VERNON MEMORIAL HEALTHCARE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: VERNON MEMORIAL HEALTHCARE INC (EIN 39-0806404)
Tax period: 2015-10-01 to 2016-09-30
Filed: 2017-07-25
IRS object ID: 201732069349301203
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 B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-07-25T14:55:52-05:00	ReturnTs
Tax Period End	2016-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390758449	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3703 Oakwood Hills Pkwy	AddressLine1Txt
City	Eau Claire	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54701	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	390806404	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Vernon Memorial Healthcare inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	VERN	BusinessNameControlTxt
Phone	6086372101	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	507 South Main Street	AddressLine1Txt
City	VIROQUA WI	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54665	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Mary Koenig	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6086372101	PhoneNum
Signature	2017-07-19	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	HOLLY POKRANDT CPA	PreparerPersonNm
PTIN	P00449155	PTIN
Phone	7158323407	PhoneNum
Preparation	2017-07-19	PreparationDt

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	Mary Koenig	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	507 South Main Street	AddressLine1Txt
City	VIROQUA WI	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54665	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$80,101,776	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.vmh.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1946	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	VERNON MEMORIAL HEALTHCARE, INC. WILL STRIVE TO HAVE THE VISION TO CONTINUALLY PROVIDE THE HIGHEST STANDARD OF CARE TO OUR PATIENTS AND THEIR FAMILIES WHILE BEING 'CLOSE TO HOME.' OUR MISSION IS TO PROVIDE COST-EFFFECTIVE, ACCESSIBLE CARE AND SERVICES USING PROFESSIONAL TREATMENT TO THE INJURED, AFFLICTED, AND WELL PEOPLE WHO NEED THE RESOURCES WE HAVE AT OUR COMMAND, WITHOUT REGARD TO RACE, CREED, COLOR, SEX, HANDICAP, NATIONAL ORIGIN, OR ABILITY TO PAY. IT IS OUR INTENTION TO ENSURE THAT IN EACH AND EVERY CASE OUR PATIENTS SHALL BE TREATED WITH COMPASSION, UNDERSTANDING AND DIGNITY. FURTHER, THE RIGHTS AND PRIVILEGES OF THE PEOPLE WE SERVE SHALL ALWAYS BE HELD IN THE HIGHEST REGARD, AND THEIR WELL-BEING MUST ALWAYS HAVE FIRST CONSIDERATION.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	590	TotalEmployeeCnt
Total Volunteers	125	TotalVolunteersCnt
Total Gross UBI	$3,757,959	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$1,217,385	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$367,841	PYContributionsGrantsAmt
CY Contributions Grants	$477,424	CYContributionsGrantsAmt
PY Program Service Revenue	$71,679,620	PYProgramServiceRevenueAmt
CY Program Service Revenue	$74,586,404	CYProgramServiceRevenueAmt
PY Investment Income	$782,138	PYInvestmentIncomeAmt
CY Investment Income	$813,598	CYInvestmentIncomeAmt
PY Other Revenue	-$49,079	PYOtherRevenueAmt
CY Other Revenue	-$30,663	CYOtherRevenueAmt
PY Total Revenue	$72,780,520	PYTotalRevenueAmt
CY Total Revenue	$75,846,763	CYTotalRevenueAmt
PY Grants And Similar Paid	$376,628	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$343,884	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$37,498,804	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$40,020,870	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$30,076,729	PYOtherExpensesAmt
CY Other Expenses	$32,916,700	CYOtherExpensesAmt
PY Total Expenses	$67,952,161	PYTotalExpensesAmt
CY Total Expenses	$73,281,454	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,828,359	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,565,309	CYRevenuesLessExpensesAmt
Total Assets BOY	$97,191,474	TotalAssetsBOYAmt
Total Assets EOY	$100,851,925	TotalAssetsEOYAmt
Total Liabilities BOY	$27,326,196	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$27,026,118	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$69,865,278	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$73,825,807	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE ARE COMMITTED TO BEING THE BEST COMMUNITY HEALTHCARE SYSTEM IN THE REGION.	MissionDesc
Significant New Program Srvc	Yes (1)	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$47,890,539	ExpenseAmt
Grant	$343,884	GrantAmt
Revenue	$56,564,093	RevenueAmt
Desc	Our organization 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 cannot be quantified. Our organization was created and is maintained in order to provide care locally that, without the presence of our organization, would not be available to the people in our service area.Beyond medical, obstetrical, newborn, and surgical inpatient hospitalizations, we provide local access to many other health services including a birthing center, a dialysis center, diagnostic services-laboratory, imaging and cardiac testing, 24-hour emergency services, urgent care services, infusion services, gastrointestinal services, home health care, hospice inpatient and outpatient care, rehabilitation services-physical, occupational, respiratory and speech therapy, specialty medicine, and primary care clinics. In fiscal year 2016, hospital inpatient services included 3,008 acute care patient days, 129 swing bed patient days, and 299 newborn patient days. There were 1,321 surgery cases, 7,991 emergency room/urgent care visits, and 7,187 visits to the specialty clinic.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$13,131,066	ExpenseAmt
Revenue	$11,524,837	RevenueAmt
Desc	Vernon Memorial Healthcare, Inc. operates four rural health clinics located in Viroqua, LaFarge, Soldiers Grove, and Westby. Together, the rural health clinics strive to meet the healthcare needs of patients and families who live and work in the communities they serve. A total of 40,603 clinic visits occurred in fiscal year 2016.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$2,528,426	ExpenseAmt
Revenue	$1,429,990	RevenueAmt
Desc	Vernon Memorial Healthcare, Inc. also provides home health and hospice services. The Home care agency provides quality healthcare to patients in the comfort of their own home. The Home care team works together to provide instruction, care and support. During fiscal year 2016, a total of 2,314 home health visits were made to 147 individuals. Vernon Memorial Healthcare Hospice offers care, comfort, and support when it is needed most. Hospice is for patients, families, friends, and caregivers dealing with the end of life. This support brings comfort, hope and reassurance. Vernon Memorial Healthcare Hospice serves patients at home, in the Bland Bekkedal hospice house, in long-term care facilities, or at Vernon Memorial hospital. Hospice care was provided to 139 individuals in fiscal year 2016.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$1,586,975	ExpenseAmt
Revenue	$1,309,525	RevenueAmt
Desc	Vernon Memorial Healthcare, Inc. began providing assisted living care services in January 2016 at locations in Viroqua, Westby, and Coon Valley. the average monthly census of residents in the assisted living facilities was 51 in 2016.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$1,586,975	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$1,309,525	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$65,137,006	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	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	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	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	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	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	67	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	590	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	10	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	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	Yes (1)	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

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mary Koenig	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6086372101	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	507 South Main Street	AddressLine1Txt
City	VIROQUA WI	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54665	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Charles Norton
Member	1.00	Yes (X)	$0	$0	$0
Therese Flock
Member	1.00	Yes (X)	$0	$0	$0
Brandon Munson
Member	1.00	Yes (X)	$0	$0	$0
Trudy Wallin
SECRETARY	1.00	Yes (X)	$0	$0	$0	Yes (X)
Bonnie Rath
MEMBER	1.00	Yes (X)	$0	$0	$0
Blane Charles
MEMBER	1.00	Yes (X)	$0	$0	$0
GINGER VONRUDEN
MEMBER	1.00	Yes (X)	$0	$0	$0
Lee Cunningham
TREASURER	1.00	Yes (X)	$0	$0	$0	Yes (X)
ROGER JOHNSON
CHAIRMAN	1.00	Yes (X)	$0	$0	$0	Yes (X)
SHARON NELSON
MEMBER	1.00	Yes (X)	$0	$0	$0
Kyle Bakkum
CEO	40.00		$268,650	$0	$40,585	Yes (X)
Mary Koenig
CFO	40.00		$238,135	$0	$32,688	Yes (X)
DR JAMES GILL
ER Physician	40.00		$367,137	$0	$10,327		Yes (X)
Dr Anthony Macasaet
Physician	32.00		$421,243	$0	$33,453		Yes (X)
Arnold Nomann
CRNA	40.00		$400,776	$0	$29,894		Yes (X)
Brian Miller
CRNA	40.00		$380,006	$0	$37,715		Yes (X)
Dr Patrick Scott
Physician	40.00		$386,862	$0	$25,954		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,462,809	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$210,616	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	45	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Market & Johnson
2350 Galloway Street	Eau Claire	WI	54702	BUILDING CONTRACTOR	$4,579,869
MARKET MATERIALS
2350 GALLoway Street	EAu Claire	WI	54702	BUILDING CONTRACTOR	$1,352,649
Gundersen Health System
1900 South Ave	La Crosse	WI	54601	Lab/Radiology	$1,350,380
RWHC ITN
880 Independence Ln	Sauk City	WI	53583	IT services	$616,292
GPS Anesthesia Services
N2685 Potato Ridge Road	La Crosse	WI	54601	Anesthesia Services	$439,650

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	13	CntrctRcvdGreaterThan100KCnt
Related Organizations	$305,174	RelatedOrganizationsAmt
All Other Contributions	$172,250	AllOtherContributionsAmt
Total Contributions	$477,424	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Hospital	621990	$53,134,089	$53,134,089
Clinic	621110	$11,524,837	$11,524,837
Retail Pharmacy	446110	$6,998,742	$3,341,638	$3,657,104
Home Health & hospice	621610	$1,429,990	$1,429,990
CBRF	623000	$1,309,525	$1,309,525

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$189,221	TotalRevenueColumnAmt
Related Or Exempt Func Income	$88,366	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$100,855	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$74,586,404	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$588,462	TotalRevenueColumnAmt
Exclusion	$588,462	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$274,337	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$305,000	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$30,663	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$30,663	TotalRevenueColumnAmt
Exclusion	-$30,663	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$4,175,149	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,950,013	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$225,136	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$225,136	TotalRevenueColumnAmt
Exclusion	$225,136	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$75,846,763	TotalRevenueColumnAmt
Related Or Exempt Func Income	$70,828,445	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,757,959	UnrelatedBusinessRevenueAmt
Exclusion	$782,935	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$343,884	TotalAmt
Program Services	$343,884	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$576,248	TotalAmt
Management And General	$576,248	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$28,262,045	TotalAmt
Program Services	$25,684,904	ProgramServicesAmt
Management And General	$2,577,141	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,150,074	TotalAmt
Program Services	$1,045,202	ProgramServicesAmt
Management And General	$104,872	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,170,564	TotalAmt
Program Services	$7,425,512	ProgramServicesAmt
Management And General	$745,052	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,861,939	TotalAmt
Program Services	$1,665,269	ProgramServicesAmt
Management And General	$196,670	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$198,045	TotalAmt
Management And General	$198,045	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$76,616	TotalAmt
Management And General	$76,616	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,134,767	TotalAmt
Program Services	$5,222,815	ProgramServicesAmt
Management And General	$911,952	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$141,067	TotalAmt
Management And General	$141,067	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$256,805	TotalAmt
Program Services	$208,736	ProgramServicesAmt
Management And General	$48,069	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$770,337	TotalAmt
Management And General	$770,337	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,945,683	TotalAmt
Program Services	$1,945,683	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$85,795	TotalAmt
Program Services	$64,992	ProgramServicesAmt
Management And General	$20,803	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,298,326	TotalAmt
Program Services	$2,370,402	ProgramServicesAmt
Management And General	$927,924	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$223,543	TotalAmt
Management And General	$223,543	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Supplies	$14,798,901	$14,761,813	$37,088
Equipment Rental & Main	$2,907,837	$2,630,914	$276,923
Bad debt expense	$1,342,587	$1,342,587
Dues and Subscriptions	$636,125	$380,598	$255,527

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$100,266	TotalAmt
Program Services	$43,695	ProgramServicesAmt
Management And General	$56,571	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$73,281,454	TotalAmt
Program Services	$65,137,006	ProgramServicesAmt
Management And General	$8,144,448	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,878,775	BOYAmt
EOY	$1,919,790	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$17,564,785	BOYAmt
EOY	$11,034,520	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,074,627	BOYAmt
EOY	$595,301	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,174,996	BOYAmt
EOY	$8,121,045	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,389,008	BOYAmt
EOY	$2,508,415	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$461,451	BOYAmt
EOY	$495,625	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$83,055,935	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$33,678,065	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$43,964,518	BOYAmt
EOY	$49,377,870	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$21,024,646	BOYAmt
EOY	$23,556,890	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$12,180	BOYAmt
EOY	$235,114	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$282,154	BOYAmt
EOY	$581,794	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,364,334	BOYAmt
EOY	$2,425,561	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$97,191,474	BOYAmt
EOY	$100,851,925	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,033,063	BOYAmt
EOY	$5,123,588	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,629,003	BOYAmt
EOY	$19,194,586	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$302,242	BOYAmt
EOY	$1,164,400	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,361,888	BOYAmt
EOY	$1,543,544	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,326,196	BOYAmt
EOY	$27,026,118	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$68,693,577	BOYAmt
EOY	$73,138,950	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,171,701	BOYAmt
EOY	$686,857	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$69,865,278	BOYAmt
EOY	$73,825,807	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$97,191,474	BOYAmt
EOY	$100,851,925	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$2,565,309	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,395,220	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$4,412	OtherActivitiesAmt
Total Lobbying Expenditures	$4,412	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	Vernon Memorial Healthcare, Inc. pays annual association membership dues to the wisconsin hospital association and rural wisconsin health cooperative. These dues are primarily for access to educational materials and staff training and development. A small portion of the annual dues were used in conjuction with lobbying activities with the goal of improving the overall healthcare environment.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$1,572,408	InvestmentCostOrOtherBasisAmt
Book Value	$1,572,408	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$64,458,785	InvestmentCostOrOtherBasisAmt
Depreciation	$23,633,927	DepreciationAmt
Book Value	$40,824,858	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$16,370,623	InvestmentCostOrOtherBasisAmt
Depreciation	$10,044,138	DepreciationAmt
Book Value	$6,326,485	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$654,119	InvestmentCostOrOtherBasisAmt
Book Value	$654,119	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$49,377,870	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	deferred compensation plan liability - funded	Desc
Amt	$1,543,544	Amt

Field	Value	IRS element (for citing)
Total Liability	$1,543,544	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$75,884,440	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$1,395,220	NetUnrealizedGainsInvstAmt
Other Revenue	$305,000	OtherRevenueAmt
Revenue Not Reported	$1,700,220	RevenueNotReportedAmt
Revenue Subtotal	$74,184,220	RevenueSubtotalAmt
Other Revenues Not Included	$1,662,543	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,662,543	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$75,846,763	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$71,923,911	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$305,000	OtherExpensesIncludedAmt
Expenses Not Reported	$305,000	ExpensesNotReportedAmt
Expenses Subtotal	$71,618,911	ExpensesSubtotalAmt
Other Expenses Not Included	$1,662,543	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,662,543	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$73,281,454	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part XI, Line 2d - Other Adjustments:	Rental Expenses net against revenue 305,000.
Part XI, Line 4b - Other Adjustments:	Expenses net against revenue 319,956. Bad debt expense net against revenue 1,342,587. Impairment Loss
Part XII, Line 2d - Other Adjustments:	Rental Expenses net against revenue 305,000.
Part XII, Line 4b - Other Adjustments:	Expenses net against revenue 319,956. Bad debt expense net against revenue 1,342,587. Loss on extinguishment of debt Impairment Loss

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$930,897	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$930,897	NetCommunityBenefitExpnsAmt
Total Expense	0.01290	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,068,565	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,516,357	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,552,208	NetCommunityBenefitExpnsAmt
Total Expense	0.03550	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,999,462	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,516,357	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,483,105	NetCommunityBenefitExpnsAmt
Total Expense	0.04840	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$253,618	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,730	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$241,888	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$314,621	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$314,621	NetCommunityBenefitExpnsAmt
Total Expense	0.00440	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$275,852	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$275,852	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$844,091	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,730	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$832,361	NetCommunityBenefitExpnsAmt
Total Expense	0.01160	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,843,553	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,528,087	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,315,466	NetCommunityBenefitExpnsAmt
Total Expense	0.06000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$400	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$400	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$95	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$95	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$57,589	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$684	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,905	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,084	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$684	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,400	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$1,342,587	BadDebtExpenseAmt
Bad Debt Expense Attributable	$770,048	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$13,578,267	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$14,263,429	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$685,162	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	Vernon Memorial Hospital Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	507 South Main St	AddressLine1Txt
City	Viroqua	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54665	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.VMH.ORG	WebsiteAddressTxt
State License	1053	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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Vernon Memorial Hospital Inc	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
Other	Yes (X)	OtherInd
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	See part V, line 7d	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	See part V, line 7D	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	http://www.vmh.org/content/community-needs-assessment	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	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	http://www.vmh.org/content/financial-assistance-program	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	http://www.vmh.org/content/financial-assistance-program	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	http://www.vmh.org/content/financial-assistance-program	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 Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Vernon Memorial Hospital, Inc.	Part V, Section B, Line 3j: The Community Health Needs Assessment ("Compass Now 2015") process included a variety of data collection methods used to create an overall description of the issues facing our communities. These methods include a random household survey, convenience survey, community conversations, and an extensive review of socio-economic indicators which provides an inventory of community resources. The data collected guided the development of 4 pillar profiles. We refer to them as pillars since they create the building blocks to a better life. The pillars of the Compass are: Health, Income/Economic, Education, and Community.
Vernon Memorial Hospital, Inc.	Part V, Section B, Line 5: In addition to the Random Household Survey, the COMPASS NOW 2015 community needs assessment also included a convenience sample that focused on specific subgroups in the Great Rivers Region. The overall objective of this sampling was to collect feedback from populations within the community that were potentially underrepresented in the Random Household Survey due to the small number in which they exist in the community. These smaller populations included, but were not limited to, African Americans, Hispanics, LGBT youth, youth at-risk, low-income adults, and senior citizens. Results from this survey were compared to the responses of the Random Household Survey respondents in an attempt to determine any significant differences that existed between the general population and those in smaller subgroups within the community. In total, 753 community members shared feedback through the convenience sample process. Another way in which community feedback was gathered was through community conversations.COMPASS councils were advisory groups of local experts in the fields of education, income, health, and a variety of community issues. These members collected and reviewed data, analyzed the survey results, and offered professional insights about topic-specific issues in the Great Rivers Region. After significant review of the data and survey results, priority issues were identified by COMPASS council members. These issues were then ranked by Council members using the criteria below:1. How widespread is the issue in our community?2. How serious are the effects of the issue in our community?3. How important is the issue to the community?
Vernon Memorial Hospital, Inc.	Part V, Section B, Line 6a: The Compass Now 2015 partnership was conducted in joint effort with the following other hospitals:1. Gundersen Health System2. Mayo Clinic Health System - La Crosse3. Gundersen St. Joseph's Hospital and Clinics4. Mayo Clinic Health System - Sparta5) Tomah Memorial Hospital6) Gundersen Tri-County Hospital and Clinics
Vernon Memorial Hospital, Inc.	Part V, Section B, Line 6b: The Compass Now 2015 partnership was conducted in joint effort with the following organizations:1. Great Rivers United Way2. La Crosse Community Foundation3. Otto Bremer Foundation4. LaCrosse Community Foundation5. Five Local County health departments
Vernon Memorial Hospital, Inc.	Part V, Section B, Line 7d: The CHNA is available on the hospital's website: http://www.vmh.org/content/community-needs-assessmentThe CHNA is also available on the following websites: http://www.greatriversunitedway.org/our-work/community-needs-assessment/http://www.gundersenhealth.org/app/files/public/1316/community-st-joe-assess-2015.pdfhttp://mayoclinichealthsystem.org/locations/la-crosse/about-us/community-health-needs-assessment
Vernon Memorial Hospital, Inc.	Part V, Section B, Line 11: There were items identified in the CHNA which were not addressed by Vernon Memorial Healthcare, Inc.; however, all items were considered if a need was brought to the attention of the group during the information gathering phase of the CHNA process. The items that were not addressed primarily were not addressed due to the financial constraint of providing a new service for a limited population of people within the primary service area.Three identified items were addressed as follows by Vernon Memorial Healthcare, Inc.Chronic Disease and Contributing Factors Chronic diseases such as heart disease, hypertension, high cholesterol, cancers and lung diseases like asthma and chronic obstructive pulmonary disease are all too common among community members. Vernon Memorial Healthcare is implementing an electronic health record system that has a robust population health management module which will assist in the monitoring process. Vernon Memorial Healthcare has developed a program utilizing Lifestyle Health Coaches, who are highly trained, certified, expert facilitators of mindset and behavior change who will work with clients to help them find the willpower, confidence and self-discipline necessary to take back control of their lifestyle choices. We are able to help clients struggling with sedentary lifestyles, poor nutrition, tobacco use, chronic stress and other areas of concern. Also a cancer exercise program based on a program created collaboratively by the American Cancer Society and the American College of Sports Medicine, Certified Cancer Exercise Trainers (CETs) design and administer fitness assessments and exercise programs specific to a person's cancer diagnosis, treatment and current recovery status has been started. An aquatic cardiac rehabilitation program is in place for people who could benefit from Cardiac Rehabilitation due to chronic stable angina or congestive heart failure (CHF), or following a heart attack, coronary artery bypass surgery, PTCA/Stent placement, valve replacement or repair, or heart or heart/lung transplantation. A diabetic education program offers patients a multi-disciplinary team (RN, RD, EP) to provide education and support on managing diabetes to improve overall health and prevent diabetes related complications. Vernon Memorial Healthcare also utilizes a RN-Social worker team to coordinate services/resources to assist patients in reaching their optimal health.Mental Health and or Substance Abuse - The National Institute of Mental health estimates 26.2% of Americans (ages 18 and older) suffer from a diagnosable mental illness in any given year. Additionally, mental disorders are the leading cause of disability in the U.S. for people ages 15 to 44. Mental illness has a significant impact on the workplace that often goes unrecognized. Mental illness causes more days of work loss and work impairment than chronic health conditions such as asthma, diabetes and heart disease. Vernon Memorial Healthcare in collaboration with Center Point Counseling, has hired a psychiatrist and a Licensed Clinical Social worker to improve access to mental health services in our region. Vernon Memorial Healthcare will continue to partner with the Vernon County Partnership Council in implementing activities aimed at educating youth about the consequences of illegal drug use and reducing youth access. The Vernon County Partnership Council, exists to develop and support programming which addresses drug, alcohol and tobacco concerns related to youth risk behaviors.Oral Health - Oral Health is not only important for quality of life, but is related to the health of the rest of the body. Oral disease continues to be a key health concern for the state. According to the Wisconsin Family Health Survey, in 2015, 25.8% of Wisconsin residents in the Great Rivers Region did not receive a dental visit within the last twelve months. Vernon Memorial Healthcare and Scenic Bluffs Community Health Center, Cashton WI have partnered together to provide new/additional access to dental services in Vernon and Crawford counties.
Vernon Memorial Hospital, Inc.	Part V, Section B, Line 13b: Patient's reliance on Medicare or Medicaid.
Vernon Memorial Hospital, Inc.	Part V, Section B, Line 22d: Lookback method.

Field	Value	IRS element (for citing)
Facility	13	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - HIRSCH CLINIC
407 S MAIN ST SUITE 400	VIROQUA	WI	54665	PROVIDER BASED RURAL HEALTH CLINIC
2 - VERNON MEMORIAL HEALTHCARE PHARMACY
407 S MAIN ST SUITE 400	VIROQUA	WI	54665	PHARMACY
3 - LAFARGE MEDICAL CLINIC
206 N Snow St	LAFARGE	WI	54639	PROVIDER BASED RURAL HEALTH CLINIC
4 - solar town pharmacy
104 SUNSET AVE	SOLDIERS GROVE	WI	54655	PHARMACY
5 - BLAND CLINIC
100 MELBY ST	WESTBY	WI	54667	PROVIDER BASED RURAL HEALTH CLINIC
6 - KICKAPOO VALLEY MEDICAL CLINIC
102 SUNSET AVE	SOLDIERS GROVE	WI	54655	PROVIDER BASED RURAL HEALTH CLINIC
7 - VERNON MEMORIAL HEALTHCARE INC
705 Arena Drive	VIROQUA	WI	54665	HOSPICE
8 - Vernon memorial pharmacy - lafarge
206 N mill street	lAFARGE	WI	54639	pharmacy
9 - Vernon Memorial Pharmacy - Westby
115 W State Street	Westby	WI	54667	PharmACY
10 - OLD TIMES
206 POLLY RUDE WAY	WESTBY	WI	54667	ASSISTED LIVING
11 - FAIRHAVEN
601 ARENA DRIVE	VIROQUA	WI	54665	ASSISTED LIVING
12 - BOTHNE HOUSE
100 BOTHNE DRIVE	COON VALLEY	WI	54623	ASSISTED LIVING
13 - VERNON MEMORIAL HEALTHCARE INC
705 Arena Drive	VIROQUA	WI	54665	HOME HEALTH AGENCY

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7:	THE COSTING METHOD 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 DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS COSTING METHODS FOR THE FORM 990.
PART I, LINE 7, COLUMN (F)	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $1,342,587.
Part II, Community Building Activities:	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 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 local access to many health services: birthing center, diagnostics, emergency services and urgent care, home care, hospice, infusion services, inpatient care, laboratory services, occupational health, rehabilitation services, specialty medicine, speech and audiology, surgical services, and womens health.
Part III, Line 8:	Vernon Memorial Healthcare, Inc. is designated as a critical access hospital and as such a portion of its revenues are paid under a cost reimbursement system. Based on the instructions, the total medicare revenue shown on this form 990 includes only a portion of the gross medicare revenue that is actually received by the hospital from the medicare program. The amounts listed for Medicare do not include physician and mid-level practitioner services for the coverage of the emergency department. Physician coverage is reimbursed primarily on a fee schedule reimbursement methodology at rates that are often below the costs of caring for patients. Emergency 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 Vernon Memorial Healthcare, Inc. provides to the community and surrounding area. The costing method used above for IRS Form 990 compliance reporting is also based on an overall average cost-to-charge ratio 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) divided by total operating expenses less the provision for bad debt expense. This ratio is then multiplied by the total medicare services which are reimbursed on a cost methodology excluding the fee schedule items like physician and mid-level practitioner services which the hospital would show a large loss on these services.WHETHER THERE IS A SHORTFALL OR SURPLUS FROM SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THE RECIPIENTS ARE TYPICALLY ELDERLY AND/OR DISABLED MEMBERS OF THE COMMMUNITY AND 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:	IN ORDER TO PROVIDE THE LEVEL OF AID NECESSARY TO THE GREATEST NUMBER OF PATIENTS IN NEED, AND PROTECT THE RESOURCES NEEDED TO DO SO, THE FOLLOWING GUIDELINES APPLY:1) SERVICES ARE PROVIDED UNDER CHARITY CARE ONLY WHEN DEEMED MEDICALLY NECESSARY AND AFTER PATIENTS ARE FOUND TO HAVE MET ALL FINANCIAL CRITERIA BASED ON THE DISCLOSURE OF PROPER INFORMATION AND DOCUMENTATION. 2) THE MAXIMUM CHARITY CARE WRITE OFF FOR AN ELECTIVE SURGERY PROCEDURE WILL BE 50% OF BILLED CHARGES. 3) PATIENTS ARE EXPECTED TO CONTRIBUTE PAYMENT FOR CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION; THEREFORE, EACH CASE WILL BE REVIEWED SEPARATELY.4) CHARITY CARE IS NOT CONSIDERED AN ALTERNATIVE OPTION FOR PAYMENT AND PATIENTS MAY BE ASSISTED IN FINDING OTHER MEANS OF PAYMENT OR FINANCIAL ASSISTANCE BEFORE APPROVAL FOR CHARITY CARE. 5) UNINSURED PATIENTS WHO ARE BELIEVED TO HAVE THE FINANCIAL ABILITY TO PURCHASE HEALTH INSURANCE MAY BE ENCOURAGED TO DO SO IN ORDER TO ENSURE HEALTHCARE ACCESSIBILITY AND OVERALL WELL-BEING.
PART III, LINE 2	THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL PATIENT SERVICES REVENUE DIVIDED BY OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS.THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT WERE WRITTEN OFF DURING THE FISCAL YEAR TO ESTIMATE THE COST OF THE CARE OF PATIENTS THAT HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE HOSPITAL.
PART III, LINE 3	MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY REPONSIBLE 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 MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE. MANY TIMES PATIENTS ARE UNABLE TO COMPLETE THE REQUIRED CHARITY CARE APPLICATION AND ARE TRANSFERRED TO COLLECTION SERVICES EVEN THOUGH THE HOSPITAL PROVIDES THIS INFORMATION TO ALL PATIENTS AND ASSISTANCE WITH THE APPLICATIONS. DUE TO NO RESPONSES FROM SOME PATIENTS, A SIGNIFICANT AMOUNT OF BAD DEBTS COULD BE CONSIDERED AS CHARITY CARE.
Part VI, Line 2:	In addition to the Community Health Needs Assessment recently conducted in conjunction with area healthcare facilities, the Great Rivers United Way and county health departments, Vernon Memorial Healthcare continually gathers and reviews data related to community needs by utilizing more informal focus and advisory groups, discussions with area employers, and web surveys, as well as through serving on local and state boards and committees. The Organization collaborates with community organizations, churches, businesses, agencies, and local colleges and universities to determine the needs of the communities served. Board members represent not only the city of Viroqua, but come from the different areas served by the Organization. These Board members regularly meet with the people in their areas to utilize the services offered by the Organization and bring back their issues and concerns.
Part VI, Line 3:	Vernon Memorial Healthcare, Inc. makes every effort to educate patients about charity care and other discount programs available at the time of registration and following discharge. Forms and instructions are available at all registration areas, including the main hospital, emergency room and outlying clinics. Financial counselors are available during daytime hours to assist patients with completion of forms, either in person or over the phone. Information about charity and discount programs is also available on the organization's website and e-newsletter. Signs regarding the community care program are posted at all registration locations.
Part VI, Line 4:	Vernon Memorial Healthcare, Inc. serves the city of Viroqua and the surrounding area. Other towns in the primary service area include Westby, Readstown, Soldiers Grove, Cashton, and LaFarge. The secondary service area extends to the cities of DeSoto, Ferryville, Hillsboro, Coon Valley, Richland Center, Gays Mills, and Ontario. The communities and surrounding rural areas in the primary service area have an approximate population of 23,000. The secondary service area includes an additional 25,000 persons. The entire area is rural with an aging population and relatively low income levels.
Part VI, Line 5:	Vernon Memorial Healthcare, Inc. provides a full range of inpatient and outpatient services to the people in the communities it serves. Services are provided without regard to race, color, creed, religion, gender orientation, disability, age, or national origin. Vernon Memorial Healthcare, Inc. operates a 24/7 emergency room that is open to serve all in need, regardless of ability to pay. The organization owns and operates four rural health clinics located in the cities of Viroqua, Westby, Soldiers Grove, and LaFarge, as well as four retail pharmacies located in Viroqua, Westby, Soldiers Grove and LaFarge. Home health and Hospice services (inpatient and outpatient) are also provided. Vernon Memorial Healthcare, Inc. collaborates with communities, churches, businesses, and other healthcare organizations in the region to facilitate and strengthen accessibility of quality comprehensive healthcare services. The organization supports the local communities by providing convenient locations for primary care and pharmacy services. The Board of Directors is comprised of independent community members who represent the make-up of the areas served by the organization. Vernon Memorial Healthcare, Inc. has an open medical staff made up of qualified physicians who work with the hospital to provide care to the communities served. All qualified physicians and affiliated staff who are granted privileges undergo a thorough and comprehensive credentialing and orientation process. Any surplus funds generated through operations are used to continue to meet the needs of the people that are served through the addition of new facilities and equipment, or the addition or expansion of needed services.
Part VI, Line 7, Reports Filed With States	WI

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Viroqua Area Schools
115 N Education Ave	Viroqua	WI	54665	396004944	GOV'T ORGANIZATION	$37,700	Support of Bigley Pool, Cross Country, book of the month program, harvest challenge
Youth Initiative High School
500 East Jefferson St	Viroqua	WI	54665	391906073	501(c)(3)	$15,000	Matching funds, student fundraising
WESTBY AREA SCHOOL DISTRICT
206 WEST AVE SOUTH	WESTBY	WI	54667	396005143	GOV'T ORGANIZATION	$19,015	softball field project
Viroqua Area Foundation
PO Box 262	Viroqua	WI	54665	391603279	501(c)(3)	$123,750	Fairgrounds building and Viroqua Public Library
Family and Children's Center
1707 Main street	La Crosse	WI	54601	390821863	501(c)(3)	$5,000	Matching funds for event
City of Prairie du Chien
214 E Blackhawk Drive	Prairie du Chien	WI	53821	396005636	GOV'T ORGANIZATION	$5,000	Support for Regional Bus Service
Vernon Trails
311 N Washington Street	Viroqua	WI	54665	710885732	501(c)(3)	$8,350	Matching funds - trail building, maintenance and equipment
Western Technical College
400 7th St N	La Crosse	WI	54602	396002842	GOV'T ORGANIZATION	$35,000	Partial compensation nursing clinical instructor - Viroqua campus
Vernon County Historical Society
4105 center ave	Viroqua	WI	54665	391429799	501(c)(3)	$10,000	capital campaign for elevator project
FINE ARTS FOUNDATION OF WESTBY AREA
PO BOX 8	WESTBY	WI	54667	392018130	501(c)(3)	$25,000	Performing Arts Center Pledge
FRIENDS OF LAWTON MEMORIAL LIBRARY
118 BIRD STREET	LA FARGE	WI	54639	205596172	501(c)(3)	$20,000	Library addition
LA FARGE AREA SCHOOLS
301 W ADAMS STREET	LA FARGE	WI	54639	396002844	GOV'T ORGANIZATION	$5,250	Bleachers
PLEASANT RIDGE WALDORF SCHOOL
431 EAST COURT STREET	VIROqua	WI	54665	391357578	501(c)(3)	$9,437	Early Childhood Program/Guest Speaker

Field	Value	IRS element (for citing)
Total501c3 Org	13	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	All donees are required to submit their donation requests to the CEO or marketing manager of Vernon Memorial Healthcare, Inc. Requests submitted to the marketing manager are forwarded to the CEO for final approval. The requests must include a detailed description of what the funds will be used for and how they will benefit the community. Donees are asked to provide confirmation of receipt and an explanation of how the funds were used, either verbally or in writing, to the CEO. If the requests are deemed beneficial to the needs of the community, the funds are awarded to the applying organization.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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
Kyle Bakkum
CEO	$263,650	$0	$5,000	$0	$0	$0	$15,981	$0	$24,604	$0	$309,235	$0	$0	$0
Mary Koenig
CFO	$233,135	$0	$5,000	$0	$0	$0	$12,950	$0	$19,738	$0	$270,823	$0	$0	$0
DR JAMES GILL
ER Physician	$362,137	$0	$5,000	$0	$0	$0	$10,327	$0	$0	$0	$377,464	$0	$0	$0
Dr Anthony Macasaet
Physician	$416,243	$0	$5,000	$0	$0	$0	$18,000	$0	$15,453	$0	$454,696	$0	$0	$0
Arnold Nomann
CRNA	$395,776	$0	$5,000	$0	$0	$0	$12,706	$0	$17,188	$0	$430,670	$0	$0	$0
Brian Miller
CRNA	$375,548	$0	$4,458	$0	$0	$0	$10,815	$0	$26,900	$0	$417,721	$0	$0	$0
Dr Patrick Scott
Physician	$381,862	$0	$5,000	$0	$0	$0	$18,000	$0	$7,954	$0	$412,816	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Wisconsin Health and Educational Facilities Authority	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	391337855	BondIssuerEIN
CUSIP	97712DGX8	CUSIPNum
Bond Issued	2014-12-09	BondIssuedDt
Issue Price	$19,445,225	IssuePriceAmt
Purpose	REFINANCE 2005 BONDS	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$200,000	RetiredAmt
Total Proceeds	$19,445,225	TotalProceedsAmt
Issuance Costs From Proceeds	$286,481	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$19,158,744	OtherSpentProceedsAmt
Current Refunding	Yes (1)	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Concerning UBI	0.03540	PrivateBusConcerningUBIPct
Total Private Business Use	0.03540	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, line 2	During 2016, Vernon Memorial Healthcare, Inc. purchased three community-based residential care facilities (CBRFs). The CBRFs are located in Viroqua, Westby, and Coon Valley, Wisconsin.
Form 990, Part VI, Section A, line 6	Any person who is eighteen years of age or older and a bona fide resident of Vernon County, Wisconsin, or the area within a radius of twenty-five miles of the City of Viroqua, Wisconsin, and who has heretofore or may hereafter contribute ten dollars or more to Vernon Memorial Healthcare, Inc. (the organization") shall be a member thereof. All members of the Organization shall be voting members. Each member shall have one vote on any matter submitted to a vote of the members of the Organization.
Form 990, Part VI, Section A, line 7a	The duties of the members of the Organization shall be: the election of members of the Board of Directors of the Organization, the removal of members of the Board of Directors of the Organization, and the changing of the number of directors constituting the Board of Directors of the Organization.
Form 990, Part VI, Section A, line 7b	The duties of the members of the Vernon Organization shall also include: the amendment, restatement, or modification of the Articles of Incorporation or Bylaws of the Organization; and the approval of the sale, lease, or other disposition of all, or substantially all of the assets and property of the Organization, the dissolution of the Organization, or its merger with another corporation.
Form 990, Part VI, Section B, line 11	The form 990 is reviewed by the board of directors of Vernon Memorial Healthcare, Inc. at their regularly scheduled board meeting prior to filing the return.
Form 990, Part VI, Section B, line 12c	All board members of vernon memorial healthcare, inc. are required to disclose all possible conflicts of interest when first elected to the board of directors. during their terms, if any business relationships are entered into which may affect their independence as a member, the member must immediately disclose these relationships. The compliance department provides education annually when board members are required to update and sign a conflict of interest statement each year.
Form 990, Part VI, Section B, line 15	To determine appropriate salary ranges for upper management positions, Vernon Memorial Healthcare, Inc. utilizes benchmark data from surveys conducted by relevant trade organizations. The CEO has the right to amend the determined amount for the CFO and COO. The board has the right to amend the amount for the CEO. The executive committee of the board reviews the data for the CEO annually to determine the amount of his compensation and any changes in compensation are maintained in the personnel file. The CEO reviews the data for the CFO and COO annually to determine the amount of compensation and any changes are maintained in the personnel file.
Form 990, Part VI, Section C, line 19	Vernon Memorial Healthcare, Inc. makes its financial statements and governing documents available to the public on a per request basis. The form 990 is also available to the public on a third party website called GuideStar.
Form 990, Part XI, Line 2c:	Oversight of audit: Vernon Memorial Healthcare, Inc. does not have a specific committee which assumes the responsibility for oversight of the audit. The entire board of directors is responsible for selection of the independent accountant. No changes have been made in the past year regarding this oversight function of the governing body.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Vernon Memorial Healthcare Foundation Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	507 South Main Street	AddressLine1Txt
City	Viroqua	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54665	ZIPCd

Field	Value	IRS element (for citing)
EIN	391515716	EIN
Primary Activities	Fundraising	PrimaryActivitiesTxt
Legal Domicile State	WI	LegalDomicileStateCd
Exempt Code Section	501(C)3	ExemptCodeSectionTxt
Public Charity Status	Line 7	PublicCharityStatusTxt
Direct Controlling NA	N/A	DirectControllingNACd
Controlled Organization	0	ControlledOrganizationInd

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