2021-11-15T23:49:28-06:00 2020-12-31 990 2020-01-01 391528430 AURORA MEDICAL CENTER BAY AREA INC AURO 4142991576 750 W VIRGINIA ST PO BOX 341880 MILWAUKEE WI 532341880 RACHEL HALVERSON VP-TAX AND ACCOUNTING SERVICES 4142991576 2021-11-15 0 RACHEL HALVERSON 999009999 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z JEFFREY DALEN-BARD 750 W VIRGINIA STREET MILWAUKEE WI 53204 107326805 0 X WWW.AURORAHEALTHCARE.ORG X 1985 WI BAY AREA MEDICAL CNETER (BAMC) IS A REGIONAL HEALTH CARE FACILITY PROVIDING A WIDE RANGE OF MEDICAL SERVICES TO THE RESIDENTS OF AMRINETTE AND MEMOMINEE COUTIES AND THE SURROUNDING AREAS. BAMC'S PRIMARY EXEMPT PURPOSE IS THE PROVISION OF HEALTH CARE SERVICES. 9 9 636 72 0 0 62400 8528069 96563469 97605437 806470 102866 -375115 1148264 97057224 107384636 0 0 0 0 38839488 37226201 0 0 0 56271808 65091801 95111296 102318002 1945928 5066634 206850392 222421819 102303578 117898919 104546814 104522900 WE ARE YOUR MEDICAL CENTER, STRIVING TO EXCEED YOUR EXPECTATIONS BY PROVIDING COMPASSIONATE, COST-EFFECTIVE, QUALITY HEALTHCARE TO ALL. 0 0 78141309 98753701 INPATIENT HOSPITAL SERVICES FOR MEDICAL, SURGICAL AND OBSTETRICS/GYNECOLOGY PATIENTS - BAMC PROVIDED CARE FOR 90,541 PATIENTS WHO WERE ADMITTED AS INPATIENTS DURING 2020. THESE SERVICES INCLUDED 24/7 CARE FOR PATIENTS ADMITTED WITH MEDICAL CONDITIONS WARRANTING A HOSPITAL STAY, PATIENTS ADMITTED FOR SURGICAL PROCEDURES EXTENSIVE ENOUGH TO REQUIRE A STAY OVERNIGHT OR FOR SEVERAL DAYS FOLLOWING THE PROCEDURES, AND PATIENTS ADMITTED FOR THE DELIVERY OF NEWBORNS.OUTPATIENT SURGICAL SERVICES - BAMC PERFORMED 128,345 OUTPATIENT SURGICAL PROCEDURES FOR OUTPATIENTS DURING 2020. THESE PROCEDURES INCLUDED ORTHOPEDIC, UROLOGICAL, GENERAL SURGERY, GYNECOLOGY, AND ENT SURGERIES. 78141309 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 51 0 636 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X ADVOCATE AURORA HEALTH INC 4142991576 750 W VIRGINIA ST PO BOX 341880 MILWAUKEE WI 532341880 DENNIS POTTS VICE PRESIDENT, DIRECTOR 1.00 55.00 X X 0 1512271 168788 MICHAEL LAPPIN SECRETARY, DIRECTOR 1.00 55.00 X X 0 1579916 188398 NAN NELSON ASSISTANT TREASURER, DIRECTOR 1.00 55.00 X X 0 815972 95664 JEFFREY DALEN-BARD PRESIDENT 1.00 55.00 X 0 846741 113142 DOMINIC NAKIS TREASURER 1.00 55.00 X 0 2001577 222808 SHELLY HART ASSISTANT SECRETARY 1.00 55.00 X 0 757127 113484 MICHAEL GREBE ASSISTANT SECRETARY 1.00 55.00 X 0 1181024 131982 MICHAEL KERNS ASSISTANT SECRETARY 1.00 55.00 X 0 524766 90542 JAMES SLINKMAN ASSISTANT SECRETARY 1.00 55.00 X 0 465570 85939 JAMES DOHENY ASSISTANT TREASURER 1.00 55.00 X 0 600229 93283 STEVE HUSER ASSISTANT TREASURER 1.00 55.00 X 0 476618 81094 LESLIE LENZO ASSISTANT TREASURER 1.00 55.00 X 0 906168 103790 EDWARD HARDING HOSPITAL PRESIDENT 55.00 0.00 X 594900 0 89950 MICHAEL KARKKAINEN MD PHYSICIAN 55.00 0.00 X 1006027 0 29465 KIRSTEN BUCK MD PHYSICIAN 55.00 0.00 X 790963 0 35641 MOHAMED EL-JACK MD PHYSICIAN 55.00 0.00 X 695488 0 35641 ALOK ARORA MD PHYSICIAN 55.00 0.00 X 529889 0 35641 SANDRA EWALD FORMER DIRECTOR (9/27/2019) 0.00 0.00 X 0 515191 4868 3617267 12183170 1720120 50 1 1 0 AMERICAN HEALTHCARE STAFFING ASSOCIATION PO BOX 1928 EDMOND OK 73083 STAFFING 451614 MIKE BRETL BUILDERS PO BOX 537 MARINETTE WI 54143 BUILDING CONTRACTOR 410003 POBLOCKI SIGN COMPANY LLC 922 SOUTH 70TH STREET WEST ALLIS WI 53214 BUILDING CONTRACTOR 151408 3 8509356 18713 8528069 NET PATIENT REVENUE 900099 97605437 97605437 97605437 42278 42278 2757 -57831 60588 60588 60588 ALL OTHER REVENUE 900099 1140692 1140692 DIRECT PUBLIC SUPPORT 900099 7572 7572 1148264 107384636 98753701 0 102866 28129712 25676378 2453334 -128700 -120978 -7722 6896456 5448200 1448256 2328733 2032285 296448 5104262 3215685 1888577 62040 62040 400265 272180 128085 3201937 3112603 89334 92187 56234 35953 26828 24682 2146 2418202 1631077 787125 15490214 16 15490198 9744753 9699245 45508 220541 220541 MEDICAL SUPPLIES 21722863 21722863 0 HOSPITAL TAX ASSESSMENT 2852724 2852724 0 ALL OTHER EXPENSES 1896219 597309 1298910 REPAIR AND MAINTENANCE 1858766 1858766 0 102318002 78141309 24176693 0 843117 59575408 30370541 13504059 15560220 2494219 2684726 690666 157922 152731714 13549245 156408719 139182469 0 0 444992 425024 2094079 4836050 206850392 222421819 11236426 13698458 6509388 0 79235000 81465000 0 9602152 18456073 102303578 117898919 X 104003012 103788471 543802 734429 104546814 104522900 206850392 222421819 X 5066634 -5090548 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6078133 6078133 118277331 4761956 113515375 2449372 1909535 539837 22554433 6571614 15982819 3372445 306140 3066305 139182469 LEASE LIABILITY CURR OPERATING 279261 NONPHYSICIAN LT INCENT ACCRUAL 39952 MEDICARE ADVANCE FUNDING LT 7846357 ACCRD ERIP BENEFIT HLTH INS LT 1158077 BAMC FAIR VALUE OF SWAP 6545649 LEASE LIABILITY LT OPERATING 2586777 18456073 1 1 X 1 X 250.000000000000 0 1 1 0 1 1 793540 793540 0.00790 14032602 6546514 7486088 0.07410 5981418 0 5981418 0.05920 20807560 6546514 14261046 0.14120 5 12 262051 262051 0.00260 0 0 0 0.00000 1 0 867745 867745 0.00860 0 0 0 0.00000 7 0 4200 4200 0.00000 13 12 1133996 1133996 0.01120 13 12 21941556 6546514 15395042 0.15240 0 965906 0 19431560 26709956 -7278396 X 1 1 1 1 AURORA MEDICAL CENTER BAY AREA INC 3003 UNIVERSITY DR MARINETTE WI 54143 WWW.BAMC.ORG 2419-800 X X X AURORA MEDICAL CENTER BAY AREA INC 0 0 1 X X X X X X X X X 19 1 0 1 1 X WWW.AURORA.ORG/COMMBENEFITS X WWW.AURORA.ORG X X 1 19 1 WWW.AURORA.ORG/COMMBENEFITS 0 1 X 250.000000000000 X X X X X 1 1 X X X 1 X WWW.AURORA.FAP X WWW.AURORA.FAP X WWW.AURORA.FAP X X X X X X 1 X 0 X X X X 1 X 0 0 AURORA MEDICAL CENTER BAY AREA, INC PART V, SECTION B, LINE 5: AMONG OUR KEY INFORMANT INTERVIEWS FOR EACH COUNTY WHERE AN AURORA HOSPITAL IS LOCATED WERE THE HEALTH OFFICERS FOR LOCAL HDS, LEADERS OF ACADEMIC CENTERS, HEALTH COALITIONS, FOUNDATIONS AND COMMUNITY ORGANIZATIONS FOCUSED ON A RANGE OF PUBLIC HEALTH ISSUES AND HEALTH DISPARITIES. EACH AURORA HOSPITAL CONDUCTED KEY INFORMANT INTERVIEWS IN THEIR MOST RECENT CHNA. KEY INFORMANTS WERE ASKED TO RANK ORDER THE TOP 3 TO 5 MAJOR HEALTH-RELATED ISSUES FOR THEIR COUNTY, BASED ON THE FOCUS AREAS OUTLINED IN THE STATE HEALTH PLAN. FOR EACH TOP-RANKED HEALTH TOPIC, THE INFORMANT WAS ASKED TO SPECIFY EXISTING STRATEGIES TO ADDRESS THE ISSUE, BARRIERS, OR CHALLENGES TO ADDRESSING THE ISSUE, ADDITIONAL STRATEGIES NEEDED, AND KEY GROUPS THAT HOSPITALS SHOULD COLLABORATE WITH TO IMPROVE COMMUNITY HEALTH.MOST HOSPITALS ALSO COMPLETED COMMUNITY HEALTH SURVEYS, A COMPREHENSIVE PHONE-BASED SURVEY THAT GATHERS SPECIFIC DATA ON BEHAVIORAL AND LIFESTYLE HABITS OF THE ADULT POPULATION AND SELECT INFORMATION ABOUT CHILD HEALTH. IN ADDITION, THIS REPORT COLLECTS DATA ON THE PREVALENCE OF RISK FACTORS AND DISEASE CONDITIONS EXISTING WITHIN THE ADULT POPULATION AND COMPARES, WHERE APPROPRIATE AND AVAILABLE, HEALTH DATA OF RESIDENTS TO STATE AND NATIONAL MEASURES. CONDUCTED EVERY THREE YEARS, THE SURVEY CAN BE USED TO IDENTIFY COMMUNITY TRENDS AND CHANGES OVER TIME. NEW QUESTIONS HAVE BEEN ADDED AT DIFFERENT POINTS IN TIME. JKV RESEARCH, LLC ANALYZED THE DATA AND PREPARED THE FINAL REPORT INCLUDED WITHIN EACH HOSPITAL CHNA REPORT WHERE RELEVANT.LASTLY, AURORA HEALTH CARE INVITES THE COMMUNITY TO PROVIDE WRITTEN COMMENTS ON ITS CURRENT CHNA REPORTS AND IMPLEMENTATION STRATEGIES VIA A ONE-CLICK PORTAL ON ITS WEBSITE AT WWW.AURORA.ORG/COMMBENEFITS. AURORA MEDICAL CENTER BAY AREA, INC PART V, SECTION B, LINE 6B: AMCBA WITH MARINETTE CO. HEALTH AND HUMAN SERVICES AND THE DELTA & MENOMINEE CO. HD. AURORA MEDICAL CENTER BAY AREA, INC PART V, SECTION B, LINE 7D: REFERENCED IN NEWS RELEASES AND ANNUAL COMMUNITY BENEFIT REPORTS. AURORA MEDICAL CENTER BAY AREA, INC PART V, SECTION B, LINE 11: DURING 2019, AURORA HOSPITAL FACILITY LEADERS PRIORITIZED SIGNIFICANT NEEDS BASED ON THE FOLLOWING CRITERIA:- MEETS A DEFINED COMMUNITY NEED (I.E., ACCESS FOR UNDERSERVED POPULATIONS)- ALIGNS COMMUNITY BENEFIT TO ORGANIZATIONAL PURPOSE AND CLINICAL SERVICE COMMITMENT TO COORDINATECARE ACROSS THE CONTINUUM- ALIGNS WITH HOSPITAL RESOURCES AND EXPERTISE AND THE ESTIMATED FEASIBILITY FOR THE HOSPITAL TOEFFECTIVELY IMPLEMENT ACTIONS TO ADDRESS HEALTH ISSUES AND POTENTIAL IMPACT- REDUCES AVOIDABLE HOSPITAL COSTS BY REDIRECTING PEOPLE TO LESS COSTLY FORMS OF CARE AND EXPANDSTHE CARE CONTINUUM- HAS EVIDENCE-BASIS IN CROSS-SECTION OF THE LITERATURE FOR MANAGEMENT OF CHRONIC DISEASES INDEFINED POPULATIONS- LEVERAGES EXISTING PARTNERSHIPS WITH FREE AND COMMUNITY CLINICS AND FEDERALLY QUALIFIED HEALTHCENTERS (FQHCS)- RESONATES WITH KEY STAKEHOLDERS AS A MEANINGFUL PRIORITY FOR THE AURORA HOSPITAL TO ADDRESS- POTENTIAL EXISTS TO LEVERAGE ADDITIONAL RESOURCES TO EXTEND IMPACT- INCREASES COLLABORATIVE PARTNERSHIPS WITH OTHERS IN THE COMMUNITY BY EXPANDING THE CARECONTINUUM- IMPROVES THE HEALTH OF PEOPLE IN THE COMMUNITY BY PROVIDING HIGH-QUALITY PREVENTIVE AND PRIMARYCARE- ALIGNS HOSPITAL RESOURCES AND EXPERTISE TO SUPPORT STRATEGIES IDENTIFIED IN MUNICIPAL HEALTHDEPARTMENT COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP)- ALIGNS WITH ADVOCATE AURORA HEALTH COMMUNITY STRATEGY AND THE DIVERSITY, EQUITY, AND INCLUSION PRIORITIES- QUANTIFYING HEALTH ISSUES BASED ON THE HANLON METHOD FOR PRIORITIZING HEALTH PROBLEMSUSING THESE CRITERIA, EACH HOSPITAL PRIORITIZED AMONG ALL NEEDS IDENTIFIED IN THE CHNA REPORT WITHIN THREE FOCUS AREAS: 1) ACCESS, 2) BEHAVIORAL HEALTH, AND 3) SOCIAL DETERMINANTS OF HEALTH OR OTHER HEALTH NEEDS UNIQUE TO THE HOSPITAL'S DEFINED COMMUNITY AND SERVICE OFFERINGS. DETAILED EXPLANATIONS OF IDENTIFIED COMMUNITY NEEDS CAN BE FOUND IN EACH HOSPITAL'S CHNA REPORT POSTED AT WWW.AURORA.ORG/COMMBENEFITS. THERE ARE GENERAL REASONS FOR OUR HOSPITALS NOT TO ADDRESS A NEED THAT HAS BEEN IDENTIFIED. THESE REASONS INCLUDE:1. THE NEEDS ARE BEING ADDRESSED AS PART OF THE CONTINUUM OF CARE, SUCH AS CHRONIC DISEASE, AND WE BELIEVE THEY WILL BE ADDRESSED THROUGH OUR HEAVY FOCUS ON ADDRESSING ACCESS BARRIERS2. RESOURCE CONSTRAINTS3. OTHER FACILITIES OR ORGANIZATIONS IN THE COMMUNITY ARE ADDRESSING THE NEED, SUCH AS DENTAL4. A LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS TO ADDRESS THE NEED ARE AVAILABLEABMCA: AMCBA PRIORITIZED SIGNIFICANT NEEDS BASED ON THE FOLLOWING CRITERIA: IMPORTANCE OF THE PROBLEM TO THE COMMUNITY AS EVIDENCED BY ORGANIZATIONS ALREADY ADDRESSING THE HEALTH ISSUE OR INDICATING SUPPORT FOR INITIATIVES, PRIMARY AND SECONDARY DATA THAT INDICATES AN OPPORTUNITY FOR IMPROVEMENT, AVAILABILITY OF EXISTING RESOURCES TO ADDRESS THE ISSUES, ESTIMATED RESOURCES, TIMEFRAME AND SIZE OF IMPACTED POPULATION, AND APPROPRIATENESS OF AMCBA AS A CHANGE AGENT (AS A PARTNER, A ROLE AS KNOWLEDGE-SHARING OR PROVIDING DIRECT FUNDING, ETC.) AURORA MEDICAL CENTER BAY AREA, INC PART V, SECTION B, LINE 16J: A FINANCIAL BROCHURE IS OFFERED TO PATIENTS UPON REGISTRATION AND IS AVAILABLE ONLINE AT HTTPS://WWW.BAMC.ORG/MEDIA/1013/FINANCAIL_BROCHURE.PDF. BILLING STATEMENTS REFERENCE THE FAP POLICY AND INSTRUCTIONS ON WHO TO CONTACT TO RECEIVE FINANCIAL ASSISTANCE INFORMATION BUT DO NOT INCLUDE THE DETAILED POLICY.SECTION B, LINE 16E:THE ORGANIZATION DOES NOT HAVE ANY LEP POPULATIONS IN THEIR IDENTIFIED SERVICES AREA, AND THUS ONLY HAVE MATERIALS IN ENGLISH, THE PRIMARY LANGUAGE SPOKEN. 2 1 - BAY AREA MOBILITY CENTER 3117 SHORE DRIVE MARINETTE WI 54143 REHABILITATION SERVICES AND OCCUPATIONAL HEALTH 2 - BAY AREA REHAB SERVICES - CRIVITZ WI 218 S US HWY 141 SUITE 100 CRIVITZ WI 54114 REHABILITATION SERVICES AND OCCUPATIONAL HEALTH PART I, LINE 7: THE ORGANIZATIONS CALCULATES THE COST TO CHARGE RATIO USING WORKSHEET 2 FROM THE SCHEDULE H INSTRUCTIONS. PART II, COMMUNITY BUILDING ACTIVITIES: AURORA MEDICAL CENTER BAY AREA (AMCBA) (ONE HOSPITAL): FINANCIAL AND IN-KIND SUPPORT FOR MULTIPLE CHAMBERS WITHIN THE COUNTY; SERVE ON BOARDS AND/OR COMMITTEES OF HDS FREE CLINICS, AND LOCAL COMMUNITY NOT FOR PROFIT AGENCIES IN MARINETTE COUNTY, INCLUDING: HEALTHY YOUTH COALITION, UNITED WAY ACTION NOW SUBSTANCE ABUSE TASK FORCE, MARINETTE COUNTY DRUG COURT, ANTI OPIATE TASK FORCE, COMMUNITIES THAT CARE. PART II, COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL ALIGNED FINANCIAL AND IN-KIND RESOURCES TO STATE AND LOCAL HEALTH DEPARTMENT (HD) INITIATIVES AND PARTICIPATED ON COMMUNITY TASK FORCES FOR DISEASE CONTROL AND PREVENTION AND OTHER PRIORITY HEALTH INITIATIVES. HOSPITAL ORGANIZATIONS SUPPORT THE FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) AND FREE COMMUNITY CLINICS IN THEIR SERVICE AREAS AND PARTNERED WITH SCHOOLS, FAITH COMMUNITIES, ECONOMIC AND JOB-CREATION COUNCILS, LAW ENFORCEMENT, AND OTHER NONPROFIT CHARITABLE AND CIVIC ORGANIZATIONS TO CONTRIBUTE TO COMMUNITY CAPACITY FOR ADDRESSING IDENTIFIED COMMUNITY HEALTH NEEDS AND SOCIAL DETERMINANTS OF HEALTH. FINANCIAL AND IN-KIND SUPPORT FOR LOCAL CHAMBERS WITHIN THE COUNTY; SERVE ON BOARDS AND/OR COMMITTEES OF HDS FREE CLINICS, AND LOCAL COMMUNITY NOT FOR PROFIT AGENCIES IN MANITOWOC COUNTY, INCLUDING:; SERVE ON BOARDS AND/OR COMMITTEES OF HDS FREE CLINICS, AND LOCAL COMMUNITY NOT FOR PROFIT AGENCIES IN BROWN COUNTY INCLUDING FAMILY SERVICE OF NE WI; BROWN CO. ALCOHOL AND DRUG TASK FORCE; GREEN BAY YMCA; BROWN CO. HD AND UNITED WAY; WELLO. ADVANCE HEALTH PROFESSIONS EDUCATION AS SITE FOR WISCONSIN ACADEMY OF RURAL MEDICINE (WARM).FINANCIAL AND IN-KIND SUPPORT FOR MULTIPLE CHAMBERS WITHIN THE COUNTY; SERVE ON BOARDS AND/OR COMMITTEES OF HDS FREE CLINICS, AND LOCAL COMMUNITY NOT FOR PROFIT AGENCIES IN MARINETTE COUNTY, INCLUDING: HEALTHY YOUTH COALITION, UNITED WAY ACTION NOW SUBSTANCE ABUSE TASK FORCE, MARINETTE COUNTY DRUG COURT, ANI OPIATE TASK FORCE, COMMUNITIES THAT CARE. PART III, LINE 2: THE HOSPITAL UTILIZED A COST TO CHARGE RATIO FOR DETERMINING THE COST OF BAD DEBT EXPENSE. PART III, LINE 4: THE HOSPITAL 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 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, BAY AREA ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THIRD-PARTY PAYORS HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO HAVE FINANCIAL DIFFICULTIES THAT MAKE 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 WITH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), BAY AREA 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. PART III, LINE 8: AMOUNTS ABOVE USE STANDARD MEDICARE DETERMINATION OF ALLOWABLE AND UNALLOWABLE DEPARTMENTS, STANDARD/RECOMMENDED MEDICARE ALLOCATION OF ADMINISTRATION AND GENERAL DEPARTMENTS COSTS TO ALLOWABLE AND UNALLOWABLE DEPARTMENTS BY THE USE OF BAY AREA MEDICAL CENTER'S MEDICARE COST REPORT. THE MEDICARE COST REPORT WAS CALCULATED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO FOLLOWS THE REGULATIONS FOR FILING THE MEDICARE COST REPORT. PART III, LINE 9B: THE HOSPITAL WILL PROVIDE NEEDED HOSPITAL CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THESE SERVICES. COMMUNITY CARE IS ALLOCATED TO PATIENTS BASED ON SET GUIDELINES ESTABLISHED BY THE ORGANIZATION. A FULL OR PARTIAL ADJUSTMENT WILL BE DETERMINED BY COMPARING THE PATIENT'S FINANCIAL STATUS TO A SLIDING FEE SCHEDULE BASED ON THE MOST RECENTLY PUBLISHED FEDERAL POVERTY GUIDELINES.IT IS THE POLICY OF THE HOSPITAL TO WRITE-OFF BOTH PARTIAL AND FULL PATIENT BALANCES FOR ACCOUNTS THAT QUALIFY FOR COMMUNITY CARE. THERE ARE NO FURTHER COLLECTIONS EFFORTS RELATED TO THOSE WHO QUALIFY FOR A FULL COMMUNITY CARE WRITE-OFF. PATIENTS THAT HAVE HAD PARTIAL WRITE-OFFS THAT DO NOT COOPERATE WITH COLLECTION EFFORTS ON THE BALANCES REMAINING WILL BE REFERRED TO A THIRD-PARTY COLLECTION AGENCY. IF STILL UNCOLLECTIBLE, THE PATIENT ACCOUNT WILL BE WRITTEN OFF TO BAD DEBT. PART VI, LINE 4: AMCBA (ONE HOSPITAL, BOTH RURAL AND SUBURBAN). THIS HOSPITAL SERVES THE RESIDENTS OF MARINETTE COUNTY IN WISCONSIN AND MENOMINEE COUNTY IN MICHIGAN. MARINETTE COUNTY HAS A POPULATION OF 40,491. THE MEDIAN AGE IS 48 WITH 23.1% AGE 65 AND OLDER. THE MEDIAN FAMILY INCOME IS $54,562 AND 95.78% OF RESIDENTS ARE NON-HISPANIC WHITE. MENOMINEE COUNTY HAS A POPULATION OF 23,281. THE MEDIAN AGE IS 48 WITH 16.2% AGE 65 AND OLDER. THE MEDIAN FAMILY INCOME IS $51,659 AND 93.56% OF RESIDENTS ARE NON-HISPANIC WHITE. PART VI, LINE 5: AMCBA (ONE HOSPITAL), PROVIDED SUPPORT TO TWIN COUNTIES FREE CLINIC; SUPPORTED THE PHYSICAL EDUCATION PROGRAM FOR MARINETTE, MENOMINEE, PESHTIGO, AND CRIVITZ SCHOOL DISTRICTS AND INVESTED $23,000 IN FEBRUARY 2020 TO SUPPORT LOCAL SCHOOL SYSTEMS WITH FUNDING PHYSICAL EDUCATION PART VI, LINE 2: SINCE 2003, AURORA, THE CORPORATE PARENT, HAS COLLABORATED WITH LOCAL HEALTH DEPARTMENTS EVERY THREE YEARS TO SURVEY RESIDENTS ON THEIR HEALTH STATUS AND HABITS AND TO: GATHER INFORMATION BASED ON BEHAVIORAL AND LIFESTYLE HABITS, HEALTH CONDITIONS, RISK FACTORS, AND DEMOGRAPHICS; IDENTIFY THEMES, TRENDS AND DISPARITIES, AND; COMPARE TO STATE AND NATIONAL MEASUREMENTS. THESE REPORTS HAVE BEEN PART OF A COMPREHENSIVE SURVEY OF EASTERN WISCONSIN TO IDENTIFY AREAS OF GREATEST NEED AND PRODUCE A REPORT OF FINDINGS THAT IS SHARED WITH EACH COMMUNITY AT-LARGE (SEE HTTPS://WWW.AURORAHEALTHCARE.ORG/ABOUT-AURORA/COMMUNITY-BENEFITS/OUR-RESEARCH/COMMUNITY-HEALTH-DATA#METHODOLOGY). THE FINDINGS OF THE SURVEYS ARE AN INSTRUMENT THROUGH WHICH THE MUNICIPAL HDS ENGAGE COMMUNITY PARTICIPATION TO GENERATE COMMUNITY HEALTH IMPROVEMENT PLANS ALIGNED WITH HEALTHY WISCONSIN 2010 AND 2020. PART VI, LINE 3: THE ORGANIZATION'S PATIENT FINANCIAL ADVOCATES MEET WITH EVERY PATIENT OR PATIENTS FAMILY WHO PRESENTS FOR SERVICES AND HAS NO INSURANCE, WITH THE PURPOSE OF SHARING OPTIONS FOR COVERAGE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS, AS WELL AS A THE ORGANIZATION'S INTERNAL PATIENT FINANCIAL ASSISTANCE PROGRAM. THE PATIENT FINANCIAL ADVOCATE WILL ASSIST THE PATIENT AND/OR PATIENT'S FAMILY IN PREPARING THE PAPERWORK TO APPLY FOR ANY GOVERNMENT COVERAGE AND SLASH OR AURORA'S INTERNAL FINANCIAL ASSISTANCE. NOTICES REGARDING THE ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS, OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM ARE ALSO POSTED IN THE ELEMENTARY ROOMS, ADMISSIONS OFFICES, AND WAITING AREAS. PART VI, LINE 4: AMCBA (ONE HOSPITAL, BOTH RURAL AND SUBURBAN). THIS HOSPITAL SERVES THE RESIDENTS OF MARINETTE COUNTY IN WISCONSIN AND MENOMINEE COUNTY IN MICHIGAN. MARINETTE COUNTY HAS A POPULATION OF 40,491. THE MEDIAN AGE IS 48 WITH 23.1% AGE 65 AND OLDER. THE MEDIAN FAMILY INCOME IS $54,562 AND 95.78% OF RESIDENTS ARE NON-HISPANIC WHITE. MENOMINEE COUNTY HAS A POPULATION OF 23,281. THE MEDIAN AGE IS 48 WITH 16.2% AGE 65 AND OLDER. THE MEDIAN FAMILY INCOME IS $51,659 AND 93.56% OF RESIDENTS ARE NON-HISPANIC WHITE. PART VI, LINE 5: EACH AURORA HOSPITAL FACILITY PUBLISHED A 2019 COMMUNITY BENEFIT REPORT PUBLICLY AVAILABLE AT WWW.AURORA.ORG/COMMBENEFITS. 2020 REPORTS WILL BE POSTED ON THIS WEBSITE NO LATER THAN 12/31/2021AMCBA (ONE HOSPITAL), PROVIDED SUPPORT TO TWIN COUNTIES FREE CLINIC; SUPPORTED THE PHYSICAL EDUCATION PROGRAM FOR MARINETTE, MENOMINEE, PESHTIGO, AND CRIVITZ SCHOOL DISTRICTS; HELPED COLLECT 660 POUNDS OF DRUGS DURING A LOCAL PRESCRIPTION DRUG COLLECTION PROGRAM PART VI, LINE 6: AURORA'S INTEGRATED HEALTH CARE SYSTEM INCLUDES PHYSICIAN GROUPS AND CLINICS, PHARMACIES, HOME CARE, HOME HOSPICE, AND SOCIAL SERVICES SERVING EASTERN WISCONSIN. AURORA PROVIDES URGENT CARE, FAMILY PRACTICE, AND SPECIALIST SERVICES FOR UNDERSERVED POPULATIONS IN THE HEART OF THE COMMUNITIES IN WHICH OUR HOSPITALS RESIDE, INCLUDING BUT NOT LIMITED TO:AURORA FAMILY SERVICE, INC. (AFS), A 501(C)(3), IS AURORA'S SOCIAL SERVICE ARM THAT APPLIES A FAMILY WELLNESS AND STABILITY MODEL TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH IMPACTING OUR PATIENTS AND COMMUNITIES. A TEAM OF 81 DEDICATED PRACTITIONERS PROVIDE A FULL CONTINUUM OF SERVICES IN THE COMMUNITY TO PROMOTE SELF-SUFFICIENCY THROUGH EVERY STAGE OF LIFE, INTEGRATING HEALTH, MENTAL HEALTH, SOCIAL SERVICES, FAMILY AND MARRIAGE THERAPY, COMPREHENSIVE SERVICES FOR SENIORS, PARENTING EDUCATION, HOME VISITATION, AND A WIDE VARIETY OF FINANCIAL WELLNESS PROGRAMMING. AURORA AT HOME, INC., A 501(C) (3) ENTITY, IS A COMPREHENSIVE SOURCE OF HOME CARE SERVICES IN EASTERN WISCONSIN COMMITTED TO KEEPING PEOPLE INDEPENDENT IN THEIR HOMES.AURORA CONSOLIDATED LABS (ACL) PROVIDES PRO-BONO LABORATORY SERVICES FOR AURORA MEDICAL OUR FREE CLINIC PARTNERS.AURORA PHARMACY PROVIDES ESSENTIAL MEDICATIONS TO PATIENTS WHO CAN'T AFFORD THEM.AURORA HEALTH CARE FOUNDATION, INC. (AHCF) PROVIDES GRANT RESEARCH AND GRANT WRITING TO SUPPORT COMMUNITY HEALTH INITIATIVES.AURORA RESEARCH INSTITUTE (ARI) PROVIDED $3,071,211 IN UNFUNDED RESEARCH-RELATED EXPENSES. THEIR RESEARCH RESULTS ARE ALWAYS PUBLISHED FOR PUBLIC REVIEW AND BENEFIT. PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: WI 0 1 0 0 0 0 0 0 0 DOMINIC NAKIS TREASURER 0 788017 0 1151310 0 62250 0 194724 0 28084 0 2224385 0 245312 MICHAEL LAPPIN SECRETARY, DIRECTOR 0 721806 0 816406 0 41704 0 170220 0 18178 0 1768314 0 292557 DENNIS POTTS VICE PRESIDENT, DIRECTOR 0 866812 0 597127 0 48332 0 156169 0 12619 0 1681059 0 257727 MICHAEL GREBE ASSISTANT SECRETARY 0 540499 0 598967 0 41558 0 131982 0 0 0 1313006 0 180815 MICHAEL KARKKAINEN MD PHYSICIAN 647238 0 0 0 358789 0 17100 0 12365 0 1035492 0 0 0 LESLIE LENZO ASSISTANT TREASURER 0 579502 0 264550 0 62116 0 92380 0 11410 0 1009958 0 80332 JEFFREY DALEN-BARD PRESIDENT 0 500585 0 316168 0 29988 0 94964 0 18178 0 959883 0 97540 NAN NELSON ASSISTANT TREASURER, DIRECTOR 0 482832 0 295537 0 37603 0 95664 0 0 0 911636 0 145573 SHELLY HART ASSISTANT SECRETARY 0 503641 0 221328 0 32158 0 95306 0 18178 0 870611 0 91432 KIRSTEN BUCK MD PHYSICIAN 462802 0 0 0 328161 0 17100 0 18541 0 826604 0 0 0 MOHAMED EL-JACK MD PHYSICIAN 632332 0 0 0 63156 0 17100 0 18541 0 731129 0 0 0 JAMES DOHENY ASSISTANT TREASURER 0 399917 0 174832 0 25480 0 67207 0 26076 0 693512 0 55763 EDWARD HARDING HOSPITAL PRESIDENT 420098 0 136442 0 38360 0 77585 0 12365 0 684850 0 106587 0 MICHAEL KERNS ASSISTANT SECRETARY 0 348133 0 151530 0 25103 0 59895 0 30647 0 615308 0 47983 ALOK ARORA MD PHYSICIAN 295227 0 0 0 234662 0 17100 0 18541 0 565530 0 0 0 STEVE HUSER ASSISTANT TREASURER 0 322068 0 126492 0 28058 0 68729 0 12365 0 557712 0 50708 JAMES SLINKMAN ASSISTANT SECRETARY 0 311772 0 135726 0 18072 0 54796 0 31143 0 551509 0 43451 SANDRA EWALD FORMER DIRECTOR (9/27/2019) 0 -1593 0 144832 0 371952 0 0 0 4868 0 520059 0 50562 PART I, LINE 4B ADVOCATE AURORA HEALTH, INC. PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (THE "PLAN") TO RETAIN AND ATTRACT KEY PERSONNEL BY PROVIDING THEM WITH ADDITIONAL RETIREMENT INCOME. THE FOLLOWING EMPLOYEES PARTICIPATED IN THE PLAN AND RECEIVED CONTRIBUTIONS IN 2020 AS FOLLOWS: DOMINIC NAKIS - $245,312 MICHAEL LAPPIN - $292,557 DENNIS POTTS - $257,727 MICHAEL GREBE - $180,815 JEFF DALEN-BARD - $97,540 STEVE HUSER - $50,708 NAN NELSON - $145,573 SHELLY HART - $91,432 LESLIE LENZO - $80,332 JAMES DOHENY - $55,763 MICHAEL KERNS - $47,983 JAMES SLINKMAN - $43,451 EDWARD HARDING - $106,587 SANDRA EWALD - $50,562 THE FOLLOWING EMPLOYEE RECEIVED A SEVERANCE PAYMENT DURING 2020 THAT HAS BEEN PROPERLY REPORTED ON SCHEDULE J, PART II: SANDRA EWALD SCHEDULE J, PART I, LINE 4A SANDRA EWALD, FORMER DIRECTOR, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $371,952 THIS PAYMENT HAS BEEN REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III). FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION MERGED WITH AURORA HEALTH CARE SYSTEM. AS SUCH THE ORGANIZATION EXPERIENCED CHANGES TO ARTICLES OF INCORPORATION AND BYLAWS. FORM 990, PART VI, SECTION A, LINE 6 IN 2014, BAMC AND AURORA HEALTH CARE NORTH, INC. NEGOTIATED AN ARRANGEMENT UNDER WHICH M&M AND AURORA BECAME THE SOLE MEMBERS OF BAMC. M&M HOLDS 51% OF THE VOTING INTERESTS IN BAMC AND AURORA HOLDS 49% OF THE VOTING INTERESTS. FORM 990, PART VI, SECTION A, LINE 7A SUBJECT TO THE PROVISIONS OF THE BYLAWS. THE NUMBER AND MANNER OF ELECTION OR APPOINTMENT OF DIRECTORS AND THEIR TERMS OF OFFICE SHALL BE AS PROVIDED IN THE BYLAWS, BUT THE NUMBER OF DIRECTORS SHALL NOT BE LESS THAN THREE (3). FORM 990, PART VI, SECTION A, LINE 7B THE CORPORATE MEMBERS HAVE RETAINED THE FOLLOWING RESERVED POWERS OVER THE CORPORATION SUCH THAT NONE OF SUCH ACTIONS MAY BE TAKEN BY THE CORPORATION WITHOUT THE UNANIMOUS APPROVAL OF ALL CORPORATE MEMBERS, AND THE CORPORATE MEMBERS, ACTING UNANIMOUSLY, MAY INITIATE AND TAKE SUCH ACTIONS: - TO CHANGE THE CORPORATION'S MISSION OR PURPOSE; - TO APPROVE ANY AMENDMENT TO THE ARTICLES OF INCORPORATION, BYLAWS OR OTHER GOVERNING DOCUMENTS OF THE CORPORATION, INCLUDING THE CONFLICT OF INTEREST, INSIDER TRANSACTION, AND CONFIDENTIALITY POLICY ADOPTED BY THE BOARD OF DIRECTORS FROM TIME TO TIME - TO APPROVE ALL MATTERS RELATING TO THE MEMBERSHIP OF THE CORPORATION OR ANY RIGHTS ARISING FROM SUCH MEMBERSHIP, INCLUDING THE ISSUING OF ADDITIONAL MEMBERSHIPS IN THE CORPORATION, RECLASSIFYING MEMBERSHIPS IN THE CORPORATION, CREATING A NEW CLASS OF MEMBERSHIP IN THE CORPORATION, BRINGING ON A NEW MEMBER OF THE CORPORATION, TRANSFERRING MEMBERSHIPS IN THE CORPORATION OR ANY RIGHTS ARISING THEREFROM OR REDEEMING MEMBERSHIPS IN THE CORPORATION OR ANY RIGHTS ARISING FROM THEREFROM - TO APPROVE ANY INDEBTEDNESS FOR BORROWED MONEY TO BE INCURRED OR GUARANTEED ON BEHALF OF THE CORPORATION, EXCEPT THAT FINANCING FOR A FACILITY PLAN DEVELOPED IN 2014 OR 2015 AND APPROVED BY SUPER-MAJORITY BOARD APPROVAL DOES NOT REQUIRE THE UNANIMOUS APPROVAL OF ALL CORPORATE MEMBERS - TO APPROVE CAPITAL LEASES IN EXCESS OF $3,000,000 IN THE AGGREGATE (AS DETERMINED BY TOTAL LEASE AND OTHER PAYMENTS) FORM 990, PART VI, SECTION B, LINE 11B THE 2020 FORM 990 WAS REVIEWED BY SENIOR LEADERSHIP OF ADVOCATE AURORA HEALTH, INC. A COPY OF THE FINAL RETURN WAS MADE AVAILABLE TO THE ADVOCATE AURORA HEALTH, INC. BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C BOARD OF DIRECTORS - PERSONS WITH ACTUAL OR POTENTIAL CONFLICTS OF INTEREST SHALL FILE FORMAL STATEMENTS DISCLOSING ACTUAL OR POTENTIAL CONFLICTS WHENEVER AN ACTUAL OR POTENTIAL CONFLICT ARISES; BEFORE ANY TRANSACTIONS CONSTITUTING A CONFLICT OR POTENTIAL CONFLICT IS CONSUMMATED; AND ONCE EACH CALENDAR YEAR SO LONG AS THE CONFLICT OR POTENTIAL CONFLICT CONTINUES TO EXIST. THE DISCLOSURE STATEMENT SHALL INCLUDE A DESCRIPTION OF THE RELATIONSHIP OR INTEREST CAUSING THE CONFLICT OR POTENTIAL CONFLICT, THE ROLE IN THE RELATIONSHIP OR TRANSACTION PLAYED BY THE PERSON HAVING THE CONFLICT, AND THE BENEFITS AND DETRIMENTS ACCRUING TO THE HOSPITAL AND TO THE PERSON HAVING THE CONFLICT AS A RESULT OF THE CONTRACT, TRANSACTION, OR RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTOR'S COMPENSATION COMMITTEE REVIEWS COMPARABLE COMPENSATION INFORMATION ON OTHER HOSPITALS AND ESTABLISHES BAMC'S EXECUTIVE COMPENSATION LEVELS. MEMBERS OF THE COMPENSATION COMMITTEE DO NOT HAVE A CONFLICT OF INTEREST AND THE CONCLUSIONS ARE SUBSTANTIATED. THE REVIEW PROCESS TAKES PLACE AT LEAST ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DEEMS THESE DOCUMENTS PROPRIETARY SO THEY ARE NOT MADE AVAILABLE TO THE PUBLIC, EXCEPT THAT THE AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FORM 990. FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS -5,090,548. 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