VERNON MEMORIAL HEALTHCARE INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: VERNON MEMORIAL HEALTHCARE INC (EIN 39-0806404)
Tax period: 2014-10-01 to 2015-09-30
Filed: 2016-08-09
IRS object ID: 201602229349301210
Schema version: 2014v6.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-08-09T12:53:11-05:00	ReturnTs
Tax Period End	2015-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3703 OAKWOOD HILLS PKWY	AddressLine1Txt
City	EAU CLAIRE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54701	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	390806404	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	VERNON MEMORIAL HEALTHCARE INC	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	507 SOUTH MAIN STREET	AddressLine1Txt
City	VIROQUA	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54665	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARY KOENIG	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6086372101	PhoneNum
Signature	2016-08-05	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	HOLLY POKRANDT CPA	PreparerPersonNm
PTIN	P00449155	PTIN
Phone	7158323407	PhoneNum
Preparation	2016-08-05	PreparationDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-12-15 16:53:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MARY KOENIG	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	507 SOUTH MAIN STREET	AddressLine1Txt
City	VIROQUA	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54665	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$76,770,685	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.VMH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1946	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	VERNON MEMORIAL HEALTHCARE, INC. HAS BEEN COMMITTED TO PROVIDING THE HIGHEST QUALITY CARE AND TREATMENT TO THE INJURED, AFFLICTED, AND WELL PEOPLE WHO NEED THE RESOURCES WE HAVE AT OUR COMMAND, WITHOUT REGARD TO RACE, CREED, COLOR, SEX, HANDICAP, NATIONAL ORIGIN, OR ABILITY TO PAY. IT IS OUR INTENTION TO ENSURE THAT IN EACH AND EVERY CASE OUR PATIENTS SHALL BE TREATED WITH COMPASSION, UNDERSTANDING, AND DIGNITY. FURTHER, THE RIGHTS AND PRIVILEGES OF THE PEOPLE WE SERVE SHALL ALWAYS BE HELD IN THE HIGHEST REGARD, AND THEIR WELL-BEING MUST ALWAYS HAVE FIRST CONSIDERATION. VERNON MEMORIAL HEALTHCARE IS COMMITTED TO PROVIDING MODERN FACILITIES AND EQUIPMENT CONSISTENT WITH NEW AND CONTEMPORARY MEDICAL TECHNOLOGY. WE WILL FOSTER, STIMULATE, ENCOURAGE AND PROMOTE CONTINUING HEALTHCARE EDUCATION FOR EMPLOYEES AND THE COMMUNITY WE SERVE. ALL THIS, WE MOST SOLEMNLY AND SINCERELY PLEDGE TO THE PEOPLE WHO NEED US, RECOGNIZING FULLY, THAT SERVICE TO HUMANITY IS THE GREATEST SERVICE OF ALL.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	569	TotalEmployeeCnt
Total Volunteers	200	TotalVolunteersCnt
Total Gross UBI	$3,578,695	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$862,524	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$318,115	PYContributionsGrantsAmt
CY Contributions Grants	$367,841	CYContributionsGrantsAmt
PY Program Service Revenue	$66,342,376	PYProgramServiceRevenueAmt
CY Program Service Revenue	$71,679,620	CYProgramServiceRevenueAmt
PY Investment Income	$685,129	PYInvestmentIncomeAmt
CY Investment Income	$782,138	CYInvestmentIncomeAmt
PY Other Revenue	-$50,027	PYOtherRevenueAmt
CY Other Revenue	-$49,079	CYOtherRevenueAmt
PY Total Revenue	$67,295,593	PYTotalRevenueAmt
CY Total Revenue	$72,780,520	CYTotalRevenueAmt
PY Grants And Similar Paid	$342,976	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$376,628	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$33,553,631	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$37,498,804	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$29,734,817	PYOtherExpensesAmt
CY Other Expenses	$30,076,729	CYOtherExpensesAmt
PY Total Expenses	$63,631,424	PYTotalExpensesAmt
CY Total Expenses	$67,952,161	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,664,169	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,828,359	CYRevenuesLessExpensesAmt
Total Assets BOY	$94,910,470	TotalAssetsBOYAmt
Total Assets EOY	$97,191,474	TotalAssetsEOYAmt
Total Liabilities BOY	$28,680,870	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$27,326,196	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$66,229,600	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$69,865,278	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	VERNON MEMORIAL HEALTHCARE, INC. WILL STRIVE TO HAVE THE VISION TO CONTINUALLY PROVIDE THE HIGHEST STANDARD OF CARE TO OUR PATIENTS AND THEIR FAMILIES WHILE BEING 'CLOSE TO HOME.' OUR MISSION IS TO PROVIDE COST-EFFECTIVE, ACCESSIBLE CARE AND SERVICE USING PROFESSIONALLY EDUCATED STAFF AND SUPERIOR TECHNOLOGY TO MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY. OUR CARING AND COMMITMENT TO THE COMMUNITY WILL BE DEMONSTRATED BY OUR EMPHASIS ON HEALTH PROMOTION AND DISEASE PREVENTION THROUGH EDUCATION.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$44,821,251	ExpenseAmt
Grant	$376,628	GrantAmt
Revenue	$54,852,390	RevenueAmt
Desc	OUR ORGANIZATION PROVIDES SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS. BUT IN ADDITION, WE BELIEVE THAT WE PROVIDE A CRITICALLY IMPORTANT COMMUNITY BENEFIT WHICH CANNOT BE QUANTIFIED. OUR ORGANIZATION WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY-CARE THAT, WITHOUT THE PRESENCE OF OUR ORGANIZATION, WOULD NOT BE AVAILABLE TO THE PEOPLE IN OUR SERVICE AREA.BEYOND MEDICAL, OBSTETRICAL, NEWBORN, AND SURGICAL INPATIENT HOSPITALIZATIONS, WE PROVIDE LOCAL ACCESS TO MANY OTHER HEALTH SERVICES INCLUDING A BIRTHING CENTER, A DIALYSIS CENTER, DIAGNOSTIC SERVICES-LABORATORY, IMAGING AND CARDIAC TESTING, 24-HOUR EMERGENCY SERVICES, URGENT CARE SERVICES, INFUSION SERVICES, GASTROINTESTINAL SERVICES, HOME HEALTH CARE, HOSPICE INPATIENT AND OUTPATIENT CARE, REHABILITATION SERVICES-PHYSICAL, OCCUPATIONAL, RESPIRATORY AND SPEECH THERAPY, SPECIALTY MEDICINE, AND PRIMARY CARE CLINICS. IN FISCAL YEAR 2015, HOSPITAL INPATIENT SERVICES INCLUDED 3,224 ACUTE CARE PATIENT DAYS, 198 SWING BED PATIENT DAYS, AND 296 NEWBORN PATIENT DAYS. THERE WERE 1,295 SURGERY CASES, 8,104 EMERGENCY ROOM/URGENT CARE VISITS, AND 8,400 VISITS TO THE SPECIALTY CLINIC.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$12,622,514	ExpenseAmt
Revenue	$11,538,977	RevenueAmt
Desc	VERNON MEMORIAL HEALTHCARE, INC. OPERATES FOUR RURAL HEALTH CLINICS LOCATED IN VIROQUA, LAFARGE, SOLDIERS GROVE, AND WESTBY. TOGETHER, THE RURAL HEALTH CLINICS STRIVE TO MEET THE HEALTHCARE NEEDS OF PATIENTS AND FAMILIES WHO LIVE AND WORK IN THE COMMUNITIES THEY SERVE. A TOTAL OF 41,345 CLINIC VISITS OCCURRED IN FISCAL YEAR 2015.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$2,589,250	ExpenseAmt
Revenue	$1,709,558	RevenueAmt
Desc	VERNON MEMORIAL HEALTHCARE, INC. ALSO PROVIDES HOME HEALTH AND HOSPICE SERVICES. THE HOME CARE AGENCY PROVIDES QUALITY HEALTHCARE TO PATIENTS IN THE COMFORT OF THEIR OWN HOME. THE HOME CARE TEAM WORKS TOGETHER TO PROVIDE INSTRUCTION, CARE AND SUPPORT. DURING FISCAL YEAR 2015, A TOTAL OF 3,044 HOME HEALTH VISITS WERE MADE TO 176 INDIVIDUALS. VERNON MEMORIAL HEALTHCARE HOSPICE OFFERS CARE, COMFORT, AND SUPPORT WHEN IT IS NEEDED MOST. HOSPICE IS FOR PATIENTS, FAMILIES, FRIENDS, AND CAREGIVERS DEALING WITH THE END OF LIFE. THIS SUPPORT BRINGS COMFORT, HOPE AND REASSURANCE. VERNON MEMORIAL HEALTHCARE HOSPICE SERVES PATIENTS AT HOME, IN THE BLAND BEKKEDAL HOSPICE HOUSE, IN LONG-TERM CARE FACILITIES, OR AT VERNON MEMORIAL HOSPITAL. HOSPICE CARE WAS PROVIDED TO 125 INDIVIDUALS IN FISCAL YEAR 2015.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$60,033,015	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	Yes (1)	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	54	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	569	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARY KOENIG	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6086372101	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	507 SOUTH MAIN STREET	AddressLine1Txt
City	VIROQUA	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54665	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PHYLLIS MALIN
MEMBER	1.00	Yes (X)	$0	$0	$0
CHARLES NORTON
MEMBER	1.00	Yes (X)	$0	$0	$0
THERESE FLOCK
MEMBER	1.00	Yes (X)	$0	$0	$0
BRANDON MUNSON
MEMBER	1.00	Yes (X)	$0	$0	$0
TRUDY WALLIN
MEMBER	1.00	Yes (X)	$0	$0	$0
BONNIE RATH
MEMBER	1.00	Yes (X)	$0	$0	$0
BLANE CHARLES
MEMBER	1.00	Yes (X)	$0	$0	$0
ENID NEUBAUER
SECRETARY	1.00	Yes (X)	$0	$0	$0	Yes (X)
LEE CUNNINGHAM
TREASURER	1.00	Yes (X)	$0	$0	$0	Yes (X)
ROGER JOHNSON
VICE CHAIRMAN	1.00	Yes (X)	$0	$0	$0	Yes (X)
ROBERT KNADLE
CHAIRMAN	1.00	Yes (X)	$0	$0	$0	Yes (X)
KYLE BAKKUM
CEO	40.00		$248,578	$0	$39,688	Yes (X)
MARY KOENIG
CFO	40.00		$219,093	$0	$30,897	Yes (X)
DR JEFFREY MENN
PHYSICIAN	40.00		$299,917	$0	$12,380		Yes (X)
DR ANTHONY MACASAET
PHYSICIAN	32.00		$402,750	$0	$32,976		Yes (X)
ARNOLD NOMANN
CRNA	40.00		$385,561	$0	$29,593		Yes (X)
BRIAN MILLER
CRNA	40.00		$322,046	$0	$36,891		Yes (X)
DR PATRICK SCOTT
PHYSICIAN	40.00		$318,964	$0	$21,113		Yes (X)
GARITH STEINER
FORMER CEO	40.00		$309,651	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,506,560	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$203,538	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	42	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	EAU CLAIRE	WI	54702	CONSTRUCTION	$3,286,206
GUNDERSEN HEALTH SYSTEM
1900 SOUTH AVE	LA CROSSE	WI	54601	LAB/RADIOLOGY	$1,679,038
RWHC ITN
880 INDEPENDENCE LN	SAUK CITY	WI	53583	IT SERVICES	$818,842
GPS ANESTHESIA SERVICES
N2685 POTATO RIDGE ROAD	LA CROSSE	WI	54601	ANESTHESIA SERVICES	$415,780
RIVER ARCHITECTS
740 7TH STREET NORTH	LA CROSSE	WI	54601	ARCHITECT SERVICES	$284,308

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	11	CntrctRcvdGreaterThan100KCnt
Related Organizations	$344,233	RelatedOrganizationsAmt
All Other Contributions	$23,608	AllOtherContributionsAmt
Total Contributions	$367,841	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
HOSPITAL	621990	$51,650,302	$51,650,302
CLINIC	621110	$11,538,977	$11,538,977
RETAIL PHARMACY	446110	$6,587,336	$3,111,748	$3,475,588
HOME HEALTH & HOSPICE	621610	$1,709,558	$1,709,558
MEALS AND DIETARY	722210	$193,447	$90,340	$103,107

Field	Value	IRS element (for citing)
Total Program Service Revenue	$71,679,620	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$545,796	TotalRevenueColumnAmt
Exclusion	$545,796	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$269,568	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$318,647	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$49,079	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$49,079	TotalRevenueColumnAmt
Exclusion	-$49,079	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,900,660	SecuritiesAmt
Other	$7,200	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,671,518	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$229,142	SecuritiesAmt
Other	$7,200	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$236,342	TotalRevenueColumnAmt
Exclusion	$236,342	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$72,780,520	TotalRevenueColumnAmt
Related Or Exempt Func Income	$68,100,925	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,578,695	UnrelatedBusinessRevenueAmt
Exclusion	$733,059	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$376,628	TotalAmt
Program Services	$376,628	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$545,230	TotalAmt
Management And General	$545,230	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$26,810,979	TotalAmt
Program Services	$24,493,076	ProgramServicesAmt
Management And General	$2,317,903	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,101,251	TotalAmt
Program Services	$1,006,044	ProgramServicesAmt
Management And General	$95,207	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,255,680	TotalAmt
Program Services	$6,628,401	ProgramServicesAmt
Management And General	$627,279	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,785,664	TotalAmt
Program Services	$1,589,773	ProgramServicesAmt
Management And General	$195,891	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$94,153	TotalAmt
Management And General	$94,153	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$77,680	TotalAmt
Management And General	$77,680	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,303,102	TotalAmt
Program Services	$4,276,511	ProgramServicesAmt
Management And General	$1,026,591	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$158,523	TotalAmt
Management And General	$158,523	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$202,074	TotalAmt
Program Services	$194,927	ProgramServicesAmt
Management And General	$7,147	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$649,245	TotalAmt
Management And General	$649,245	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,132,341	TotalAmt
Program Services	$2,132,341	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$87,591	TotalAmt
Program Services	$72,073	ProgramServicesAmt
Management And General	$15,518	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,844,481	TotalAmt
Program Services	$2,130,775	ProgramServicesAmt
Management And General	$713,706	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$235,107	TotalAmt
Management And General	$235,107	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$13,162,697	$13,126,337	$36,360
EQUIPMENT RENTAL & MAIN	$2,333,164	$2,143,035	$190,129
BAD DEBT EXPENSE	$1,452,785	$1,452,785
DUES AND SUBSCRIPTIONS	$619,875	$362,761	$257,114

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$723,911	TotalAmt
Program Services	$47,548	ProgramServicesAmt
Management And General	$676,363	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$67,952,161	TotalAmt
Program Services	$60,033,015	ProgramServicesAmt
Management And General	$7,919,146	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,856,060	BOYAmt
EOY	$1,878,775	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$17,551,884	BOYAmt
EOY	$17,564,785	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$784,135	BOYAmt
EOY	$1,074,627	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,072,138	BOYAmt
EOY	$7,174,996	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,349,866	BOYAmt
EOY	$2,389,008	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$551,271	BOYAmt
EOY	$461,451	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$74,453,555	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$30,489,037	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$38,965,244	BOYAmt
EOY	$43,964,518	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$21,877,801	BOYAmt
EOY	$21,024,646	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,141,348	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$459,065	BOYAmt
EOY	$282,154	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,289,478	BOYAmt
EOY	$1,364,334	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$94,910,470	BOYAmt
EOY	$97,191,474	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,845,398	BOYAmt
EOY	$6,033,063	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,314,125	BOYAmt
EOY	$19,629,003	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$60,449	BOYAmt
EOY	$302,242	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,460,898	BOYAmt
EOY	$1,361,888	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$28,680,870	BOYAmt
EOY	$27,326,196	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$65,351,043	BOYAmt
EOY	$68,693,577	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$878,557	BOYAmt
EOY	$1,171,701	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$66,229,600	BOYAmt
EOY	$69,865,278	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$94,910,470	BOYAmt
EOY	$97,191,474	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,828,359	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,165,811	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$26,870	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$4,280	OtherActivitiesAmt
Total Lobbying Expenditures	$4,280	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	VERNON MEMORIAL HEALTHCARE, INC. PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE WISCONSIN HOSPITAL ASSOCIATION AND RURAL WISCONSIN HEALTH COOPERATIVE. THESE DUES ARE PRIMARILY FOR ACCESS TO EDUCATIONAL MATERIALS AND STAFF TRAINING AND DEVELOPMENT. A SMALL PORTION OF THE ANNUAL DUES WERE USED IN CONJUCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,563,533	OtherCostOrOtherBasisAmt
Book Value	$1,563,533	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$56,507,000	OtherCostOrOtherBasisAmt
Depreciation	$21,390,454	DepreciationAmt
Book Value	$35,116,546	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,365,191	OtherCostOrOtherBasisAmt
Depreciation	$9,098,583	DepreciationAmt
Book Value	$5,266,608	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,017,831	OtherCostOrOtherBasisAmt
Book Value	$2,017,831	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$43,964,518	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DEFERRED COMPENSATION PLAN LIABILITY - FUNDED	Desc
Amt	$1,361,888	Amt

Field	Value	IRS element (for citing)
Total Liability	$1,361,888	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$70,050,976	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$1,165,811	NetUnrealizedGainsInvstAmt
Other Revenue	$318,647	OtherRevenueAmt
Revenue Not Reported	-$847,164	RevenueNotReportedAmt
Revenue Subtotal	$70,898,140	RevenueSubtotalAmt
Other Revenues Not Included	$1,882,380	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,882,380	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$72,780,520	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$65,873,687	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$318,647	OtherExpensesIncludedAmt
Expenses Not Reported	$318,647	ExpensesNotReportedAmt
Expenses Subtotal	$65,555,040	ExpensesSubtotalAmt
Other Expenses Not Included	$2,397,121	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$2,397,121	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$67,952,161	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES NET AGAINST REVENUE 318,647.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	EXPENSES NET AGAINST REVENUE 298,720. BAD DEBT EXPENSE NET AGAINST REVENUE 1,452,785. IMPAIRMENT LOSS 130,875.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES NET AGAINST REVENUE 318,647.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	EXPENSES NET AGAINST REVENUE 298,720. BAD DEBT EXPENSE NET AGAINST REVENUE 1,452,785. LOSS ON EXTINGUISHMENT OF DEBT 514,741. IMPAIRMENT LOSS 130,875.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$906,484	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$906,484	NetCommunityBenefitExpnsAmt
Total Expense	0.01360	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,841,789	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,509,931	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,331,858	NetCommunityBenefitExpnsAmt
Total Expense	0.03510	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,748,273	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,509,931	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,238,342	NetCommunityBenefitExpnsAmt
Total Expense	0.04870	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$253,093	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,183	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$236,910	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$328,033	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$328,033	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$391,188	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$345	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$390,843	NetCommunityBenefitExpnsAmt
Total Expense	0.00590	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$972,314	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,528	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$955,786	NetCommunityBenefitExpnsAmt
Total Expense	0.01440	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,720,587	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,526,459	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,194,128	NetCommunityBenefitExpnsAmt
Total Expense	0.06310	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$390	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$390	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,229	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$830	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,399	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,714	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$830	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,884	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$821,364	BadDebtExpenseAmt
Bad Debt Expense Attributable	$657,091	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$12,038,750	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$12,588,711	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$549,961	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	0	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	VERNON MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	507 SOUTH MAIN ST	AddressLine1Txt
City	VIROQUA	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54665	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.VMH.ORG	WebsiteAddressTxt
State License	1053	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	VERNON MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
Other	Yes (X)	OtherInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, LINE 7D	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, LINE 7D	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	12	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.VMH.ORG/SITES/DEFAULT/FILES/CHN%20IMPLEMENTATION%20PLAN%202014A.PDF	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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	WWW.VMH.ORG/CONTENT/COMMUNITY-CARE	FAPAvailableOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
VERNON MEMORIAL HOSPITAL, INC.	PART V, SECTION B, LINE 3J: THE COMMUNITY HEALTH NEEDS ASSESSMENT ("COMPASS NOW 2012") PROCESS INCLUDED A VARIETY OF DATA COLLECTION METHODS USED TO CREATE AN OVERALL DESCRIPTION OF THE ISSUES FACING OUR COMMUNITIES. THESE METHODS INCLUDE A RANDOM HOUSEHOLD SURVEY, FOCUS GROUP DISCUSSIONS HELD WITH COMMUNITY MEMBERS, AN EXTENSIVE REVIEW OF SOCIO-ECONOMIC INDICATORS, AND AN INVENTORY OF COMMUNITY RESOURCES. THE DATA COLLECTED GUIDED THE DEVELOPMENT OF 4 PILLAR PROFILES. WE REFER TO THEM AS PILLARS SINCE THEY CREATE THE BUILDING BLOCKS TO A BETTER LIFE. THE PILLARS OF THE COMPASS ARE: HEALTH, INCOME, EDUCATION, AND COMMUNITY.
VERNON MEMORIAL HOSPITAL, INC.	PART V, SECTION B, LINE 5: EIGHT KEY STAKEHOLDER MEETINGS WERE HELD. EACH COUNTY FOCUS GROUP TEAM IDENTIFIED KEY COMMUNITY LEADERS REPRESENTING A BROAD RANGE OF COMMUNITY INTERESTS TO PARTICIPATE IN THESE MEETINGS. TWO-HUNDRED FORTY COMMUNITY LEADERS REPRESENTING BUSINESS, CLERGY, HEALTHCARE PROVIDERS AND STAFF, ELECTED OFFICIALS, LAW ENFORCEMENT, EDUCATION, SCHOOL COUNSELORS, UNITED WAY PARTNER AGENCIES, FARMERS, AND COUNTY OFFICIALS FROM THE FIVE COUNTY AREA ATTENDED THE KEY STAKEHOLDER MEETINGS.
VERNON MEMORIAL HOSPITAL, INC.	PART V, SECTION B, LINE 6A: THE COMPASS NOW 2012 PARTNERSHIP WAS CONDUCTED IN JOINT EFFORT WITH THE FOLLOWING OTHER HOSPITALS:1. GUNDERSEN LUTHERAN2. MAYO CLINIC HEALTH SYSTEM3. TOMAH MEMORIAL HOSPITAL4. TRI-COUNTY MEMORIAL HOSPITAL
VERNON MEMORIAL HOSPITAL, INC.	PART V, SECTION B, LINE 6B: THE COMPASS NOW 2012 PARTNERSHIP WAS CONDUCTED IN JOINT EFFORT WITH THE FOLLOWING ORGANIZATIONS:1. GREAT RIVERS UNITED WAY2. LA CROSSE COMMUNITY FOUNDATION3. FIVE LOCAL COUNTY HEALTH DEPARTMENTS
VERNON MEMORIAL HOSPITAL, INC.	PART V, SECTION B, LINE 7D: THE CHNA IS AVAILABLE ON THE HOSPITAL'S WEBSITE: HTTP://WWW.VMH.ORG/CONTENT/COMMUNITY-NEEDS-ASSESSMENTTHE CHNA IS ALSO AVAILABLE ON THE FOLLOWING WEBSITES: HTTP://WWW.GREATRIVERSUNITEDWAY.ORG/OUR-WORK/COMMUNITY-NEEDS-ASSESSMENT/HTTP://WWW.GUNDERSENHEALTH.ORG/UPLOAD/DOCS/STJOES/COMMUNITYNEEDSASSESSMENTSUMMARY2012.PDFHTTP://MAYOCLINICHEALTHSYSTEM.ORG/LOCATIONS/LA-CROSSE/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
VERNON MEMORIAL HOSPITAL, INC.	PART V, SECTION B, LINE 11: THERE WERE ITEMS IDENTIFIED IN THE CHNA WHICH WERE NOT ADDRESSED BY VERNON MEMORIAL HEALTHCARE, INC.; HOWEVER, ALL ITEMS WERE CONSIDERED IF A NEED WAS BROUGHT TO THE ATTENTION OF THE GROUP DURING THE INFORMATION GATHERING PHASE OF THE CHNA PROCESS. THE ITEMS THAT WERE NOT ADDRESSED PRIMARILY WERE NOT ADDRESSED DUE TO THE FINANCIAL CONSTRAINT OF PROVIDING A NEW SERVICE FOR A LIMITED POPULATION OF PEOPLE WITHIN THE PRIMARY SERVICE AREA.SIX IDENTIFIED ITEMS WERE ADDRESSED AS FOLLOWS BY VERNON MEMORIAL HEALTHCARE, INC.EXCESSIVE OR BINGE DRINKING OF ALCOHOLIC BEVERAGES - VERNON MEMORIAL HEALTHCARE, INC. IS PARTNERING WITH AREA SCHOOL DISTRICTS AND OTHER LOCAL AGENCIES TO PROVIDE INTERVENTION PROGRAMMING IN LOCAL SCHOOLS. HEALTH EDUCATORS AT THE HOSPITAL ARE ALSO SEEING ALL HOSPITAL ADMITTED ALCOHOL AND DRUG DETOX PATIENTS. MEETING SPACE IS ALSO PROVIDED FOR THE LOCAL AA CHAPTER.HEALTHCARE ACCESS AND COST - VARIOUS LEVELS OF FINANCIAL ASSISTANCE ARE MADE AVAILABLE TO THOSE UNABLE TO PAY FOR HEALTHCARE SERVICES AND A SLIDING FEE SCALE DETERMINED BASED ON QUALIFICATION CRITERIA IS AVAILABLE TO THOSE WHO DO NOT HAVE THE ABILITY TO PAY THEIR FINANCIAL OBLIGATION IN FULL. TO ASSIST PATIENTS WHO MAY HAVE DIFFICULTY ACCESSING HEALTH CARE FOR VARIOUS REASONS THE HOSPITAL OPERATES PROVIDER BASED RURAL HEALTH CLINICS AND RETAIL PHARMACIES IN LOCAL COMMUNITIES, A HOME HEALTH AGENCY, A HOSPICE PROGRAM AND VARIOUS OTHER PROGRAMS. SOME OF THESE OTHER PROGRAMS INCLUDE:1) AN ON-SITE BIRTHING CENTER AT OUR MEDICAL CLINIC IN LA FARGE PROVIDES AMISH PATIENTS WITH EASIER ACCESS TO OBSTETRICS AND SAFE BIRTHING. THE BIRTHING CENTER HELPS PREGNANT AMISH WOMEN WHO NORMALLY GIVE BIRTH AT HOME ACHIEVE POSITIVE OUTCOMES AND FEWER COMPLICATIONS DURING CHILDBIRTH. 2) FAMILY PRACTICE PROVIDERS MAKE HOUSE CALLS TO RURAL AMISH PATIENTS WHO DO NOT HAVE TRANSPORTATION AVAILABLE TO THEM. 3) PARTNERSHIPS WITH LOCAL RURAL SCHOOL DISTRICTS TO OFFER "SPORTS PHYSICAL NIGHTS" TO STUDENTS PARTICIPATING IN HIGH SCHOOL ATHLETICS. THESE PHYSICALS ARE OFFERED AT A LOWER COST THAN THE CUSTOMARY CLINIC VISIT. 4) LOW COST ATHLETIC TRAINING SERVICES AND INJURY PREVENTION PROGRAMS ARE PROVIDED TO HIGH SCHOOL ATHLETIC TEAMS. 5) A CORPORATE AND COMMUNITY WELLNESS PROGRAM OFFERS VARIOUS PROGRAMS AND SCREENINGS AT WORKSITE LOCATIONS THROUGHOUT OUR SERVICE AREA.6) DISCOUNTED WELLNESS CENTER MEMBERSHIPS FOR SENIOR CITIZENS ARE AVAILABLE AT OUR PUBLIC WELLNESS CENTER. 7) PARTNERSHIPS WITH LOCAL BUSINESSES, LOCAL UNITS OF GOVERNMENT AND THE WISCONSIN DEPARTMENT OF TRANSPORTATION IN PROVIDING FUNDING FOR THE SCENIC MISSISSIPPI REGIONAL TRANSIT COMMUTER BUS. THE FOCUS OF THIS REGIONAL BUS TRANSIT SERVICE IS FOR COMMUTERS, ELDERLY AND DISABLED RESIDENTS, AND THE GENERAL PUBLIC. THE BUS ROUTES INCLUDE STOPS AT VERNON MEMORIAL HEALTHCARE. 8) A NEW HEALTH CARE ACCESS INITIATIVE IMPLEMENTED IN 2013-2014 IS THE IMPLEMENTATION OF A TEXT MESSAGING SYSTEM THAT REMINDS PATIENTS OF THEIR SCHEDULED MEDICAL APPOINTMENTS. THIS INITIATIVE TARGETS ALL AGE GROUPS, EDUCATION AND INCOME LEVELS WHO CARRY A CELL PHONE. THE MAIN TARGET AUDIENCE IS THE YOUNGER AND MIDDLE AGE POPULATION WHO ARE MORE FAMILIAR WITH THIS TECHNOLOGY BUT IS THE MAIN TARGET GROUP THAT MISSES APPOINTMENTS. THIS INITIATIVE WILL INCREASE EFFICACY OF CLINIC OPERATIONS BY DECREASING THE NUMBER OF MISSED APPOINTMENTS. MENTAL HEALTH - FUNDING WILL BE PROVIDED FOR COLLABORATIVE MENTAL HEALTH INITIATIVES TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES. THE VERNON COUNTY DEPARTMENT OF HUMAN SERVICES, CENTER POINT COUNSELING SERVICES AND FAMILY AND CHILDREN'S CENTER WILL BE KEY PARTNERS IN THIS EFFORT. VERNON MEMORIAL HEALTHCARE WILL PARTICIPATE IN COMMUNITY-BASED COLLABORATIVE EFFORTS TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES AS OPPORTUNITIES ARISE.OBESITY - PROGRAMMING AND SERVICES HIGHLIGHTING WAYS TO BE ACTIVE, EAT WELL, AND PREVENT OBESITY INCLUDE:1) HEALTHY HABITS WORKSHOPS FOR 3RD, 4TH, AND 5TH GRADE STUDENTS. THESE DAY LONG WORKSHOPS OFFERED SEVERAL TIMES EACH YEAR INCLUDE PROGRAMMING RELATED TO FOOD AND PROPER NUTRITION, HYGIENE, EXERCISE, AND THE IMPORTANCE OF AVOIDING TOBACCO USE. 2) VERNON MEMORIAL HEALTHCARE OPERATES A FULL SERVICE EXERCISE AND FITNESS FACILITY WHICH IS OPEN TO THE PUBLIC. PERSONAL TRAINING SERVICES, GROUP EXERCISE CLASSES AND AQUATICS PROGRAMMING IS AVAILABLE TO THE PUBLIC. 3) THE VMH FOOD AND NUTRITION DEPARTMENT OFFERS NUTRITION THERAPY/COUNSELING SERVICES. 4) DIABETIC EDUCATORS WORK WITH DIABETES PATIENTS TO SET AND ACHIEVE DIABETES AND SELF MANAGEMENT GOALS5) FRESH START AND CARDIAC RISK REDUCTION PROGRAMS ARE OFFERED BY THE CARDIOPULMONARY DIAGNOSTICS AND REHAB DEPARTMENT FOR INDIVIDUALS WITH AN OBESITY DIAGNOSIS OR WHO ARE AT RISK OF DEVELOPING HEART DISEASE. 6) VERNON MEMORIAL HEALTHCARE HAS WORKED TO ENHANCE ACCESS TO HEALTHY, FRESH FOOD CHOICES IN THE COMMUNITY BY SPONSORING A YEARLY COMMUNITY SUPPORTED AGRICULTURE (CSA) VENDOR FAIR. 7) A PARTNERSHIP WITH THE NORTH CRAWFORD SCHOOL DISTRICT AND NORTH CRAWFORD FITNESS FORCE PROVIDES OPPORTUNITIES AND EDUCATION THAT FACILITATES AND SUPPORTS OVERALL HEALTH IMPROVEMENT. THE SCHOOL DISTRICT SECURED FEDERAL GRANT MONIES TO ENSURE THAT STUDENTS BECOME MORE PHYSICALLY ACTIVE AND MAKE HEALTHY NUTRITION CHOICES. VERNON MEMORIAL HEALTHCARE ATHLETIC TRAINERS, PERSONAL TRAINERS AND DIETITIANS HAVE WORKED WITH TEENAGE ATHLETES ON STRENGTH TRAINING AND PROPER NUTRITION AND HYDRATION. VERNON MEMORIAL HEALTHCARE ASSISTED THE SCHOOL WITH ORGANIZING A WELLNESS FAIR. VERNON MEMORIAL HEALTHCARE ALSO PROVIDES FREE HEALTH CHECKS INCLUDING: BODY COMPOSITION ANALYSIS, BLOOD PRESSURES, SHOE CHECKS AND HEALTHY BACK SCREENINGS. VERNON MEMORIAL HEALTHCARE BEGAN OFFERING A FITNESS CLASS FOR THE COMMUNITY-AT-LARGE. 8) THROUGH A PARTNERSHIP WITH GUNDERSEN HEALTH SYSTEM-VIROQUA CLINIC IS PROVIDING WELLNESS CENTER ACCESS TO TEENAGERS ENROLLED IN "WINNING WEIGHS FOR TEENS." THE PROGRAM IS DESIGNED TO HELP TEENS ESTABLISH A HEALTHY RELATIONSHIP WITH FOOD, MANAGE WEIGHT-RELATED HEALTH CONDITIONS AND LOSE WEIGHT. DENTAL CARE ACCESS AND COST - IN 2013 BEGAN PROVIDING OPERATING ROOM SPACE FOR DENTIST TO PERFORM PROCEDURES ON MEDICAID PEDIATRIC AND ADOLESCENT PATIENTS AT BELOW COST REIMBURSEMENT. ALSO IN PARTNERSHIP WITH SCENIC BLUFFS COMMUNITY HEALTH CENTER, A NATIONAL HEALTH SERVICE CORPS APPROVED SITE, TO ESTABLISH A DENTAL SAFETY NET CLINIC IN THE VIROQUA AREA MEDICAL OFFICE BUILDING. DENTISTS EMPLOYED BY SCENIC BLUFFS WILL ATTEND TO MEDICARE, BADGER CARE AND UNINSURED PATIENTS NEEDING PREVENTIVE, RESTORATIVE OR URGENT DENTAL SERVICES. PATIENTS WILL BE SEEN IN OUTPATIENT SPECIALTY CARE WHERE ORTHODONTIC SERVICES ARE CURRENTLY OFFERED. THE OBJECTIVE OF THIS CLINIC WILL BE TO INCREASE THE PERCENTAGE OF MEDICAL ASSISTANCE/BADGER CARE PATIENTS IN VERNON COUNTY WITH AT LEAST ONE DENTAL VISIT PER YEAR TO AT LEAST 50% BY 2016. COMMUNITY FUNDRAISING AND GRANTS WILL BE NEEDED TO OFFSET POTENTIAL FINANCIAL INSTABILITY OF PAYER MIX.ILLEGAL DRUG USE - WILL CONTINUE TO PARTNER WITH THE VERNON COUNTY PARTNERSHIP COUNCIL IN IMPLEMENTING ACTIVITIES AIMED AT EDUCATING YOUTH ABOUT THE CONSEQUENCES OF ILLEGAL DRUG USE AND REDUCING YOUTH ACCESS. THE VERNON COUNTY PARTNERSHIP COUNCIL, EXISTS TO DEVELOP AND SUPPORT PROGRAMMING WHICH ADDRESSES DRUG, ALCOHOL AND TOBACCO CONCERNS RELATED TO YOUTH RISK BEHAVIORS. VERNON MEMORIAL HEALTHCARE WILL SUPPORT SCHOOL DISTRICTS IN TARGETED PROGRAMS TO PREVENT AND REDUCE SUBSTANCE ABUSE AMONG YOUTH. AS PREVIOUSLY MENTIONED IN CONJUNCTION WITH ALCOHOL USE, HEALTH EDUCATORS IN 2014 BEGAN TO SEE ALL HOSPITAL-ADMITTED ALCOHOL AND DRUG DETOX PATIENTS. DRUG ABUSE REFERRALS ARE RECOMMENDED TO THOSE INDIVIDUALS SEEKING TREATMENT. IN ADDITION TO DRUG ABUSE INFORMATION, THESE PATIENTS WILL BE PROVIDED LITERATURE ON FOUR OTHER AREAS OF RISK: STD/STI, TOBACCO, HIV/AIDS, HEPATITIS B AND C. TOBACCO COUNSELING WILL ALSO BE PROVIDED IF THE PATIENT USES TOBACCO.
VERNON MEMORIAL HOSPITAL, INC.	PART V, SECTION B, LINE 16I: FORMS AND INSTRUCTIONS ARE AVAILABLE AT ALL REGISTRATION AREAS, INCLUDING THE MAIN HOSPITAL, EMERGENCY ROOM, AND OUTLYING CLINICS.
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
VERNON MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 16A WEBSITE:	WWW.VMH.ORG/CONTENT/COMMUNITY-CARE

Field	Value	IRS element (for citing)
Facility	10	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
HIRSCH CLINIC
407 S MAIN ST SUITE 400	VIROQUA	WI	54665	PROVIDER BASED RURAL HEALTH CLINIC
VERNON MEMORIAL HEALTHCARE PHARMACY
407 S MAIN ST SUITE 400	VIROQUA	WI	54665	PHARMACY
LAFARGE MEDICAL CLINIC
206 N SNOW ST	LAFARGE	WI	54639	PROVIDER BASED RURAL HEALTH CLINIC
KICKAPOO VALLEY MEDICAL CLINIC
102 SUNSET AVE	SOLDIERS GROVE	WI	54655	PROVIDER BASED RURAL HEALTH CLINIC
BLAND CLINIC
100 MELBY ST	WESTBY	WI	54667	PROVIDER BASED RURAL HEALTH CLINIC
SOLAR TOWN PHARMACY
104 SUNSET AVE	SOLDIERS GROVE	WI	54655	PHARMACY
VERNON MEMORIAL HEALTHCARE INC
705 ARENA DRIVE	VIROQUA	WI	54665	HOSPICE
VERNON MEMORIAL PHARMACY - WESTBY
115 W STATE STREET	WESTBY	WI	54667	PHARMACY
VERNON MEMORIAL HEALTHCARE INC
705 ARENA DRIVE	VIROQUA	WI	54665	HOME HEALTH AGENCY
VERNON MEMORIAL PHARMACY - LAFARGE
206 N MILL STREET	LAFARGE	WI	54639	PHARMACY

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE COSTING METHOD USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS COSTING METHODS FOR THE FORM 990.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,452,785.
PART II, COMMUNITY BUILDING ACTIVITIES:	WHILE THERE IS A GROWING AGREEMENT IN THE UNITED STATES ABOUT WHAT CONSTITUTES A NON-PROFIT HOSPITAL'S COMMUNITY BENEFIT, THIS IS A WORK IN PROGRESS. OUR HOSPITAL PROVIDES CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS. BUT IN ADDITION, WE BELIEVE THAT WE PROVIDE A CRITICALLY IMPORTANT COMMUNITY BENEFIT WHICH IS NOT QUANTIFIED. OUR HOSPITAL, LIKE MOST RURAL HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE LOCAL ACCESS TO MANY HEALTH SERVICES: BIRTHING CENTER, DIAGNOSTICS, EMERGENCY SERVICES AND URGENT CARE, HOME CARE, HOSPICE, INFUSION SERVICES, INPATIENT CARE, LABORATORY SERVICES, OCCUPATIONAL HEALTH, REHABILITATION SERVICES, SPECIALTY MEDICINE, SPEECH AND AUDIOLOGY, SURGICAL SERVICES, AND WOMENS HEALTH.
PART III, LINE 2:	THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT ARE WRITTEN OFF DURING THE FISCAL YEAR TO ESTIMATE THE COST OF THE CHARITY CARE OF PATIENTS TAHT HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO TEH HOSPITAL. THE HOSPITAL ALSO PROVIDES DISCOUNTS TO ELIGIBLE UNINSURED OR UNDERINSURED PATIENTS UNDER ITS CHARITY CARE POLICY. THESE AMOUNTS ARE INCLUDED IN TE CONTRACTUAL ADJUSTMENTS ON FINANCIAL STATEMENTS AND ARE NOT INCLUDED IN THE RATIO AS DESCRIBED ABOVE AND APPROVED BY THE IRS FOR USE ON FORM 990. IF CONSIDERED, THESE ADDITIONAL WRITE-OFF AMOUNTS TO UNINSURED OR UNDERSINSURED ACCOUNTS WOULD ALSO INCREASE THE ESTIMATED BAD DEBT EXPENSE ASSOCIATED WITH UNCOLLECTIBLE ACCOUNTS TO ORGANIZATIONS.
PART III, LINE 3:	MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNISURED PATIENTS, AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND HTE CURRENT STATUS OF INDIVIDUAL ACCOUNTS.
PART III, LINE 4:	ACCOUNTS RECEIVABLE AND CREDIT POLICY: IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, VERNON MEMORIAL HEALTHCARE, INC. ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS AND PATIENTS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE.
PART III, LINE 8:	VERNON MEMORIAL HEALTHCARE, INC. IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL AND AS SUCH A PORTION OF ITS REVENUES ARE PAID UNDER A COST REIMBURSEMENT SYSTEM. BASED ON THE INSTRUCTIONS, THE TOTAL MEDICARE REVENUE SHOWN ON THIS FORM 990 INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE THAT IS ACTUALLY RECEIVED BY THE HOSPITAL FROM THE MEDICARE PROGRAM. THE AMOUNTS LISTED FOR MEDICARE DO NOT INCLUDE PHYSICIAN AND MID-LEVEL PRACTITIONER SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT. PHYSICIAN COVERAGE IS REIMBURSED PRIMARILY ON A FEE SCHEDULE REIMBURSEMENT METHODOLOGY AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT VERNON MEMORIAL HEALTHCARE, INC. PROVIDES TO THE COMMUNITY AND SURROUNDING AREA. THE COSTING METHOD USED ABOVE FOR IRS FORM 990 COMPLIANCE REPORTING IS ALSO BASED ON AN OVERALL AVERAGE COST-TO-CHARGE RATIO AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE) DIVIDED BY TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT EXPENSE. THIS RATIO IS THEN MULTIPLIED BY THE TOTAL MEDICARE SERVICES WHICH ARE REIMBURSED ON A COST METHODOLOGY EXCLUDING THE FEE SCHEDULE ITEMS LIKE PHYSICIAN AND MID-LEVEL PRACTITIONER SERVICES WHICH THE HOSPITAL WOULD SHOW A LARGE LOSS ON THESE SERVICES.WHETHER THERE IS A SHORTFALL OR SURPLUS FROM SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THE RECIPIENTS ARE TYPICALLY ELDERLY AND/OR DISABLED MEMBERS OF THE COMMMUNITY AND ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY.
PART VI, LINE 2:	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT RECENTLY CONDUCTED IN CONJUNCTION WITH AREA HEALTHCARE FACILITIES, THE GREAT RIVERS UNITED WAY AND COUNTY HEALTH DEPARTMENTS, VERNON MEMORIAL HEALTHCARE CONTINUALLY GATHERS AND REVIEWS DATA RELATED TO COMMUNITY NEEDS BY UTILIZING MORE INFORMAL FOCUS AND ADVISORY GROUPS, DISCUSSIONS WITH AREA EMPLOYERS, AND WEB SURVEYS, AS WELL AS THROUGH SERVING ON LOCAL AND STATE BOARDS AND COMMITTEES. THE ORGANIZATION COLLABORATES WITH COMMUNITY ORGANIZATIONS, CHURCHES, BUSINESSES, AGENCIES, AND LOCAL COLLEGES AND UNIVERSITIES TO DETERMINE THE NEEDS OF THE COMMUNITIES SERVED. BOARD MEMBERS REPRESENT NOT ONLY THE CITY OF VIROQUA, BUT COME FROM THE DIFFERENT AREAS SERVED BY THE ORGANIZATION. THESE BOARD MEMBERS REGULARLY MEET WITH THE PEOPLE IN THEIR AREAS TO UTILIZE THE SERVICES OFFERED BY THE ORGANIZATION AND BRING BACK THEIR ISSUES AND CONCERNS.
PART VI, LINE 3:	VERNON MEMORIAL HEALTHCARE, INC. MAKES EVERY EFFORT TO EDUCATE PATIENTS ABOUT CHARITY CARE AND OTHER DISCOUNT PROGRAMS AVAILABLE AT THE TIME OF REGISTRATION AND FOLLOWING DISCHARGE. FORMS AND INSTRUCTIONS ARE AVAILABLE AT ALL REGISTRATION AREAS, INCLUDING THE MAIN HOSPITAL, EMERGENCY ROOM AND OUTLYING CLINICS. FINANCIAL COUNSELORS ARE AVAILABLE DURING DAYTIME HOURS TO ASSIST PATIENTS WITH COMPLETION OF FORMS, EITHER IN PERSON OR OVER THE PHONE. INFORMATION ABOUT CHARITY AND DISCOUNT PROGRAMS IS ALSO AVAILABLE ON THE ORGANIZATION'S WEBSITE AND E-NEWSLETTER. SIGNS REGARDING THE COMMUNITY CARE PROGRAM ARE POSTED AT ALL REGISTRATION LOCATIONS.
PART VI, LINE 4:	VERNON MEMORIAL HEALTHCARE, INC. SERVES THE CITY OF VIROQUA AND THE SURROUNDING AREA. OTHER TOWNS IN THE PRIMARY SERVICE AREA INCLUDE WESTBY, READSTOWN, SOLDIERS GROVE, CASHTON, AND LAFARGE. THE SECONDARY SERVICE AREA EXTENDS TO THE CITIES OF DESOTO, FERRYVILLE, HILLSBORO, COON VALLEY, RICHLAND CENTER, GAYS MILLS, AND ONTARIO. THE COMMUNITIES AND SURROUNDING RURAL AREAS IN THE PRIMARY SERVICE AREA HAVE AN APPROXIMATE POPULATION OF 23,000. THE SECONDARY SERVICE AREA INCLUDES AN ADDITIONAL 25,000 PERSONS. THE ENTIRE AREA IS RURAL WITH AN AGING POPULATION AND RELATIVELY LOW INCOME LEVELS.
PART VI, LINE 5:	VERNON MEMORIAL HEALTHCARE, INC. PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE IN THE COMMUNITIES IT SERVES. SERVICES ARE PROVIDED WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER ORIENTATION, DISABILITY, AGE, OR NATIONAL ORIGIN. VERNON MEMORIAL HEALTHCARE, INC. OPERATES A 24/7 EMERGENCY ROOM THAT IS OPEN TO SERVE ALL IN NEED, REGARDLESS OF ABILITY TO PAY. THE ORGANIZATION OWNS AND OPERATES FOUR RURAL HEALTH CLINICS LOCATED IN THE CITIES OF VIROQUA, WESTBY, SOLDIERS GROVE, AND LAFARGE, AS WELL AS FOUR RETAIL PHARMACIES LOCATED IN VIROQUA, WESTBY, SOLDIERS GROVE AND LAFARGE. HOME HEALTH AND HOSPICE SERVICES (INPATIENT AND OUTPATIENT) ARE ALSO PROVIDED. VERNON MEMORIAL HEALTHCARE, INC. COLLABORATES WITH COMMUNITIES, CHURCHES, BUSINESSES, AND OTHER HEALTHCARE ORGANIZATIONS IN THE REGION TO FACILITATE AND STRENGTHEN ACCESSIBILITY OF QUALITY COMPREHENSIVE HEALTHCARE SERVICES. THE ORGANIZATION SUPPORTS THE LOCAL COMMUNITIES BY PROVIDING CONVENIENT LOCATIONS FOR PRIMARY CARE AND PHARMACY SERVICES. THE BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS WHO REPRESENT THE MAKE-UP OF THE AREAS SERVED BY THE ORGANIZATION. VERNON MEMORIAL HEALTHCARE, INC. HAS AN OPEN MEDICAL STAFF MADE UP OF QUALIFIED PHYSICIANS WHO WORK WITH THE HOSPITAL TO PROVIDE CARE TO THE COMMUNITIES SERVED. ALL QUALIFIED PHYSICIANS AND AFFILIATED STAFF WHO ARE GRANTED PRIVILEGES UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING AND ORIENTATION PROCESS. ANY SURPLUS FUNDS GENERATED THROUGH OPERATIONS ARE USED TO CONTINUE TO MEET THE NEEDS OF THE PEOPLE THAT ARE SERVED THROUGH THE ADDITION OF NEW FACILITIES AND EQUIPMENT, OR THE ADDITION OR EXPANSION OF NEEDED SERVICES.
PART VI, LINE 7, REPORTS FILED WITH STATES	WI

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
VIROQUA AREA SCHOOLS
115 N EDUCATION AVE	VIROQUA	WI	54665	396004944	GOV'T ORGANIZATION	$83,801	SUPPORT OF BIGLEY POOL, CROSS COUNTRY, POVERTY AWARENESS, BOOK OF THE MONTH PROGRAM
YOUTH INITIATIVE HIGH SCHOOL
500 EAST JEFFERSON ST	VIROQUA	WI	54665	391906073	501(C)(3)	$10,000	MATCHING FUNDS, STUDENT FUNDRAISING
WESTBY AREA SCHOOL DISTRICT
206 WEST AVE SOUTH	WESTBY	WI	54667	396005143	GOV'T ORGANIZATION	$43,650	PROM, SCHOLARSHIP
VIROQUA AREA FOUNDATION
PO BOX 262	VIROQUA	WI	54665	391603279	501(C)(3)	$95,000	FAIRGROUNDS BUILDING AND VIROQUA PUBLIC LIBRARY
FAMILY AND CHILDREN'S CENTER
1707 MAIN STREET	LA CROSSE	WI	54601	390821863	501(C)(3)	$5,000	MATCHING FUNDS FOR EVENT
CITY OF PRAIRIE DU CHIEN
214 E BLACKHAWK DRIVE	PRAIRIE DU CHIEN	WI	53821	396005636	GOV'T ORGANIZATION	$5,000	SUPPORT FOR REGIONAL BUS SERVICE
VERNON TRAILS
311 N WASHINGTON STREET	VIROQUA	WI	54665	710885732	501(C)(3)	$7,500	MATCHING FUNDS - TRAIL BUILDING, MAINTENANCE AND EQUIPMENT
VERNON COUNTY TREASURER
400 COURTHOUSE SQUARE	VIROQUA	WI	54665	396005749	GOV'T ORGANIZATION	$14,400	COON PRAIRIE TRAIL CONSTRUCTION, TRAIL MAINTENANCE
WESTERN TECHNICAL COLLEGE
400 7TH ST N	LA CROSSE	WI	54602	396002842	GOV'T ORGANIZATION	$35,000	PARTIAL COMPENSATION NURSING CLINICAL INSTRUCTOR - VIROQUA CAMPUS
KICKAPOO AREA SCHOOL DISTRICT
S5620 STATE HIGHWAY 131	VIOLA	WI	54664	396030294	GOV'T ORGANIZATION	$8,126	COMPUTER HARDWARE AND SOFTWARE
CASHTON CUPBOARD AND CLOSET
PO BOX 213	CASHTON	WI	54619	275349464	501(C)(3)	$15,000	PROGRAM SUPPORT
DRIFTLESS UNITED ATHLETICS
BOX 12	VIROQUA	WI	54665	800398975	501(C)(3)	$10,000	SOCCER FIELD PROJECT
VERNON COUNTY HISTORICAL SOCIETY
PO BOX 444	VIROQUA	WI	54665	391429799	501(C)(3)	$10,000	CAPITAL CAMPAIGN FOR ELEVATOR PROJECT
CITY OF VIROQUA
202 NORTH MAIN STREET	VIROQUA	WI	54665	396005636	GOV'T ORGANIZATION	$7,793	CURBS AND HANDICAPPED RAMPS, CROSSWALK LIGHTING

Field	Value	IRS element (for citing)
Total501c3 Org	14	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	ALL DONEES ARE REQUIRED TO SUBMIT THEIR DONATION REQUESTS TO THE CEO OR MARKETING MANAGER OF VERNON MEMORIAL HEALTHCARE, INC. REQUESTS SUBMITTED TO THE MARKETING MANAGER ARE FORWARDED TO THE CEO FOR FINAL APPROVAL. THE REQUESTS MUST INCLUDE A DETAILED DESCRIPTION OF WHAT THE FUNDS WILL BE USED FOR AND HOW THEY WILL BENEFIT THE COMMUNITY. DONEES ARE ASKED TO PROVIDE CONFIRMATION OF RECEIPT AND AN EXPLANATION OF HOW THE FUNDS WERE USED, EITHER VERBALLY OR IN WRITING, TO THE CEO. IF THE REQUESTS ARE DEEMED BENEFICIAL TO THE NEEDS OF THE COMMUNITY, THE FUNDS ARE AWARDED TO THE APPLYING ORGANIZATION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KYLE BAKKUM
CEO	$247,676	$0	$902	$0	$0	$0	$15,017	$0	$24,671	$0	$288,266	$0	$0	$0
MARY KOENIG
CFO	$218,191	$0	$902	$0	$0	$0	$12,792	$0	$18,105	$0	$249,990	$0	$0	$0
DR JEFFREY MENN
PHYSICIAN	$124,883	$0	$902	$0	$174,132	$0	$4,515	$0	$7,865	$0	$312,297	$0	$0	$0
DR ANTHONY MACASAET
PHYSICIAN	$402,073	$0	$677	$0	$0	$0	$17,500	$0	$15,476	$0	$435,726	$0	$0	$0
ARNOLD NOMANN
CRNA	$384,659	$0	$902	$0	$0	$0	$12,497	$0	$17,096	$0	$415,154	$0	$0	$0
BRIAN MILLER
CRNA	$315,333	$0	$902	$0	$5,811	$0	$10,148	$0	$26,743	$0	$358,937	$0	$0	$0
DR PATRICK SCOTT
PHYSICIAN	$318,062	$0	$902	$0	$0	$0	$13,202	$0	$7,911	$0	$340,077	$0	$0	$0
GARITH STEINER
FORMER CEO	$0	$0	$0	$0	$309,651	$0	$0	$0	$0	$0	$309,651	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY	BusinessNameLine1Txt

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

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

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

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

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	ANY PERSON WHO IS EIGHTEEN YEARS OF AGE OR OLDER AND A BONA FIDE RESIDENT OF VERNON COUNTY, WISCONSIN, OR THE AREA WITHIN A RADIUS OF TWENTY-FIVE MILES OF THE CITY OF VIROQUA, WISCONSIN, AND WHO HAS HERETOFORE OR MAY HEREAFTER CONTRIBUTE TEN DOLLARS OR MORE TO VERNON MEMORIAL HEALTHCARE, INC. (THE ORGANIZATION") SHALL BE A MEMBER THEREOF. ALL MEMBERS OF THE ORGANIZATION SHALL BE VOTING MEMBERS. EACH MEMBER SHALL HAVE ONE VOTE ON ANY MATTER SUBMITTED TO A VOTE OF THE MEMBERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE DUTIES OF THE MEMBERS OF THE ORGANIZATION SHALL BE: THE ELECTION OF MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION, THE REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION, AND THE CHANGING OF THE NUMBER OF DIRECTORS CONSTITUTING THE BOARD OF DIRECTORS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B	THE DUTIES OF THE MEMBERS OF THE VERNON ORGANIZATION SHALL ALSO INCLUDE: THE AMENDMENT, RESTATEMENT, OR MODIFICATION OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE ORGANIZATION; AND THE APPROVAL OF THE SALE, LEASE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL OF THE ASSETS AND PROPERTY OF THE ORGANIZATION, THE DISSOLUTION OF THE ORGANIZATION, OR ITS MERGER WITH ANOTHER CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS OF VERNON MEMORIAL HEALTHCARE, INC. AT THEIR REGULARLY SCHEDULED BOARD MEETING PRIOR TO FILING THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12C	ALL BOARD MEMBERS OF VERNON MEMORIAL HEALTHCARE, INC. ARE REQUIRED TO DISCLOSE ALL POSSIBLE CONFLICTS OF INTEREST WHEN FIRST ELECTED TO THE BOARD OF DIRECTORS. DURING THEIR TERMS, IF ANY BUSINESS RELATIONSHIPS ARE ENTERED INTO WHICH MAY AFFECT THEIR INDEPENDENCE AS A MEMBER, THE MEMBER MUST IMMEDIATELY DISCLOSE THESE RELATIONSHIPS. THE COMPLIANCE DEPARTMENT PROVIDES EDUCATION ANNUALLY WHEN BOARD MEMBERS ARE REQUIRED TO UPDATE AND SIGN A CONFLICT OF INTEREST STATEMENT EACH YEAR.
FORM 990, PART VI, SECTION B, LINE 15	TO DETERMINE APPROPRIATE SALARY RANGES FOR UPPER MANAGEMENT POSITIONS, VERNON MEMORIAL HEALTHCARE, INC. UTILIZES BENCHMARK DATA FROM SURVEYS CONDUCTED BY RELEVANT TRADE ORGANIZATIONS. THE CEO HAS THE RIGHT TO AMEND THE DETERMINED AMOUNT FOR THE CFO AND COO. THE BOARD HAS THE RIGHT TO AMEND THE AMOUNT FOR THE CEO. THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS THE DATA FOR THE CEO ANNUALLY TO DETERMINE THE AMOUNT OF HIS COMPENSATION AND ANY CHANGES IN COMPENSATION ARE MAINTAINED IN THE PERSONNEL FILE. THE CEO REVIEWS THE DATA FOR THE CFO AND COO ANNUALLY TO DETERMINE THE AMOUNT OF COMPENSATION AND ANY CHANGES ARE MAINTAINED IN THE PERSONNEL FILE.
FORM 990, PART VI, SECTION C, LINE 19	VERNON MEMORIAL HEALTHCARE, INC. MAKES ITS FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC ON A PER REQUEST BASIS. THE FORM 990 IS ALSO AVAILABLE TO THE PUBLIC ON A THIRD PARTY WEBSITE CALLED GUIDESTAR.
FORM 990, PART XI, LINE 9:	NET ASSETS RELEASED FROM RESTRICTION FOR OPERATIONS -26,870.
FORM 990, PART XI, LINE 2C:	OVERSIGHT OF AUDIT: VERNON MEMORIAL HEALTHCARE, INC. DOES NOT HAVE A SPECIFIC COMMITTEE WHICH ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. THE ENTIRE BOARD OF DIRECTORS IS RESPONSIBLE FOR SELECTION OF THE INDEPENDENT ACCOUNTANT. NO CHANGES HAVE BEEN MADE IN THE PAST YEAR REGARDING THIS OVERSIGHT FUNCTION OF THE GOVERNING BODY.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	VERNON MEMORIAL HEALTHCARE FOUNDATION INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	507 SOUTH MAIN STREET	AddressLine1Txt
City	VIROQUA	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54665	ZIPCd

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

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