BEAVER DAM COMMUNITY HOSPITALS INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: BEAVER DAM COMMUNITY HOSPITALS INC (EIN 39-1157876)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-15
IRS object ID: 202031979349306598
Schema version: 2018v3.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-07-15T17:06:53-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410746749	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFTONLARSONALLEN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	220 SOUTH SIXTH STREET SUITE 300	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55402	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	391157876	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BEAVER DAM COMMUNITY HOSPITALS INC DBA	BusinessNameLine1Txt
Business Name Line2	MARSHFIELD MEDICAL CENTER - BEAVER DAM	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	BEAV	BusinessNameControlTxt
Phone	9208877181	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	707 SOUTH UNIVERSITY AVENUE	AddressLine1Txt
City	BEAVER DAM	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53916	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	GORDON T EDWARDS	PersonNm
Person Title	MCHS - COO & CFO	PersonTitleTxt
Phone	9208877181	PhoneNum
Signature	2020-07-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KOREY BOELTER	PreparerPersonNm
PTIN	P00775161	PTIN
Phone	6123764500	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	67.137.57.251	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-07-15	IPDt
IP Tm	12:32:22	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	556679616493003E6E17937C0791D09847FC9451	AtSubmissionCreationDeviceId
At Submission Filing Device Id	39F506601BE52B1AEC27478C749FC3D7BEC65D0C	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOSEPH GILENE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	707 SOUTH UNIVERSITY AVENUE	AddressLine1Txt
City	BEAVER DAM	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53916	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$120,745,033	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BDCH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1972	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, COMPASSIONATE HEALTH CARE.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	1031	TotalEmployeeCnt
Total Volunteers	295	TotalVolunteersCnt
Total Gross UBI	$3,981,125	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$176,785	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$292,661	PYContributionsGrantsAmt
CY Contributions Grants	$1,565,615	CYContributionsGrantsAmt
PY Program Service Revenue	$104,712,694	PYProgramServiceRevenueAmt
CY Program Service Revenue	$107,873,368	CYProgramServiceRevenueAmt
PY Investment Income	$4,739,991	PYInvestmentIncomeAmt
CY Investment Income	$2,067,362	CYInvestmentIncomeAmt
PY Other Revenue	$3,780,470	PYOtherRevenueAmt
CY Other Revenue	$3,663,209	CYOtherRevenueAmt
PY Total Revenue	$113,525,816	PYTotalRevenueAmt
CY Total Revenue	$115,169,554	CYTotalRevenueAmt
PY Grants And Similar Paid	$128,525	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$127,188	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$53,204,053	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$54,148,666	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$56,489,500	PYOtherExpensesAmt
CY Other Expenses	$57,602,552	CYOtherExpensesAmt
PY Total Expenses	$109,822,078	PYTotalExpensesAmt
CY Total Expenses	$111,878,406	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,703,738	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,291,148	CYRevenuesLessExpensesAmt
Total Assets BOY	$180,456,848	TotalAssetsBOYAmt
Total Assets EOY	$188,667,538	TotalAssetsEOYAmt
Total Liabilities BOY	$83,047,420	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$88,296,365	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$97,409,428	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$100,371,173	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	BE THE REGIONAL DESTINATION FOR HEALTH CARE BY CULTIVATING AN ENGAGING WORK ENVIRONMENT IN WHICH OUR CARE TEAM DELIVERS UNPRECEDENTED QUALITY, SAFETY AND SERVICE AT A COMPETITIVE PRICE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$74,860,540	ExpenseAmt
Grant	$127,188	GrantAmt
Revenue	$74,140,305	RevenueAmt
Desc	THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT SERVICES TO ITS PATIENTS. IN THE FISCAL YEAR ENDED 6/30/2019, THERE WERE 4,285 INPATIENT DAYS, 1,525 ADMISSIONS, 272 BIRTHS, 590 NURSERY DAYS, AND 89,165 OUTPATIENT VISITS. THERE ARE MEDICAL/SURGICAL, TELEMETRY, INTENSIVE CARE, OBSTETRICS, AND NURSERY UNITS ON THE INPATIENT FLOORS. THERE IS AN EMERGENCY ROOM, URGENT CARE, SURGERY CENTER, REHABILITATION CENTER, PAIN CLINIC, OUTPATIENT MEDICAL ONCOLOGY CLINIC, MEDICAL IMAGING, PHARMACY DEPARTMENT AND A WOUND CENTER. THESE SERVICES ALL GENERATE NET PATIENT REVENUE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$5,438,930	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$8,529,714	RevenueAmt
Desc	HILLSIDE MANOR IS A 115 BED NURSING HOME CERTIFIED BY MEDICARE/MEDICAID THAT OFFERS SKILLED NURSING, COMPREHENSIVE REHABILITATION, AND AN EXTENSIVE ACTIVITIES PROGRAM. TOTAL PATIENT DAYS FOR THE FISCAL YEAR ENDED 6/30/2019 WERE 35,207.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$4,066,995	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$5,902,509	RevenueAmt
Desc	THE HOMECARE PROGRAM INCLUDES HOME HEALTH AND HOSPICE SERVICES. HOME HEALTH OFFERS SKILLED NURSING, PERSONAL CARE, AND REHABILITATION TO PATIENTS IN THEIR OWN HOME. THERE WERE 15,482 HOMECARE VISITS FOR THE FISCAL YEAR ENDED 6/30/2019. THE HOSPICE PROGRAM PROVIDES SUPPORT TO PATIENTS WHO ARE TERMINALLY ILL. THE HOSPICE PROGRAM HAD 19,348 TOTAL DAYS FOR THE FISCAL YEAR ENDED 6/30/2019.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$8,053,403	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$20,826,062	RevenueAmt
Desc	OTHER PROGRAMS INCLUDE PHYSICIAN CLINICS, OCCUPATIONAL HEALTH, DAYCARE PROGRAM, ASSISTED LIVING PROGRAM, REFERENCE LABORATORY, HOMEMAKER PROGRAM, AND SPORTS FITNESS FACILITY.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$8,053,403	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$20,826,062	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$92,419,868	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	91	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1031	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DEBBIE CHILDRESS CONTROLLER	PersonNm
Phone	9208876384	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	707 SOUTH UNIVERSITY AVENUE	AddressLine1Txt
City	BEAVER DAM	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53916	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SUSAN TURNEY MD
DIRECTOR/MCHS CEO	1.00	46.00	Yes (X)	$0	$2,454,892	$293,295
NARAYANA MURALI MD
DIRECTOR/MCHS CSO	1.00	46.00	Yes (X)	$0	$854,715	$58,091
KIMBERLY JM MILLER PRESIDENT
& CEO (THROUGH MARCH 2019)	40.00	3.00	Yes (X)	$712,229	$0	$51,960
RUWAN DISSANAYAKE MD
MEMBER	1.00	42.00	Yes (X)	$0	$532,235	$55,060
MARK BUGHER
CHAIR	1.00	3.00	Yes (X)	$0	$38,500	$0	Yes (X)
CHUCK NASON
SECRETARY	1.00	3.00	Yes (X)	$0	$6,500	$0	Yes (X)
MARK BRADLEY
VICE CHAIR	1.00	3.00	Yes (X)	$0	$1,000	$0	Yes (X)
JIM KIRSH
CHAIR (THROUGH MAY 2019)	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
SUE SUTTER VICE CHAIR
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
MARSHA BORLING SECRETARY
DIRECTOR (THROUGH MAY 2019)	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
DOUG MATHISON TREASURER
DIRECTOR (THROUGH MAY 2019)	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
JOHN BALTUS
TREASURER	1.00	2.00	Yes (X)	$0	$0	$0	Yes (X)
KARLA CHASE
PAST CHAIR (THROUGH MAY 2019)	1.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
FRANK PODOJIL BOARD MEMBER
(THROUGH MAY 2019) & CHIEF OF STAFF	40.00	0.00	Yes (X)	$0	$0	$0
TERRY O'CONNOR
MEMBER (TROUGH MAY 2019)	1.00	0.00	Yes (X)	$0	$0	$0
JASON SMITH
CHIEF MEDICAL OFFICER	40.00	0.00		$377,943	$0	$39,645	Yes (X)
CAROLYN CATTON INTERIM CHIEF
PATIENT CARE (THROUGH NOV 2018)	40.00	0.00		$252,515	$0	$7,744	Yes (X)
MELANIE BRUINS
CHIEF TALENT OFFICER	40.00	0.00		$182,592	$0	$50,145	Yes (X)
DAVID CORSO CHIEF OPERATING
OFFICER (THROUGH SEPT 2018)	40.00	0.00		$203,153	$0	$6,854	Yes (X)
JOSEPH GILENE
CEO	40.00	3.00		$0	$0	$0	Yes (X)
PAUL PALMER
SURGEON	40.00	0.00		$910,408	$0	$46,828		Yes (X)
JERARD JENSEN
MCHS GENERAL COUNSEL	1.00	44.00		$0	$874,226	$56,133		Yes (X)
JOSEPH PUCCINELLI
ORTHOPEDIC SURGEON	40.00	0.00		$664,473	$0	$45,634		Yes (X)
GORDON EDWARDS
MCHS CFO/COO	0.00	44.00		$0	$702,259	$59,345		Yes (X)
JAINIE ORRINGTON-MYERS
SURGEON (THROUGH MARCH 2019)	40.00	0.00		$413,868	$0	$34,844		Yes (X)
ROBERT SEIPEL
ORTHOPEDIC SURGEON	40.00	0.00		$643,589	$0	$70,356		Yes (X)
MOLLY MEIER
PODIATRIST	40.00	0.00		$279,864	$0	$35,660		Yes (X)
DONNA HUTCHINSON
FORMER CFO	0.00	0.00		$136,333	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,776,967	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,464,327	TotReportableCompRltdOrgAmt
Total Other Compensation	$911,594	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	38	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HALL RENDER KILLIAN
39778 TREASURY CENTER	CHICAGO	IL	60691	LEGAL SERVICES	$1,110,950
MEDICAL SOLUTIONS
PO BOX 310737	DES MOINES	IA	50331	CONTRACT LABOR	$976,308
GREENFIELD REHABILITATION AGENCY
7517 W COLDSPRING ROAD	GREENFIELD	WI	53220	REHABILITATION SERVICES	$678,880
DAILY CARE HOSPITALISTS LLC
PO BOX 11934	GREEN BAY	WI	543071934	CONTRACT LABOR	$583,521
A1 EXCEL HOSPITALIST GROUP
18111 W WISCONSINS AVE 102	BROOKFIELD	WI	53045	CONTRACT LABOR	$534,535

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	15	CntrctRcvdGreaterThan100KCnt
Related Organizations	$104,143	RelatedOrganizationsAmt
All Other Contributions	$1,461,472	AllOtherContributionsAmt
Total Contributions	$1,565,615	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUES	621300	$101,027,978	$100,620,399	$407,579
ASSISTED CARE PROGRAM	623990	$2,235,127	$2,235,127
PHARMACY REVENUES	621990	$2,065,709		$2,065,709
HOMEMAKER SERVICES	812900	$1,762,223	$1,667,784	$94,439
OCC HEALTH PROGRAM	621990	$529,348	$529,348

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$252,983	TotalRevenueColumnAmt
Related Or Exempt Func Income	$252,983	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$107,873,368	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,808,169	TotalRevenueColumnAmt
Exclusion	$1,808,169	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,244,032	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,854,545	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$389,487	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$389,487	TotalRevenueColumnAmt
Unrelated Business Revenue	$306,485	UnrelatedBusinessRevenueAmt
Exclusion	$83,002	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,974,463	SecuritiesAmt
Other	$750	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,687,654	SecuritiesAmt
Other	$28,366	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$286,809	SecuritiesAmt
Other	-$27,616	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$259,193	TotalRevenueColumnAmt
Exclusion	$259,193	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$68	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$4,914	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$4,846	TotalRevenueColumnAmt
Exclusion	-$4,846	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
DAYCARE REVENUE	624410	$1,290,634	$200,938	$1,089,696
MISCELLANEOUS INCOME	900099	$837,388	$837,388
FOOD SERVICE	722320	$629,217			$629,217

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$521,329	TotalRevenueColumnAmt
Related Or Exempt Func Income	$486,896	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$17,217	UnrelatedBusinessRevenueAmt
Exclusion	$17,216	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,278,568	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$115,169,554	TotalRevenueColumnAmt
Related Or Exempt Func Income	$106,830,863	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,981,125	UnrelatedBusinessRevenueAmt
Exclusion	$2,791,951	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$66,000	TotalAmt
Program Services	$66,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$61,188	TotalAmt
Program Services	$61,188	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,172,529	TotalAmt
Management And General	$2,172,529	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$203,218	TotalAmt
Management And General	$203,218	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$39,528,765	TotalAmt
Program Services	$38,275,462	ProgramServicesAmt
Management And General	$1,253,303	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,924,734	TotalAmt
Program Services	$1,812,934	ProgramServicesAmt
Management And General	$111,800	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,562,636	TotalAmt
Program Services	$7,101,998	ProgramServicesAmt
Management And General	$460,638	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,756,784	TotalAmt
Program Services	$2,532,648	ProgramServicesAmt
Management And General	$224,136	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$939,601	TotalAmt
Program Services	$81,280	ProgramServicesAmt
Management And General	$858,321	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$83,561	TotalAmt
Management And General	$83,561	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$173,866	TotalAmt
Management And General	$173,866	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,565,228	TotalAmt
Program Services	$7,413,305	ProgramServicesAmt
Management And General	$3,151,923	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$280,265	TotalAmt
Management And General	$280,265	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,768,778	TotalAmt
Program Services	$1,785,889	ProgramServicesAmt
Management And General	$982,889	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,837,918	TotalAmt
Program Services	$3,554,061	ProgramServicesAmt
Management And General	$1,283,857	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,718,149	TotalAmt
Program Services	$1,214,341	ProgramServicesAmt
Management And General	$503,808	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$246,686	TotalAmt
Program Services	$210,096	ProgramServicesAmt
Management And General	$36,590	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$151,277	TotalAmt
Program Services	$99,799	ProgramServicesAmt
Management And General	$51,478	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,291,699	TotalAmt
Program Services	$1,892,012	ProgramServicesAmt
Management And General	$399,687	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,422,608	TotalAmt
Program Services	$6,118,507	ProgramServicesAmt
Management And General	$2,304,101	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$302,889	TotalAmt
Program Services	$260,863	ProgramServicesAmt
Management And General	$42,026	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
UBI TAXES	$59,293	$59,293
MED. SUPPLIES & DRUGS	$13,864,243	$50,757	$13,813,486
BAD DEBT EXPENSE	$4,865,432		$4,865,432
ASSESSMENT/USER FEES	$2,223,831	$1,960,891	$262,940

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,807,228	TotalAmt
Program Services	$997,627	ProgramServicesAmt
Management And General	$2,809,601	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$111,878,406	TotalAmt
Program Services	$92,419,868	ProgramServicesAmt
Management And General	$19,458,538	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$40,389	BOYAmt
EOY	$41,907	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$8,365,148	BOYAmt
EOY	$11,607,574	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$13,226,771	BOYAmt
EOY	$12,601,826	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,457,598	BOYAmt
EOY	$2,554,884	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,756,078	BOYAmt
EOY	$1,630,566	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$195,281,315	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$111,166,887	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$82,534,260	BOYAmt
EOY	$84,114,428	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$69,418,695	BOYAmt
EOY	$73,374,118	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$378,965	BOYAmt
EOY	$322,028	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,278,944	BOYAmt
EOY	$2,420,207	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$180,456,848	BOYAmt
EOY	$188,667,538	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,289,903	BOYAmt
EOY	$10,570,445	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$72,408	BOYAmt
EOY	$73,919	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$55,218,644	BOYAmt
EOY	$58,545,075	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$261,040	BOYAmt
EOY	$213,901	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$9,517,000	BOYAmt
EOY	$8,757,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,688,425	BOYAmt
EOY	$10,136,025	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$83,047,420	BOYAmt
EOY	$88,296,365	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$95,130,482	BOYAmt
EOY	$97,950,966	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,278,946	BOYAmt
EOY	$2,420,207	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$97,409,428	BOYAmt
EOY	$100,371,173	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$180,456,848	BOYAmt
EOY	$188,667,538	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,291,148	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,189,890	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,519,293	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$2,962	OtherActivitiesAmt
Total Lobbying Expenditures	$2,962	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	BDCH PAYS ANNUAL MEMBERSHIP FEES TO WISCONSIN HOSPITAL ASSOCIATION (WHA), A PORTION OF WHICH WAS USED BY WHA FOR LOBBYING ON BEHALF OF ITS MEMBERS.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,030,364	OtherCostOrOtherBasisAmt
Book Value	$4,030,364	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$117,358,318	OtherCostOrOtherBasisAmt
Depreciation	$56,430,921	DepreciationAmt
Book Value	$60,927,397	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,088,469	OtherCostOrOtherBasisAmt
Depreciation	$711,606	DepreciationAmt
Book Value	$2,376,863	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$70,661,640	OtherCostOrOtherBasisAmt
Depreciation	$54,024,360	DepreciationAmt
Book Value	$16,637,280	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$142,524	OtherCostOrOtherBasisAmt
Book Value	$142,524	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$84,114,428	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
OBLIGATION UNDER CAPITAL LEASE	$361,067
ACCRUED PENSION LIABILITY	$9,424,949
ESTIMATED SETTLEMENTS DUE TO THIRD-PARTY PAYORS	$350,009

Field	Value	IRS element (for citing)
Total Liability	$10,136,025	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART IV, LINE 2B:

RESIDENT TRUST FUNDS ARE FUNDS THAT ARE THE RESIDENTS' THAT ARE DEPOSITED IN A SEPARATE BANK ACCOUNT. THESE FUNDS ARE TRACKED SEPARATELY FROM BDCH'S FUNDS AND BELONG TO THE RESIDENTS. SECURITY DEPOSITS ARE DEPOSITS PAID TO BDCH UPON ENTERING INTO A RENTAL AGREEMENT FOR CBRF RESIDENTS AND ARE DUE BACK TO THE TENANTS UPON TERMINATION OF THEIR RENTAL AGREEMENT.

PART X, LINE 2:

ALL OF THE ENTITIES WITHIN THE CORPORATION ARE NONPROFIT CORPORATIONS 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, EXCEPT BDMCB2 AND DHE. BDMCB2 AND DHE ARE LIMITED LIABILITY COMPANIES AND ARE NOT DIRECTLY SUBJECT TO TAXATION. THEY HAVE ELECTED TO BE TREATED AS DISREGARDED ENTITIES FOR FEDERAL INCOME TAX PURPOSES. INCOME AND LOSSES OF THE COMPANIES ARE PASSED THROUGH TO AND REPORTED FOR INCOME TAX PURPOSES BY THE CORPORATION. THE CORPORATION FOLLOWS THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) GUIDANCE ON INCOME TAXES, ACCOUNTING FOR UNCERTAINTIES IN INCOME TAXES, WHICH ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE CORPORATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. UNRELATED BUSINESS TAXABLE INCOME IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS. AT JUNE 30, 2019 AND 2018, THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,836,996	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,836,996	NetCommunityBenefitExpnsAmt
Total Expense	0.01640	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,866,871	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,286,676	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,580,195	NetCommunityBenefitExpnsAmt
Total Expense	0.05880	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,703,867	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,286,676	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,417,191	NetCommunityBenefitExpnsAmt
Total Expense	0.07520	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,821,920	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,821,920	NetCommunityBenefitExpnsAmt
Total Expense	0.01630	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,750	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,750	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,823,670	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,823,670	NetCommunityBenefitExpnsAmt
Total Expense	0.01630	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,527,537	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,286,676	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,240,861	NetCommunityBenefitExpnsAmt
Total Expense	0.09150	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,865,432	BadDebtExpenseAmt
Bad Debt Expense Attributable	$535,198	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$15,291,499	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$18,435,010	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,143,511	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BEAVER DAM COMMUNITY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	707 SOUTH UNIVERSITY AVENUE	AddressLine1Txt
City	BEAVER DAM	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53916	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.BDCH.COM	WebsiteAddressTxt
State License	199	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BEAVER DAM COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	Yes (1)	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.BDCH.COM/COMMUNITY-HEALTH-NEEDS	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.BDCH.COM/COMMUNITY-HEALTH-NEEDS	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.000000000000	FPGFamilyIncmLmtDscntCarePct
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.BDCH.COM/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.BDCH.COM/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.BDCH.COM/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
BEAVER DAM COMMUNITY HOSPITAL	PART V, SECTION B, LINE 2: EFFECTIVE MAY 1, 2019 MCHS HOSPITALS, INC. BECAME THE SOLE MEMBER OF BEAVER DAM COMMUNITY HOSPITALS, INC. (BDCH) D/B/A MARSHFIELD MEDICAL CENTER-BEAVER DAM THROUGH A MEMBER SUBSTITUTION AGREEMENT. MCHS HOSPITALS, INC. IS A WISCONSIN NONSTOCK, NONPROFIT ORGANIZATION. THE ARTICLES OF INCORPORATION AND THE BYLAWS WERE AMENDED AND RESTATED. THE PURPOSE OF THE CORPORATION IS TO OPERATE EXCLUSIVELY FOR THE CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, INCLUDING SPECIFICALLY TO PROMOTE THE HEALTH OF THE PUBLIC BY OWNING AND OPERATING ONE OR MORE LICENSED HOSPITALS AND/OR OTHER FACILITIES PROVIDING HEALTHCARE SERVICES TO RESIDENTS OF THE GEOGRAPHIC AREAS SERVED BY THE CORPORATION.
BEAVER DAM COMMUNITY HOSPITAL	PART V, SECTION B, LINE 5: BDCH GATHERED QUALITATIVE INFORMATION AND PERSPECTIVES ON COMMUNITY HEALTH NEEDS THROUGH ONE-ON-ONE AND SMALL GROUP INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS. REFER TO PAGES 30 AND 31 OF THE CHNA FOR LIST OF COMMUNITY MEMBERS AND ORGANIZATIONS AND THE CHNA FOR SPECIFIC PARTICIPANTS
BEAVER DAM COMMUNITY HOSPITAL	PART V, SECTION B, LINE 6B: DODGE COUNTY AND JEFFERSON COUNTY.
BEAVER DAM COMMUNITY HOSPITAL	PART V, SECTION B, LINE 7D: THE CHNA IS OFTEN DISCUSSED IN PRESENTATIONS THE HOSPITAL PARTICIPATES IN, SUCH AS CHAMBER OF COMMERCE AND OTHER LOCAL CIVIC AND COMMUNITY ORGANIZATION EVENTS.
BEAVER DAM COMMUNITY HOSPITAL	PART V, SECTION B, LINE 11: BECAUSE OF LIMITED RESOURCES, BDCH CANNOT RESPOND EFFECTIVELY TO EVERY IDENTIFIED HEALTH NEED. AS SUCH, BDCH HAS ELECTED TO TAKE A HOLISTIC APPROACH BY ENGAGING WITH HEALTHWAYS, INC. TO CREATE A BLUE ZONES DESIGNATED AREA ENCOMPASSING DODGE COUNTY. IT IS THROUGH THIS PARTNERSHIP THAT WE HAVE ADDRESSED NUTRITIONAL AND PHYSICAL ACTIVITY BARRIERS AND SUBSTANCE ABUSE CONCERNS IN FY19. THERE ARE NOW SEVERAL RESTAURANTS AND WORKPLACES WITHIN DODGE COUNTY THAT ARE "BLUE ZONES CERTIFIED", MEANING THESE BUSINESSES HAVE PROVEN TO PROVIDE HEALTHY OPTIONS TO THEIR CUSTOMERS (THROUGH HEALTHY MENU OPTIONS) AND EMPLOYEES (THROUGH CREATION OF WALKING MOAIS OR OTHER HEALTH-RELATED ACTIVITIES). IN ADDITION, THE BLUE ZONES PROJECT HELD SEVERAL COMMUNITY-SPECIFIC ENGAGEMENT EVENTS THROUGHOUT THE YEAR, FOCUSING ON THE ENVIRONMENT, FOOD, ALCOHOL AND TOBACCO.ANOTHER EXAMPLE OF HOW BDCH IS PROMOTING THE HEALTH OF THE COMMUNITY IS THROUGH ITS ENGAGEMENT WITH HEALTHWAYS, INC. TO CREATE A BLUE ZONES DESIGNATED AREA THAT ENCOMPASSES DODGE COUNTY. THROUGH THIS PARTNERSHIP WITH HEALTHWAYS, INC. WE ADDRESS AND PROMOTE HEALTHY LIFESTYLES THROUGH NUTRITIONAL AND PHYSICAL ACTIVITY AS WELL AS FOCUS ON SUBSTANCE ABUSE CONCERNS. BUSINESSES AND COMMUNITIES PARTNER TOGETHER WITH BDCH TO PROVIDE HEALTHY OPTIONS AND LIFESTYLES FOR THEIR CUSTOMERS, EMPLOYEES AND CITIZENS. ALL OF THE BLUE ZONES PROGRAMS ARE OFFERED TO THE COMMUNITY FREE OF CHARGE. WE WORK WITH THE COUNTY AND CITY MUNICIPALITIES, FAITH-BASED ORGANIZATIONS, GROCERY STORES, AND SCHOOLS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COUNTY RESIDENTS.

Field	Value	IRS element (for citing)
Facility	16	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - HILLSIDE MANOR
803 SOUTH UNIVERSITY AVENUE	BEAVER DAM	WI	53916	SKILLED NURSING FACILITY
2 - REMEMBRANCE HOME
1810 NORTH SPRING STREET	BEAVER DAM	WI	53916	DEMENTIA-SPECIFIC COMMUNITY-BASED RESIDENTIAL FACILITY
3 - EAGLES WINGS
408 STONE STREET	BEAVER DAM	WI	53916	COMMUNITY-BASED RESIDENTIAL FACILITY
4 - BEAVER DAM REFERENCE LAB
707 SOUTH UNIVERSITY AVENUE	BEAVER DAM	WI	53916	REFERENCE LAB
5 - BEAVER DAM ORTHOPEDIC CLINIC
705 SOUTH UNIVERSITY AVENUE STE 150	BEAVER DAM	WI	53916	PHYSICIAN CLINIC
6 - COLUMBUS MEDICAL CLINIC
1580 WEST JAMES STREET	COLUMBUS	WI	53925	PHYSICIAN CLINIC
7 - WAUPUN MEDICAL CLINIC
180 GATEWAY DRIVE	WAUPUN	WI	53963	PHYSICIAN CLINIC
8 - HORICON MEDICAL CLINIC
610 WASHINGTON STREET	HORICON	WI	53032	PHYSICIAN CLINIC
9 - SURGICAL SPECIALISTS
705 SOUTH UNIVERSITY AVENUE STE 350	BEAVER DAM	WI	53916	GENERAL SURGERY CLINIC
10 - JUNEAU MEDICAL CLINIC
420 WEST NORTH STREET	JUNEAU	WI	53039	PHYSICIAN CLINIC
11 - SLEEP LAB
919 UNIVERSITY AVENUE	BEAVER DAM	WI	53916	SLEEP LAB
12 - HILLSIDE HOMECARE AND HOSPICE
709 SOUTH UNIVERSITY AVENUE	BEAVER DAM	WI	53916	HOME HEALTH AGENCY
14 - BEAVER DAM MEDICAL CLINIC
130 WARREN STREET	BEAVER DAM	WI	53916	PHYSICIAN CLINIC
15 - BDCH CHIROPRACTIC
211 CORPORATE DRIVE H	BEAVER DAM	WI	53916	CHIROPRACTIC CLINIC
16 - PODIATRY CLINIC
705 SOUTH UNIVERSITY AVENUE STE 150	BEAVER DAM	WI	53916	PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	BEAVER DAM COMMUNITY HOSPITAL ("BDCH") GRANTS FINANCIAL ASSISTANCE IF THEY (A) RECEIVE EMERGENCY MEDICAL CARE OR MEDICALLY NECESSARY CARE, (B) SUBMIT A COMPLETE COMMUNITY CARE APPLICATION INCLUDING REQUIRED SUPPORTING DOCUMENTS AND (C) HAVE HOUSEHOLD INCOME LESS THAN 150% OF FEDERAL POVERTY GUIDELINES. BDCH MAY ALSO GIVE FINANCIAL ASSISTANCE BASED ON A PROPENSITY-TO-PAY FORMULA THAT IS PROVIDED AND RUN BY A THIRD-PARTY VENDOR.
PART I, LINE 6A:	IN ADDITION TO ITS COMMUNITY BENEFITS REPORT WHICH IT PREPARES, BDCH PREPARES AN ANNUAL REPORT EACH YEAR THAT IS DISTRIBUTED TO MEMBERS OF THE COMMUNITIES THAT WE SERVE. WITHIN THE ANNUAL REPORT IS A SECTION REGARDING COMMUNITY BENEFITS.
PART I, LINE 7:	CHARITY CARE IS DETERMINED BY UTILIZING THE TOTAL AMOUNT FROM THE PATIENT BILLING SYSTEM THAT IS WRITTEN OFF USING THE CHARITY CARE ALLOWANCE CHARGE CODES FROM THE CHARGEMASTER. THIS AMOUNT TIES TO THE NUMBER THAT IS REPORTED IN THE AUDITED FINANCIAL STATEMENTS FOR THE FISCAL YEAR ENDED 6/30/19. THE TOTAL CHARITY CARE AMOUNT REPORTED ON LINE 7A COLUMN (C) IS REDUCED TO COST BY APPLYING BDCH'S COST TO CHARGE RATES AS CALCULATED ON IRS SCHEDULE H, WORKSHEET 2.
PART I, LINE 7G:	BDCH DOES NOT HAVE SUFFICIENT INFORMATION AT THIS TIME TO DETERMINE IF SUBSIDIZED SERVICES EXIST BASED ON THE DEFINITION AND CALCULATIONS REQUIRED BY THE IRS AND IS WORKING TO PROVIDE SUCH INFORMATION.
PART I, LN 7 COL(F):	THE AMOUNT OF BAD DEBT EXPENSES THAT WAS EXCLUDED FROM THE CALCULATION TO DETERMINE THE NET COMMUNITY BENEFIT EXPENSES AS A PERCENT OF TOTAL EXPENSES WAS $4,865,432.
PART III, LINE 2:	THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON LINE 2 IS THE AMOUNT OF PATIENT RECEIVABLE THAT WAS DEEMED UNCOLLECTIBLE DURING FY2019. BDCH BELIEVES THAT ITS CHARITY CARE AND RELATED COMMUNITY BENEFIT IS UNDERESTIMATED DUE TO PATIENTS THAT MAY POTENTIALLY QUALIFY FOR CHARITY CARE BUT CHOOSE NOT TO APPLY FOR IT. IN ADDITION, THERE IS ADDITIONAL BAD DEBT EXPENSE DUE TO CHARITY CARE APPLICATIONS THAT ARE MISSING INFORMATION AND ARE THEREFORE INCOMPLETE. BAD DEBT IN FY2019 IS $4,865,432
PART III, LINE 3:	TO CALCULATE THE CHARITY-ELIGIBLE COST OF ACCOUNTS WRITTEN OFF AS BAD DEBT EXPENSE ON LINE 3, THE PERCENT OF POPULATION BELOW POVERTY LEVEL WAS DETERMINED FROM U.S. CENSUS BUREAU INFORMATION. THIS PERCENTAGE WAS MULTIPLIED BY THE COST OF THE AMOUNT WRITTEN OFF TO BAD DEBT WHICH PRODUCED THE AMOUNT OF CHARGES WRITTEN OFF TO BAD DEBT THAT COULD BE ASSUMED TO BE CHARITY-ELIGIBLE.
PART III, LINE 4:	SEE THE "PATIENT ACCOUNTS RECEIVABLE" DISCLOSURE IN NOTE 2 (PAGE 8) OF THE ATTACHED AUDITED CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE ALLOWABLE MEDICARE COST ON PART III, LINE 6 IS DETERMINED USING THE FY 2019 FILED MEDICARE COST REPORT. THE REIMBURSEMENT FROM MEDICARE IS DEDUCTED FROM THE ESTIMATED COST TO DETERMINE THE ESTIMATED SHORTFALL FROM THE MEDICARE PROGRAM. BDCH RECOGNIZES THAT THE ESTIMATED SHORTFALL IS ACTUALLY GREATER THAN WHAT IS INCLUDED IN PART III, LINE 7 DUE TO THE NON-ALLOWABLE COSTS PER THE MEDICARE COST REPORT. THIS SHORTFALL OF $3,143,511 IS NOT CLASSIFIED AS COMMUNITY BENEFIT. HOWEVER, BDCH BELIEVES IT IS AN IMPORTANT CONTRIBUTION MADE BY THE HOSPITAL TO SUPPORT ITS MISSION OF DELIVERING EXCELLENCE ACROSS A CONTINUUM OF SERVICES, EVEN IF WE ARE NOT COMPENSATED FULLY FOR DOING SO. IN ADDITION, MANY OF THESE PATIENTS WOULD QUALIFY FOR MEDICAID AS SEVERAL PATIENTS CARRY IT AS A SECONDARY PLAN, SO THEREFORE, IF THE MEDICARE PROGRAM DID NOT EXIST, MEDICAID WOULD BE THE PRIMARY INSURANCE FOR MANY PATIENTS, WHICH IS CONSIDERED TO BE COMMUNITY BENEFIT.
PART III, LINE 9B:	BDCH MAKES EVERY EFFORT TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. AS DESCRIBED IN PART VI, QUESTION 3, BDCH HAS PROCESSES IN PLACE TO INFORM PATIENTS OF OUR CHARITY CARE POLICY AND TO PROVIDE THEM WITH INFORMATION IN APPLYING FOR OTHER THIRD-PARTY OR GOVERNMENT REIMBURSEMENT. IF THE PATIENT'S INCOME LEVEL QUALIFIES THEM FOR CHARITY CARE, THE FULL AMOUNT OF THEIR ACCOUNT BALANCE IS WRITTEN OFF AS CHARITY CARE. IF THE PATIENT DOES NOT AUTOMATICALLY QUALIFY FOR CHARITY CARE, THEY CAN PROVIDE ADDITIONAL INCOME INFORMATION TO DETERMINE IF THEY QUALIFY FOR FULL CHARITY CARE WRITE-OFFS. IF THE PATIENT DOES NOT QUALIFY FOR CHARITY CARE, THEN THE PATIENT IS RESPONSIBLE FOR THE REMAINING BALANCE. THE PATIENT HAS THE OPTION TO MAKE INSTALLMENT PAYMENTS WITH NO INTEREST. IN THE EVENT THAT THE PATIENT DEFAULTS ON THEIR INSTALLMENT PAYMENTS OR DOES NOT COOPERATE WITH BDCH'S COLLECTION EFFORTS, THE ACCOUNT WILL BE SENT TO A COLLECTION AGENCY.
PART VI, LINE 2:	EVERY 5 YEARS, THE HEALTH DEPARTMENTS OF DODGE AND JEFFERSON COUNTY AND THE CITY OF WATERTOWN CONDUCT A JOINT COMPREHENSIVE CHNA AND COMPILE A REPORT CONTAINING AN ANALYSIS OF THE QUALITATIVE AND QUANTITATIVE INFORMATION GATHERED FROM SEVERAL SOURCES INCLUDING FOCUS GROUPS, THE US CENSUS BUREAU, AND THE BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM, AMONG OTHERS. THE REPORT INCORPORATES DATA TO ADDRESS ALL 11 HEALTH PRIORITIES IN THE WISCONSIN STATE HEALTH PLAN. BDCH HAS OBTAINED A COPY OF THE FULL REPORT AND UTILIZES THE INFORMATION TO ASSESS THE HEALTH NEEDS OF OUR COMMUNITY. IN ADDITION, BDCH SUPPORTS CHURCH HEALTH SERVICES, A LOCAL ORGANIZATION COMMITTED TO SERVING LOW-INCOME PATIENTS WITH NO INSURANCE, AND MEET WITH THEM TO ASSESS THE NEEDS OF THE COMMUNITY.
PART VI, LINE 3:	AT BDCH, WE COMMUNICATE OUR COMMUNITY CARE POLICY UPON REGISTRATION TO SELF-PAY PATIENTS FOR INPATIENT CARE, AT WHICH TIME PATIENTS MAY BE QUALIFIED FOR COMMUNITY CARE IMMEDIATELY. FOR OUR OUTPATIENT SELF-PAY PATIENTS, WE INCLUDE CONTACT INFORMATION IN OUR LETTERS AND STATEMENTS, ENCOURAGING THE PATIENTS TO CONTACT US IF THEY DO NOT HAVE THE MEANS TO PAY THEIR MEDICAL EXPENSES. WHEN CONTACTED, WE ASK QUESTIONS TO DETERMINE IF THE PATIENT MAY QUALIFY. IF SO, WE MAIL OUT A PACKET FOR COMPLETION.
PART VI, LINE 4:	BEAVER DAM COMMUNITY HOSPITALS, INC. SERVES THE GREATER DODGE AND COLUMBIA COUNTY REGION. THE HOME SERVICES PROGRAM ALSO TRAVELS TO OUR PATIENTS IN THEIR HOMES UP TO 30 MILES AWAY. THE POPULATION OF THE AREA WE SERVE IS APPROXIMATELY 145,000 PEOPLE. DEMOGRAPHICALLY, ABOUT 20% OF THE POPULATION IS UNDER THE AGE 18, ABOUT 62% IS AGED 18-64 AND ABOUT 18% IS AGE 65 AND OLDER. OUR HOSPITAL SERVES PATIENTS OF ALL AGES. ALTHOUGH THE POPULATION IS PRIMARILY CAUCASIAN, THERE IS A GROWING HISPANIC POPULATION. MULTIPLE LANGUAGES ARE SPOKEN IN THE AREA, AND THEREFORE INTERPRETATION SERVICES ARE PROVIDED FOR ALL PATIENTS.
PART VI, LINE 5:	BDCH HAS A LONG HISTORY OF SERVING THE COMMUNITY OF BEAVER DAM AND THE SURROUNDING REGION. BDCH HAS CONTINUALLY GROWN SERVICES TO RESPOND TO THE NEEDS OF PATIENTS WE SERVE ACROSS THE REGION IN CARRYING OUT ITS MISSION OF PROVIDING EXCELLENCE ACROSS THE CONTINUUM. BDCH OFFERS SEVERAL HEALTH AND COMMUNITY PROGRAMS AT NO OR LOW COST SUCH AS HEALTH AND SAFETY FAIRS, LACTATION CONSULTATION SERVICES, SUPPORT GROUPS, HEALTH SCREENINGS, MEMORY CARE CLINIC, WELLNESS CLASSES, MEALS ON WHEELS, AND JOINT REPLACEMENT SEMINARS, FOOT CLINIC & PACEMAKER CLINIC AND SELF-REQUESTED, WALK-IN LAB TESTING AMONG OTHERS. THE AFFILIATION WITH MCHS WILL INCREASE SPECIALTY SERVICES PROVIDED TO THE COMMUNITY THAT PREVIOUSLY REQUIRED PATIENTS TO TRAVEL A MINIMUM OF 45 MINUTES TO LARGER FACILITIES. BDCH HAS AN OPEN MEDICAL STAFF, A LOCAL COMMUNITY ADVISORY BOARD COMPRISED OF COMMUNITY MEMBERS, AND USES ITS SURPLUS FUNDS TO REINVEST IN TECHNOLOGYAND PROGRAM SERVICES TO BETTER SERVE ITS PATIENTS. BDCH SUPPORTS CHURCH HEALTH SERVICES, A LOCAL ORGANIZATION COMMITTED TO PROVIDING HEALTH SERVICES TO LOW-INCOME PATIENT WITHOUT INSURANCE. BDCH PARTICIPATES AS A DROP-OFF SITE FOR SHARPS AND IN THE WISCONSIN HOSPITAL EMERGENCY PREPAREDNESS PLAN WHOSE PURPOSE IS TO MEET A COMMUNITY NEED BY BRINGING ORGANIZATIONS TOGETHER IN THE EVENT OF AN EMERGENCY IN A COLLABORATIVE AND ORGANIZED MANNER. BDCH'S LEADERSHIP STAFF PARTICIPATES IN MANY LOCAL ORGANIZATIONS THROUGHOUT THE REGION.ANOTHER EXAMPLE OF HOW BDCH IS PROMOTING THE HEALTH OF THE COMMUNITY IS THROUGH ITS ENGAGEMENT WITH HEALTHWAYS, INC. TO CREATE A BLUE ZONES DESIGNATED AREA THAT ENCOMPASSES DODGE COUNTY. THROUGH THIS PARTNERSHIP WITH HEALTHWAYS, INC. WE ADDRESS AND PROMOTE HEALTHY LIFESTYLES THROUGH NUTRITIONAL AND PHYSICAL ACTIVITY AS WELL AS FOCUS ON SUBSTANCE ABUSE CONCERNS. BUSINESSES AND COMMUNITIES PARTNER TOGETHER WITH BDCH TO PROVIDE HEALTHY OPTIONS AND LIFESTYLES FOR THEIR CUSTOMERS, EMPLOYEES AND CITIZENS. ALL OF THE BLUE ZONES PROGRAMS ARE OFFERED TO THE COMMUNITY FREE OF CHARGE. WE WORK WITH THE COUNTY AND CITY MUNICIPALITIES, FAITH-BASED ORGANIZATIONS, GROCERY STORES, AND SCHOOLS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COUNTY RESIDENTS.
PART VI, LINE 6:	BDCH BECAME PART OF AN AFFILIATED HEALTHCARE SYSTEM, MARSHFIELD CLINIC HEALTH SYSTEM (MCHS), ON MAY 1, 2019. BDCH SPONSORS THE BLUE ZONES PROJECT IN DODGE COUNTY, WHICH ADVOCATES FOR THE ADVANCEMENT OF COMMUNITY HEALTH INITIATIVES THROUGHOUT THE COUNTY.
PART VI, LINE 7, REPORTS FILED WITH STATES	WI

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BEAVER DAM COMMUNITY HOSPITALS FOUNDATION INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	707 S UNIVERSITY AVE	AddressLine1Txt
City	BEAVER DAM	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53916	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	391499140	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$62,000	CashGrantAmt
Purpose Of Grant	SUPPORT FOR HILLSIDE MANOR BEAUTY SHOP, HOSPICE HOME, HILLSIDE HOSPICE AND LIFELINE.	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	EMPLOYEE TUITION REIMBURSEMENT	GrantTypeTxt
Recipient	24	RecipientCnt
Cash Grant	$61,188	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE GRANTS GIVEN TO OUTSIDE ORGANIZATIONS WERE GIVEN TO A RELATED ENTITY. FUNDS TRANSFERRED ARE MONITORED THROUGH THE INTERNAL FINANCIAL REPORTING PROCESS AS BOTH ENTITIES ARE UNDER COMMON MANAGEMENT. THE GRANTS GIVEN TO INDIVIDUALS WERE RELATED TO BDCH'S EMPLOYEE TUITION REIMBURSEMENT PROGRAM. THIS PROGRAM PROVIDES ELIGIBLE EMPLOYEES WITH THE OPPORTUNITY TO OBTAIN, MAINTAIN, OR IMPROVE JOB-RELATED OR CAREER-RELATED OBJECTIVES THROUGH PARTICIPATION IN ACADEMIC COURSES AT ACCREDITED COLLEGES AND UNIVERSITIES. THIS PROGRAM IS MONITORED BY HUMAN RESOURCES AND IN ORDER TO RECEIVE THIS BENEFIT, EMPLOYEES MUST GET COURSE APPROVAL PRIOR TO ENROLLMENT, SUCCESSFULLY COMPLETE EACH COURSE WITH A MINIMUM OF A "C" FOR UNDERGRADUATE COURSES OR "B" FOR GRADUATE COURSES, AND SUBMIT A COPY OF AN ITEMIZED RECEIPT WITHIN ONE MONTH FOLLOWING THE END OF CLASS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (1)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	Yes (1)	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (1)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SUSAN TURNEY MD
DIRECTOR/MCHS CEO	$0	$1,686,332	$0	$510,000	$0	$258,560	$0	$270,897	$0	$22,398	$0	$2,748,187	$0	$154,255
NARAYANA MURALI MD
DIRECTOR/MCHS CSO	$0	$720,583	$0	$112,500	$0	$21,632	$0	$29,497	$0	$28,594	$0	$912,806	$0	$0
KIMBERLY JM MILLER PRESIDENT
& CEO (THROUGH MARCH 2019)	$510,128	$0	$86,675	$0	$115,426	$0	$11,000	$0	$40,960	$0	$764,189	$0	$0	$0
RUWAN DISSANAYAKE MD
MEMBER	$0	$357,107	$0	$153,832	$0	$21,296	$0	$29,497	$0	$25,563	$0	$587,295	$0	$0
JASON SMITH
CHIEF MEDICAL OFFICER	$303,183	$0	$33,000	$0	$41,760	$0	$11,000	$0	$28,645	$0	$417,588	$0	$0	$0
CAROLYN CATTON INTERIM CHIEF
PATIENT CARE (THROUGH NOV 2018)	$189,344	$0	$0	$0	$63,171	$0	$7,744	$0	$0	$0	$260,259	$0	$0	$0
MELANIE BRUINS
CHIEF TALENT OFFICER	$130,176	$0	$27,450	$0	$24,966	$0	$6,649	$0	$43,496	$0	$232,737	$0	$0	$0
DAVID CORSO CHIEF OPERATING
OFFICER (THROUGH SEPT 2018)	$127,208	$0	$32,500	$0	$43,445	$0	$6,854	$0	$0	$0	$210,007	$0	$0	$0
PAUL PALMER
SURGEON	$821,627	$0	$69,650	$0	$19,131	$0	$11,000	$0	$35,828	$0	$957,236	$0	$0	$0
JERARD JENSEN
MCHS GENERAL COUNSEL	$0	$741,937	$0	$112,500	$0	$19,789	$0	$29,497	$0	$26,636	$0	$930,359	$0	$0
JOSEPH PUCCINELLI
ORTHOPEDIC SURGEON	$643,241	$0	$0	$0	$21,232	$0	$11,000	$0	$34,634	$0	$710,107	$0	$0	$0
GORDON EDWARDS
MCHS CFO/COO	$0	$570,052	$0	$90,000	$0	$42,207	$0	$29,497	$0	$29,848	$0	$761,604	$0	$0
JAINIE ORRINGTON-MYERS
SURGEON (THROUGH MARCH 2019)	$393,519	$0	$19,719	$0	$630	$0	$11,000	$0	$23,844	$0	$448,712	$0	$0	$0
ROBERT SEIPEL
ORTHOPEDIC SURGEON	$641,818	$0	$0	$0	$1,771	$0	$29,500	$0	$40,856	$0	$713,945	$0	$0	$0
MOLLY MEIER
PODIATRIST	$279,486	$0	$0	$0	$378	$0	$8,250	$0	$27,410	$0	$315,524	$0	$0	$0
DONNA HUTCHINSON
FORMER CFO	$0	$0	$0	$0	$136,333	$0	$0	$0	$0	$0	$136,333	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	PRIOR TO MAY 1, 2019 BDCH PROVIDED BDCH-OWNED HOUSING TO THE INTERIM CHIEF PATIENT CARE OFFICER, WHO WAS A TEMPORARY EMPLOYEE. THIS WAS INCLUDED IN HER TAXABLE W-2 COMPENSATION. BDCH PROVIDED BDCH-OWNED HOUSING TO THE CEO. THIS WAS REPORTED TO HIM ON A FORM 1099. CURRENTLY, MCHS, MAY OCCASIONALLY REIMBURSE OR PROVIDE A HOUSING ALLOWANCE FOR KEY EXECUTIVES IN ORDER TO ASSIST WITH RELOCATING TO THE AREA. THE ORGANIZATION MAY ALSO CONTRIBUTE TO OR REIMBURSE FOR HEALTH AND SOCIAL CLUB DUES AS DEEMED NECESSARY IN ORDER TO SUPPORT A BUSINESS NEED.
PART I, LINE 1B	BDCH OCCASIONALLY PROVIDES HOUSING OR A HOUSING ALLOWANCE TO TEMPORARY EMPLOYEES. DETERMINATIONS ARE MADE BY MANAGEMENT AND/OR THE BOARD OF DIRECTORS. WHEN THIS BENEFIT IS PROVIDED TO A TEMPORARY EMPLOYEE, BDCH FOLLOWS IRS GUIDELINES IN RECORDING AND REPORTING THE BENEFIT.
PART I, LINES 4A-B	SEVERANCE (RELATED ORGANIZATION) DANIEL RAMSEY - $557,469 457(F) PLAN SUSAN TURNEY, MD - $167,215
PART I, LINE 5	BEGINNING MAY 1, 2019, SEVERAL INDIVIDUALS MAY RECEIVE INCENTIVE COMPENSATION BASED ON A VARIETY OF FACTORS, INCLUDING, NOT ONLY FINANCIAL MESAURES, SUCH AS REVENUE GROTH OR EARNINGS, BUT ALSO QUALITY, SERVICE, MARKET EXPANSION, COMMUNITY & EMPLOYEE ENGAGEMENT AND OTHER OUTCOMES OR EXPECTATIONS SET BY THE BOARD AND/OR CEO. ANY PERFORMANCE BONUS IS SUBJECT TO REVIEW BY THE SYSTEM'S INDEPENDENT COMPENSATION COMMITTEE FOR REASONABLENESS.
PART I, LINE 6	PRIOR TO MAY 1, 2019 THE BDCH BOARD OF DIRECTORS APPROVED AN INCENTIVE PLAN FOR THE CHIEF EXECUTIVE OFFICER THAT IS RELATED TO THE FINANCIAL PERFORMANCE, QUALITY, PATIENT SATISFACTION, EMPLOYEE TURNOVER, ORGANIZATIONAL GROWTH AND INDIVIDUAL PERSONAL GOALS. THE INCENTIVE MATRIX WAS APPROVED BY THE BOARD EXECUTIVE COMPENSATION COMMITTEE. EACH YEAR THE INCENTIVE COMPENSATION MEASURES ARE CALCULATED AFTER COMPLETION OF THE EXTERNAL AUDIT AND PRESENTED TO THE BOARD OF DIRECTORS EXECUTIVE COMPENSATION COMMITTEE WHICH IS COMPRISED OF FIVE INDEPENDENT BOARD MEMBERS FOR APPROVAL. THE EXECUTIVE TEAM INCENTIVE PLAN IS THEN DEVELOPED BASED ON THE CEO'S PLAN AND DIRECTION OF BOARD APPROVED GOALS. BEGGINING MAY 1, 2019, SEVERAL INDIVIDUALS MAY RECEIVE INCENTIVE COMPENSATION BASED ON A VARIETY OF FACTORS, INCLUDING, NOT ONLY FINANCIAL MESAURES, SUCH AS REVENUE GROTH OR EARNINGS, BUT ALSO QUALITY, SERVICE, MARKET EXPANSION, COMMUNITY & EMPLOYEE ENGAGEMENT AND OTHER OUTCOMES OR EXPECTATIONS SET BY THE BOARD AND/OR CEO. ANY PERFORMANCE BONUS IS SUBJECT TO REVIEW BY THE SYSTEM'S INDEPENDENT COMPENSATION COMMITTEE FOR REASONABLENESS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
WISCONSIN HEALTH & EDUCATION FACILITIES AUTHORITY
A	391337855	2012-05-09	$25,745,000	REFINANCE 2004A CALLABLE, 2004B, & 1998 BONDS	0	0	0
WISCONSIN HEALTH & EDUCATION FACILITIES AUTHORITY
B	391337855	2013-06-25	$42,864,560	REFINANCE 2004A BONDS	0	0	0	97712DBW5

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	In Reserve FundInReserveFundAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt
A	$8,475,000	$25,745,000	$312,355	$25,645,000	2006	Yes (1)	0	Yes (1)	Yes (1)
B	$6,535,000	$42,864,560	$646,395		2006	0	Yes (1)	Yes (1)	Yes (1)	$4,352,086	$29,374,307	$8,491,772

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	Yes (1)	Yes (1)	Yes (1)	0	0.00030	0.00100	0.00130	0	0	Yes (1)
B	0	Yes (1)	Yes (1)	Yes (1)	0	0.00010	0.00190	0.00200	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	Yes (1)	0	0	0	0	0	Yes (1)
B	0	0	0	Yes (1)	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: WISCONSIN HEALTH & EDUCATION FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 08/15/2017	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	THROUGH MAY 2019, THE MEMBERSHIP OF THE EXECUTIVE COMMITTEE CONSISTED OF THE CHAIRPERSON OF THE BOARD, THE SECRETARY, THE TREASURER, AND THE VICE CHAIRPERSON OF THE BOARD AND SUCH MEMBERS OF THE BOARD OF DIRECTORS AS MAY BE APPOINTED BY THE BOARD OF DIRECTORS. THE COMMITTEE HAD THE POWER TO TRANSACT ALL REGULAR BUSINESS OF BDCH DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS COULD OVERRULE ANY ACTION PREVIOUSLY TAKEN BY THE EXECUTIVE COMMITTEE. AFTER MAY 2019, THE EXECUTIVE COMMITTEE WAS ELIMINATED.
FORM 990, PART VI, SECTION A, LINE 2	BOARD MEMBERS CHUCK NASON AND MARK BRADLEY HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 4	THE ARTICLES WERE AMENDED IN APRIL 2019 AND THE BYLAWS WERE AMENDED IN MAY 2019 TO MAKE THE FOLLOWING SIGNIFICANT CHANGES: - MCHS HOSPITALS, INC. (MCHSH) BECAME THE SOLE CORPORATE MEMBER OF BEAVER DAM COMMUNITY HOSPITALS, INC. (BDCH) EFFECTIVE MAY 1, 2019. MARSHFIELD CLINIC HEALTH SYSTEM (MCHS) IS THE PARENT COMPANY OF MCHSH. - EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS WAS ELIMINATED
FORM 990, PART VI, SECTION A, LINE 6	THE HOSPITAL HAS A SINGLE MEMBER: MCHS HOSPITALS, INC., A WISCONSIN NON-STOCK CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	MCHS HOSPITALS, INC. (AS THE SOLE MEMBER) HAS THE RESERVE POWER TO APPOINT OR REMOVE MEMBERS OF THE BOARD OF DIRECTORS OF BEAVER DAM COMMUNITY HOSPITALS, INC.
FORM 990, PART VI, SECTION A, LINE 7B	MCHS HOSPITALS, INC. (AS THE SOLE MEMBER) HAS THE RIGHT TO APPROVE ANY CHANGES TO THE ARTICLES OF INCORPORATION AND BYLAWS OF BEAVER DAM COMMUNITY HOSPITALS, INC. MCHS HOSPITALS, INC. (THE SOLE MEMBER) ALSO HAS THE RIGHT TO INITIATE AND APPROVE ANY OF THE FOLLOWING ACTIONS: MERGER, CONSOLIDATION, AFFILIATION OR JOINT VENTURE WITH ANY OTHER ENTITY OR ENTITIES; LIQUIDATION, REORGANIZATION OR DISSOLUTION OF THE ORGANIZATION; FILING OF A VOLUNTARY PETITION IN BANKRUPTCY; ANY CHANGE IN CONTROL OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	BDCH ENGAGES A PUBLIC ACCOUNTING FIRM TO PREPARE AND REVIEW THE FORM 990 IN ADDITION TO REVIEW BY THE LOCAL FINANCE TEAM, CONTROLLER, CAO, VP OF FINANCE AND SYSTEM CFO. PRIOR TO FILING THE FORM WITH THE IRS, THE CFO AND HIS/HER DESIGNEE WILL PROVIDE TO EACH MEMBER OF THE SYSTEM'S AUDIT AND COMPLIANCE COMMITTEE (A SUBCOMMITTEE OF THE BOARD OF DIRECTORS) A COPY IN ELECTRONIC OR PAPER FORM OF THE COMPLETE FORM 990 (AND ALL REQUIRED SCHEDULES) FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12C	PRIOR TO MAY 1, 2019, EACH DIRECTOR, OFFICER AND COMMITTEE MEMBER, AS A CONDITION TO SERVING THE CORPORATION IN HIS OR HER RESPECTIVE ROLE AND ANNUALLY THEREAFTER, SIGNS A STATEMENT AGREEING TO BE BOUND BY THE TERMS OF THE CONFLICT OF INTEREST POLICY. ANY DIRECTOR, OFFICER OR COMMITTEE MEMBER HAVING A FINANCIAL INTEREST OR OTHER INTEREST IN A CONTRACT, MATTER OR OTHER TRANSACTION PRESENTED TO THE BOARD OF DIRECTORS OR A COMMITTEE THEREOF FOR AUTHORIZATION, APPROVAL, OR RATIFICATION SHALL MAKE A PROMPT, FULL AND FRANK DISCLOSURE OF SUCH PERSON'S INTEREST TO THE BOARD OR COMMITTEE PRIOR TO ITS ACTING ON SUCH CONTRACT OR TRANSACTION. SUCH DISCLOSURE SHALL INCLUDE ANY RELEVANT AND MATERIAL FACTS, KNOWN TO SUCH PERSON, ABOUT THE CONTRACT, MATTER OR TRANSACTION WHICH MIGHT REASONABLY BE CONSTRUED TO BE ADVERSE TO THE CORPORATION'S INTEREST. AFTER THE POTENTIALLY CONFLICTED INDIVIDUAL HAS LEFT THE ROOM, THE BOARD OR COMMITTEE TO WHICH SUCH DISCLOSURE IS MADE SHALL THEREUPON DETERMINE, BY MAJORITY VOTE, WHETHER THE DISCLOSURE SHOWS THAT A CONFLICT OF INTEREST EXISTS OR CAN REASONABLY BE CONSTRUED TO EXIST. IF A CONFLICT IS DEEMED TO EXIST, SUCH PERSON SHALL BE INVITED BACK TO PRESENT ANY FACTUAL INFORMATION HE OR SHE DEEMS APPROPRIATE OR TO RESPOND TO QUESTIONS IF SUCH IS REQUESTED OF OTHERS PRESENT. THE INDIVIDUAL SHALL THEN AGAIN LEAVE THE ROOM AND NOT VOTE ON, NOR USE PERSONAL INFLUENCE ON, OR PARTICIPATE (OTHER THAN TO PRESENT FACTUAL INFORMATION TO OR RESPOND TO QUESTIONS AS DESCRIBED ABOVE) IN THE DISCUSSIONS AND DELIBERATIONS WITH RESPECT TO SUCH CONTRACT, MATTER OR TRANSACTION. SUCH PERSON MAY BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM AT ANY MEETING WHERE THE CONTRACT, MATTER OR TRANSACTION IS UNDER DISCUSSION OR IS BEING VOTED UPON. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE VOTE AND, WHERE APPLICABLE, THE ABSTENTION FROM VOTING AND PARTICIPATION, AND WHETHER A QUORUM WAS PRESENT. EFFECTIVE MAY 2019 ALL OFFICERS, BOARD DIRECTORS, AND KEY EMPLOYEES OF EVERY MARSHFIELD CLINIC HEALTH SYSTEM (MCHS) ENTITY, AS WELL AS ANY OTHER PERSON DESIGNATED BY THE AUDIT AND COMPLIANCE COMMITTEE (ACC) TO BE A REQUIRED REPORTER BY VIRTUE OF HIS OR HER POSITION AT A SYSTEM ENTITY, SHALL ANNUALLY COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. SUCH FORMS SHALL BE DISTRIBUTED AND RECORDED BY THE SYSTEM'S DESIGNATED COMPLIANCE OFFICER. ALL FINANCIAL INTERESTS DISCLOSED AS PART OF THE ANNUAL DISCLOSURE PROCESS SHALL BE REVIEWED BY THE ACC. THE ACC SHALL INFORM THE BOARD OF DISCLOSED FINANCIAL INTERESTS WHICH MAY BEAR UPON OR RELATE TO A TRANSACTION UPON WHICH THE BOARD OR ANOTHER BOARD, COMMITTEE OR OTHER BODY OF A SYSTEM ENTITY, MAY DELIBERATE OR ACT. IN ADDITION TO THE ANNUAL DISCLOSURES, IF AT ANY TIME BETWEEN ANNUAL DISCLOSURES, A REQUIRED REPORTER BECOMES AWARE THAT THE BOARD, OR A BOARD, COMMITTEE OR OTHER BODY, OR ANY SYSTEM ENTITY MAY DELIBERATE OR ACT UPON ANY TRANSACTION THAT MAY HAVE ANY BEARING OF ANY KIND UPON, OR MAY RELATE IN ANY MANNER TO, AN EXISTING, INTENDED OR EXPECTED FINANCIAL INTEREST OF THE REQUIRED REPORTER, HE OR SHE SHALL DISCLOSE THE FINANCIAL INTEREST TO THE RELEVANT SYSTEM ENTITY BOARD, COMMITTEE OR BODY CHAIR, AS WELL AS TO THE SYSTEM'S COMPLIANCE OFFICER, IN ADVANCE OF ANY DELIBERATIONS OR ACTION, WRITTEN DISCLOSURE OF THE EXISTENCE, NATURE AND EXTENT OF HIS OR HER FINANCIAL INTEREST. ALL WRITTEN OR ORAL DISCLOSURES OF FINANCIAL INTERESTS SHALL BE RECORDED IN THE MINUTES OF THE BOARD AND BY THE OFFICE OF THE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER SHALL DISCLOSE THE COMPLETED FORMS AS NECESSARY TO THOSE MCHS EMPLOYEES RESPONSIBLE FOR COMPLETION OF THE IRS FORM 990.
FORM 990, PART VI, SECTION B, LINE 15A	PRIOR TO MAY 1, 2019, THE DETERMINATION OF THE CEO'S COMPENSATION WAS IMPLEMENTED, REVIEWED, AND MONITORED BY THE BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE. THIS COMMITTEE IS COMPRISED OF FIVE INDEPENDENT BOARD MEMBERS AND IS ASSISTED BY AN OUTSIDE NATIONALLY RECOGNIZED CONSULTING FIRM DEALING WITH HOSPITAL EXECUTIVE COMPENSATION AND BENEFITS. SALARIES AND BENEFITS FOR THE CEO WERE EVALUATED BY THE EXECUTIVE COMPENSATION COMMITTEE ON AN ANNUAL BASIS AND COMPARED TO THE NATIONAL EXECUTIVE COMPENSATION BENCHMARKS FOR HOSPITAL EXECUTIVES. THE DETERMINATION OF THE OTHER OFFICERS', AND KEY EMPLOYEES' COMPENSATION WAS IMPLEMENTED, REVIEWED, AND MONITORED BY THE CEO BASED ON NATIONAL EXECUTIVE COMPENSATION BENCHMARKS. THIS WAS DONE ANNUALLY. EFFECTIVE MAY 1, 2019 THE SYSTEM'S INDEPENDENT COMPENSATION COMMITTEE (COMPENSATION COMMITTEE) SHALL HAVE FINAL AUTHORITY FOR APPROVING COMPENSATION AND BENEFITS OF ALL DISQUALIFIED PERSONS (AS THAT TERM IS DEFINED IN 4958 OF THE INTERNAL REVENUE CODE (THE CODE)) EMPLOYED BY MARSHFIELD CLINIC HEALTH SYSTEM (MCHS), INCLUDING BUT NOT LIMITED TO MCHS'S CEO. THE TERM DISQUALIFIED PERSONS INCLUDES (BUT IS NOT LIMITED TO) ANY (OR THE PERSON'S FAMILY MEMBER) WHO WAS, AT ANY TIME DURING THE 5-YEAR PERIOD ENDING ON THE DATE OF THE TRANSACTION, IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION. IT SHALL BE THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE TO INSURE THAT THE SYSTEM DOES NOT PAY AN AMOUNT THAT EXCEEDS REASONABLE COMPENSATION FOR ANY DISQUALIFIED PERSON. THE COMPENSATION COMMITTEE AND ITS OPERATING PROCEDURES SHALL BE DESIGNED TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLE OF COMPENSATION OUTLINED IN TREASURY REG. SEC. 53.4958-6 WITH RESPECT TO EACH DISQUALIFIED PERSON. IN DETERMINING REASONABLENESS OF COMPENSATION, THE COMPENSATION COMMITTEE SHALL EVALUATE APPROPRIATE INFORMATION AS TO THE COMPARABILITY OF COMPENSATION, INCLUDING BUT NOT LIMITED TO: COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICES IN THE SYSTEM'S GEOGRAPHIC AREA; CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; AND ACTUAL WRITTEN JOB OFFERS FROM SIMILAR INSTITUTIONS. THE COMPENSATION COMMITTEE SHALL HAVE INDEPENDENT AUTHORITY TO OBTAIN OUTSIDE EXPERT OPINIONS ON THE REASONABLENESS AND FAIR MARKET VALUE OF COMPENSATION AND GATHER OTHER INFORMATION IT CONSIDERS NECESSARY OR APPROPRIATE TO MAKE ITS DECISIONS ON COMPENSATION. THE COMPENSATION COMMITTEE SHALL TIMELY DOCUMENT ITS DETERMINATION OF REASONABLENESS OF COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19	BDCH DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. BDCH DOES HOWEVER MAKE ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC USING SEVERAL METHODS. FIRST, AN ANNUAL REPORT IS DISTRIBUTED TO THE COMMUNITY USING THE CURRENT MAILING ADDRESSES IN OUR SERVICE AREA. IN ADDITION, SINCE WE HAVE TAX-EXEMPT BONDS, WE REPORT OUR FINANCIAL STATEMENTS THROUGH THE MUNICIPAL SECURITIES RULEMAKING BOARD'S ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA).
FORM 990, PART XI, LINE 9:	PENSION-RELATED CHANGES -2,519,293.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
DODGE HEALTH ENTERPRISES LLC
715 SOUTH UNIVERSITY AVENUE	BEAVER DAM	WI	53916	391538653	REFERENCE LAB	WI	$490,293	$1,059,290	BEAVER DAM COMMUNITY HOSPITALS
DELMAN DEVELOPMENT LLC
707 SOUTH UNIVERSITY AVENUE	BEAVER DAM	WI	53916	272375085	REAL ESTATE	WI	-$27,941	$1,385,551	BEAVER DAM COMMUNITY HOSPITALS
BEAVER DAM MEDICAL BUILDING 2 LLC
705 SOUTH UNIVERSITY AVENUE	BEAVER DAM	WI	53916	391157876	BUILDING MANAGEMENT	WI	$690,968	$18,738,565	BEAVER DAM COMMUNITY HOSPITALS
WELL LIFE HOME MEDICAL EQUIPMENT AND SUPPLIES LLC
707 SOUTH UNIVERSITY AVENUE	BEAVER DAM	WI	53916	812463679	DURABLE MEDICAL EQUIPMENT	WI	$0	$0	BEAVER DAM COMMUNITY HOSPITALS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
BEAVER DAM COMMUNITY HOSPITALS FOUNDATION INC
707 SOUTH UNIVERSITY AVENUE	BEAVER DAM	WI	53916	391499140	TO RAISE & DIRECT FUNDS FOR HEALTHCARE AND WELLNESS	WI	501(C)(3)	LINE 10	BEAVER DAM COMMUNITY HOSPITALS	Yes (1)
MCHS HOSPITALS INC (MCHSH
1000 N OAK AVENUE	MARSHFIELD	WI	54449	810977948	ENRICH LIVES TO CREATE HEALTHY COMMUNITIES	WI	501(C)(3)	LINE 1	MARSHFIELD CLINIC HEALTH SYSTEM	Yes (1)
SECURITY HEALTH PLAN OF WISCONSIN INC
1515 N ST JOSEPH AVENUE	MARSHFIELD	WI	54449	391572880	HMO	WI	501(C)(4)			0
LAKEVIEW MEDICAL CENTER INC
1700 W STOUT ST	RICE LAKE	WI	54868	390837206	HOSPITAL	WI	501(C)(3)	LINE 3		0
VOLUNTEER PARTNERS OF LAKEVIEW MEDICAL
1700 W STOUT ST	RICE LAKE	WI	54868	391329084	SUPPORTING ORGNIZATION	WI	501(C)(3)	LINE 12C, III-FI		0
MARSHFIELD CLINIC HEALTH SYSTEM INC
1000 N OAK AVENUE	MARSHFIELD	WI	54449	461495343	SUPPORTING ORGNIZATION	WI	501(C)(3)	LINE 12C, III-FI		0
MARSHFIELD CLINIC INC
1000 N OAK AVENUE	MARSHFIELD	WI	54449	390452970	MEDICAL SERVICES	WI	501(C)(3)	LINE 3		0
FAMILY HEALTH CENTER OF MARSHFIELD INC
1000 N OAK AVENUE	MARSHFIELD	WI	54449	391681547	COMMUNITY HEALTH CENTER	WI	501(C)(3)	LINE 7		0
MCHS FOUNDATION INC
1000 N OAK AVENUE	MARSHFIELD	WI	54449	812822823	PHILANTHROPY	WI	501(C)(3)	LINE 7		0
FLAMBEAU HOSPITAL INC
98 SHERRY AVE	PARK FALLS	WI	54552	390973724	HOSPITAL	WI	501(C)(3)	LINE 3		0
PARTNERS WITH MARSHFIELD MED CENTER INC
611 N ST JOSEPH AVE	MARSHFIELD	WI	54449	396094701	GIFT SHOP	WI	501(C)(3)	LINE 12C, III-FI		0
MEMORIAL HOSPITAL INC
216 SUNSET PL	NEILLSVILLE	WI	54456	390806828	HOSPITAL	WI	501(C)(3)	LINE 3		0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BEAVER DAM COMMUNITY HOSPITALS FOUNDATION INC
B	$62,000	CASH
BEAVER DAM COMMUNITY HOSPITALS FOUNDATION INC
C	$104,043	CASH