2018-11-15T14:10:56-06:00 2017-12-31 390758449 WIPFLI LLP PO BOX 8010 WAUSAU WI 544028010 990 2017-01-01 391528430 BAY AREA MEDICAL CENTER INC BAYA 7157354200 3003 UNIVERSITY DR MARINETTE WI 54143 ROGER SNEATH CFO 7157354200 2018-11-14 1 KIMBERLY HELLER CPA P00766668 7158453111 2018-11-14 74.84.124.178 2018-11-14 13:50:39 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 FEDE6E2ED2B59B1C13DC36E78E84E5663127854C 2017 2019-02-21 02:37:17Z X ROGER SNEATH 3003 UNIVERSITY DR MARINETTE WI 54143 122681999 0 X WWW.BAMC.ORG X 1985 WI BAY AREA MEDICAL CENTER (BAMC) IS A REGIONAL HEALTH CARE FACILITY PROVIDING A WIDE RANGE OF MEDICAL SERVICES TO THE RESIDENTS OF MARINETTE AND MENOMINEE COUNTIES AND THE SURROUNDING AREAS. BAMC'S PRIMARY EXEMPT PURPOSE IS THE PROVISION OF HEALTH CARE SERVICES. 9 9 784 9 2833629 -1223056 61046 150210 111016734 119353583 734734 3036881 -189187 -319990 111623327 122220684 0 0 0 0 56530994 58591538 0 145631 145631 59236925 60388712 115767919 119125881 -4144592 3094803 197192794 234035074 60896814 106215077 136295980 127819997 WE ARE YOUR MEDICAL CENTER, STRIVING TO EXCEED YOUR EXPECTATIONS BY PROVIDING COMPASSIONATE, COST-EFFECTIVE, QUALITY HEALTHCARE TO ALL. 0 0 94844033 119487488 INPATIENT HOSPITAL SERVICES FOR MEDICAL, SURGICAL AND OBSTETRICS/GYNECOLOGY PATIENTS - BAMC PROVIDED CARE FOR 2,910 PATIENTS WHO WERE ADMITTED AS INPATIENTS DURING 2017. THESE SERVICES INCLUDED 24/7 CARE FOR PATIENTS ADMITTED WITH MEDICAL CONDITIONS WARRANTING A HOSPITAL STAY, PATIENTS ADMITTED FOR SURGICAL PROCEDURES EXTENSIVE ENOUGH TO REQUIRE A STAY OVERNIGHT OR FOR SEVERAL DAYS FOLLOWING THE PROCEDURES, AND PATIENTS ADMITTED FOR THE DELIVERY OF NEWBORNS.OUTPATIENT SURGICAL SERVICES - BAMC PERFORMED 3,142 OUTPATIENT SURGICAL PROCEDURES FOR PATIENTS DURING 2017. THESE PROCEDURES INCLUDED ORTHOPEDIC, UROLOGICAL, GENERAL SURGERY, GYNECOLOGY, AND ENT SURGERIES. 94844033 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 1 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 90 0 1 784 1 1 1 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X ROGER SNEATH 7157354200 3100 SHORE DR MARINETTE WI 54143 X JEFFREY BARD CHAIR 1.00 X X 0 0 0 PAT KRAH VICE CHAIR 0.80 X X 0 0 0 WILLIAM MALLORY MD SECRETARY/TREASURER 0.80 X X 0 0 0 TONY FURTON BOARD MEMBER 0.80 X 0 0 0 SANDY EWALD BOARD MEMBER 0.80 X 0 0 0 MARC JAMO BOARD MEMBER 0.80 X 0 0 0 CHUCK HAWKINS BOARD MEMBER 0.80 X 0 0 0 DR OSAMA HALAWEH MD BOARD MEMBER 0.80 X 0 0 0 PATRICK O'HARA BOARD MEMBER 0.80 X 0 0 0 MATHEW HUFF CFO (TERMED 11/17) 40.00 X 245251 0 36804 EDWARD HARDING CEO 40.00 X 638546 0 52094 ROGER SNEATH CFO (10/17-PRESENT) 40.00 X 49862 0 0 BERNADINE VAN COURT COO 40.00 X 382869 0 34139 MICHAEL KARKKAINEN MD PHYSICIAN 40.00 X 1337528 0 58522 EDGAR MASSABNI MD PHYSICIAN 40.00 X 850605 0 56478 ROBERT MACCANI PHYSICIAN 40.00 X 622188 0 50676 MICHELINE HYACINTHE PHYSICIAN 40.00 X 559215 0 27438 FRANCISCO GAMEZ MD PHYSICIAN 40.00 X 660806 0 45546 5346870 0 361697 65 0 1 0 ACL 6901 W LINCOLN AVE WEST ALLIS WI 53227 LABORATORY SERVICES (AURORA LAB) 5538767 AURORA HEALTH CARE PO BOX 343910 MILWAUKEE WI 53234 MANAGEMENT AND SERVICE FEES 1580919 SODEXO INC & AFFLILIATES 9801 WASHINGTONIAN BLVD GAITHERSBURG MD 20879 OUTSOURCED ENVIRONMENTAL SERVICES 1522372 VON BRIESEN & ROPER SC 411 E WISCONSIN AVE SUITE 1000 MILWAUKEE WI 53202 LEGAL FEES 648640 TRIMEDICS LLS 5451 LAKEVIEW PKWY S DRIVE INDIANAPOLIS IN 46268 WARRENTY/SERVICE AGREEMENTS 574459 27 133905 16305 150210 NET PATIENT REVENUE 900099 92082838 92082838 PHYSICIAN SERVICES - ABAMG & AURO 900099 17892567 17892567 OTHER MISCELLANEOUS ACTIVITIES 900099 5796870 259511 5537359 RETAIL PHARMACY 446110 2556042 2556042 SPACE LEASED FOR MEDICAL PURPOSES 621110 747679 747679 277587 277587 119353583 896405 896405 57245 67890 -10645 -10645 -10645 2297408 236493 0 393425 2297408 -156932 2140476 2140476 INTEREST RATE SWAP VALUATION ADJU 900099 -309345 -309345 -309345 122220684 110673250 2833629 8563595 1389704 1389704 45297732 37205530 8092202 2053809 1620391 433418 6204426 5018943 1185483 3645867 3020665 625202 629731 629731 478646 478646 145631 145631 170832 170832 11507697 7605881 3901816 628589 29580 599009 19151949 17488119 1663830 567438 567438 1111057 863328 247729 19343 17587 1756 161340 83836 77504 12192 12192 14619636 13083557 1536079 286192 219018 67174 REPAIRS AND MAINTENANCE 6080360 3660771 2419589 BAD DEBTS 2601897 2601897 WI HOSPITAL ASSESSMENT 2257528 2257528 104285 55210 49075 119125881 94844033 24136217 145631 2825 2825 14603775 27687642 12820512 14853812 2825244 2880951 1673388 1453422 226441439 105145126 66029669 121296313 79678974 45737008 16662000 17147000 2896407 2976101 197192794 234035074 10035266 10401974 39694881 85307661 11166667 10505442 60896814 106215077 X 135901960 126439276 394020 1380721 136295980 127819997 197192794 234035074 X 3094803 -941322 -10629464 X X 0 1 X 1 0 X 0 0 0 0 0 1 10287 0 0 0 10287 0 PART II-B, LINE 1: THE WHA AND AHA WORKS WITH, AND ON BEHALF OF, ITS MEMBERS TO REPRESENT AND ADVOCATE POLICY POSITIONS BEFORE THE CONGRESS, THE COURTS, THE WHITE HOUSE AND FEDERAL AGENCIES. THROUGH REPRESENTATION AND ADVOCACY, THE AHA ASSISTS ITS MEMBERS ON INITIATIVES AND CHANGES NEEDED TO FURTHER HOSPITALS' MISSION TO DELIVER HIGH-QUALITY, COST-EFFECIENT HEALTH CARE TO ALL AMERCIANS. PORTION OF AHA ($5,356) AND WHA ($4,931) DUES = $10,287. 5767724 5767724 73816052 67143135 6672917 689613 580169 109444 47950371 37421822 10528549 98217679 98217679 121296313 ACCRUED POSTRETIREMENT BENEFITS 1671856 DEFERRED COMPENSATION 859862 INTEREST RATE SWAP VALUATION 4880321 CAPITAL LEASE OBLIGATION 203332 AMOUNTS PAYABLE TO THIRD-PARTY REIMBURSEMENT PROGRAM 1373403 CONTINGENT MEMBER EQUITY CONTRIBUTION 1216668 REC CENTER NAMING RIGHTS 300000 10505442 X 119742905 124118 124118 119618787 2601897 2601897 122220684 116591874 67890 67890 116523984 2601897 2601897 119125881 PART X, LINE 2: BAY AREA IS A NONPROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAX ON RELATED INCOME PURSUANT TO SECTION 509(A)(2) OF THE CODE. IT IS ALSO EXEMPT FROM STATE INCOME TAX ON RELATED INCOME. BAY AREA IS ALSO ENGAGED, TO A LIMITED EXTENT, IN CERTAIN ACTIVITIES SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME (UBI). INCOME TAXES ON UBI ARE NOT SIGNIFICANT. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSE 67,890. NET ASSETS RELEASED FROM RESTRICTION 56,228. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 2,601,897. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 67,890. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 2,601,897. X X X 1 ACCORDANT PHILANTHROPY 105 TEAL NEST COURT PONTE VEDRA BEACH FL 32082 CAPITAL CAMPAIGN 0 386468 179637 206831 386468 179637 206831 WI 1 1 1 X 250.000000000000 0 1 1 0 1 1 965521 965521 0.00830 17487671 10087562 7400109 0.06350 18453192 10087562 8365630 0.07180 18453192 10087562 8365630 0.07180 1 1014740 22216565 26222887 -4006322 X 1 1 1 1 BAY AREA MEDICAL CENTER INC 3100 SHORE DRIVE MARINETTE WI 54143 WWW.BAMC.ORG 2419-800 X X X BAY AREA MEDICAL CENTER 1 0 0 1 X X X X X X X X X 16 1 0 0 1 X HTTPS://WWW.BAMC.ORG X 1 16 1 HTTPS://WWW.BAMC.ORG/MEDIA/1310/COMMUNITY-NEEDS-UPDATE-2016.PDF 0 1 X 250.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.BAMC.ORG/MEDIA/1013/FINANCIAL_BROCHURE.PDF X HTTPS://WWW.BAMC.ORG/MEDIA/1016/FINANCIAL_ASSISTANCE_APPLICATION_-_BAMC-ABA X HTTPS://WWW.BAMC.ORG/MEDIA/1013/FINANCIAL_BROCHURE.PDF X X X X X X 1 X 0 X X X X 1 X 0 0 BAY AREA MEDICAL CENTER PART V, SECTION B, LINE 5: BAMC UTILIZED THE HEALTH YOUTH COALITION, A TWIN COUNTY ORGANIZATION, THAT PROMOTES HEALTHY AND POSITIVE YOUTH DEVELOPMENT. A YOUTH SURVEY WAS CONDUCTED IN 2015 AND WAS DESIGNED TO IDENTIFY THE LEVELS OF RISK AND PROTECTIVE FACTORS THAT PREDICT PROBLEM BEHAVIORS SUCH AS ALCOHOL, TOBACCO, AND OTHER DRUG USE, POOR SCHOOL ACHIEVEMENT, AND DELINQUENCY. THE REPORT IDENTFIED THE RISK AND PROTECTIVE FACTORS MOST IN NEED OF ATTENTION IN THE COMMUNITY. BAMC WAS A PARTICIPANT IN THE TRI CITY UNITED WAY COMMUNITY CONVERSATIONS AND IN THE MARINETTE COUNTY COMMUNITY HEALTH IMPROVEMENT ASSESSMENT UPDATE. A BRIEF DESCRIPTION OF THESE INITIATIVES AND OTHER AGENCY RESEARCH EFFORTS ARE IN THE BAY AREA COMMUNITY HEALTH NEEDS ASSESSMENT REPORT.THE COUNTY HEALTH RANKINGS DEVELOPED BY THE UNIVERSITY OF WISCONSIN AND THE ROBERT WOOD JOHNSON FOUNDATION MEASURE THE HEALTH OF NEARLY ALL COUNTIES IN THE NATION AND RANK THEM WITHIN STATES. THE RANKINGS ARE COMPILED USING COUNTY-LEVEL MEASURES FROM A VARIETY OF NATIONAL AND STATE DATA SOURCES. THESE MEASURES ARE STANDARDIZED AND COMBINED USING SCIENTIFICALLY-INFORMED WEIGHTS. THIS IS EXTREMELY VALUABLE FOR THE BAMC EFFORT, GIVEN THAT OUR MARKET INVOLVES TWO COUNTIES IN TWO DIFFERENT STATES, WITH OFTENTIMES DIFFERENT DATA COLLECTION PROCESSES. THE COUNTY HEALTH RANKINGS MODEL, IDENTIFIED A SET OF MEASURES THAT AFFECT HEALTH FROM BOTH INSIDE AND OUTSIDE THE DOCTOR'S OFFICE. THE MODEL RECOGNIZES THAT WHERE PEOPLE LIVE, WORK, AND PLAY CAN HAVE A PROFOUND IMPACT ON THEIR HEALTH. BAY AREA MEDICAL CENTER PART V, SECTION B, LINE 11: THE BAY AREA MEDICAL CENTER COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), CONDUCTED IN 2016 TO EVALUATE THE HEALTH NEEDS OF INDIVIDUALS LIVING IN THE MARINETTE/MENOMINEE MARKET AREA. THE FOLLOWING THREE AREAS WERE DETERMINED TO BE THE HIGHEST PRIORITIES: SUBSTANCE ABUSE, ACCESS TO CARE, AND OBESITY.1. SUBSTANCE ABUSE - BAMC'S EFFORTS IN THIS AREA FOR THE NEXT 3 YEARS WILL BE TO: - CONTINUE TO FINANCIAL SUPPORT THE MAJOR INITIATIVES IN THE COMMUNITY THAT FOCUS ON DRUG ABUSE IN GENERAL AND PRESCRIPTION DRUG ABUSE SPECIFICALLY (THE HEALTH YOUTH COALITION, THE ANTI OPIATE TASK FORCE, AND UNITED WAY ACTION NOW - SUBSTANCE ABUSE TASK FORCE). - CONTINUE TO PROVIDE LEADERSHIP, RESOURCES, AND EXPERTISE IN THE PROGRAMS CURRENTLY SUPPORTED.- BECOME MORE INVOLVED AND FINANCIALLY SUPPORTIVE OF THE HEALTH YOUTH COALITION.- CONTINUE OUR PRESCRIPTION DRUG DROP PROGRAM AND EXPAND COMMUNITY ACCESS TO SAFE DRUG DISPOSAL OPTIONS.- SUPPORT THE TRI CITY HR GROUP'S EMPLOYEE AWARENESS PROGRAM DESIGNED TO BUILD AWARENESS AND EDUCATE EMPLOYEES ABOUT SUBSTANCE ABUSE.- USE MEDICAL STAFF LEADERSHIP TO RAISE AWARENESS AMONG PRESCRIBERS AROUND NEW STATE AND FEDERAL LAWS THAT IMPACT PRESCRIPTION PRACTICES.2. ACCESS TO CARE - BAMC HAS A VARIETY OF PROGRAMS ALREADY IN PLACE TO PROMOTE GREATER ACCESS TO CARE. BAMC'S CHARITABLE MISSION HAS ALWAYS INCLUDED A SIGNIFICANT FINANCIAL COMMITMENT TO THE UNDERINSURED AND UNINSURED. ONGOING AGGRESSIVE RECRUITMENT OF PRIMARY CARE PROVIDERS AND SPECIALTY CARE PROVIDERS. OUR FINANCIAL COUNSELOR PROGRAM IS DESIGNED TO SUPPORT AND BE A RESOURCE TO PATIENTS AND COMMUNITY MEMBERS THAT NEED ASSISTANCE WITH THE INSURANCE ENROLLMENT PROCESS. BAMC PLAYS A KEY ROLE IN PROMOTING FREE AND LOW-COST HEALTH RESOURCES AND SERVICES. WE ANTICIPATE A GREATER NEED FOR COMMUNITY EDUCATION IN LIGHT OF POTENTIAL CHANGES TO THE AFFORDABLE CARE ACT AND WHAT THOSE CHANGES COULD MEAN TO CURRENT HEALTH INSURANCE COVERAGES. FUTURE INITIATIVES INCLUDE: EXPANDED PROMOTION OF HEALTH EXCHANGE INFORMATION IN LIGHT OF THE POTENTIAL CHANGE TO THE AFFORDABLE CARE ACT, EXPAND ACCESS TO CARE WITH NEW CLINIC LOCATIONS INTO MARINETTE AND MENOMINEE COUNTY LOCATIONS, AND PROVIDE COMMUNITY EDUCATION ON HOW TO ACCESS HEALTH CARE AND IMPROVE DECISION MAKING SKILLS AMOUNG MEMBERS OF THE COMMUNITY. 3. OBESITY - BAMC LAUNCHED A HEALTH AND WELLNESS SERVICE LINE IN 2010, DEVOTED RESOURCES AND ATTENTION TO OUR EMPLOYEES, EMPLOYERS AND THE COMMUNITY. BAMC WILL CONTINUE TO PROMOTE IT'S ONGOING PROGRAMS LIKE: BIKE SAFETY PROGRAMS, EMPLOYER HEALTH FAIR/SCREENING PROGRAM, BAMC EMPLOYEE PROGRAMS, BAMC WATERFRONT RUN, BAMC MENOMINEE RIVER CENTURY BIKE RIDE, CARING HEARTS WALK, HIGH SCHOOL PHYSICALS AND WEIGHT LOSS PRGRAMS. BAMC WILL CONTINE TO FINANCIALLY SUPPORT SPONSORSHIPS OF AREA RUNS AND WALKS, SCHOOL SYSTEM PHYISCAL EDUCTION PROGRAMS, AND YMCA HEALTHY YOUTH PROGRAMS. FUTURE INITIATIVES INCLUDE PARTNERSHIPS WITH OTHER LOCAL ENTITIES ON OBESITY/EXERCISE PROGRAMS, EXPAND LOCAL HEALTH EVENTS IN THE COMMUNITY BY ADDING ONE ADDITIONAL EVENT PER YEAR, AND FOCUS ON SCHOOL CHILDREN BY PROVIDING EDUCATION TO PROMOTE HEALTH EATING AND LIFESTYLE HABITS. BAY AREA MEDICAL CENTER PART V, SECTION B, LINE 16J: A FINANCIAL BROCHURE IS OFFERED TO PATIENTS UPON REGISTRATION AND IS AVAILABLE ONLINE AT HTTPS://WWW.BAMC.ORG/MEDIA/1013/FINANCAIL_BROCHURE.PDF. BILLING STATEMENTS REFERENCE THE FAP POLICY AND INSTRUCTIONS ON WHO TO CONTACT TO RECEIVE FINANCIAL ASSISTANCE INFORMATION BUT DO NOT INCLUDE THE DETAILED POLICY. BAY AREA MEDICAL CENTER PART V, SECTION B, LINE 20E: BAY AREA PROCESSED COMPLETE FAP APPLICATIONS REFERRED TO IN LINE 20C. PART V, SECTION B, LINE 16I BAY AREA MEDICAL CENTER HAS TRANSLATORS AVAILABLE UPON REQUEST FOR NON-ENGLISH SPEAKING PATIENTS. 2 1 - BAY AREA MOBILITY CENTER 3117 SHORE DRIVE MARINETTE WI 54143 REHABILITATION SERVICES AND OCCUPATIONAL HEALTH 2 - BAY AREA REHAB SERVICES - CRIVITZ WI 218 S US HWY 141 SUITE 100 CRIVITZ WI 54114 REHABILITATION SERVICES AND OCCUPATIONAL HEALTH PART I, LINE 7: BAY AREA UTILIZES A COST TO CHARGE RATIO. PART I, LINE 7G: TWIN COUNTIES FREE CLINIC PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $2,601,897 PART III, LINE 2: BAY AREA MEDICAL CENTER UTILIZED A COST TO CHARGE RATIO FOR DETERMINING THE COST OF BAD DEBT EXPENSE. PART III, LINE 4: BAY AREA ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, BAY AREA ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THIRD-PARTY PAYORS HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO HAVE FINANCIAL DIFFICULTIES THAT MAKE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WITH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), BAY AREA RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. PART III, LINE 8: AMOUNTS ABOVE USE STANDARD MEDICARE DETERMINATION OF ALLOWABLE AND UNALLOWABLE DEPARTMENTS, STANDARD/RECOMMENDED MEDICARE ALLOCATION OF ADMINISTRATION AND GENERAL DEPARTMENTS COSTS TO ALLOWABLE AND UNALLOWABLE DEPARTMENTS BY THE USE OF BAY AREA MEDICAL CENTER'S MEDICARE COST REPORT. THE MEDICARE COST REPORT WAS CALCULATED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO FOLLOWS THE REGULATIONS FOR FILING THE MEDICARE COST REPORT. PART III, LINE 9B: BAY AREA MEDICAL CENTER WILL PROVIDE NEEDED HOSPITAL CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THESE SERVICES. COMMUNITY CARE IS ALLOCATED TO PATIENTS BASED ON SET GUIDELINES ESTABLISHED BY THE ORGANIZATION. A FULL OR PARTIAL ADJUSTMENT WILL BE DETERMINED BY COMPARING THE PATIENT'S FINANCIAL STATUS TO A SLIDING FEE SCHEDULE BASED ON THE MOST RECENTLY PUBLISHED FEDERAL POVERTY GUIDELINES.IT IS THE POLICY OF BAY AREA MEDICAL CENTER TO WRITE-OFF BOTH PARTIAL AND FULL PATIENT BALANCES FOR ACCOUNTS THAT QUALIFY FOR COMMUNITY CARE. THERE ARE NO FURTHER COLLECTIONS EFFORTS RELATED TO THOSE WHO QUALIFY FOR A FULL COMMUNITY CARE WRITE-OFF. PATIENTS THAT HAVE HAD PARTIAL WRITE-OFFS THAT DO NOT COOPERATE WITH COLLECTION EFFORTS ON THE BALANCES REMAINING WILL BE REFERRED TO A THIRD-PARTY COLLECTION AGENCY. IF STILL UNCOLLECTIBLE, THE PATIENT ACCOUNT WILL BE WRITTEN OFF TO BAD DEBT. PART VI, LINE 2: BAY AREA MEDICAL CENTER USES A BI-ANNUAL COMMUNITY SURVEY AND ALSO PARTICIPATES IN THE MARINETTE & MENOMINEE COUNTY HEALTH ASSESSMENT INITIATIVES. PART VI, LINE 3: - BROCHURES ARE PROVIDED TO EVERY PATIENT.- THE INFORMATION IS AVAILABLE ON THE ORGANIZATION'S WEBSITE.- ONE ON ONE MEETINGS WITH FINACIAL ADVISORS ARE ALSO AVAILABLE. PART VI, LINE 4: BAY AREA MEDICAL CENTER SERVES MARINETTE COUNTY, WI AND MENOMINEE COUNTY, MI. THERE ARE NO OTHER HOSPITALS LOCATED IN THESE COUNTIES. PART VI, LINE 5: - THE MAJORITY OF THE BAMC BOARD IS MADE UP OF RESIDENTS OF THE TWO COUNTIES IT SERVES. - BAMC HOSTS QUARTERLY MEETINGS WITH LOCAL MENTAL HEALTH PROFESSIONALS TO SUPPORT THIS INITIATIVE. WE ARE ALSO MEMBERS OF THE MICHIGAN HEALTHCARE CONSORTIUM IN THE UPPER PENINSULA.- ANY SURPLUS FUNDS ARE USED FOR IMPROVEMENTS TO THE FACILITY, EQUIPMENT, STAFF DEVELOPMENT AND PATIENT CARE. - BAMC PROVIDES DIRECT FINANCIAL SUPPORT TO THE TWIN COUNTIES FREE CLINIC. - BAMC HAS WORKING ARRANGEMENTS WITH A TWO YEAR TECHNICAL SCHOOL AND TWO YEAR COLLEGE TO OFFER NURSING AND OTHER MEDICAL PROFESSIONAL STUDENTS INTERNSHIPS IN THEIR PREPARATION FOR HEALTH CARE CAREERS. - BAMC PROVIDES SUPPORT TO LOCAL AREA VOLUNTEER RESCUE SQUAD UNITS THAT WORK WITH THE HOSPITAL-BASED AMBULANCE SERVICE.BAY AREA ACTIVELY PROVIDED OR PARTICIPATED IN THE FOLLOWING COMMUNITY-BASED ACTIVITIES AND PROGRAMS DURING 2016:- PROMOTED GENERAL HEALTH EDUCATION SERVICES SUCH AS HEALTH FAIRS, CANCER EDUCATION, HEALTHY HEART EDUCATION, AND HEALTHY EATING.- OFFERED HEALTH INFORMATION ON BAY AREA'S WEBSITE AND THROUGH HEALTH-RELATED PUBLICATIONS DISTRIBUTED AT NO CHARGE.- OFFERED BLOOD PRESSURE SCREENINGS, CHOLESTROL TESTING, GLUCOSE TESTING, BMD TESTING, AND INCONTINENCE SCREENINGS.- PROVIDED COLESTERAL CANCER SCREENINGS AND FREE MAMMOGRAMS.- PROVIDED ADVANCE DIRECTIVES AND LIVING WELL ASSISTANCE.- PROVIDED GUIDANCE, REFERRAL, AND ENROLLMENT ASSISTANCE FOR PUBLIC MEDICAL PROGRAMS, CERTIFIED COUNSELING FOR AFFORDABLE CARE ACT HEALTH EXCHANGE APPLICANTS, AND OTHER FAMILY SUPPORT ASSISTANCE.- PROVIDED SPACE AND FREE LAB TESTING AND DIAGONSTIC SERVICES TO SUPPORT A FREE COMMUNITY PHYSICIAN CLINIC.- PROVIDED EMERGENCY CAB FARE FOR PATIENTS WITH TRANSPORTATION NEEDS RELATED TO THEIR HEALTH CARE SERVICES.- PROMOTED PARTICIPATION IN BLOOD DRIVES BY EMPLOYEES AND THE GENERAL PUBLIC.- CONTRIBUTED TO THE EDUCATION OF STUDENT NURSES AND OTHER HEALTH CARE PROFESSIONALS.- SPONSORED AND ORGANIZED THE BAMC MENOMINEE RIVER CENTURY BIKE RIDE WHICH ATTRACTS OVER 1,000 RIDERS.- SPONSORED AND SUPPORTED CHAMBER OF COMMERCE AND EDUCATIONAL LEADERSHIP PROGRAMS.- PROVIDED ATHLETIC TRAINING SERVICES, CONCUSSION EVALUATIONS, AND SPORTS PHYSICALS TO AREA SCHOOL SYSTEMS AND SPORTS PROGRAMS.- PROVIDED FINANCIAL AND STAFF SUPPORT FOR COMMUNITY RUNS AND WALKS.-SPONSORED AND ORGANIZED THE BAMC WATERFRONT 5K/10K RUN, WHICH ATTRACTS OVER 400 RUNNERS.WHILE THERE IS A GROWING AGREEMENT IN THE UNITED STATES ABOUT WHAT CONSTITUTES A NON-PROFIT HOSPITAL'S "COMMUNITY BENEFIT," THIS IS A WORK IN PROGRESS. OUR HOSPITAL PROVIDES SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS. BUT IN ADDITION, WE BELIEVE THAT WE PROVIDE A CRITICALLY IMPORTANT COMMUNITY BENEFIT, WHICH IS NOT QUANTIFIED. OUR HOSPITAL, LIKE MOST RURAL HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY-CARE THAT WITHOUT OUR HOSPITAL, WOULD NOT BE AVAILABLE LOCALLY.BEYOND INPATIENT HOSPITALIZATIONS, WE PROVIDE LOCAL ACCESS TO MANY HEALTH SERVICES: AMBULANCE SERVICES, BIRTHING CENTER, DIAGNOSTICS, EMERGENCY SERVICES, INPATIENT CARE, LABORATORY SERVICES, OCCUPATIONAL HEALTH & REHABILITATION SERVICES, SURGICAL SERVICES AND WOMENS' SERVICES. PART VI, LINE 6: BAMC'S ROLE HAS NOT CHANGED SINCE IT IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. THE ROLE OF AURORA IS TO SUPPORT BAMC'S MISSION BY PROVIDING STATEGIC AND OPERATIONAL SUPPORT. PART VI, LINE 7, REPORTS FILED WITH STATES WI X X X X X 0 1 0 0 0 0 0 0 0 MATHEW HUFF CFO (TERMED 11/17) 226755 0 17940 0 556 0 5530 0 31274 0 282055 0 0 0 EDWARD HARDING CEO 590849 0 43768 0 3929 0 20250 0 31844 0 690640 0 0 0 BERNADINE VAN COURT COO 351468 0 25857 0 5544 0 20250 0 13889 0 417008 0 0 0 MICHAEL KARKKAINEN MD PHYSICIAN 799916 0 534000 0 3612 0 20250 0 38272 0 1396050 0 0 0 EDGAR MASSABNI MD PHYSICIAN 821031 0 26329 0 3245 0 20250 0 36228 0 907083 0 0 0 ROBERT MACCANI PHYSICIAN 595256 0 25000 0 1932 0 17322 0 33354 0 672864 0 0 0 MICHELINE HYACINTHE PHYSICIAN 538671 0 15000 0 5544 0 8100 0 19338 0 586653 0 0 0 FRANCISCO GAMEZ MD PHYSICIAN 603360 0 54971 0 2475 0 20250 0 25296 0 706352 0 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN AND RECEIVED PAYMENT FROM A NON-QUALIFIED RETIREMENT PLAN: CONTRIBUTIONS TO 457F PLAN: MICHAEL KARKKAINEN, M.D. $101,200; EDGAR MASSABNI, M.D. $46,000; FRANCISCO GAMEZ, M.D. $46,000; MICHELINE HYACINTHE, M.D $30,000; ROBERT MACCANI, M.D. $129,891; MATTHEW HUFF $21,925; EDWARD HARDING $96,442; BERNADINE VAN COURT $34,702. A WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337955 2015-12-17 85600000 NEW HOSPITAL CONSTRUCTION 0 0 0 A 85600000 103453 310000 85186547 0 0 0 1 A 0 0 0 0 0 0 1 A 0 0 0 0 1 0 0 0 1 A 0 FORM 990, SCHEDULE K, PART IV, LINE 3 IN DECEMBER 2015, THE WISCONSIN HEALTH AND EDUCATION FACILITIES AUTHORITY (THE "AUTHORITY") ISSUED FOR BAY AREA'S BENEFIT, $40,000,000 OF 2.565% FIXED RATE DEMAND REVENUE BONDS ("SERIES 2015A BONDS"), AND $45,600,000 OF VARIABLE INTEREST RATE DEMAND REVENUE BONDS ("SERIES 2015B BONDS") WHICH COLLECTIVELY REPRESENT THE SERIES 2015 BONDS. THE SERIES 2015 BONDS WILL BE USED TO FUND THE NEW HOSPITAL CONSTRUCTION. THE SERIES 2015 BONDS ARE PAYABLE SOLEY FROM LOAN PAYMENTS TO BE MAY BY BAY AREA PURSUANT TO THE LOAN AGREEMENT BETWEEN THE AUTHORITY AND BAY AREA. THE SERIES 2015A BONDS WERE FULLY DRAWN ON THE DATE OF ISSUANCE. PER THE DEBT AGREEMENT, THE SERIES 2015B BONDS WERE STRUCTURED AS A "DRAW-DOWN LOAN". THE SERIES 2015B BONDS PROCEEDS MUST BE FULLY DRAWN WITHIN 36 MONTHS OF ISSUANCE. THE AMOUNT DRAWN ON IN 2017 WAS $85,496,547. FORM 990, PART VI, SECTION A, LINE 6 IN 2014, BAMC AND AURORA HEALTH CARE NORTH, INC. NEGOTIATED AN ARRANGEMENT UNDER WHICH M&M AND AURORA BECAME THE SOLE MEMBERS OF BAMC. M&M HOLDS 51% OF THE VOTING INTERESTS IN BAMC AND AURORA HOLDS 49% OF THE VOTING INTERESTS. FORM 990, PART VI, SECTION A, LINE 7A BAY AREA MEDICAL CENTER'S BY-LAWS INDICATE THAT THE BOARD OF DIRECTORS OF THE CORPORATION SHALL BE NINE (9), FIVE OF WHOM SHALL BE APPOINTED BY M&M HEALTH CARE, INC. AND FOUR OF WHOM SHALL BY APPOINTED BY AURORA HEALTH CARE NORTH, INC. FORM 990, PART VI, SECTION A, LINE 7B THE CORPORATE MEMBERS HAVE RETAINED THE FOLLOWING RESERVED POWERS OVER THE CORPORATION SUCH THAT NONE OF SUCH ACTIONS MAY BE TAKEN BY THE CORPORATION WITHOUT THE UNANIMOUS APPROVAL OF ALL CORPORATE MEMBERS, AND THE CORPORATE MEMBERS, ACTING UNANIMOUSLY, MAY INITIATE AND TAKE SUCH ACTIONS: - TO CHANGE THE CORPORATION'S MISSION OR PURPOSE; - TO APPROVE ANY AMENDMENT TO THE ARTICLES OF INCORPORATION, BYLAWS OR OTHER GOVERNING DOCUMENTS OF THE CORPORATION, INCLUDING THE CONFLICT OF INTEREST, INSIDER TRASACTION, AND CONFIDENTIALITY POLICY ADOPTED BY THE THE BOARD OF DIRECTORS FROM TIME TO TIME; - TO APPROVE ALL MATTERS RELATING TO THE MEMBERSHIP OF THE CORPORATION OR ANY RIGHTS ARISING FROM SUCH MEMBERSHIP, INCLUDING THE ISSUING OF ADDITIONAL MEMBERSHIPS IN THE CORPORATION, RECLASSIFYING MEMBERSHIPS IN THE CORPORATION, CREATING A NEW CLASS OF MEMBERSHIP IN THE CORPORATION, BRINGING ON A NEW MEMBER OF THE CORPORATION, TRANSFERRING MEMBERSHIPS IN THE CORPORATION OR ANY RIGHTS ARISING THEREFROM OR REDEEMING MEMBERSHIPS IN THE CORPORATION OR ANY RIGHTS ARISING FROM THEREFROM; - TO APPROVE ANY INDEBTNESS FOR BORROWED MONEY TO BE INCURRED OR GUARANTEED ON BEHALF OF THE CORPORATION, EXCEPT THAT FINANCING FOR A FACILITY PLAN DEVELOPED IN 2014 OR 2015 AND APPROVED BY SUPER-MAJORITY BOARD APPROVAL DOES NOT REQUIRE THE UNANIMOUS APPROVAL OF ALL CORPORATE MEMBERS; - TO APPROVE CAPITAL LEASES IN EXCESS OF $3,000,000 IN THE AGGREGATE (AS DETERMINED BY TOTAL LEASE AND OTHER PAYMENTS); FORM 990, PART VI, SECTION B, LINE 11B THE CFO MAKES THE FORM 990 AVAILABLE ON SITE FOR ALL BOARD MEMBERS TO REVIEW PIOR TO WHEN THE FORM 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C BOARD OF DIRECTORS - PERSONS WITH ACTUAL OR POTENTIAL CONFLICTS OF INTEREST SHALL FILE FORMAL STATEMENTS DISCLOSING ACTUAL OR POTENTIAL CONFLICTS WHENEVER AN ACTUAL OR POTENTIAL CONFLICT ARISES; BEFORE ANY TRANSACTIONS CONSTITUTING A CONFLICT OR POTENTIAL CONFLICT IS CONSUMMATED; AND ONCE EACH CALENDAR YEAR SO LONG AS THE CONFLICT OR POTENTIAL CONFLICT CONTINUES TO EXIST. THE DISCLOSURE STATEMENT SHALL INCLUDE A DESCRIPTION OF THE RELATIONSHIP OR INTEREST CAUSING THE CONFLICT OR POTENTIAL CONFLICT, THE ROLE IN THE RELATIONSHIP OR TRANSACTION PLAYED BY THE PERSON HAVING THE CONFLICT, AND THE BENEFITS AND DETRIMENTS ACCRUING TO THE HOSPITAL AND TO THE PERSON HAVING THE CONFLICT AS A RESULT OF THE CONTRACT, TRANSACTION, OR RELATIONSHIP. ANY MEMBER OF THE BOARD OF DIRECTORS HAVING AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ON ANY MATTER SHALL NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER CONSITUTING A CONFLICT. THE INTERESTED DIRECTOR MAY, HOWEVER, BE COUNTED FOR THE PURPOSE OF DETERMING WHETHER A QUORUM OF THE BOARD, OR OF A COMMITTEE OF THE BOARD, EXISTS. THE MATTER CONSITUTING THE CONFLICT SHALL BE APPROVED IF IT IS APPROVED BY A MAJORITY OF DISINTERESTED DIRECTORS VOTING ON THE MATTER. THE CONFLICT OF INTEREST POLICY SHALL BE REVIEWED ANNUALLY FOR THE INFORMATION AND GUIDANCE OF THE BOARD OF DIRECTORS AND THAT ANY NEW MEMBERS OF THE SAID BOARD OF DIRECTORS BE ADVISED OF THE POLICY UPON ENTERING ON THE DUTIES OF HIS/HER OFFICE. IN ADDITION TO THE BOARD OF DIRECTORS BEING HELD TO THE CONFLICT OF INTEREST POLICY, COPIES OF THE POLICY ARE PROVIDED TO ALL MANAGEMENT EMPLOYEES. CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED ANNUALLY BY ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES. THE COMPLETED FORMS ARE KEPT ON FILE BY ADMINISTRATION. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTOR'S COMPENSATION COMMITTEE REVIEWS COMPARABLE COMPENSATION INFORMATION ON OTHER HOSPITALS AND ESTABLISHES BAMC'S EXECUTIVE COMPENSATION LEVELS. MEMBERS OF THE COMPENSATION COMMITTEE DO NOT HAVE A CONFLICT OF INTEREST AND THE CONCLUSIONS ARE SUBSTANTIATED. THE REVIEW PROCESS TAKES PLACE AT LEAST ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DEEMS THESE DOCUMENTS PROPRIETARY SO THEY ARE NOT MADE AVAILABLE TO THE PUBLIC, EXCEPT THAT THE AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FORM 990. FORM 990, PART VII, SECTION A, ROGER SNEATH THE ORGANIZATION REPORTED THE AMOUNT PAID TO R SNEATH ASSOCIATES, LLC ON THE LISTING OF OFFICERS AND DIRECTORS OF $49,862. THIS AMOUNT IS FOR MANAGEMENT SERVICES ROGER SNEATH PROVIDED TO THE ORGANIZATION. FORM 990, PART XI, LINE 9: INCREASE IN BENEFICIAL INTEREST IN BAMC FOUNDATION, INC. 1,120,123. CHANGE IN POSTRETIREMENT BENEFIT OBLIGATION OTHER THAN EXPENSE -61,966. RECLASSIFICATION OF ACCUMULATED LOSS ON DESIGNATED CASHFLOW HEDGE 38,645. MEMBER EQUITY CONTRIBUTION -15,197,514. EQUITY TRANSFER FROM WUPOMS 3,471,248. FORM 990, PART XI, LINE 2C THE PROCESS OF OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART IV, LINE 12 BAY AREA MEDICAL CENTER WAS AUDITED AS PART OF A CONSOLIDATED AUDIT. BAMC ASSETS MADE UP 99% OF TOTAL ASSETS IN THE CONSOLIDATED AUDIT. FORM 990, PART XI, LINE 2B AND 2C BAY AREA MEDICAL CENTER WAS AUDITED AS PART OF A CONSOLIDATED AUDIT. SEE EXPLANATION TO PART IV, LINE 12. BAY AREA MEDICAL CENTER FOUNDATION INC 3100 SHORE DRIVE MARINETTE WI 54143 392020734 FUNDRAISING FOR BAY AREA MEDICAL CENTER, INC. WI 501 (C) 3 LINE 12B, II M & M HEALTH CARE INC 1 WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES INC 3100 SHORE DRIVE MARINETTE WI 54143 391677100 PROVIDING RADIATION ONCOLOGY SERVICES WI 501 (C) 3 LINE 12B, II BAY AREA MEDICAL CENTER INC 1 M & M HEALTH CARE INC 3100 SHORE DRIVE MARINETTE WI 54143 471540754 OVERSEEING THE ACCOMPLISHMENTS OF BAY AREA MEDICAL CENTER, INC.'S MISSION WI 501 (C) 3 LINE 12B, II 0 AURORA BAY AREA MEDICAL GROUP LLC 3100 SHORE DRIVE MARINETTE WI 54143 473548414 PHYSICIAN SERVICES WI BAY AREA MEDICAL CENTER INC RELATED -16243347 4489150 0 0 0.73000 NORTHSHORE HEALTH NETWORK 3100 SHORE DRIVE MARINETTE WI 54143 271389366 MESSENGER MODEL FOR MANAGED CARE CONTRACTS WI BAY AREA MEDICAL CENTER INC C -76546 338000 1.00000 1 1 0 1 0 0 0 0 1 0 1 0 1 1 1 1 0 1 1 1 WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES H 113560 NET BOOK VALUE WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES J 105845 AGREEMENT WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES O 62430 AGREEMENT AURORA BAY AREA MEDICAL GROUP LLC INC J 20541316 AGREEMENT AURORA BAY AREA MEDICAL GROUP LLC INC R 15577723 CASH BAY AREA MEDICAL CENTER FOUNDATION INC C 133905 CASH