2020-11-17T06:48:18-06:00 2019-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2019-01-01 391528430 AURORA MEDICAL CENTER BAY AREA INC AURO 4142991576 750 W VIRGINIA ST PO BOX 341880 MILWAUKEE WI 532341880 RACHEL HALVERSON VP-TAX AND ACCOUNTING SERVICES 4142991862 2020-11-16 0 MICHAEL J PETERSON CPA P01833529 7158453111 2020-11-16 71.13.38.61 2020-11-16 07:37:51 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9747BB8E0DC0E78824B7C9EDF76D609BB7F00C05 2019 2021-01-29 14:40:06Z X JEFFREY DALEN-BARD 750 W VIRGINIA ST PO BOX 341880 MILWAUKEE WI 532341880 97160637 0 X WWW.AURORAHEALTHCARE.ORG X 1985 WI THE MISSION OF AURORA MEDICAL CENTER BAY AREA, INC. IS TO PROMOTE HEALTH, PREVENT ILLNESS AND PROVIDE STATE-OF-THE ARE DIAGNOSIS AND TREATMENT TO PATIENTS IN LOCAL SERVICE MARKETS. 13 5 754 90 665818 0 858628 62400 129023207 96563469 1508986 806470 384189 -375115 131775010 97057224 0 0 0 0 55665234 38839488 0 0 0 78157849 56271808 133823083 95111296 -2048073 1945928 215003263 206850392 105395483 102303578 109607780 104546814 AURORA MEDICAL CENTER BAY AREA, INC. IS A REGIONAL HEALTH CARE FACILITY PROVIDING A WIDE RANGE OF MEDICAL SERVICES TO THE RESIDENTS OF MARINETTE AND MENOMINEE COUNTIES AND THE SURROUNDING AREAS. 0 0 80083160 0 95560931 INPATIENT HOSPITAL SERVICES FOR MEDICAL, SURGICAL AND OBSTETRICS/GYNECOLOGY PATIENTS - AMCBA PROVIDED CARE FOR 2,535 PATIENTS WHO WERE ADMITTED AS INPATIENTS DURING 2019. THESE SERVICES INCLUDED 24/7 CARE FOR PATIENTS ADMITTED WITH MEDICAL CONDITIONS WARRANTING A HOSPITAL STAY, PATIENTS ADMITTED FOR SURGICAL PROCEDURES EXTENSIVE ENOUGH TO REQUIRE A STAY OVERNIGHT OR FOR SEVERAL DAYS FOLLOWING THE PROCEDURES, AND PATIENTS ADMITTED FOR THE DELIVERY OF NEWBORNS.OUTPATIENT SURGICAL SERVICES - AMCBA PERFORMED 2,664 OUTPATIENT SURGICAL PROCEDURES FOR PATIENTS DURING 2019. THESE PROCEDURES INCLUDED ORTHOPEDIC, UROLOGICAL, GENERAL SURGERY, GYNECOLOGY, AND ENT SURGERIES. 80083160 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 70 0 754 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 5 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X ADVOCATE AURORA HEALTH INC 4142991576 750 WEST VIRGINIA STREET PO BOX MILWAUKEE WI 54234 MICHAEL KARKKAINEN MD PHYSICIAN 55.00 0.00 X 982166 0 47405 MOHAMED EL-JACK PHYSICIAN 55.00 0.00 X 722131 0 46405 KIRSTEN BUCK MD PHYSICIAN 55.00 0.00 X 558156 0 44640 BEHNAM HAJIHOSSAINLAU MD PHYSICIAN 55.00 0.00 X 525515 0 47178 ALOK ARORA MD PHYSICIAN 55.00 0.00 X 491920 0 47123 ROBERT MACCANI MD PHYSICIAN 55.00 0.00 X 425650 0 31337 EDWARD HARDING CEO 55.00 0.00 X 879604 0 147950 ROGER SNEATH CFO (THROUGH JUNE) 55.00 0.00 X 0 0 0 JEFFREY DALEN-BARD PRESIDENT & CHAIR, DIRECTOR 1.00 55.00 X X 0 771221 138895 PAT KRAH CHAIR (THROUGH MARCH) 1.00 0.00 X X 0 0 0 CARRIE KILLORAN VICE PRESIDENT, DIRECTOR 1.00 55.00 X X 0 797242 121473 DOMINIC NAKIS TREASURER 1.00 55.00 X X 0 0 0 NAN NELSON ASSISTANT TREASURER 1.00 55.00 X X 0 1072348 167410 JIM DOHENY ASSISTANT TREASURER 1.00 55.00 X X 0 0 0 LESLIE LENZO ASSISTANT TREASURER 1.00 55.00 X X 0 0 0 STEVE HUSER ASSISTANT TREASURER 1.00 55.00 X X 0 437105 85462 MICHAEL LAPPIN SECRETARY 1.00 55.00 X X 0 1964257 331811 RACHELLE HART ASSISTANT SECRETARY 1.00 55.00 X X 0 702838 132786 MICHAEL GREBE ASSISTANT SECRETARY 1.00 55.00 X X 0 1358493 201665 MICHAEL KERNS ASSISTANT SECRETARY 1.00 55.00 X X 0 0 0 JIM SLINKMAN ASSISTANT SECRETARY 1.00 55.00 X X 0 0 0 DENNIS POTTS DIRECTOR 1.00 55.00 X 0 1915492 292305 DR STEPHEN CASELTON BOARD MEMBER (THROUGH MARCH) 1.00 0.00 X 0 0 0 SANDY EWALD BOARD MEMBER (THROUGH MARCH) 1.00 40.00 X 0 574422 64934 TONY FURTON BOARD MEMBER (THROUGH MARCH) 1.00 0.00 X 0 0 0 CHUCK HAWKINS BOARD MEMBER (THROUGH MARCH) 1.00 0.00 X 0 0 0 MARC JAMO BOARD MEMBER (THROUGH MARCH) 1.00 0.00 X 0 0 0 PATRICK O'HARA BOARD MEMBER (THROUGH MARCH) 1.00 0.00 X 0 0 0 4585142 9593418 1948779 7 1 1 0 CAPTIS HEALTH LLC 7601 FRANCE AVE SUITE 500 EDINA MN 55435 HEALTHCARE GPO 1426453 MOBILITY & REHAB CENTER LLC PO BOX 537 MARINETTE WI 54143 HEALTHCARE SERVICES 922946 VON BRIESEN & ROPER SC 411 E WISCONSIN AVE SUITE 1000 MILWAUKEE WI 53202 PROFESSIONAL SERVICES 305921 R SNEATH ASSOCIATES LLC 4440 W PRAIRIE STREET COLUMBUS WI 53925 PROFESSIONAL SERVICES 267598 WIPFLI LLP PO BOX 3160 MILWAUKEE WI 53201 PROFESSIONAL SERVICES 194244 5 62400 62400 NET PATIENT REVENUE 621400 83069597 83069597 PHYSICIAN SERVICE REVENUE 621400 11647192 11647192 OTHER PROGRAM SERVICE REVENUE 900099 973225 307407 665818 RENTAL INCOME - MEDICAL OFFICES 531120 873455 873455 96563469 145295 145295 29193 67588 -38395 -38395 -38395 624650 72350 0 35825 624650 36525 661175 661175 INTEREST RATE SWAP VALUATION ADJU 900099 -336720 -336720 -336720 97057224 95560931 665818 768075 1295152 1295152 30808524 28383208 2425316 1239173 1161440 77733 3579951 2824062 755889 1916688 1672684 244004 123879 123879 123450 123450 9269036 5804430 3464606 225632 225632 3780712 2557623 1223089 972108 972108 3550299 3450928 99371 70222 42750 27472 38337 35103 3234 2560372 1726877 833495 6849383 6817349 32034 220404 220404 DRUGS 8929318 8929318 MEDICAL SUPPLIES 7497773 7497773 BAD DEBTS 4057388 4057388 LAB TEST 3470634 3470634 4532861 1425961 3106900 95111296 80083160 15028136 0 3425 843117 6810523 30370541 15050628 13504059 3044988 2494219 1385914 690666 163219040 6810321 160617116 156408719 26760381 464996 444992 865292 2094079 215003263 206850392 14888433 11236426 83305440 0 81465000 7201610 9602152 105395483 102303578 X 108702565 104003012 905215 543802 109607780 104546814 215003263 206850392 X 1945928 -7006894 X 0 1 X 1 0 X 6848095 6848095 116183065 2075564 114107501 2278811 686786 1592025 26593090 4047971 22545119 11315979 11315979 156408719 ACCRUED POSTRETIREMENT BENEFITS 1946649 INTEREST RATE SWAP VALUATION 5220152 AP TO 3RD-PARTY REIMB. PROGRAM 2192848 OTHER LIABILITIES 242503 9602152 1 1 X 1 X 250.000000000000 0 1 1 0 1 1 1042306 1042306 0.01140 10070137 4092377 5977760 0.06570 3752715 3519824 232891 0.00260 14865158 7612201 7252957 0.07970 221693 221693 0.00240 2400 2400 0.00000 44710 44710 0.00050 357513 357513 0.00390 626316 626316 0.00680 15491474 7612201 7879273 0.08650 3390 3390 0.00000 969 969 0.00000 22775 22775 0.00030 27134 27134 0.00030 0 1219643 0 22274325 28573438 -6299113 X 1 1 1 1 AURORA MEDICAL CENTER BAY AREA INC 3003 UNIVERSITY DR MARINETTE WI 54143 WWW.BAMC.ORG 2419-800 X X X AURORA MEDICAL CENTER BAY AREA INC 1 0 0 1 X X X X X X X X X 19 1 0 1 1 X WWW.AURORA.ORG/COMMBENEFITS X WWW.AURORA.ORG X X 1 19 1 WWW.AURORA.ORG/COMMBENEFITS 0 1 X 250.000000000000 X X X X X 1 1 X X X 1 X ** NEED ** X ** NEED ** X ** NEED ** X X X X X X 1 X 0 X X X X 1 X 0 0 AURORA MEDICAL CENTER BAY AREA, INC PART V, SECTION B, LINE 5: AMONG THE KEY INFORMANTS WERE THE HEALTH OFFICERS FOR LOCAL HDS, LEADERS OF ACADEMIC CENTERS, HEALTH COALITIONS, FOUNDATIONS AND COMMUNITY ORGANIZATIONS FOCUSED ON A RANGE OF PUBLIC HEALTH ISSUES AND HEALTH DISPARITIES. EACH AURORA HOSPITAL CONDUCTED KEY INFORMANT INTERVIEWS IN THEIR MOST RECENT CHNA. KEY INFORMANTS WERE ASKED TO RANK ORDER THE TOP 3 TO 5 MAJOR HEALTH-RELATED ISSUES FOR THEIR COUNTY, BASED ON THE FOCUS AREAS OUTLINED IN THE STATE HEALTH PLAN, HEALTHIEST WISCONSIN 2020. FOR EACH TOP-RANKED HEALTH TOPIC, THE INFORMANT WAS ASKED TO SPECIFY EXISTING STRATEGIES TO ADDRESS THE ISSUE, BARRIERS OR CHALLENGES TO ADDRESSING THE ISSUE, ADDITIONAL STRATEGIES NEEDED, AND KEY GROUPS THAT HOSPITALS SHOULD COLLABORATE WITH TO IMPROVE COMMUNITY HEALTH. AURORA MEDICAL CENTER BAY AREA, INC PART V, SECTION B, LINE 6B: AMCBA WITH MARINETTE CO. HEALTH AND HUMAN SERVICES AND THE DELTA & MENOMINEE CO. HD. AURORA MEDICAL CENTER BAY AREA, INC PART V, SECTION B, LINE 7D: REFERENCED IN NEWS RELEASES AND ANNUAL COMMUNITY BENEFIT REPORTS. AURORA MEDICAL CENTER BAY AREA, INC PART V, SECTION B, LINE 11: DURING 2019, AURORA HOSPITAL FACILITY LEADERS PRIORITIZED SIGNIFICANT NEEDS BASED ON THE FOLLOWING CRITERIA: MEETS A DEFINED COMMUNITY NEED (I.E., ACCESS FOR UNDERSERVED POPULATIONS) ALIGNS COMMUNITY BENEFIT TO ORGANIZATIONAL PURPOSE AND CLINICAL SERVICE COMMITMENT TO COORDINATE CARE ACROSS THE CONTINUUM ALIGNS WITH HOSPITAL RESOURCES AND EXPERTISE AND THE ESTIMATED FEASIBILITY FOR THE HOSPITAL TO EFFECTIVELY IMPLEMENT ACTIONS TO ADDRESS HEALTH ISSUES AND POTENTIAL IMPACT REDUCES AVOIDABLE HOSPITAL COSTS BY REDIRECTING PEOPLE TO LESS COSTLY FORMS OF CARE AND EXPANDS THE CARE CONTINUUM HAS EVIDENCE-BASIS IN CROSS-SECTION OF THE LITERATURE FOR MANAGEMENT OF CHRONIC DISEASES IN DEFINED POPULATIONS LEVERAGES EXISTING PARTNERSHIPS WITH FREE AND COMMUNITY CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) RESONATES WITH KEY STAKEHOLDERS AS A MEANINGFUL PRIORITY FOR THE AURORA HOSPITAL TO ADDRESS POTENTIAL EXISTS TO LEVERAGE ADDITIONAL RESOURCES TO EXTEND IMPACT INCREASES COLLABORATIVE PARTNERSHIPS WITH OTHERS IN THE COMMUNITY BY EXPANDING THE CARE CONTINUUM IMPROVES THE HEALTH OF PEOPLE IN THE COMMUNITY BY PROVIDING HIGH-QUALITY PREVENTIVE AND PRIMARY CARE ALIGNS HOSPITAL RESOURCES AND EXPERTISE TO SUPPORT STRATEGIES IDENTIFIED IN MUNICIPAL HEALTH DEPARTMENT COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ALIGNS WITH ADVOCATE AURORA HEALTH COMMUNITY STRATEGY QUANTIFYING HEALTH ISSUES BASED ON THE HANLON METHOD FOR PRIORITIZING HEALTH PROBLEMSUSING THESE CRITERIA, EACH HOSPITAL PRIORITIZED AMONG ALL NEEDS IDENTIFIED IN THE CHNA REPORT WITHIN THREE FOCUS AREAS: 1) ACCESS, 2) BEHAVIORAL HEALTH, AND 3) SOCIAL DETERMINANTS OF HEALTH OR OTHER HEALTH NEEDS UNIQUE TO THE HOSPITAL'S DEFINED COMMUNITY AND SERVICE OFFERINGS. DETAILED EXPLANATIONS OF IDENTIFIED COMMUNITY NEEDS CAN BE FOUND IN EACH HOSPITAL'S CHNA REPORT POSTED AT WWW.AURORA.ORG/COMMBENEFITS. THERE ARE GENERAL REASONS FOR OUR HOSPITALS NOT TO ADDRESS A NEED THAT HAS BEEN IDENTIFIED. THESE REASONS INCLUDE:1. RESOURCE CONSTRAINTS2. OTHER FACILITIES OR ORGANIZATIONS IN THE COMMUNITY ARE ADDRESSING THE NEED 3. A LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS TO ADDRESS THE NEEDABMCA: AMCBA PRIORITIZED SIGNIFICANT NEEDS BASED ON THE FOLLOWING CRITERIA: IMPORTANCE OF THE PROBLEM TO THE COMMUNITY AS EVIDENCED BY ORGANIZATIONS ALREADY ADDRESSING THE HEALTH ISSUE OR INDICATING SUPPORT FOR INITIATIVES, PRIMARY AND SECONDARY DATA THAT INDICATES AN OPPORTUNITY FOR IMPROVEMENT, AVAILABILITY OF EXISTING RESOURCES TO ADDRESS THE ISSUES, ESTIMATED RESOURCES, TIMEFRAME AND SIZE OF IMPACTED POPULATION, AND APPROPRIATENESS OF AMCBA AS A CHANGE AGENT (AS A PARTNER, A ROLE AS KNOWLEDGE-SHARING OR PROVIDING DIRECT FUNDING, ETC.) AURORA MEDICAL CENTER BAY AREA, INC PART V, SECTION B, LINE 16J: A FINANCIAL BROCHURE IS OFFERED TO PATIENTS UPON REGISTRATION AND IS AVAILABLE ONLINE AT HTTPS://WWW.BAMC.ORG/MEDIA/1013/FINANCAIL_BROCHURE.PDF. BILLING STATEMENTS REFERENCE THE FAP POLICY AND INSTRUCTIONS ON WHO TO CONTACT TO RECEIVE FINANCIAL ASSISTANCE INFORMATION BUT DO NOT INCLUDE THE DETAILED POLICY.SECTION B, LINE 16E:THE ORGANIZATION DOES NOT HAVE ANY LEP POPULATIONS IN THEIR IDENTIFIED SERVICES AREA, AND THUS ONLY HAVE MATERIALS IN ENGLISH, THE PRIMARY LANGUAGE SPOKEN. 2 1 - BAY AREA MOBILITY CENTER 3117 SHORE DRIVE MARINETTE WI 54143 REHABILITATION SERVICES AND OCCUPATIONAL HEALTH 2 - BAY AREA REHAB SERVICES - CRIVITZ WI 218 S US HWY 141 SUITE 100 CRIVITZ WI 54114 REHABILITATION SERVICES AND OCCUPATIONAL HEALTH PART I, LINE 7: THE ORGANIZATIONS CALCULATES THE COST TO CHARGE RATIO USING WORKSHEET 2 FROM THE SCHEDULE H INSTRUCTIONS. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $4,532,640 PART II, COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL ALIGNED FINANCIAL AND IN-KIND RESOURCES TO STATE AND LOCAL HEALTH DEPARTMENT (HD) INITIATIVES AND PARTICIPATED ON COMMUNITY TASK FORCES FOR DISEASE CONTROL AND PREVENTION AND OTHER PRIORITY HEALTH INITIATIVES. HOSPITAL ORGANIZATIONS SUPPORT THE FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) AND FREE COMMUNITY CLINICS IN THEIR SERVICE AREAS AND PARTNERED WITH SCHOOLS, FAITH COMMUNITIES, ECONOMIC AND JOB-CREATION COUNCILS, LAW ENFORCEMENT, AND OTHER NONPROFIT CHARITABLE AND CIVIC ORGANIZATIONS TO CONTRIBUTE TO COMMUNITY CAPACITY FOR ADDRESSING IDENTIFIED COMMUNITY HEALTH NEEDS AND SOCIAL DETERMINANTS OF HEALTH.FINANCIAL AND IN-KIND SUPPORT FOR LOCAL CHAMBERS WITHIN THE COUNTY; SERVE ON BOARDS AND/OR COMMITTEES OF HDS FREE CLINICS, AND LOCAL COMMUNITY NOT FOR PROFIT AGENCIES IN MANITOWOC COUNTY, INCLUDING:; SERVE ON BOARDS AND/OR COMMITTEES OF HDS FREE CLINICS, AND LOCAL COMMUNITY NOT FOR PROFIT AGENCIES IN BROWN COUNTY INCLUDING FAMILY SERVICE OF NE WI; BROWN CO. ALCOHOL AND DRUG TASK FORCE; GREEN BAY YMCA; BROWN CO. HD AND UNITED WAY; WELLO. ADVANCE HEALTH PROFESSIONS EDUCATION AS SITE FOR WISCONSIN ACADEMY OF RURAL MEDICINE (WARM).FINANCIAL AND IN-KIND SUPPORT FOR MULTIPLE CHAMBERS WITHIN THE COUNTY; SERVE ON BOARDS AND/OR COMMITTEES OF HDS FREE CLINICS, AND LOCAL COMMUNITY NOT FOR PROFIT AGENCIES IN MARINETTE COUNTY, INCLUDING: HEALTHY YOUTH COALITION, UNITED WAY ACTION NOW SUBSTANCE ABUSE TASK FORCE, MARINETTE COUNTY DRUG COURT, ANI OPIATE TASK FORCE, COMMUNITIES THAT CARE. PART III, LINE 2: THE HOSPITAL UTILIZED A COST TO CHARGE RATIO FOR DETERMINING THE COST OF BAD DEBT EXPENSE. PART III, LINE 4: THE HOSPITAL ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, BAY AREA ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THIRD-PARTY PAYORS HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO HAVE FINANCIAL DIFFICULTIES THAT MAKE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WITH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), BAY AREA RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. PART III, LINE 8: AMOUNTS ABOVE USE STANDARD MEDICARE DETERMINATION OF ALLOWABLE AND UNALLOWABLE DEPARTMENTS, STANDARD/RECOMMENDED MEDICARE ALLOCATION OF ADMINISTRATION AND GENERAL DEPARTMENTS COSTS TO ALLOWABLE AND UNALLOWABLE DEPARTMENTS BY THE USE OF BAY AREA MEDICAL CENTER'S MEDICARE COST REPORT. THE MEDICARE COST REPORT WAS CALCULATED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO FOLLOWS THE REGULATIONS FOR FILING THE MEDICARE COST REPORT. PART III, LINE 9B: THE HOSPITAL WILL PROVIDE NEEDED HOSPITAL CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THESE SERVICES. COMMUNITY CARE IS ALLOCATED TO PATIENTS BASED ON SET GUIDELINES ESTABLISHED BY THE ORGANIZATION. A FULL OR PARTIAL ADJUSTMENT WILL BE DETERMINED BY COMPARING THE PATIENT'S FINANCIAL STATUS TO A SLIDING FEE SCHEDULE BASED ON THE MOST RECENTLY PUBLISHED FEDERAL POVERTY GUIDELINES.IT IS THE POLICY OF THE HOSPITAL TO WRITE-OFF BOTH PARTIAL AND FULL PATIENT BALANCES FOR ACCOUNTS THAT QUALIFY FOR COMMUNITY CARE. THERE ARE NO FURTHER COLLECTIONS EFFORTS RELATED TO THOSE WHO QUALIFY FOR A FULL COMMUNITY CARE WRITE-OFF. PATIENTS THAT HAVE HAD PARTIAL WRITE-OFFS THAT DO NOT COOPERATE WITH COLLECTION EFFORTS ON THE BALANCES REMAINING WILL BE REFERRED TO A THIRD-PARTY COLLECTION AGENCY. IF STILL UNCOLLECTIBLE, THE PATIENT ACCOUNT WILL BE WRITTEN OFF TO BAD DEBT. PART VI, LINE 2: SINCE 2003, AURORA, THE CORPORATE PARENT, HAS COLLABORATED WITH LOCAL HEALTH DEPARTMENTS EVERY THREE YEARS TO SURVEY RESIDENTS ON THEIR HEALTH STATUS AND HABITS AND TO: GATHER INFORMATION BASED ON BEHAVIORAL AND LIFESTYLE HABITS, HEALTH CONDITIONS, RISK FACTORS, AND DEMOGRAPHICS; IDENTIFY THEMES, TRENDS AND DISPARITIES, AND; COMPARE TO STATE AND NATIONAL MEASUREMENTS. THESE REPORTS HAVE BEEN PART OF A COMPREHENSIVE SURVEY OF EASTERN WISCONSIN TO IDENTIFY AREAS OF GREATEST NEED AND PRODUCE A REPORT OF FINDINGS THAT IS SHARED WITH EACH COMMUNITY AT-LARGE (SEE HTTPS://WWW.AURORAHEALTHCARE.ORG/ABOUT-AURORA/COMMUNITY-BENEFITS/OUR-RESEARCH/COMMUNITY-HEALTH-DATA#METHODOLOGY). THE FINDINGS OF THE SURVEYS ARE AN INSTRUMENT THROUGH WHICH THE MUNICIPAL HDS ENGAGE COMMUNITY PARTICIPATION TO GENERATE COMMUNITY HEALTH IMPROVEMENT PLANS ALIGNED WITH HEALTHY WISCONSIN 2010 AND 2020. PART VI, LINE 3: THE ORGANIZATION'S PATIENT FINANCIAL ADVOCATES MEET WITH EVERY PATIENT OR PATIENTS FAMILY WHO PRESENTS FOR SERVICES AND HAS NO INSURANCE, WITH THE PURPOSE OF SHARING OPTIONS FOR COVERAGE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS, AS WELL AS A THE ORGANIZATION'S INTERNAL PATIENT FINANCIAL ASSISTANCE PROGRAM. THE PATIENT FINANCIAL ADVOCATE WILL ASSIST THE PATIENT AND/OR PATIENT'S FAMILY IN PREPARING THE PAPERWORK TO APPLY FOR ANY GOVERNMENT COVERAGE AND SLASH OR AURORA'S INTERNAL FINANCIAL ASSISTANCE. NOTICES REGARDING THE ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS, OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM ARE ALSO POSTED IN THE ELEMENTARY ROOMS, ADMISSIONS OFFICES, AND WAITING AREAS. PART VI, LINE 4: THIS HOSPITAL SERVES THE RESIDENTS OF MARINETTE COUNTY IN WISCONSIN AND MENOMINEE COUNTY IN MICHIGAN. MARINETTE COUNTY HAS A POPULATION OF 40,491. THE MEDIAN AGE IS 48 WITH 23.1% AGE 65 AND OLDER. THE MEDIAN FAMILY INCOME IS $54,562 AND 95.78% OF RESIDENTS ARE NON-HISPANIC WHITE. MENOMINEE COUNTY HAS A POPULATION OF 23,281. THE MEDIAN AGE IS 48 WITH 16.2% AGE 65 AND OLDER. THE MEDIAN FAMILY INCOME IS $51,659 AND 93.56% OF RESIDENTS ARE NON-HISPANIC WHITE. PART VI, LINE 5: EACH AURORA HOSPITAL FACILITY PUBLISHED A 2019 COMMUNITY BENEFIT REPORT PUBLICLY AVAILABLE AT WWW.AURORA.ORG/COMMBENEFITS.AMCBA (ONE HOSPITAL), PROVIDED SUPPORT TO TWIN COUNTIES FREE CLINIC; SUPPORTED THE PHYSICAL EDUCATION PROGRAM FOR MARINETTE, MENOMINEE, PESHTIGO, AND CRIVITZ SCHOOL DISTRICTS; HELPED COLLECT 660 POUNDS OF DRUGS DURING A LOCAL PRESCRIPTION DRUG COLLECTION PROGRAM PART VI, LINE 6: AURORA'S INTEGRATED HEALTH CARE SYSTEM INCLUDES PHYSICIAN GROUPS AND CLINICS, PHARMACIES, HOME CARE, HOME HOSPICE, AND SOCIAL SERVICES SERVING EASTERN WISCONSIN. AURORA PROVIDES URGENT CARE, FAMILY PRACTICE, AND SPECIALIST SERVICES FOR UNDERSERVED POPULATIONS IN THE HEART OF THE COMMUNITIES IN WHICH OUR HOSPITALS RESIDE, INCLUDING BUT NOT LIMITED TO:AURORA FAMILY SERVICE, INC. (AFS), A 501(C)(3), IS AURORA'S SOCIAL SERVICE ARM THAT APPLIES A FAMILY WELLNESS AND STABILITY MODEL TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH IMPACTING OUR PATIENTS AND COMMUNITIES. A TEAM OF 81 DEDICATED PRACTITIONERS PROVIDE A FULL CONTINUUM OF SERVICES IN THE COMMUNITY TO PROMOTE SELF-SUFFICIENCY THROUGH EVERY STAGE OF LIFE, INTEGRATING HEALTH, MENTAL HEALTH, SOCIAL SERVICES, FAMILY AND MARRIAGE THERAPY, COMPREHENSIVE SERVICES FOR SENIORS, PARENTING EDUCATION, HOME VISITATION, AND A WIDE VARIETY OF FINANCIAL WELLNESS PROGRAMMING. AURORA AT HOME, INC., A 501(C) (3) ENTITY, IS A COMPREHENSIVE SOURCE OF HOME CARE SERVICES IN EASTERN WISCONSIN COMMITTED TO KEEPING PEOPLE INDEPENDENT IN THEIR HOMES. AURORA CONSOLIDATED LABS (ACL) PROVIDES PRO-BONO LABORATORY SERVICES FOR OUR FREE CLINIC PARTNERS. AURORA PHARMACY PROVIDES ESSENTIAL MEDICATIONS TO PATIENTS WHO CAN'T AFFORD THEM. AURORA HEALTH CARE FOUNDATION, INC. (AHCF) PROVIDES GRANT RESEARCH AND GRANT WRITING TO SUPPORT COMMUNITY HEALTH INITIATIVES. AURORA RESEARCH INSTITUTE (ARI) PROVIDED $3,071,211 IN UNFUNDED RESEARCH-RELATED EXPENSES. THEIR RESEARCH RESULTS ARE ALWAYS PUBLISHED FOR PUBLIC REVIEW AND BENEFIT. PART VI, LINE 7, REPORTS FILED WITH STATES WI X X X X X X 0 1 0 0 0 0 0 0 0 MICHAEL KARKKAINEN MD PHYSICIAN 639620 0 246176 0 96370 0 21000 0 26405 0 1029571 0 0 0 MOHAMED EL-JACK PHYSICIAN 627127 0 51000 0 44004 0 21000 0 25405 0 768536 0 0 0 KIRSTEN BUCK MD PHYSICIAN 462977 0 26249 0 68930 0 19235 0 25405 0 602796 0 0 0 BEHNAM HAJIHOSSAINLAU MD PHYSICIAN 303021 0 113883 0 108611 0 20807 0 26371 0 572693 0 0 0 ALOK ARORA MD PHYSICIAN 292120 0 97875 0 101925 0 20718 0 26405 0 539043 0 0 0 ROBERT MACCANI MD PHYSICIAN 312818 0 33464 0 79368 0 21000 0 10337 0 456987 0 0 0 EDWARD HARDING CEO 439718 0 250796 0 189090 0 127587 0 20363 0 1027554 0 0 0 JEFFREY DALEN-BARD PRESIDENT & CHAIR, DIRECTOR 0 498125 0 243675 0 29421 0 118391 0 20504 0 910116 0 0 CARRIE KILLORAN VICE PRESIDENT, DIRECTOR 0 520513 0 248414 0 28315 0 121473 0 0 0 918715 0 0 NAN NELSON ASSISTANT TREASURER 0 481008 0 227115 0 364225 0 166423 0 987 0 1239758 0 0 STEVE HUSER ASSISTANT TREASURER 0 308464 0 105266 0 23375 0 71558 0 13904 0 522567 0 0 MICHAEL LAPPIN SECRETARY 0 746368 0 569981 0 647908 0 311307 0 20504 0 2296068 0 0 RACHELLE HART ASSISTANT SECRETARY 0 498921 0 177092 0 26825 0 112282 0 20504 0 835624 0 0 MICHAEL GREBE ASSISTANT SECRETARY 0 562400 0 403812 0 392281 0 201665 0 0 0 1560158 0 0 DENNIS POTTS DIRECTOR 0 835852 0 463125 0 616515 0 278576 0 13729 0 2207797 0 0 SANDY EWALD BOARD MEMBER (THROUGH MARCH) 0 299987 0 142601 0 131834 0 59489 0 5445 0 639356 0 0 PART I, LINE 4B EDWARD HARDING PARTICIPATED IN A NON-QUALIFIED RETIREMENT PLAN. IN 2019, A CONTRIBUTION OF $106,587 WAS MADE TO A 457(F) PLAN. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION MERGED WITH AURORA HEALTH CARE SYSTEM. AS SUCH THE ORGANIZATION EXPERIENCED CHANGES TO ARTICLES OF INCORPORATION AND BYLAWS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION SHALL BE AURORA HEALTH CARE, INC., A WISCONSIN NONSTOCK CORPORATION. THE SOLE MEMBER HAS THE RIGHT TO APPOINT AND TERMS OF BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7A SUBJECT TO THE PROVISIONS OF THE BYLAWS. THE NUMBER AND MANNER OF ELECTION OR APPOINTMENT OF DIRECTORS AND THEIR TERMS OF OFFICE SHALL BE AS PROVIDED IN THE BYLAWS, BUT THE NUMBER OF DIRECTORS SHALL NOT BE LESS THAN THREE (3). FORM 990, PART VI, SECTION A, LINE 7B THE CORPORATE MEMBERS HAVE RETAINED THE FOLLOWING RESERVED POWERS OVER THE CORPORATION SUCH THAT NONE OF SUCH ACTIONS MAY BE TAKEN BY THE CORPORATION WITHOUT THE UNANIMOUS APPROVAL OF ALL CORPORATE MEMBERS, AND THE CORPORATE MEMBERS, ACTING UNANIMOUSLY, MAY INITIATE AND TAKE SUCH ACTIONS: - TO CHANGE THE CORPORATION'S MISSION OR PURPOSE; - TO APPROVE ANY AMENDMENT TO THE ARTICLES OF INCORPORATION, BYLAWS OR OTHER GOVERNING DOCUMENTS OF THE CORPORATION, INCLUDING THE CONFLICT OF INTEREST, INSIDER TRANSACTION, AND CONFIDENTIALITY POLICY ADOPTED BY THE BOARD OF DIRECTORS FROM TIME TO TIME; - TO APPROVE ALL MATTERS RELATING TO THE MEMBERSHIP OF THE CORPORATION OR ANY RIGHTS ARISING FROM SUCH MEMBERSHIP, INCLUDING THE ISSUING OF ADDITIONAL MEMBERSHIPS IN THE CORPORATION, RECLASSIFYING MEMBERSHIPS IN THE CORPORATION, CREATING A NEW CLASS OF MEMBERSHIP IN THE CORPORATION, BRINGING ON A NEW MEMBER OF THE CORPORATION, TRANSFERRING MEMBERSHIPS IN THE CORPORATION OR ANY RIGHTS ARISING THEREFROM OR REDEEMING MEMBERSHIPS IN THE CORPORATION OR ANY RIGHTS ARISING FROM THEREFROM; - TO APPROVE ANY INDEBTEDNESS FOR BORROWED MONEY TO BE INCURRED OR GUARANTEED ON BEHALF OF THE CORPORATION, EXCEPT THAT FINANCING FOR A FACILITY PLAN DEVELOPED IN 2014 OR 2015 AND APPROVED BY SUPER-MAJORITY BOARD APPROVAL DOES NOT REQUIRE THE UNANIMOUS APPROVAL OF ALL CORPORATE MEMBERS; - TO APPROVE CAPITAL LEASES IN EXCESS OF $3,000,000 IN THE AGGREGATE (AS DETERMINED BY TOTAL LEASE AND OTHER PAYMENTS); FORM 990, PART VI, SECTION B, LINE 11B THE 2019 FORM 990 WAS REVIEWED BY SENIOR LEADERSHIP OF ADVOCATE AURORA HEALTH, INC. A COPY OF THE FINAL RETURN WAS MADE AVAILABLE TO THE ADVOCATE AURORA HEALTH, INC. BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. ADVOCATE AURORA HEALTH'S LEADERSHIP REVIEWS THESE STATEMENTS FOR COMPLIANCE WITH THE ESTABLISHED POLICY. WHEN A CONFLICT IS DISCOVERED, THE GOVERNING BODY DETERMINES IF SUCH CONFLICT WARRANTS A RESTRICTION ON THE CAPACITY OF THE BOARD MEMBER OR KEY EMPLOYEE INVOLVED (E.G. RECUSAL FROM DECISION-MAKING OR UTILIZING ANOTHER METHOD OF NON-PARTICIPATION IN AN ACTIVITY). FORM 990, PART VI, SECTION B, LINE 15 THE FOLLOWING COMPENSATION REVIEW PROCESS WAS CONDUCTED IN 2019: THE CEO AND THE CEO'S EXECUTIVE TEAM HAVE THEIR COMPENSATION REVIEWED ANUALLY BY THE COMPENSATION COMMITTEE OF THE ADVOCATE AURORA HEALTH BOARD OF DIRECTORS. ALL OTHER EMPLOYEES HAVE THEIR COMPENSATION REVEIWED AND APPROVED BY THEIR LEADER WITHIN MARKET-BASED GUIDELINES PRESCRIBED BY THE ORGANIZATION'S HUMAN RESOURCES FUNCTION. THESE MARKET-BASED GUIDELINES ARE ESTABLISHED USING APPLICABLE COMPARABILITY DATA AND SIMILAR COMPENSATION METRICS THAT ARE BASED ON SIMILARLY-QUALIFIED PERSONS IN FUNCTIONALLY-COMPARABLE POSITIONS AT SIMILARLY-SITUATED ORGANIZATIONS. DOCUMENTATION AND RECORDKEEPING FOR THESE DELIBERATIONS AND DECISIONS ARE MAINTAINED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DEEMS THESE DOCUMENTS PROPRIETARY SO THEY ARE NOT MADE AVAILABLE TO THE PUBLIC, EXCEPT THAT THE AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FORM 990. FORM 990, PART XI, LINE 9: ADJUSTMENT TO NET ASSETS DUE TO MERGER -7,006,894. 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