PAST WORK HISTORY, AND REFERENCES ARE ALL TAKEN INTO CONSIDERATION WHEN DETERMINING COMPENSATION. UPDATES TO THE RANGES ARE PUT INTO PLACE AROUND JULY OR AUGUST EACH YEAR, IF CHANGES OCCURRED. DURING FY 2023, A COMPENSATION CONSULTANT WAS HIRED TO REVIEW THE COMPENSATION OF JASON DOUGLAS AND KENT DUMONSEAU. JASON DOUGLAS, PRESIDENT OF RELATED ORGANIZATION REGIONAL ENTERPRISES INC., DETERMINES CEO LUKE BEIRL'S SALARY AND COMPENSATION. HE UTILIZED DATA PREPARED BY THE INDEPENDENT COMPENSATION CONSULTANT WHICH INCLUDES 990 COMPARABILITY DATA. FORM 990, PART VI, SECTION C, LINE 19 THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE BY REQUEST FROM THE PUBLIC RELATIONS DIRECTOR FOR THE SAME PERIOD OF DISCLOSURE SET FORTH IN SECTION 6104(D). THE GOVERNING DOCUMENTS ARE CONFIDENTIAL AND NOT AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: GAIN ON INTEREST RATE SWAPS 350,228. MEMORIAL MEDICAL CENTER INC 1615 MAPLE LANE ASHLAND WI 54806 237013497 HEALTH CARE WI 501(C)(3) LINE 3 REGIONAL ENTERPRISES INC 0 REGIONAL ENTERPRISES INC 1615 MAPLE LANE ASHLAND WI 54806 391555837 SUPPORT WI 501(C)(3) LINE 12A, I MEMORIAL MEDICAL CENTER INC 0 REI MEDICAL CLINICS INC 1615 MAPLE LANE ASHLAND WI 54806 391701306 SUPPORT WI 501(C)(3) LINE 12A, I REGIONAL ENTERPRISES INC 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0