2025-07-29T15:26:44-05:00 2024-09-30 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2023-10-01 391091432 REEDSBURG AREA MEDICAL CENTER REED 6085246487 2000 NORTH DEWEY AVENUE REEDSBURG WI 53959 ROBERT VAN MEETEREN PRESIDENT/CEO 6085246487 2025-07-29 1 0 JUSTIN HARTERT P02236744 5074467100 2025-07-29 2023 2025-03-06 01:10:19Z ROBERT VAN MEETEREN 2000 NORTH DEWEY AVENUE REEDSBURG WI 53959 111588700 0 X WWW.RAMCHEALTH.COM X 1967 WI PROVIDE QUALITY, COMPASSIONATE, & EFFECTIVE HEALTH CARE GOING BEYOND THE EXPECTED IN ALL WE DO. 9 8 752 85 1423649 1673824 3182874 7452 98077584 106800099 880551 2695919 1362107 2085230 103503116 111588700 1250377 1534639 0 0 54855538 58585618 0 0 0 44655443 48394879 100761358 108515136 2741758 3073564 113873746 142027529 49922858 69478541 63950888 72548988 X REEDSBURG AREA MEDICAL CENTER, ALWAYS THERE, GOING BEYOND THE EXPECTED TO PROVIDE COMPASSIONATE, QUALITY, AND EFFICIENT HEALTH CARE. 0 0 87734486 1534639 90429181 INPATIENT SERVICES INCLUDE MEDICAL/SURGICAL, OBSTETRICS/NURSERY, AND INTENSIVE CARE UNITS AT REEDSBURG AREA MEDICAL CENTER (RAMC). WITHIN THESE UNITS, RAMC PROVIDED SHORT TERM CARE FOR 3,246 PATIENT DAYS (1,138 DISCHARGED PATIENTS) DURING THE FISCAL YEAR ENDING 9/30/24. THIS INCLUDED 118 SWING BED DAYS FOR 13 PATIENTS, 1,003 OBSERVATION DAYS AND 207 BIRTHS. THE STAFF AT RAMC IS COMMITTED TO MEETING PATIENTS' PHYSICAL, SOCIAL, EDUCATIONAL, EMOTIONAL AND SPIRITUAL NEEDS. RAMC'S EMERGENCY DEPARTMENT AND WALK-IN CLINIC ARE HERE FOR THE COMMUNITY WHENEVER THEY MAY NEED IT. THE WALK-IN CLINIC HAS HOURS OF AVAILABILITY FOR MINOR MEDICAL NEEDS SEVEN DAYS A WEEK AND THE EMERGENCY DEPARTMENT IS OPEN AND PHYSICIAN-STAFFED 24 HOURS A DAY, SEVEN DAYS A WEEK. IN THE FISCAL YEAR ENDING 9/30/24, 10,216 PATIENTS WERE SEEN IN THE EMERGENCY DEPARTMENT (RESULTING IN 1,219 INPATIENT ADMISSIONS) AND 14,524 PATIENTS VISITED THE WALK-IN CLINIC. WE BELIEVE THAT EVERYONE DESERVES ACCESS TO QUALITY HEALTH CARE, REGARDLESS OF THEIR INCOME LEVEL, AND OUR FOCUS REMAINS ON THE PATIENTS AND COMMUNITIES WE SERVE. WE ALSO BELIEVE THAT BEING A NON-PROFIT MEDICAL CENTER IS A PRIVILEGE AND AN OBLIGATION. EACH AND EVERY DAY WE STRIVE TO BE A LEADER IN COMMUNITY HEALTH. BY NOT ONLY MEETING, BUT OFTEN EXCEEDING THAT EXPECTATION, RAMC IS STRENGTHENING OUR RELATIONSHIP WITH PATIENTS, VISITORS AND NEIGHBORING COMMUNITIES. BEING A COMMUNITY PARTNER IS AN AWESOME AND IMPORTANT TASK. IT IS ONE WE FEEL HONORED TO UPHOLD.AS IDENTIFIED IN OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, HOUSING, MENTAL HEALTH AND SUBSTANCE ABUSE ARE THE TOP PRIORITIES THAT RAMC WILL WORK TO ADDRESS. WE ARE COMMITTED TO MAKING POSITIVE IMPACTS IN THESE AREAS AND SHOW THIS THROUGH OUR COMMUNITY PARTNERSHIPS AND SUPPORT. RAMC HAS COLLABORATED WITH COMMUNITY PARTNERS ON SEVERAL INITIATIVES INCLUDING, BUT NOT LIMITED TO, WORKING WITH SAUK COUNTY HEALTH & WELLNESS COALITION FOR MENTAL HEALTH TRAINING; COLLABORATION WITH THE SAUK COUNTY HEALTH DEPARTMENT TO COMBAT DEATH BY SUICIDE; IS A MEMBER OF THE SAUK COUNTY PARTNERSHIP FOR PREVENTION; SUPPORT OUR LOCAL BOYS & GIRLS CLUB; AND HOLD COMMUNITY DIABETES PREVENTION PROGRAMMING AND HEALTHY LIVING CLASSES (HEALTH4U). RAMC HAS PLACED A LARGE FOCUS ON EXPANDING BEHAVIORAL HEALTH SERVICES IN OUR PRIMARY CARE CLINIC (RAMC PHYSICIANS GROUP). EXPANDING ACCESS TO THESE MUCH-NEEDED SERVICES FOR UNDERSERVED POPULATIONS, ESPECIALLY MEDICAID PATIENTS, IS A HIGH PRIORITY AT RAMC. WE HAVE SEVERAL PROVIDERS RANGING FROM PSYCHIATRISTS, A PSYCHOLOGIST, LICENSED PROFESSIONAL COUNSELORS, AND ADVANCED CARE PROVIDERS SPECIALIZING IN BEHAVIORAL HEALTH.IN ADDITION, RAMC SUPPORTS MANY LOCAL EVENTS AND ACTIVITIES DESIGNED TO HELP ENCOURAGE HEALTHY LIFESTYLES AND CHOICES. DURING THE FISCAL YEAR ENDING 9/30/24, RAMC HAS DEMONSTRATED OUR COMMITMENT TO ENSURING THAT QUALITY HEALTHCARE IS ALWAYS AVAILABLE CLOSE TO HOME THROUGH THE ADDITION OF PROVIDERS AND CONTINUED SUPPORT OF COMMUNITY WELLNESS PROGRAMS. OUR TWO PHARMACIES OFFER SERVICES SUCH AS IMMUNIZATIONS, BLOOD PRESSURE AND BLOOD SUGAR CHECKS, MEDICATION REVIEW AND DAILY MEDICATION PACKAGING WITH THE RAPID PACK PROGRAM. OTHER SERVICES AVAILABLE TO MEET THE COMMUNITY'S HEALTH NEEDS INCLUDE, BUT ARE NOT LIMITED TO, LABORATORY, PHYSICAL, OCCUPATIONAL, SPEECH AND CARDIAC AND PULMONARY REHABILITATION, SLEEP MEDICINE, SURGICAL SERVICES, CONSULTING SERVICES, MASSAGE THERAPY, ACUPUNCTURE, ORTHOPEDICS, OBSTETRICS, CHEMOTHERAPY, INFUSIONS, AUDIOLOGY, FAMILY PRACTICE, CHRONIC CARE MANAGEMENT, PEDIATRICS, INPATIENT AND OUTPATIENT PHARMACIES, GYNECOLOGY, DIABETES MANAGEMENT AND EDUCATION, MEDICAL IMAGING, NUTRITION SERVICES, RESPIRATORY THERAPY, VOLUNTEER SERVICES, COMMUNITY OUTREACH AND WELLNESS. 10307861 0 14696048 REEDSBURG AREA MEDICAL CENTER COMMUNITY PHARMACY IS CONVENIENTLY LOCATED ON THE RAMC CAMPUS WITHIN THE RAMC PHYSICIAN'S GROUP WHILE RAMC VIKING PHARMACY IS LOCATED WITHIN A LOCAL GROCERY STORE. BOTH PHARMACIES ARE OPEN TO ALL MEMBERS OF THE PUBLIC. PATIENTS CAN FILL/REFILL PRESCRIPTIONS AT THEIR CONVENIENCE AND AS IT FITS INTO THEIR SCHEDULES. AUTOMATED SERVICES MAKE IT EASY TO CALL IN AND PICK UP REFILLS AND REQUEST REFILLS THROUGH MYCHART. IN ADDITION TO FILLING PRESCRIPTIONS, BOTH PHARMACIES OFFER AN EXTENSIVE ARRAY OF OVER-THE-COUNTER MEDICATIONS, VITAMINS AND SUPPLEMENTS, FIRST AID NEEDS AND PERSONAL ITEMS. 98042347 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 29 0 752 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 WI X BARRY BORCHERT 6085246487 2000 N DEWEY AVE REEDSBURG WI 53959 CHRISTOPHER WENNINGER MD MEDICAL ADVISOR/TRUSTEE 40.00 0.00 X 900285 0 44590 BENJAMIN NESSEIM PHYSICIAN 40.00 0.00 X 381907 0 45773 DEREK HORKAN TRUSTEE 0.50 0.00 X 1450 0 0 RAYNELLE SYFTESTAD SECRETARY 0.50 0.00 X X 850 0 0 JULIE ADELMAN CHAIRPERSON 0.50 0.00 X X 0 0 0 JOEL GROSKREUTZ VICE CHAIRPERSON 0.50 0.00 X X 0 0 0 KRISTI BROWN TREASURER 0.50 0.00 X X 0 0 0 BECKY PETERSON TRUSTEE 0.50 0.00 X 0 0 0 RICHIE STRUTZ TRUSTEE 0.50 0.00 X 0 0 0 KATHY REUTER TRUSTEE 0.50 0.00 X 0 0 0 DON LICHTE JR TRUSTEE 0.50 0.00 X 0 0 0 ROBERT VAN MEETEREN CEO / PRESIDENT 40.00 0.00 X 480208 0 91963 BARRY BORCHERT CFO 40.00 0.00 X 303364 0 61974 MATTHEW NIESEN PHYSICIAN 40.00 0.00 X 967905 0 19558 CHRISTOPHER DALE MD PHYSICIAN 40.00 0.00 X 685614 0 284 CHRISTINE TRAUTMAN PHYSICIAN 40.00 0.00 X 520724 0 41620 ANTHONY RUZGA PHYSICIAN 40.00 0.00 X 502437 0 41210 CHRISTOPHER BJORKLUND ANESTHESIOLOGIST/FOUNDATION LIAISON 40.00 0.00 X 377210 0 42075 5121954 0 389047 107 0 1 0 MADISON EMERGENCY PHYSICIANS SC 1221 JOHN Q HAMMONDS DR MADISON WI 53744 PHYSICIAN SERVICES 3107070 SHARED IMAGING SERVICES PO BOX 88450 MILWAUKEE WI 53288 MEDICAL IMAGING SERVICES 1668341 BEAM HEALTHCARE 25 WEST MAIN ST FLOOR 5 MADISON WI 53703 PHYSICIAN SERVICES 1293235 CENTRAL MINNESOTA DIAGNOSTICS INC PO BOX 64756 ST PAUL MN 55164 MEDICAL IMAGING SERVICES 946385 MARSHFIELD LABORATORIES 1000 NORTH OAK AVE MARSHFIELD WI 54449 LAB ANALYSIS 806819 18 7452 7452 PATIENT SERVICE REVENUE 621400 90118814 90118814 PHARMACY REVENUE 456110 16370918 14696048 1674870 CAFETERIA REVENUE 722514 310367 310367 106800099 212004 -251221 463225 708883 0 708883 708883 708883 2480953 2962 0 0 2480953 2962 2483915 2483915 MEAL REVENUE 621400 514479 514479 JOINT VENTURE GAIN/(LOSS) 900099 496610 496610 MISCELLANEOUS REVENUE 459900 365258 365258 1376347 111588700 105125229 1423649 5032370 X 1387766 1387766 146873 146873 2089486 1042593 1046893 42469132 37318653 5150479 1858831 1718654 140177 9260208 8355131 905077 2907961 2613569 294392 232921 232921 95616 95616 6513 6513 13094271 12506887 587384 39997 38203 1794 1501045 1433711 67334 1125152 1074680 50472 253377 242011 11366 1358285 1358285 4732454 4520165 212289 589969 563504 26465 INCOME TAX EXPENSE 413380 413380 MEDICAL SUPPLIES 20989451 20047906 941545 OTHER EXPENSES 1024767 978798 45969 RECRUITING EXPENSE 951377 908700 42677 1986304 1786258 200046 108515136 98042347 10472789 0 5927 5564 921735 2247913 11042087 13371261 3144264 3390962 408548 288558 108980093 45575200 46083678 63404893 38107045 45472038 1089506 1375875 794743 681143 12276213 11789322 113873746 142027529 11227663 14026596 6255 17240 34071364 51270024 1716234 0 2901342 4164681 49922858 69478541 X 63341240 71767985 609648 781003 63950888 72548988 113873746 142027529 X 3073564 3526233 1998303 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 6513 6513 0 PART II-B, LINE 1: A PORTION OF ANNUAL DUES PAID TO BOTH THE AMERICAN HOSPITAL ASSOCIATION AND THE WISCONSIN HOSPITAL ASSOCIATION ARE USED BY THOSE ORGANIZATIONS FOR LOBBYING PURPOSES. VARIOUS RAMC EMPLOYEES ANNUALLY ATTEND WISCONSIN HOSPITAL ASSOCIATION'S ADVOCACY DAY WHERE THEY HAVE THE OPPORTUNITY TO LEARN ABOUT THE CURRENT LEGISLATIVE CLIMATE AND ISSUES IMPACTING WISCONSIN HEALTHCARE AND THEN MEET WITH STATE LEGISLATORS. 1290096 -174505 1000000 4765 110826 1213295 76801 1290096 2551745 900000 -466510 1771940 1213295 2334169 217576 2551745 2234116 100053 2334169 1.00000 0.00000 0.00000 0 0 26703 26703 65616981 31188641 34428340 305594 110043 195551 21270049 14276516 6993533 21760766 21760766 63404893 DEFERRED COMPENSATION PLAN ASSETS 3118323 INTEREST IN NET ASSETS FOUNDATION 777985 THIRD PARTY RECEIVABLE 4526479 DUE FROM RELATED PARTY 1270743 RIGHT-OF-USE ASSETS 2095792 11789322 DEFERRED COMPENSATION 2276259 LEASE LIABILITIES 1888422 4164681 X PART V, LINE 4: THE EARNINGS OF THE ENDOWMENT WERE USED FOR CAPITAL EXPENDITURES. PART X, LINE 2: THE CORPORATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE CORPORATION IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE CORPORATION ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OFTHE TAX POSITION IS NOT RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS. THE CORPORATION RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED BENEFITS IN 2024 AND 2023. 1 1 X 1 X 1 X 1 1 1 0 1 1 1239496 530526 708970 0.00650 10562782 6625059 3937723 0.03630 11802278 7155585 4646693 0.04280 2028093 5976 2022117 0.01860 343060 343060 0.00320 6673817 2584673 4089144 0.03770 1399019 1399019 0.01290 10443989 2590649 7853340 0.07240 22246267 9746234 12500033 0.11520 29475 29475 0.00030 32919 32919 0.00030 10400 10400 0.00010 18389 18389 0.00020 26716 26716 0.00020 117899 117899 0.00110 0 253078 253078 11949717 18461947 -6512230 X 1 1 1 1 REEDSBURG AREA MEDICAL CENTER 2000 NORTH DEWEY AVENUE REEDSBURG WI 53959 WWW.RAMCHEALTH.COM 1057 X X X X PROVIDER-BASED CLINIC AND SPECIALTY CLINIC REEDSBURG AREA MEDICAL CENTER 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V, SECTION B, LINE 7D X X 1 21 1 SEE PART V, SECTION B, LINE 7D 0 1 X 150.000000000000 400.000000000000 X X X X 1 1 X 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 X 1 X 0 X X X X X 1 X 0 0 REEDSBURG AREA MEDICAL CENTER PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS INCLUDED A VARIETY OF DATA COLLECTION METHODS USED TO CREATE AN OVERALL DESCRIPTION OF THE ISSUES FACING THE COMMUNITY. THESE METHODS WERE DEVELOPED TO SEEK INPUT FROM DIVERSE COMMUNITY STAKEHOLDERS AS WELL AS GENERAL COMMUNITY MEMBERS AND INCLUDED: 1. CONVENIENCE SURVEY: THESE SURVEYS WERE CONDUCTED WITH OVER 1,600 AREA RESIDENTS VIA A PAPER AND AN ONLINE METHOD. INDIVIDUALS PARTICIPATED FROM A VARIETY OF PROFESSIONS INCLUDING HOSPITALS, SCHOOLS, LAW ENFORCEMENT, MENTAL HEALTH, ENVIRONMENTAL HEALTH, BUSINESSES, PUBLIC HEALTH, DISABILITY AND AGING ADVOCATES, ABUSE VICTIM ADVOCATES, AND LONG-TERM CARE PROVIDERS.2. COMMUNITY CONVERSATIONS (FOCUS GROUPS): FOCUS GROUPS GATHERED INFORMATION FROM UNDERREPRESENTED GROUPS, INCLUDING HO-CHUNK NATION TRIBAL MEMBERS, AFRICAN AMERICANS, LATINOS, LGBTQ, RENTERS AND RURAL POPULATION. TOPICS INCLUDED COMMUNITY HEALTH, ACCESS TO CARE, HEALTH LITERACY, HEALTH PROBLEMS, TRANSPORTATION AND FOOD SECURITY ALONG WITH QUESTIONS SPECIFIC TO EACH POPULATION. FOCUS GROUPS WERE CONDUCTED AT SAUK COUNTY FOOT CLINICS, AGING AND DISABILITY RESOURCE CENTER DINING CENTERS, SERVICE CLUB MEETINGS, LAKE DELTON, WISCONSIN DELLS AND SAUK PRAIRIE COMMUNITIES.3. KEY INFORMANT CONVERSATIONS (INTERVIEWS): KEY INFORMANTS WERE INTERVIEWED ON HEALTH CARE ISSUES IN SAUK COUNTY. IN ADDITION TO THE DATA GATHERING STRATEGIES NOTED ABOVE, SECONDARY HEALTH DATA WAS GATHERED FROM VARIOUS CREDIBLE SOURCES TO PROVIDE ACTUAL COMPARATIVE RISKS FOR MORBIDITY AND MORTALITY ON A WIDE RANGE OF HEALTH ISSUES. SOURCES INCLUDE COUNTY HEALTH RANKINGS & ROADMAPS, COMMUNITY COMMONS, AND THE WISCONSIN DEPARTMENT OF HEALTH SERVICES DATA AND STATISTICS. THERE WERE 211 COUNTS PER THE WISCONSIN HOSPITAL ASSOCIATION CHNA DASHBOARD. REEDSBURG AREA MEDICAL CENTER PART V, SECTION B, LINE 6A: INCLUDED AS MEMBERS OF THE SAUK COUNTY HEALTH & WELLNESS COALITION ARE ST. CLARE HOSPITAL (BARABOO, WI) AND SAUK PRAIRIE HEALTH CARE (SAUK CITY, WI). REEDSBURG AREA MEDICAL CENTER PART V, SECTION B, LINE 6B: INCLUDED AS MEMBERS OF THE SAUK COUNTY HEALTH AND WELLNESS ASSOCIATION ARE THE SAUK COUNTY HEALTH DEPARTMENT, SAUK COUNTY HEALTH & WELLNESS COALITION, REEDSBURG AREA CHAMBER OF COMMERCE, REEDSBURG , BARABOO, AND WISCONSIN DELLS AREA SCHOOL DISTRICTS, HO-CHUNK NATION, HOPE HOUSE, COUNTY AND LOCAL EMERGENCY RESPONSE TEAMS, LOCAL LAW ENFORCEMENTS, SAUK COUNTY AGING AND DISABILITY RESOURCE CENTER, THE CITY OF REEDSBURG, BOYS AND GIRLS CLUB, REEDSBURG YOUNG PROFESSIONALS, AND OTHERS. REEDSBURG AREA MEDICAL CENTER PART V, SECTION B, LINE 7D: RAMC'S COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IS AVAILABLE ONLINE AT:HTTPS://RAMCHEALTH.COM/WP-CONTENT/UPLOADS/2024/09/RAMC-CHNA-2022-3.3.22.PDFRAMC'S IMPLEMENTATION STRATEGY IS AVAILABLE ONLINE AT:HTTPS://RAMCHEALTH.COM/WP-CONTENT/UPLOADS/2024/09/RAMC-CHIP-2022.PDF REEDSBURG AREA MEDICAL CENTER PART V, SECTION B, LINE 11: RAMC HAD IDENTIFIED THE FOLLOWING THREE PRIORITIES FOR OUR HOSPITAL TO ADDRESS AS IDENTIFIED IN OUR 2022 COMMUNITY HEALTH NEEDS ASSESSMENT: MENTAL HEALTH, AFFORDABLE HOUSING AND ALCOHOL, TOBACCO & OTHER DRUG ABUSE. WE ARE COMMITTED TO MAKING POSITIVE IMPACTS IN THESE AREAS AND SHOW THIS THROUGH OUR COMMUNITY PARTNERSHIPS AND SUPPORT.RAMC IS CONTINUALLY EXPANDING OUR BEHAVIORAL HEALTH DEPARTMENT WITH THE ADDITION OF NEW PROVIDERS AND SERVICES IN AN EFFORT TO PROVIDE MUCH NEEDED ADDITIONAL RESOURCES TO OUR COMMUNITY. WE HAVE COLLABORATED WITH COMMUNITY PARTNERS ON SEVERAL INITIATIVES, INCLUDING, BUT NOT LIMITED TO, WORKING WITH SAUK COUNTY HEALTH DEPARTMENT FOR MENTAL HEALTH AND SUICIDE PREVENTION TRAINING, AS WELL COLLABORATING WITH ORGANIZATIONS INCLUDING RURAL SAFETY DAYS, SAUK COUNTY PARTNERSHIP FOR PREVENTION AND RECOVERY, REGION 11 CRITICAL INCIDENT AND STRESS MANAGEMENT GROUP. AFFORDABLE HOUSING ACTIONS INCLUDE A PRESENTATION OF THE CHNA TO THE CITY OF REEDSBURG COMMON COUNCIL MEETING AND IS WORKING WITH COMMUNITY LEADERS TO FURTHER ADDRESS THIS BURDEN. RAMC PARTNERS WITH SAUK COUNTY PUBLIC HEALTH TO WORK ON CAMPAIGNS FOR ALCOHOL, TOBACCO AND DRUG ABUSE. TO FURTHER SUPPORT OUR CHNA RAMC STAFF ALSO VOLUNTEERED TO LEAD THE FOLLOWING INITIATIVE: ESTABLISHING A SAFE HAVEN BABY BOX IN REEDSBURG; HOSTED A SPANISH RESOURCE FAIR TO BETTER SERVE SPANISH-SPEAKING RESIDENTS; ORGANIZED A TEDDY BEAR CLINIC TO REDUCE FEAR OF MEDICAL CARE AMONG YOUNG CHILDREN; PROVIDED CARE AT FREE CLINICS TO EXPAND HEALTHCARE ACROSS THE AREAS AND VOLUNTEERING AT AND SUPPORTING AREA FOOD PANTRIES TO ADDRESS HUNGER AND FOOD INSECURITY. DURING THE FISCAL YEAR ENDING 9/30/24, RAMC HAS DEMONSTRATED OUR COMMITMENT TO ENSURING QUALITY HEALTHCARE IS ALWAYS AVAILABLE CLOSE TO HOME THROUGH THE ADDITION OF PROVIDERS AND CONTINUED SUPPORT OF COMMUNITY WELLNESS PROGRAMS. OUR TWO PHARMACIES OFFERS SERVICES SUCH AS IMMUNIZATIONS, BLOOD PRESSURE AND BLOOD SUGAR CHECKS AND MEDICATION REVIEW. OTHER SERVICES AVAILABLE TO MEET THE COMMUNITY'S HEALTH NEEDS INCLUDE, BUT ARE NOT LIMITED TO: LABORATORY, PHYSICAL, OCCUPATIONAL, SPEECH, PEDIATRIC, CARDIAC AND PULMONARY REHABILITATION, SLEEP MEDICINE, SURGICAL SERVICES, CONSULTING SERVICES, MASSAGE THERAPY, ACUPUNCTURE, ORTHOPEDICS, OBSTETRICS, CHEMOTHERAPY, INFUSIONS, WOUND CARE, AUDIOLOGY, FAMILY PRACTICE, PEDIATRICS, INPATIENT AND TWO RETAIN PHARMACIES, GYNECOLOGY, DIABETES MANAGEMENT, CHRONIC CARE, MEDICAL IMAGING, NUTRITION SERVICES, OCCUPATIONAL HEALTH, RESPIRATORY THERAPY, BEHAVIORAL HEALTH, WALK-IN CARE, VOLUNTEER SERVICES, COMMUNITY OUTREACH AND WELLNESS ACTIVITIES.THERE IS NO LIMIT TO THE NUMBER OF ISSUES TO WHICH A HEALTHCARE INSTITUTION COULD DEVOTE RESOURCES. TIME, PEOPLE AND MONEY ARE OFTEN LIMITING FACTORS IN WHY WE CANNOT DO MORE. HOWEVER, PREVAILING WISDOM SUGGESTS AN ORGANIZATION LIKE RAMC MUST FOCUS ON A FEW HIGH-PRIORITY PROJECTS AND MAKE EVERY EFFORT TO AVOID DUPLICATION AND ENCOURAGE COLLABORATION AND COORDINATION WITH OTHER ORGANIZATIONS AND COMMUNITY GROUPS. AS RAMC ASSESSED UNMET HEALTH NEEDS AND DETERMINED ITS PRIORITIES, WE ALSO EVALUATED OTHER AREAS IN NEED OF IMPROVEMENT. OBESITY, DIET AND EXERCISE CONTINUES TO BE A PREVAILING ISSUE; UNHEALTHY WEIGHT MANAGEMENT LEADS TO MANY OTHER HEALTH ISSUES. RAMC SUPPORTS PROGRAMS SUCH AS THE HEALTH4U DIABETES AND OBESITY PROGRAM, AS WELL AS HEALTHY LIVING AWARENESS EDUCATION TO THE COMMUNITY TO SUPPORT HEALTHY LIFESTYLES. MALNUTRITION IS ANOTHER ISSUE ALREADY BEING ADDRESSED WITHIN THE COMMUNITY. THIS IS AN ISSUE WE SEE OFTEN THROUGH OUR EMERGENCY ROOM. WE ARE AWARE OF THIS NEED AND WILL CONTINUE TO MONITOR IT. SCHOOL DISTRICTS ARE OFFERING MORE PROGRAMS TO BRING FOOD TO CHILDREN YEAR-ROUND AND RAMC FINANCIALLY CONTRIBUTES TO SCHOOL GARDENS. FOOD PANTRIES IN THE COMMUNITY ARE CONSTANTLY BEING REFRESHED TO SUPPLY HEALTHY OPTIONS. RAMC HOSTS AND ON-CAMPUS FARMERS MARKET EVERY FRIDAY IN MAY-OCTOBER, ENCOURAGING HEALTHY ALTERNATIVES AND SUPPORTING LOCAL GROWERS. RAMC ALSO FINANCIALLY SUPPORTS VARIOUS RUNS AND WALKS THROUGHOUT THE SPRING, SUMMER AND FALL, PROMOTES EXERCISE OPPORTUNITIES ONLINE THROUGH THE WEBSITE, AND WORKS TOWARDS ENHANCING THE WELLNESS PARK LOCATED ACROSS FROM THE RAMC CAMPUS, OFFERING WALKING PATHS, OUTDOOR EXERCISE EQUIPMENT, BASKETBALL, PLAYGROUND OPPORTUNITIES AND MORE. AS A RURAL COMMUNITY, FARM SAFETY CONTINUES TO BE A PRIORITY WHICH THE HOSPITAL ADDRESSES BY SUPPORTING ANNUAL EVENTS LIKE RURAL FARM SAFETY DAY FOR AREA SCHOOL CHILDREN. TRANSPORTATION WAS AN ISSUE BROUGHT UP AT EVERY LISTENING SESSION AND RAMC IS WORKING WITH THE LOCAL CAB COMPANY TO ENCOURAGE TRANSPORTATION OUTSIDE OF THE CITY LIMITS. REEDSBURG AREA MEDICAL CENTER PART V, SECTION B, LINE 20E: RAMC WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. SUCH EFFORTS INCLUDE: WAITING 120 DAYS FROM THE FIRST POST-DISCHARGE BILLING STATEMENT; VALIDATION OF THE BALANCE OWED AND THAT ALL SOURCES OF PAYMENT HAVE BEEN IDENTIFIED AND BILLED BY RAMC; DOCUMENTATION OF THE ATTEMPT TO OFFER THE PATIENT THE OPPORTUNITY TO APPLY FOR CHARITY CARE; DOCUMENTATION THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE; DOCUMENTATION THAT THE PATIENT HAS BEEN OFFERED A PAYMENT PLAN BUT HAS NOT HONORED THE TERMS OF THE AGREEMENT; AND AT LEAST 30 DAYS BEFORE STARTING ANY EXTRAORDINARY ACTION, WILL SEND THE PATIENT A WRITTEN NOTICE STATING THAT RAMC OFFERS FINANCIAL ASSISTANCE, IDENTIFY THE EXTRAORDINARY ACTION(S) THAT MAY BE TAKEN, GIVE A DEADLINE OF WHEN SUCH ACTION(S) WILL TAKE PLACE AND INCLUDE THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. REEDSBURG AREA MEDICAL CENTER PART V, SECTION B, LINE 23: PATIENTS WHOSE FAMILY INCOME DOES NOT MAKE THEM ELIGIBLE FOR ALLOWANCES AT 100% WILL RECEIVE SERVICES AT AMOUNTS NO GREATER THAN AMOUNTS GENERALLY BILLED (AGB). TO CALCULATE THE AGB, RAMC TAKES THE TOTAL MEDICARE, MEDICAID, COMMERCIAL, AND MANAGED CARE PAYMENTS FOR THE PRIOR FISCAL YEAR AND DIVIDES IT BY CHARGES FOR THOSE SAME PAYERS (LOOK BACK METHOD). RAMC WILL RECALCULATE THE AGB ON AN ANNUAL BASIS, BASED UPON DATA FROM THE PRIOR 12 MONTHS. THE AGB CALCULATED WILL BE EFFECTIVE OCTOBER 1ST EACH YEAR AND APPLIED TO DETERMINATIONS MADE ON OR AFTER THAT DATE REGARDLESS OF THE DATE OF SERVICE OR ORIGINAL DATE OF APPLICATION. THIS PERCENTAGE IS THEN APPLIED TO ALL ACCOUNTS COVERED BY THE FINANCIAL ASSISTANCE POLICY. PART V, LINE 16A, FAP WEBSITE: HTTPS://RAMCHEALTH.COM/WP-CONTENT/UPLOADS/2025/02/COMMUNITY-CARE-AND-FINANCIAL-ASSISTANCE-POLICY.PDF PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://RAMCHEALTH.COM/WP-CONTENT/UPLOADS/2025/02/COMM-CARE-APPLICATION-2025.PDF PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://RAMCHEALTH.COM/WP-CONTENT/UPLOADS/2025/02/FAP-CCPLS-ENGLISH.PDF PART I, LINE 3C: ELIGIBLE INDIVIDUALS MUST RESIDE IN OR HAVE A PRIMARY CARE PHYSICIAN IN RAMC'S SERVICE AREA. REVIEW OF THE PATIENT'S ASSETS AND ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THEM WILL BE INCLUDED IN THE APPLICATION PROCESS ALONG WITH REVIEW OF ALL OUTSTANDING ACCOUNTS AND PREVIOUS PAYMENT HISTORY. DOCUMENTS REQUESTED MAY INCLUDE A COPY OF THE APPLICANT'S MOST RECENT FEDERAL INCOME TAX RETURN, W-2 FORM(S), CURRENT PAYSTUB(S) AND A COMPLETED FINANCIAL DISCLOSURE. HOSPITAL PERSONNEL MAY REQUIRE OTHER VERIFICATION OF INCOME OR ASSETS, AS DEEMED NECESSARY. PART I, LINE 6A: REEDSBURG AREA MEDICAL CENTER (THE "HOSPITAL") PREPARES A COMMUNITY BENEFIT REPORT ANNUALLY AND FILES IT WITH THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THE REPORT IS AVAILABLE TO THE GENERAL PUBLIC ON WHA'S DATABASE AND WEBSITE ALONG WITH THE RAMC WEBSITE. PART I, LINE 7: THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO, WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES, EXCLUDING THE PROVISION FOR BAD DEBT, DIVIDED BY GROSS PATIENT REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT ARE WRITTEN OFF DURING THE FISCAL YEAR TO ESTIMATE THE COST OF THE CARE OF PATIENTS WHO HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE HOSPITAL. THE HOSPITAL ALSO RECOGNIZES THAT IT PROVIDES A DISCOUNT TO SELF-PAY OR UNINSURED PATIENTS. THESE AMOUNTS ARE INCLUDED IN THE CONTRACTUAL ADJUSTMENTS ON THE FINANCIAL STATEMENTS AND ARE NOT INCLUDED IN THE RATIO AS DESCRIBED ABOVE AND APPROVED BY THE IRS FOR USE ON FORM 990. IF CONSIDERED, THESE ADDITIONAL WRITE-OFF AMOUNTS TO UNINSURED ACCOUNTS WOULD ALSO INCREASE THE ESTIMATED BAD DEBT EXPENSE AMOUNT ASSOCIATED WITH THESE UNCOLLECTIBLE ACCOUNTS TO THE HOSPITAL. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES AT REEDSBURG AREA MEDICAL CENTER INCLUDE MASSAGE THERAPY, OCCUPATIONAL HEALTH, DIETARY SERVICES, EDUCATION, CONSULTING, THE PG LAB AND HOSPITALIST SERVICES. IT IS THE GOAL OF REEDSBURG AREA MEDICAL CENTER TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF A PATIENT'S ABILITY TO PAY. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX, LINE 24(E), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $253,078. PART II, COMMUNITY BUILDING ACTIVITIES: RAMC IS PROUD TO ENCOURAGE OUR EMPLOYEES TO GIVE BACK TO OUR COMMUNITY ON THEIR STAFF TIME. IN ADDITION TO THEIR JOB RESPONSIBILITIES, THEY TAKE ON ADDITIONAL ROLES IN OUR COMMUNITY BY SERVING ON LOCAL BOARDS AND COMMITTEES, SERVING AT FOOD PANTRIES AND COMMUNITY MEALS, AND SO MUCH MORE. OUR COMMUNITY BUILDING ACTIVITIES WORK TO ADDRESS UNDERLYING HEALTH DETERMINANTS AND SUPPORT PROGRAMS MEANT TO IMPROVE HEALTH BEFORE INTERVENTION IS REQUIRED, AS WELL AS PROVIDING RESOURCES FOR THOSE LOOKING TO IMPROVE THEIR CURRENT HEALTH SITUATION. RAMC EMPLOYEES ARE ALSO ACTIVE IN EDUCATING THE COMMUNITY ON A WIDE VARIETY OF HEALTH TOPICS. HEALTH-RELATED BOARD POSITIONS RANGE FROM THOSE FOCUSING ON AREA DENTAL AND EMERGENCY MEDICAL SERVICES TO THE RURAL WISCONSIN HEALTH COOPERATIVE AND SAUK COUNTY HEALTH BOARDS. MANY EMPLOYEES ARE ALSO MEMBERS OF COMMUNITY SERVICE BOARDS AND VOLUNTEER GROUPS. RAMC IS MINDFUL OF AND PROACTIVE IN DEVELOPING OR PARTNERING WITH GROUPS WORKING TO BETTER THE CURRENT ECONOMIC AND ENVIRONMENTAL CONDITIONS OF OUR COMMUNITY. ADDITIONAL EXAMPLES OF COMMUNITY BUILDING ACTIVITIES INCLUDE DEDICATED PATIENT ADVOCATE STAFF TO ASSIST COMMUNITY MEMBERS WITH ANSWERING MEDICARE, MEDICAID AND OTHER INSURANCE QUESTIONS AND NAVIGATING THE HEALTH INSURANCE MARKET PLACE; BEING A KEY MEMBER IN THE DEVELOPMENT OF THE REEDSBURG BOYS & GIRLS CLUB; PRACTICING GOOD STEWARDSHIP THROUGH CONTINUED RECYCLING EFFORTS; AND SUPPORTING LOCAL COMMUNITY DEVELOPMENT AND GROWTH THROUGH SUPPORT OF LOCAL CHAMBERS OF COMMERCE AND OTHER COMMUNITY ORGANIZATIONS AND PROGRAMS. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON LINE 2 IS REPORTED AT COST. PART III, LINE 3: IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL 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 THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS AND PATIENTS WHO ARE KNOWN TO HAVE FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES PATIENTS WITHOUT INSURANCE AND WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF THEIR 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 AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. MANY TIMES PATIENTS DO NOT COMPLETE THE REQUIRED CHARITY (COMMUNITY) CARE APPLICATION AND ARE TRANSFERRED TO COLLECTION SERVICES EVEN THOUGH RAMC PROVIDES THIS INFORMATION TO ALL PATIENTS AND OFFERS 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: SEE THE "PATIENT AND RESIDENT ACCOUNTS RECEIVABLE AND CREDIT LOSSES NOTE ON PAGES 10 AND 11 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H TO THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE HOSPITAL, AND ALSO DOES NOT CONSIDER ALL CONTRACTUAL ADJUSTMENTS FOR SERVICES REIMBURSED BY THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT AT THE HOSPITAL AS WELL AS ANESTHESIA PROFESSIONAL SERVICES, SURGEON PROFESSIONAL SERVICES, REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS, AND REFERENCE LAB SERVICES FOR PATIENTS OF A NEIGHBORING PHYSICIAN CLINIC. PHYSICIAN PROFESSIONAL SERVICES AND REFERENCE LAB SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULE REIMBURSEMENTS AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY, SURGERY, AND PHYSICIAN SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND, AS SUCH, THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT RAMC PROVIDES TO ITS COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD USED ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED SEPTEMBER 30, 2024, 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 PREVIOUSLY). WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHO ARE TYPICALLY ELDERLY OR DISABLED MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THESE MEMBERS OF THE COMMUNITY. PART III, LINE 9B: UNDER THE HOSPITAL'S COLLECTION AND CHARITY CARE POLICIES, RAMC MAKES EVERY ATTEMPT TO IDENTIFY AND PROMOTE CHARITY CARE TO PATIENTS. INCLUDED IN THE HOSPITAL'S CHARITY CARE POLICY IT IS NOTED THAT PATIENTS MAY QUALIFY FOR CHARITY CARE EITHER PRIOR TO ADMISSION OR FOLLOWING DISCHARGE. DURING THE PATIENT ACCOUNT COLLECTION PROCESS, SELF-PAY PATIENTS ARE ALSO INFORMED OF THE HOSPITAL'S COLLECTION POLICIES, AS WELL AS THE CHARITY CARE PROGRAM, TO ALLOW PATIENTS THE OPPORTUNITY TO COMPLETE THE APPROPRIATE FORMS AND QUALIFY UNDER THE PROGRAM. ONCE A PATIENT MEETS ALL QUALIFICATIONS FOR FINANCIAL ASSISTANCE, ALL OR PART OF THE ACCOUNT BALANCE IS WRITTEN OFF, AS APPROPRIATE. THE REMAINING BALANCE, IF ANY, IS THE PATIENT'S RESPONSIBILITY AND COLLECTED FOLLOWING THE HOSPITAL'S STANDARD DEBT COLLECTION POLICY. PART VI, LINE 2: RAMC HAS A FEEDBACK SECTION ON THE HOSPITAL'S WEBSITE, WWW.RAMCHEALTH.COM, ALLOWING A FORUM FOR WHICH THE PUBLIC CAN PROVIDE SUGGESTIONS AND COMMENTS. PATIENTS AND COMMUNITY MEMBERS ARE ALSO ABLE TO PROVIDE COMMENTS, FEEDBACK AND RATINGS ON VARIOUS SOCIAL MEDIA SITES SUCH AS FACEBOOK AND INSTAGRAM. RAMC GATHERS DATA FROM THE SAUK COUNTY HEALTH NEEDS ASSESSMENT THAT HAS BEEN SEGMENTED INTO THE HOSPITAL'S PRIMARY SERVICE AREA. IN WORKING WITH A COMMITTEE CONSISTING OF OFFICIALS FROM THE SAUK COUNTY PUBLIC HEALTH DEPARTMENT, REEDSBURG AREA SCHOOL DISTRICT, AND THE CITY OF REEDSBURG (INCLUDING THE CITY'S AMBULANCE, POLICE, AND FIRE DEPARTMENTS), AS WELL AS VARIOUS OTHER COMMUNITY MEMBERS INCLUDING REPRESENTATIVES FROM BUSINESS AND INDUSTRY, THIS INFORMATION HAS BEEN PRIORITIZED AND USED TO DEVELOP IMPLEMENTATION STRATEGIES. PART VI, LINE 3: COMMUNITY CARE NOTIFICATIONS ARE APPROPRIATELY POSTED IN PUBLIC AREAS OF THE HOSPITAL AND CLINICS. COPIES ARE AVAILABLE IN THE LANGUAGE OF ANY POPULATION CONSISTING OF THE LESSER OF 5% OR 1,000 PEOPLE IN THE COMMUNITY. NOTICES OF THE COMMUNITY CARE AND FINANCIAL ASSISTANCE POLICY ARE AVAILABLE ON EVERY BILLING STATEMENT. NOTIFICATIONS/PLAIN LANGUAGE SUMMARY ARE PRESENT WITHIN THE EMERGENCY ROOM AND WALK-IN CLINIC. PATIENTS WILL BE ABLE TO OBTAIN A FREE COPY OF THE POLICY/PLAIN LANGUAGE SUMMARY AND APPLICATION FOR COMMUNITY CARE AT ALL POINTS OF ADMISSION AS WELL AS THE BUSINESS OFFICE. THE COMMUNITY CARE AND FINANCIAL ASSISTANCE POLICY AND APPLICATION PLAIN LANGUAGE SUMMARY, BILLING AND COLLECTION POLICY AND COMMUNITY CARE APPLICATION, AND LIST OF PROVIDERS COVERED AND PROVIDERS NOT COVERED UNDER FAP ARE PUBLICIZED ON THE RAMC WEBSITE. QUESTIONS REGARDING THE POLICY OR WITH THE COMMUNITY CARE APPLICATION PROCESS CAN BE DIRECTED TO RAMC FINANCIAL COUNSELORS. PART VI, LINE 4: REEDSBURG AREA MEDICAL CENTER IS LOCATED IN THE CITY OF REEDSBURG, WISCONSIN, IN NORTH CENTRAL SAUK COUNTY. THE PRIMARY SERVICE AREA EXTENDS WEST TO CAZENOVIA, EAST TO ROCK SPRINGS, SOUTH TO HILLPOINT AND NORTH FROM WONEWOC TO JUST WEST OF LAKE DELTON. THIS GEOGRAPHIC AREA IS LARGELY RURAL AND CROSSES INTO THREE COUNTIES IN ADDITION TO SAUK COUNTY, COMPRISING APPROXIMATELY THREE QUARTERS OF THE HOSPITAL'S DISCHARGED PATIENTS. SAUK COUNTY HAS REMAINED STEADY WITH ONLY A 0.12% POPULATION GROWTH OVER THE PAST YEAR. THE PERCENTAGE OF THE POPULATION AGED 65 AND OLDER IS 20.2%, A VERY SLIGHT INCREASE FROM 2023, ALTHOUGH THE POPULATION AGED 18 AND YOUNGER HAS REMAINED STABLE. THE RURAL POPULATION HAS DECREASED SLIGHTLY, CURRENTLY AT 44.7%. THE POPULATION IDENTIFYING AS NON-HISPANIC WHITE IS 89.7%, WHILE 6.2% IDENTIFY AS HISPANIC. THE CURRENT MEDIAN HOUSEHOLD INCOME IN SAUK COUNTY IS $70,484, A TINY INCREASE FROM THE 2023 MEDIAN OF $70,254. THE PERCENTAGE OF CHILDREN LIVING IN POVERTY HAS LOWERED SLIGHTLY AND CURRENTLY AT 12%, WITH 41% OF SAUK COUNTY'S CHILDREN ELIGIBLE FOR FREE OR REDUCED PRICE SCHOOL LUNCH. THE OVERALL SAUK COUNTY HIGH SCHOOL GRADUATION RATE WAS 93%: THE REEDSBURG 5-YEAR GRADUATION RATE FOR 2023-2024 WAS 96%. IN SAUK COUNT, 8% OF ADULTS ARE UNINSURED AND 6% OF THE CHILDREN ARE UNINSURED. REEDSBURG AREA MEDICAL CENTER IS THE ONLY HOSPITAL WITHIN OUR PRIMARY SERVICE AREA; TWO ADDITIONAL HOSPITALS ARE LOCATED WITHIN SAUK COUNTY. SEVERAL TERTIARY CARE HOSPITALS IN MADISON, WISCONSIN, AND THE SURROUNDING AREA PROVIDE ADDITIONAL SPECIALIZED SERVICES NOT AVAILABLE AT REEDSBURG AREA MEDICAL CENTER. PART VI, LINE 5: REEDSBURG AREA MEDICAL CENTER IS COMMITTED TO THE HEALTH OF OUR COMMUNITY AND THE IMPORTANT PART WE PLAY IN MAINTAINING AND IMPROVING THE OVERALL HEALTH OF OUR CONSTITUENTS. WE TAKE AN ACTIVE ROLE IN EQUIPPING OUR COMMUNITY MEMBERS WITH THE TOOLS AND SKILLS NEEDED TO CREATE BETTER HEALTH. RAMC PROVIDES HEALTH CARE SERVICES AND OTHER FINANCIAL SUPPORT THROUGH VARIOUS PROGRAMS THAT ARE DESIGNED, IN PART, TO ENHANCE THE HEALTH OF THE COMMUNITY, INCLUDING THE HEALTH OF LOW-INCOME PATIENTS. CONSISTENT WITH OUR MISSION, CARE IS 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 ARE UNDERINSURED. COMMUNITY BENEFITS ALSO INCLUDE UNPAID COSTS OF TREATING THE ELDERLY AND DISABLED, HEALTH SCREENINGS, COMMUNITY EDUCATION AND OTHER HEALTH-RELATED SERVICES. OUR COMMUNITY-BUILDING ACTIVITIES WORK TO ADDRESS UNDERLYING HEALTH DETERMINANTS AND SUPPORT PROGRAMS MEANT TO IMPROVE HEALTH BEFORE INTERVENTION IS REQUIRED, AS WELL AS PROVIDING RESOURCES FOR THOSE LOOKING TO IMPROVE THEIR CURRENT HEALTH SITUATION. RAMC EMPLOYEES ARE ACTIVE IN EDUCATING THE COMMUNITY ON A WIDE VARIETY OF HEALTH TOPICS AND PARTICIPATE ON NUMEROUS LOCAL BOARDS. HEALTH-RELATED BOARD POSITIONS RANGE FROM THOSE FOCUSING ON AREA DENTAL AND EMERGENCY MEDICAL SERVICES TO THE WISCONSIN HOSPITAL ASSOCIATION, RURAL WISCONSIN HEALTH COOPERATIVE, AND SAUK COUNTY HEALTH BOARDS. MANY EMPLOYEES ARE ALSO MEMBERS OF COMMUNITY SERVICE BOARDS AND VOLUNTEER GROUPS. RAMC IS MINDFUL OF AND PROACTIVE IN DEVELOPING OR PARTNERING WITH GROUPS WORKING TO BETTER THE CURRENT ECONOMIC AND ENVIRONMENTAL CONDITIONS OF OUR COMMUNITY. RAMC IS OPERATED BY A BOARD OF DIRECTORS COMPRISED OF LOCAL, INDEPENDENT COMMUNITY MEMBERS, A MEDICAL STAFF ORGANIZED IN THE PUBLIC INTEREST AND OPEN TO ALL QUALIFIED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS, AND AN EMERGENCY ROOM AVAILABLE TO ALL, REGARDLESS OF ABILITY TO PAY. THE BOARD TAKES A BALANCED APPROACH WHEN IT SETS POLICY AND STRATEGIC DIRECTION FOR THE MEDICAL CENTER, WORKING TO ALIGN COMMUNITY NEEDS WITH BUSINESS AND FINANCIAL CONCERNS. THE USE OF SURPLUS FUNDS IS LARGELY DETERMINED BY THE BOARD IN EFFORTS TO MEET THIS GOAL. SURPLUS FUNDS ARE USED TO PURCHASE EQUIPMENT AND TO PROVIDE SERVICES THAT WILL MOST EFFECTIVELY MEET THE IDENTIFIED HEALTH NEEDS OF THE COMMUNITY AND ALLOW FOR COMPREHENSIVE CARE CLOSE TO HOME. WHILE THERE IS GROWING AGREEMENT IN THE UNITED STATES ABOUT WHAT CONSTITUTES A NON-PROFIT HOSPITAL'S "COMMUNITY BENEFIT," THESE EFFORTS CONTINUE TO BE A WORK IN PROGRESS. RAMC PROVIDES SIGNIFICANT AMOUNTS OF CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS AND, IN ADDITION, WE BELIEVE THAT IT PROVIDES A CRITICALLY IMPORTANT BENEFIT WHICH IS NOT QUANTIFIED. RAMC, LIKE MOST COMMUNITY HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY, WHICH WITHOUT THE HOSPITAL, WOULD NOT BE AVAILABLE LOCALLY, REQUIRING DISTANCE DRIVING TO RECEIVE CARE. BEYOND INPATIENT HOSPITALIZATIONS, RAMC PROVIDES LOCAL ACCESS TO MANY SERVICES INCLUDING: LABORATORY, PHYSICAL, OCCUPATIONAL, SPEECH, PEDIATRIC, CARDIAC AND PULMONARY REHABILITATION, SLEEP MEDICINE, SURGICAL SERVICES, CONSULTING SERVICES, MASSAGE THERAPY, ACUPUNCTURE, ORTHOPEDICS, OBSTETRICS, CHEMOTHERAPY, INFUSIONS, WOUND CARE, AUDIOLOGY, FAMILY PRACTICE, PEDIATRICS, INPATIENT AND TWO RETAIN PHARMACIES, GYNECOLOGY, DIABETES MANAGEMENT, CHRONIC CARE, MEDICAL IMAGING, NUTRITION SERVICES, OCCUPATIONAL HEALTH, RESPIRATORY THERAPY, BEHAVIORAL HEALTH, WALK-IN CARE, VOLUNTEER SERVICES, COMMUNITY OUTREACH AND WELLNESS ACTIVITIES. PART VI, LINE 7, REPORTS FILED WITH STATES WI 1 REEDSBURG AREA SENIOR LIFE CENTER 2350 NORTH DEWEY AVENUE REEDSBURG WI 54959 760775289 501(C)(3) 1387766 0 GENERAL OPERATIONS 1 0 TUITION ASSISTANCE 30 83273 FMV STIPENDS 37 63250 350 FMV EMPLOYEE REFERRAL PROGRAM PART I, LINE 2: RAMC HAS (AT LEAST MONTHLY) ACCESS TO THE FINANCIAL RECORDS AND BOARD MEETING MINUTES OF BOTH THE REEDSBURG AREA SENIOR LIFE CENTER AND THE REEDSBURG AREA MEDICAL CENTER FOUNDATION, ALLOWING FOR REVIEW OF HOW FUNDS ARE ALLOCATED. RAMC PROVIDES SCHOLARSHIPS AND TUITION ASSISTANCE TO EMPLOYEES PURSUING HEALTH-CARE RELATED HIGHER EDUCATION. THIS ASSISTANCE IS MADE AVAILABLE TO EMPLOYEES FOR STUDIES WHERE PROFESSIONAL STAFF ARE NEEDED AND THE DEMAND FOR THESE POSITIONS IS GREATER THAN THE SUPPLY AVAILABLE. USUALLY, THE SHORTAGE IS NOT ONLY SEEN LOCALLY, BUT ALSO STATE AND NATIONWIDE. THE INTENTION IS TO HAVE THESE TRAINED PROFESSIONALS CONTINUE AT RAMC WITHIN THEIR NEW POSITION, ACCOMPLISHING OUR MISSION AND COMMITMENT TO PROVIDING HIGH-QUALITY, LOCAL CARE FOR OUR COMMUNITY. PROOF OF THE COST OF TUITION AND SUCCESSFUL COURSE COMPLETION ARE REQUIRED. X X X X X 1 1 0 0 0 0 0 0 0 MATTHEW NIESEN PHYSICIAN 967905 0 0 0 0 0 0 0 19558 0 987463 0 0 0 CHRISTOPHER WENNINGER MD MEDICAL ADVISOR/TRUSTEE 900285 0 0 0 0 0 16500 0 28090 0 944875 0 0 0 CHRISTOPHER DALE MD PHYSICIAN 263614 0 0 0 422000 0 0 0 284 0 685898 0 0 0 ROBERT VAN MEETEREN CEO / PRESIDENT 401151 0 79057 0 0 0 63059 0 28904 0 572171 0 0 0 CHRISTINE TRAUTMAN PHYSICIAN 520724 0 0 0 0 0 16500 0 25120 0 562344 0 0 0 ANTHONY RUZGA PHYSICIAN 502437 0 0 0 0 0 16500 0 24710 0 543647 0 0 0 BENJAMIN NESSEIM PHYSICIAN 381907 0 0 0 0 0 16500 0 29273 0 427680 0 0 0 CHRISTOPHER BJORKLUND ANESTHESIOLOGIST/FOUNDATION LIAISON 377210 0 0 0 0 0 16500 0 25575 0 419285 0 0 0 BARRY BORCHERT CFO 270118 0 33246 0 0 0 39923 0 22051 0 365338 0 0 0 PART I, LINES 4A-B NAME: CHRISTOPHER DALE, DESCRIPTION: SEVERANCE PAY, CURRENT YEAR AMOUNT: $422,000. PLAN DESCRIPTION: PROCESSED THROUGH REGULAR PAYROLL NAME: ROBERT VAN MEETEREN, DESCRIPTION: 457(F) PLAN, CURRENT YEAR AMOUNT: $16,248. PLAN DESCRIPTION: MONTHLY PAYMENTS BY RAMC TO 457 (F) PLAN A WISCONSIN HEALTH & EDUCATION FACILITIES 391337855 97710BXP2 2014-02-19 7500000 REFUND SERIES 2010 BONDS 0 0 0 B WISCONSIN HEALTH & EDUCATION FACILITIES 391337855 2015-11-10 6556441 REFUND SERIES 2006 BONDS 0 0 0 C WISCONSIN HEALTH & EDUCATION FACILITIES 391337855 2017-12-29 29600000 CONSTRUCTION & REFUND SERIES 2010 BONDS 0 0 0 D WISCONSIN HEALTH & EDUCATION FACILITIES 391337855 2024-01-24 18200000 CONSTRUCTION OF PG REPLACEMENT CLINIC 0 0 0 A 3124904 7500000 7500000 2006 1 0 1 1 B 6556411 6556441 130120 6426321 2006 0 1 1 1 C 2525598 4511983 29600000 431179 25118110 4050711 0 1 1 1 D 18200000 328269 17817731 54000 2025 0 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 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 0 0 1 1 0 0 0 1 D 0 0 0 1 1 0 0 0 0 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: WISCONSIN HEALTH & EDUCATION FACILITIES DATE THE REBATE COMPUTATION WAS PERFORMED: 02/08/2019 ISSUER NAME: WISCONSIN HEALTH & EDUCATION FACILITIES DATE THE REBATE COMPUTATION WAS PERFORMED: 12/06/2019 SUSAN ETHUN FAMILY MEMBER OF DIRECTOR 115502 EMPLOYMENT COMPENSATION 0 SARA FERGUSON FAMILY MEMBER OF DIRECTOR 74220 EMPLOYMENT COMPENSATION 0 CAROL FINNEGAN FAMILY MEMBER OF DIRECTOR 42403 EMPLOYMENT COMPENSATION 0 KRISTI LICHTE FAMILY MEMBER OF DIRECTOR 41503 EMPLOYMENT COMPENSATION 0 HALEY STOVEY FAMILY MEMBER OF DIRECTOR 77149 EMPLOYMENT COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRMAN, FIRST VICE-CHAIRMAN, MEDICAL ADVISOR, SECRETARY AND TREASURER. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE, WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, THE POWERS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE AFFAIRS OF THE CORPORATION, EXCEPT ACTION IN RESPECT TO AMENDING THE BY-LAWS, MAKING RULES OR REGULATIONS GOVERNING NOMINATIONS OR ELECTIONS, OR DISPOSING OF OR MORTGAGING ASSETS OF THE CORPORATION. THE BOARD OF DIRECTORS MAY SELECT ONE OR MORE OF ITS MEMBERS AS ALTERNATIVE MEMBERS OF SUCH COMMITTEE WHO MAY TAKE THE PLACE OF ANY ABSENT MEMBER OR MEMBERS AT ANY MEETING OF SUCH COMMITTEE, UPON REQUEST BY THE CHAIRMAN OF THE BOARD OR UPON REQUEST BY THE CHAIRMAN OF SUCH MEETING. SUCH COMMITTEE SHALL FIX ITS OWN RULES GOVERNING THE CONDUCT OF ITS ACTIVITIES AND SHALL MAKE SUCH REPORT TO THE BOARD OF DIRECTORS OF ITS ACTIVITIES AS THE BOARD OF DIRECTORS MAY REQUEST. FORM 990, PART VI, SECTION B, LINE 11B UPON COMPLETION OF THE FORM 990, MANAGEMENT REVIEWED FOR ACCURACY AND COMPLETENESS. UPON APPROVAL, THE FORM 990 WAS PRESENTED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE PURPOSE OF THE CONFLICT OF INTEREST POLICY IS TO PROTECT THE CORPORATION'S INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF ANY GOVERNING BOARD MEMBER, SENIOR LEADERSHIP STAFF, PROVIDER OR EMPLOYEE. THIS POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE WISCONSIN LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE CORPORATIONS. ANY DIRECTOR, PRINCIPAL OFFICER, EMPLOYEE OR MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, THROUGH BUSINESS, INVESTMENT OR FAMILY: (I) AN OWNERSHIP OR INVESTMENT INTEREST IN ANY ENTITY WITH WHICH THE CORPORATION HAS A TRANSACTION OR ARRANGEMENT; OR (II) A COMPENSATION ARRANGEMENT WITH THE CORPORATION OR WITH ANY ENTITY OR INDIVIDUAL WITH WHICH THE CORPORATION HAS A TRANSACTION OR ARRANGEMENT; OR (III) A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH, ANY ENTITY OR INDIVIDUAL WITH WHICH THE CORPORATION IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. COMPENSATION INCLUDES DIRECT AND INDIRECT REMUNERATION AS WELL AS GIFTS OR FAVORS THAT ARE SUBSTANTIAL IN NATURE. EACH DIRECTOR, PRINCIPAL OFFICER, EMPLOYEE AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY; AND (D) UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OR COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION 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 UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A THREE-FOURTHS (3/4) VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. FORM 990, PART VI, SECTION B, LINE 15 INDEPENDENT WAGE AND SALARY SURVEYS ARE USED FOR ALL KEY EMPLOYEES, INCLUDING PRESIDENT/CEO. VENDORS USED ARE THE RURAL WISCONSIN HEALTH COOPERATIVE AND WISCONSIN HOSPITAL ASSOCIATION. THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION OF THE CEO. EXECUTIVE COMMITTEE DOES THE EVALUATION AND CHAIR MEETS WITH THE CEO; MINUTES ARE KEPT IN THE RAMC BOARD MINUTE JOURNAL. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024. FORM 990, PART VI, SECTION C, LINE 19 REEDSBURG AREA MEDICAL CENTER'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE REVIEWED AT THE HOSPITAL'S ANNUAL MEETING, WHICH IS OPEN TO THE GENERAL PUBLIC. SUMMARIZED FINANCIAL STATEMENT DATA IS ALSO AVAILABLE THROUGH THE WISCONSIN HOSPITAL ASSOCIATION'S WEBSITE. FORM 990, PART IX, LINE 11G CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 4,507,993. MANAGEMENT AND GENERAL EXPENSES 211,717. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,719,710. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 7,749,097. MANAGEMENT AND GENERAL EXPENSES 363,935. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,113,032. COLLECTION FEES: PROGRAM SERVICE EXPENSES 249,797. MANAGEMENT AND GENERAL EXPENSES 11,732. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 261,529. FORM 990, PART XI, LINE 9: NET CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 1,998,303. FORM 990, PART XII, LINE 2C: THE PROCESS FOR SELECTION AND OVERSIGHT OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. REEDSBURG AREA MEDICAL CENTER FOUNDATION 2000 NORTH DEWEY AVE REEDSBURG WI 53959 391243616 FUNDRAISING WI 501(C)(3) LINE 12C, III-FI N/A 0 PARTNERS OF REEDSBURG AREA MEDICAL CENTER 2000 NORTH DEWEY AVE REEDSBURG WI 53959 237373902 FUNDRAISING WI 501(C)(3) LINE 3 N/A 0 WORKSITE WELLNESS CENTER INC 223 E MAIN ST REEDSBURG WI 53959 881751899 BUSINESS HEALTH SERVICES WI RAMC S -251221 895476 1.00000 1 1 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 WORKSITE WELLNESS INC D 1256287 FMV / CASH BASIS