REEDSBURG AREA MEDICAL CENTER INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
REEDSBURG AREA MEDICAL CENTER INC (EIN 39-1091432)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-13
IRS object ID
202132259349302428
Schema version
2019v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-08-13T15:24:38-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 S 6TH STREET SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391091432EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REEDSBURG AREA MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlREEDBusinessNameControlTxt
Phone6085246487PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 NORTH DEWEY AVENUEAddressLine1Txt
CityREEDSBURGCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53959ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT VAN MEETERENPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone6085246487PhoneNum
Signature2021-08-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKOREY BOELTERPreparerPersonNm
PTINP00775161PTIN
Phone6123764500PhoneNum
Preparation2021-08-13PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBERT VAN MEETERENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 NORTH DEWEY AVENUEAddressLine1Txt
CityREEDSBURGCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53959ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$87,641,716GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RAMCHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1967FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionPROVIDE QUALITY, COMPASSIONATE, & EFFECTIVE HEALTH CARE GOING BEYOND THE EXPECTED IN ALL WE DO.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee733TotalEmployeeCnt
Total Volunteers104TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$574,705NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$92,591PYContributionsGrantsAmt
CY Contributions Grants$7,336,697CYContributionsGrantsAmt
PY Program Service Revenue$73,333,019PYProgramServiceRevenueAmt
CY Program Service Revenue$76,984,496CYProgramServiceRevenueAmt
PY Investment Income$961,210PYInvestmentIncomeAmt
CY Investment Income$557,402CYInvestmentIncomeAmt
PY Other Revenue$719,674PYOtherRevenueAmt
CY Other Revenue$1,106,558CYOtherRevenueAmt
PY Total Revenue$75,106,494PYTotalRevenueAmt
CY Total Revenue$85,985,153CYTotalRevenueAmt
PY Grants And Similar Paid$1,960,366PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,239,477CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$43,855,208PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$46,755,148CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$32,179,547PYOtherExpensesAmt
CY Other Expenses$36,317,514CYOtherExpensesAmt
PY Total Expenses$77,995,121PYTotalExpensesAmt
CY Total Expenses$85,312,139CYTotalExpensesAmt
PY Revenues Less Expenses-$2,888,627PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$673,014CYRevenuesLessExpensesAmt
Total Assets BOY$102,589,054TotalAssetsBOYAmt
Total Assets EOY$115,043,817TotalAssetsEOYAmt
Total Liabilities BOY$53,236,304TotalLiabilitiesBOYAmt
Total Liabilities EOY$63,800,984TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$49,352,750NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$51,242,833NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionREEDSBURG AREA MEDICAL CENTER, ALWAYS THERE, GOING BEYOND THE EXPECTED TO PROVIDE COMPASSIONATE, QUALITY, AND EFFICIENT HEALTH CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$72,784,438ExpenseAmt
Grant$2,239,477GrantAmt
Revenue$69,888,952RevenueAmt
DescINPATIENT SERVICES INCLUDE MULTICARE (MEDICAL/SURGICAL), OBSTETRICS/NURSERY, AND INTENSIVE CARE UNITS AT REEDSBURG AREA MEDICAL CENTER (RAMC). WITHIN THESE UNITS, RAMC PROVIDED SHORT TERM CARE FOR 2669 PATIENT DAYS (905 DISCHARGED PATIENTS) DURING THE FISCAL YEAR ENDING 9/30/20. THIS INCLUDED 263 SWING BED DAYS FOR 29 PATIENTS, 670 OBSERVATION DAYS AND 237 BIRTHS. THE STAFF AT RAMC IS COMMITTED TO MEETING PATIENTS' PHYSICAL, SOCIAL, EDUCATIONAL, EMOTIONAL, AND SPIRITUAL NEEDS. RAMC'S EMERGENCY AND WALK-IN CLINIC IS HERE FOR THE COMMUNITY WHENEVER THEY MAY NEED IT. WALK-IN CLINIC HAS HOURS OF AVAILABILITY FOR MINOR MEDICAL NEEDS SEVEN DAYS A WEEK AND THE EMERGENCY ROOM IS OPEN AND PHYSICIAN STAFFED 24 HOURS A DAY. IN THE FISCAL YEAR ENDING 9/30/20, 8204 PATIENTS WERE SEEN IN THE EMERGENCY ROOM (RESULTING IN 1084 INPATIENT ADMISSIONS) AND 9551 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. EVERY DAY WE STRIVE TO BE A LEADER IN COMMUNITY HEALTH. BY MEETING, AND OFTEN EXCEEDING THAT EXPECTATION, RAMC IS STRENGTHENING OUR RELATIONSHIP WITH PATIENTS, VISITORS AND NEIGHBORING COMMUNITIES. BEING A COMMUNITY PARTNER IS AN AWESOME, BUT IMPORTANT TASK, ONE WE FEEL PRIVILEGED TO UPHOLD. AS IDENTIFIED IN OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, MENTAL HEALTH, CHRONIC DISEASE AND NUTRITION & PHYSICAL ACTIVITY ARE THE TOP THREE 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, INCLUDED, BUT NOT LIMITED TO, ORGANIZING A TEEN SUMMIT FOCUSED ON TEEN MENTAL WELL-BEING AND CURRENT ISSUES WITH OVER 100 TEENS IN ATTENDANCE, WORKING WITH SAUK COUNTY HEALTH DEPARTMENT TO COMBAT SUICIDE, IS A MEMBER OF THE SAUK COUNTY PARTNERSHIP FOR PREVENTION & RECOVERY, SUPPORT LOCAL BOYS & GIRLS CLUB, HOLD COMMUNITY DIABETES PREVENTION PROGRAMMING AND HEALTHY LIVING CLASSES (HEALTH4U) AND HOST KIDS FIT & SAFETY DAY FOR ALL 4TH & 5TH GRADERS IN THE REEDSBURG SCHOOL DISTRICT. IN ADDITION, RAMC SUPPORTS MANY LOCAL EVENTS AND ACTIVITIES DESIGNED TO HELP ENCOURAGE HEALTHY LIFESTYLES AND CHOICES. DURING THE FISCAL YEAR ENDING 9/30/20, 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, CARDIAC AND PULMONARY REHABILITATION, SLEEP MEDICINE, SURGICAL SERVICES, CONSULTING SERVICES, MASSAGE THERAPY, ORTHOPEDICS, OBSTETRICS, PARISH NURSING , CHEMOTHERAPY, AUDIOLOGY, FAMILY PRACTICE CLINIC, COMMUNITY PHARMACY, GYNECOLOGY, DIABETIC EDUCATION, MEDICAL IMAGING, NUTRITION SERVICES, OCCUPATIONAL HEALTH, RESPIRATORY THERAPY, VOLUNTEER SERVICES, COMMUNITY OUTREACH AND WELLNESS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,467,248ExpenseAmt
Grant$0GrantAmt
Revenue$5,159,449RevenueAmt
DescREEDSBURG AREA MEDICAL CENTER COMMUNITY PHARMACY IS CONVENIENTLY LOCATED ON THE RAMC CAMPUS WITHIN THE 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. 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.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$74,251,686TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document41IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee733EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBARRY BORCHERTPersonNm
Phone6085246487PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 NORTH DEWEY AVENUEAddressLine1Txt
CityREEDSBURGCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53959ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
CHRISTOPHER DALE
PHYSICIAN0.500.00Yes (X)$712,923$0$22,891
THOMAS WOOD MD
TRUSTEE20.000.00$644,414$0$63,957Yes (X)
CHRISTOPHER WENNINGER
PHYSICIAN40.000.00Yes (X)$573,614$0$41,155
ROBERT VAN MEETEREN
CEO / PRESIDENT40.000.00$364,397$0$95,056Yes (X)
BENJAMIN NESSEIM
PHYSICIAN40.000.00Yes (X)$389,004$0$50,067
KEVIN MCBRIDE
ANESTHESIOLOGIST40.000.00Yes (X)$355,647$0$55,283
CHRISTOPHER BJORKLUND
ANESTHESIOLOGIST/FOUNDATION LIAISON40.000.00Yes (X)$338,848$0$56,646
BARRY BORCHERT
CFO40.000.00$237,885$0$67,310Yes (X)
MARY BETH SHEAR MD
MEDICAL ADVISOR/TRUSTEE0.500.00$171,785$0$29,858Yes (X)
PAMELA WELCH
TRUSTEE0.500.00$2,450$0$0Yes (X)
BOB BASS
CHAIRPERSON0.500.00$2,200$0$0Yes (X)Yes (X)
DEREK HORKAN
VICE CHAIRPERSON0.500.00$2,050$0$0Yes (X)Yes (X)
KRISTI BROWN
TREASURER0.500.00$1,850$0$0Yes (X)Yes (X)
JOEL GROSKREUTZ
TRUSTEE0.500.00$1,550$0$0Yes (X)
DAN KLAHN
TRUSTEE0.500.00$1,500$0$0Yes (X)
DON LICHTE JR
TRUSTEE0.500.00$1,500$0$0Yes (X)
KONYA ANTONETTI
SECRETARY0.500.00$1,200$0$0Yes (X)Yes (X)
RAYNELLE SYFTESTAD
TRUSTEE0.500.00$1,200$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,804,017TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$482,223TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K67IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MADISON EMERGENCY PHYSICIANS SC
1221 JOHN Q HAMMONDS DRMADISONWI53744PHYSICIAN SERVICES$3,244,892
BEAM HEALTHCARE
25 WEST MAIN ST FLOOR 5MADISONWI53703PHYSICIAN SERVICES$1,492,374
WEBER ORTHOPEDICS
922 OTT LANEBARABOOWI53913PHYSICIAN SERVICES$905,254
SHARED IMAGING SERVICES
PO BOX 88450MILWAUKEEWI53288MEDICAL IMAGING SERVICES$887,049
RDG AREA SURG SPECIALISTS INC
1104 21ST STREEDSBURGWI53959PHYSICIAN SERVICES$695,087
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K19CntrctRcvdGreaterThan100KCnt
Government Grants$7,221,492GovernmentGrantsAmt
All Other Contributions$115,205AllOtherContributionsAmt
Total Contributions$7,336,697TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
PATIENT SERVICE REVENUE621400$69,625,532$69,625,532
PHARMACY REVENUE446110$7,095,544$5,159,449$1,936,095
CAFETERIA REVENUE722310$263,420$263,420
FieldValueIRS element (for citing)
Total Program Service Revenue$76,984,496TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$424,210TotalRevenueColumnAmt
Exclusion$424,210ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$164,026RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$164,026RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$164,026TotalRevenueColumnAmt
Exclusion$164,026ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,779,897SecuritiesAmt
Other$9,858OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,656,563SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$123,334SecuritiesAmt
Other$9,858OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$133,192TotalRevenueColumnAmt
Exclusion$133,192ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
JOINT VENTURE GAIN/(LOSS)900099$423,667$423,667
MEAL REVENUE722310$307,443$307,443
MISCELLANEOUS REVENUE900099$211,422$211,422
FieldValueIRS element (for citing)
Other Revenue Total$942,532OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$85,985,153TotalRevenueColumnAmt
Related Or Exempt Func Income$75,048,401RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,600,055ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,008,154TotalAmt
Program Services$2,008,154ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$231,323TotalAmt
Program Services$231,323ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,588,293TotalAmt
Management And General$1,588,293ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$34,298,068TotalAmt
Program Services$30,219,271ProgramServicesAmt
Management And General$4,078,797ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,507,090TotalAmt
Program Services$1,315,493ProgramServicesAmt
Management And General$191,597ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,065,149TotalAmt
Program Services$6,052,743ProgramServicesAmt
Management And General$1,012,406ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,296,548TotalAmt
Program Services$1,941,616ProgramServicesAmt
Management And General$354,932ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$284,931TotalAmt
Management And General$284,931ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$74,729TotalAmt
Management And General$74,729ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$7,695TotalAmt
Management And General$7,695ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,079,602TotalAmt
Program Services$10,564,658ProgramServicesAmt
Management And General$1,514,944ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$242,882TotalAmt
Management And General$242,882ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,245,929TotalAmt
Program Services$897,224ProgramServicesAmt
Management And General$348,705ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,133,713TotalAmt
Program Services$1,110,970ProgramServicesAmt
Management And General$22,743ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$164,191TotalAmt
Program Services$123,401ProgramServicesAmt
Management And General$40,790ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$876,208TotalAmt
Program Services$876,208ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,678,724TotalAmt
Program Services$3,678,724ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$309,278TotalAmt
Management And General$309,278ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
UBI TAXES$51,035$51,035
MEDICAL SUPPLIES$12,588,494$125$12,588,369
BAD DEBT EXPENSE$1,202,328$1,202,328
REPAIRS & MAINTENANCE$632,942$36,741$596,201

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,744,833TotalAmt
Program Services$845,003ProgramServicesAmt
Management And General$899,830ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$85,312,139TotalAmt
Program Services$74,251,686ProgramServicesAmt
Management And General$11,060,453ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,143BOYAmt
EOY$5,099EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,520,202BOYAmt
EOY$14,749,798EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,208,825BOYAmt
EOY$8,933,328EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,417,142BOYAmt
EOY$2,325,386EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$797,598BOYAmt
EOY$379,070EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$90,668,215LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$38,646,094LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$51,685,717BOYAmt
EOY$52,022,121EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$28,470,950BOYAmt
EOY$31,540,079EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$84,657BOYAmt
EOY$408,862EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,249,137BOYAmt
EOY$1,135,537EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,145,683BOYAmt
EOY$3,544,537EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$102,589,054BOYAmt
EOY$115,043,817EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,576,776BOYAmt
EOY$25,416,077EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$6,497BOYAmt
EOY$8,369EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,978,419BOYAmt
EOY$34,960,822EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,622,073BOYAmt
EOY$2,263,111EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,052,539BOYAmt
EOY$1,152,605EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$53,236,304BOYAmt
EOY$63,800,984EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$48,756,125BOYAmt
EOY$50,602,440EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$596,625BOYAmt
EOY$640,393EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$49,352,750BOYAmt
EOY$51,242,833EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$102,589,054BOYAmt
EOY$115,043,817EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$673,014ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,171,451NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$45,618OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$2,550DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$5,145OtherActivitiesAmt
Total Lobbying Expenditures$7,695TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA 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.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,234,116BeginningYearBalanceAmt
Investment Earnings Or Losses$100,053InvestmentEarningsOrLossesAmt
End Year Balance$2,334,169EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,537,304BeginningYearBalanceAmt
Investment Earnings Or Losses$116,219InvestmentEarningsOrLossesAmt
Other Expenditures$419,407OtherExpendituresAmt
End Year Balance$2,234,116EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,703OtherCostOrOtherBasisAmt
Book Value$26,703BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$63,482,817OtherCostOrOtherBasisAmt
Depreciation$22,068,090DepreciationAmt
Book Value$41,414,727BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,896,614OtherCostOrOtherBasisAmt
Depreciation$15,840,181DepreciationAmt
Book Value$9,056,433BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,262,081OtherCostOrOtherBasisAmt
Depreciation$737,823DepreciationAmt
Book Value$1,524,258BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$52,022,121TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEFERRED COMPENSATIONDesc
Amt$1,152,605Amt
FieldValueIRS element (for citing)
Total Liability$1,152,605TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 ISMORE 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 2020 AND 2019.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,272,760TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$320,242DirectOffsettingRevenueAmt
Net Community Benefit Expns$952,518NetCommunityBenefitExpnsAmt
Total Expense0.01130TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,894,238TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,423,613DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,470,625NetCommunityBenefitExpnsAmt
Total Expense0.05320TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,166,998TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,743,855DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,423,143NetCommunityBenefitExpnsAmt
Total Expense0.06450TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,043,032TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$123,984DirectOffsettingRevenueAmt
Net Community Benefit Expns$919,048NetCommunityBenefitExpnsAmt
Total Expense0.01090TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$178,528TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$178,528NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$171,066TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$119,524DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,542NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,020,527TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,020,527NetCommunityBenefitExpnsAmt
Total Expense0.02400TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,413,153TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$243,508DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,169,645NetCommunityBenefitExpnsAmt
Total Expense0.03760TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,580,151TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,987,363DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,592,788NetCommunityBenefitExpnsAmt
Total Expense0.10210TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,069TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,069NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,954TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$26,954NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,225TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$35,225NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,168TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,168NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$71,416TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$71,416NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$1,202,328BadDebtExpenseAmt
Bad Debt Expense Attributable$1,202,328BadDebtExpenseAttributableAmt
Reimbursed By Medicare$12,397,059ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$16,439,454CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,042,395MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REEDSBURG AREA MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 NORTH DEWEY AVENUEAddressLine1Txt
CityREEDSBURGCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53959ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.RAMCHEALTH.COMWebsiteAddressTxt
State License1057StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherPROVIDER BASED CLINIC AND SPECIALTY CLINICOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1REEDSBURG AREA MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.RAMCHEALTH.COM/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.RAMCHEALTH.COMStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.RAMCHEALTH.COM/PATIENTS-VISITORS/COMMUNITY-CAREFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.RAMCHEALTH.COM/PATIENTS-VISITORS/COMMUNITY-CAREFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.RAMCHEALTH.COM/PATIENTS-VISITORS/COMMUNITY-CAREFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
REEDSBURG AREA MEDICAL CENTERPART 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. HEALTH NEEDS ASSESSMENT SURVEYS: THESE ONLINE SURVEYS WERE CONDUCTED USING A 110 QUESTION SURVEY, WITH A TOTAL OF 1,602 RESPONSES. THE TOPICS INCLUDED: ACCESS TO CARE, QUALITY OF LIFE, CHRONIC DISEASE, DEMOGRAPHICS, COMMUNITY HEALTH PERCEPTIONS, HEALTH CARE ACCESS, PHYSICALY ACTIVITY, NUTRITION, ABUSE, SAFETY, ALCOHOL AND DRUG USE, COMMUNITY RESILIENCY, AND LIFESTYLE FACTORS. SURVEY DATA WAS DISCUSSED WITH THE SAUK COUNTY HEALTH AND WELLNESS COALITION STEERING COMMITTEE.2. FOCUS GROUPS: FOCUS GROUPS CONSISTED OF KEY COMMUNITY STAKEHOLDERS. ADDITIONAL FOCUS GROUPS TARGETED THE ELDERLY POPULATION, THE HISPANIC COMMUNITY, AMISH, AND NATIVE AMERICAN POPULATIONS AS THESE GROUPS WERE NOT WELL REPRESENTED IN THE SURVEY RESPONDENTS. THERE WAS A LIST OF COMMUNITY LISTENING SESSION QUESTIONS REGARDING COMMUNITY HEALTH PERCEPTION. TOPICS INCLUDED: COMMUNITY HEALTH, HEALTH CARE ACCESS, HEALTH LITERACY, HEALTH PROBELMS, TRANSPORTATION AND FOOD SECURITY. SIX ADDITIONAL QUESTIONS ASKED SPECIFICALLY ABOUT ISSUES FACING THE ELDERLY POPULATION INCLUDING: AVAILABILITY TO RESOURCES, KNOWLEDGE OF THE ADRC AND VACCINATION RATES. 3. KEY INFORMANTS: THE FULL RESULTS WERE DISTRIBUTED TO, AND DISCUSSED BY, THE COALITION IN BI-WEEKLY MEETINGS. DATA FROM THE SURVEYS AND FOCUS GROUPS WAS PRESENTED BASED ON THE FOLLOWING TEN CATEGORIES: ACCESS TO HIGH-QUALITY HEALTH SERVICES (INCLUDING DENTAL AND MENTAL HEALTH); EMERGENCY PREPAREDNESS, RESPONSE, AND RECOVERY; HEALTH LITERACY; ADEQUATE, APPROPRIATE, AND SAFE FOOD, NUTRITION, & PHYSICAL ACTIVITY; ALCOHOL, DRUG, AND TOBACCO USE; CHRONIC DISEASE PREVENTION AND MANAGEMENT; COMMUNICABLE DISEASE PREVENTION AND CONTROL; ENVIRONMENTAL AND OCCUPATIONAL HEALTH; HEALTHY GROWTH/DEVELOPMENT AND REPRODUCTIVE/SEXUAL HEALTH; INJURY AND VIOLENCE. THE KEY INFORMANTS THEN DETERMINED THE TOP 3 TOPICS THAT THEY FELT SHOULD BE A PRIORITY. THE HEALTH DEPARTMENT STAFF THEN USED THAT DATA TO SET THE PRIORITIES.
REEDSBURG AREA MEDICAL CENTERPART V, SECTION B, LINE 6A: INCLUDED AS MEMBERS OF THE SAUK COUNTY HEALTH & WELLNESS COALITION ARE ST. CLARE HOSPITAL, BARABOO AND SAUK PRAIRIE HEALTHCARE.
REEDSBURG AREA MEDICAL CENTERPART V, SECTION B, LINE 6B: INCLUDED AS MEMBERS OF THE SAUK COUNTY HEALTH & WELLNESS COALITION ARE THE SAUK COUNTY PUBLIC HEALTH DEPARTMENT, SAUK COUNTY HEALTH & WELLNESS COALITION, BARABOO DISTRICT EMS, MADISON EMERGENCY PHYSICIANS, REEDSBURG EMS, BARABOO FIRE DEPARTMENT, DELLS-DELTON EMS, SAUK COUNTY SHERIFF'S DEPARTMENT, LAKE DELTON POLICE DEPARTMENT, FIRE & EMS, SSM HEALTH AT HOME, SAUK COUNTY AGING & DISABILITY RESOURCE CENTER, YOGI BEAR RESORT, SCHOOL DISTRICT OF WISCONSIN DELLS, EDGEWOOD COLLEGE, LANDS' END, THRIVENT FINANCIAL, BOYS & GIRLS CLUB OF WEST CENTRAL WISCONSIN, AGRACE, REEDSBURG SCHOOL DISTRICT, HO-CHUNK NATION EMERGENCY MANAGEMENT, SECOND HARVEST FOODBANK, CITY OF BARABOO, MEADOW RIDGE/MEADOW VIEW, OUR HOUSE, WISCONSIN DELLS HEALTH SERVICES, BARABOO SCHOOL DISTRICT, REEDSBURG AREA AMBULANCE, SAUK COUNTY BOARD OF SUPERVISORS, PLAIN EMS & FIRE, BASCO, UPLAND HILLS HEALTH CLINIC, MADISON COLLEGE, THERAPY WITHOUT WALLS, HEALTHFIRST NETWORK, BARABOO FIRE DEPARTMENT
REEDSBURG AREA MEDICAL CENTERPART V, SECTION B, LINE 11: RAMC HAD IDENTIFIED IN ITS 2019 CHNA THREE PRIORITIES FOR OUR HOSPITAL TO ADDRESS: 1) MENTAL HEALTH, 2) CHRONIC DISEASE AND 3) NUTRITION & PHYSICAL ACTIVITY. WE ARE COMMITTED TO MAKING POSITIVE IMPACTS IN THESE AREAS AND SHOW THIS THROUGH OUR COMMUNITY PARTNERSHIPS AND SUPPORT. 1) MENTAL HEALTH: COLLABORATE WITH JOURNEY MENTAL HEALTH AND SAUK COUNTY HEALTH & WELLNESS COALITION TO PROVIDE MENTAL HEALTH FIRST AID TRAINING A MINIMUM OF TWO TIMES PER YEAR IN OUR SERVICE AREA; COLLABORATE WITH SAUK COUNTY PUBLIC HEALTH TO PROVIDE QPR (QUESTION, PERSUADE, REFER) SUICIDE PREVENTION TRAINING AT LEAST FOUR TIMES A YEAR TO STAFF AND COMMUNITY MEMBERS TO INCREASE KNOWLEDGE OF MENTAL HEALTH ISSUES IN OUR AREA; ENHANCE COUNTY-WIDE COLLABORATIONS TO INCREASE AWARENESS, EDUCATION, TREATMENT AND PRE-EVENT INTERVENTION WITH ORGANIZATIONS INCLUDING RURAL SAFETY DAYS, SAUK COUNTY PARTNERSHIP FOR PREVENTION AND RECOVERY, REGION 11 CRITICAL INCIDENT AND STRESS MANAGEMENT GROUP; COLLABORATE WITH COMMUNITY PARTNERS ON HEALTH INITIATIVES IMPACTING MENTAL HEALTH INCLUDING BOYS & GIRLS CLUB PROGRAMMING, COMMUNITY MENTAL HEALTH FORUMS AND SCHOOL DISTRICT MINDFULNESS PROGRAMMING; USE THE ALREADY EXISTING SUICIDE PREVENTION COALITION TO INCREASE SUICIDE PREVENTION AWARENESS TARGETING THE RURAL FARM COMMUNITY; PROVIDE COPING TOOLS FOR THOSE STRUGGLING WITH THE EFFECTS OF DRUGS OR ALCOHOL IN THEIR LIVES BY PAIRING THEM WITH RESOURCES ALREADY AVAILABLE IN OUR COMMUNITY. 2) CHRONIC DISEASE: SUPPORT THE COLLABORATIVE EFFORT OF OUR PHARMACIES (IMMUNIZATIONS, BLOOD PRESSURE AND BLOOD SUGAR CHECKS, AND MEDICATION REVIEW), PHYSICIANS GROUP AND OTHER PROVIDERS TO INCREASE PARTICIPATION IN RAMC'S DIABETES CARE GROUP; SUPPORT AND SPREAD THE WORD ABOUT RAMC'S HEALTH 4U OBESITY AND DIABETES PREVENTION PROGRAM; HOST WEEKLY FARMER'S MARKETS FROM APRIL THROUGH OCTOBER, STRESSING THE IMPORTANCE OF EATING HEALTHY AND THE IMPACTS ON CHRONIC DISEASE; SUPPORT AND FUND THE SCHOOL DISTRICT'S WALKING PROGRAM TITLED "WALKING CLUB" AT ALL FIVE ELEMENTARY SCHOOLS; PARTNER WITH THE SCHOOL DISTRICT TO FUND THEIR SCHOOL GARDEN, WHICH ALSO PROVIDES HEALTHY OPTIONS AND RECIPES FOR FAMILIES; PARTNER TO ENHANCE FARM-TO-TABLE OPTIONS THROUGH FOOD COURSES AND COOKING CLASSES; ENHANCE PARTNERSHIPS WITH KEY CITY, VILLAGE, TOWNSHIP AND HEALTH COALITION LEADERS TO ADDRESS POPULATION-DENSE AREAS OF HIGH-RISK INDIVIDUALS TO PROMOTE HEALTHY FOOD ACCESS/EATING OPTIONS, INCLUDING COMMUNITY MEALS AND FARMER'S MARKET FUNDING; PARTICIPATE IN AREA HEALTH FAIRS AND EDUCATIONAL SEMINARS TO PROVIDE EDUCATION AND STRATEGIES SURROUNDING OBESITY, STRESS, COPD, VAPING AND THE PROGRESSION OF CHRONIC DISEASE; CREATE COMMUNITY AWARENESS OF OPTIONS ADDRESSING CHRONIC DISEASE AND PROACTIVE PROGRAMMING THROUGH PRINT, RADIO AND SOCIAL MEDIA OUTLETS; SUPPORT LOCAL ACTIVITIES THAT PROMOTE FITNESS AND LIFELONG HEALTHY CHOICES. 3) NUTRITION & PHYSICAL ACTIVITY: CREATE COMMUNITY AWARENESS OF RAMC'S HEALTH 4U DIABETES AND OBESITY PROGRAM THROUGH RADIO, PRINT AND SOCIAL MEDIA OUTLETS; SUPPORT AND FUND THE SCHOOL DISTRICT'S WALKING PROGRAM AT ALL FIVE ELEMENTARY SCHOOLS; PARTNERING WITH THE SCHOOL DISTRICT TO FUND THEIR SCHOOL GARDEN; PARTNER TO ENHANCE FARM-TO-TABLE OPTIONS THROUGH LOCAL FOOD COURSES AND COOKING CLASSES; SUPPORT PARTNERSHIPS WITH MUNICIPAL AND HEALTH COALITION LEADERS TO ADDRESS POPULATION-DENSE AREAS OF HIGH-RISK INDIVIDUALS TO PROMOTE HEALTHY FOOD ACCESS AND EATING; CONTINUE TO HOLD WEEKLY FARMER'S MARKETS FROM APRIL THROUGH OCTOBER; COLLABORATE WITH COUNTY RESOURCES TO BUILD ON SAUK COUNTY'S HEALTHY COMMUNITY DESIGNATION; SUPPORT LOCAL ACTIVITIES WHICH PROMOTE FITNESS; HONOR REQUESTS FROM COMMUNITY ORGANIZATIONS FOR SPEAKERS AT HEALTHY LIFESTYLE PRESENTATIONS; PROMOTE HEALTHY LIVING THROUGH COMMUNITY-BASED, SCHOOL AND BUSINESS-SPECIFIC HEALTH FAIRS AND EVENTS; CREATE COMMUNITY AWARENESS OF HOW TO LIVE HEALTHY AND WELL IN SAUK COUNTY USING RADIO PROGRAMMING AND PRINT MEDIA.
REEDSBURG AREA MEDICAL CENTERPART 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.

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 ("RAMC") 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 RAMC'S 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 LESS THE PROVISION FOR BAD DEBT DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR THE FORM 990. THE COSTING METHOD FOR SUBSIDIZED HEALTH SERVICES IS BASED ON ALLOCATED EXPENSES FROM THE MEDICARE COST REPORT, WHICH IS SIMILAR TO A DIRECT COST ACCOUNTING SYSTEM.
PART I, LINE 7G:SUBSIDIZED HEALTH SERVICES AT REEDSBURG AREA MEDICAL CENTER INCLUDE THE OPERATION OF THE HOSPITAL INPATIENT DEPARTMENTS THAT OPERATE AT A LOSS FROM OPERATIONS, BUT ARE CONSIDERED VITAL HOSPITAL AND CLINIC SERVICES SUCH AS THE INTENSIVE CARE UNIT AND MEDICAL/SURGICAL NURSING UNIT. A LARGE PORTION OF THESE SERVICES ARE ACCESSED BY COMMUNITY MEMBERS THROUGH THE HOSPITAL'S EMERGENCY SERVICES DEPARTMENT. IT IS THE GOAL OF REEDSBURG AREA MEDICAL CENTER TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF A PATIENT'S ABILITY TO PAY. SUBSIDIZED HEALTH SERVICES INCLUDE THE REVENUES AND EXPENSES OF ONE CLINIC.
PART I, LN 7 COL(F):THE BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX, LINE 24(B), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $1,202,328.
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 THE 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 CHARGES PRESENTED ON THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 3:IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF IT MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL 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 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 PAYOR HAS NOT YET PAID, OR FOR PAYORS 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 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 POLICY NOTE ON PAGES 9 AND 10 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, 2020, AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES, AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE). 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:CHARITY CARE NOTICES ARE POSTED THROUGHOUT THE FACILITY AND APPLICATIONS ARE AVAILABLE THROUGH BUSINESS SERVICES. THE PATIENT, PATIENT'S REPRESENTATIVE, OR HOSPITAL REPRESENTATIVE MAY INITIATE INQUIRIES REGARDING ELIGIBILITY OR APPLICATION FOR ASSISTANCE AT ANY TIME. THE HOSPITAL, WHEN APPROPRIATE, WILL REVIEW THE PATIENT'S FINANCIAL SITUATION TO SEE IF THEY QUALIFY FOR ANY FORM OF ASSISTANCE. A SOCIAL WORKER IS AVAILABLE TO ASSIST IN THIS PROCESS AS WELL, IF NEEDED. PATIENT FINANCIAL ADVISORS ARE ALSO NOTIFIED WHEN PATIENTS (INPATIENT OR OUTPATIENT) ARE TREATED WHO DO NOT HAVE ANY INSURANCE. THEY DISCUSS WITH THE PATIENT AVAILABLE OPTIONS AND PROVIDE INFORMATION/APPLICATIONS FOR BOTH RAMC CHARITY CARE PROGRAMS AND COUNTY, STATE, OR FEDERAL ASSISTANCE PROGRAMS. AT ANY TIME, PATIENTS MAY INQUIRE WITH HOSPITAL PERSONNEL REGARDING QUESTIONS THEY HAVE ON THEIR ABILITY TO PAY. FINANCIAL ADVISORS ARE AVAILABLE TO HELP AS IS A CONSUMER ADVOCATE. THE CONSUMER ADVOCATE OFFERS COMPLIMENTARY PATIENT ASSISTANCE SERVICES, INCLUDING, BUT NOT LIMITED TO, MEDICARE, MEDICAID, PRIVATE INSURANCE, INTERPRETATION OF EXPLANATION OF BENEFITS (EOBS), AND DIRECTIONS TO ADDITIONAL CONSUMER RESOURCES.
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 SEEN POPULATION GROWTH OF 1% OVER THE PAST YEAR. THE PERCENTAGE OF THE POPULATION AGED 65 AND OLDER HAS RISEN FROM 15.1% IN 2011 TO 18.5% WHILE THE POPULATION AGED 18 AND YOUNGER HAS REMAINED RELATIVELY STABLE. THE POPULATION IS LARGELY RURAL AT 46.1% WITH 90.8% IDENTIFYING AS NON-HISPANIC WHITE, DOWN FROM 97% IN 2008, WHILE 5.2% IDENTIFIES AS HISPANIC, UP FROM 3% IN 2008. THE CURRENT MEDIAN HOUSEHOLD INCOME IN SAUK COUNTY IS APPROXIMATELY $57,300. THE POVERTY RATE IS AT 9% WHILE THE PERCENTAGE OF CHILDREN LIVING IN POVERTY IS AT 12%, WITH 35% OF SAUK COUNTY'S CHILDREN ELIGIBLE FOR FREE SCHOOL LUNCH. THE HIGH SCHOOL GRADUATION RATE WAS 91% IN 2020. 8% OF COUNTY ADULTS AND 5% OF COUNTY CHILDREN ARE UNINSURED. BASED ON NUMEROUS DEMOGRAPHIC, BEHAVIORAL, HEALTH AND SOCIAL METRICS, SUCH AS THOSE SHOWN HERE, SAUK COUNTY HAS BEEN RANKED AS THE 31ST HEALTHIEST COUNTY OUT OF ALL 72 WISCONSIN COUNTIES BY THE COUNTY HEALTH RANKINGS AND ROADMAPS PROGRAM IN 2020. 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 SKILLS NEEDED TO CREATE BETTER HEALTH. RAMC PROVIDES HEALTH CARE SERVICES AND OTHER FINANCIAL SUPPORT THROUGH VARIOUS PROGRAMS THAT ARE DESIGNED, AMONG OTHER MATTERS, 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 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 COMPRISED OF LOCAL, INDEPENDENT COMMUNITY MEMBERS, A MEDICAL STAFF ORGANIZED IN THE PUBLIC INTEREST AND OPEN TO ALL QUALIFIED PHYSICIANS, 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 HOSPITAL, 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. BEYOND INPATIENT HOSPITALIZATIONS, RAMC PROVIDES LOCAL ACCESS TO MANY SERVICES INCLUDING: LABORATORY, PHYSICAL, CARDIAC AND PULMONARY REHABILITATION, SLEEP MEDICINE, SURGICAL SERVICES, CONSULTING SERVICES, MASSAGE THERAPY, ORTHOPEDICS, OBSTETRICS, CHEMOTHERAPY, AUDIOLOGY, FAMILY PRACTICE CLINIC, COMMUNITY PHARMACY, GYNECOLOGY, DIABETIC EDUCATION, MEDICAL IMAGING, NUTRITION SERVICES, OCCUPATIONAL HEALTH, RESPIRATORY THERAPY, VOLUNTEER SERVICES, COMMUNITY OUTREACH AND WELLNESS.
PART VI, LINE 7, REPORTS FILED WITH STATESWI

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1REEDSBURG AREA SENIOR LIFE CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12350 NORTH DEWEY AVEAddressLine1Txt
CityREEDSBURGCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54959ZIPCd
FieldValueIRS element (for citing)
Recipient EIN760775289RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$2,008,154CashGrantAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc
Purpose Of GrantGENERAL OPERATIONSPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
TUITION ASSISTANCE58$169,048N/AN/A
STIPENDS26$19,500N/AN/A

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationRAMC 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 NATION WIDE. 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRISTOPHER DALE
PHYSICIAN$712,923$0$0$0$0$0$14,000$0$8,891$0$735,814$0$0$0
THOMAS WOOD MD
TRUSTEE$640,415$0$0$0$3,999$0$39,000$0$24,957$0$708,371$0$0$0
CHRISTOPHER WENNINGER
PHYSICIAN$569,024$0$0$0$4,590$0$14,000$0$27,155$0$614,769$0$0$0
ROBERT VAN MEETEREN
CEO / PRESIDENT$356,055$0$0$0$8,342$0$69,853$0$25,203$0$459,453$0$0$0
BENJAMIN NESSEIM
PHYSICIAN$384,796$0$0$0$4,208$0$26,117$0$23,950$0$439,071$0$0$0
KEVIN MCBRIDE
ANESTHESIOLOGIST$351,057$0$0$0$4,590$0$30,000$0$25,283$0$410,930$0$0$0
CHRISTOPHER BJORKLUND
ANESTHESIOLOGIST/FOUNDATION LIAISON$334,258$0$0$0$4,590$0$33,000$0$23,646$0$395,494$0$0$0
BARRY BORCHERT
CFO$237,885$0$0$0$0$0$43,295$0$24,015$0$305,195$0$0$0
MARY BETH SHEAR MD
MEDICAL ADVISOR/TRUSTEE$162,016$0$0$0$9,769$0$8,324$0$21,534$0$201,643$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BROBERT VAN MEETEREN - CONTRIBUTION TO 457(F) PLAN - $18,050
PART I, LINE 6THE TOP MANAGEMENT OFFICIAL AND TOP FINANCIAL OFFICIAL ARE ELIGIBLE FOR ADDITIONAL COMPENSATION CONTINGENT ON NET EARNINGS, AS DETERMINED ANNUALLY BY THE BOARD OF DIRECTORS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WISCONSIN HEALTH & EDUCATION FACILITIES
A39133785597710BXP22014-02-19$7,500,000REFUND SERIES 2010 BONDS000
WISCONSIN HEALTH & EDUCATION FACILITIES
B3913378552015-11-10$6,556,441REFUND SERIES 2006 BONDS000
WISCONSIN HEALTH & EDUCATION FACILITIES
C3913378552017-12-29$29,600,000CONSTRUCTION & REFUND SERIES 2010 BONDS000
CITY OF REEDSBURG
D3960055822003-06-03$2,600,000REFUND SERIES 1992 BONDS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtBond DefeasedBondDefeasedAmtUnspentUnspentAmt
A$1,825,028$7,500,000$7,500,0002006Yes (1)0Yes (1)Yes (1)
B$3,552,682$6,556,441$6,426,32120060Yes (1)Yes (1)Yes (1)$130,120
C$698,887$29,600,000$25,118,1100Yes (1)Yes (1)Yes (1)$431,179$4,511,983$4,050,711
D$2,326,314$2,600,000$2,600,0001992Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)Yes (1)000Yes (1)
B0Yes (1)000000Yes (1)
C000Yes (1)Yes (1)000Yes (1)
D00Yes (1)0Yes (1)0000

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
D0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER 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: 12/06/2019ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
RYAN SHEAR
FAMILY MEMBER OF DIRECTOR$122,556EMPLOYMENT COMPENSATION0
HALEY STOVEY
FAMILY MEMBER OF DIRECTOR$25,961EMPLOYMENT COMPENSATION0
TYSON BORCHERT
FAMILY MEMBER OF KEY EMPLOYEE$63,741EMPLOYMENT COMPENSATION0
MARY BETH SHEAR MD
EMPLOYEE & DIRECTOR$166,431EMPLOYMENT COMPENSATION0
THOMAS WOOD MD
EMPLOYEE & DIRECTOR$651,440EMPLOYMENT COMPENSATION0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE 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 11BUPON 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 12CTHE 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 WHCIH 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 RECIEVED A COPY OF THE CONFLICTS OF INTERST 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 DISLCOSE 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 EXCERCISING DUE DILLIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETTHER 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 15AINDEPENDENT WAGE AND SALARY SURVEYS FROM THE RURAL WISCONSIN HEALTH COOPERATIVE AND WISCONSIN HOSPITAL ASSOCIATION ARE USED TO DETERMINE APPROPRIATE WAGE RATES. THE CEO REVIEWS AND APPROVES THE COMPENSATION OF THE OTHER KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19REEDSBURG 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 11GCONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 3,757,690. MANAGEMENT AND GENERAL EXPENSES 590,681. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,348,371. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 6,806,968. MANAGEMENT AND GENERAL EXPENSES 924,263. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,731,231.
FORM 990, PART XI, LINE 9:NET CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 45,618.
FORM 990, PART XII, LINE 2C:THE PROCESS FOR SELECTION AND OVERSIGHT OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
REEDSBURG AREA MEDICAL CENTER FOUNDATION
2000 NORTH DEWEY AVEREEDSBURGWI53959391243616FUNDRAISINGWI501(C)(3)LINE 12C, III-FIN/A0
PARTNERS OF REEDSBURG AREA MEDICAL CENTER
2000 NORTH DEWEY AVEREEDSBURGWI53959237373902FUNDRAISINGWI501(C)(3)LINE 3N/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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