REEDSBURG AREA MEDICAL CENTER INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: REEDSBURG AREA MEDICAL CENTER INC (EIN 39-1091432)
Tax period: 2015-10-01 to 2016-09-30
Filed: 2017-08-01
IRS object ID: 201712139349300631
Schema version: 2015v3.0
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-08-01T09:54:14-05:00	ReturnTs
Tax Period End	2016-09-30	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	2015-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	391091432	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	REEDSBURG AREA MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	REED	BusinessNameControlTxt
Phone	6085246487	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2000 NORTH DEWEY AVENUE	AddressLine1Txt
City	REEDSBURG	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53959	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERT VAN MEETEREN	PersonNm
Person Title	PRESIDENT/CEO	PersonTitleTxt
Phone	6085246487	PhoneNum
Signature	2017-07-27	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

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ROBERT VAN MEETEREN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2000 NORTH DEWEY AVENUE	AddressLine1Txt
City	REEDSBURG	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53959	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$77,235,539	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.RAMCHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1967	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	PROVIDE QUALITY, COMPASSIONATE, & EFFECTIVE HEALTH CARE GOING BEYOND THE EXPECTED IN ALL WE DO.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	609	TotalEmployeeCnt
Total Volunteers	160	TotalVolunteersCnt
Total Gross UBI	$225,731	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$79,360	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$392,525	PYContributionsGrantsAmt
CY Contributions Grants	$799,098	CYContributionsGrantsAmt
PY Program Service Revenue	$63,510,734	PYProgramServiceRevenueAmt
CY Program Service Revenue	$69,597,620	CYProgramServiceRevenueAmt
PY Investment Income	$1,035,174	PYInvestmentIncomeAmt
CY Investment Income	$590,308	CYInvestmentIncomeAmt
PY Other Revenue	$979,577	PYOtherRevenueAmt
CY Other Revenue	$957,812	CYOtherRevenueAmt
PY Total Revenue	$65,918,010	PYTotalRevenueAmt
CY Total Revenue	$71,944,838	CYTotalRevenueAmt
PY Grants And Similar Paid	$571,349	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$613,660	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$32,324,150	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$35,720,498	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$29,100,472	PYOtherExpensesAmt
CY Other Expenses	$31,758,319	CYOtherExpensesAmt
PY Total Expenses	$61,995,971	PYTotalExpensesAmt
CY Total Expenses	$68,092,477	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,922,039	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,852,361	CYRevenuesLessExpensesAmt
Total Assets BOY	$76,894,045	TotalAssetsBOYAmt
Total Assets EOY	$79,021,118	TotalAssetsEOYAmt
Total Liabilities BOY	$30,938,693	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$28,088,096	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$45,955,352	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$50,933,022	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	REEDSBURG AREA MEDICAL CENTER, ALWAYS THERE, GOING BEYOND THE EXPECTED TO PROVIDE COMPASSIONATE, QUALITY, AND EFFICIENT HEALTH CARE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$54,428,310	ExpenseAmt
Grant	$613,660	GrantAmt
Revenue	$65,226,590	RevenueAmt
Desc	INPATIENT SERVICES INCLUDE MULTICARE (MEDICAL/SURGICAL), OBSTETRICS/NURSERY, AND INTENSIVE CARE UNITS AT REEDSBURG AREA MEDICAL CENTER (RAMC). WITHIN THESE UNITS, RAMC PROVIDED SHORT TERM CARE FOR 4,766 PATIENT DAYS (1,590 DISCHARGED PATIENTS) DURING THE FISCAL YEAR ENDING 9/30/16. THIS INCLUDED 144 SWING BED DAYS FOR 24 PATIENTS, 392 OBSERVATION DAYS AND 278 BIRTHS. THE STAFF AT RAMC IS COMMITTED TO MEETING PATIENTS' PHYSICAL, SOCIAL, EDUCATIONAL, EMOTIONAL, AND SPIRITUAL NEEDS. RAMC'S EMERGENCY AND URGENT CARE IS HERE FOR THE COMMUNITY WHENEVER THEY MAY NEED IT. URGENT CARE HAS HOURS OF AVAILABILITY FOR MINOR MEDICAL NEEDS SEVEN DAYS A WEEK AND THE EMERGENCY ROOM IS OPEN AND PHYSICIAN STAFFED 24 HOURS A DAY. IN THE FISCAL YEAR ENDING 9/30/16, 9,565 PATIENTS WERE SEEN IN THE EMERGENCY ROOM (RESULTING IN 972 INPATIENT ADMISSIONS) AND 4,891 PATIENTS VISITED URGENT CARE. WE BELIEVE THAT EVERYONE DESERVES ACCESS TO QUALITY HEALTH CARE, REGARDLESS OF THEIR INCOME LEVEL, AND OUR FOCUS REMAINS ON THE PATIENTS AND COMMUNITIES WE SERVE. WE ALSO BELIEVE THAT BEING A NON-PROFIT MEDICAL CENTER IS BOTH A PRIVILEGE AND AN OBLIGATION. EVERY DAY WE STRIVE TO BE A LEADER IN COMMUNITY HEALTH. BY MEETING, AND OFTEN EXCEEDING THAT EXPECTATION, RAMC IS STRENGTHENING OUR RELATIONSHIP WITH PATIENTS, VISITORS AND NEIGHBORING COMMUNITIES. BEING A COMMUNITY PARTNER IS AN AWESOME, BUT IMPORTANT TASK, ONE WE FEEL PRIVILEGED TO UPHOLD.AS IDENTIFIED IN OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, ACCESS TO MENTAL HEALTH CARE, SUBSTANCE ABUSE AND OBESITY ARE THE TOP THREE HEALTH PRIORITIES THAT RAMC WILL WORK TO ADDRESS. WE ARE COMMITTED TO MAKING POSITIVE IMPACTS IN THESE AREAS AND SHOW THIS THROUGH OUR COMMUNITY PARTNERSHIPS AND SUPPORT. RAMC IS COLLABORATING WITH COMMUNITY MEMBERS AND ORGANIZATIONS TO BEGIN WORK ON THE FORMATION OF A BOYS & GIRLS CLUB IN REEDSBURG, WHICH IS SET TO OPEN IN THE FALL OF 2017. BOYS AND GIRLS CLUB PROGRAMMING ALIGNS WITH ALL THREE IDENTIFIED HEALTH PRIORITIES, MAKING IT A NATURAL PARTNERSHIP WITH RAMC. WE HAVE JOINED FORCES WITH SAUK COUNTY DEPARTMENT OF HUMAN SERVICES, WHICH WAS RECENTLY AWARDED A ONE MILLION DOLLAR GRANT TO ADDRESS THE ISSUE OF DRUG ABUSE IN SAUK COUNTY AND RAMC CONTINUES TO SERVE AS A MEETING SITE FOR THE REEDSBURG BRANCH OF THE COMMUNITY ACTIVATED RECOVERY ENHANCEMENT (CARE) PROGRAM, WHICH IS A COLLECTIVE GROUP OF AGENCIES AND INDIVIDUALS THAT ASSIST THOSE SUFFERING FROM ADDICTIONS WITH BECOMING CLEAN AND SOBER AND ESTABLISHING LIFESTYLE SKILLS IN ORDER TO BECOME A SUSTAINABLE MEMBER OF THE COMMUNITY. WE ARE ALSO PARTNERING WITH SAUK COUNTY IN LOCAL SUICIDE PREVENTION COALITIONS. IN ADDITION, RAMC SUPPORTS MANY LOCAL EVENTS AND ACTIVITIES DESIGNED TO HELP ENCOURAGE HEALTHY LIFESTYLES AND CHOICES, SUCH AS THE PINEVIEW ELEMENTARY SCHOOL GARDEN PROGRAM, REEDSBURG PARKS & RECREATION TRIATHLON, VEST FEST HALF MARATHON/5K/1-MILE RUN, RUN FOR THE BUTTER AND VARIOUS YOUTH SPORTING OPPORTUNITIES.DURING THE FISCAL YEAR ENDING 9/30/16, RAMC HAS DEMONSTRATED OUR COMMITMENT TO ENSURING QUALITY HEALTHCARE IS ALWAYS AVAILABLE CLOSE TO HOME THROUGH THE ADDITION OF PROVIDERS AND CONTINUED SUPPORT OF COMMUNITY WELLNESS PROGRAMS. RAMC EXPANDED AVAILABILITY OF FOOT AND ANKLE SERVICES WITH THE ADDITION OF DR. ELIZABETH BAKER, DPM TO OUR PODIATRY TEAM; DERMATOLOGY SERVICES WITH THE ADDITION OF PHYSICIAN ASSISTANT, SARAH MOTL; AND FAMILY PRACTICE SERVICES WITH THE ADDITION OF GINA DEGIOVANNI, MD TO OUR PHYSICIANS GROUP CLINIC. OTHER SERVICES AVAILABLE TO MEET THE COMMUNITY'S HEALTH NEEDS INCLUDE, BUT ARE NOT LIMITED TO, LABORATORY, PHYSICAL, CARDIAC AND PULMONARY REHABILITATION, SLEEP MEDICINE, SURGICAL SERVICES, CONSULTING SERVICES, MASSAGE THERAPY, ORTHOPEDICS, OBSTETRICS, PARISH NURSING, CHEMOTHERAPY, AUDIOLOGY, FAMILY PRACTICE CLINIC, COMMUNITY PHARMACY, GYNECOLOGY, DIABETIC EDUCATION, MEDICAL IMAGING, NUTRITION SERVICES, OCCUPATIONAL HEALTH, RESPIRATORY THERAPY, VOLUNTEER SERVICES, COMMUNITY OUTREACH AND WELLNESS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$3,658,190	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$4,371,030	RevenueAmt
Desc	REEDSBURG AREA MEDICAL CENTER COMMUNITY PHARMACY IS CONVENIENTLY LOCATED ON THE RAMC CAMPUS WITHIN THE PHYSICIANS GROUP. TRADITIONALLY KNOWN FOR ITS CONVENIENCE FOR PATIENTS, RAMC COMMUNITY PHARMACY IS OPEN TO ALL MEMBERS OF THE PUBLIC. PATIENTS CAN FILL NEW PRESCRIPTIONS IN THE PHARMACY SO THEY DON'T NEED TO STOP ON THE WAY HOME AND THE CONVENIENT HOURS MAKES IT EASY TO CALL IN AND PICK UP REFILLS. IN ADDITION TO FILLING PRESCRIPTIONS, THE PHARMACY OFFERS AN EXTENSIVE ARRAY OF OVER-THE-COUNTER MEDICATIONS, VITAMINS AND SUPPLEMENTS, FIRST AID NEEDS AND PERSONAL ITEMS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$58,086,500	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	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	0	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	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	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	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	53	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	609	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
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	0	InvestmentInJointVentureInd
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	BARRY BORCHERT	PersonNm
Phone	6085246487	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2000 NORTH DEWEY AVENUE	AddressLine1Txt
City	REEDSBURG	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53959	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
KURT MUCHOW
CHAIRPERSON	0.50	Yes (X)	Yes (X)	$2,100	$0	$0
DAN KLAHN
VICE CHAIR	0.50	Yes (X)	Yes (X)	$2,150	$0	$0
ERIC SAUEY
TREASURER	0.50	Yes (X)	Yes (X)	$1,750	$0	$0
KONYA ANTONETTI
SECRETARY	0.50	Yes (X)	Yes (X)	$1,350	$0	$0
BOB BASS
TRUSTEE	0.50	Yes (X)		$2,250	$0	$0
JAY BRUNKEN
TRUSTEE	0.50	Yes (X)		$800	$0	$0
DEREK HORKAN
TRUSTEE	0.50	Yes (X)		$600	$0	$0
JAMES SEBRANEK
TRUSTEE	0.50	Yes (X)		$2,050	$0	$0
MARY BETH SHEAR MD
TRUSTEE	0.50	Yes (X)		$5,360	$0	$0
RAYNELLE SYFTESTAD
TRUSTEE	0.50	Yes (X)		$650	$0	$0
PAMELA WELCH
TRUSTEE	0.50	Yes (X)		$1,700	$0	$0
CHRIS WENNINGER MD
MEDICAL ADVISOR	0.50	Yes (X)		$6,080	$0	$0
BARRY BORCHERT
CFO	40.00		Yes (X)	$171,676	$0	$32,092
BOB VAN MEETEREN
PRESIDENT/CEO	40.00		Yes (X)	$326,219	$0	$80,673
DEAN FOCHIOS MD
ORTHOPEDIC SURGEON	40.00			$495,934	$0	$60,765	Yes (X)
KEVIN HIBBETT MD
GENERAL SURGEON	40.00			$401,594	$0	$41,512	Yes (X)
CHRISTOPHER ECKERMAN
PODIATRIST	40.00			$427,787	$0	$54,179	Yes (X)
CHRISTOPHER BJORKLUND
CRNA	40.00			$298,418	$0	$59,067	Yes (X)
KEVIN MCBRIDE
CRNA	40.00			$300,086	$0	$59,081	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,448,554	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$387,369	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	32	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
WEBER ORTHOPEDICS
922 OTT LANE	BARABOO	WI	53913	ORTHOPEDIC SURGEON	$841,040
CLIFTONLARSONALLEN LLP
220 SOUTH 6TH STREET SUITE 300	MINNEAPOLIS	MN	55402	ACCOUNTING / CONSULTING	$109,509

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	2	CntrctRcvdGreaterThan100KCnt
Government Grants	$799,098	GovernmentGrantsAmt
Total Contributions	$799,098	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621400	$64,990,593	$64,990,593
PHARMACY REVENUE	446110	$4,371,030	$4,145,299	$225,731
CAFETERIA REVENUE	722310	$235,997	$235,997

Field	Value	IRS element (for citing)
Total Program Service Revenue	$69,597,620	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$347,421	TotalRevenueColumnAmt
Exclusion	$347,421	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$345,896	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$345,896	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$345,896	TotalRevenueColumnAmt
Exclusion	$345,896	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$5,524,572	SecuritiesAmt
Other	$9,016	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,283,549	SecuritiesAmt
Other	$7,152	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$241,023	SecuritiesAmt
Other	$1,864	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$242,887	TotalRevenueColumnAmt
Exclusion	$242,887	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
MEAL REVENUE	722310	$519,355	$519,355
OTHER REVENUE	900099	$92,561	$92,561

Field	Value	IRS element (for citing)
Other Revenue Total	$611,916	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$71,944,838	TotalRevenueColumnAmt
Related Or Exempt Func Income	$69,371,889	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$225,731	UnrelatedBusinessRevenueAmt
Exclusion	$1,548,120	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$422,489	TotalAmt
Program Services	$422,489	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$191,171	TotalAmt
Program Services	$191,171	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$688,017	TotalAmt
Management And General	$688,017	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$26,629,494	TotalAmt
Program Services	$22,707,669	ProgramServicesAmt
Management And General	$3,921,825	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,069,644	TotalAmt
Program Services	$912,476	ProgramServicesAmt
Management And General	$157,168	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,523,606	TotalAmt
Program Services	$4,670,657	ProgramServicesAmt
Management And General	$852,949	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,809,737	TotalAmt
Program Services	$1,509,813	ProgramServicesAmt
Management And General	$299,924	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$196,872	TotalAmt
Management And General	$196,872	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$61,485	TotalAmt
Management And General	$61,485	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$4,518	TotalAmt
Management And General	$4,518	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$11,057,404	TotalAmt
Program Services	$9,265,161	ProgramServicesAmt
Management And General	$1,792,243	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$350,798	TotalAmt
Management And General	$350,798	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,038,912	TotalAmt
Program Services	$727,325	ProgramServicesAmt
Management And General	$311,587	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$226,222	TotalAmt
Management And General	$226,222	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$910,154	TotalAmt
Program Services	$900,971	ProgramServicesAmt
Management And General	$9,183	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$212,779	TotalAmt
Program Services	$142,577	ProgramServicesAmt
Management And General	$70,202	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$675,295	TotalAmt
Program Services	$675,295	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,613,631	TotalAmt
Program Services	$2,613,631	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$261,960	TotalAmt
Management And General	$261,960	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$10,775,649	$10,775,317	$332
REPAIRS & MAINTENANCE	$1,108,871	$1,066,807	$42,064
BAD DEBT EXPENSE	$605,580	$605,580
FOOD	$548,647	$522,955	$25,692

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,109,542	TotalAmt
Program Services	$376,606	ProgramServicesAmt
Management And General	$732,936	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$68,092,477	TotalAmt
Program Services	$58,086,500	ProgramServicesAmt
Management And General	$10,005,977	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$58,334	BOYAmt
EOY	$55,027	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,213,281	BOYAmt
EOY	$5,449,291	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,254,199	BOYAmt
EOY	$11,104,408	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,453,819	BOYAmt
EOY	$2,227,750	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$554,793	BOYAmt
EOY	$629,837	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$61,565,735	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$32,723,473	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$29,636,688	BOYAmt
EOY	$28,842,262	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$23,574,477	BOYAmt
EOY	$26,169,747	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$93,576	BOYAmt
EOY	$91,762	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,136,000	BOYAmt
EOY	$1,136,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,918,878	BOYAmt
EOY	$3,315,034	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$76,894,045	BOYAmt
EOY	$79,021,118	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$8,001,833	BOYAmt
EOY	$7,309,774	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	-$11,204	BOYAmt
EOY	-$13,135	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,835,837	BOYAmt
EOY	$15,508,916	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,116,110	BOYAmt
EOY	$3,568,955	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$894,000	BOYAmt
EOY	$596,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,102,117	BOYAmt
EOY	$1,117,586	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$30,938,693	BOYAmt
EOY	$28,088,096	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$44,445,961	BOYAmt
EOY	$49,324,497	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,509,391	BOYAmt
EOY	$1,608,525	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$45,955,352	BOYAmt
EOY	$50,933,022	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$76,894,045	BOYAmt
EOY	$79,021,118	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,852,361	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$982,013	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$143,296	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 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	$4,518	OtherActivitiesAmt
Total Lobbying Expenditures	$4,518	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	REEDSBURG AREA MEDICAL CENTER(RAMC) PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING. THE AHA AND WHA HAVE NOTIFIED RAMC THAT $4,518 OF THE ANNUAL DUES PAID WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITY WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$40,346,488	OtherCostOrOtherBasisAmt
Depreciation	$17,122,658	DepreciationAmt
Book Value	$23,223,830	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$876,333	OtherCostOrOtherBasisAmt
Depreciation	$452,788	DepreciationAmt
Book Value	$423,545	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,505,174	OtherCostOrOtherBasisAmt
Depreciation	$15,148,027	DepreciationAmt
Book Value	$4,357,147	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$811,037	OtherCostOrOtherBasisAmt
Book Value	$811,037	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$28,842,262	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DEFERRED COMPENSATION	Desc
Amt	$1,117,586	Amt

Field	Value	IRS element (for citing)
Total Liability	$1,117,586	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE CORPORATIONS ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS. THE CORPORATIONS RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED BENEFITS IN 2016 AND 2015.	ExplanationTxt

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	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
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)
Persons Served	150	PersonsServedCnt
Total Community Benefit Expns	$909,466	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$909,466	NetCommunityBenefitExpnsAmt
Total Expense	0.01340	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	1450	PersonsServedCnt
Total Community Benefit Expns	$7,303,493	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,382,302	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,921,191	NetCommunityBenefitExpnsAmt
Total Expense	0.02820	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	1600	PersonsServedCnt
Total Community Benefit Expns	$8,212,959	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,382,302	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,830,657	NetCommunityBenefitExpnsAmt
Total Expense	0.04160	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	22735	PersonsServedCnt
Total Community Benefit Expns	$342,184	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,057	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$291,127	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	146	PersonsServedCnt
Total Community Benefit Expns	$218,504	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$218,504	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	100	PersonsServedCnt
Total Community Benefit Expns	$7,728,342	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,574,989	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,153,353	NetCommunityBenefitExpnsAmt
Total Expense	0.03160	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	4290	PersonsServedCnt
Total Community Benefit Expns	$451,060	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$451,060	NetCommunityBenefitExpnsAmt
Total Expense	0.00660	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	27271	PersonsServedCnt
Total Community Benefit Expns	$8,740,090	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,626,046	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,114,044	NetCommunityBenefitExpnsAmt
Total Expense	0.04570	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	28871	PersonsServedCnt
Total Community Benefit Expns	$16,953,049	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,008,348	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,944,701	NetCommunityBenefitExpnsAmt
Total Expense	0.08730	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	1400	PersonsServedCnt
Total Community Benefit Expns	$16,426	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,426	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Persons Served	400	PersonsServedCnt
Total Community Benefit Expns	$50,493	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$50,493	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Persons Served	200	PersonsServedCnt
Total Community Benefit Expns	$7,876	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,876	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Persons Served	5100	PersonsServedCnt
Total Community Benefit Expns	$16,039	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,039	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	7100	PersonsServedCnt
Total Community Benefit Expns	$90,834	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$90,834	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$605,580	BadDebtExpenseAmt
Reimbursed By Medicare	$11,767,967	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$15,809,724	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,041,757	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	REEDSBURG AREA MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2000 NORTH DEWEY AVENUE	AddressLine1Txt
City	REEDSBURG	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53959	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.RAMCHEALTH.COM	WebsiteAddressTxt
State License	1057	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	PROVIDER BASED CLINIC AND SPECIALTY CLINIC	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	REEDSBURG AREA MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	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	HTTP://RAMCHEALTH.COM/MEDIA/267356/CHNA-16.PDF	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://RAMCHEALTH.COM/MEDIA/267356/CHNA-16.PDF	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
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	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
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
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://RAMCHEALTH.COM/PATIENTS-VISITORS/PATIENT-RESOURCES/FINANCIAL-ASSISTA	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://RAMCHEALTH.COM/PATIENTS-VISITORS/PATIENT-RESOURCES/FINANCIAL-ASSISTA	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://RAMCHEALTH.COM/PATIENTS-VISITORS/PATIENT-RESOURCES/FINANCIAL-ASSISTA	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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
REEDSBURG AREA MEDICAL CENTER	PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS INCLUDED A VARIETY OF DATA COLLECTION METHODS USED TO CREATE AN OVERALL DESCRIPTION OF THE ISSUES FACING THE COMMUNITY. THESE METHODS WERE DEVELOPED TO SEEK INPUT FROM DIVERSE COMMUNITY STAKEHOLDERS AS WELL AS GENERAL COMMUNITY MEMBERS AND INCLUDED:1. HEALTH NEEDS ASSESSMENT SURVEYS: THESE ONLINE SURVEYS WERE CONDUCTED OVER A PERIOD OF 40 DAYS, USING A 107 QUESTION SURVEY, WITH A TOTAL OF 1,324 RESPONSES. THE TOPICS INCLUDED: DEMOGRAPHICS, COMMUNITY HEALTH PERCEPTIONS, HEALTH CARE ACCESS, CHRONIC DISEASE, PHYSICAL ACTIVITY, NUTRITION, ABUSE, SAFETY, ALCOHOL AND DRUG USE, AND COMMUNITY RESILIENCY. SURVEY DATA WAS DISCUSSED WITH THE SAUK COUNTY HEALTH AND WELLNESS COALITION STEERING COMMITTEE AND THE KEY INFORMANTS (EXPLAINED BELOW).2. FOCUS GROUPS: THESE GROUPS TARGETED THE ELDERLY POPULATION AND THE HISPANIC COMMUNITY, AS THESE GROUPS WERE NOT WELL REPRESENTED IN THE SURVEY RESPONDENTS. THERE WAS A LIST OF 14 QUESTIONS REGARDING THEIR PERCEPTION OF THE HEALTH OF THE COMMUNITY, WITH TOPICS COVERING: COMMUNITY HEALTH, ACCESS TO HEALTH CARE, HEALTH LITERACY, HEALTH PROBLEMS, AND FOOD SECURITY. THE ELDERLY POPULATION WAS ASKED AN ADDITIONAL SIX QUESTIONS ABOUT SPECIFIC ISSUES ELDERLY PEOPLE FACE, AVAILABILITY OF RESOURCES, KNOWLEDGE OF THE ADRC, AND VACCINATION RATES.3. KEY INFORMANTS: THERE WERE 208 MEMBERS OF THE SAUK COUNTY COMMUNITY INVITED TO A KEY INFORMANTS MEETING, OF WHICH 40 ATTENDED. DATA FROM THE SURVEYS AND FOCUS GROUPS WAS PRESENTED BASED ON THE FOLLOWING TEN CATEGORIES: ACCESS TO HIGH-QUALITY HEALTH SERVICES (INCLUDING DENTAL AND MENTAL HEALTH); EMERGENCY PREPAREDNESS, RESPONSE, AND RECOVERY; HEALTH LITERACY; ADEQUATE, APPROPRIATE, AND SAFE FOOD, NUTRITION, & PHYSICAL ACTIVITY; ALCOHOL, DRUG, AND TOBACCO USE; CHRONIC DISEASE PREVENTION AND MANAGEMENT; COMMUNICABLE DISEASE PREVENTION AND CONTROL; ENVIRONMENTAL AND OCCUPATIONAL HEALTH; HEALTHY GROWTH/DEVELOPMENT AND REPRODUCTIVE/SEXUAL HEALTH; INJURY AND VIOLENCE. THE KEY INFORMANTS THEN DETERMINED THE TOP 3 TOPICS THAT THEY FELT SHOULD BE A PRIORITY. THE HEALTH DEPARTMENT STAFF THEN USED THAT DATA TO SET THE PRIORITIES.
REEDSBURG AREA MEDICAL CENTER	PART V, SECTION B, LINE 6A: INCLUDED AS MEMBERS OF THE SAUK COUNTY HEALTH & WELLNESS COALITION ARE ST. CLARE HOSPITAL, BARABOO AND SAUK PRAIRIE HEALTHCARE
REEDSBURG AREA MEDICAL CENTER	PART V, SECTION B, LINE 6B: INCLUDED AS MEMBERS OF THE SAUK COUNTY HEALTH & WELLNESS COALITION ARE THE SAUK COUNTY HEALTH DEPARTMENT AND UW-EXTENSION, SAUK COUNTY.
REEDSBURG AREA MEDICAL CENTER	PART V, SECTION B, LINE 11: IN THE MOST RECENTLY COMPLETED CHNA, RAMC IDENTIFIED ACCESS TO MENTAL HEALTH, DRUG USE AND ABUSE, AND OBESITY AS THE TOP THREE PRIORITY AREAS CURRENTLY FACING THE COMMUNITY IT SERVES. MULTIPLE STEPS HAVE BEEN TAKEN AND STRATEGIES IMPLEMENTED TO ADDRESS THESE ISSUES AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY. PROPOSED ACTION PLAN1. ACCESS TO MENTAL HEALTH:A. PARTNER WITH SAUK COUNTY IN LOCAL SUICIDE PREVENTION COALITIONS.B. PARTICIPATE IN A QUESTION, PERSUADE, AND REFER (QPR) TRAINING PROGRAM IN CONJUNCTION WITH SAUK COUNTY HEALTH DEPARTMENT.C. CONDUCT AN ANNUAL DAY CAMP FOR KIDS THAT PROVIDES TOOLS FOR COPING WITH THE EFFECTS OF DRUGS OR ALCOHOL IN THEIR LIVES, IN EARLY 2017.D. CREATE COMMUNITY AWARENESS OF MENTAL HEALTH ISSUES WITH RADIO, NEWSLETTER & PRINT ARTICLES.E. PARTNER WITH VARIOUS COMMUNITY AGENCIES AND THE REEDSBURG SCHOOL DISTRICT ON EDUCATIONAL OUTREACH DEALING WITH MENTAL HEALTH, SUICIDE AND ALCOHOL & DRUG ABUSE AWARENESS IN STUDENTS.F. WORK COLLABORATIVELY TO BRING A BOYS AND GIRLS CLUB TO REEDSBURG.G. PARTNER WITH THE SAUK COUNTY HEALTH AND WELLNESS COALITION STEERING COMMITTEE TO IDENTIFY LOCAL PARTNERS TO BUILD A MENTOR/ROLE MODEL PROGRAM PROVIDING COACHING ON APPROPRIATE COMMUNICATION AND OTHER SOCIALLY ACCEPTABLE BEHAVIORS AND SKILLS.2. DRUG USE AND ABUSE:A. CONTINUE TO PARTNER WITH THE SAUK COUNTY HEALTH & WELLNESS COALITION TO BRING SPEAKERS, TREATMENT & RECOVERY INFORMATION TO OUR COMMUNITY, ESPECIALLY OUR SCHOOLSB. PARTNER WITH THE SAUK COUNTY DEPARTMENT OF HUMAN SERVICES, WHICH WAS RECENTLY AWARDED A ONE MILLION DOLLAR GRANT TO ADDRESS THE ISSUE OF DRUG ABUSE IN SAUK COUNTY. THE GRANT WILL BE EXPANDING THE CURRENT VIVITROL. PROGRAM AND ESSENTIALLY CREATE A MODEL FOR ADDRESSING ALCOHOL AND DRUG PROBLEMS THROUGHOUT THE COUNTY.C. HAVE SEVERAL RAMC EMPLOYEES SERVE ON THE C.A.R.E. (COMMUNITY ACTIVATED RECOVERY ENHANCEMENT) COALITION THAT IS BEING FORMED FOR REEDSBURG, AND ATTEND MONTHLY MEETINGS. - THE MISSION OF C.A.R.E. IS A COLLECTIVE GROUP OF AGENCIES, ORGANIZATIONS AND INDIVIDUALS THAT ASSIST THOSE SUFFERING FROM ADDICTIONS WITH BECOMING CLEAN AND SOBER AND ESTABLISHING LIFESTYLE SKILLS IN ORDER TO BECOME A SUSTAINABLE MEMBER OF THE COMMUNITY. - COMMUNITY STAKEHOLDERS INCLUDE PHYSICIANS, ATTORNEYS, PHARMACISTS, SAUK COUNTY HEALTH DEPARTMENT, HUMAN SERVICES DEPARTMENT, AND LAW ENFORCEMENT, STATE LEGISLATORS, PUBLIC DEFENDERS, COUNTY SUPERVISORS, PHARMACISTS, RN'S, ADDICTION RECOVERY ASSOCIATES & UW-EXTENSION.3. OBESITY:A. WORK COLLABORATIVELY TO BRING A BOYS AND GIRLS CLUB TO REEDSBURGB. BY DECEMBER 31, 2016, RAMC WILL PARTNER WITH THE SAUK COUNTY HEALTH AND WELLNESS COALITION STEERING COMMITTEE TO EXPAND THE MEMBERSHIP TO INCLUDE SCHOOLS, CITIZEN MEMBERS, AND PHILANTHROPIC ORGANIZATIONS.C. BY DECEMBER 31, 2017, DEVELOP A COUNTY WIDE CALENDAR OF EXERCISE AND NUTRITIONAL EVENTS AVAILABLE ON SOCIAL MEDIA OUTLETS OF THE SAUK COUNTY HEALTH AND WELLNESS COALITION STEERING COMMITTEE.D. PARTICIPATE IN COMMUNITY-BASED AND BUSINESS-SPECIFIC HEALTH FAIRS.E. HONOR REQUESTS FROM COMMUNITY ORGANIZATIONS FOR SPEAKERS AT HEALTHY LIFESTYLE PRESENTATIONS.F. CREATE COMMUNITY AWARENESS OF RAMC'S HEALTH4U OVERWEIGHT AND OBESITY PROGRAM THROUGH RADIO AND PRINT ADVERTISING.G. PARTNER WITH THE REEDSBURG SCHOOL DISTRICT IN CONTINUING THEIR SCHOOL GARDEN DURING THE SCHOOL YEAR AND SUMMER TIME, AS WELL AS PROVIDING HEALTHY OPTIONS AND RECIPES FOR FAMILIES.H. EDUCATE THE COMMUNITY ON THE BENEFITS OF HEALTHY EATING AT LOCATIONS LIKE HEALTH FAIRS AND GROCERY STORES.I. WRITE ARTICLES PROMOTING FITNESS IN THE COMMUNITY AND IN-HOUSE.J. CONTINUE TO SUPPORT AND FUND THE SCHOOL DISTRICT S WALKING PROGRAM TITLED "WALKING CLUB" FOR ALL SCHOOL CHILDREN AT ALL 5 ELEMENTARY SCHOOLS.K. CONTINUE TO PROVIDE A FREE SUMMER WALKING PROGRAM FOR FAMILIES.L. CONTINUE TO HOST RAMC S ANNUAL KIDS FIT & SAFE DAY.NEEDS NOT BEING ADDRESSEDTHERE IS NO LIMIT TO THE NUMBER OF ISSUES TO WHICH A HEALTHCARE INSTITUTION COULD DEVOTE RESOURCES. TIME, PEOPLE, AND MONEY OFTEN ARE LIMITING FACTORS FOR WHY WE CANNOT DO MORE. HOWEVER, PREVAILING WISDOM SUGGESTS AN ORGANIZATION LIKE RAMC MUST FOCUS ON A FEW HIGH PRIORITY PROJECTS AND MAKE EVERY EFFORT TO AVOID DUPLICATION AND ENCOURAGE COLLABORATION AND COORDINATION WITH OTHER ORGANIZATIONS AND COMMUNITY GROUPS. AS RAMC ASSESSED UNMET HEALTH NEEDS AND DETERMINED ITS PRIORITIES, WE ALSO EVALUATED THOSE ISSUES WE COULD NOT ADDRESS OR WERE BEING ADDRESSED BY OTHERS.A. HIGH RATES OF UNINTENTIONAL INJURY AND TRAFFIC CRASHES ARE BEING ADDRESSED BY OTHERS INCLUDING LAY ENFORCEMENT AND STATE LEVEL EXPERTS THROUGH INITIATIVES SUCH AS MANDATORY SEAT BELT LAWS, SPEED LIMIT ENFORCEMENT, AND "NO TEXTING WHILE DRIVING" LAWS. AS A RURAL COMMUNITY, FARM SAFETY CONTINUES TO BE A PRIORITY WHICH THE HOSPITAL CONTINUES TO ADDRESS BY SUPPORTING ANNUAL EVENTS LIKE RURAL SAFETY DAY.B. SMOKING/TOBACCO USE IS BEING ADDRESSED BY RAMC THROUGH OUR "SIT TO QUIT" MINDFULNESS CESSATION PROGRAM. IT IS ALSO BEING ADDRESSED BY OTHERS WITHIN THE COMMUNITY, INCLUDING HEALTH EXPERTS AT A STATE LEVEL, THROUGH THE IMPLEMENTATION OF A STATEWIDE SMOKING BAN, EFFECTIVE JULY 2010, AND REMEDIATION PROGRAMS. SINCE 2012, THE PERCENTAGE OF ADULT SMOKERS IN SAUK COUNTY HAS DECREASED.C. MALNUTRITION IS AN ISSUE THAT IS ALREADY BEING ADDRESSED IN THE COMMUNITY. SCHOOL DISTRICTS ARE OFFERING MORE PROGRAMS TO BRING FOOD TO CHILDREN YEAR ROUND. FOOD PANTRIES IN THE COMMUNITY ARE CONSTANTLY BEING REFRESHED TO SUPPLY HEALTHY OPTIONS.
REEDSBURG AREA MEDICAL CENTER	PART V, SECTION B, LINE 20E: RAMC WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. SUCH EFFORTS INCLUDE: WAITING 120 DAYS FROM THE FIRST POST-DISCHARGE BILLING STATEMENT; VALIDATION OF THE BALANCE OWED AND THAT ALL SOURCES OF PAYMENT HAVE BEEN IDENTIFIED AND BILLED BY RAMC; DOCUMENTATION OF THE ATTEMPT TO OFFER THE PATIENT THE OPPORTUNITY TO APPLY FOR CHARITY CARE; DOCUMENTATION THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE; DOCUMENTATION THAT THE PATIENT HAS BEEN OFFERED A PAYMENT PLAN BUT HAS NOT HONORED THE TERMS OF THE AGREEMENT; AND AT LEAST 30 DAYS BEFORE STARTING ANY EXTRAORDINARY ACTION, WILL SEND THE PATIENT A WRITTEN NOTICE STATING THAT RAMC OFFERS FINANCIAL ASSISTANCE, IDENTIFY THE EXTRAORDINARY ACTION(S) THAT MAY BE TAKEN, GIVE A DEADLINE OF WHEN SUCH ACTION(S) WILL TAKE PLACE AND INCLUDE THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY.
REEDSBURG AREA MEDICAL CENTER	PART V, SECTION B, LINE 22D: PATIENTS WHOSE FAMILY INCOME DOES NOT MAKE THEM ELIGIBLE FOR ALLOWANCES AT 100% WILL RECEIVE SERVICES AT AMOUNTS NO GREATER THAN AMMOUNTS GENERALLY BILLED (AGB). AGB IS CALCULATED ANNUALLY BY DIVIDING THE TOTAL MEDICARE, MEDICAID, COMMERCIAL AND MANAGED CARE PAYMENTS FOR THE PRIOR FISCAL YEAR BY TOTAL CHARGES FOR THOSE SAME PAYORS (LOOK BACK METHOD). THIS PERCENTAGE IS THEN APPLIED TO ALL ACCOUNTS COVERED BY THE FINANCIAL ASSISTANCE POLICY.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

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PART I, LINE 3C:	ELIGIBLE INDIVIDUALS MUST RESIDE IN OR HAVE A PRIMARY CARE PHYSICIAN IN RAMC'S SERVICE AREA. REVIEW OF THE PATIENT'S ASSETS AND ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THEM WILL BE INCLUDED IN THE APPLICATION PROCESS ALONG WITH REVIEW OF ALL OUTSTANDING ACCOUNTS AND PREVIOUS PAYMENT HISTORY. DOCUMENTS REQUESTED MAY INCLUDE A COPY OF THE APPLICANT'S MOST RECENT FEDERAL INCOME TAX RETURN, W-2 FORM(S), CURRENT PAYSTUB(S) AND A COMPLETED FINANCIAL DISCLOSURE. HOSPITAL PERSONNEL MAY REQUIRE OTHER VERIFICATION OF INCOME OR ASSETS, AS DEEMED NECESSARY.
PART I, LINE 6A:	REEDSBURG AREA MEDICAL CENTER (THE "HOSPITAL") PREPARES A COMMUNITY BENEFIT REPORT ANNUALLY AND FILES IT WITH THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THE REPORT IS AVAILABLE TO THE GENERAL PUBLIC ON WHA'S DATABASE AND WEBSITE.
PART I, LINE 7:	THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO, WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR THE FORM 990. THE COSTING METHOD FOR SUBSIDIZED HEALTH SERVICES IS BASED ON ALLOCATED EXPENSES FROM THE MEDICARE COST REPORT, WHICH IS SIMILAR TO A DIRECT COST ACCOUNTING SYSTEM.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES AT REEDSBURG AREA MEDICAL CENTER INCLUDE THE OPERATION OF THE HOSPITAL INPATIENT DEPARTMENTS THAT OPERATE AT A LOSS FROM OPERATIONS, BUT ARE CONSIDERED VITAL HOSPITAL AND CLINIC SERVICES SUCH AS THE INTENSIVE CARE UNIT AND MEDICAL/SURGICAL NURSING UNIT. A LARGE PORTION OF THESE SERVICES ARE ACCESSED BY COMMUNITY MEMBERS THROUGH THE HOSPITAL'S EMERGENCY SERVICES DEPARTMENT. IT IS THE GOAL OF REEDSBURG AREA MEDICAL CENTER TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF A PATIENT'S ABILITY TO PAY.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX, LINE 24(B), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $605,580.
PART II, COMMUNITY BUILDING ACTIVITIES:	OUR COMMUNITY BUILDING ACTIVITIES WORK TO ADDRESS UNDERLYING HEALTH DETERMINANTS AND SUPPORT PROGRAMS MEANT TO IMPROVE HEALTH BEFORE INTERVENTION IS REQUIRED AS WELL AS PROVIDING RESOURCES FOR THOSE LOOKING TO IMPROVE THEIR CURRENT HEALTH SITUATION. RAMC EMPLOYEES ARE ACTIVE IN EDUCATING THE COMMUNITY ON A WIDE VARIETY OF HEALTH TOPICS AND PARTICIPATE ON NUMEROUS LOCAL BOARDS. HEALTH-RELATED BOARD POSITIONS RANGE FROM THOSE FOCUSING ON AREA DENTAL AND EMERGENCY MEDICAL SERVICES TO THE RURAL WISCONSIN HEALTH COOPERATIVE AND SAUK COUNTY HEALTH BOARDS. MANY EMPLOYEES ARE ALSO MEMBERS OF COMMUNITY SERVICE BOARDS AND VOLUNTEER GROUPS. RAMC IS MINDFUL OF AND PROACTIVE IN DEVELOPING OR PARTNERING WITH GROUPS WORKING TO BETTER THE CURRENT ECONOMIC AND ENVIRONMENTAL CONDITIONS OF OUR COMMUNITY. ADDITIONAL EXAMPLES OF COMMUNITY BUILDING ACTIVITIES INCLUDE DEDICATED PATIENT ADVOCATE STAFF TO ASSIST COMMUNITY MEMBERS WITH ANSWERING MEDICARE, MEDICAID AND OTHER INSURANCE QUESTIONS AND NAVIGATING THE HEALTH INSURANCE MARKET PLACE; BEING A KEY MEMBER IN THE DEVELOPMENT OF THE NEW REEDSBURG BOYS & GIRLS CLUB; PRACTICING GOOD STEWARDSHIP THROUGH CONTINUED RECYCLING EFFORTS; AND SUPPORTING LOCAL COMMUNITY DEVELOPMENT AND GROWTH THROUGH SUPPORT OF LOCAL CHAMBERS OF COMMERCE AND OTHER COMMUNITY ORGANIZATIONS AND PROGRAMS.
PART III, LINE 2:	THE COSTING METHODOLOGY IS BASED ON A COST-TO-CHARGE RATIO, WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES EXCLUDING THE PROVISION FOR BAD DEBT, DIVIDED BY GROSS PATIENT REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT ARE WRITTEN OFF DURING THE FISCAL YEAR TO ESTIMATE THE COST OF THE CARE OF PATIENTS WHO HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE HOSPITAL. THE HOSPITAL ALSO RECOGNIZES THAT IT PROVIDES A DISCOUNT TO SELF-PAY OR UNINSURED PATIENTS. THESE AMOUNTS ARE INCLUDED IN THE CONTRACTUAL ADJUSTMENTS ON THE FINANCIAL STATEMENTS AND ARE NOT INCLUDED IN THE RATIO AS DESCRIBED ABOVE AND APPROVED BY THE IRS FOR USE ON FORM 990. IF CONSIDERED, THESE ADDITIONAL WRITE-OFF AMOUNTS TO UNINSURED ACCOUNTS WOULD ALSO INCREASE THE ESTIMATED BAD DEBT EXPENSE AMOUNT ASSOCIATED WITH THESE UNCOLLECTIBLE ACCOUNTS TO THE HOSPITAL.
PART III, LINE 3:	MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER THE HOSPITAL HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE. MANY TIMES PATIENTS DO NOT COMPLETE THE REQUIRED CHARITY CARE APPLICATION AND ARE TRANSFERRED TO COLLECTION SERVICES EVEN THOUGH RAMC PROVIDES THIS INFORMATION TO ALL PATIENTS AND OFFERS ASSISTANCE WITH THE APPLICATIONS. DUE TO NO RESPONSES FROM SOME PATIENTS, A SIGNIFICANT AMOUNT OF BAD DEBTS COULD BE CONSIDERED AS CHARITY CARE.
PART III, LINE 4:	SEE THE "PATIENT AND RESIDENT ACCOUNTS RECEIVABLE AND CREDIT POLICY NOTE ON PAGES 9 AND 10 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H TO THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE HOSPITAL, AND ALSO DOES NOT CONSIDER ALL CONTRACTUAL ADJUSTMENTS FOR SERVICES REIMBURSED BY THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT AT THE HOSPITAL AS WELL AS ANESTHESIA PROFESSIONAL SERVICES, SURGEON PROFESSIONAL SERVICES, REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS, AND REFERENCE LAB SERVICES FOR PATIENTS OF A NEIGHBORING PHYSICIAN CLINIC. PHYSICIAN PROFESSIONAL SERVICES AND REFERENCE LAB SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULE REIMBURSEMENTS AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY, SURGERY, AND PHYSICIAN SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT REEDSBURG AREA MEDICAL CENTER PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD USED ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED SEPTEMBER 30, 2015, AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES, AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE). WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHO ARE TYPICALLY ELDERLY OR DISABLED MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY.
PART III, LINE 9B:	UNDER THE HOSPITAL'S COLLECTION AND CHARITY CARE POLICIES, REEDSBURG AREA MEDICAL CENTER MAKES EVERY ATTEMPT TO IDENTIFY AND PROMOTE CHARITY CARE TO PATIENTS. INCLUDED IN THE HOSPITAL'S CHARITY CARE POLICY IT IS NOTED THAT PATIENTS MAY QUALIFY FOR CHARITY CARE EITHER PRIOR TO ADMISSION OR FOLLOWING DISCHARGE. DURING THE PATIENT ACCOUNT COLLECTION PROCESS, SELF-PAY PATIENTS ARE ALSO INFORMED OF THE HOSPITAL'S COLLECTION POLICIES AS WELL AS THE CHARITY CARE PROGRAM TO ALLOW PATIENTS THE OPPORTUNITY TO COMPLETE THE APPROPRIATE FORMS AND QUALIFY UNDER THE PROGRAM. ONCE A PATIENT MEETS ALL QUALIFICATIONS FOR FINANCIAL ASSISTANCE, ALL OR PART OF THE ACCOUNT BALANCE IS WRITTEN OFF, AS APPROPRIATE. THE REMAINING BALANCE, IF ANY, IS THE PATIENT'S RESPONSIBILITY AND COLLECTED FOLLOWING THE HOSPITAL'S STANDARD DEBT COLLECTION POLICY.
PART VI, LINE 2:	EVERY THREE YEARS, REEDSBURG AREA MEDICAL CENTER CONDUCTS A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), MEASURING AWARENESS, PREFERENCE, IMAGE AND COMMUNITY NEEDS. THE HOSPITAL CONDUCTS THE CHNA WITHIN THE PRIMARY SERVICE AREA, WHICH INCLUDES THE CITY OF REEDSBURG AND THE SURROUNDING COMMUNITIES. IN ADDITION, THERE IS A FEEDBACK SECTION ON THE HOSPITAL'S WEBSITE, WWW.RAMCHEALTH.COM, ALLOWING A FORUM FOR WHICH THE PUBLIC CAN PROVIDE SUGGESTIONS AND COMMENTS. REEDSBURG AREA MEDICAL CENTER ALSO GATHERS DATA FROM THE SAUK COUNTY HEALTH NEEDS ASSESSMENT. THIS INFORMATION HAS BEEN SEGMENTED INTO THE HOSPITAL'S PRIMARY SERVICE AREEA. IN WORKING WITH A COMMITTEE CONSISTING OF OFFICIALS FROM THE SAUK COUNTY PUBLIC HEALTH DEPARTMENT, REEDSBURG AREA SCHOOL DISTRICT, AND THE CITY OF REEDSBURG (INCLUDING THE CITY'S AMBULANCE, POLICE, AND FIRE DEPARTMENTS), AS WELL AS VARIOUS OTHER COMMUNITY MEMBERS INCLUDING REPRESENTATIVES FROM BUSINESS AND INDUSTRY, THIS INFORMATION HAS BEEN PRIORITIZED AND USED TO DEVELOP IMPLENTATION STRATEGIES.
PART VI, LINE 3:	CHARITY CARE NOTICES ARE POSTED THROUGHOUT THE FACILITY AND APPLICATIONS ARE AVAILABLE AT ALL POINTS OF ADMISSION AND THROUGH BUSINESS SERVICES. NOTICES OF THE COMMUNITY CARE AND FINANCIAL ASSISTANCE POLICY ARE MADE AVAILABLE ON EVERY BILLING STATEMENT AND THE COMMUNITY CARE AND FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND COMMUNITY CARE APPLICATION ARE ALL AVAILABLE ON THE RAMC WEBSITE AT WWW.RAMCHEALTH.COM/FINANCIALASSISTANCE. THE PATIENT, PATIENT'S REPRESENTATIVE, OR HOSPITAL REPRESENTATIVE MAY INITIATE INQUIRIES REGARDING ELIGIBILTY OR APPLICATION FOR ASSISTANCE AT ANY TIME. THE HOSPITAL, WHEN APPROPRIATE, WILL REVIEW THE PATIENT'S FINANCIAL SITUATION TO SEE IF THEY QUALIFY FOR ANY FORM OF ASSISTANCE. A SOCIAL WORKER IS AVAILABLE TO ASSIST IN THIS PROCESS AS WELL, IF NEEDED. PATIENT FINANCIAL ADVISORS ARE ALSO NOTIFIED WHEN PATIENTS (INPATIENT OR OUTPATIENT) ARE TREATED WHO DO NOT HAVE INSURANCE. THEY DISCUSS WITH THE PATIENT AVAILABLE OPTIONS AND PROVIDE INFORMATION/APPLICATIONS FOR BOTH RAMC CHARITY CARE PROGRAMS AND COUNTY, STATE, OR FEDERAL ASSISTANCE PROGRAMS. AT ANY TIME, PATIENTS MAY INQUIRE WITH HOSPITAL PERSONNEL REGARDING QUESTIONS THEY HAVE ON THEIR ABILITY TO PAY. ALONG WITH FINANCIAL ADVISORS AND SOCIAL WORKERS, BOTH A CONSUMER ADVOCATE AND A MARKET PLACE SPECIALIST ARE AVAILABLE, AT NOT COST, AS ADDITIONAL PATIENT RESOURCES. THE CONSUMER ADVOCATE OFFERS COMPLIMENTARY PATIENT ASSISTANCE SERVICES, INCLUDING, BUT NOT LIMITED TO, QUESTIONS/ISSUES PERTAINING TO MEDICARE, MEDICAID, PRIVATE INSURANCE, INTERPRETATION OF EXPLANATION OF BENEFITS (EOBS), AND DIRECTIONS TO ADDITIONAL CONSUMER RESOURCES. THE MARKET PLACE SPECIALIST IS TRAINED TO HELP CONSUMERS ENROLL IN HEALTH COVERAGE THROUGH THE INSURANCE MARKET PLACE EXCHANGE.
PART VI, LINE 4:	REEDSBURG AREA MEDICAL CENTER IS LOCATED IN THE CITY OF REEDSBURG, WISCONSIN, IN NORTH CENTRAL SAUK COUNTY. THE PRIMARY SERVICE AREA EXTENDS WEST TO CAZENOVIA, EAST TO ROCK SPRINGS, SOUTH TO HILLPOINT AND NORTH FROM WONEWOC TO JUST WEST OF LAKE DELTON. THIS GEOGRAPHIC AREA IS LARGELY RURAL AND CROSSES INTO THREE COUNTIES IN ADDITION TO SAUK COUNTY, COMPRISING APPROXIMATELY THREE QUARTERS OF THE HOSPITAL'S DISCHARGED PATIENTS. ACCORDING TO THE MOST RECENT U.S. CENSUS DATA AVAILABLE, SAUK COUNTY HAS SEEN POPULATION GROWTH OF 11% FROM 2000-2010, WHILE THE STATE OF WISCONSIN EXPERIENCED GROWTH OF JUST 6%. THE CITY OF REEDSBURG GREW AT A RATE OF 18% AND ITS MINORITY POPULACE INCREASED FROM 3% TO 7% OF TOTAL POPULATION FOR THE SAME TIME PERIOD COMPARED TO 8% FOR SAUK COUNTY AND 17% FOR THE STATE OF WISCONSIN. 23% OF COUNTY RESIDENTS ARE UNDER THE AGE OF 18 (22% STATE), 17% ARE ABOVE THE AGE OF 65 (16% STATE) AND 46% OF SAUK COUNTY LIVES IN RURAL AREAS (30% STATE). THE MEDIAN HOUSEHOLD INCOME REPORTED FOR SAUK COUNTY IS $52,000 ($55,600 STATE) WHILE UNEMPLOYED IS 4.2% (4.6% STATE). 40% OF COUNTY CHILDREN ARE ELIGIBLE FOR FREE SCHOOL LUNCH (41% STATE) WHILE 17% LIVE IN POVERTY (17% STATE). 12% OF COUNTY ADULTS AND 7% OF COUNTY CHILDREN ARE UNINSURED (10% AND 5% RESPECTIVELY FOR WISCONSIN). 2% OF COUNTY RESIDENTS (2% STATE) REPORTED NOT SEEING A DOCTOR FOR THE PRIOR 12 MONTHS DUE TO COST WHILE 33% (26% STATE) HAD NO DENTAL VISIT. BASED ON NUMEROUS DEMOGRAPHIC, BEHAVIORAL, HEALTH AND SOCIAL METRICS, SUCH AS THOSE SHOWN HERE, SAUK COUNTY HAS BEEN RANKED AS THE 36TH HEALTHIEST COUNTY OUT OF ALL 72 WISCONSIN COUNTIES BY THE COUNTY HEALTH RANKINGS AND ROADMAPS PROGRAM. REEDSBURG AREA MEDICAL CENTER IS THE ONLY HOSPITAL WITHIN OUR PRIMARY SERVICE AREA; TWO ADDITIONAL HOSPITALS ARE LOCATED WITHIN SAUK COUNTY. SEVERAL TERTIARY CARE HOSPITALS IN MADISON, WISCONSIN, AND THE SURROUNDING AREA PROVIDE ADDITIONAL SPECIALIZED SERVICES NOT AVAILABLE AT REEDSBURG AREA MEDICAL CENTER.
PART VI, LINE 5:	REEDSBURG AREA MEDICAL CENTER IS COMMITTED TO THE HEALTH OF OUR COMMUNITY AND THE IMPORTANT PART WE PLAY IN MAINTAINING AND IMPROVING THE OVERALL HEALTH OF OUR CONSTITUENTS. WE TAKE AN ACTIVE ROLE IN EQUIPPING OUR COMMUNITY MEMBERS WITH THE SKILLS NEEDED TO CREATE BETTER HEALTH. RAMC PROVIDES HEALTH CARE SERVICES AND OTHER FINANCIAL SUPPORT THROUGH VARIOUS PROGRAMS THAT ARE DESIGNED, AMONG OTHER MATTERS, TO ENHANCE THE HEALTH OF THE COMMUNITY, INCLUDING THE HEALTH OF LOW-INCOME PATIENTS. CONSISTENT WITH OUR MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, INCLUDING PROVIDING SERVICES TO THOSE PERSONS WHO CANNOT AFFORD HEALTH INSURANCE BECAUSE OF INADEQUATE RESOURCES OR ARE UNDERINSURED. COMMUNITY BENEFITS ALSO INCLUDE UNPAID COSTS OF TREATING THE ELDERLY AND DISABLED, HEALTH SCREENINGS, COMMUNITY EDUCATION AND OTHER HEALTH-RELATED SERVICES. OUR COMMUNITY BUILDING ACTIVITIES WORK TO ADDRESS UNDERLYING HEALTH DETERMINANTS AND SUPPORT PROGRAMS MEANT TO IMPROVE HEALTH BEFORE INTERVENTION IS REQUIRED AS WELL AS PROVIDING RESOURCES FOR THOSE LOOKING TO IMPROVE THEIR CURRENT HEALTH SITUATION. RAMC EMPLOYEES ARE ACTIVE IN EDUCATING THE COMMUNITY ON A WIDE VARIETY OF HEALTH TOPICS AND PARTICIPATE ON NUMEROUS LOCAL BOARDS. HEALTH-RELATED BOARD POSITIONS RANGE FROM THOSE FOCUSING ON AREA DENTAL AND EMERGENCY MEDICAL SERVICES TO THE RURAL WISCONSIN HEALTH COOPERATIVE AND SAUK COUNTY HEALTH BOARDS. MANY EMPLOYEES ARE ALSO MEMBERS OF COMMUNITY SERVICE BOARDS AND VOLUNTEER GROUPS. RAMC IS MINDFUL OF AND PROACTIVE IN DEVELOPING OR PARTNERING WITH GROUPS WORKING TO BETTER THE CURRENT ECONOMIC AND ENVIRONMENTAL CONDITIONS OF OUR COMMUNITY. RAMC IS OPERATED BY A BOARD COMPRISED OF LOCAL, INDEPENDENT COMMUNITY MEMBERS, A MEDICAL STAFF ORGANIZED IN THE PUBLIC INTEREST AND OPEN TO ALL QUALIFIED PHYSICIANS, AND AN EMERGENCY ROOM AVAILABLE TO ALL, REGARDLESS OF ABILITY TO PAY. THE BOARD TAKES A BALANCED APPROACH WHEN IT SETS POLICY AND STRATEGIC DIRECTION FOR THE HOSPITAL, WORKING TO ALIGN COMMUNITY NEEDS WITH BUSINESS AND FINANCIAL CONCERNS. THE USE OF SURPLUS FUNDS IS LARGELY DETERMINED BY THE BOARD IN EFFORTS TO MEET THIS GOAL. SURPLUS FUNDS ARE USED TO PURCHASE EQUIPMENT AND TO PROVIDE SERVICES THAT WILL MOST EFFECTIVELY MEET THE IDENTIFIED HEALTH NEEDS OF THE COMMUNITY AND ALLOW FOR COMPREHENSIVE CARE CLOSE TO HOME. WHILE THERE IS GROWING AGREEMENT IN THE UNITED STATES ABOUT WHAT CONSTITUTES A NON-PROFIT HOSPITAL'S "COMMUNITY BENEFIT," THESE EFFORTS CONTINUE TO BE A WORK IN PROGRESS. RAMC PROVIDES SIGNIFICANT AMOUNTS OF CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS AND IN ADDITION, WE BELIEVE THAT IT PROVIDES A CRITICALLY IMPORTANT BENEFIT WHICH IS NOT QUANTIFIED. RAMC, LIKE MOST COMMUNITY HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY, WHICH WITHOUT THE HOSPITAL, WOULD NOT BE AVAILABLE LOCALLY. BEYOND INPATIENT HOSPITALIZATIONS, RAMC PROVIDES LOCAL ACCESS TO MANY SERVICES INCLUDING: LABORATORY, PHYSICAL, CARDIAC AND PULMONARY REHABILITATION, SLEEP MEDICINE, SURGICAL SERVICES, CONSULTING SERVICES, MASSAGE THERAPY, ORTHOPEDICS, OBSTETRICS, PARISH NURSING , CHEMOTHERAPY, AUDIOLOGY, FAMILY PRACTICE CLINIC, COMMUNITY PHARMACY, GYNECOLOGY, DIABETIC EDUCATION, MEDICAL IMAGING, NUTRITION SERVICES, OCCUPATIONAL HEALTH, RESPIRATORY THERAPY, VOLUNTEER SERVICES, COMMUNITY OUTREACH AND WELLNESS.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
REEDSBURG AREA SENIOR LIFE CENTER
2350 NORTH DEWEY AVE	REEDSBURG	WI	54959	760775289	501(C)(3)	$402,000	GENERAL OPERATIONS
REEDSBURG AREA MEDICAL CENTER FOUNDATION
2090 RIDGEVIEW DR	REEDSBURG	WI	53959	391243616	501(C)(3)	$14,000	COMMUNITY CLINIC VOUCHER PROGRAM

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc
TUITION ASSISTANCE	55	$131,378	FMV
STIPENDS	41	$12,500	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	GRANTS WERE PROVIDED BY REEDSBURG AREA MEDICAL CENTER (RAMC) TO REEDSBURG AREA SENIOR LIFE CENTER. RAMC HAS (AT LEAST MONTHLY) ACCESS TO THIS ORGANIZATION'S FINANCIAL RECORDS AND BOARD MEETING MINUTES, ALLOWING FOR REVIEW OF HOW FUNDS ARE ALLOCATED. RAMC ALSO PROVIDES SCHOLARSHIPS AND TUITION ASSISTANCE TO EMPLOYEES PURSUING HEALTH-CARE RELATED HIGHER EDUCATION. THIS ASSISTANCE IS MADE AVAILABLE TO EMPLOYEES FOR STUDIES WHERE PROFESSIONAL STAFF ARE NEEDED AND THE DEMAND FOR THESE POSITIONS IS GREATER THAN THE SUPPLY AVAILABLE. USUALLY, THE SHORTAGE IS NOT ONLY SEEN LOCALLY, BUT ALSO SATE AND NATION WIDE. THE INTENTION IS TO HAVE THESE TRAINED PROFESSIONALS CONTINUE AT RAMC WITHIN THEIR NEW POSITION, ACCOMPLISHING OUR MISSION AND COMMITMENT TO PROVIDING HIGH-QUALITY, LOCAL CARE FOR OUR COMMUNITY. PROOF OF THE COST OF TUITION AND SUCCESSFUL COURSE COMPLETION ARE REQUIRED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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
BARRY BORCHERT
CFO	$163,276	$0	$8,400	$0	$0	$0	$10,789	$0	$21,303	$0	$203,768	$0	$0	$0
BOB VAN MEETEREN
PRESIDENT/CEO	$269,404	$0	$44,100	$0	$12,715	$0	$58,041	$0	$22,632	$0	$406,892	$0	$0	$0
DEAN FOCHIOS MD
ORTHOPEDIC SURGEON	$495,934	$0	$0	$0	$0	$0	$37,250	$0	$23,515	$0	$556,699	$0	$0	$0
KEVIN HIBBETT MD
GENERAL SURGEON	$357,094	$0	$44,500	$0	$0	$0	$21,639	$0	$19,873	$0	$443,106	$0	$0	$0
CHRISTOPHER ECKERMAN
PODIATRIST	$413,364	$0	$0	$0	$14,423	$0	$31,250	$0	$22,929	$0	$481,966	$0	$0	$0
CHRISTOPHER BJORKLUND
CRNA	$290,292	$0	$0	$0	$8,126	$0	$37,250	$0	$21,817	$0	$357,485	$0	$0	$0
KEVIN MCBRIDE
CRNA	$300,086	$0	$0	$0	$0	$0	$37,250	$0	$21,831	$0	$359,167	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4B	FormAndLineReferenceDesc
Explanation	ROBERT VAN MEETEREN - 457(F)PLAN - $8,833	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
CITY OF REEDSBURG
A	396005582	2003-06-03	$2,600,000	REFUND SERIES 1992 BONDS	0	0	0
WISCONSIN HEALTH & EDUCATION FACILITIES
B	391337855	2010-09-16	$5,800,000	REFUND SERIES 2006 BONDS	0	0	0	97710BXK3
WISCONSIN HEALTH & EDUCATION FACILITIES
C	391337855	2014-02-19	$4,273,300	REFUND SERIES 2010 BONDS	0	0	0	97710BXP2
WISCONSIN HEALTH & EDUCATION FACILITIES
D	391337855	2015-11-10	$6,556,441	REFUND SERIES 2006 BONDS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt
A	$1,778,946	$2,600,000	$60,955	$2,600,000	1992	Yes (1)	0	Yes (1)	Yes (1)
B	$995,000	$5,800,000	$713,761	$5,104,000	2006	Yes (1)	0	Yes (1)	Yes (1)	$116,000
C	$372,175	$4,273,300		$4,273,300	2006	Yes (1)	0	Yes (1)	Yes (1)
D	$574,704	$6,556,441		$6,556,441	2006	0	Yes (1)	Yes (1)	Yes (1)	$130,120

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	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
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	0
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
D	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	Yes (1)	0
B	Yes (1)	0	0	0
C	Yes (1)	0	Yes (1)	Yes (1)
D	Yes (1)	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0
C	0
D	0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
LINDSEY MUCHOW
FAMILY MEMBER OF DIRECTOR	$54,643	EMPLOYMENT COMPENSATION	0
JAMES SHEAR
FAMILY MEMBER OF DIRECTOR	$129,252	EMPLOYMENT COMPENSATION	Yes (1)
RYAN SHEAR
FAMILY MEMBER OF DIRECTOR	$67,699	EMPLOYMENT COMPENSATION	Yes (1)
HAILEY SYFTESTAD
FAMILY MEMBER OF DIRECTOR	$13,164	EMPLOYMENT COMPENSATION	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRMAN, FIRST VICE-CHAIRMAN, MEDICAL ADVISOR, SECRETARY AND TREASURER. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE, WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, THE POWERS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE AFFAIRS OF THE CORPORATION, EXCEPT ACTION IN RESPECT TO AMENDING THE BY-LAWS, MAKING RULES OR REGULATIONS GOVERNING NOMINATIONS OR ELECTIONS, OR DISPOSING OF OR MORTGAGING ASSETS OF THE CORPORATION. THE BOARD OF DIRECTORS MAY ELECT ONE OR MORE OF ITS MEMBERS AS ALTERNATIVE MEMBERS OF SUCH COMMITTEE WHO MAY TAKE THE PLACE OF ANY ABSENT MEMBER OR MEMBERS AT ANY MEETING OF SUCH COMMITTEE, UPON REQUEST BY THE CHAIRMAN OF THE BOARD OR UPON REQUEST BY THE CHAIRMAN OF SUCH MEETING. SUCH COMMITTE SHALL FIX ITS OWN RULES GOVERNING THE CONDUCT OF ITS ACTIVITIES AND SHALL MAKE SUCH REPORT TO THE BOARD OF DIRECTORS OF ITS ACTIVITIES AS THE BOARD OF DIRECTORS MAY REQUEST.
FORM 990, PART VI, SECTION B, LINE 11	UPON COMPLETION OF THE FORM 990, MANAGEMENT REVIEWS FOR ACCURACY AND COMPLETENESS. UPON APPROVAL, THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL PRIOR TO SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12C	THE PURPOSE OF THE CONFLICTS OF INTEREST POLICY IS TO PROTECT THE CORPORATION'S INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR DIRECTOR OF THE CORPORATION. THIS POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE WISCONSIN LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE CORPORATIONS. ANY DIRECTOR, PRINCIPAL OFFICER OR MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, AS DEFINED BELOW, IS AN INTERESTED PERSON. A PERSON HAS A FINANCIAL INTEREST IF THE PERSON HAS, DIRECTLY OR INDIRECTLY, THROUGH BUSINESS, INVESTMENT OR FAMILY: (I) AN OWNERSHIP OR INVESTMENT INTEREST M ANY ENTITY WITH WHICH THE CORPORATION HAS A TRANSACTION OR ARRANGEMENT; OR (II) A COMPENSATION ARRANGEMENT WITH THE CORPORATION OR WITH ANY ENTITY OR INDIVIDUAL WITH WHICH THE CORPORATION HAS A TRANSACTION OR ARRANGEMENT; OR (III) A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH, ANY ENTITY OR INDIVIDUAL WITH WHICH THE CORPORATION IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. COMPENSATION INCLUDES DIRECT AND INDIRECT REMUNERATION AS WELL AS GIFTS OR FAVORS THAT ARE SUBSTANTIAL IN NATURE. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; ( C) HAS AGREED TO COMPLY WITH THE POLICY; AND (D) UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION.
FORM 990, PART VI, SECTION B, LINE 15A	INDEPENDENT WAGE AND SALARY SURVEYS ARE USED FOR ALL KEY EMPLOYEES, INCLUDING PRESIDENT/CEO. VENDORS USED ARE THE RURAL WISCONSIN HEALTH COOPERATIVE AND WISCONSIN HOSPITAL ASSOCIATION. THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION OF THE CEO. THE CEO REVIEWS AND APPROVES THE COMPENSATION OF THE KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19	REEDSBURG AREA MEDICAL CENTER'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE REVIEWED AT THE HOSPITAL'S ANNUAL MEETING, WHICH IS OPEN TO THE GENERAL PUBLIC. SUMMARIZED FINANCIAL STATEMENT DATA IS ALSO AVAILABLE THROUGH THE WISCONSIN HOSPITAL ASSOCIATION'S WEBSITE.
FORM 990, PART IX, LINE 11G	PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 6,103,194. MANAGEMENT AND GENERAL EXPENSES 203,403. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,306,597. CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 3,161,967. MANAGEMENT AND GENERAL EXPENSES 1,588,840. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,750,807.
FORM 990, PART XI, LINE 9:	NET CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 143,296.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
REEDSBURG AREA MEDICAL CENTER FOUNDATION
2000 NORTH DEWEY AVE	REEDSBURG	WI	53959	391243616	FUNDRAISING	WI	501(C)(3)	LINE 11C, III-FI	N/A	0
PARTNERS OF REEDSBURG AREA MEDICAL CENTER
2000 NORTH DEWEY AVE	REEDSBURG	WI	53959	237373902	FUNDRAISING	WI	501(C)(3)	LINE 3	N/A	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	0	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	0	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	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd