MEDICAL SERVICES INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: MEDICAL SERVICES INC (EIN 39-1536207)
Tax period: 2024-04-01 to 2025-03-31
Filed: 2025-11-10
IRS object ID: 202523149349302282
Schema version: 2024v5.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-10T10:04:23-06:00	ReturnTs
Tax Period End	2025-03-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	420714325	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	227 WEST FIRST STREET SUITE 700	AddressLine1Txt
City	DULUTH	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55802	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-04-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	391536207	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MEDICAL SERVICES INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MEDI	BusinessNameControlTxt
Phone	7159344321	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11040 N STATE ROAD 77	AddressLine1Txt
City	HAYWARD	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	548436391	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LUKE BEIRL	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	7159344321	PhoneNum
Signature	2025-11-06	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JULIE BOYER	PreparerPersonNm
PTIN	P01278549	PTIN
Phone	2187275025	PhoneNum
Preparation	2025-11-06	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	TAMARACK HEALTH HAYWARD MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	LUKE BEIRL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11040 N STATE ROAD 77	AddressLine1Txt
City	HAYWARD	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	548436391	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$106,530,142	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS:WWW.TAMARACKHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1986	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	IMPROVE THE HEALTH AND WELLBEING FOR THE PEOPLE OF OUR REGION.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	646	TotalEmployeeCnt
Total Volunteers	80	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$48,855	PYContributionsGrantsAmt
CY Contributions Grants	$1,604,835	CYContributionsGrantsAmt
PY Program Service Revenue	$85,494,646	PYProgramServiceRevenueAmt
CY Program Service Revenue	$94,518,517	CYProgramServiceRevenueAmt
PY Investment Income	$1,150,126	PYInvestmentIncomeAmt
CY Investment Income	$1,786,532	CYInvestmentIncomeAmt
PY Other Revenue	$161,272	PYOtherRevenueAmt
CY Other Revenue	$357,628	CYOtherRevenueAmt
PY Total Revenue	$86,854,899	PYTotalRevenueAmt
CY Total Revenue	$98,267,512	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$90,639	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$46,152,652	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$50,855,691	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$35,455,267	PYOtherExpensesAmt
CY Other Expenses	$37,842,485	CYOtherExpensesAmt
PY Total Expenses	$81,607,919	PYTotalExpensesAmt
CY Total Expenses	$88,788,815	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,246,980	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$9,478,697	CYRevenuesLessExpensesAmt
Total Assets BOY	$127,173,544	TotalAssetsBOYAmt
Total Assets EOY	$144,256,296	TotalAssetsEOYAmt
Total Liabilities BOY	$22,012,122	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$29,307,758	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$105,161,422	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$114,948,538	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	IMPROVE THE HEALTH AND WELLBEING FOR THE PEOPLE OF OUR REGION.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$78,758,221	ExpenseAmt
Grant	$90,639	GrantAmt
Revenue	$94,764,724	RevenueAmt
Desc	TAMARACK HEALTH HAYWARD MEDICAL CENTER IS A 25-BED CRITICAL ACCESS HOSPITAL, 50 BED NURSING HOME, AND 40 APARTMENT RCAC FACILITY. THE HOSPITAL CAMPUS ALSO CONTAINS TWO ATTACHED PRIMARY CARE CLINICS; ONE THAT IS OWNED AND OPERATED BY TAMARACK HEALTH HAYWARD MEDICAL CENTER AND ANOTHER THAT IS OWNED AND OPERATED BY ESSENTIA HEALTH. THESE CLINICS EMPLOY APPROXIMATELY 20 FULL-TIME PHYSICIANS, AND ADDITIONAL PART-TIME SPECIALTY CARE PHYSICIANS WHO DO ROUNDS AND SEE PATIENTS AT THE HOSPITAL THROUGHOUT THE MONTH. THE HOSPITAL, NURSING HOME AND ASSISTED LIVING EMPLOY CLOSE TO 605 EMPLOYEES. IN FY '24-'25 THE HOSPITAL HAD 991 INPATIENT ADMISSIONS AND 2,887 IP DAYS, 776 OBSERVATION ADMISSIONS WITH 16,113 HOURS OF CARE, AND 33 TCU ADMISSIONS WITH 338 CENSUS DAYS OF CARE. THE NURSING HOME HAD 46 ADMISSIONS WITH 13,008 CENSUS DAYS, AND THE ASSISTED LIVING HAD 13,912 RESIDENT DAYS WITH AN AVERAGE MONTHLY CENSUS OF 38.12 FOR THE FISCAL YEAR WITH 40 TOTAL APARTMENTS. THE EMERGENCY ROOM IS STAFFED BY A PHYSICIAN 24/7/365 SEEING 10,165 PATIENTS. AIR AND GROUND AMBULANCES ARE AVAILABLE FOR THOSE REQUIRING A HIGHER LEVEL OF TRAUMA CARE. AS A RESULT OF A 2015 COMMUNITY HEALTH NEEDS ASSESSMENT, AN URGENT CARE WAS OPENED IN 2017. IT SERVED 6,683 PATIENTS DURING ITS EIGHTH FULL FISCAL YEAR OF OPERATION. THE OPERATING ROOM PERFORMED 1,573 CASES AND ENDOSCOPY PERFORMED 1,139 PROCEDURES. THE HOSPITAL HAS ADDED SEVERAL SPECIALTY SERVICES OVER THE LAST SEVERAL YEARS. ORTHOPEDICS OPENED IN APRIL 2018 WITH A SPORTS MEDICINED CERTIFIED SURGEON ADDED IN FEBRUARY 2020. WOUND CARE WAS ADDED IN LATE 2018. UROLOGY WAS ADDED IN AUGUST 2019. IN FY '20-'21, PODIATRY, GENERAL SURGERY, AND ADVANCED PAIN MANAGEMENT WERE ADDED. EAR, NOSE, AND THROAT (ENT) WAS ADDED IN FY '22-'23. OUR SPECIALTY SERVICES PROGRAMS HAD 10,585 CLINIC VISITS AND 949 SURGERIES IN FY '24-'25. A FAMILY MEDICINE/PRIMARY CARE CLINIC WAS OPENED IN MAY 2022 AND WAS CERTIFIED AS A RURAL HEALTH CLINIC (RHC) IN DECEMBER 2022. IT SERVED 10,644 PATIENTS IN ITS SECOND FULL YEAR OF OPERATION. A SECOND FAMILY MEDICINE/PRIMARY CARE CLINIC WAS OPENED IN AUGUST 2024 IN CABLE, WISCONSIN. THE CLINIC SERVED 860 PATIENTS IN ITS FIRST PARTIAL YEAR OF OPERATION. RADIOLOGY EXAMS TOTAL 35,780, AND LAB EXAMS TOTAL 109,775 PER YEAR. HAYWARD MEDICAL CENTER PERFORMED 158 DELIVERIES LAST YEAR WITH 286 NEWBORN DAYS. HAYWARD IS A POPULAR VACATION HOME DESTINATION AND ATTRACTS TOURISTS THROUGHOUT THE YEAR. HAYWARD IS ALSO A POPULAR RECREATIONAL AREA ATTRACTING MOUNTAIN BIKERS, SKIERS, BOATING, FISHING, AND GENERAL OUTDOOR ACTIVITIES. MEDICAL PROFESSIONALS ARE ATTRACTED TO THIS POPULAR RECREATIONAL AREA BY THE QUALITY OF LIFE THEY FIND HERE.	Desc
Total Program Service Expenses	$78,758,221	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
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	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	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
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	42	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	646	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	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	HEATHER SHEEHAN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7159344245	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11040 N STATE ROAD 77	AddressLine1Txt
City	HAYWARD	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	548436391	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
LUKE BEIRL
DIRECTOR/CEO-MSI/INTERIM PRES-REI	37.00	3.00	Yes (X)	Yes (X)	$581,241	$0	$70,546
MARY HANSEN
DIRECTOR	1.00		Yes (X)		$0	$0	$0
GREGG LUNDBERG
DIRECTOR	1.00		Yes (X)		$0	$0	$0
HARRY MALCOLM MD
DIRECTOR	1.00		Yes (X)		$0	$0	$0
STACEY MCKINNEY
DIRECTOR	1.00		Yes (X)		$0	$0	$0
DODSON THOMPSON DO
DIRECTOR/CHIEF OF STAFF	1.00		Yes (X)		$0	$0	$0
JOHN WILL
DIRECTOR	1.00		Yes (X)		$0	$0	$0
JOHN GARRETT
TREASURER	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
KYLAH ECKES
SECRETARY	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
NED WOLF
VICE CHAIR	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
RICH HOBAN
CHAIR	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
KENT DUMONSEAU
CFO - REI	1.00	39.00		Yes (X)	$0	$475,431	$58,699
HEATHER SHEEHAN
COO	39.00	1.00			$243,282	$0	$58,981	Yes (X)
AINDREA LINDSAY
CCO	40.00				$236,600	$0	$58,196	Yes (X)
PAUL TONKIN
PHYSICIAN	40.00				$867,475	$0	$64,809		Yes (X)
BRIAN DONAHUE
PHYSICIAN	40.00				$1,007,185	$0	$65,745		Yes (X)
SARAH FOWLER
PHYSICIAN	40.00				$584,994	$0	$65,322		Yes (X)
DAVID LYNN
PHYSICIAN	40.00				$636,434	$0	$66,756		Yes (X)
MATTHEW VINCENT
CRNA	40.00				$470,015	$0	$65,410		Yes (X)
JASON DOUGLAS
FORMER PRESIDENT (DIR. & OFFICER)	0.00				$0	$1,228,098	$55,866			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,627,226	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,703,529	TotReportableCompRltdOrgAmt
Total Other Compensation	$630,330	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	63	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MARKET & JOHNSON
2350 GALLOWAY STREET PO BOX 63	EAU CLAIRE	WI	54702	CONTRACTOR FOR BUILDING PROJECTS	$11,478,378
REGIONAL ENTERPRISES INC
1615 MAPLE LANE	ASHLAND	WI	54806	PRO FEES/RENT	$4,139,815
MEDICAL SOLUTIONS
PO BOX 310737	DES MOINES	IA	50331	TRAVEL STAFFING	$926,025
KBK SERVICES INC
PO BOX 546	ASHLAND	WI	54806	CONTRACTOR FOR BUILDING PROJECTS	$555,376
SHARED MEDICAL TECHNOLOGY
202 W NEWTON ST	RICE LAKE	WI	54868	PRO FEES	$446,712

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	22	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,588,688	GovernmentGrantsAmt
All Other Contributions	$16,147	AllOtherContributionsAmt
Noncash Contributions	$10,145	NoncashContributionsAmt
Total Contributions	$1,604,835	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOSPITAL	621500	$87,956,924	$87,956,924
NURSING HOME	623000	$4,664,917	$4,664,917
ASSISTED LIVING	623000	$1,891,043	$1,891,043
DIABETES	621500	$5,633	$5,633

Field	Value	IRS element (for citing)
Total Program Service Revenue	$94,518,517	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,250,605	TotalRevenueColumnAmt
Exclusion	$1,250,605	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$61,371	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$74,290	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$12,919	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$12,919	TotalRevenueColumnAmt
Exclusion	-$12,919	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$8,702,306	SecuritiesAmt
Other	$21,961	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$8,173,702	SecuritiesAmt
Other	$14,638	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$528,604	SecuritiesAmt
Other	$7,323	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$535,927	TotalRevenueColumnAmt
Exclusion	$535,927	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
EARNINGS IN CMDI	900099	$238,953	$238,953
CAFETERIA	900099	$124,340		$124,340
MISCELLANEOUS	900099	$7,254	$7,254

Field	Value	IRS element (for citing)
Other Revenue Total	$370,547	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$98,267,512	TotalRevenueColumnAmt
Related Or Exempt Func Income	$94,764,724	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,897,953	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$90,639	TotalAmt
Program Services	$90,639	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,478,577	TotalAmt
Management And General	$1,478,577	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$35,943,581	TotalAmt
Program Services	$34,675,963	ProgramServicesAmt
Management And General	$1,267,618	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,589,280	TotalAmt
Program Services	$1,515,738	ProgramServicesAmt
Management And General	$73,542	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,399,300	TotalAmt
Program Services	$8,862,744	ProgramServicesAmt
Management And General	$536,556	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,444,953	TotalAmt
Program Services	$2,275,446	ProgramServicesAmt
Management And General	$169,507	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$159,789	TotalAmt
Management And General	$159,789	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$91,315	TotalAmt
Management And General	$91,315	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$6,766	TotalAmt
Management And General	$6,766	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,721,442	TotalAmt
Program Services	$2,407,575	ProgramServicesAmt
Management And General	$313,867	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$201,598	TotalAmt
Program Services	$400	ProgramServicesAmt
Management And General	$201,198	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$995,071	TotalAmt
Program Services	$578,612	ProgramServicesAmt
Management And General	$416,459	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,859,167	TotalAmt
Management And General	$3,859,167	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,166,453	TotalAmt
Program Services	$1,102,195	ProgramServicesAmt
Management And General	$64,258	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$440,459	TotalAmt
Program Services	$374,034	ProgramServicesAmt
Management And General	$66,425	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$570,282	TotalAmt
Program Services	$536,065	ProgramServicesAmt
Management And General	$34,217	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,513,101	TotalAmt
Program Services	$6,057,184	ProgramServicesAmt
Management And General	$455,917	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$242,491	TotalAmt
Management And General	$242,491	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS	$6,973,859	$6,973,859
MEDICAL SUPPLIES	$6,027,578	$6,027,335	$243
IMPLICIT PRICE CONCESSI	$4,198,640	$4,198,640
REPAIRS & MAINTENANCE	$1,735,700	$1,709,413	$26,287

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,938,774	TotalAmt
Program Services	$1,372,379	ProgramServicesAmt
Management And General	$566,395	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$88,788,815	TotalAmt
Program Services	$78,758,221	ProgramServicesAmt
Management And General	$10,030,594	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,743	BOYAmt
EOY	$4,603	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$23,232,943	BOYAmt
EOY	$27,452,021	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$12,267,115	BOYAmt
EOY	$13,669,632	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,504,063	BOYAmt
EOY	$2,770,012	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,598,117	BOYAmt
EOY	$1,680,435	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$102,843,197	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$46,298,457	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$51,857,443	BOYAmt
EOY	$56,544,740	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$11,251,665	BOYAmt
EOY	$11,266,026	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$7,789,692	BOYAmt
EOY	$8,864,982	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$230,099	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$16,666,763	BOYAmt
EOY	$21,773,746	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$127,173,544	BOYAmt
EOY	$144,256,296	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$8,331,319	BOYAmt
EOY	$7,665,417	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$13,125,886	BOYAmt
EOY	$20,502,385	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$554,917	BOYAmt
EOY	$1,139,956	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$22,012,122	BOYAmt
EOY	$29,307,758	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$105,161,422	BOYAmt
EOY	$114,948,538	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$105,161,422	BOYAmt
EOY	$114,948,538	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$127,173,544	BOYAmt
EOY	$144,256,296	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$9,478,697	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$519,779	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$211,360	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)
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	$6,766	OtherActivitiesAmt
Total Lobbying Expenditures	$6,766	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	TAMARACK HEALTH HAYWARD MEDICAL CENTER PAYS DUES TO CERTAIN ORGANIZATIONS RELATED TO THE INDUSTRY WHICH HAVE LOBBYING EXPENSES. THE AMOUNT LISTED IS THE PERCENTAGE OF THE DUES PAID THAT WERE USED FOR LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,214,757	OtherCostOrOtherBasisAmt
Book Value	$1,214,757	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$74,339,128	OtherCostOrOtherBasisAmt
Depreciation	$31,529,926	DepreciationAmt
Book Value	$42,809,202	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,818,736	OtherCostOrOtherBasisAmt
Depreciation	$12,806,947	DepreciationAmt
Book Value	$8,011,789	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,470,576	OtherCostOrOtherBasisAmt
Depreciation	$1,961,584	DepreciationAmt
Book Value	$4,508,992	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$56,544,740	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
MUTUAL FUNDS	$6,396,268	F
ALTERNATIVE INVESTMENTS	$2,468,714	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$8,864,982	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
ASSETS LIMITED AS TO USE	$20,540,425
INTEREST RATE SWAP	$244,249
RIGHT-OF-USE LEASE ASSET	$989,072

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$21,773,746	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
THIRD-PARTY PAYOR SETTLEMENTS	$150,884
OPERATING LEASE LIABILITY	$989,072

Field	Value	IRS element (for citing)
Total Liability	$1,139,956	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$94,444,258	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$519,779	NetUnrealizedGainsInvstAmt
Other Revenue	-$4,410,000	OtherRevenueAmt
Revenue Not Reported	-$3,890,221	RevenueNotReportedAmt
Revenue Subtotal	$98,334,479	RevenueSubtotalAmt
Other Revenues Not Included	-$66,967	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$66,967	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$98,267,512	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$84,657,142	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$66,967	OtherExpensesIncludedAmt
Expenses Not Reported	$66,967	ExpensesNotReportedAmt
Expenses Subtotal	$84,590,175	ExpensesSubtotalAmt
Other Expenses Not Included	$4,198,640	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$4,198,640	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$88,788,815	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	THE HOSPITAL IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. NONPROFIT ORGANIZATIONS MAY BECOME SUBJECT TO INCOME TAXES IF QUALIFICATION AS A TAX-EXEMPT ENTITY CHANGES, IF UNRELATED BUSINESS INCOME IS GENERATED AND IN CERTAIN OTHER INSTANCES. NONPROFIT ORGANIZATIONS ARE REQUIRED TO ASSESS THE CERTAINTY OF THEIR TAX POSITIONS RELATED TO THESE MATTERS AND, IN SOME CASES, RECORD LIABILITIES FOR POTENTIAL TAXES, INTEREST AND PENALTIES ACCOMPANIED BY FOOTNOTE DISCLOSURES. THE HOSPITAL HAS NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE THE ACCRUAL OF AN INCOME TAX PROVISION. GENERALLY, THE HOSPITAL IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL OR STATE TAX AUTHORITIES FOR YEARS BEFORE 2022.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	IMPLICIT PRICE CONCESSIONS -4,198,640. LOSS ON INTEREST RATE SWAPS -211,360.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RENTAL EXPENSES -74,290. GAIN ON DISPOSAL OF FIXED ASSETS 7,323.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 74,290. GAIN ON DISPOSAL OF FIXED ASSETS -7,323.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	IMPLICIT PRICE CONCESSIONS 4,198,640.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
NORTH AMERICA	0	0	INVESTMENT	$519,039
CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENT	$1,706,696

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$2,225,735	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$2,225,735	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

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
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	0	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	$778,204	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$778,204	NetCommunityBenefitExpnsAmt
Total Expense	0.00920	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,624,028	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,489,456	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,134,572	NetCommunityBenefitExpnsAmt
Total Expense	0.03710	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,402,232	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,489,456	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,912,776	NetCommunityBenefitExpnsAmt
Total Expense	0.04630	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$115,378	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$115,378	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,732,907	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,349,321	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,383,586	NetCommunityBenefitExpnsAmt
Total Expense	0.05180	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$94,620	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$94,620	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,942,905	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,349,321	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,593,584	NetCommunityBenefitExpnsAmt
Total Expense	0.05430	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,345,137	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,838,777	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,506,360	NetCommunityBenefitExpnsAmt
Total Expense	0.10060	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,236	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,236	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,236	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,236	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,198,640	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$18,081,884	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$19,070,761	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$988,877	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	TAMARACK HEALTH HAYWARD MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11040 N STATE ROAD 77	AddressLine1Txt
City	HAYWARD	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54843	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://WWW.TAMARACKHEALTH.ORG/	WebsiteAddressTxt
State License	1040	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	N/A	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	TAMARACK HEALTH HAYWARD 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
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, PAGE 8	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, PAGE 8	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, PAGE 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, PAGE 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, PAGE 8	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
TAMARACK HEALTH HAYWARD MEDICAL CENTER	PART V, SECTION B, LINE 5: WE WERE ABLE TO GATHER VALUABLE INFORMATION FROM COMMUNITY STAKEHOLDERS THAT INCLUDED REPRESENTATIVES FROM OVER 30 AGENCIES, BUSINESSES AND NON-PROFIT ORGANIZATIONS. FROM THE COMMUNITY STAKEHOLDERS, WE DEVELOPED A STEERING TEAM OF 13 DEDICATED INDIVIDUALS TO REVIEW ALL OF THE INFORMATION THAT WAS COLLECTED AND SUPPORT THE DEVELOPMENT OF THIS PLAN.WE HAVE LAUNCHED EVERY CHNA WITH A COMMUNITY SURVEY. THE SURVEY FOR THIS CYCLE INCLUDED NEW QUESTIONS AND ALIGNED DEMOGRAPHIC QUESTIONS TO CENSUS SURVEYS. WE ALSO INCREASED PAPER DISTRIBUTION TO MAKE THE SURVEY ACCESSIBLE TO MORE COMMUNITY MEMBERS AS WELL AS INTENTIONALLY WORKING TO REACH ALL DEMOGRAPHICS IN SAWYER COUNTY, INCLUDING UNDERSERVED POPULATIONS. -A DIGITAL SURVEY WAS DISTRIBUTED THROUGHOUT SAWYER COUNTY AND PORTIONS OF BAYFIELD AND WASHBURN COUNTIES. PAPER COPIES OF THE SURVEY WERE PROVIDED TO THE LAC COURTE OREILLES COMMUNITY HEALTH CENTER, LIBRARIES, AND THE SAWYER COUNTY MEALS ON WHEELS PROGRAM.-THE SURVEY WAS OPEN FOR ONE MONTH BETWEEN APRIL 29 AND MAY 31, 2024.-THE DISTRIBUTION WAS DESIGNED TO ENCOURAGE BROAD PARTICIPATION IN ORDER TO REPRESENT THE OVERALL POPULATION OF THE COUNTY, ENSURING ALL ZIP CODES, RACES, ETHNICITIES AND AGES WERE REPRESENTED.-COMMUNICATION METHODS TO PROMOTE THE SURVEY INCLUDED A PRESS RELEASE TO AREA NEWSPAPERS, RADIO STATIONS AND CHAMBERS OF COMMERCE OFFICES. TAMARACK HEALTH AND SAWYER COUNTY HEALTH & HUMAN SERVICES SOCIAL MEDIA AND WEBSITES SHARED THE INFORMATION AND AGENCY PARTNERS AND AREA SCHOOLS WERE ENCOURAGED TO SEND TO THEIR CLIENTS AND STUDENTS.-615 INDIVIDUALS TOOK THE SURVEY WITH 557 COMPLETING THE ONLINE SURVEY AND 58 PEOPLE SUBMITTING A PAPER SURVEY.-ALTHOUGH SURVEY RESPONDENT DEMOGRAPHICS ALIGNED WELL TO SAWYER COUNTY CENSUS DATA, THERE WAS A DISPARITY IN MALE SURVEY RESPONDENTS. SAWYER COUNTY CENSUS DATA HAS A RELATIVELY EVEN SPLIT WITH 51.9% MALE TO 48.1% FEMALE. HOWEVER, THE MALE SURVEY RESPONDENTS WERE SIGNIFICANTLY UNDERREPRESENTED AT 24.2% VERSUS FEMALE RESPONSE OF 73.6% (2.1% CHOSE NOT TO ANSWER).THE STEERING COMMITTEE WAS COMPRISED OF THE FOLLOWING INDIVIDUALS:ALICIA CARLSON - SAWYER COUNTY HEALTH & HUMAN SERVICESANN LARSON - SHERMAN & RUTH WEISS COMMUNITY LIBRARYASHLEY KAMLA - TAMARACK HEALTHBRITNE LONGTINE - LCO COMMUNITY HEALTH CENTERCARRIE ROBERTS - NORTHLAKES COMMUNITY CLINICCRYSTAL NORDBY - NEW DAY ADVOCACY CENTERDARRIN WHITE - NAMEKAGON TRANSITGRACE BALDRIDGE - HAYWARD UNITED METHODIST CHURCHJILLIAN STONE - HAYWARD WESLEYAN CHURCHKATHY MULLALLY - NORTHWEST CONNECTION FAMILY RESOURCE CENTERMARIE BASTY - BIZHIKI WELLNESS CENTERROBERT JOZWIAK - HAYWARD COMMUNITY FOOD SHELFSARA KRESS - TAMARACK HEALTH
TAMARACK HEALTH HAYWARD MEDICAL CENTER	PART V, SECTION B, LINE 6B: SAWYER COUNTY HEALTH AND HUMAN SERVICES
TAMARACK HEALTH HAYWARD MEDICAL CENTER	PART V, SECTION B, LINE 7D: HMC DID A SOCIAL MEDIA POST AS WELL AS GAVE PAPER COPIES OF THE REPORT TO THE PARTNERING ORGANIZATIONS THAT IT WORKED ON THE CHNA WITH, FOR AVAILABILITY AT THEIR LOCATIONS.
TAMARACK HEALTH HAYWARD MEDICAL CENTER	PART V, SECTION B, LINE 11: TAMARACK HEALTH HAYWARD MEDICAL CENTERPARTNERED WITH SAWYER COUNTY PUBLIC HEALTH TO COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOP AND IMPLEMENT THE 2026-2028 COMMUNITY HEALTH IMPROVEMENT PLAN.THE FOLLOWING PRIORITY AREAS WERE IDENTIFIED:1. SUBSTANCE ABUSE (DRUG USE AND ALCOHOL USE)2. MENTAL HEALTH (INCLUDE SODICAL ISOLATION AS A CONTRIBUTING FACTOR)3. BASIC NEEDS (SHELTER/HOUSING, TRANSPORTATION, FOOD, HEALTH CARE, LIVABLE WAGES, CHILDCARE)THESE PRIORITIES WILL BE ADDRESSED BY THE FOLLOWING STRATEGIES:1. CONDUCT ROOT CAUSE AND GAP ANALYSES OF THE 3 PRIORITY AREAS2. INCREASE AGENCY COLLABORATION AND AWARENESS OF SERVICES AND PROGRAMS3. IMPROVE COMMUNITY AWARENESS OF SERVICES AND PROGRAMSHMC WILL BE ADDRESSING THESE NEEDS BEGINNING IN THE 2025 TAX YEAR. DURING THE 2024 TAX YEAR, HMC ADDRESSED THE NEEDS IDENTIFIED IN THE 2023-2025 CHNA:YEAR 3 PROGRESS: APRIL 1, 2024 - MARCH 31, 2025GOAL 1: CREATE A HEALTH AND WELLNESS COUNTY WIDE RESOURCE DATABASE TO SHARE SERVICES, EDUCATIONAL OPPORTUNITIES, PROGRAMS, SUPPORT GROUPS, ETC. THAT ARE AVAILABLE IN SAWYER COUNTY.-SAWYER COUNTY PUBLIC HEALTH CONTINUES TO INCREASE INFORMATION AVAILABLE ON THE WEBSITE, HTTPS://SAWYER.WI.NETWORKOFCARE.ORG/. THEY REGULARLY REACH OUT TO COMMUNITY ORGANIZATIONS TO ADD EVENTS AND LISTINGS, DEVELOP CONTENT AND MAKE IMPROVEMENTS TO THE SITE INCLUDING A FOCUS ON MAKING IT MORE USER FRIENDLY. -TAMARACK HEALTH CONTINUES TO CONTRIBUTE WEBSITE CONTENT, PRODUCE AND SUPPLY ADVERTISING MATERIALS TO PROMOTE THE SITE AND PAY A PORTION, $5000/ANNUALLY TO SUPPORT SITE MAINTENANCE AND HOSTING FEES.-SAWYER COUNTY NETWORK OF CARE STATISTICS FOR JAN 1 -DEC. 31, 2024:1. 10,714 TOTAL SITE VISITS2. 20,150 TOTAL PAGE VIEWS3. 55 AVERAGE PAGE VIEWS/DAY4. AVERAGE LENGTH OF TIME ON SITE: 5:44 MINUTES-SAWYER COUNTY NETWORK OF CARE WEB ANALYTICS JAN. 1 MARCH 31, 2025 ARE SHOWING VERY STRONG GROWTH OVER 2024 STATS:1. 8,196 TOTAL SITE VISITS2. 9,930 TOTAL PAGE VIEWS3. 110 AVERAGE PAGE VIEWS/DAY4. AVERAGE LENGTH OF TIME ON SITE: 4:49 MINUTES -TOP SEARCHES ON THE SITE:1. RECOVERY2. STRESS3. ALZEHEIMER'S DISEASE4. ASSISTIVE DEVICES-PRINTED 600 RACK CARDS TO PROMOTE SITE AND FEATURES, INCLUDES QR CODE FOR EASY ACCESS. PRINTING OF CARDS COST $107.36 BY ADVANCE PRINTING ON 4/4/24GOAL 2: CREATE COMMUNITY ACTION GROUP(S) FOR EACH AGE AND FOCUS AREA. GROUPS WILL PRIORITIZE IDENTIFIED FOCUS AREAS, DEVELOPING GOALS AND CREATING ACTIONABLE STEPS TO IMPROVE THE IDENTIFIED NEEDS.CHILDREN & YOUNG ADULTS: HEALTH EDUCATION PREVENTION & ADULTS: ALCOHOL & DRUG RECOVERY GROUPS/SERVICESSUPPORTING ALL AGE GROUPS: THE MISSION OF THE GIWII-MINOBIMAADIZIMIN (WE WANT TO LIVE WELL) PREVENTION COALITION FOCUSES ON PROMOTING POSITIVE MENTAL HEALTH AND PREVENT SUBSTANCE USE. THE COALITION WILL MOVE OUR COMMUNITIES FORWARD TOGETHER THROUGH PREVENTION, EDUCATION, COMMUNITY ACTION AND TREATMENT AWARENESS. A MAJOR GOAL OF THE COALITION IS TO REDUCE STIGMA ASSOCIATED WITH MENTAL HEALTH AND/OR SUBSTANCE USE TREATMENT. SIMULTANEOUS, THE COALITION STRIVES TO RAISE AWARENESS OF LOCAL RESOURCES FOR SUBSTANCE USE TREATMENT. THE PREVENTION COALITION IS ONE OF THE MOST ACTIVE GROUPS, MEETING ONCE A MONTH TO DISCUSS GOALS AND PROJECTS THAT MEMBERS ARE IMPLEMENTING WITHIN THE COMMUNITY. -TOPICS INCLUDED:1. REDUCING DISPARITIES2. FOCUS ON COMMUNITY AND RESPECTING CULTURES3. BREAK DOWN STIGMAS, EMBRACE THE POSITIVE-INFORMATION SHARED TO INCREASE AWARENESS OF ACTIVITIES AND PROGRAMS:1. YOUTH DIVERSION PROGRAM FOCUSING ON PREVENTION2. SOBER ACTIVITIES OFFERED BY THE LCO BOYS & GIRLS CLUB3. FENTANYL AWARENESS INITIATIVE4. SOBER LIVING OPTIONS AND INITIATIVES5. NARCAN TRAINING OPPORTUNITIES AS OF 9/25/24 OVER 80 PEOPLE HAVE COMPLETED THE FREE TRAINING THAT HAS BEEN OFFERED AS PART OF THE TRIBAL OVERDOSE PREVENTION GRANT6. GRANT OPPORTUNITIES SOUGHT TO SUPPORT YOUTH JUSTICE SOBER ACTIVITIES7. FIVE NARCAN VENDING MACHINES PURCHASED FOR COMMUNITY WITH GRANT FUNDS. LOCATIONS HAVE BEEN SELECTED AND PERMISSION RECEIVED, DETAIL TO BE PROVIDED IN NEXT REPORT. -THE COALITION IS A GREAT EXAMPLE OF WORK THAT WILL CONTINUE IN THE NEXT CHIP. WE PLAN TO USE THIS GROUP TO HELP STRATEGY #1: CONDUCT ROOT CAUSE AND GAP ANALYSES OF SUBSTANCE ABUSE.FENTANYL AWARENESS CAMPAIGN COMMUNITY SPEAKS - APRIL 9, 2024-A COMMUNITY WIDE EVENT TO RAISE AWARENESS OF THE DANGERS OF FENTANYL OCCURRED ON APRIL 9, 2024. -SPEAKERS PRESENTED TOPICS ON: RECOVERY IS POSSIBLE, DON'T BE FOOLED BY FENTANYL, THE CHARACTER OF ETHICS & CONNECTIONS BETWEEN CYBERTECHNOLOGY & DRUG ADDICTION/OVERDOSE-THE EVENT HOSTED 171 ATTENDEES, SUPPORTED BY 15 VENDORS.-TAMARACK HEALTH EMERGENCY DEPARTMENT REPRESENTATIVES ATTENDED THE EVENT AS A VENDOR AND PROVIDED EDUCATION ON SUBSTANCE ABUSE. SUPPORTING ALL AGE GROUPS: NATIONAL NIGHT OUT SAWYER COUNTY - AUGUST 1, 2024-COORDINATED BY SAWYER COUNTY SHERIFF'S DEPARTMENT WITH TAMARACK HEALTH HAYWARD MEDICAL CENTER COMMUNITY TEAM-TAMARACK HEALTH SPONSORED THE FOOD, SUPPORTED THE SET-UP AND PROVIDED BIKE HELMETS TO AREA CHILDREN AND ENCOURAGED BIKE SAFETY PRACTICES-COMMUNITY EDUCATION BY MEMBERS OF THE PREVENTION TASK FORCE FOCUSED ON VAPING-COMMUNITY EDUCATION BY TAMARACK HEALTH WAS PROVIDED BY THE TRAUMA COMMITTEE AND PROVIDED STOP THE BLEED EDUCATIONSUPPORTING ALL AGE GROUPS: TREATING OPIOID USE DISORDER (OUD) - SEPTEMBER 24, 2024-CONTINUED MEDICAL EDUCATION OFFERING BY THE WISCONSIN MEDICAL SOCIETY TO TAMARACK HEALTH PROVIDERS-KEYNOTE PRESENTER FAMILY MEDICINE PHYSICIAN: KRISTIE JOHNSON, MD-LEARNING OBJECTIVES INCLUDED:1. REVIEW THE PREVALENCE OF OUD2. DISCUSS HOW OUD CAN BE TREATED BY THE PRIMARY CARE PROVIDER3. EXPLAIN WHY PRIMARY CARE PROVIDERS SHOULD CONSIDER PRESCRIBING, OR EXPANDING THEIR PRESCRIBING PRACTICES WHERE APPLICABLETAMARACK HEALTH WORKED WITH SAWYER COUNTY AND OTHER COMMUNITY AGENCIES TO DEVELOP A COLLABORATIVE PARTNERSHIP TO HELP MITIGATE ISSUES RELATED TO CRISIS SITUATIONS WITHIN THE COUNTY. PARTICIPANTS INCLUDE ALL LAW ENFORCEMENT AGENCIES INCLUDING REPRESENTATIVES FROM SAWYER COUNTY SHERIFF'S DEPT., CITY OF HAYWARD, TOWN AND HAYWARD AND LCO LAW ENFORCEMENT, NORTHLAND COUNSELING, SAWYER COUNTY HEALTH AND HUMAN SERVICES AND ADULT PROTECTIVE SERVICES AND TAMARACK HEALTH HAYWARD MEDICAL CENTER INCLUDING EMERGENCY PREPAREDNESS, ED NURSE MANAGER AND THE DIRECTORS OF NURSING AND SOCIAL SERVICES. ADDITIONAL AGENCIES ARE INVITED ON AN AD HOC BASIS AND THE GROUP MEETS QUARTERLY FOR APPROXIMATELY 90 MINUTES.-TOPICS INCLUDED:1. TRANSPORTATION FOR BEHAVIORAL HEALTH PATIENTS2. HOMELESS WITHIN THE COMMUNITY3. CHILD PROTECTIVE SERVICES REMOVAL OF INFANTS4. LAW ENFORCEMENT RESPONSE AND TAMARACK HEALTH NEEDS DURING 12/30/24 LOCKDOWNADULTS: GENERAL -TAMARACK HEALTH HAYWARD AND ASHLAND MEDICAL CENTERS PARTNERED WITH REGIONAL HOSPICE SERVICES TO OFFER EDUCATION TO COMPLETE ADVANCE DIRECTIVES. THE EDUCATION IS OPEN TO EVERYONE, BUT FOCUSED ON ENGAGING COMMUNITY MEMBERS OVER AGE 60. THE TRAINING OCCURRED AT HMC ON JULY 23, 2024 AND AT AMC ON AUGUST 1, 2024.ADULTS: MENTAL HEALTH TRAUMA INFORMED CAREWE CONTINUE TO DISCUSS AND DEVELOP TRAINING TO EDUCATE HEALTHCARE, SOCIAL SERVICES ORGANIZATIONS, LAW ENFORCEMENT AND OTHERS ON TRAUMA INFORMED CARE.TAMARACK HEALTH HAYWARD MEDICAL CENTER REPRESENTATIVES INCLUDE:-LEE ANN KRAUSE, SOCIAL SERVICES DIRECTOR-TRACY JENSEN, CLINICAL NURSE EDUCATOR-CHERIE MORGAN, MARKETING DIRECTORSAWYER COUNTY HEALTH & HUMAN SERVICES REPRESENTATIVES INCLUDE:-JULIA LYONS, DIRECTOR-JULIE MCCALLUM, HEALTH OFFICER-JAKE WHITE, AMERICORPS PUBLIC HEALTH SPECIALISTJANUARY 2024 - SAWYER COUNTY HEALTH AND HUMAN SERVICES HAD EDUCATIONAL PRESENTATION FROM TAMARACK HEALTH ASHLAND MEDICAL CENTER BEHAVIORAL HEALTH REPRESENTATIVE SHERRI PAULSON, MSED, LCSW.REPRESENTATIVES FROM SAWYER COUNTY HEALTH & HUMAN SERVICES AND TAMARACK HEALTH HAYWARD MEDICAL CENTER (IDENTIFIED ABOVE) MET ON JULY 2 AND AUGUST 13, 2024 TO CONTINUE DISCUSSIONS ON DEVELOPING TRAINING TO EDUCATE HEALTHCARE, SOCIAL SERVICES ORGANIZATIONS, LAW ENFORCEMENT AND OTHERS ON TRAUMA INFORMED CARE.-FOLLOWING THE AUGUST MEETING IT WAS DETERMINED THAT DUE TO SIGNIFICANT EDUCATION PRIORITIES FOR TAMARACK HEALTH STAFF, THIS PRIORITY COULD NOT BE FULFILLED WITHIN THE ORGANIZATION AT THIS TIME.-TRAUMA INFORMED CARE - CRISIS INTERVENTION TRAINING, APRIL 1-2, 2025PROVIDED BY THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI)1. EVEN THOUGH THIS TRAINING TOOK PLACE IN THE NEXT FISCAL YEAR, IT IS IMPORTANT TO ACKNOWLEDGE THE ONGOING WORK RELATED TO IMPROVING AWARENESS AND HIGHLIGHTING THE IMPORTANCE OF TRAUMA INFORMED CARE. 2. THE CRISIS INTERVENTION TRAINING WAS VERY SUCCESSFUL WITH 24 ATTENDEES FROM COMMUNITY AGENCIES INCLUDING REPRESENTATIVES FROM SAWYER COUNTY HEALTH AND HUMAN SERVICES AND TAMARACK HEALTH. SEE PART V, PAGE 8 FOR CONTINUATION.
PART V, LINE 16A, FAP WEBSITE:	HTTPS://WWW.TAMARACKHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE-RESOURCES/FINANCIAL-ASSISTANCE/
PART V, LINE 16B, FAP APPLICATION FORM WEBSITE:	HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/TAMARACK-SITE-442/MEDIA/680CDC2B4B584BBD9A567C8B393B946D/2025-TAMARACK-HEALTH-FINANCIAL-ASSISTANCE-APPLICATION.PDF
PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY:	HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/TAMARACK-SITE-442/MEDIA/19C77EF038DA4875A13632E8E065A506/2025-TAMARACK-HEALTH-FAP-PLAIN-LANGUAGE-SUMMARY.PDF
PART V, LINE 16I, FAP TRANSLATION:	DUE TO THE SMALL SIZES OF THE LIMITED ENGLISH PROFICIENCY (LEP) POPULATIONS OF THE COMMUNITIES SERVED BY THE ORGANIZATION, THE ORGANIZATION WAS NOT REQUIRED TO TRANSLATE THE FINANCIAL ASSISTANCE POLICY (FAP), THE FAP APPLICATION FORM, OR THE PLAIN LANGUAGE SUMMARY OF THE FAP TO OTHER LANGUAGES.
PART V, LINE 7A, CHNA - HOSPITAL'S WEBSITE:	HTTPS://WWW.TAMARACKHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
PART V, LINE 10, IMPLEMENTATION PLAN WEBSITE:	HTTPS://WWW.TAMARACKHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
PART V, SECTION B, LINE 11, CONTINUED:	3. THE TRAINING INCLUDED A HISTORICAL TRAUMA SPEAKER, BACKGROUND INFORMATION ON MENTAL HEALTH, TRAUMA INFORMED CARE, DE-ESCALATION TECHNIQUES AND ADDITIONAL TOPICS. GOAL 3: EXPLORE OFFERING CHRONIC DISEASE MANAGEMENT SKILL BUILDING USING THE STANFORD CURRICULUM OF LIVING BETTER WITH CHRONIC DISEASE FOR YOUNG ADULTS THROUGH SENIORS.-TAMARACK HEALTH CONTINUES TO EXPAND PRIMARY CARE ACCESS IN ASHLAND, HAYWARD AND CABLE. AS EXPANSION PROJECTS STABILIZE, WE HOPE TO ENGAGE PROVIDERS, CLINIC LEADERS AND MEDICAL PROFESSIONALS TO BEGIN TO ADDRESS THIS NEED.COMMUNITY HEALTH NEEDS NOT ADDRESSED/ADDITIONAL IDENTIFIED PRIORITIES: THE COMMUNITY HEALTH IMPROVEMENT PLAN COMMITTEE IDENTIFIED SEVERAL OTHER HEALTH CONCERNS PREVALENT IN OUR COMMUNITIES WHICH INCLUDED, BUT WERE NOT LIMITED TO: COMMUNICABLE DISEASE, INJURY AND VIOLENCE, NUTRITION, GROWTH AND DEVELOPMENT, PHYSICAL HEALTH, TABACCO USE. ENVIRONMENTAL AND OCCUPATION, ORAL HEALTH, REPRODUCTIVE AND SEXUAL ISSUES, ETC.STAKEHOLDERS WERE ASKED TO RANK THESE HEALTH CONCERNS BY PRIORITY, AND WHILE ALL ARE IMPORTANT AND DEMAND TO BE ACKNOWLEDGED, THE COMMITTEE DECIDED TO USE AVAILABLE RESOURCES IN THE MOST EFFICIENT WAY POSSIBLE. THIS MEANT PRIORITIZING THREE ISSUES FOR THE GREATEST IMPACT, RATHER THAN TRYING TO DO A LITTLE IN EACH AREA.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - WATER'S EDGE
11040 N STATE ROAD 77	HAYWARD	WI	54843	NURSING HOME
2 - WATER'S EDGE
11040 N STATE ROAD 77	HAYWARD	WI	54843	ASSISTED LIVING FACILITY

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	COSTS ARE CALCULATED USING FINANCIAL DATA AND THE COST TO CHARGE RATIO FROM THE AS FILED MEDICARE COST REPORT.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES INCLUDE RESPIRATORY THERAPY, REHAB SERVICES, OBSERVATION BEDS, NURSING HOME AND ASSISTED LIVING.
PART I, LN 7 COL(F):	IMPLICIT PRICE CONCESSIONS FROM FINANCIAL STATEMENTS IS $4,198,640.
PART II, COMMUNITY BUILDING ACTIVITIES:	MANY PROGRAMS HAVE BEEN DESIGNED TO HELP PATIENTS OF THE COMMUNITY. BLOOD DRIVES, PALS CLASSES, NRP CLASS, MOM & INFANT MONTHLY NETWORK MEETINGS, PRENATAL YOGA, PARKINSON'S SUPPORT GROUP, ALSO COURSE, ACLS CLASSES, STABLE COURSE, AND BLS CLASSES ARE EXAMPLES OF THE COMMUNITY ACTIVITIES HAYWARD HOSPITAL IS CURRENTLY INVOLVED IN. IN ADDITION, COMMUNITY BENEFIT OPERATIONS THAT THE HOSPITAL IS INVOLVED WITH INCLUDE COMMUNITY SUPPERS, BIRKIE MEDICAL DIRECTORSHIP, BIRKIE MEDICAL TEAM, NATIONAL NIGHT OUT, TEAM BIRKIE CARE, SECURE PATIENT TRANSPORT, AND SPORTS PHYSICALS. THE ACTIVITIES HAVE BEEN REPORTED ON SCHEDULE H, PART I, LINE 7E.WORKFORCE DEVELOPMENT - HMC PURCHASED A LARGE, MULTI-ROOM HOME IN DECEMBER 2018 TO HOUSE MEDICAL STUDENTS AND LOCUM PROVIDERS WITH THE INTENT TO ATTRACT MEDICAL STUDENTS TO COME TO HAYWARD FOR THEIR RESIDENCY AND SEEK EMPLOYMENT IN THE HAYWARD AREA AFTER GRADUATION.
PART III, LINE 2:	REVENUES GENERALLY RELATE TO CONTRACTS WITH PATIENTS IN WHICH THE PERFORMANCE OBLIGATIONS ARE TO PROVIDE HEALTH CARE SERVICES TO THE PATIENTS. REVENUES ARE RECORDED DURING THE PERIOD THE PERFORMANCE OBLIGATIONS TO PROVIDE HEALTH CARE SERVICES ARE SATISFIED. THE COMPANY'S PERFORMANCE OBLIGATIONS FOR INPATIENT SERVICES ARE GENERALLY SATISFIED OVER PERIODS THAT AVERAGE APPROXIMATELY THREE DAYS, AND REVENUES ARE RECOGNIZED BASED ON CHARGES INCURRED IN RELATION TO TOTAL EXPECTED CHARGES. PERFORMANCE OBLIGATIONS FOR OUTPATIENT SERVICES ARE GENERALLY SATISFIED OVER A PERIOD OF LESS THAN ONE DAY.REVENUES ARE BASED UPON THE ESTIMATED AMOUNTS THE COMPANY EXPECTS TO BE ENTITLED TO RECEIVE FROM PATIENTS, INCLUDING PAYMENTS MADE BY THIRD-PARTY PAYORS ON BEHALF OF PATIENTS. ESTIMATES OF CONTRACTUAL ALLOWANCES UNDER MANAGED CARE AND COMMERCIAL INSURANCE PLANS ARE BASED UPON THE PAYMENT TERMS SPECIFIED IN THE RELATED CONTRACTUAL AGREEMENTS. REVENUES RELATED TO UNINSURED PATIENTS AND UNINSURED COPAYMENTS AND DEDUCTIBLE AMOUNTS FOR PATIENTS WHO HAVE HEALTH CARE COVERAGE MAY HAVE DISCOUNTS APPLIED (UNINSURED DISCOUNTS AND CONTRACTUAL DISCOUNTS). THE COMPANY ALSO RECORDS ESTIMATED IMPLICIT PRICE CONCESSIONS (BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE) RELATED TO UNINSURED ACCOUNTS TO RECORD SELF-PAY REVENUES AT THE ESTIMATED AMOUNTS THE COMPANY EXPECTS TO COLLECT.UNDER THE PROVISIONS OF ACCOUNTING STANDARDS UPDATE (ASU) NO. 2014-09, WHEN THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME, THE RIGHT IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THE COMPANY HAS THE UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYORS FOR RETROACTIVE ADJUSTMENTS ARE RECEIVABLES IF THE COMPANY'S RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTIBLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT ACCOUNTS RECEIVABLE RATHER THAN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE COMPANY DETERMINES THIS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTION EXPERIENCE WITH CERTAIN CLASSES OF PATIENTS USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR PATIENT CONTRACTS AS COLLECTIVE GROUPS RATHER THAN INDIVIDUALLY. THE FINANCIAL STATEMENT EFFECTS OF USING THIS PRACTICAL EXPEDIENT ARE NOT MATERIALLY DIFFERENT FROM AN INDIVIDUAL CONTRACT APPROACH.THE PRIMARY COLLECTIONS RISKS RELATE TO UNINSURED PATIENT ACCOUNTS, INCLUDING PATIENT ACCOUNTS FOR WHICH THE PRIMARY INSURANCE CARRIER HAS PAID THE AMOUNTS COVERED BY THE APPLICABLE AGREEMENT, BUT THE PATIENT RESPONSIBILITY AMOUNTS (DEDUCTIBLES AND COPAYMENTS) REMAIN OUTSTANDING. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO AMOUNTS DUE DIRECTLY FROM PATIENTS. ESTIMATED IMPLICIT PRICE CONCESSIONS ARE RECORDED FOR ALL UNINSURED ACCOUNTS, REGARDLESS OF THE AGING OF THOSE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN PERFORMED.
PART III, LINE 3:	AT TAMARACK HEALTH HAYWARD MEDICAL CENTER, IMPLICIT PRICE CONCESSIONS ARE CONSIDERED THE UNWILLINGNESS TO PAY, WHILE CHARITY CARE AND FREE CARE ARE INABILITY TO PAY.
PART III, LINE 4:	SEE FOOTNOTE 1 ON PAGE 8-9 OF THE AUDITED FINANCIAL STATEMENTS
PART III, LINE 8:	THE COSTING METHODOLOGY USED IN DETERMINING THE MEDICARE ALLOWABLE COST REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6:THE HOSPITAL FOLLOWED MEDICARE'S PRESCRIBED METHODS OF DETERMINING COSTS PAYABLE UNDER TITLE XVIII (MEDICARE) IN COMPLETING ITS ANNUAL MEDICARE COST REPORT (COST REPORT) USING DATA AVAILABLE FROM THE INSTITUTION'S BASIC ACCOUNTS, AS USUALLY MAINTAINED, TO ARRIVE AT EQUITABLE AND PROPER PAYMENT FOR SERVICES. THE COST REPORT WAS COMPLETED USING THE HOSPITAL'S TRIAL BALANCE OF EXPENSES, AS WELL AS OTHER STATISTICAL AND FINANCIAL RECORDS MAINTAINED BY THE HOSPITAL. AS REQUIRED BY MEDICARE REGULATIONS, CERTAIN RECLASSIFICATIONS AND ADJUSTMENTS TO COSTS WERE INCLUDED IN THE COST REPORT TO DETERMINE MEDICARE ALLOWABLE COSTS.AFTER MEDICARE ALLOWABLE COSTS ARE DETERMINED, THE COST REPORT PROVIDES FOR THE STEP DOWN METHOD OF COST FINDING. THIS METHOD PROVIDES FOR ALLOCATING THE COST OF SERVICES RENDERED BY EACH GENERAL SERVICE COST CENTER TO OTHER COST CENTERS, WHICH UTILIZE THE SERVICES. ONCE THE COSTS OF A GENERAL SERVICE COST CENTER HAVE BEEN ALLOCATED, THAT COST CENTER IS CONSIDERED CLOSED. ONCE CLOSED, IT DOES NOT RECEIVE ANY OF THE COSTS SUBSEQUENTLY ALLOCATED FROM THE REMAINING GENERAL SERVICE COST CENTERS. AFTER ALL COSTS OF THE GENERAL SERVICE COST CENTERS HAVE BEEN ALLOCATED TO THE REMAINING COST CENTERS, THE TOTAL COSTS OF THESE REMAINING COST CENTERS ARE FURTHER DISTRIBUTED TO THE DEPARTMENTAL CLASSIFICATION TO WHICH THEY PERTAIN, E.G., HOSPITAL GENERAL INPATIENT ROUTINE, SUBPROVIDER, ANCILLARY, ETC.AFTER THE STEP-DOWN PROCESS, THE COST REPORT PROVIDES FOR THE APPORTIONMENT OF COSTS TO THE MEDICARE PROGRAM BASED ON A NUMBER OF DIFFERENT METHODOLOGIES INCLUDING PER PATIENT DAY, PER VISIT, AND PERCENTAGE OF CHARGES, AS MOST PREVALENT. MEDICARE COSTS AS DETERMINED BY THE COST REPORT METHODOLOGIES DESCRIBED PREVIOUSLY WERE UTILIZED TO COMPLETE THE APPLICABLE MEDICARE ALLOWABLE COSTS OF CARE FOR SCHEDULE H (FORM 990) PART III SECTION B LINE 6.
PART III, LINE 9B:	TAMARACK HEALTH HAYWARD MEDICAL CENTER'S BILLING AND COLLECTION POLICY STATES:A. SUBJECT TO COMPLIANCE WITH THE PROVISIONS OF THIS POLICY, TAMARACK HEALTH MAY TAKE ANY AND ALL LEGAL ACTIONS, INCLUDING EXTRAORDINARY COLLECTION ACTIONS, TO OBTAIN PAYMENT FOR MEDICAL SERVICES PROVIDED.B. ALL PATIENTS WILL BE OFFERED A PLAIN LANGUAGE SUMMARY AND AN APPLICATION FORM FOR FINANCIAL ASSISTANCE UNDER THE FAP AS PART OF THE DISCHARGE OR INTAKE PROCESS FROM A HOSPITAL.C. AT LEAST THREE SEPARATE STATEMENTS FOR COLLECTION OF SELF-PAY ACCOUNTS SHALL BE MAILED OR EMAILED TO THE LAST KNOWN ADDRESS OF EACH RESPONSIBLE INDIVIDUAL(S); PROVIDED, HOWEVER, THAT NO ADDITIONAL STATEMENTS NEED BE SENT AFTER A RESPONSIBLE INDIVIDUAL(S) SUBMITS A COMPLETE APPLICATION FOR FINANCIAL ASSISTANCE UNDER THE FAP OR HAS PAID IN FULL. AT LEAST 60 DAYS SHALL HAVE ELAPSED BETWEEN THE FIRST AND LAST OF THE REQUIRED THREE MAILINGS. IT IS THE RESPONSIBLE INDIVIDUAL(S) OBLIGATION TO PROVIDE A CORRECT MAILING ADDRESS AT THE TIME OF SERVICE OR UPON MOVING. IF AN ACCOUNT DOES NOT HAVE A VALID ADDRESS, THE DETERMINATION FOR "REASONABLE EFFORT" WILL HAVE BEENMADE. ALL SINGLE PATIENT ACCOUNT STATEMENTS OF SELF-PAY ACCOUNTS WILL INCLUDE BUT NOT LIMITED TO:1. AN ACCURATE SUMMARY OF THE HOSPITAL SERVICES COVERED BY THE STATEMENT;2. THE CHARGES FOR SUCH SERVICES;3. THE AMOUNT REQUIRED TO BE PAID BY THE RESPONSIBLE INDIVIDUAL(S) (OR, IF SUCH AMOUNT IS NOT KNOWN, A GOOD FAITH ESTIMATE OF SUCH AMOUNT AS OF THE DATE OF THE INITIAL STATEMENT); AND4. A CONSPICUOUS WRITTEN NOTICE THAT NOTIFIES AND INFORMS THE RESPONSIBLE INDIVIDUAL(S) ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE HOSPITAL FAP INCLUDING THE TELEPHONE NUMBER OF THE DEPARTMENT AND DIRECT WEBSITE ADDRESS WHERE COPIES OF DOCUMENTS MAY BE OBTAINED.D. AT LEAST ONE OF THE STATEMENTS MAILED OR EMAILED WILL INCLUDE WRITTEN NOTICE THAT INFORMS THE RESPONSIBLE INDIVIDUAL(S) ABOUT THE ECAS THAT ARE INTENDED TO BE TAKEN IF THE RESPONSIBLE INDIVIDUAL(S) DOES NOT APPLY FOR FINANCIAL ASSISTANCE UNDER THE FAP OR PAY THE AMOUNT DUE BY THE BILLING DEADLINE. SUCH STATEMENT MUST BE PROVIDED TO THE RESPONSIBLE INDIVIDUAL(S) AT LEAST 30 DAYS BEFORE THE DEADLINE SPECIFIED IN THE STATEMENT. A PLAIN LANGUAGE SUMMARY WILL ACCOMPANY THIS STATEMENT. IT IS THE RESPONSIBLE INDIVIDUAL(S) OBLIGATION TO PROVIDE A CORRECT MAILING ADDRESS AT THE TIME OF SERVICE OR UPON MOVING. IF AN ACCOUNT DOES NOT HAVE A VALID ADDRESS, THE DETERMINATION FOR "REASONABLE EFFORT" WILL HAVE BEEN MADE.E. TAMARACK HEALTH OFFERS PAYMENT PLANS THAT BEAR NO INTEREST. GENERALLY, BALANCES REQUIRE A MINIMUM PAYMENT OF $25.00 PER MONTH AND MUST BE PAID IN FULL WITHIN 24 MONTHS.F. PRIOR TO INITIATION OF ANY ECAS, AN ORAL ATTEMPT WILL BE MADE TO CONTACT RESPONSIBLE INDIVIDUAL(S) BY TELEPHONE AT THE LAST KNOWN TELEPHONE NUMBER, IF ANY, AT LEAST ONCE DURING THE SERIES OF MAILED OR EMAILED STATEMENTS IF THE ACCOUNT REMAINS UNPAID. DURING ALL CONVERSATIONS, THE PATIENT OR RESPONSIBLE INDIVIDUAL(S) WILL BE INFORMED ABOUT THE FINANCIAL ASSISTANCE THAT MAY BE AVAILABLE UNDER THE FAP.G. ECAS MAY BE COMMENCED AS FOLLOWS:1. IF ANY RESPONSIBLE INDIVIDUAL(S) FAIL TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE FAP BY 120 DAYS AFTER THE FIRST POST DISCHARGE STATEMENT, AND THE RESPONSIBLE INDIVIDUAL(S) HAVE RECEIVED A STATEMENT WITH A BILLING DEADLINE DESCRIBED IN SECTION III.E ABOVE, THEN TAMARACK HEALTH OR COLLECTION AGENCY MAY INITIATE ECAS.2. IF ANY RESPONSIBLE INDIVIDUAL(S) SUBMITS AN INCOMPLETE APPLICATION FOR FINANCIAL ASSISTANCE UNDER THE FAP PRIOR TO THE APPLICATION DEADLINE, THEN ECAS MAY NOT BE INITIATED UNTIL AFTER EACH OF THE FOLLOWING STEPS HAS BEEN COMPLETED:A. PFS PROVIDES THE RESPONSIBLE INDIVIDUAL(S) WITH A WRITTEN NOTICE THAT DESCRIBES THE ADDITIONAL INFORMATION ORDOCUMENTATION REQUIRED UNDER THE FAP IN ORDER TO COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE, WHICH NOTICE WILL INCLUDE A COPY OF THE PLAIN LANGUAGE SUMMARY.B. PFS PROVIDES THE RESPONSIBLE INDIVIDUAL(S) WITH AT LEAST 30 DAYS' PRIOR WRITTEN NOTICE OF THE ECAS THAT TAMARACK HEALTH OR COLLECTION AGENCY MAY INITIATE AGAINST THE RESPONSIBLE INDIVIDUAL(S) IF THE FAP APPLICATION IS NOT COMPLETED OR PAYMENT IS NOT MADE; PROVIDED, HOWEVER, THAT THE COMPLETION DEADLINE FOR PAYMENT MAY NOT BE SET PRIOR TO 120 DAYS AFTER THE FIRST POST DISCHARGE STATEMENT.C. IF THE RESPONSIBLE INDIVIDUAL(S) WHO HAS SUBMITTED THE INCOMPLETE APPLICATION COMPLETES THE APPLICATION FOR FINANCIAL ASSISTANCE, AND PFS DETERMINES DEFINITIVELY THAT THE RESPONSIBLE INDIVIDUAL(S) IS INELIGIBLE FOR ANY FINANCIAL ASSISTANCE UNDER THE FAP, TAMARACK HEALTH WILL INFORM THE RESPONSIBLE INDIVIDUAL(S) IN WRITING THE DENIAL AND INCLUDE A 30 DAYS' PRIOR WRITTEN NOTICE OF THE ECAS THAT TAMARACK HEALTH OR COLLECTION AGENCY MAY INITIATE AGAINST THE RESPONSIBLE INDIVIDUAL(S); PROVIDED, HOWEVER, THAT THE BILLING DEADLINE MAY NOT BE SET PRIOR TO 120 DAYS AFTER THE FIRST POST DISCHARGE STATEMENT.D. IF THE RESPONSIBLE INDIVIDUAL(S) WHO HAS SUBMITTED THE INCOMPLETE APPLICATION FAILS TO COMPLETE THE APPLICATION BY THE COMPLETION DEADLINE SET IN THE NOTICE PROVIDED PURSUANT TO SECTION III.G.3.B ABOVE, THEN ECAS MAY BE INITIATED.E. IF AN APPLICATION, COMPLETE OR INCOMPLETE, FOR FINANCIAL ASSISTANCE UNDER THE FAP IS SUBMITTED BY A RESPONSIBLEINDIVIDUAL(S), AT ANY TIME PRIOR TO THE APPLICATION DEADLINE, TAMARACK HEALTH WILL SUSPEND ECAS WHILE SUCH FINANCIALASSISTANCE APPLICATION IS PENDING.I. AFTER THE COMMENCEMENT OF ECAS IS PERMITTED UNDER SECTION III.G ABOVE, COLLECTION AGENCIES SHALL BE AUTHORIZED TO REPORT UNPAID ACCOUNTS TO CREDIT AGENCIES, AND TO FILE JUDICIAL OR LEGAL ACTION, GARNISHMENT, OBTAIN JUDGMENT LIENS AND EXECUTE UPON SUCH JUDGMENT LIENS USING LAWFUL MEANS OF COLLECTION; PROVIDED, HOWEVER, THAT PRIOR APPROVAL OF PFS SHALL BE REQUIRED BEFORE INITIAL LAWSUITS MAY BE INITIATED. TAMARACK HEALTH AND EXTERNAL COLLECTION AGENCIES MAY ALSO TAKE ANY AND ALL LEGAL OTHER ACTIONS INCLUDING BUT NOT LIMITED TO TELEPHONE CALLS, EMAILS, TEXTS, MAILING NOTICES, AND SKIP TRACING TO OBTAIN PAYMENT FOR MEDICAL SERVICES PROVIDED.IV. POLICY AVAILABILITYCONTACT OUR PFS DEPARTMENT FOR INFORMATION REGARDING ELIGIBILITY OR THE PROGRAMS THAT MAY BE AVAILABLE TO YOU, TO REQUEST A COPY OF THE FAP, APPLICATION FORM, OR COLLECTION POLICY TO BE MAILED TO YOU. FULL DISCLOSURE OF THE FAP, FAP APPLICATION FORM, OR COLLECTION POLICY MAY BE FOUND AT WWW.TAMARACKHEALTH.ORG/PATIENTS-VISITORS/BILLING-SERVICES/FINANCIAL-ASSISTANCE. FINANCIAL ASSISTANCE APPLICATIONS ARE AVAILABLE BY THE FOLLOWING:1. IN PERSON AT 1615 MAPLE LANE, ASHLAND, WI 54806 OR 11040 NORTH STATE ROAD 77, HAYWARD, WI 548432. BY TELEPHONE AT (715) 685-5500 OR (715) 934-42673. ONLINE AT WWW.TAMARACKHEALTH.ORG/PATIENTS-VISITORS/BILLING-SERVICES/FINANCIAL-ASSISTANCE
PART VI, LINE 2:	NEEDS ASSESSMENT:FACILITY STAFF PARTICIPATE IN THE COMMUNITY NEEDS ASSESSMENT PROCESS WITH THE SAWYER COUNTY HEALTH DEPARTMENT, COMMUNITY HEALTH CLINICS, ASSISTED LIVING FACILITY, AND PHYSICIANS FROM THE COMMUNITY. FOLLOWING THE COMPLETION OF THE ASSESSMENT, VARIOUS WORK GROUPS ARE CONVENED. APPROPRIATE STAFF MEMBERS FROM THE FACILITY THEN WORK WITH COMMUNITY MEMBERS TO DEVELOP PROGRAMS AND APPROACHES TO ADDRESS THE IDENTIFIED HEALTH ISSUES. SOME EXAMPLES INCLUDE ABUSE OF PRESCRIPTION DRUGS, SEXUAL ABUSE PREVENTION PROGRAMS, UNDERAGE ALCOHOL USE, TRANSPORT ISSUES, TELEHEALTH, PATIENT ADVOCACY PROGRAM, AND REDUCED COST CLINIC. SENIOR LEADERS OF THE ORGANIZATION, ALONG WITH OUR BOARD OF DIRECTORS, CONTINUALLY EVALUATE THE NEED FOR ADDITIONAL SERVICES IN OUR COMMUNITY. WE ALSO HAVE A PATIENT FAMILY ADVISORY COMMITTEE (PFAC) WE UTILIZE TO PROVIDE COMMUNITY/PATIENT FEEDBACK REGARDING SERVICES/NEEDS, ETC.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:ALL PATIENTS ARE BILLED THE SAME, HOWEVER, IF A PATIENT BECOMES DELINQUENT ON A BILL, A LETTER IS SENT TO THE PATIENT ASKING THAT THE PATIENT CONTACT PATIENT FINANCIAL SERVICES FOR ASSISTANCE. PATIENTS HAVE THE OPTION TO DISCUSS PAYMENT OPTIONS WITH PATIENT FINANCIAL SERVICES AND POSSIBLE ELIGIBILITY FOR CHARITY CARE.
PART VI, LINE 4:	COMMUNITY INFORMATION:HAYWARD WISCONSIN IS LOCATED IN NORTHERN WISCONSIN AND CONSISTS OF A HIGH MEDICARE AND MEDICAID POPULATION. THE MEDICARE AND MEDICAID POPULATION ACCOUNTS FOR 64% OF THE HOSPITAL'S GROSS REVENUES AND 51% OF ITS NET PATIENT SERVICE REVENUES. HAYWARD IS CONSIDERED A SUMMER VACATION DESTINATION THAT BRINGS LARGE CROWDS DURING THE SUMMER MONTHS. THE EMERGENCY DEPARTMENT SERVES A LARGE NUMBER OF PATIENTS THAT RANGE FROM COMMERCIAL INSURANCE, MEDICARE, MEDICAID, IHS (INDIAN HEALTH SERVICES), ETC. HAYWARD HOSPITAL IS FOCUSED ON PROVIDING HIGH QUALITY HEALTHCARE IN A RURAL LOCATION. MANY SERVICES ARE PROVIDED BY HAYWARD HOSPITAL, ALLOWING LESS PATIENT TRAVEL AT A TIME WHEN THE PATIENT IS LIKELY NOT FEELING WELL. THE HAYWARD COMMUNITY IS AN AGING POPULATION AND WE RECOGNIZE THAT NEED AND HAVE COMMITTED MILLIONS OF DOLLARS INTO SERVICES FOR THE OLDER POPULATION. WE BELIEVE HAYWARD HOSPITAL PROVIDES EXCEPTIONAL CARE IN A RURAL LOCATION.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH:OPEN MEDICAL STAFF. COMMUNITY CALL PROGRAM FOR MEDICAL STAFF. LOCAL COMMUNITY BOARD WITH 12 VOTING MEMBERS. NONPROFIT STATUS WITH PROFITS (IF ANY) USED FOR ADDITIONAL SERVICES, CAPITAL PURCHASES SUCH AS A CT SCANNER, LAB EQUIPMENT, ELECTRONIC HEALTH RECORD, IMPROVED INPATIENT SERVICES, OB PROGRAM, CONTINUED EDUCATION FOR ALL STAFF, GROWING SENIOR SERVICES PROGRAM AND A FOCUS ON THE NEEDS OF THE COMMUNITY.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEM:MEDICAL SERVICES, INC. IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
PART VI, LINE 7, REPORTS FILED WITH STATES	WI

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	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN BIRKEBEINER SKI FOUNDATION
PO BOX 911	HAYWARD	WI	54843	391503175	501(C)(3)	$6,450	$0	OPERATIONS
HAYWARD COMMUNITY SCHOOL DISTRICT
15930 WEST 5TH STREET	HAYWARD	WI	54843	396017410	GOVERNMENTAL	$50,000	$0	CAPITAL GRANT FITNESS CENTER

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE HOSPITAL REQUIRES RECIPIENTS TO PROVIDE DOCUMENTATION SUPPORTING EXPENDITURE OF RELATED GRANT FUNDS RECEIVED. EXPENDITURES ARE REQUIRED TO QUALIFY FOR THE PURPOSE THE GRANT/AWARD WAS GIVEN OR THE FUNDS ARE REQUIRED TO BE RETURNED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	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 (10 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
JASON DOUGLAS
FORMER PRESIDENT (DIR. & OFFICER)	$0	$405,802	$0	$231,665	$0	$590,631	$0	$8,083	$0	$47,783	$0	$1,283,964	$0	$0
BRIAN DONAHUE
PHYSICIAN	$990,535	$0	$15,000	$0	$1,650	$0	$17,250	$0	$48,495	$0	$1,072,930	$0	$0	$0
PAUL TONKIN
PHYSICIAN	$852,100	$0	$15,000	$0	$375	$0	$17,250	$0	$47,559	$0	$932,284	$0	$0	$0
DAVID LYNN
PHYSICIAN	$621,059	$0	$15,000	$0	$375	$0	$17,250	$0	$49,506	$0	$703,190	$0	$0	$0
LUKE BEIRL
DIRECTOR/CEO-MSI/INTERIM PRES-REI	$493,630	$0	$87,370	$0	$241	$0	$17,250	$0	$53,296	$0	$651,787	$0	$0	$0
SARAH FOWLER
PHYSICIAN	$573,919	$0	$10,000	$0	$1,075	$0	$17,250	$0	$48,072	$0	$650,316	$0	$0	$0
MATTHEW VINCENT
CRNA	$469,765	$0	$0	$0	$250	$0	$17,250	$0	$48,160	$0	$535,425	$0	$0	$0
KENT DUMONSEAU
CFO - REI	$0	$370,829	$0	$104,015	$0	$587	$0	$17,250	$0	$41,449	$0	$534,130	$0	$0
HEATHER SHEEHAN
COO	$202,175	$0	$40,809	$0	$298	$0	$10,464	$0	$48,517	$0	$302,263	$0	$0	$0
AINDREA LINDSAY
CCO	$196,616	$0	$39,697	$0	$287	$0	$10,179	$0	$48,017	$0	$294,796	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

HMC CEO, LUKE BEIRL, WAS INTERIM CEO OF AMC DURING FY 2025. DURING THAT TIME, LUKE'S COMPENSATION WAS DETERMINED BY AMC BOARD OF DIRECTORS WHO UTILIZED DATA PREPARED BY INDEPENDENT COMPENSATION CONSULTANT WHICH INCLUDES 990 COMPARABLE DATA.

PART I, LINE 4A

OFFICER JASON DOUGLAS RECEIVED PAY TOTALING $590,470, A BONUS OF $25,000 AND BENEFITS TOTALING $953 IN CALENDAR YEAR 2024 RELATED TO A TERMINATION AGREEMENT. UNDER THE TERMS OF THE AGREEMENT, DOUGLAS RECEIVED THE PAY AND BONUS IN A LUMP SUM IN FEBRUARY OF 2024, AND TOTAL BENEFITS OF $1,143 WERE PAID OUT OVER 12 MONTHS FROM HIS SEPARATION DATE. DOUGLAS WAS PAID BY RELATED ENTITY, MEMORIAL MEDICAL CENTER, INC. DBA TAMARACK HEALTH ASHLAND MEDICAL CENTER.

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
TOWN OF HAYWARD WISCONSIN
A	396031517	2020-07-15	$10,000,000	PROPERTY AND EQUIPMENT	0	0	0
TOWN OF HAYWARD WISCONSIN
B	396031517	2020-07-15	$3,100,000	REFINANCE	0	0	0
TOWN OF HAYWARD WISCONSIN
C	396031517	2023-09-07	$10,000,000	PROPERTY AND EQUIPMENT	0	0	0
CITY OF HAYWARD WISCONSIN
D	396005464	2023-09-07	$3,200,000	PROPERTY AND EQUIPMENT	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$2,216,830	$10,000,000	$149,019	$9,850,981	2021	0	Yes (1)	Yes (1)
B	$2,931,285	$3,100,000	$62,793	$3,037,207	2010	Yes (1)	Yes (1)	Yes (1)
C	$256,500	$10,000,000	$179,412	$9,820,588	2024	0	Yes (1)	Yes (1)
D	$82,080	$3,200,000	$57,412	$3,142,588	2024	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 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
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
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	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
JOHNSON BANK
A	0	0	Yes (1)	0	Yes (1)	Yes (1)	11.000000000000	0	0	0	0	Yes (1)
(no name)
B	0	0	Yes (1)	0	0	0				0	0	Yes (1)
JOHNSON BANK
C	0	0	Yes (1)	0	Yes (1)	Yes (1)	15.000000000000	0	0	0	0	Yes (1)
JOHNSON BANK
D	0	0	Yes (1)	0	Yes (1)	Yes (1)	15.000000000000	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SARAH DUMONSEAU
FAMILY MEMBER OF OFFICER KENT DUMONSEAU	$140,368	EMPLOYMENT	0
HALEY STELLMACHER
FAMILY MEMBER OF OFFICER LUKE BEIRL	$79,918	EMPLOYMENT	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	REGIONAL ENTERPRISES, INC. IS THE SOLE CORPORATE MEMBER OF MEDICAL SERVICES, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE PRESIDENT OF REI SHALL BE AN EX OFFICIO MEMBER OF THE MSI BOARD WITH FULL VOTING PRIVILEGES.
FORM 990, PART VI, SECTION A, LINE 7B	AS THE SOLE MEMBER OF MEDICAL SERVICES, INC., REGIONAL ENTERPRISES, INC. HAS THE FOLLOWING RESERVE POWERS: A. TO MAKE, AMEND, OR REPEAL MSI'S BYLAWS AND ARTICLES OF INCORPORATION. B. TO APPROVE ANY CHANGE IN MSI'S PHILOSOPHY, MISSION OR VISION STATEMENTS, AND APPROVE THE LONG-RANGE GOALS AND STRATEGIC PLAN FOR MSI. C. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGET. D. TO APPROVE ALL BUILDING PROGRAMS THAT EXCEED $500,000 IN VALUE. E. TO SELECT AND RETAIN AN INDEPENDENT AUDITING FIRM. F. TO APPOVE THE PURCHASE, SALE, LEASE, DISPOSITION, OR ALIENATION OF ANY REAL PROPERTY OWNED BY MSI. ANY SUCH ACTION SHALL BE JOINTLY APPROVED BY THE BOARD OF DIRECTORS OF MEMORIAL MEDICAL CENTER OF ASHLAND, WISCONSIN. G. TO APPROVE ANY PLAN OF DISSOLUTION OR MERGER, CONSOLIDATION, ACQUISITION OR DISPOSITION OF REAL PROPERTY OR RELOCATION OF THE FACILITIES OF MSI. ANY SUCH ACTION SHALL BE JOINTLY APPROVED BY THE BOARD OF DIRECTORS OF MEMORIAL MEDICAL CENTER OF ASHLAND, WISCONSIN. H. TO AUTHORIZE THE PRESIDENT OF REI TO RECOMMEND TO THE BOARD OF MSI, THE INDIVIDUAL WHO WILL SERVE AS THE CHIEF EXECUTIVE OFFICER FOR MSI, SUBJECT TO RATIFICATION BY THE MSI BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11B	THE FINANCE AND ACCOUNTING TEAM REVIEW THE 990 PRIOR TO FILING TO CONFIRM ACCURACY OF INFORMATION. THE 990 IS REVIEWED BY THE BOARD OF DIRECTORS BEFORE IT IS FILED. IF ANY CHANGES ARE MADE, A FINAL COPY OF THE 990 IS PROVIDED TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C	EACH DIRECTOR AND OFFICER SHALL DISCLOSE TO THE BOARD OF DIRECTORS, OR TO THE OTHER MEMBERS OF ANY COMMITTEE CONSIDERING A PROPOSED BUSINESS TRANSACTION OR ARRANGEMENT, THE EXISTENCE AND NATURE OF ANY FINANCIAL INTEREST SUCH PERSON OR A MEMBER OF SUCH PERSON'S FAMILY MAY HAVE WITH RESPECT TO SUCH PROPOSED TRANSACTION OR ARRANGEMENT. EACH DIRECTOR AND PRINCIPAL OFFICER SHALL PROMPTLY MAKE DISCLOSURES AS MAY BE NECESSARY TO KEEP THE BOARD OR COMMITTEE FULLY APPRISED OF SUCH PERSON'S FINANCIAL INTERESTS. DISCLOSURE SHALL ALSO BE ACCOMPLISHED ON AN ANNUAL BASIS BY HAVING EACH DIRECTOR AND PRINCIPAL OFFICER EXECUTE AND DELIVER TO MSI A CERTIFICATE REGARDING CONFLICTS OF INTEREST. IF ANY DIRECTOR OR PRINCIPAL OFFICER DISCLOSES A POTENTIAL FINANCIAL INTEREST TO THE BOARD OF DIRECTORS OR ANY COMMITTEE REGARDING A PROPOSED TRANSACTION OR ARRANGEMENT, THE BOARD OR COMMITTEE SHALL FIRST DETERMINE WHETHER THE PROPOSED TRANSACTION OR ARRANGEMENT COULD BE CONSIDERED AN INSIDER TRANSACTION. IF THE BOARD OR COMMITTEE IS CERTAIN THAT THE TRANSACTION OR ARRANGEMENT WILL NOT INVOLVE AN INSIDER, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF IT IS DETERMINED NO CONFLICT EXISTS, THE INTERESTED PERSON MAY REJOIN THE MEETING AND PARTICIPATE IN THE DISCUSSIONS AND ACTIONS REGARDING THIS AGENDA ITEM. THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER MSI CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN MSI'S BEST INTEREST AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO MSI. IF THE BOARD OR COMMITTEE BELIEVES AN ALTERNATE TRANSACTION COULD BE CONSIDERED THAT WOULD BE MORE ADVANTAGEOUS TO MSI, THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION. FURTHER ACTION BY THE BOARD OR COMMITTEE SHALL BE TABLED UNTIL SUCH TIME AS THE DISINTERESTED PERSON HAS BEEN ABLE TO REPORT HIS OR HER FINDINGS TO THE APPROPRIATE GOVERNING BODY. THE BOARD OR COMMITTEE SHALL NOT APPROVE ANY TRANSACTION OR ARRANGEMENT THAT IS NOT IN THE BEST INTERESTS OF MSI AND THAT IS NOT FAIR AND REASONABLE TO MSI. ONCE DISCUSSION AND/OR ACTION REGARDING THE AGENDA ITEM RELATING TO THE DIRECTOR'S FINANCIAL INTEREST HAS BEEN COMPLETED, THE INTERESTED PERSON MAY REJOIN THE BOARD OR COMMITTEE MEETING. IF THE TRANSACTION OR ARRANGEMENT INVOLVES OR MAY INVOLVE AN INSIDER, THE BOARD OR COMMITTEE SHALL FOLLOW THE PROCEDURES ABOVE AND THE INSIDER SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE INSIDER TRANSACTION IS DISCUSSED. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE WHETHER THE TRANSACTION OR ARRANGEMENT UNDER CONSIDERATION COULD CONSTITUTE AN INSIDER TRANSACTION. AS PART OF THIS CONSIDERATION, THE BOARD OR COMMITTEE SHALL ALSO CONSIDER WHETHER THEIR ACTION COULD BE CONSTRUED TO BE AN EXCESS BENEFIT TRANSACTION SUBJECT TO INTERMEDIATE SANCTIONS. IN DETERMINING WHETHER A TRANSACTION OR ARRANGEMENT IS AN EXCESS BENEFIT TRANSACTION, THE BOARD OR COMMITTEE CONSIDERING THE TRANSACTION OR ARRANGEMENT SHOULD REVIEW APPROPRIATE DATA AS TO COMPARABILITY (SUCH AS COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS IN THE REGION, NATIONAL COMPENSATION STUDIES, COMPETING OFFERS RECEIVED BY THE INSIDER, ASSET APPRAISALS OR RENTAL ANALYSES BY QUALIFIED APPRAISERS AND OTHER INFORMATION THAT MAY BE OBTAINED ABOUT COMPARABLE AGREEMENTS, PURCHASES, SALES AND LEASES). THE BOARD OR COMMITTEE MAY RELY ON SUCH INFORMATION OR DATA PROVIDED BY MSI'S MANAGEMENT. THE BOARD OR COMMITTEE SHALL NOT APPROVE ANY TRANSACTION OR ARRANGEMENT THAT IS AN EXCESS BENEFIT TRANSACTION. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A DIRECTOR OR PRINCIPAL OFFICER HAS FAILED TO DISCLOSE A FINANCIAL INTEREST, IT SHALL INFORM THE DIRECTOR OR PRINCIPAL OFFICER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE DIRECTOR OR PRINCIPAL OFFICER AN OPPORTUNITY TO EXPLAIN WHY DISCLOSURE WAS NOT MADE. IF, AFTER HEARING THE RESPONSE OF THE DIRECTOR OR PRINCIPAL OFFICER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE DIRECTOR HAS IN FACT FAILED TO DISCLOSE A FINANCIAL INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND/OR CORRECTIVE ACTION, WHICH MAY INCLUDE, BUT NOT BE LIMITED TO: SUSPENSION OF VOTING RIGHTS, RECISION OF ANY AGREEMENTS, AND TERMINATION OF DIRECTOR OR OFFICER STATUS.
FORM 990, PART VI, SECTION B, LINE 15	HMC PARTICIPATES IN SALARY SURVEYS SPECIFIC TO ADMINISTRATOR POSITIONS. HMC ALSO HAS AN INDEPENDENT COMPENSATION CONSULTING FIRM TO GATHER FAIR MARKET COMPENSATION DATA FOR ALL C LEVEL POSITIONS. THIS INFORMATION IS USED TO DEVELOP SALARY RANGES FOR THE ADMINISTRATIVE STAFF. THE BOARD OF DIRECTORS PARTICIPATES IN DEVELOPMENT OF RANGES AND ESTABLISHMENT OF SALARIES FOR THE FOUR SENIOR LEADERS OF THE ORGANIZATION AS DESCRIBED IN CORPORATE BYLAWS AND BOARD POLICIES. ANY CHANGES TO THE BENEFIT PACKAGE MUST BE APPROVED BY THE HMC BOARD OF DIRECTORS. THE BOARD APPROVES ALL COMPENSATION CHANGES FOR THE CEO AS OUTLINED IN CORPORATE BYLAWS AND BOARD POLICIES. CHANGES IN COMPENSATION FOR THE OTHER SENIOR LEADERS ARE DETERMINED BY THE CEO USING RANGES ESTABLISHED AND APPROVED BY THE BOARD, IN CONJUNCTION WITH SALARY SURVEY INFORMATION.
FORM 990, PART VI, SECTION C, LINE 19	THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE BY REQUEST FROM THE PUBLIC RELATIONS DIRECTOR FOR THE SAME PERIOD OF DISCLOSURE SET FORTH IN SECTION 6104(D). THE GOVERNING DOCUMENTS ARE CONFIDENTIAL AND NOT AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:	LOSS ON INTEREST RATE SWAPS -211,360.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
MEMORIAL MEDICAL CENTER INC
1615 MAPLE LANE	ASHLAND	WI	54806	237013497	HEALTH CARE	WI	501(C)(3)	LINE 3	REGIONAL ENTERPRISES INC	0
REGIONAL ENTERPRISES INC
1615 MAPLE LANE	ASHLAND	WI	54806	391555837	SUPPORT	WI	501(C)(3)	LINE 12A, I	MEMORIAL MEDICAL CENTER INC	0
REI MEDICAL CLINICS INC
1615 MAPLE LANE	ASHLAND	WI	54806	391701306	SUPPORT	WI	501(C)(3)	LINE 12A, I	REGIONAL ENTERPRISES INC	0

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	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	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	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd