2019-11-07T09:21:54-06:00 2019-03-31 420714325 RSM US LLP 227 WEST FIRST STREET SUITE 700 DULUTH MN 558021926 990 2018-04-01 391536207 MEDICAL SERVICES INC D/B/A HAYWARD AREA MEMORIAL HOSPITAL MEDI 7159344321 11040 N STATE ROAD 77 HAYWARD WI 548436391 LUKE BEIRL CHIEF EXECUTIVE OFFICER 7159344321 2019-11-03 1 JULIE BOYER P01278549 2187275025 50.201.95.250 2019-11-03 22:04:27 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A3EA2213F362026AE26E78146383F0EC02CC4472 2018 2020-01-14 16:20:31Z HAYWARD AREA MEMORIAL HOSPITAL & WATER'S EDGE LUKE BEIRL 11040 N STATE ROAD 77 HAYWARD WI 548436391 53424913 0 X HTTP://HAYWARDMEMORIALHOSPITAL.COM X 1986 WI TO CONTINUOUSLY IMPROVE THE HEALTH STATUS OF THE PEOPLE OF THE HAYWARD AREA 11 9 411 113 0 0 55375 76742 47777888 51403912 334504 587262 201046 292268 48368813 52360184 0 0 0 0 21755638 24646640 0 0 0 20522605 22169215 42278243 46815855 6090570 5544329 75042046 79247204 11781836 10401784 63260210 68845420 X CONTINUOUSLY IMPROVE THE HEALTH STATUS OF THE PEOPLE OF THE HAYWARD AREA 0 0 42007406 51437660 HAYWARD AREA MEMORIAL HOSPITAL & WATER'S EDGE IS A 25-BED CRITICAL ACCESS HOSPITAL, 50 BED NURSING HOME, AND 40 APARTMENT RCAC FACILITY. THE HOSPITAL CAMPUS ALSO CONTAINS TWO ATTACHED CLINICS THAT ARE OWNED AND OPERATED BY ESSENTIA HEALTH AND NORTHLAKES COMMUNITY HEALTH CENTER. THESE CLINICS EMPLOY APPROXIMATELY 18 FULL-TIME PHYSICIANS, AND ADDITIONAL PART-TIME SPECIALTY CARE PHYSICIANS WHO DO ROUNDS AND SEE PATIENTS AT THE HOSPITAL THROUGHOUT THE MONTH. THE HOSPITAL, NURSING HOME AND ASSISTED LIVING EMPLOY CLOSE TO 372 EMPLOYEES. IN FY '18-'19 THE HOSPITAL HAD 752 INPATIENT ADMISSIONS AND 2315 IP DAYS, 445 OBSERVATION ADMISSIONS WITH 10,030 HOURS OF CARE, AND 50 TCU ADMISSIONS WITH 533 CENSUS DAYS OF CARE. THE NURSING HOME HAD 65 ADMISSIONS WITH 16,697 CENSUS DAYS, AND THE ASSISTED LIVING HAD 8,359 RESIDENT DAYS WITH AN AVERAGE MONTHLY CENSUS OF 22.90 FOR THE FISCAL YEAR WITH 40 TOTAL APARTMENTS, WITH 20 OF THOSE ADDITIONAL APARTMENTS OPENING SEPTEMBER 2018. THE EMERGENCY ROOM IS STAFFED BY A PHYSICIAN 24/7/365 SEEING 7,408 PATIENTS. AIR AND GROUND AMBULANCES ARE AVAILABLE FOR THOSE REQUIRING A HIGHER LEVEL OF TRAUMA CARE. AS A RESULT OF A 2015 COMMUNITY HEALTH NEEDS ASSESSMENT, AN URGENT CARE WAS OPENED IN 2017. IT SERVED 4,484 PATIENTS DURING ITS SECOND FULL FISCAL YEAR OF OPERATION. THE OPERATING ROOM PERFORMED 977 CASES AND ENDOSCOPY PERFORMED 995 PROCEDURES. THE INCREASE IN SURGERIES IS A RESULT OF THE HOSPITAL OPENING AN ORTHOPEDICS PRACTICE IN APRIL 2018. THAT PRACTICE HAD 1,650 CLINIC VISITS AND 282 SURGERIES IN ITS FIRST YEAR OF OPERATION. RADIOLOGY EXAMS TOTAL 20,360, AND LAB EXAMS TOTAL 58,352 PER YEAR. HAYWARD HOSPITAL PERFORMED 125 DELIVERIES LAST YEAR WITH 267 NEWBORN DAYS. HAYWARD IS A POPULAR VACATION HOME DESTINATION AND ATTRACTS TOURISTS THROUGHOUT THE YEAR. HAYWARD IS ALSO A POPULAR RECREATIONAL AREA ATTRACTING MOUNTAIN BIKERS, SKIERS, BOATING, FISHING, AND GENERAL OUTDOOR ACTIVITIES. MEDICAL PROFESSIONALS ARE ATTRACTED TO THIS POPULAR RECREATIONAL AREA BY THE QUALITY OF LIFE THEY FIND HERE. 42007406 1 1 0 1 0 0 0 0 0 0 1 1 0 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 39 0 1 411 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X BRAD ZELLER 7159344245 11040 N STATE ROAD 77 HAYWARD WI 54843 BARBARA KOERPEL-DUFFY CHAIR 1.00 2.00 X X 0 0 0 JASON OLSEN DIRECTOR 1.00 X 0 0 0 BRENT KELLEY DO DIRECTOR 1.00 X 0 0 0 JOHN GARRETT DIRECTOR 1.00 X 0 0 0 AMY BEILKE DIRECTOR 1.00 X 0 0 0 DEVON DANNEN MD DIRECTOR 1.00 X 0 0 0 TIMOTHY GULLINGSRUD DIRECTOR/CEO-MSI-RESIGNED 4/13/18 40.00 X X 337427 0 22768 LUKE BEIRL DIRECTOR/CEO-MSI 38.00 2.00 X X 117230 0 19651 JASON DOUGLAS DIRECTOR/PRESIDENT-REI 1.00 39.00 X X 0 423031 47269 HARRY MALCOLM MD SECRETARY 1.00 1.00 X X 0 0 0 KAREN GUSTAFSON TREASURER 1.00 1.00 X X 0 0 0 JAMES MILLER VICE CHAIR 1.00 1.00 X X 0 0 0 KENT DUMONSEAU CFO - REI 14.00 26.00 X 0 261427 40438 BRAD ZELLER VP ADMINISTRATION 38.00 2.00 X 186674 0 37989 HEATHER SHEEHAN VP SENIOR SERVICES 39.00 1.00 X 180727 0 42216 SUSAN BAUER CRNA 30.00 X 230533 0 39780 JULIE BOE CRNA 40.00 X 223185 0 39887 MATTHEW VINCENT CRNA 40.00 X 245313 0 42135 DAYLE QUIGLEY PHYSICIAN 40.00 X 333748 0 29894 ROGER BRANHAM PHYSICIAN 40.00 X 397878 0 128 2252715 684458 362155 23 0 1 0 REGIONAL ENTERPRISES INC 1615 MAPLE LANE ASHLAND WI 54806 PRO FEES/RENT 2895526 WAPITI MEDICAL GROUP-WOOD RIVER LLC 107 FLYNN DRIVE STE 600 MILBANK SD 57252 ER SERVICES 1922114 MEDICAL SOLUTIONS 1010 N 102ND STREET STE 300 OMAHA NE 68114 LOCUM STAFFING; ER, MED SURG, PT, OB, OR 547230 UNIVERSAL HOSPITAL SERVICES PO BOX 851313 MINNEAPOLIS MN 554851313 PURCH & REPAIRS/MAINT MED EQUIP 404651 KBK SERVICES INC 1207 LAKESHORE DRIVE EPO BOX 546 ASHLAND WI 54806 CONTRACTOR FOR BUILDING PROJECTS 397652 16 76742 76742 HOSPITAL 621500 47348914 47348914 NURSING HOME 623000 2990287 2990287 ASSISTED LIVING 623000 1044703 1044703 DIABETES 621500 20008 20008 51403912 450387 450387 178468 46079 132389 132389 132389 1155525 1018650 136875 136875 136875 CAFETERIA 900099 66572 66572 GIFT SHOP 900099 59559 59559 MISCELLANEOUS 900099 33748 33748 159879 52360184 51437660 0 845782 955104 955104 17567133 16592621 974512 638822 607749 31073 4210946 3869496 341450 1274635 1148644 125991 81219 81219 160404 160404 2962 2962 3698317 3439061 259256 90280 7001 83279 680698 459985 220713 1920736 1380809 539927 827762 794798 32964 162002 108731 53271 210472 191529 18943 3001517 2731380 270137 103205 103205 DRUGS 4259285 4259285 MEDICAL SUPPLIES 2656679 2656284 395 PROVISION FOR DOUBTFUL 1960177 1960177 REPAIRS & MAINTENANCE 1105308 1081193 24115 1248192 718663 529529 46815855 42007406 4808449 0 16109 44133 29966596 31234565 8458041 7450025 1321845 1405313 220618 363567 52195757 29059506 21992264 23136251 7355084 7434174 5711489 8179176 75042046 79247204 3635228 3749899 8146608 6651885 11781836 10401784 X 63260210 68845420 63260210 68845420 75042046 79247204 5544329 40881 0 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 2962 2962 0 PART II-B, LINE 1: HAYWARD AREA MEMORIAL HOSPITAL AND WATER'S EDGE PAY DUES TO CERTAIN ORGANIZATIONS RELATED TO THE INDUSTRY WHICH HAVE LOBBYING EXPENSES. THE AMOUNT LISTED IS THE PERCENTAGE OF THE DUES PAID THAT WERE USED FOR LOBBYING. 45799 45799 37574333 19830054 17744279 11642663 8104669 3537994 2932962 1124783 1808179 23136251 MUTUAL FUNDS 7434174 F 7434174 ASSETS LIMITED AS TO USE 8179176 8179176 X 50486967 40881 -1960177 -1919296 52406263 -46079 -46079 52360184 44901757 46079 46079 44855678 1960177 1960177 46815855 PART X, LINE 2: THE COMPANY IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. NOT-FOR-PROFIT ORGANIZATIONS MAY BECOME SUBJECT TO INCOME TAXES IF QUALIFICATION AS A TAX-EXEMPT ENTITY CHANGES, IF UNRELATED BUSINESS INCOME IS GENERATED AND IN CERTAIN OTHER INSTANCES. NOT-FOR-PROFIT ORGANIZATIONS ARE REQUIRED TO ASSESS THE CERTAINTY OF THEIR TAX POSITIONS RELATED TO THESE MATTERS AND, IN SOME CASES, RECORD LIABILITIES FOR POTENTIAL TAXES, INTEREST AND PENALTIES ACCOMPANIED BY FOOTNOTE DISCLOSURES. THE COMPANY HAS NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE THE ACCRUAL OF AN INCOME TAX PROVISION. GENERALLY, THE COMPANY IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL OR STATE TAX AUTHORITIES FOR YEARS BEFORE 2016. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR DOUBTFUL RECEIVABLES -1,960,177. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -46,079. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 46,079. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR DOUBTFUL RECEIVABLES 1,960,177. 1 1 1 X 1 X 1 1 1 0 1 1 446425 446425 0.01000 7567979 4968528 2599451 0.05800 8014404 4968528 3045876 0.06800 73056 73056 0.00160 14579445 8646180 5933265 0.13230 52598 52598 0.00120 14705099 8646180 6058919 0.13510 22719503 13614708 9104795 0.20310 356138 1000 355138 0.00790 356138 1000 355138 0.00790 1 1960177 0 15327811 15768597 -440786 X 1 1 1 1 HAYWARD AREA MEMORIAL HOSPITAL 11040 N STATE ROAD 77 HAYWARD WI 54843 1040 X X X X HAYWARD AREA MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 0 1 1 X SEE PART V, PAGE 8 X X 1 18 1 SEE PART V, PAGE 8 0 1 X 100.000000000000 200.000000000000 X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X 1 X 0 X X X X 1 X 0 0 HAYWARD AREA MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: IN EARLY 2018, HAYWARD AREA MEMORIAL HOSPITAL & WATER'S EDGE AND SAWYER COUNTY PUBLIC HEALTH DEPARTMENT BEGAN AN ASSESSMENT PROCESS TO DETERMINE THE TOP HEALTH CONCERNS OF THE CITIZENS THAT LIVE IN THE COMMUNITIES SERVED BY HAYWARD AREA MEMORIAL HOSPITAL. SEVERAL MEETINGS TOOK PLACE WITH PARTICIPATION FROM A VARIETY OF AGENCIES AND COMMUNITY LEADERS. AT EACH MEETING DATA WAS PRESENTED AND INFORMATION WAS GATHERED FROM THOSE IN ATTENDANCE. SURVEY QUESTIONS WERE DRAFTED BASED ON THE GOALS OF WISCONSIN'S HEALTHIEST WISCONSIN 2020 PLAN. THE ONLINE SURVEY TOOL WAS DISTRIBUTED THROUGHOUT THE FOLLOWING COMMUNITIES: CLAM LAKE, CABLE, COUDERAY, DRUMMOND, EXELAND, GORDON, GRAND VIEW, HAYWARD, LAKE NEBAGAMON, MINONG, OJIBWA, RADISSON, BARNES, SPRINGBROOK, STONE LAKE, TREGO AND WINTER. ONLINE SURVEYS WERE DISTRIBUTED VIA EMAIL, USING TARGETED SOCIAL MEDIA CHANNELS AND LINKED TO THE HOSPITAL'S WEBSITE. PAPER COPIES OF THE SURVEY WERE ALSO MADE AVAILABLE IN THE FRONT ENTRANCES OF THE HAYWARD AREA MEMORIAL HOSPITAL AND WATER'S EDGE, AT THE SAWYER COUNTY HEALTH DEPARTMENT AND THE HAYWARD PUBLIC LIBRARY. A TOTAL OF 547 COMMUNITY MEMBERS PARTICIPATED IN THE SURVEY; SHARING THEIR GREATEST COMMUNITY HEALTH CONCERNS. COMMUNITY HEALTH NEEDS ASSESSMENT ATTENDEES INCLUDE:CAROL ANDERSON, NORTHLAKES COMMUNITY CLINIC-HAYWARDLISA ANDERSON, HAYWARD AREA MEMORIAL HOSPITAL & WATER'S EDGE LORI BALTRUSIS, SAWYER COUNTY-UW EXTENSIONLUKE BEIRL, HAYWARD AREA MEMORIAL HOSPITAL & WATER'S EDGE JESSICA BJORK, SAWYER COUNTY HEALTH & HUMAN SERVICESALICIA CARLSON, SAWYER COUNTY HEALTH & HUMAN SERVICESNICOLE CROSBY, WINTER SCHOOLSJEANINE CONNELL, LCO COMMUNITY HEALTH CENTERBRYAN DEYO, SAWYER COUNTY SHERIFF'S DEPARTMENTKORTNEY DRAKE, NORTHLAKES COMMUNITY CLINICSABRINA DUNLAP, NORTHLAKES COMMUNITY CLINIC-HAYWARDJANE FLYGSTAD, MARSHFIELD CLINIC HEALTH SYSTEMROSE GOKEE, LCO COMMUNITY HEALTH CENTERPAUL GRAHOVAC, SAWYER COUNTY HEALTH & HUMAN SERVICESARIGA GRIGORYAN, SAWYER COUNTY-UW EXTENSIONTIM GULLINGSRUD, HAYWARD AREA MEMORIAL HOSPITAL & WATER'S EDGE LAURA HAMMEREL, HAYWARD AREA MEMORIAL HOSPITAL & WATER'S EDGE LINDA HAND, SENIOR RESOURCE CENTERSANDY HARM, HAYWARD AREA MEMORIAL HOSPITAL & WATER'S EDGE BARBARA KOERPEL-DUFFY, HAYWARD AREA MEMORIAL HOSPITAL & WATER'S EDGEKAILEE KOFAL, ESSENTIA HEALTH-HAYWARDELLEN KWIATKOWSKI, NORTHLAKES COMMUNITY CLINICMELINDA LAMBERT, LCO COMMUNITY HEALTH CENTERCAROLYNN WHEELOCK-MASHLAN, HAYWARD COMMUNITY SCHOOL DISTRICT CANDI MCCONNELL, HAYWARD AREA MEMORIAL HOSPITAL & WATER'S EDGE CHERIE MORGAN, HAYWARD AREA MEMORIAL HOSPITAL & WATER'S EDGE KATHY MULLALLY, NORTHWEST CONNECTION FAMILY RESOURCE CENTER ANGELA NIMSGREN, SAWYER COUNTY HEALTH & HUMAN SERVICESCRAIG OLSON, HAYWARD COMMUNITY SCHOOL DISTRICTLAURI PERLICK, AGING & DISABILITY RESOURCE CENTER OF THE NORTHAND SAWYER COUNTY ADULT PROTECTIVE SERVICESJACKIE SAARI, HAYWARD AREA MEMORIAL HOSPITAL & WATER'S EDGEPAT SANCHEZ, SAWYER COUNTY EMERGENCY MANAGEMENTNATE SCHWEITZER, LCO TRIBAL POLICE DEPARTMENTHEATHER SHEEHAN, HAYWARD AREA MEMORIAL HOSPITAL & WATER'S EDGE EILEEN SIMAK, SAWYER COUNTY HEALTH & HUMAN SERVICESJACKIE STRAND, NORTHWEST CONNECTION FAMILY RESOURCE CENTER KRISTIN UPANOT, NORTHLAKES COMMUNITY CLINICSKY VAN ROSSUM, GREATER WISCONSIN AGENCY ON AGING RESOURCES BARBARA WICKSTROM, HAYWARD AREA MEMORIAL HOSPITAL & WATER'S EDGE JT WOHLING, CITY OF HAYWARD POLICE DEPARTMENTLISA WYDRA, SAWYER COUNTY & LCO FOODWISECHAR YAGLE, SAWYER COUNTY HEALTH & HUMAN SERVICESSHEILA YOUNG, SAWYER COUNTY HOUSINGBRAD ZELLER, HAYWARD AREA MEMORIAL HOSPITAL & WATER'S EDGE HAYWARD AREA MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: COMMUNITY OUTREACH BEGAN ON MARCH 8, 2018, BY BRINGING A VARIETY OF HEALTHCARE AND COMMUNITY LEADERS TOGETHER TO DEFINE AND RANK COMMUNITY HEALTH NEEDS; ADDITIONAL OUTREACH TOOK PLACE ON APRIL 19, 2018. DATA WAS PRESENTED BY SAWYER COUNTY PUBLIC HEALTH DEPARTMENT, SAWYER COUNTY HEALTH AND HUMAN SERVICES, HAYWARD AREA MEMORIAL HOSPITAL & WATER'S EDGE, SAWYER COUNTY SENIOR RESOURCE CENTER AND THE GREATER WISCONSIN AGENCY ON AGING RESOURCES.SEE DESCRIPTION LINE 5 FOR THE LIST OF COMMUNITY HEALTH NEEDS ASSESSMENT ATTENDEES. HAYWARD AREA MEMORIAL HOSPITAL PART V, SECTION B, LINE 7D: HAMH DID A SOCIAL MEDIA POST AS WELL AS GAVE PAPER COPIES OF THE REPORT TO THE PARTNERING ORGANIZATIONS THAT IT WORKED ON THE CHNA WITH, FOR AVAILABILITY AT THEIR LOCATIONS. HAYWARD AREA MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: IN SUPPORT OF THE FY 2017 - FY 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, AND ONGOING COMMUNITY BENEFITS INITIATIVES, HAYWARD AREA MEMORIAL HOSPITAL AND WATER'S EDGE PLANS TO IMPLEMENT THE FOLLOWING STRATEGIES TO IMPACT AND MEASURE COMMUNITY HEALTH IMPROVEMENT.GOAL 1: ADDRESS ACCESS TO URGENT CARE SERVICESHAYWARD AREA MEMORIAL HOSPITAL RECOGNIZES THE NEED FOR ACCESS TO HEALTH CARE SERVICES DURING TIMES THAT THE PRIMARY CLINICS ARE NOT PRESENTLY OPEN. CURRENTLY, THE ONLY OPTIONS AVAILABLE TO PATIENTS NEEDING CARE DURING THE TIME THAT THE PRIMARY CARE CLINICS ARE NOT OPEN ARE TO: 1) SEEK CARE IN THE EMERGENCY ROOM WHICH HAS A MUCH HIGHER ASSOCIATED COST AND CAN RESULT IN SIGNIFICANT DELAYS IN RECEIVING CARE DUE TO THE UNPREDICTABLE DEMAND OF EMERGENCY SERVICES; 2) TRAVEL TO AN URGENT CARE SERVICE LOCATED IN ANOTHER COMMUNITY THE CLOSEST OF WHICH IS OVER 50 MILES AWAY; 3) WAIT TO SEEK CARE UNTIL THE PRIMARY PHYSICIAN CLINIC IS OPEN WHICH COULD DELAY TREATMENT FOR SEVERAL DAYS.GOAL: TO PROMOTE TIMELY AND CARE/COST LEVEL APPROPRIATE OPTIONS FOR RECEIVING CARE DURING TIMES WHEN THE PRIMARY CARE CLINICS ARE NOT OPEN.OBJECTIVES: PROVIDE AN OPTION FOR THE APPROPRIATE LEVEL OF CARE DURING TIMES THE PRIMARY CARE CLINIC IS NOT TRADITIONALLY OPEN, OFFER A LOWER COST ALTERNATIVE TO CARE THAN THE MUCH HIGHER COST OF CARE THAT IS FOUND IN AN EMERGENCY ROOM SETTING, DECREASE THE NEED TO TRAVEL TO FIND URGENT CARE SERVICES.PROGRESS - FISCAL YEAR 2019 - - WE CONTINUE TO RECEIVE FAVORABLE COMMUNITY SUPPORT OF OUR URGENT CARE SERVICES. WE CONTINUE TO LOOK AT HOURS OF SERVICE AND WILL BE READY TO EXPAND WHEN NEEDED. HOURS REMAIN FROM NOON-10 P.M. MONDAY THROUGH FRIDAY AND 10 A.M. TO 10 P.M. SATURDAY AND SUNDAY. TOTAL NUMBER OF PATIENTS SEEN IN OUR URGENT CARE FOR FISCAL YEAR 2019 WAS 4,484.- MARKETING EFFORTS CONTINUED TO FOCUS ON COMMUNITY AWARENESS OF URGENT CARE HOURS AND SERVICES VIA RADIO, PRINT ADVERTISING AND HOSPITAL SIGNAGE. GOAL 2: CREATE AWARENESS OF SPECIALTY CARE SERVICES AVAILABLE LOCALLYMANY RESIDENTS LIVING IN AND AROUND HAYWARD FIND IT DIFFICULT TO TRAVEL A MINIMUM OF 50 MILES TO OTHER COMMUNITIES TO RECEIVE SPECIALTY CARE. MANY SPECIALISTS PROVIDE SERVICES IN HAYWARD, HOWEVER; COMMUNITY MEMBERS NEEDING THESE SERVICES ARE UNAWARE THAT THEY ARE AVAILABLE LOCALLY.GOAL: TO RAISE COMMUNITY AWARENESS OF SPECIALTY CARE SERVICES AVAILABLE IN HAYWARDOBJECTIVES: INCREASE AWARENESS OF SPECIALTY SERVICES AVAILABLE LOCALLY, REDUCE THE NEED TO TRAVEL TO RECEIVE SPECIALTY SERVICES, INCREASE IN SCOPE AND FREQUENCY THE NUMBER OF SPECIALTY SERVICES TRAVELING TO THE HAYWARD AREA.PROGRESS - FISCAL YEAR 2019 - - REHAB SERVICES CONTINUES TO EXPAND SPECIALTY SERVICE OFFERINGS TO MEET THE NEEDS OF OUR COMMUNITY. THE NEWEST OFFERINGS INCLUDE PEDIATRIC OCCUPATIONAL THERAPY, INDUSTRIAL REHABILITATION, SPORTS MEDICINE AND EXPANSION OF WOUND CARE SERVICES. PLANS WERE ALSO APPROVED TO BUILD A NEW REHAB DEPARTMENT TO BETTER SERVE OUR COMMUNITY. THE PROJECT IS SCHEDULED TO BE COMPLETE IN 2020. MARKETING EFFORTS VIA THE RADIO AND PATIENT STORIES IN PRINT, ONLINE AND SOCIAL MEDIA SUPPORTED EFFORTS TO KEEP OUR COMMUNITY INFORMED OF THE NEWEST SERVICES AVAILABLE. - ORTHOPEDIC SERVICES, OUR FIRST SPECIALTY SERVICE COMPLETED ITS FIRST FULL YEAR OF SERVICES. IN THAT TIME WE WERE ABLE TO PROVIDE 1,650 CLINIC VISITS AND 282 SURGERIES. SIGNIFICANT MARKETING EFFORTS FOCUSED ON INFORMING OUR COMMUNITY OF ORTHOPEDIC SERVICES AVAILABLE AND OUR PARTNERSHIP WITH OUR PATIENTS TO GET THEM BACK DOING THE THINGS THEY LOVE TO KEEP THEM ACTIVE AND HEALTHY. - UROLOGY SERVICES, OUR SECOND SPECIALTY SERVICE WAS APPROVED AND ALTHOUGH IT DID NOT OPEN UNTIL AUGUST 2019, WORK AND PLANNING BEGAN IN THE FOURTH QUARTER OF FISCAL 2019. THE DEMAND FOR UROLOGY SERVICES FOR OUR AGING POPULATION IS SIGNIFICANT IN OUR REGION AND OFFERING THIS SERVICE LOCALLY WILL BE ANOTHER OPPORTUNITY TO KEEP CARE CLOSE TO HOME FOR BOTH CLINIC AND SURGICAL NEEDS. GOAL 3: ENGAGE THE COMMUNITY IN PREVENTION/WELLNESS ACTIVITIES AND ROLE MODEL WELLNESSHAYWARD AREA MEMORIAL HOSPITAL AND WATER'S EDGE RECOGNIZES THE CONNECTION BETWEEN LIFESTYLE BEHAVIORS AND CHRONIC DISEASES. BY FOCUSING ON EDUCATION AND PREVENTION, WE BELIEVE WE CAN IMPROVE THE QUALITY OF LIFE FOR THE MEMBERS OF OUR COMMUNITY WHILE ALSO REDUCING THE OVERALL LIFETIME COST OF HEALTHCARE. WE ALSO ACKNOWLEDGE OUR ROLE IN THE HEALTH OF OUR COMMUNITY AND THE NEED FOR US TO BE ROLE MODELS OF HEALTHY BEHAVIORS.GOAL: TO PROMOTE AND ROLE MODEL HEALTHY BEHAVIORS TO OUR COMMUNITY WHICH WILL RESULT IN AN IMPROVED QUALITY OF LIFE.OBJECTIVES: IMPROVE AWARENESS OF HEALTHY BEHAVIORS, INCREASE AWARENESS OF HEALTH ACTIVITIES AVAILABLE IN OUR AREA, OFFER HEALTHY ACTIVITIES ON OUR CAMPUS THAT ALLOW RESIDENTS OF ALL AGES AN OPPORTUNITY TO INCREASE THEIR LEVEL OF EXERCISE.PROGRESS - FISCAL YEAR 2019 - - WE CONTINUE TO PARTNER WITH THE CHEQUAMEGON AREA MOUNTAIN BIKE ASSOCIATION (CAMBA) TO COMPLETE THE FINAL PHASE OF THE MOUNTAIN BIKE/FAT BIKE TRAILS ON THE HOSPITAL TRAIL SYSTEM. THE TRAIL WAS DESIGNED TO EXPAND AND IMPROVE ACCESS FOR BEGINNING RIDERS AND THOSE LOOKING FOR A LESS TECHNICAL MOUNTAIN BIKE EXPERIENCE. THIS YEAR HAMH CONTRIBUTED $12,127 TO SUPPORT THIS TRAIL EXPANSION. PROMOTION IN REGARDS TO THE PARTNERSHIP WITH CAMBA AND HAYWARD AREA SKI TRAILS ASSOCIATION (HASTA) AND OVERALL AWARENESS OF THE TRAIL SYSTEM AND AVAILABILITY TO THE PUBLIC CONTINUES TO INCREASE WITH THE USE OF SOCIAL MEDIA POSTS AND RADIO PROMOTION.- PARTICIPATED IN THE HAYWARD SENIOR CENTER'S HEALTH FAIR. A LARGE GROUP OF STAFF ATTENDED THE EVENT TO MEET WITH SENIORS, ANSWER QUESTIONS AND OFFER FREE SCREENINGS FOR BLOOD SUGAR. EDUCATION ON ADVANCE DIRECTIVES AND PROGRAMS AND SERVICES AVAILABLE AT THE HOSPITAL, CARE CENTER AND SENIOR APARTMENTS WERE ALSO HIGHLIGHTED. - THE FIRST HOSPITAL TRAIL RUN 5/10K EVENT WAS HELD ON OCTOBER 27, 2018. THE EVENT WAS OFFERED FOR FREE TO ALL STAFF AND A NOMINAL FEE WAS CHARGED TO COMMUNITY PARTICIPANTS WITH ALL EVENT FEES DONATED TO THE TWO ORGANIZATIONS WHO MAINTAIN THE HOSPITAL TRAIL SYSTEM. THE RACE HAD 80 PARTICIPANTS IN ITS FIRST YEAR. THE CHEQUAMEGON MOUNTAIN BIKE ASSOCIATION (CAMBA) AND HAYWARD AREA SKI TRAILS ASSOCIATION (HASTA) EACH RECEIVED A DONATION OF $650 FROM THE EVENT.- HAMH PARTNERED WITH THE HAYWARD SENIOR CENTER TO OFFER STEPPING ON CLASSES TO AREA SENIORS. HAMH PROVIDED THE SPACE FOR HOLDING THE CLASSES, A CERTIFIED INSTRUCTOR, PHYSICAL THERAPIST, STEPHANIE ERICKSON, AND PROMOTION OF THE CLASS. - HAMH WAS THE TITLE SPONSOR OF AREA 5 AND 10K RUN/WALK EVENTS: SHAMROCK ROCK SHUFFLES TEAM CHALLENGE, HAYWARD CHAMBER OF COMMERCE MUSKY RUN AND THE RELAY FOR LIFE 5K. - THE EXPANSION OF WATER'S EDGE OPENED A NEW FITNESS CENTER AVAILABLE TO THOSE WHO LIVE AND WORK WITH OUR ORGANIZATION. THE FITNESS CENTER WAS ALSO MADE AVAILABLE TO OUR 105 VOLUNTEERS AND EMPLOYEES' FAMILIES. FITNESS USE UTILIZATION IS BEING MONITORED TO DETERMINE WHAT HOURS THE CENTER CAN BE OPENED TO MEMBERS OF OUR COMMUNITY. THE FIRST OPPORTUNITY TO USE THE CENTER WILL BE OFFERED TO AREA SENIORS. PART V, LINE 16A, FAP WEBSITE: HTTP://HAYWARDMEMORIALHOSPITAL.COM/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE-POLICY/ PART V, LINE 16B, FAP APPLICATION FORM WEBSITE: HTTPS://HAYWARDMEMORIALHOSPITAL.COM/WP-LIB/WP-CONTENT/UPLOADS/2019/09/HAMH-FINANCIAL-ASSISTANCE-POLICY-UPDATED-2.26.19.PDF PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY: HTTPS://HAYWARDMEMORIALHOSPITAL.COM/WP-LIB/WP-CONTENT/UPLOADS/2019/10/HAMH-FAP-PLAIN-LANGUAGE-SUMMARY.PDF PART V, LINE 7A, CHNA - HOSPITAL'S WEBSITE: HTTPS://HAYWARDMEMORIALHOSPITAL.COM/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ PART V, LINE 10, IMPLEMENTATION PLAN WEBSITE: HTTPS://HAYWARDMEMORIALHOSPITAL.COM/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ PART V, SECTION B, LINE 11 (CONTINUED): GOAL 4: EXPAND COMMUNITY COLLABORATIONSPARTNERSHIPS AND COLLABORATIONS ARE IMPORTANT IN ALLOWING HAYWARD AREA MEMORIAL HOSPITAL AND WATER'S EDGE TO ACHIEVE ITS MISSION OF IMPROVING THE HEALTH STATUS OF THE PEOPLE OF THE HAYWARD AREA. BY WORKING WITH OTHER ENTITIES, WE WILL BE ABLE TO POOL OUR COLLECTIVE RESOURCES AND ACHIEVE MORE ON BEHALF OF OUR COMMUNITY THEN ANY ENTITY COULD ACCOMPLISH ON ITS OWN.GOAL: TO PARTNER AND COLLABORATE WITH OTHER ENTITIES TO CREATE OR ENHANCE HEALTH RELATED SERVICES TO OUR COMMUNITY.OBJECTIVES: SEEK OPPORTUNITIES TO COLLABORATE WITH OTHER HEALTH CARE AND GOVERNMENTAL ORGANIZATIONS, LEVERAGE THESE RELATIONSHIPS TO ENHANCE THE SERVICES PROVIDED TO OUR COMMUNITYPROGRESS - FISCAL YEAR 2019 - - CONTINUED TO WORK WITH THE AMERICAN BIRKEBEINER SKI FOUNDATION TO SPONSOR THE DIVE FOR THE DIRT, AN OBSTACLE COURSE ENCOURAGING MOVEMENT AND HEALTHY ACTIVITIES FOR YOUTH. THREE DIVE FOR THE DIRT EVENTS WERE HELD DURING THE YEAR. THE FIRST EVENT WAS HOSTED AT THE HAYWARD COMMUNITY SCHOOLS FOR TWO DAYS WITH EVERY CHILD PRE-KINDERGARTEN-FIFTH GRADE ENJOYING THE COURSE, THE SECOND WAS SET-UP AT THE SAWYER COUNTY OUTDOOR EDUCATION AND PROJECTS (SCOPE) FAMILY FUN DAY. THE THIRD EVENT WAS HELD AT THE BIRKIE'S TRAIL RUN. ALL EVENTS WERE FREE AND OPEN TO THE PUBLIC WITH APPROXIMATELY 1200 KIDS PARTICIPATING IN THE EVENTS. - PROVIDED CERTIFIED DIETITIAN MENU REVIEW SERVICES TO THE HAYWARD SENIOR CENTER TO HELP THE CENTER MEET NUTRITIONAL REGULATIONS AND PROVIDE HEALTHY MEAL OPTIONS TO SENIORS IN OUR COMMUNITY. WORKED WITH AREA CHURCHES TO SPONSOR COMMUNITY MEALS FOR THOSE IN NEED. IN TOTAL WE SPONSORED THE FOOD AND VOLUNTEERS TO HOST FOUR DINNERS FEEDING OVER 400 PEOPLE. - SUPPORTED LOCAL EFFORTS FOR SOBRIETY PROGRAMS BY SPONSORING SOBER EVENINGS AND SUPPORT GROUPS SUCH AS THURSDAY NIGHT AA WHICH IS HELD WEEKLY AT OUR HOSPITAL, LAC COURTE OREILLES SOBRIETY FRIDAYS HELD MONTHLY OCTOBER-MAY AND CELEBRATE RECOVERY DINNERS HELD MONTHLY AT A LOCAL CHURCH. - PARTNERED WITH SAWYER COUNTY OUTDOOR PROJECTS AND EDUCATION (SCOPE) AND THE AMERICAN BIRKEBEINER TO PURCHASE AND DISTRIBUTE BIKE HELMETS TO AREA CHILDREN. IN TOTAL 220 CHILDREN WERE FITTED FOR HELMETS AT THE WINTER SCHOOL, A HAYWARD COMMUNITY BIKE RODEO AND SCOPE'S FAMILY FUN DAY- A TEAM OF EMERGENCY ROOM NURSES WORKED WITH THE CITY OF HAYWARD POLICE, SAWYER COUNTY SHERRIFF'S DEPARTMENT, LAC COURTE OREILLES (LCO) HEALTH CENTER AND AREA WOMEN'S SHELTERS OAKWOOD HAVEN AND NEW PATHWAYS TO HOPE TO ESTABLISH A SEXUAL ASSAULT RESPONSE TEAM. NURSES FROM BOTH OUR HOSPITAL AND THE LCO HEALTH CENTER RECEIVED SPECIAL TRAINING BECAME CERTIFIED TO PREFORM SEXUAL ASSAULT EXAMS. THEIR TRAINING AND THE COLLECTIVE RESPONSE OF AREA AGENCIES PROVIDES SERVICES TO VICTIMS OF SEXUAL ASSAULT AND ALLOWS THEM TO RECEIVE CARE, PROTECTION AND THE SUPPORT THEY NEED LOCALLY. - ENCOURAGED MANAGERS TO VOLUNTEER IN THE COMMUNITY. IN TOTAL DEPARTMENT MANAGERS PROVIDED 1154 HOURS OF VOLUNTEER SERVICE TO NON-PROFIT AND COMMUNITY ORGANIZATIONS. FOR PROGRESS IN THE PRIOR TWO FISCAL YEARS, PLEASE SEE THE PRIOR YEAR FORM 990S, SCHEDULE H.COMMUNITY HEALTH NEEDS NOT ADDRESSED - HAYWARD AREA MEMORIAL HOSPITAL HAS CHOSEN NOT TO FOCUS ON THE FOLLOWING NEEDS THAT WERE IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PRIORITIZATION PROCESS:INTEGRATE BEHAVIORAL HEALTH SERVICES INTO PRIMARY CARE - HAYWARD AREA MEMORIAL HOSPITAL DOES NOT EMPLOY BEHAVIORAL HEALTH PROVIDERS AND OUR SOCIAL SERVICES DEPARTMENT WILL WORK WITH THESE PATIENTS TO REFER THEM TO THE SPECIFIC SERVICES NEEDED.MAINTAIN CUSTOMER LOYALTY - CUSTOMER LOYALTY IS MORE A BUSINESS AND OPERATIONAL FUNCTION AND DOES NOT SEEM TO FIT INTO THE SPIRIT OF A COMMUNITY HEALTH NEED. HAYWARD AREA MEMORIAL HOSPITAL AND WATER'S EDGE IS DEDICATED TO MAINTAINING AND IMPROVING CUSTOMER LOYALTY AND WILL DO SO OUTSIDE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS.FY 2020-2022COMMUNITY HEALTH NEEDS ASSESSMENT WORK FOR OUR FY 2020-2022 COMMUNITY HEALTH IMPROVEMENT PLAN BEGAN IN EARLY 2018 AND COMMENCED THROUGH YEAR 2019 WITH IMPLEMENTATION STRATEGY BEING APPROVED BY THE HAMH BOARD OF DIRECTORS AT ITS 2/27/19 MEETING. THIS IMPLEMENTATION STRATEGY WILL HAVE THE FOLLOWING THREE AREAS OF FOCUS/GOALS WITH WORK BEGINNING APRIL 1, 2019 AND ENDING MARCH 31, 2022 (FY 2020-2022 FOR HAMH). WE WILL REPORT EACH YEAR OF PROGRESS TOWARD THESE GOALS ON OUR FUTURE FORM 990S. PRIORITY 1 - MENTAL HEALTHCHAMPION: PAUL GRAHOVAC, DIRECTOR OF SAWYER COUNTY HEALTH & HUMAN SERVICESGOAL 1 - IMPROVE COMMUNITY CRISIS RESPONSE. DEVELOP A COMPREHENSIVE COMMUNITY BEHAVIORAL HEALTH CRISIS RESPONSE PLAN WHICH INCLUDES DECISION MAKING POINTS FOR THOSE WHO RESPOND TO CRISES.GOAL 2 - EDUCATE, INFORM AND SHARE BEHAVIORAL HEALTH RESOURCES WITH COMMUNITY AND AGENCIES. CREATE A MENTAL HEALTH RESOURCE GUIDE SIMILAR TO THE MENTAL HEALTH TASK FORCE OF POLK COUNTY HTTP://MENTALHEALTHPOLK.ORG PRIORITY 2 - OVER AGE 60 YEARSCHAMPION: HEATHER SHEEHAN, VICE PRESIDENT OF SENIOR SERVICES, HAYWARD AREA MEMORIAL HOSPITAL & WATER'S EDGEGOAL 1 - PROMOTE HEALTHY AGING. DEVELOP AND MARKET MASTER COMMUNITY EDUCATIONAL CALENDAR. MEASURE ATTENDANCE AT LISTED EVENTS. GOAL 2 - IMPROVE CARE TRANSITIONS. WORK WITH THE CARE TRANSITIONS TASK FORCE, WHICH INCLUDES COMMUNITY ORGANIZATIONS AND AGENCIES, TO REDUCE HOSPITAL READMISSION RATES. GOAL 3 - DEVELOP SAFETY AND CRISIS RESPONSE PLAN FOR THOSE WITH DEMENTIA. IMPLEMENT THE "PURPLE TUBE PROJECT AND WORK WITH THE MENTAL HEALTH GROUP TO INCORPORATE OVER 60 AGE GROUP INTO THE COMMUNITY CRISES RESPONSE PLAN. MEASURE THE NUMBER OF TUBES IN HOMES. GOAL 4 - ACCESS OPPORTUNITIES RELATED TO CHRONIC DISEASE MANAGEMENT. WORK WITH AREA PHYSICIANS AND HEALTHCARE PROFESSIONALS TO DETERMINE HOW WE CAN HELP PATIENTS MANAGE CHRONIC DISEASE. PRIORITY 3 - SUBSTANCE ABUSECHAMPIONS: EILEEN SIMAK, SAWYER COUNTY HEALTH OFFICER THE SUBSTANCE ABUSE INITIATIVE DECIDED TO FOCUS ON THREE PRIMARY AREAS WITH GOALS AND PROJECTS DEFINED FOR EACH AREA:GOAL 1 - PREVENTION - ESTABLISH REPRESENTATION FOR EACH OF THE TWELVE COMMUNITY SECTORS ON THE SAWYER COUNTY LCO JOINT PREVENTION PROGRAMMING COALITION.GOAL 2 - TREATMENT - REDUCE THE STIGMA OF ADDICTION BY IMPLEMENTING A MINIMUM OF THREE COMMUNITY EDUCATION INITIATIVES.GOAL 3 - RECOVERY - WORK WITH THE COMMUNITY TO CREATE A MINIMUM OF ONE RECOVERY FRIENDLY PRACTICE. 2 1 - WATER'S EDGE 11040 N STATE ROAD 77 HAYWARD WI 54843 NURSING HOME 2 - WATER'S EDGE 11040 N STATE ROAD 77 HAYWARD WI 54843 ASSISTED LIVING FACILITY PART I, LINE 7: COSTS ARE CALCULATED USING FINANCIAL DATA AND THE COST TO CHARGE RATIO FROM THE AS FILED MEDICARE COST REPORT. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDE RESPIRATORY THERAPY, REHAB SERVICES, DIABETES EDUCATION, EMERGENCY, OBSERVATION BEDS, NURSING HOME, AND ASSISTED LIVING. PART I, LN 7 COL(F): BAD DEBT EXPENSE FROM FINANCIAL STATEMENTS IS $1,960,177. PART II, COMMUNITY BUILDING ACTIVITIES: MANY PROGRAMS HAVE BEEN DESIGNED TO HELP PATIENTS OF THE COMMUNITY. BREASTFEEDING AND CHILD BIRTH EDUCATION, BLOOD DRIVES, PREGNANCY AND INFANT CARE CLASSES, LIFELINE, DIABETES SUPPORT GROUPS, IN-KIND MEETINGS, ACLS CLASSES, LACTATION SUPPORT GROUPS, STEPPING ON CLASSES, PALS CLASSES, NRP CLASS, STABLE COURSE AND PAIN SUPPORT GROUPS ARE EXAMPLES OF THE COMMUNITY ACTIVITIES HAYWARD HOSPITAL IS CURRENTLY INVOLVED IN. IN ADDITION, COMMUNITY BENEFIT OPERATIONS THAT THE HOSPITAL IS INVOLVED WITH INCLUDE THE BIRKIE MEDICAL DIRECTORSHIP, BIRKIE MEDICAL TEAM, COMMUNITY WIDE HUMAN TRAFFICKING LECTURE, CNA CLASS SCHOLARSHIPS, COMMUNITY PICNIC AND COMMUNITY SUPPERS. THE ACTIVITIES HAVE BEEN REPORTED ON SCHEDULE H, PART I, LINE 7E.WORKFORCE DEVELOPMENT - HAMH PURCHASED A LARGE, MULTI-ROOM HOME IN DECEMBER 2018 TO HOUSE MEDICAL STUDENTS AND LOCUM PROVIDERS WITH THE INTENT TO ATTRACT MEDICAL STUDENTS TO COME TO HAYWARD FOR THEIR RESIDENCY AND SEEK EMPLOYMENT IN THE HAYWARD AREA AFTER GRADUATION. PART III, LINE 2: ACCOUNTS RECEIVABLE FOR THE COMPANY ARE STATED AT NET REALIZABLE VALUE. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE COMPANY ANALYZES ITS HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE COMPANY ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE 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 WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE COMPANY RECORDS A 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. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AS A PERCENTAGE OF SELF-PAY RECEIVABLES HAS INCREASED FROM 56.2 PERCENT FOR THE YEAR ENDED MARCH 31, 2018, TO 66.5% PERCENT FOR THE YEAR ENDED MARCH 31, 2019. PART III, LINE 3: AT HAYWARD AREA MEMORIAL HOSPITAL BAD DEBT IS CONSIDERED THE UNWILLINGNESS TO PAY, WHILE CHARITY CARE AND FREE CARE ARE INABILITY TO PAY. PART III, LINE 4: SEE FOOTNOTE 1 ON PAGE 8 OF THE AUDITED FINANCIAL STATEMENTS PART III, LINE 8: THE COSTING METHODOLOGY USED IN DETERMINING THE MEDICARE ALLOWABLE COST REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6:THE HOSPITAL FOLLOWED MEDICARE'S PRESCRIBED METHODS OF DETERMINING COSTS PAYABLE UNDER TITLE XVIII (MEDICARE) IN COMPLETING ITS ANNUAL MEDICARE COST REPORT (COST REPORT) USING DATA AVAILABLE FROM THE INSTITUTION'S BASIC ACCOUNTS, AS USUALLY MAINTAINED, TO ARRIVE AT EQUITABLE AND PROPER PAYMENT FOR SERVICES. THE COST REPORT WAS COMPLETED USING THE HOSPITAL'S TRIAL BALANCE OF EXPENSES, AS WELL AS OTHER STATISTICAL AND FINANCIAL RECORDS MAINTAINED BY THE HOSPITAL. AS REQUIRED BY MEDICARE REGULATIONS, CERTAIN RECLASSIFICATIONS AND ADJUSTMENTS TO COSTS WERE INCLUDED IN THE COST REPORT TO DETERMINE MEDICARE ALLOWABLE COSTS.AFTER MEDICARE ALLOWABLE COSTS ARE DETERMINED, THE COST REPORT PROVIDES FOR THE STEP DOWN METHOD OF COST FINDING. THIS METHOD PROVIDES FOR ALLOCATING THE COST OF SERVICES RENDERED BY EACH GENERAL SERVICE COST CENTER TO OTHER COST CENTERS, WHICH UTILIZE THE SERVICES. ONCE THE COSTS OF A GENERAL SERVICE COST CENTER HAVE BEEN ALLOCATED, THAT COST CENTER IS CONSIDERED CLOSED. ONCE CLOSED, IT DOES NOT RECEIVE ANY OF THE COSTS SUBSEQUENTLY ALLOCATED FROM THE REMAINING GENERAL SERVICE COST CENTERS. AFTER ALL COSTS OF THE GENERAL SERVICE COST CENTERS HAVE BEEN ALLOCATED TO THE REMAINING COST CENTERS, THE TOTAL COSTS OF THESE REMAINING COST CENTERS ARE FURTHER DISTRIBUTED TO THE DEPARTMENTAL CLASSIFICATION TO WHICH THEY PERTAIN, E.G., HOSPITAL GENERAL INPATIENT ROUTINE, SUBPROVIDER, ANCILLARY, ETC.AFTER THE STEP-DOWN PROCESS, THE COST REPORT PROVIDES FOR THE APPORTIONMENT OF COSTS TO THE MEDICARE PROGRAM BASED ON A NUMBER OF DIFFERENT METHODOLOGIES INCLUDING PER PATIENT DAY, PER VISIT, AND PERCENTAGE OF CHARGES, AS MOST PREVALENT. MEDICARE COSTS AS DETERMINED BY THE COST REPORT METHODOLOGIES DESCRIBED PREVIOUSLY WERE UTILIZED TO COMPLETE THE APPLICABLE MEDICARE ALLOWABLE COSTS OF CARE FOR SCHEDULE H (FORM 990) PART III SECTION B LINE 6. PART III, LINE 9B: HAYWARD AREA MEMORIAL HOSPITAL'S BILLING AND COLLECTION POLICY STATES:A. SUBJECT TO COMPLIANCE WITH THE PROVISIONS OF THIS POLICY, HAMH MAY TAKE ANY AND ALL LEGAL ACTIONS, INCLUDING EXTRAORDINARY COLLECTION ACTIONS (ECAS), TO OBTAIN PAYMENT FOR MEDICAL SERVICES PROVIDED.B. ALL PATIENTS WILL BE OFFERED A PLAIN LANGUAGE SUMMARY (APPENDIX A) AND AN APPLICATION FORM (APPENDIX B) FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY (FAP) AS PART OF THE DISCHARGE OR INTAKE PROCESS FROM A HOSPITAL.C. AT LEAST THREE SEPARATE STATEMENTS FOR COLLECTION OF SELF-PAY ACCOUNTS SHALL BE MAILED OR EMAILED TO THE LAST KNOWN ADDRESS OF EACH RESPONSIBLE INDIVIDUAL(S); PROVIDED, HOWEVER, THAT NO ADDITIONAL STATEMENTS NEED BE SENT AFTER A RESPONSIBLE INDIVIDUAL(S) SUBMITS A COMPLETE APPLICATION FOR FINANCIAL ASSISTANCE UNDER THE FAP OR HAS PAID IN-FULL. AT LEAST 60 DAYS SHALL HAVE ELAPSED BETWEEN THE FIRST AND LAST OF THE REQUIRED THREE MAILINGS. IT IS THE RESPONSIBLE INDIVIDUAL(S) OBLIGATION TO PROVIDE A CORRECT MAILING ADDRESS AT THE TIME OF SERVICE OR UPON MOVING. IF AN ACCOUNT DOES NOT HAVE A VALID ADDRESS, THE DETERMINATION FOR "REASONABLE EFFORT" WILL HAVE BEEN MADE. ALL SINGLE PATIENT ACCOUNT STATEMENTS OF SELF-PAY ACCOUNTS WILL INCLUDE BUT NOT LIMITED TO:1. AN ACCURATE SUMMARY OF THE HOSPITAL SERVICES COVERED BY THE STATEMENT;2. THE CHARGES FOR SUCH SERVICES;3. THE AMOUNT REQUIRED TO BE PAID BY THE RESPONSIBLE INDIVIDUAL(S) (OR, IF SUCH AMOUNT IS NOT KNOWN, A GOOD FAITH ESTIMATE OF SUCH AMOUNT AS OF THE DATE OF THE INITIAL STATEMENT); AND4. A CONSPICUOUS WRITTEN NOTICE THAT NOTIFIES AND INFORMS THE RESPONSIBLE INDIVIDUAL(S) ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE HOSPITAL FAP INCLUDING THE TELEPHONE NUMBER OF THE DEPARTMENT AND DIRECT WEBSITE ADDRESS WHERE COPIES OF DOCUMENTS MAY BE OBTAINED.D. AT LEAST ONE OF THE STATEMENTS MAILED OR EMAILED WILL INCLUDE WRITTEN NOTICE THAT INFORMS THE RESPONSIBLE INDIVIDUAL(S) ABOUT THE ECAS THAT ARE INTENDED TO BE TAKEN IF THE RESPONSIBLE INDIVIDUAL(S) DOES NOT APPLY FOR FINANCIAL ASSISTANCE UNDER THE FAP OR PAY THE AMOUNT DUE BY THE BILLING DEADLINE. SUCH STATEMENT MUST BE PROVIDED TO THE RESPONSIBLE INDIVIDUAL(S) AT LEAST 30 DAYS BEFORE THE DEADLINE SPECIFIED IN THE STATEMENT. A PLAIN LANGUAGE SUMMARY WILL ACCOMPANY THIS STATEMENT. IT IS THE RESPONSIBLE INDIVIDUAL(S) OBLIGATION TO PROVIDE A CORRECT MAILING ADDRESS AT THE TIME OF SERVICE OR UPON MOVING. IF AN ACCOUNT DOES NOT HAVE A VALID ADDRESS, THE DETERMINATION FOR "REASONABLE EFFORT" WILL HAVE BEEN MADE.E. RESPONSIBLE INDIVIDUAL(S) PROPENSITY TO PAY WILL BE SCORED BASED ON THAT ASSESSMENT OF THE RESPONSIBLE INDIVIDUAL(S) LIKELIHOOD TO PAY AND DOLLAR AMOUNT OF THE SELF-PAY ACCOUNT.F. HAMH OFFERS PAYMENT PLANS THAT BEAR NO INTEREST. GENERALLY, BALANCE REQUIRE A MINIMUM PAYMENT OF $25.00 PER MONTH AND MUST BE PAID IN FULL WITHIN 24 MONTHS.G. PRIOR TO INITIATION OF ANY ECAS, AN ORAL ATTEMPT WILL BE MADE TO CONTACT RESPONSIBLE INDIVIDUAL(S) BY TELEPHONE AT THE LAST KNOWN TELEPHONE NUMBER, IF ANY, AT LEAST ONCE DURING THE SERIES OF MAILED OR EMAILED STATEMENTS IF THE ACCOUNT REMAINS UNPAID. DURING ALL CONVERSATIONS, THE PATIENT OR RESPONSIBLE INDIVIDUAL(S) WILL BE INFORMED ABOUT THE FINANCIAL ASSISTANCE THAT MAY BE AVAILABLE UNDER THE FAP.H. ECAS MAY BE COMMENCED AS FOLLOWS:1. IF ANY RESPONSIBLE INDIVIDUAL(S) FAIL TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE FAP BY 120 DAYS AFTER THE FIRST POST DISCHARGE STATEMENT, AND THE RESPONSIBLE PARTIES HAVE RECEIVED A STATEMENT WITH A BILLING DEADLINE DESCRIBED IN SECTION III.E ABOVE, THEN HAMH OR COLLECTION AGENCY MAY INITIATE ECAS.2. IF ANY RESPONSIBLE INDIVIDUAL(S) SUBMITS AN INCOMPLETE APPLICATION FOR FINANCIAL ASSISTANCE UNDER THE FAP PRIOR TO THE APPLICATION DEADLINE, THEN ECAS MAY NOT BE INITIATED UNTIL AFTER EACH OF THE FOLLOWING STEPS HAS BEEN COMPLETED:A. PFS PROVIDES THE RESPONSIBLE INDIVIDUAL(S) WITH A WRITTEN NOTICE THAT DESCRIBES THE ADDITIONAL INFORMATION OR DOCUMENTATION REQUIRED UNDER THE FAP IN ORDER TO COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE, WHICH NOTICE WILL INCLUDE A COPY OF THE PLAIN LANGUAGE SUMMARY.B. PFS PROVIDES THE RESPONSIBLE INDIVIDUAL(S) WITH AT LEAST 30 DAYS' PRIOR WRITTEN NOTICE OF THE ECAS THAT HAMH OR COLLECTION AGENCY MAY INITIATE AGAINST THE RESPONSIBLE INDIVIDUAL(S) IF THE FAP APPLICATION IS NOT COMPLETED OR PAYMENT IS NOT MADE; PROVIDED, HOWEVER, THAT THE COMPLETION DEADLINE FOR PAYMENT MAY NOT BE SET PRIOR TO 120 DAYS AFTER THE FIRST POST DISCHARGE STATEMENT.C. IF THE RESPONSIBLE INDIVIDUAL(S) WHO HAS SUBMITTED THE INCOMPLETE APPLICATION COMPLETES THE APPLICATION FOR FINANCIAL ASSISTANCE, AND PFS DETERMINES DEFINITIVELY THAT THE RESPONSIBLE INDIVIDUAL(S) IS INELIGIBLE FOR ANY FINANCIAL ASSISTANCE UNDER THE FAP, HAMH WILL INFORM THE RESPONSIBLE INDIVIDUAL(S) IN WRITING THE DENIAL AND INCLUDE A 30 DAYS' PRIOR WRITTEN NOTICE OF THE ECAS THAT HAMH OR COLLECTION AGENCY MAY INITIATE AGAINST THE RESPONSIBLE INDIVIDUAL(S); PROVIDED, HOWEVER, THAT THE BILLING DEADLINE MAY NOT BE SET PRIOR TO 120 DAYS AFTER THE FIRST POST DISCHARGE STATEMENT.D. IF THE RESPONSIBLE INDIVIDUAL(S) WHO HAS SUBMITTED THE INCOMPLETE APPLICATION FAILS TO COMPLETE THE APPLICATION BY THE COMPLETION DEADLINE SET IN THE NOTICE PROVIDED PURSUANT TO SECTION III.G.3.B ABOVE, THEN ECAS MAY BE INITIATED.E. IF AN APPLICATION, COMPLETE OR INCOMPLETE, FOR FINANCIAL ASSISTANCE UNDER THE FAP IS SUBMITTED BY A RESPONSIBLE INDIVIDUAL(S), AT ANY TIME PRIOR TO THE APPLICATION DEADLINE, HAMH WILL SUSPEND ECAS WHILE SUCH FINANCIAL ASSISTANCE APPLICATION IS PENDING.I. AFTER THE COMMENCEMENT OF ECAS IS PERMITTED UNDER SECTION III.G ABOVE, COLLECTION AGENCIES SHALL BE AUTHORIZED TO REPORT UNPAID ACCOUNTS TO CREDIT AGENCIES, AND TO FILE JUDICIAL OR LEGAL ACTION, GARNISHMENT, OBTAIN JUDGMENT LIENS AND EXECUTE UPON SUCH JUDGMENT LIENS USING LAWFUL MEANS OF COLLECTION; PROVIDED, HOWEVER, THAT PRIOR APPROVAL OF PFS SHALL BE REQUIRED BEFORE INITIAL LAWSUITS MAY BE INITIATED. HAMH AND EXTERNAL COLLECTION AGENCIES MAY ALSO TAKE ANY AND ALL LEGAL OTHER ACTIONS INCLUDING BUT NOT LIMITED TO TELEPHONE CALLS, EMAILS, TEXTS, MAILING NOTICES, AND SKIP TRACING TO OBTAIN PAYMENT FOR MEDICAL SERVICES PROVIDED.IV. POLICY AVAILABILITYCONTACT OUR BUSINESS OFFICE AT 715-934-4267 FOR INFORMATION REGARDING ELIGIBILITY OR THE PROGRAMS THAT MAY BE AVAILABLE TO YOU, TO REQUEST A COPY OF THE FAP, FAP APPLICATION FORM, OR COLLECTION POLICY TO BE MAILED TO YOU, OR IF YOU NEED A COPY OF THE FAP, FAP APPLICATION FORM, OR COLLECTION POLICY TRANSLATED TO SPANISH. FULL DISCLOSURE OF THE FAP, FAP APPLICATION FORM, OR COLLECTION POLICY MAY BE FOUND AT WWW.HAYWARDMEMORIALHOSPITAL.COM/FINANCIAL-SERVICES/. A PAPER COPY OF OUR FAP, FAP APPLICATION FORM, OR COLLECTION POLICY CAN BE OBTAINED AT OUR FACILITY LOCATED AT 11040 N STATE RD. 77, HAYWARD, WI 54843 AT THE REGISTRATION DESK.PATIENTS REQUEST ASSISTANCE AND AT THAT POINT RECEIVE THE DOCUMENTS TO APPLY FOR CHARITY CARE. MEDICAL SERVICES, INC DOES POST A LARGE SIGN IN THE LOBBY THAT STATES "THIS HEALTH CARE FACILITY IS REQUIRED TO GIVE A REASONABLE AMOUNT OF ITS SERVICES FREE OR AT A REDUCED CHARGE TO PERSONS WHO CANNOT AFFORD TO PAY FOR MEDICAL CARE. IF YOU ARE NOT ABLE TO PAY FOR ALL OR PART OF THE CARE YOU NEED, PLEASE CONTACT THE ADMISSIONS OR PATIENT FINANCIAL SERVICES OF THIS FACILITY AND ASK ABOUT THE AVAILABILITY OF SUCH CARE". THIS SIGN IS PLACED IN A LOCATION THAT ALL PATIENTS CAN SEE AND ASK FOR DOCUMENTS TO COMPLETE TO START THE CHARITY CARE APPLICATION PROCESS. COMMUNITY CARE INFORMATION IS ALSO INCLUDED IN ALL ADMISSION FOLDERS AND ALL ROOMS HAVE INFORMATIONAL BINDERS WITH CHARITY CARE INFORMATION. PART VI, LINE 2: NEEDS ASSESSMENT:FACILITY STAFF PARTICIPATE IN THE COMMUNITY NEEDS ASSESSMENT PROCESS WITH THE SAWYER COUNTY HEALTH DEPARTMENT, COMMUNITY HEALTH CLINICS, ASSISTED LIVING FACILITY, AND PHYSICIANS FROM THE COMMUNITY. FOLLOWING THE COMPLETION OF THE ASSESSMENT, VARIOUS WORK GROUPS ARE CONVENED. APPROPRIATE STAFF MEMBERS FROM THE FACILITY THEN WORK WITH COMMUNITY MEMBERS TO DEVELOP PROGRAMS AND APPROACHES TO ADDRESS THE IDENTIFIED HEALTH ISSUES. SOME EXAMPLES INCLUDE ABUSE OF PRESCRIPTION DRUGS, SEXUAL ABUSE PREVENTION PROGRAMS, UNDERAGE ALCOHOL USE, TRANSPORT ISSUES, TELEHEALTH, PATIENT ADVOCACY PROGRAM, AND REDUCED COST CLINIC. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:ALL PATIENTS ARE BILLED THE SAME, HOWEVER, IF A PATIENT BECOMES DELINQUENT ON A BILL, A LETTER IS SENT TO THE PATIENT ASKING THAT THE PATIENT CONTACT PATIENT FINANCIAL SERVICES FOR ASSISTANCE. PATIENTS HAVE THE OPTION TO DISCUSS PAYMENT OPTIONS WITH PATIENT FINANCIAL SERVICES AND POSSIBLE ELIGIBILITY FOR CHARITY CARE. PART VI, LINE 4: COMMUNITY INFORMATION:HAYWARD WISCONSIN IS LOCATED IN NORTHERN WISCONSIN AND CONSISTS OF A HIGH MEDICARE AND MEDICAID POPULATION. THE MEDICARE AND MEDICAID POPULATION ACCOUNTS FOR 69% OF THE HOSPITAL'S GROSS REVENUES AND 50% OF ITS NET PATIENT SERVICE REVENUES. HAYWARD IS CONSIDERED A SUMMER VACATION DESTINATION THAT BRINGS LARGE CROWDS DURING THE SUMMER MONTHS. THE EMERGENCY DEPARTMENT SERVES A LARGE NUMBER OF PATIENTS THAT RANGE FROM COMMERCIAL INSURANCE, MEDICARE, MEDICAID, IHS (INDIAN HEALTH SERVICES), ETC. HAYWARD HOSPITAL IS FOCUSED ON PROVIDING HIGH QUALITY HEALTHCARE IN A RURAL LOCATION. MANY SERVICES ARE PROVIDED BY HAYWARD HOSPITAL, ALLOWING LESS PATIENT TRAVEL AT A TIME WHEN THE PATIENT IS LIKELY NOT FEELING WELL. THE HAYWARD COMMUNITY IS AN AGING POPULATION AND WE RECOGNIZE THAT NEED AND HAVE COMMITTED MILLIONS OF DOLLARS INTO SERVICES FOR THE OLDER POPULATION. WE BELIEVE HAYWARD HOSPITAL PROVIDES EXCEPTIONAL CARE IN A RURAL LOCATION. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH:OPEN MEDICAL STAFF. COMMUNITY CALL PROGRAM FOR MEDICAL STAFF. LOCAL COMMUNITY BOARD WITH 11 VOTING MEMBERS. NONPROFIT STATUS WITH PROFITS (IF ANY) USED FOR ADDITIONAL SERVICES, CAPITAL PURCHASES SUCH AS A CT SCANNER, LAB EQUIPMENT, ELECTRONIC HEALTH RECORD, IMPROVED INPATIENT SERVICES, OB PROGRAM, CONTINUED EDUCATION FOR ALL STAFF, GROWING SENIOR SERVICES PROGRAM AND A FOCUS ON THE NEEDS OF THE COMMUNITY. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM:MEDICAL SERVICES, INC. IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. PART VI, LINE 7, REPORTS FILED WITH STATES WI X X 1 0 0 0 0 0 0 0 0 TIMOTHY GULLINGSRUD DIRECTOR/CEO-MSI-RESIGNED 4/13/18 79952 0 18518 0 238957 0 13750 0 9018 0 360195 0 0 0 JASON DOUGLAS DIRECTOR/PRESIDENT-REI 0 387215 0 35186 0 630 0 13750 0 33519 0 470300 0 0 KENT DUMONSEAU CFO - REI 0 238652 0 22452 0 323 0 11854 0 28584 0 301865 0 0 BRAD ZELLER VP ADMINISTRATION 164165 0 22374 0 135 0 7791 0 30198 0 224663 0 0 0 HEATHER SHEEHAN VP SENIOR SERVICES 158891 0 21722 0 114 0 8075 0 34141 0 222943 0 0 0 SUSAN BAUER CRNA 230084 0 0 0 449 0 11762 0 28018 0 270313 0 0 0 JULIE BOE CRNA 222756 0 0 0 429 0 11443 0 28444 0 263072 0 0 0 MATTHEW VINCENT CRNA 245144 0 0 0 169 0 11698 0 30437 0 287448 0 0 0 DAYLE QUIGLEY PHYSICIAN 332200 0 0 0 1548 0 13750 0 16144 0 363642 0 0 0 ROGER BRANHAM PHYSICIAN 392316 0 0 0 5562 0 0 0 128 0 398006 0 0 0 PART I, LINE 4A FORMER CEO TIMOTHY GULLINGSRUD'S EMPLOYMENT ENDED ON APRIL 13, 2018. HE RECEIVED A PAYMENT OF $206,331, LESS WITHHOLDING, IN A LUMP SUM, AS WELL AS ACCRUED AND UNUSED PAID TIME OFF IN THE AMOUNT OF 216.81 HOURS. HE WAS ALSO PAID A BONUS EARNED PURSUANT TO MSI'S EXECUTIVE INCENTIVE COMPENSATION PLAN FOR THE PERIOD ENDING MARCH 31, 2018. MR. GULLINGSRUD RECEIVED PAY TOTALING $238,761 RELATED TO HIS RESIGNATION AS WELL AS AN $18,518 BONUS IN CALENDAR YEAR 2018. SARAH DUMONSEAU FAMILY MEMBER OF OFFICER KENT DUMONSEAU 113217 EMPLOYMENT 0 BARBARA KOERPEL-DUFFY BOARD CHAIR 351150 PURCHASED HOUSE FOR MEDICAL STUDENTS AND LOCUM PROVIDERS WITH INTENT TO ATTRACT MEDICAL STUDENTS TO COME TO HAYWARD FOR THEIR RESIDENCY AND SEEK EMPLOYMENT IN THE HAYWARD AREA AFTER GRADUATION 0 HALEY STELLMACHER FAMILY MEMBER OF OFFICER LUKE BEIRL 49700 EMPLOYMENT 0 FORM 990, PART VI, SECTION A, LINE 6 REGIONAL ENTERPRISES, INC. IS THE SOLE CORPORATE MEMBER OF MEDICAL SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A THE PRESIDENT OF REI SHALL BE AN EX OFFICIO MEMBER OF THE MSI BOARD WITH FULL VOTING PRIVILEGES. FORM 990, PART VI, SECTION A, LINE 7B AS THE SOLE MEMBER OF MEDICAL SERVICES, INC., REGIONAL ENTERPRISES, INC. HAS THE FOLLOWING RESERVE POWERS: A. TO MAKE, AMEND, OR REPEAL MSI'S BYLAWS AND ARTICLES OF INCORPORATION. B. TO APPROVE ANY CHANGE IN MSI'S PHILOSOPHY, MISSION OR VISION STATEMENTS, AND APPROVE THE LONG-RANGE GOALS AND STRATEGIC PLAN FOR MSI. C. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGET. D. TO APPROVE ALL BUILDING PROGRAMS THAT EXCEED $500,000 IN VALUE. E. TO SELECT AND RETAIN AN INDEPENDENT AUDITING FIRM. F. TO APPOVE THE PURCHASE, SALE, LEASE, DISPOSITION, OR ALIENATION OF ANY REAL PROPERTY OWNED BY MSI. ANY SUCH ACTION SHALL BE JOINTLY APPROVED BY THE BOARD OF DIRECTORS OF MEMORIAL MEDICAL CENTER OF ASHLAND, WISCONSIN. G. TO APPROVE ANY PLAN OF DISSOLUTION OR MERGER, CONSOLIDATION, ACQUISITION OR DISPOSITION OF REAL PROPERTY OR RELOCATION OF THE FACILITIES OF MSI. ANY SUCH ACTION SHALL BE JOINTLY APPROVED BY THE BOARD OF DIRECTORS OF MEMORIAL MEDICAL CENTER OF ASHLAND, WISCONSIN. H. TO AUTHORIZE THE PRESIDENT OF REI TO RECOMMEND TO THE BOARD OF MSI, THE INDIVIDUAL WHO WILL SERVE AS THE CHIEF EXECUTIVE OFFICER FOR MSI, SUBJECT TO RATIFICATION BY THE MSI BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE AND ACCOUNTING TEAM REVIEW THE 990 PRIOR TO FILING TO CONFIRM ACCURACY OF INFORMATION. THE 990 IS REVIEWED BY THE BOARD OF DIRECTORS BEFORE IT IS FILED. IF ANY CHANGES ARE MADE, A FINAL COPY OF THE 990 IS PROVIDED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR AND OFFICER SHALL DISCLOSE TO THE BOARD OF DIRECTORS, OR TO THE OTHER MEMBERS OF ANY COMMITTEE CONSIDERING A PROPOSED BUSINESS TRANSACTION OR ARRANGEMENT, THE EXISTENCE AND NATURE OF ANY FINANCIAL INTEREST SUCH PERSON OR A MEMBER OF SUCH PERSON'S FAMILY MAY HAVE WITH RESPECT TO SUCH PROPOSED TRANSACTION OR ARRANGEMENT. EACH DIRECTOR AND PRINCIPAL OFFICER SHALL PROMPTLY MAKE DISCLOSURES AS MAY BE NECESSARY TO KEEP THE BOARD OR COMMITTEE FULLY APPRISED OF SUCH PERSON'S FINANCIAL INTERESTS. DISCLOSURE SHALL ALSO BE ACCOMPLISHED ON AN ANNUAL BASIS BY HAVING EACH DIRECTOR AND PRINCIPAL OFFICER EXECUTE AND DELIVER TO MSI A CERTIFICATE REGARDING CONFLICTS OF INTEREST. IF ANY DIRECTOR OR PRINCIPAL OFFICER DISCLOSES A POTENTIAL FINANCIAL INTEREST TO THE BOARD OF DIRECTORS OR ANY COMMITTEE REGARDING A PROPOSED TRANSACTION OR ARRANGEMENT, THE BOARD OR COMMITTEE SHALL FIRST DETERMINE WHETHER THE PROPOSED TRANSACTION OR ARRANGEMENT COULD BE CONSIDERED AN INSIDER TRANSACTION. IF THE BOARD OR COMMITTEE IS CERTAIN THAT THE TRANSACTION OR ARRANGEMENT WILL NOT INVOLVE AN INSIDER, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF IT IS DETERMINED NO CONFLICT EXISTS, THE INTERESTED PERSON MAY REJOIN THE MEETING AND PARTICIPATE IN THE DISCUSSIONS AND ACTIONS REGARDING THIS AGENDA ITEM. THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER MSI CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN MSI'S BEST INTEREST AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO MSI. IF THE BOARD OR COMMITTEE BELIEVES AN ALTERNATE TRANSACTION COULD BE CONSIDERED THAT WOULD BE MORE ADVANTAGEOUS TO MSI, THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION. FURTHER ACTION BY THE BOARD OR COMMITTEE SHALL BE TABLED UNTIL SUCH TIME AS THE DISINTERESTED PERSON HAS BEEN ABLE TO REPORT HIS OR HER FINDINGS TO THE APPROPRIATE GOVERNING BODY. THE BOARD OR COMMITTEE SHALL NOT APPROVE ANY TRANSACTION OR ARRANGEMENT THAT IS NOT IN THE BEST INTERESTS OF MSI AND THAT IS NOT FAIR AND REASONABLE TO MSI. ONCE DISCUSSION AND/OR ACTION REGARDING THE AGENDA ITEM RELATING TO THE DIRECTOR'S FINANCIAL INTEREST HAS BEEN COMPLETED, THE INTERESTED PERSON MAY REJOIN THE BOARD OR COMMITTEE MEETING. IF THE TRANSACTION OR ARRANGEMENT INVOLVES OR MAY INVOLVE AN INSIDER, THE BOARD OR COMMITTEE SHALL FOLLOW THE PROCEDURES ABOVE AND THE INSIDER SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE INSIDER TRANSACTION IS DISCUSSED. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE WHETHER THE TRANSACTION OR ARRANGEMENT UNDER CONSIDERATION COULD CONSTITUTE AN INSIDER TRANSACTION. AS PART OF THIS CONSIDERATION, THE BOARD OR COMMITTEE SHALL ALSO CONSIDER WHETHER THEIR ACTION COULD BE CONSTRUED TO BE AN EXCESS BENEFIT TRANSACTION SUBJECT TO INTERMEDIATE SANCTIONS. IN DETERMINING WHETHER A TRANSACTION OR ARRANGEMENT IS AN EXCESS BENEFIT TRANSACTION, THE BOARD OR COMMITTEE CONSIDERING THE TRANSACTION OR ARRANGEMENT SHOULD REVIEW APPROPRIATE DATA AS TO COMPARABILITY (SUCH AS COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS IN THE REGION, NATIONAL COMPENSATION STUDIES, COMPETING OFFERS RECEIVED BY THE INSIDER, ASSET APPRAISALS OR RENTAL ANALYSES BY QUALIFIED APPRAISERS AND OTHER INFORMATION THAT MAY BE OBTAINED ABOUT COMPARABLE AGREEMENTS, PURCHASES, SALES AND LEASES). THE BOARD OR COMMITTEE MAY RELY ON SUCH INFORMATION OR DATA PROVIDED BY MSI'S MANAGEMENT. THE BOARD OR COMMITTEE SHALL NOT APPROVE ANY TRANSACTION OR ARRANGEMENT THAT IS AN EXCESS BENEFIT TRANSACTION. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A DIRECTOR OR PRINCIPAL OFFICER HAS FAILED TO DISCLOSE A FINANCIAL INTEREST, IT SHALL INFORM THE DIRECTOR OR PRINCIPAL OFFICER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE DIRECTOR OR PRINCIPAL OFFICER AN OPPORTUNITY TO EXPLAIN WHY DISCLOSURE WAS NOT MADE. IF, AFTER HEARING THE RESPONSE OF THE DIRECTOR OR PRINCIPAL OFFICER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE DIRECTOR HAS IN FACT FAILED TO DISCLOSE A FINANCIAL INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND/OR CORRECTIVE ACTION, WHICH MAY INCLUDE, BUT NOT BE LIMITED TO: SUSPENSION OF VOTING RIGHTS, RECISION OF ANY AGREEMENTS, AND TERMINATION OF DIRECTOR OR OFFICER STATUS. FORM 990, PART VI, SECTION B, LINE 15 HR WILL RESEARCH SALARY DATA FOR OUR REGION AND PROVIDE ADMINISTRATION WITH A TYPICAL COMPENSATION RANGE. DIFFICULT POSITIONS TO FILL, DEMANDS OF THE POSITION, EXPERIENCE, EDUCATION, PAST WORK HISTORY, AND REFERENCES ARE ALL TAKEN INTO CONSIDERATION WHEN DETERMINING COMPENSATION. UPDATES TO THE RANGES ARE PUT INTO PLACE AROUND APRIL OR MAY EACH YEAR, IF CHANGES OCCURRED. FORM 990, PART VI, SECTION C, LINE 19 THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE BY REQUEST FROM THE PUBLIC RELATIONS DIRECTOR FOR THE SAME PERIOD OF DISCLOSURE SET FORTH IN SECTION 6104(D). THE GOVERNING DOCUMENTS ARE CONFIDENTIAL AND NOT AVAILABLE TO THE PUBLIC. MEMORIAL MEDICAL CENTER INC 1615 MAPLE LANE ASHLAND WI 54806 237013497 HEALTH CARE WI 501(C)(3) LINE 3 REGIONAL ENTERPRISES INC 0 REGIONAL ENTERPRISES INC 1615 MAPLE LANE ASHLAND WI 54806 391555837 SUPPORT WI 501(C)(3) LINE 10 N/A 0 REI MEDICAL CLINICS INC 1615 MAPLE LANE ASHLAND WI 54806 391701306 SUPPORT WI 501(C)(3) LINE 12A, I REGIONAL ENTERPRISES INC 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0