2016-05-12T08:50:22-05:00 2015-09-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2014-10-01 391091432 REEDSBURG AREA MEDICAL CENTER INC REED 6085246487 2000 NORTH DEWEY AVENUE REEDSBURG WI 53959 ROBERT VAN MEETEREN PRESIDENT/CEO 6085246487 2016-05-09 1 KOREY BOELTER P00775161 6123764500 2014 2016-08-17 19:52:53Z ROBERT VAN MEETEREN 2000 NORTH DEWEY AVENUE REEDSBURG WI 53959 72723390 0 X WWW.RAMCHEALTH.COM X 1967 WI PROVIDE QUALITY, COMPASSIONATE, & EFFECTIVE HEALTH CARE GOING BEYOND THE EXPECTED IN ALL WE DO. 12 8 567 153 595861 -7454 24014 392525 58427632 63510734 978986 1035174 400486 979577 59831118 65918010 512242 571349 0 0 29201345 32324150 0 0 0 25209946 29100472 54923533 61995971 4907585 3922039 70824333 76894045 27730919 30938693 43093414 45955352 X REEDSBURG AREA MEDICAL CENTER, ALWAYS THERE, GOING BEYOND THE EXPECTED TO PROVIDE COMPASSIONATE, QUALITY, AND EFFICIENT HEALTH CARE. 1 0 52154862 571349 62914873 INPATIENT SERVICES INCLUDE MULTICARE (MEDICAL/SURGICAL), OBSTETRICS/NURSERY, AND INTENSIVE CARE UNITS AT REEDSBURG AREA MEDICAL CENTER (RAMC). WITHIN THESE UNITS, RAMC PROVIDED SHORT TERM CARE FOR 4,642 PATIENT DAYS (1,475 DISCHARGED PATIENTS) DURING THE FISCAL YEAR ENDING 9/30/15. THIS INCLUDED 363 SWING BED DAYS FOR 58 PATIENTS, 410 OBSERVATION DAYS AND 268 BIRTHS. THE STAFF AT RAMC IS COMMITTED TO MEETING PATIENTS' PHYSICAL, SOCIAL, EDUCATIONAL, EMOTIONAL, AND SPIRITUAL NEEDS. RAMC'S EMERGENCY AND URGENT CARE IS HERE FOR THE COMMUNITY WHENEVER THEY MAY NEED IT. URGENT CARE HAS HOURS OF AVAILABILITY FOR MINOR MEDICAL NEEDS SEVEN DAYS A WEEK AND THE EMERGENCY ROOM IS OPEN AND PHYSICIAN STAFFED 24 HOURS A DAY. IN THE FISCAL YEAR ENDING 09/30/15, 9,786 PATIENTS WERE SEEN IN THE EMERGENCY ROOM (RESULTING IN 1,038 INPATIENT ADMISSIONS) AND 5,249 PATIENTS VISITED URGENT CARE. RAMC'S FOCUS THROUGHOUT THE FISCAL YEAR AGAIN REMAINED ON OUR PATIENTS AND THE COMMUNITY WE SERVE. IN RESPONSE TO THE FINDINGS OF PAST COMMUNITY NEEDS ASSESSMENTS, WE CONTINUED TO IMPLEMENT AND EXPAND UPON COMMUNITY PROGRAMS DESIGNED TO BENEFIT VULNERABLE POPULATIONS. PROGRAMS SUCH AS THE MOVE IT CLUB, BRIGHT SMILES, STRONG WOMEN, HEALTH 4 U AND SIT TO QUIT COVERED A VARIETY OF TOPICS INCLUDING OBESITY, EXERCISE, DENTAL HEALTH, DISEASE PREVENTION AND TOBACCO CESSATION. THESE PROGRAMS ARE TARGETED TOWARD AUDIENCES THAT HAVE BEEN IDENTIFIED AS HAVING UNMET HEALTH NEEDS AND STRESS THE IMPORTANCE OF PREVENTION AS A MEANS TO IMPROVING AND MAINTAINING GENERAL HEALTH. OTHER SIGNIFICANT ACHIEVEMENTS INCLUDE THE ADDITION OF UROLOGICAL SERVICES OFFERING A VARIETY OF TREATMENT AND SURGICAL OPTIONS, THE IMPLEMENTATION OF A MOBILE INTEGRATED HEALTH PROGRAM IN CONJUNCTION WITH LOCAL EMS SERVICES TO HELP PATIENTS TRANSITION BETWEEN A HOSPITAL STAY AND RECOVERY AT HOME AND THE PURCHASE OF THE RAMC COMMUNITY PHARMACY. THESE EXPANSIONS DEMONSTRATE RAMC'S COMMITMENT TO PROVIDING TEAM-BASED, SEAMLESS, EXCEPTIONAL PATIENT CARE AT EVERY VISIT THROUGHOUT OUR FACILITY. THESE, AND OTHER PROJECTS, ALLOW RAMC TO PROVIDE INCREASED LEVELS OF PATIENT SAFETY, QUALITY AND SATISFACTION. OTHER SERVICES AVAILABLE TO MEET THE COMMUNITY'S HEALTH NEEDS INCLUDE, BUT ARE NOT LIMITED TO, LABORATORY, REHABILITATION, SLEEP MEDICINE, SURGICAL SERVICES, CONSULTING, MASSAGE THERAPY, ORTHOPEDICS, OBSTETRICS, PARISH NURSING , CHEMOTHERAPY, VOLUNTEER SERVICES, COMMUNITY OUTREACH AND WELLNESS. 603315 0 595861 REEDSBURG AREA MEDICAL CENTER COMMUNITY PHARMACY IS CONVENIENTLY LOCATED ON THE RAMC CAMPUS WITHIN THE PHYSICIANS GROUP. TRADITIONALLY KNOWN FOR ITS CONVENIENCE FOR PATIENTS, RAMC COMMUNITY PHARMACY IS OPEN TO ALL MEMBERS OF THE PUBLIC. PATIENTS CAN FILL NEW PRESCRIPTIONS IN THE PHARMACY SO THEY DON'T NEED TO STOP ON THE WAY HOME AND THE CONVENIENT HOURS MAKES IT EASY TO CALL IN AND PICK UP REFILLS. IN ADDITION TO FILLING PRESCRIPTIONS, THE PHARMACY OFFERS AN EXTENSIVE ARRAY OF OVER-THE-COUNTER MEDICATIONS, VITAMINS AND SUPPLEMENTS, FIRST AID NEEDS AND PERSONAL ITEMS. 52758177 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 1 58 0 567 1 1 1 0 0 0 0 0 0 0 0 0 X 12 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 WI X BARRY BORCHERT 6085246487 2000 NORTH DEWEY AVENUE REEDSBURG WI 53959 KURT MUCHOW CHAIRPERSON 0.50 X X 1800 0 0 KATHERINE CAMPBELL VICE CHAIR 0.50 X X 1800 0 0 ERIC SAUEY TREASURER 0.50 X X 1600 0 0 ERIC MOLBERG SECRETARY (EFFECTIVE 1/2015) 0.50 X X 1750 0 0 KONYA ANTONETTI TRUSTEE 0.50 X 1050 0 0 BOB BASS TRUSTEE 0.50 X 0 0 0 DAN KLAHN TRUSTEE 0.50 X 1000 0 0 JAMES SEBRANEK TRUSTEE 0.50 X 1750 0 0 MARY BETH SHEAR MD TRUSTEE 0.50 X 5840 0 0 PAMELA WELCH TRUSTEE 0.50 X 2000 0 0 CHRIS WENNINGER MD TRUSTEE (SECRETARY THRU 12/2014) 0.50 X X 4740 0 0 BARRY BORCHERT TRUSTEE/CFO 40.00 X X 96926 0 15554 BOB VAN MEETEREN PRESIDENT/CEO 40.00 X 272119 0 60234 DEAN FOCHIOS MD ORTHOPEDIC SURGEON 40.00 X 496137 0 35816 KEVIN HIBBETT MD GENERAL SURGEON 40.00 X 346738 0 29418 KENNETH OLSON CRNA 40.00 X 297447 0 34305 CHRISTOPHER BJORKLUND CRNA 40.00 1.00 X 284806 0 32521 KEVIN MCBRIDE CRNA 40.00 X 270837 0 34020 2088340 0 241868 21 0 1 0 WEBER ORTHOPEDICS 922 OTT LANE BARABOO WI 53913 ORTHOPEDIC SURGEON 856860 FRIEDE & ASSOCIATES PO BOX 248 REEDSBURG WI 53959 CONSTRUCTION 246155 WIPFLI LLP PO BOX 3160 MILWAUKEE WI 53201 ACCOUNTING / CONSULTING 114818 3 36077 356448 392525 PATIENT SERVICE REVENUE 621400 62668508 62668508 PHARMACY REVENUE 446110 595861 595861 CAFETERIA REVENUE 722310 246365 246365 63510734 323792 323792 338027 0 338027 338027 338027 7455200 61562 6746241 59139 708959 2423 711382 711382 CAFETERIA REVENUE 722310 532935 532935 OTHER REVENUE 900099 108615 108615 641550 65918010 62914873 595861 2014751 X 423632 423632 147717 147717 625127 625127 24263345 20863575 3399770 843554 723262 120292 4900871 4181348 719523 1691253 1422671 268582 91206 91206 56335 56335 10168566 8529461 1639105 347726 347726 1350318 784782 565536 32292 32292 1160130 824738 335392 245524 154683 90841 948407 948407 2722371 2722371 300883 300883 MEDICAL SUPPLIES 7261604 7261307 297 BAD DEBT EXPENSE 1646635 1646635 REPAIRS & MAINTENANCE 1217155 1182531 34624 FOOD 527222 512194 15028 1024098 428863 595235 61995971 52758177 9237794 0 46228 58334 4773347 6213281 11414600 10254199 1542039 2453819 673600 554793 59881018 30244330 27010094 29636688 22001521 23574477 95303 93576 242000 1136000 3025601 2918878 70824333 76894045 7081967 8001833 141798 -11204 18770750 17835837 520840 3116110 894000 1215564 1102117 27730919 30938693 X 41587356 44445961 1506058 1509391 43093414 45955352 70824333 76894045 X 3922039 -1099682 39581 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4481 4481 0 PART II-B, LINE 1: REEDSBURG AREA MEDICAL CENTER(RAMC) PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING. THE AHA AND WHA HAVE NOTIFIED RAMC THAT $4,481 OF THE ANNUAL DUES PAID WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITY WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT. 26703 26703 40271873 16128413 24143460 17213 1076 16137 18684232 13686029 4998203 880997 428812 452185 29636688 DEFERRED COMPENSATION 1102117 1102117 X PART X, LINE 2: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE CORPORATIONS ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS. THE CORPORATIONS RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED BENEFITS IN 2015 AND 2014. FEDERAL RETURNS FOR THE YEARS ENDED SEPTEMBER 30, 2012, AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. 1 1 X 1 X 1 X 1 1 0 1 1 250 826450 826450 0.01330 1450 7909442 5580364 2329078 0.03760 1700 8735892 5580364 3155528 0.05090 17641 234504 10591 223913 0.00360 228 141430 141430 0.00230 12739242 10405857 2333385 0.03760 2189 444722 444722 0.00720 20058 13559898 10416448 3143450 0.05070 21758 22295790 15996812 6298978 0.10160 700 13606 13606 0.00020 250 36117 36117 0.00060 200 21000 21000 0.00030 1150 70723 70723 0.00110 0 1646635 0 12415281 16452046 -4036765 X 1 1 1 1 REEDSBURG AREA MEDICAL CENTER 2000 NORTH DEWEY AVENUE REEDSBURG WI 53959 WWW.RAMCHEALTH.COM 1057 X X X X PROVIDER BASED CLINIC AND SPECIALTY CLINIC REEDSBURG AREA MEDICAL CENTER 1 0 0 1 X X X X X X X X X 12 1 0 1 1 X WWW.RAMCHEALTH.COM/MEDIA/81214/CHNA-FINAL.PDF X X 1 13 0 0 0 1 X 150.000000000000 400.000000000000 X X X 1 1 X X 1 X X X X X 1 X 0 X X 1 X 0 0 REEDSBURG AREA MEDICAL CENTER PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS INCLUDED A VARIETY OF DATA COLLECTION METHODS USED TO CREATE AN OVERALL DESCRIPTION OF THE ISSUES FACING THE COMMUNITY. THESE METHODS WERE DEVELOPED TO SEEK INPUT FROM DIVERSE COMMUNITY STAKEHOLDERS AS WELL AS GENERAL COMMUNITY MEMBERS AND INCLUDED: 1. HEALTH NEEDS ASSESSMENT SURVEYS: THESE SURVEYS WERE CONDUCTED WITH APPROXIMATELY 800 AREA RESIDENTS VIA PAPER AND ONLINE METHOD. INDIVIDUALS PARTICIPATED FROM A VARIETY OF PROFESSIONS INCLUDING HOSPITALS, SCHOOLS, LAW ENFORCEMENT, MENTAL HEALTH, ENVIRONMENTAL HEALTH, BUSINESSES, PUBLIC HEALTH, DISABILITY AND AGING ADVOCATES, ABUSE VICTIME ADVOCATES, AND LONG-TERM CARE PROVIDERS. 2. FOCUS GROUPS AND INTERVIEWS: OVER 30 KEY INFORMANTS WERE INTERVIEWED BY THE CENTRAL WI COMMUNITY ACTION COUNCIL ON HEALTH CARE ISSUES IN SAUK COUNTY VIA THREE FOCUS GROUPS AND SEVEN PERSONAL INTERVIEWS. IN ADDITION TO THE DATA GATHERING STRATEGIES NOTED ABOVE, HEALTH DATA WAS GATHERED FROM VARIOUS CREDIBLE SOURCES TO PROVIDE ACTUAL COMPARATIVE RISKS FOR MORBIDITY AND MORTALITY ON A WIDE RANGE OF HEALTH ISSUES. REEDSBURG AREA MEDICAL CENTER PART V, SECTION B, LINE 6B: SAUK COUNTY PUBLIC HEALTH DEPARTMENT, UW-COOPERATIVE EXTENSION, SAUK COUNTY, SAUK COUNTY PLANNING AND ZONING, WISCONSIN DEPARTMENT OF HEALTH SERVICES, DIVISION OF PUBLIC HEALTH - SOUTHERN REGIONAL OFFICE, GOODMAN BEHAVIORAL HEALTH, REEDSBURG AREA SENIOR LIFE CENTER, SAUK COUNTY AGING & DISABILITY RESOURCE CENTER, REEDSBURG SCHOOL DISTRICT, HOME HEALTH UNITED, SAFE HARBOR HOMELESS SHELTER, REEDSBURG CHAMBER OF COMMERCE, SEATS, INC., SNAP FITNESS, SHOCKBODY FITNESS, WORMFARM INSTITUTE, REEDSBURG PHYSICIANS GROUP, STATE HOUSE OF REPRESENTATIVES, UNIVERSITY OF WISCONSIN - BARABOO/SAUK COUNTY, REEDSBURG INDEPENDENT, TOUCH OF HEALTH MASSAGE, REEDSBURG AMBULANCE SERVICE, LANDS' END, NORTH FREEDOM FIRE DEPARTMENT, KINCAID CHIROPRACTIC, VIKING VILLAGE, INC., SCOTT CONSTRUCTION, SACRED HEART CATHOLIC CHURCH, GREDE FOUNDRIES, HARRIS BANK, CREATIVE MOTION DANCE, BLUE HERON AND VILLARI'S FITNESS REEDSBURG AREA MEDICAL CENTER PART V, SECTION B, LINE 7D: THE CHNA WAS ALSO PUBLISHED IN RAMC'S NEWSLETTER AND IS AVAILABLE ON THE WEBSITE AT: HTTP://RAMCHEALTH.COM/MEDIA/81214/CHNA-FINAL.PDF. REEDSBURG AREA MEDICAL CENTER PART V, SECTION B, LINE 11: IN THE MOST RECENTLY COMPLETED CHNA, RAMC IDENTIFIED CHILDHOOD OBESITY, DRUG AND ALCOHOL ABUSE AND TREATMENT AND COMMUNITY COMMUNICATION AS THE TOP THREE PRIORITY AREAS CURRENTLY FACING THE COMMUNITY IT SERVES. MULTIPLE STEPS HAVE BEEN TAKEN AND STRATEGIES IMPLEMENTED TO ADDRESS THESE ISSUES AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY. ONE OF THE GREATEST BARRIERS IDENTIFIED RELATING TO CHILDHOOD OBESITY WAS THE LACK OF FINANCIAL RESOURCES BY AREA FAMILIES. IN AN RESPONSE TO THIS, SEVERAL STRATEGIES WERE IMPLEMENTED TO OFFER FREE OR LOW-COST OPTIONS FOCUSING ON THE GOAL OF PROVIDING EDUCATION AND OPPORTUNITIES TO IMPLEMENT LIFESTYLE CHANGES THAT SUPPORT FAMILIES EATING A HEALTHIER DIET AND INCREASING THEIR PHYSICAL ACTIVITY. EXAMPLES OF THESE STRATEGIES INCLUDE HOSTING GENTLY USED SPORTING GOODS SALES THAT ARE OPEN TO THE PUBLIC, FREE SCHOOL AND FAMILY-BASED WALKING PROGRAMS (INCLUDING PRIZES AND EDUCATION ON THE IMPORTANCE OF PHYSICAL ACTIVITY), WEEKLY FARMER'S MARKETS HOSTED ON HOSPITAL PROPERTY (AS PRODUCE IS AVAILABLE; TYPICALLY MAY-OCTOBER), HOSTING HEALTHY COOKING/LEARNING EVENTS OPEN TO ALL COMMUNITY MEMBERS, AND INTRODUCTION OF THE MOVE IT! CLUB, A FREE WALKING/RUNNING CLUB FOR AREA YOUTH FOCUSED ON THE IMPORTANCE OF PHYSICAL EXERCISE AND PROPER NUTRITION, ENDING WITH THE COMPLETION OF A 5K RUN/WALK.HOSPITAL REPRESENTATIVES HAVE ALSO BEEN PARTICIPATING ON SEVERAL LOCAL COALITIONS AND INITIATIVES RELATED TO DRUG AND ALCOHOL ABUSE AND TREATMENT. ONE EXAMPLE OF THIS IS WORKING WITH THE COMMUNITY ACTIVATED RECOVERY ENHANCEMENT (CARE) PROGRAM THAT RECENTLY EXPANDING INTO OUR SERVICE AREA. CARE IS A YEARLONG PROGRAM THAT UTILIZES A MULTI-STEP APPROACH, INCLUDING BOTH COUNSELING AND MEDICATION, TO HELP END ADDICTION. SPEAKERS WERE ALSO BROUGHT IN TO ADDRESS THE TOPIC OF DRUG ADDICTION, SPECIFICALLY HEROIN, AND ITS IMPACT ON BOTH INDIVIDUALS AND THE ENTIRE COMMUNITY. SESSIONS WERE HELD FOR AREA HIGH SCHOOL STUDENTS AND THE GENERAL PUBLIC THAT INCLUDED PRIOR USERS/ADDICTS, AFFECTED FAMILY MEMBERS AND LOCAL LAW ENFORCEMENT. LOCAL RESOURCES WERE ALSO INVITED TO SET UP BOOTHS AND PROVIDE INFORMATION DURING THE SESSION OPEN TO THE PUBLIC TO PROVIDE A REFERRAL SOURCE AND ADDITIONAL INFORMATION FOR ANYONE WITH QUESTIONS OR SEEKING ASSISTANCE. A WEBSITE URL HAS BEEN PURCHASED FOR THE PURPOSE OF PROVIDING ONE, EASY-TO-ACCESS LOCATION TO COMMUNICATE COMMUNITY EVENTS IN A TIMELY MATTER. WORK IS BEING DONE TO SECURE FUNDING FOR THE INITIAL DESIGN, MARKETING AND ANNUAL UPKEEP OF THE WEBSITE. THE OPTION OF HAVING A TELEPHONE HOTLINE IS ALSO BEING INVESTIGATED, ENABLING THOSE WITHOUT AN INTERNET CONNECTION ACCESS TO THE SAME INFORMATION. REEDSBURG AREA MEDICAL CENTER PART V, SECTION B, LINE 22D: INDIVIDUALS WITHOUT INSURANCE ARE BILLED AT 85% OF GROSS CHARGES WITH THE OPTION OF AN ADDITIONAL 10% DISCOUNT TO 75% OF GROSS CHARGES IF THE CLAIM IS PAID WITHIN 30 DAYS. CLAIMS EXCEEDING $30,000 GROSS CHARGES RECEIVE AN ADDITIONAL 10% DISCOUNT; STEPPED UP TO 40% AT $50,000 GROSS CHARGES, PLUS THE ADDITIONAL 10% IF PAID WITHIN 30 DAYS. IF THERE ARE INDICATORS THAT A PATIENT MAY NOT BE ABLE TO PAY SOME OR ALL OF THE BILL, THEY ARE INFORMED OF THE COMMUNITY CARE POLICY OFFERED BY THE HOSPITAL. PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY PART I, LINE 6A: REEDSBURG AREA MEDICAL CENTER (THE "HOSPITAL") PREPARES A COMMUNITY BENEFIT REPORT ANNUALLY AND FILES IT WITH THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THE REPORT IS AVAILABLE TO THE GENERAL PUBLIC ON WHA'S DATABASE AND WEBSITE. PART I, LINE 7: THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO, WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR THE FORM 990. THE COSTING METHOD FOR SUBSIDIZED HEALTH SERVICES IS BASED ON ALLOCATED EXPENSES FROM THE MEDICARE COST REPORT, WHICH IS SIMILAR TO A DIRECT COST ACCOUNTING SYSTEM. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES AT REEDSBURG AREA MEDICAL CENTER INCLUDE THE OPERATION OF THE HOSPITAL INPATIENT DEPARTMENTS THAT OPERATE AT A LOSS FROM OPERATIONS, BUT ARE CONSIDERED VITAL HOSPITAL AND CLINIC SERVICES SUCH AS THE INTENSIVE CARE UNIT AND MEDICAL/SURGICAL NURSING UNIT. A LARGE PORTION OF THESE SERVICES ARE ACCESSED BY COMMUNITY MEMBERS THROUGH THE HOSPITAL'S EMERGENCY SERVICES DEPARTMENT. IT IS THE GOAL OF REEDSBURG AREA MEDICAL CENTER TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF A PATIENT'S ABILITY TO PAY. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX, LINE 24(B), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $1,646,635. PART II, COMMUNITY BUILDING ACTIVITIES: REEDSBURG AREA MEDICAL CENTER IS COMMITTED TO THE HEALTH OF OUR COMMUNITY AND THE IMPORTANT PART WE PLAY IN MAINTAINING AND IMPROVING THE OVERALL HEALTH OF OUR CONSTITUENTS. WE TAKE AN ACTIVE ROLE IN EQUIPPING OUR COMMUNITY MEMBERS WITH THE SKILLS NEEDED TO CREATE BETTER HEALTH. REEDSBURG AREA MEDICAL CENTER PROVIDES HEALTH CARE SERVICES AND OTHER FINANCIAL SUPPORT THROUGH VARIOUS PROGRAMS THAT ARE DESIGNED, AMONG OTHER MATTERS, TO ENHANCE THE HEALTH OF THE COMMUNITY, INCLUDING THE HEALTH OF LOW-INCOME PATIENTS. CONSISTENT WITH OUR MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, INCLUDING PROVIDING SERVICES TO THOSE PERSONS WHO CANNOT AFFORD HEALTH INSURANCE BECAUSE OF INADEQUATE RESOURCES OR ARE UNDERINSURED. COMMUNITY BENEFITS ALSO INCLUDE UNPAID COSTS OF TREATING THE ELDERLY, HEALTH SCREENINGS, COMMUNITY EDUCATION AND OTHER HEALTH-RELATED SERVICES. OUR COMMUNITY BUILDING ACTIVITIES WORK TO ADDRESS UNDERLYING HEALTH DETERMINANTS AND SUPPORT PROGRAMS MEANT TO IMPROVE HEALTH BEFORE INTERVENTION IS REQUIRED AS WELL AS PROVIDING RESOURCES FOR THOSE LOOKING TO IMPROVE THEIR CURRENT HEALTH SITUATION. REEDSBURG AREA MEDICAL CENTER EMPLOYEES ARE ACTIVE IN EDUCATING THE COMMUNITY ON A WIDE VARIETY OF HEALTH TOPICS AND PARTICIPATE ON NUMEROUS LOCAL BOARDS. HEALTH-RELATED BOARD POSITIONS RANGE FROM THOSE FOCUSING ON AREA DENTAL AND EMERGENCY MEDICAL SERVICES TO THE RURAL WISCONSIN HEALTH COOPERATIVE AND SAUK COUNTY HEALTH BOARDS. MANY EMPLOYEES ARE ALSO MEMBERS OF COMMUNITY SERVICE BOARDS AND VOLUNTEER GROUPS. REEDSBURG AREA MEDICAL CENTER IS MINDFUL OF AND PROACTIVE IN DEVELOPING OR PARTNERING WITH GROUPS WORKING TO BETTER THE CURRENT ECONOMIC AND ENVIRONMENTAL CONDITIONS OF OUR COMMUNITY. REEDSBURG AREA MEDICAL CENTER IS ORGANIZED AND OPERATED WITH THE GOAL OF PROMOTING THE HEALTH OF THE COMMUNITY WE SERVE. WE SUPPORT THIS MISSION WITH A BOARD COMPRISED OF LOCAL, INDEPENDENT COMMUNITY MEMBERS, A MEDICAL STAFF ORGANIZED IN THE PUBLIC INTEREST AND OPEN TO ALL QUALIFIED PHYSICIANS AND AN EMERGENCY ROOM AVAILABLE TO ALL, REGARDLESS OF ABILITY TO PAY. THE BOARD TAKES A BALANCED APPROACH WHEN IT SETS POLICY AND STRATEGIC DIRECTION FOR THE HOSPITAL, WORKING TO ALIGN COMMUNITY NEEDS WITH BUSINESS AND FINANCIAL CONCERNS. THE USE OF SURPLUS FUNDS IS LARGELY DETERMINED BY THE BOARD IN ITS ATTEMPT TO MEET ITS GOAL. REEDSBURG AREA MEDICAL CENTER IS THE SOLE HOSPITAL IN THE COMMUNITY AND PROVIDES NUMEROUS VOLUNTEER OPPORTUNITIES FOR AREA RESIDENTS. PART III, LINE 2: IN EVALUATING THE COLLECTABILITY OF PATIENT AND RESIDENT ACCOUNTS RECEIVABLE, THE CORPORATIONS ANALYZE PAST RESULTS AND IDENTIFY TRENDS FOR EACH OF THEIR MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS AND RESIDENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATIONS ANALYZE CONTRACTUALLY DUE AMOUNTS AND PROVIDE AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS, PATIENTS, AND RESIDENTS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS AND RESIDENTS (WHICH INCLUDES BOTH PATIENTS AND RESIDENTS WITHOUT INSURANCE AND PATIENTS AND RESIDENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATIONS RECORD A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF THEIR PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS AND RESIDENTS 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. PART III, LINE 3: MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER THE HOSPITAL HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE. MANY TIMES PATIENTS DO NOT COMPLETE THE REQUIRED CHARITY CARE APPLICATION AND ARE TRANSFERRED TO COLLECTION SERVICES EVEN THOUGH REEDSBURG AREA MEDICAL CENTER PROVIDES THIS INFORMATION TO ALL PATIENTS AND ASSISTANCE WITH THE APPLICATIONS. DUE TO NO RESPONSES FROM SOME PATIENTS, A SIGNIFICANT AMOUNT OF BAD DEBTS COULD BE CONSIDERED AS CHARITY CARE, HOWEVER, WE DON'T HAVE A WAY OF MEASURING THIS AMOUNT. PART III, LINE 4: SEE THE "PATIENT AND RESIDENT ACCOUNTS RECEIVABLE AND CREDIT POLICY NOTE ON PAGE 9 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H TO THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE HOSPITAL, AND ALSO DOES NOT CONSIDER ALL CONTRACTUAL ADJUSTMENTS FOR SERVICES REIMBURSED BY THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT AT THE HOSPITAL AS WELL AS ANESTHESIA PROFESSIONAL SERVICES, SURGEON PROFESSIONAL SERVICES, REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS, AND REFERENCE LAB SERVICES FOR PATIENTS OF A NEIGHBORING PHYSICIAN CLINIC. PHYSICIAN PROFESSIONAL SERVICES AND REFERENCE LAB SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULE REIMBURSEMENTS AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY, SURGERY, AND PHYSICIAN SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT REEDSBURG AREA MEDICAL CENTER PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD USED ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED SEPTEMBER 30, 2015, AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES, AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE). WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHO ARE TYPICALLY ELDERLY OR DISABLED MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. PART III, LINE 9B: UNDER THE HOSPITAL'S COLLECTION AND CHARITY CARE POLICIES, REEDSBURG AREA MEDICAL CENTER MAKES EVERY ATTEMPT TO IDENTIFY AND PROMOTE CHARITY CARE TO PATIENTS. INCLUDED IN THE HOSPITAL'S CHARITY CARE POLICY IT IS NOTED THAT PATIENTS MAY QUALIFY FOR CHARITY CARE EITHER PRIOR TO ADMISSION OR FOLLOWING DISCHARGE. DURING THE PATIENT ACCOUNT COLLECTION PROCESS, SELF-PAY PATIENTS ARE ALSO INFORMED OF THE HOSPITAL'S COLLECTION POLICIES AS WELL AS THE CHARITY CARE PROGRAM TO ALLOW PATIENTS THE OPPORTUNITY TO COMPLETE THE APPROPRIATE FORMS AND QUALIFY UNDER THE PROGRAM. ONCE A PATIENT MEETS ALL QUALIFICATIONS FOR FINANCIAL ASSISTANCE, ALL OR PART OF THE ACCOUNT BALANCE IS WRITTEN OFF, AS APPROPRIATE. THE REMAINING BALANCE, IF ANY, IS THE PATIENT'S RESPONSIBILITY AND COLLECTED FOLLOWING THE HOSPITAL'S STANDARD DEBT COLLECTION POLICY. PART VI, LINE 2: EVERY THREE YEARS, REEDSBURG AREA MEDICAL CENTER CONDUCTS A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), MEASURING AWARENESS, PREFERENCE, IMAGE AND COMMUNITY NEEDS. THE HOSPITAL CONDUCTS THE CHNA WITHIN THE PRIMARY SERVICE AREA, WHICH INCLUDES THE CITY OF REEDSBURG AND THE SURROUNDING COMMUNITIES. IN ADDITION, THERE IS A FEEDBACK SECTION ON THE HOSPITAL'S WEBSITE, WWW.RAMCHEALTH.COM, ALLOWING A FORUM FOR WHICH THE PUBLIC CAN PROVIDE SUGGESTIONS AND COMMENTS. REEDSBURG AREA MEDICAL CENTER ALSO GATHERS DATA FROM THE SAUK COUNTY HEALTH NEEDS ASSESSMENT. THIS INFORMATION HAS BEEN SEGMENTED INTO THE HOSPITAL'S PRIMARY SERVICE AREEA. IN WORKING WITH A COMMITTEE CONSISTING OF OFFICIALS FROM THE SAUK COUNTY PUBLIC HEALTH DEPARTMENT, REEDSBURG AREA SCHOOL DISTRICT, AND THE CITY OF REEDSBURG (INCLUDING THE CITY'S AMBULANCE, POLICE, AND FIRE DEPARTMENTS), AS WELL AS VARIOUS OTHER COMMUNITY MEMBERS INCLUDING REPRESENTATIVES FROM BUSINESS AND INDUSTRY, THIS INFORMATION HAS BEEN PRIORITIZED AND USED TO DEVELOP IMPLENTATION STRATEGIES. PART VI, LINE 3: CHARITY CARE NOTICES ARE POSTED THROUGHOUT THE FACILITY AND APPLICATIONS ARE AVAILABLE THROUGH BUSINESS SERVICES. THE PATIENT, PATIENT'S REPRESENTATIVE, OR HOSPITAL REPRESENTATIVE MAY INITIATE INQUIRIES REGARDING ELIGIBILTY OR APPLICATION FOR ASSISTANCE AT ANY TIME. THE HOSPITAL, WHEN APPROPRIATE, WILL REVIEW THE PATIENT'S FINANCIAL SITUATION TO SEE IF THEY QUALIFY FOR ANY FORM OF ASSISTANCE. A SOCIAL WORKER IS AVAILABLE TO ASSIST IN THIS PROCESS AS WELL, IF NEEDED. PATIENT FINANCIAL ADVISORS ARE ALSO NOTIFIED WHEN PATIENTS (INPATIENT OR OUTPATIENT) ARE TREATED WHO DO NOT HAVE ANY INSURANCE. THEY DISCUSS WITH THE PATIENT AVAILABLE OPTIONS AND PROVIDE INFORMATION/APPLICATIONS FOR BOTH REEDSBURG AREA MEDICAL CENTER CHARITY CARE PROGRAMS AND COUNTY, STATE, OR FEDERAL ASSISTANCE PROGRAMS. AT ANY TIME, PATIENTS MAY INQUIRE WITH HOSPITAL PERSONNEL REGARDING QUESTIONS THEY HAVE ON THEIR ABILITY TO PAY. FINANCIAL ADVISORS ARE AVAILABLE TO HELP AS IS A CONSUMER ADVOCATE. THE CONSUMER ADVOCATE OFFERS COMPLIMENTARY PATIENT ASSISTANCE SERVICES, INCLUDING, BUT NOT LIMITED TO, MEDICARE, MEDICAID, PRIVATE INSURANCE, INTERPRETATION OF EXPLANATION OF BENEFITS (EOBS), AND DIRECTIONS TO ADDITIONAL CONSUMER RESOURCES. PART VI, LINE 4: REEDSBURG AREA MEDICAL CENTER IS LOCATED IN THE CITY OF REEDSBURG, WISCONSIN, IN NORTH CENTRAL SAUK COUNTY. THE PRIMARY SERVICE AREA EXTENDS WEST TO CAZENOVIA, EAST TO ROCK SPRINGS, SOUTH TO HILLPOINT AND NORTH FROM WONEWOC TO JUST WEST OF LAKE DELTON. THIS GEOGRAPHIC AREA IS LARGELY RURAL AND CROSSES INTO THREE COUNTIES IN ADDITION TO SAUK COUNTY, COMPRISING APPROXIMATELY THREE QUARTERS OF THE HOSPITAL'S DISCHARGED PATIENTS. ACCORDING TO THE MOST RECENT U.S. CENSUS DATA, SAUK COUNTY HAS SEEN POPULATION GROWTH OF 11% FROM 2000-2010, WHILE THE STATE OF WISCONSIN EXPERIENCED GROWTH OF 6%. THE CITY OF REEDSBURG GREW AT A RATE OF 18% AND ITS MINORITY POPULACE INCREASED FROM 3% TO 7% OF TOTAL POPULATION FOR THE SAME TIME PERIOD COMPARED TO 8% FOR SAUK COUNTY AND 17% FOR THE STATE OF WISCONSIN. 23% OF COUNTY RESIDENTS ARE UNDER THE AGE OF 18 (23% STATE), 17% ARE ABOVE THE AGE OF 65 (15% STATE) AND 46% OF SAUK COUNTY LIVES IN RURAL AREAS (30% STATE). THE MEDIAN HOUSEHOLD INCOME REPORTED FOR SAUK COUNTY IS $50,200 ($52,600 STATE) WHILE UNEMPLOYED IS 5.1% (5.5% STATE). 34% OF COUNTY CHILDREN ARE ELIGIBLE FOR FREE SCHOOL LUNCH (35% STATE) WHILE 17% LIVE IN POVERTY (18% STATE). 14% OF COUNTY ADULTS AND 7% OF COUNTY CHILDREN ARE UNINSURED (13% AND 5% RESPECTIVELY FOR WISCONSIN). 4% OF COUNTY RESIDENTS (2% STATE) REPORTED NOT SEEING A DOCTOR FOR THE PRIOR 12 MONTHS DUE TO COST WHILE 36% (26% STATE) HAD NO DENTAL VISIT. BASED ON NUMEROUS DEMOGRAPHIC, BEHAVIORAL, HEALTH AND SOCIAL METRICS, SUCH AS THOSE SHOWN HERE, SAUK COUNTY HAS BEEN RANKED AS THE 39TH HEALTHIEST COUNTY OUT OF ALL 72 WISCONSIN COUNTIES BY THE COUNTY HEALTH RANKINGS AND ROADMAPS PROGRAM. REEDSBURG AREA MEDICAL CENTER IS THE ONLY HOSPITAL WITHIN OUR PRIMARY SERVICE AREA; TWO ADDITIONAL HOSPITALS ARE LOCATED IN SAUK COUNTY. SEVERAL TERTIARY CARE HOSPITALS IN MADISON, WISCONSIN, AND THE SURROUNDING AREA PROVIDE ADDITIONAL SPECIALIZED SERVICES NOT AVAILABLE AT REEDSBURG AREA MEDICAL CENTER. PART VI, LINE 5: REEDSBURG AREA MEDICAL CENTER IS ORGANIZED AND OPERATED WITH THE GOAL OF PROMOTING THE HEALTH OF THE COMMUNITY WE SERVE. WE SUPPORT THIS MISSION WITH A BOARD COMPRISED OF LOCAL, INDEPENDENT COMMUNITY MEMBERS, A MEDICAL STAFF ORGANIZED IN THE PUBLIC INTEREST AND OPEN TO ALL QUALIFIED PHYSICIANS, AND AN EMERGENCY ROOM AVAILABLE TO ALL, REGARDLESS OF ABILITY TO PAY. THE BOARD TAKES A BALANCED APPROACH WHEN IT SETS POLICY AND STRATEGIC DIRECTION FOR THE HOSPITAL, WORKING TO ALIGN COMMUNITY NEEDS WITH BUSINESS AND FINANCIAL CONCERNS. THE USE OF SURPLUS FUNDS IS LARGELY DETERMINED BY THE BOARD IN EFFORTS TO MEET THIS GOAL. SURPLUS FUNDS ARE USED TO PURCHASE EQUIPMENT AND TO PROVIDE SERVICES THAT WILL MOST EFFECTIVELY MEET THE IDENTIFIED HEALTH NEEDS OF THE COMMUNITY AND ALLOW FOR COMPREHENSIVE CARE CLOSE TO HOME. WHILE THERE IS GROWING AGREEMENT IN THE UNITED STATES ABOUT WHAT CONSTITUTES A NON-PROFIT HOSPITAL'S "COMMUNITY BENEFIT," THESE EFFORTS CONTINUE TO BE A WORK IN PROGRESS. REEDSBURG AREA MEDICAL CENTER PROVIDES SIGNIFICANT AMOUNTS OF CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS AND IN ADDITION, WE BELIEVE THAT IT PROVIDES A CRITICALLY IMPORTANT BENEFIT WHICH IS NOT QUANTIFIED. REEDSBURG AREA MEDICAL CENTER, LIKE MOST COMMUNITY HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY, WHICH WITHOUT THE HOSPITAL, WOULD NOT BE AVAILABLIE LOCALLY. BEYOND INPATIENT HOSPITALIZATIONS, REEDSBURG AREA MEDICAL CENTER PROVIDES LOCAL ACCESS TO MANY SERVICES INCLUDING: BIRTHING CENTER, DIAGNOSTICS, EMERGENCY SERVICES, INFUSION SERVICES, SWING BED SERVICES, SURGICAL SERVICES, LABORATORY SERVICES, OCCUPATIONAL HEALTH, REHABILITATION SERVICES, SPECIALTY MEDICINE, SLEEP CENTER, SPEECH PATHOLOGY, AND WOMENS' SERVICES. 1 REEDSBURG AREA SENIOR LIFE CENTER 2350 NORTH DEWEY AVE REEDSBURG WI 54959 760775289 501(C)(3) 402000 GENERAL OPERATIONS 1 0 TUITION ASSISTANCE 49 113144 STIPENDS 41 21132 PART I, LINE 2: GRANTS WERE PROVIDED BY REEDSBURG AREA MEDICAL CENTER (RAMC) TO REEDSBURG AREA SENIOR LIFE CENTER. RAMC HAS (AT LEAST MONTHLY) ACCESS TO THIS ORGANIZATION'S FINANCIAL RECORDS AND BOARD MEETING MINUTES, ALLOWING FOR REVIEW OF HOW FUNDS ARE ALLOCATED. RAMC ALSO PROVIDES SCHOLARSHIPS AND TUITION ASSISTANCE TO EMPLOYEES PURSUING HEALTH-CARE RELATED HIGHER EDUCATION. THIS ASSISTANCE IS MADE AVAILABLE TO EMPLOYEES FOR STUDIES WHERE PROFESSIONAL STAFF ARE NEEDED AND THE DEMAND FOR THESE POSITIONS IS GREATER THAN THE SUPPLY AVAILABLE. USUALLY, THE SHORTAGE IS NOT ONLY SEEN LOCALLY, BUT ALSO SATE AND NATION WIDE. THE INTENTION IS TO HAVE THESE TRAINED PROFESSIONALS CONTINUE AT RAMC WITHIN THEIR NEW POSITION, ACCOMPLISHING OUR MISSION AND COMMITMENT TO PROVIDING HIGH-QUALITY, LOCAL CARE FOR OUR COMMUNITY. PROOF OF THE COST OF TUITION AND SUCCESSFUL COURSE COMPLETION ARE REQUIRED. X X X X X 0 0 0 1 0 0 0 0 0 BOB VAN MEETEREN PRESIDENT/CEO 239036 0 31007 0 2076 0 38972 0 21262 0 332353 0 0 0 DEAN FOCHIOS MD ORTHOPEDIC SURGEON 496137 0 0 0 0 0 12750 0 23066 0 531953 0 0 0 KEVIN HIBBETT MD GENERAL SURGEON 346738 0 0 0 0 0 10500 0 18918 0 376156 0 0 0 KENNETH OLSON CRNA 297447 0 0 0 0 0 12750 0 21555 0 331752 0 0 0 CHRISTOPHER BJORKLUND CRNA 284806 0 0 0 0 0 11195 0 21326 0 317327 0 0 0 KEVIN MCBRIDE CRNA 270837 0 0 0 0 0 12750 0 21270 0 304857 0 0 0 PART I, LINE 5 CERTAIN PHYSICIANS ARE ELIGIBLE AND RECEIVE PAYMENT BASED ON CHARGES GENERATED FROM HEALTH CARE SERVICES PROVIDED BY EACH PHYSICIAN. A CITY OF REEDSBURG 396005582 2003-06-03 2600000 REFUND SERIES 1992 BONDS 0 0 0 B WISCONSIN HEALTH & EDUCATION FACILITIES 391337855 97710VH43 2006-06-28 11865000 CONSTRUCT & EQUIP FACILITY & REFUND 0 0 0 C WISCONSIN HEALTH & EDUCATION FACILITIES 391337855 97710BXK3 2010-09-16 5800000 REFUND SERIES 2006 BONDS 0 0 0 D WISCONSIN HEALTH & EDUCATION FACILITIES 391337855 97710BXP2 2014-02-19 4273300 REFUND SERIES 2010 BONDS 0 0 0 A 1642104 2600000 61625 2600000 1992 1 0 1 1 B 4065000 11865000 1524579 237300 6922296 3522124 2006 1 0 1 1 C 775000 5800000 763729 116000 5104000 2006 1 0 1 1 D 224886 4273300 4273300 2006 1 0 1 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 0 B 0 0 0 1 0 0 0 0 0 C 0 1 0 0 0 0 0 0 0 D 0 1 0 0 1 0 0 0 1 A 0 B 0 C 0 D 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: WISCONSIN HEALTH & EDUCATION FACILITIES DATE THE REBATE COMPUTATION WAS PERFORMED: 06/28/2011 CONNIE MOLBERG FAMILY MEMBER OF DIRECTOR 50828 EMPLOYMENT COMPENSATION 0 LINDSEY MUCHOW FAMILY MEMBER OF DIRECTOR 66366 EMPLOYMENT COMPENSATION 0 JAMES SHEAR FAMILY MEMBER OF DIRECTOR 139620 EMPLOYMENT COMPENSATION 0 FORM 990, PART III, LINE 2 RAMC PURCHASED AN EXISTING RETAIL PHARMACY IN AUGUST 2015. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRMAN, FIRST VICE-CHAIRMAN, MEDICAL ADVISOR, SECRETARY AND TREASURER. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE, WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, THE POWERS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE AFFAIRS OF THE CORPORATION, EXCEPT ACTION IN RESPECT TO AMENDING THE BY-LAWS, MAKING RULES OR REGULATIONS GOVERNING NOMINATIONS OR ELECTIONS, OR DISPOSING OF OR MORTGAGING ASSETS OF THE CORPORATION. THE BOARD OF DIRECTORS MAY ELECT ONE OR MORE OF ITS MEMBERS AS ALTERNATIVE MEMBERS OF SUCH COMMITTEE WHO MAY TAKE THE PLACE OF ANY ABSENT MEMBER OR MEMBERS AT ANY MEETING OF SUCH COMMITTEE, UPON REQUEST BY THE CHAIRMAN OF THE BOARD OR UPON REQUEST BY THE CHAIRMAN OF SUCH MEETING. SUCH COMMITTE SHALL FIX ITS OWN RULES GOVERNING THE CONDUCT OF ITS ACTIVITIES AND SHALL MAKE SUCH REPORT TO THE BOARD OF DIRECTORS OF ITS ACTIVITIES AS THE BOARD OF DIRECTORS MAY REQUEST. FORM 990, PART VI, SECTION B, LINE 11 UPON COMPLETION OF THE FORM 990, MANAGEMENT REVIEWS FOR ACCURACY AND COMPLETENESS. UPON APPROVAL, THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE PURPOSE OF THE CONFLICTS OF INTEREST POLICY IS TO PROTECT THE CORPORATION'S INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR DIRECTOR OF THE CORPORATION. THIS POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE WISCONSIN LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE CORPORATIONS. ANY DIRECTOR, PRINCIPAL OFFICER OR MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, AS DEFINED BELOW, IS AN INTERESTED PERSON. A PERSON HAS A FINANCIAL INTEREST IF THE PERSON HAS, DIRECTLY OR INDIRECTLY, THROUGH BUSINESS, INVESTMENT OR FAMILY: (I) AN OWNERSHIP OR INVESTMENT INTEREST M ANY ENTITY WITH WHICH THE CORPORATION HAS A TRANSACTION OR ARRANGEMENT; OR (II) A COMPENSATION ARRANGEMENT WITH THE CORPORATION OR WITH ANY ENTITY OR INDIVIDUAL WITH WHICH THE CORPORATION HAS A TRANSACTION OR ARRANGEMENT; OR (III) A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH, ANY ENTITY OR INDIVIDUAL WITH WHICH THE CORPORATION IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. COMPENSATION INCLUDES DIRECT AND INDIRECT REMUNERATION AS WELL AS GIFTS OR FAVORS THAT ARE SUBSTANTIAL IN NATURE. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; ( C) HAS AGREED TO COMPLY WITH THE POLICY; AND (D) UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. FORM 990, PART VI, SECTION B, LINE 15A INDEPENDENT WAGE AND SALARY SURVEYS ARE USED FOR ALL KEY EMPLOYEES, INCLUDING PRESIDENT/CEO. VENDORS USED ARE THE RURAL WISCONSIN HEALTH COOPERATIVE AND WISCONSIN HOSPITAL ASSOCIATION. THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION OF THE CEO. THE CEO REVIEWS AND APPROVES THE COMPENSATION OF THE KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 REEDSBURG AREA MEDICAL CENTER'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE REVIEWED AT THE HOSPITAL'S ANNUAL MEETING, WHICH IS OPEN TO THE GENERAL PUBLIC. SUMMARIZED FINANCIAL STATEMENT DATA IS ALSO AVAILABLE THROUGH THE WISCONSIN HOSPITAL ASSOCIATION'S WEBSITE. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 5,497,477. MANAGEMENT AND GENERAL EXPENSES 106,823. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,604,300. CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 3,031,984. MANAGEMENT AND GENERAL EXPENSES 1,532,282. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,564,266. FORM 990, PART XI, LINE 9: NET CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 39,581. REEDSBURG AREA MEDICAL CENTER FOUNDATION 2000 NORTH DEWEY AVE REEDSBURG WI 53959 391243616 FUNDRAISING WI 501(C)(3) LINE 11C, III-FI N/A 0 PARTNERS OF REEDSBURG AREA MEDICAL CENTER 2000 NORTH DEWEY AVE REEDSBURG WI 53959 237373902 FUNDRAISING WI 501(C)(3) LINE 3 N/A 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0