2016-05-13T09:39:35-05:00 2015-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2014-07-01 391157876 BEAVER DAM COMMUNITY HOSPITALS INC BEAV 9208874041 707 SOUTH UNIVERSITY AVENUE BEAVER DAM WI 53916 KIMBERLY JM MILLER PRESIDENT & CEO 9208874041 2016-05-10 1 KACIE MCEWEN P01599614 6123764500 2014 2016-08-17 19:52:53Z KIMBERLY JM MILLER 707 SOUTH UNIVERSITY AVENUE BEAVER DAM WI 53916 108133092 0 X WWW.BDCH.COM X 1972 WI DELIVER EXCELLENCE ACROSS A CONTINUUM OF SERVICES. 10 8 1059 234 2237402 0 229702 6600 103112985 98554361 2179667 2299739 5768251 5300699 111290605 106161399 125819 107583 0 0 49855375 47733053 0 0 0 54553438 49543881 104534632 97384517 6755973 8776882 179217909 181703241 94209848 91524820 85008061 90178421 X BE THE REGIONAL DESTINATION FOR HEALTH CARE BY DELIVERING UNPRECEDENTED QUALITY, SAFETY, AND SERVICE AT A COMPETITIVE PRICE BY DELIVERING EXCELLENCE ACROSS A CONTINUUM OF SERVICES. 0 0 52459524 103233 73524623 THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT SERVICES TO ITS PATIENTS. IN THE FISCAL YEAR ENDED 6/30/2015, THERE WERE 4,545 PATIENT DAYS, 1,665 ADMISSIONS, 330 BIRTHS, 709 NURSERY DAYS, AND 94,309 OUTPATIENT VISITS. THERE ARE MEDICAL/SURGICAL, TELEMETRY, INTENSIVE CARE, OBSTETRICS, AND NURSERY UNITS ON THE INPATIENT FLOORS. THERE IS AN EMERGENCY ROOM, URGENT CARE, A SURGERY CENTER, REHABILITATION CENTER, PAIN CLINIC, OUTPATIENT MEDICAL ONCOLOGY CLINIC, MEDICAL IMAGING, PHARMACY DEPARTMENT AND A WOUND CENTER. THESE SERVICES ALL GENERATE NET PATIENT REVENUE. 5979730 0 9609374 HILLSIDE MANOR IS A 115 BED NURSING HOME CERTIFIED BY MEDICARE/MEDICAID AND OFFERS SKILLED NURSING, COMPREHENSIVE REHABILITATION, AND AN EXTENSIVE ACTIVITIES PROGRAM. TOTAL PATIENT DAYS FOR THE FISCAL YEAR ENDED 6/30/2015 WERE 36,393. 3373455 0 4209219 THE HOMECARE PROGRAM INCLUDES HOME HEALTH AND HOSPICE SERVICES. HOME HEALTH OFFERS SKILLED NURSING, PERSONAL CARE, AND REHABILITATION TO PATIENTS IN THEIR OWN HOME. THERE WERE 12,822 HOMECARE VISITS FOR THE FISCAL YEAR ENDING 6/30/2015. THE HOSPICE PROGRAM PROVIDES SUPPORT TO PATIENTS WHO ARE TERMINALLY ILL. THE HOSPICE PROGRAM HAS 13,291 TOTAL DAYS FOR THE FISCAL YEAR ENDING 6/30/2015. 11738718 4350 13837629 OTHER PROGRAMS INCLUDE PHYSICIAN CLINICS, OCCUPATIONAL HEALTH, DAYCARE PROGRAM, ASSISTED LIVING PROGRAM, REFERENCE LABORATORY, HOMEMAKER PROGRAM, AND SPORTS FITNESS FACILITY. 11738718 4350 13837629 73551427 1 0 0 1 0 0 0 0 1 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 0 0 0 0 0 0 0 1 1 1 0 0 0 1 52 0 1059 1 1 1 0 0 0 0 0 0 0 0 0 X 10 8 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 1 1 1 0 1 1 WI X DONNA HUTCHINSON 9208874041 707 SOUTH UNIVERSITY AVENUE BEAVER DAM WI 53916 JIM KIRSH CHAIRPERSON 1.00 X X 0 0 0 KARLA CHASE VICE-CHAIRPERSON 1.00 1.00 X X 0 0 0 SUE SUTTER SECRETARY 1.00 X X 0 0 0 DOUG MATHISON TREASURER 1.00 X X 0 0 0 MARSHA BORLING BOARD MEMBER 1.00 X 0 0 0 LISA DAVIDSON BOARD MEMBER 1.00 X 0 0 0 WADE FLETCHER BOARD MEMBER 1.00 3.00 X 0 0 0 DAN LANDDECK MD BOARD MEMBER UNTIL FEBRUARY 2015 1.00 X 0 0 0 TERRY O'CONNER BOARD MEMBER 1.00 X 0 0 0 RICK TOVAR MD BOARD MEMBER/CHIEF OF STAFF 1.00 X 32780 0 0 KIMBERLY MILLER PRESIDENT & CEO 40.00 3.00 X X 399276 0 44127 DONNA HUTCHINSON CHIEF FINANCIAL OFFICER 40.00 3.00 X 223053 0 14105 MIKE MURPHY CHIEF PATIENT CARE OFFICER 40.00 X 187892 0 34504 DAVID CORSO CHIEF OPERATIONS OFFICER 40.00 X 175556 0 13631 JULIA WRIGHT CHIEF MEDICAL OFFICER 40.00 X 307828 0 27661 DON ANDERSON DIRECTOR OF PHARMACY 40.00 X 151097 0 28716 ELZBIETA OSTROMECKI HOSPITALIST 40.00 X 296225 0 37515 BERT CALLAHAN ORTHOPEDICS & SPORTS MEDICINE PHYSICIAN 40.00 X 901874 0 26902 RASCHELLE SCHOWENGERDT OBGYN PHYSICIAN 40.00 X 140043 0 0 JOHN DAVID HOSPITALIST 40.00 X 189084 0 17215 MELISSA GREER FAMILY PRACTICE PHYSICIAN 40.00 X 199582 0 9069 3204290 0 253445 29 0 1 0 DEDICATED COMPUTING LLC N26 W23880 COMMERCE CIRCLE WAUKESHA WI 53188 IT SUPPORT AND CONSULTING 844311 GREENFIELD REHABILITATION AGENCY 7517 W COLDSPRING ROAD GREENFIELD WI 53220 REHABILITATION SERVICES 840593 COMPHEALTH ASSOCIATES INC PO BOX 972651 DALLAS TX 75397 LOCUMS 783514 HALL RENDER KILLIAN 39778 TREASURY CENTER CHICAGO IL 60691 LEGAL SERVICES 662823 SODEXO INC & ASSOCIATES 47880 PAYSPHERE CIRCLE CHICAGO IL 60674 FACILITIES MAINTENANCE 492169 18 2000 4600 6600 NET PATIENT REVENUES 621300 95464786 94850937 613849 ASSISTED CARE PROGRAM 623990 2097161 2097161 OCC HEALTH PROGRAM 621990 487368 487368 OTHER 713940 312720 312720 HOMEMAKER SERVICES 812900 192326 192326 98554361 1550997 1550997 110891 110891 2655995 1919091 736904 736904 265480 471424 677634 11025 0 50808 677634 -39783 637851 637851 5488 1794 3694 3694 MISCELLANEOUS INCOME 900099 1815992 1815992 DAYCARE REVENUE 624410 1359769 209632 1150137 FOOD SERVICE 722320 767870 767870 616470 600860 15610 4560101 106161399 100374670 2237402 3542727 X 47350 47350 60233 60233 1577681 1577681 35624351 29868922 5755429 600737 519181 81556 7407601 6196379 1211222 2522683 2036190 486493 761899 761899 101467 101467 39394 39394 10484865 6996793 3488072 408201 3505 404696 2479620 1553059 926561 2195163 134279 2060884 1622243 696439 925804 349247 248127 101120 179886 84968 94918 2850210 2186459 663751 7607915 6194255 1413660 409280 63393 345887 MEDICAL SUPPLIES/DRUGS 11717788 11693010 24778 BAD DEBT EXPENSE 3558845 3558845 ASSESSMENT/USER FEES 2583124 277500 2305624 FOOD 849918 843865 6053 1344816 288675 1056141 97384517 73551427 23833090 0 41554 58619 9163270 7526192 11896752 11518718 2090465 2095208 1300457 1307795 169288812 78281750 90834537 91007062 61684696 64827496 2206178 3362151 179217909 181703241 9435343 8716141 142577 147511 64483388 62442142 617430 425249 13008839 11684285 6522271 8109492 94209848 91524820 X 83354190 87347137 1653871 2831284 85008061 90178421 179217909 181703241 X 8776882 -1541583 -2064939 X 0 1 X 1 0 X 0 0 0 0 0 1 2944 0 0 0 2944 0 PART II-B, LINE 1: BDCH PAYS ANNUAL MEMBERSHIP FEES TO WISCONSIN HOSPITAL ASSOCIATION (WHA). A PORTION OF THESE MEMBERSHIP FEES (12% IN 2014) WERE USED BY WHA FOR LOBBYING ON BEHALF OF THE ASSOCIATION MEMBERS 0 1 X 3249379 3249379 112089183 39045059 73044124 760349 368079 392270 52730141 38868612 13861529 459760 459760 91007062 OBLIGATION UNDER CAPITAL LEASE 526573 ACCRUED PENSION LIABILITY 7154846 ESTIMATED SETTLEMENTS DUE TO THIRD-PARTY PAYORS 428073 8109492 X PART IV, LINE 2B: RESIDENT TRUST FUNDS ARE FUNDS THAT ARE THE RESIDENTS' THAT ARE DEPOSITED IN A SEPARATE BANK ACCOUNT. THESE FUNDS ARE TRACKED SEPARATELY FROM BDCH'S FUNDS AND BELONG TO THE RESIDENTS. SECURITY DEPOSITS ARE DEPOSITS PAID TO BDCH UPON ENTERING INTO A RENTAL AGREEMENT FOR CBRF RESIDENTS AND ARE DUE BACK TO THE TENANTS UPON TERMINATION OF THEIR RENTAL AGREEMENT. PART X, LINE 2: ALL OF THE ENTITIES WITHIN THE CORPORATION ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE, EXCEPT BDMCB2, ACS BD DEVELOPMENT, AND DHE. BDMCB2, ACS BD DEVELOPMENT, AND DHE ARE ALL LIMITED LIABILITY COMPANIES AND ARE NOT DIRECTLY SUBJECT TO TAXATION. THEY HAVE ELECTED TO BE TREATED AS DISREGARDED ENTITIES FOR FEDERAL INCOME TAX PURPOSES. INCOME AND LOSSES OF THE COMPANIES ARE PASSED THROUGH TO AND REPORTED FOR INCOME TAX PURPOSES BY THE CORPORATION. THE CORPORATION FOLLOWS THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION GUIDANCE ON INCOME TAXES, ACCOUNTING FOR UNCERTAINTIES IN INCOME TAXES, WHICH ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE CORPORATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. UNRELATED BUSINESS TAXABLE INCOME IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS. AT JUNE 30, 2015 AND 2014, THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES. 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 950142 950142 0.01010 13225518 8292625 4932893 0.05260 14175660 8292625 5883035 0.06270 105716 105716 0.00110 4442 4442 0.00000 23837 23837 0.00030 133995 133995 0.00140 14309655 8292625 6017030 0.06410 1 3558845 462650 19117741 23852364 -4734623 X 1 1 1 1 BEAVER DAM COMMUNITY HOSPITAL 707 SOUTH UNIVERSITY AVENUE BEAVER DAM WI 53916 WWW.BDCH.COM 199 X X X BEAVER DAM COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X 12 1 1 1 1 X WWW.BDCH.COM/ABOUT-US.ASPX X X 1 12 1 WWW.BDCH.COM/ABOUT-US.ASPX 0 0 1 X 300.000000000000 300.000000000000 X X X X 1 1 X X X 1 X X X 1 X 0 X X X 1 X 0 0 BEAVER DAM COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: BDCH GATHERED QUALITATIVE INFORMATION AND PERSPECTIVES ON COMMUNITY HEALTH NEEDS THROUGH ONE-ON-ONE AND SMALL GROUP INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS. BDCH GATHERED INFORMATION FROM THE FOLLOWING SPECIFIED GROUPS WITHIN THE COMMUNITY:- PEOPLE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH - FEDERAL, TRIBAL, REGIONAL, STATE OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES, WITH CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY - LEADERS, REPRESENTATIVES OR MEMBERS OF MEDICALLY UNDERSERVED POPULATIONS- LEADERS, REPRESENTATIVES OR MEMBERS OF LOW-INCOME POPULATIONS - LEADERS, REPRESENTATIVES OR MEMBERS OF MINORITY POPULATIONS SELECT INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS PARTICIPATED BY CONTRIBUTING THEIR PERSPECTIVES, OPINIONS, AND OBSERVATIONS:- DODGE COUNTY HUMAN SERVICES AND HEALTH DEPARTMENT- JEFFERSON COUNTY HEALTH DEPARTMENT - JEFFERSON COUNTY HUMAN SERVICES DEPARTMENT- CHURCH HEALTH SERVICES- HILLSIDE MANOR- WAYLAND ACADEMY- THE AGING AND DISABILITY RESOURCE CENTER- BEAVER DAM COMMUNITY HOSPITALS, INC. - CITY OF WATERTOWN AND DODGE COUNTY BEAVER DAM COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: BDCH BEGAN ITS HEALTH NEEDS ASSESS PROCESS BY PARTICIPATING IN THE DODGE JEFFERSON HEALTHIER COMMUNITY PARTNERSHIP ("THE DJHCP"). THE DJHCP IS A COLLABORATIVE GROUP INCLUDING THE FOLLOWING ORGANIZATIONS: BEAVER DAM COMMUNITY HOSPITAL, FORT HEALTHCARE, UW HEALTH PARTNERS WATERTOWN REGIONAL MEDICAL CENTER, DODGE COUNTY HUMAN SERVICES AND HEALTH DEPARTMENT, JEFFERSON COUNTY HEALTH DEPARTMENT, WATERTOWN DEPARTMENT OF PUBLIC HEALTH, DODGE-JEFFERSON HEALTHIER COMMUNITY PARTNERSHIP, INC. IN ADDITION TO OUR INVOLVEMENT IN THE THE DJHCP COMMUNITY HEALTH ASSESSMENT PROCESS, BDCH CONTRACTED WITH AN INDEPENDENT ACCOUNTNG AND CONSULTING FIRM TO COMPLETE THEIR OWN COMMUNITY HEALTH NEEDS ASSESSMENT. BEAVER DAM COMMUNITY HOSPITAL PART V, SECTION B, LINE 7D: BDCH MADE ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION POLICY AVAILABLE ON THEIR WEBSITE AT WWW.BDCH.COM/ABOUT-US.ASPX.IN ADDITION TO POSTING THE CHNA ON OUR WEBSITE, WE HAVE COMMUNICATED THE RESULTS OF THE SURVEY QUITE WIDELY. THIS INCLUDES AN ARTICLE IN OUR 2013 ANNUAL REPORT WHICH WENT TO 50,000 HOUSEHOLDS. THE ANNUAL REPORT IS ON-LINE AND A DIRECT LINK TO THE STUDY IS INCLUDED. COPIES ARE AVAILABLE IN ADMINISTRATION AND MARKETING AND AT VARIOUS LOCATIONS THROUGHOUT THE HOSPITAL FOR ANYONE WHO WANTS A COPY. A LOCAL PUBLICATION PUBLISHED AN ARTICLE WHICH COMMUNICATED THE RESULTS OF THE CHNA. CHNA RESULTS ARE ALSO COMMUNICATED VIA PRESENTATIONS AT LOCAL EVENTS SUCH AS SENIOR CENTER PRESENTATIONS AND CEO CONVERSATIONS, CHAMBER OF COMMERCE EVENTS AND LOCAL CIVIC AND COMMUNITY ORGANIZATIONS. THIS IS IN ADDITION TO PUBLICIZING TO OUR OWN EMPLOYEES AND PHYSICIANS. BEAVER DAM COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: BECAUSE OF LIMITED RESOURCES, BDCH CANNOT RESPOND EFFECTIVELY TO EVERY IDENTIFIED HEALTH NEED. BDCH HAS CHOSEN ITS RESPONSES BASED ON ANALYSIS OF ITS RESOURCES, ITS MISSION, IT EXISTING SPECIALTIES, COMMUNITY PRIORITIES AND EXISTING COMMUNITY RESOURCES. BDCH CHOSE TO FOCUS ITS RESOURCES ON ITS PRIMARY COMMUNITY NEEDS - NUTRITION AND PHYSICAL ACTIVITY. BEAVER DAM COMMUNITY HOSPITAL PART V, SECTION B, LINE 22D: THE AMOUNT CHARGED FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE PROVIDED TO INDIVIDUALS ELIGIBLE FOR ASSISTANCE UNDER THE COMMUNITY CARE PROGRAM IS LIMITED TO NOT MORE THAN THE AMOUNT GENERALLY BILLED TO INDIVIDUALS HAVING INSURANCE COVERING SUCH CARE. THE AMOUNT GENERALLY BILLED IS CALCULATED USING THE LOOK-BACK METHOD ON AN ANNUAL BASIS USING BOTH MEDICARE AND MEDICAID RATES. 16 HILLSIDE MANOR 803 SOUTH UNIVERSITY AVENUE BEAVER DAM WI 53916 SKILLED NURSING FACILITY BEAVER DAM REFERENCE LAB 707 SOUTH UNIVERSITY AVENUE BEAVER DAM WI 53916 REFERENCE LAB HILLSIDE HOMECARE AND HOSPICE 709 SOUTH UNIVERSITY AVENUE BEAVER DAM WI 53916 HOME HEALTH AGENCY REMEMBRANCE HOME 1810 NORTH SPRING STREET BEAVER DAM WI 53916 DEMENTIA SPECIFIC COMMUNITY BASED RESIDENTIAL FACILITY BEAVER DAM MEDICAL CLINIC 109 WARREN STREET BEAVER DAM WI 53916 PHYSICIAN CLINIC BEAVER DAM MEDICAL CLINIC 148 WARREN STREET BEAVER DAM WI 53916 PHYSICIAN CLINIC BEAVER DAM OBGYN CLINIC 130 WARREN STREET BEAVER DAM WI 53916 PHYSICIAN CLINIC EAGLES WINGS 408 STONE STREET BEAVER DAM WI 53916 COMMUNITY BASED RESIDENTIAL FACILITY WAUPUN MEDICAL CLINIC 180 GATEWAY DRIVE WAUPUN WI 53963 PHYSICIAN CLINIC COLUMBUS MEDICAL CLINIC 1580 WEST JAMES STREET COLUMBUS WI 53925 PHYSICIAN CLINIC BEAVER DAM SPORTS MEDICAL CLINIC 707 SOUTH UNIVERSITY AVENUE BEAVER DAM WI 53916 PHYSICIAN CLINIC JUNEAU MEDICAL CLINIC 420 WEST NORTH STREET BEAVER DAM WI 53916 PHYSICIAN CLINIC HORICON MEDICAL CLINIC 610 WASHINGTON STREET HORICON WI 64501 PHYSICIAN CLINIC SLEEP LAB 919 UNIVERSITY AVE BEAVER DAM WI 53916 SLEEP LAB UROLOGY CLINIC 130 WARREN STREET HORICON WI 53032 PHYSICIAN CLINIC RHEUMATOLOGY CLINIC 1580 WEST JAMES STREET COLUMBUS WI 53925 PHYSICIAN CLINIC PART I, LINE 6A: IN ADDITION TO ITS COMMUNITY BENEFITS REPORT WHICH IT PREPARES, BDCH PREPARES AN ANNUAL REPORT EACH YEAR THAT IS DISTRIBUTED TO MEMBERS OF THE COMMUNITIES THAT WE SERVE. WITHIN THE ANNUAL REPORT IS A SECTION REGARDING COMMUNITY BENEFITS. PART I, LINE 7: CHARITY CARE IS DETERMINED BY UTILIZING THE TOTAL AMOUNT FROM THE PATIENT BILLING SYSTEM THAT IS WRITTEN OFF USING THE CHARITY CARE ALLOWANCE CHARGE CODES FROM THE CHARGEMASTER. THIS AMOUNT TIES TO THE NUMBER THAT IS REPORTED IN THE AUDITED FINANCIAL STATEMENTS FOR THE FISCAL YEAR ENDED 6/30/15. THE TOTAL CHARITY CARE AMOUNT REPORTED ON LINE 7A COLUMN (C) IS REDUCED TO COST BY APPLYING BDCH'S COST TO CHARGE RATES AS CALCULATED ON IRS SCHEDULE H - WORKSHEET 2. PART I, LINE 7G: BDCH DOES NOT HAVE SUFFICIENT INFORMATION AT THIS TIME TO DETERMINE IF SUBSIDIZED SERVICES EXIST BASED ON THE DEFINITION AND CALCULATIONS REQUIRED BY THE IRS AND IS WORKING TO PROVIDE SUCH INFORMATION. PART I, LN 7 COL(F): THE AMOUNT OF BAD DEBT EXPENSES THAT WAS EXCLUDED FROM THE CALCULATION TO DETERMINE THE NET COMMUNITY BENEFIT EXPENSES AS A PERCENT OF TOTAL EXPENSES WAS $3,558,845. PART III, LINE 2: THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON LINE 2 IS THE AMOUNT OF PATIENT RECEIVABLE THAT WAS DEEMED UNCOLLECTIBLE DURING FY2015. BDCH BELIEVES THAT ITS CHARITY CARE AND RELATED COMMUNITY BENEFIT IS UNDERESTIMATED DUE TO PATIENTS THAT MAY POTENTIALLY QUALIFY FOR CHARITY CARE BUT CHOOSE NOT TO APPLY FOR IT. IN ADDITION, THERE IS ADDITIONAL BAD DEBT EXPENSE DUE TO CHARITY CARE APPLICATIONS THAT ARE MISSING INFORMATION AND ARE THEREFORE INCOMPLETE. BAD DEBT IN FY 2015 IS $3,558,845. PART III, LINE 3: TO CALCULATE THE CHARITY-ELIGIBLE COST OF ACCOUNTS WRITTEN OFF AS BAD DEBT EXPENSE ON LINE 3, THE PERCENT OF POPULATION BELOW POVERTY LEVEL WAS DETERMINED FROM U.S. CENSUS BUREAU INFORMATION. THIS PERCENTAGE WAS MULTIPLIED BY THE COST OF THE AMOUNT WRITTEN OFF TO BAD DEBT WHICH PRODUCED THE AMOUNT OF CHARGES WRITTEN OFF TO BAD DEBT THAT COULD BE ASSUMED TO BE CHARITY-ELIGIBLE. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY 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. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS 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 CORPORATION 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.RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS WHEN RECEIVED. A RECEIVABLE IS CONSIDERED TO BE PAST DUE IF ANY PORTION OF THE RECEIVABLE BALANCE IS OUTSTANDING FOR MORE THAN 180 DAYS. INTEREST IS NOT CHARGED ON PAST DUE RECEIVABLE BALANCES. PART III, LINE 8: THE ALLOWABLE MEDICARE COST ON PART III, LINE 6 IS DETERMINED USING THE FY 2015 FILED MEDICARE COST REPORT. THE REIMBURSEMENT FROM MEDICARE IS DEDUCTED FROM THE ESTIMATED COST TO DETERMINE THE ESTIMATED SHORTFALL FROM THE MEDICARE PROGRAM. BDCH RECOGNIZES THAT THE ESTIMATED SHORTFALL IS ACTUALLY GREATER THAN WHAT IS INCLUDED IN PART III, LINE 7 DUE TO THE NON-ALLOWABLE COSTS PER THE MEDICARE COST REPORT. THIS SHORTFALL OF $4,734,623 IS NOT CLASSIFIED AS COMMUNITY BENEFIT. HOWEVER, BDCH BELIEVES IT IS AN IMPORTANT CONTRIBUTION MADE BY THE HOSPITAL TO SUPPORT ITS MISSION OF DELIVERING EXCELLENCE ACROSS A CONTINUUM OF SERVICES, EVEN IF WE ARE NOT COMPENSATED FULLY FOR DOING SO. IN ADDITION, MANY OF THESE PATIENTS WOULD QUALIFY FOR MEDICAID AS SEVERAL PATIENTS CARRY IT AS A SECONDARY PLAN, SO THEREFORE, IF THE MEDICARE PROGRAM DID NOT EXIST, MEDICAID WOULD BE THE PRIMARY INSURANCE FOR MANY PATIENTS, WHICH IS CONSIDERED TO BE COMMUNITY BENEFIT. PART III, LINE 9B: BDCH MAKES EVERY EFFORT TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. AS DESCRIBED IN PART VI, QUESTION 3, BDCH HAS PROCESSES IN PLACE TO INFORM PATIENTS OF OUR CHARITY CARE POLICY. IF THE PATIENT'S INCOME LEVEL QUALIFIES THEM FOR CHARITY CARE, THE FULL AMOUNT OF THEIR ACCOUNT BALANCE IS WRITTEN OFF AS CHARITY CARE. IF THE PATIENT DOES NOT AUTOMATICALLY QUALIFY FOR CHARITY CARE, THEY CAN PROVIDE ADDITIONAL INCOME INFORMATION TO DETERMINE IF THEY QUALIFY FOR FULL OR PARTIAL CHARITY CARE WRITE-OFFS. IF ONLY A PARTIAL AMOUNT IS WRITTEN OFF PER POLICY, THEN THE PATIENT IS RESPONSIBLE FOR THE REMAINING BALANCE. THE PATIENT HAS THE OPTION TO MAKE INSTALLMENT PAYMENTS WITH NO INTEREST. IN THE EVENT THAT THE PATIENT DEFAULTS ON THEIR INSTALLMENT PAYMENTS OR DOES NOT COOPERATE WITH BDCH'S COLLECTION EFFORTS, THE ACCOUNT WILL BE SENT TO A COLLECTION AGENCY. PART VI, LINE 2: EVERY FIVE YEARS, THE HEALTH DEPARTMENTS OF DODGE COUNTY AND JEFFERSON COUNTY AND THE CITY OF WATERTOWN CONDUCT A JOINT COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMPILE A REPORT CONTAINING AN ANALYSIS OF THE QUALITATIVE AND QUANTITATIVE INFORMATION GATHERED FROM SEVERAL SOURCES INCLUDING COMMUNITY FOCUS GROUPS, THE US CENSUS BUREAU, AND THE BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM, AMONG OTHERS. THE REPORT INCORPORATES DATA TO ADDRESS ALL ELEVEN HEALTH PRIORITIES IN THE WISCONSIN STATE HEALTH PLAN. BEAVER DAM COMMUNITY HOSPITALS, INC. HAS OBTAINED A COPY OF THE FULL REPORT AND UTILIZES THE INFORMATION TO ASSESS THE HEALTH NEEDS OF OUR COMMUNITY. IN ADDITION, BDCH SUPPORTS CHURCH HEALTH SERVICES, A LOCAL ORGANIZATION COMMITTED TO SERVING LOW INCOME PATIENTS WITH NO INSURANCE, AND MEETS WITH THEM TO ASSESS THE NEEDS OF THE COMMUNITY. PART VI, LINE 3: PATIENTS REGISTERED AS SELF-PAY PATIENTS ARE ENTERED INTO A PROPENSITY TO PAY SYSTEM AND IF THEIR INCOME IS LESS THAN 300% OF THE FEDERAL POVERTY LEVEL, THEY ARE AUTOMATICALLY DETERMINED TO BE ELIGIBLE FOR CHARITY CARE AND 100% OF THEIR CHARGES ARE WRITTEN OFF. PATIENTS WHO ARE NOT ELIGIBLE FOR CHARITY CARE UNDER THE PROPENSITY TO PAY SYSTEM MAY REQUEST CHARITY CARE OR PARTIAL BALANCE WRITE-OFFS THROUGH FINANCIAL COUNSELORS. PART VI, LINE 4: BEAVER DAM COMMUNITY HOSPITALS, INC. SERVES THE GREATER DODGE AND COLUMBIA COUNTY REGION. THE HOME SERVICES PROGRAM ALSO TRAVELS TO OUR PATIENTS IN THEIR HOMES UP TO 30 MILES AWAY. THE POPULATION OF THE AREA WE SERVE IS APPROXIMATELY 125,000 PEOPLE. DEMOGRAPHICALLY, ABOUT 22% OF THE POPULATION IS UNDER THE AGE 18, ABOUT 63% IS AGED 18 - 64 AND ABOUT 15% IS AGE 65 AND OLDER. OUR HOSPITAL SERVES PATIENTS OF ALL AGES. ALTHOUGH THE POPULATION IS PRIMARILY CAUCASIAN, THERE IS A GROWING HISPANIC POPULATION. MULTIPLE LANGUAGES ARE SPOKEN IN THE AREA, AND THEREFORE INTERPRETATION SERVICES ARE PROVIDED FOR ALL PATIENTS. PART VI, LINE 5: BDCH HAS A LONG HISTORY OF SERVING THE COMMUNITY OF BEAVER DAM AND THE SURROUNDING REGION. BDCH HAS CONTINUALLY GROWN SERVICES TO RESPOND TO THE NEEDS OF PATIENTS WE SERVE ACROSS THE REGION IN CARRYING OUT ITS MISSION OF PROVIDING EXCELLENCE ACROSS THE CONTINUUM. BDCH OFFERS SEVERAL HEALTH AND COMMUNITY PROGRAMS AT NO OR LOW COST SUCH AS HEALTH AND SAFETY FAIRS, LACTATION CONSULTATION SERVICES, SUPPORT GROUPS, HEALTH SCREENINGS, MEMORY CARE CLINIC, WELLNESS CLASSES, MEALS ON WHEELS, AND JOINT REPLACEMENT SEMINARS, FOOT CLINIC AND SELF REQUESTED, WALK-IN LAB TESTING AMONG OTHERS.BDCH HAS AN OPEN MEDICAL STAFF, A BOARD COMPRISED OF COMMUNITY MEMBERS, AND USES ITS SURPLUS FUNDS TO REINVEST IN TECHNOLOGY AND PROGRAM SERVICES TO BETTER SERVE ITS PATIENTS. BDCH SUPPORTS CHURCH HEALTH SERVICES, A LOCAL ORGANIZATION COMMITTED TO PROVIDING HEALTH SERVICES TO LOW-INCOME PATIENTS WITHOUT INSURANCE. BDCH PARTICIPATES AS A DROP-OFF SITE FOR SHARPS AND IN THE WISCONSIN HOSPITAL EMERGENCY PREPAREDNESS PLAN WHOSE PURPOSE IS TO MEET A COMMUNITY NEED BY BRINGING ORGANIZATIONS TOGETHER IN THE EVENT OF AN EMERGENCY IN A COLLABORATIVE AND ORGANIZED MANNER. BDCH'S LEADERSHIP STAFF PARTICIPATES IN MANY LOCAL ORGANIZATIONS THROUGHOUT THE REGION. PART VI, LINE 6: BDCH IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. PART VI, LINE 7, REPORTS FILED WITH STATES WI 1 BEAVER DAM COMMUNITY HOSPITALS FOUNDATION INC 707 SOUTH UNIVERSITY AVENUE BEAVER DAM WI 53916 391499140 105(C)(3) 38500 BEAUTY SHOP FUND, KIDSCARE FUND, HOSPICE FUND, AND EMPLOYEE HELPING EMPLOYEE FUND. 1 0 TUITION REIMBURSEMENT 28 60232 PART I, LINE 2: THE GRANTS GIVEN TO OUTSIDE ORGANIZATIONS WAS GIVEN TO A RELATED ENTITY. FUNDS TRANSFERRED ARE MONITORED THROUGH THE INTERNAL FINANCIAL REPORTING PROCESS AS BOTH ENTITIES ARE UNDER COMMON MANAGEMENT. THE GRANTS GIVEN TO INDIVIDUALS RELATED TO BDCH'S EMPLOYEE TUITION REIMBURSEMENT PROGRAM. THIS PROGRAM PROVIDES ELIGIBLE EMPLOYEES WITH THE OPPORTUNITY TO OBTAIN, MAINTAIN, OR IMPROVE JOB-RELATED OR CAREER-RELATED OBJECTIVES THROUGH PARTICIPATION IN ACADEMIC COURSES AT ACCREDITED COLLEGES AND UNIVERSITIES. THIS PROGRAM IS MONITORED BY HUMAN RESOURCES AND IN ORDER TO RECEIVE THIS BENEFIT, EMPLOYEES MUST GET COURSE APPROVAL PRIOR TO ENROLLMENT, SUCCESSFULLY COMPLETE EACH COURSE WITH A MINIMUM OF A "C" FOR UNDERGRADUATE COURSES OR "B" FOR GRADUATE COURSES, AND SUBMIT A COPY OF AN ITEMIZED RECEIPT WITHIN ONE MONTH FOLLOWING THE END OF CLASS. X X X X X 0 0 0 0 0 1 0 0 0 KIMBERLY MILLER PRESIDENT & CEO 310625 0 52127 0 36524 0 15000 0 29127 0 443403 0 0 0 DONNA HUTCHINSON CHIEF FINANCIAL OFFICER 184343 0 18267 0 20443 0 8475 0 5630 0 237158 0 0 0 MIKE MURPHY CHIEF PATIENT CARE OFFICER 167250 0 15937 0 4705 0 6097 0 28407 0 222396 0 0 0 DAVID CORSO CHIEF OPERATIONS OFFICER 143077 0 14632 0 17847 0 0 0 13631 0 189187 0 0 0 JULIA WRIGHT CHIEF MEDICAL OFFICER 289645 0 0 0 18183 0 0 0 27661 0 335489 0 0 0 DON ANDERSON DIRECTOR OF PHARMACY 141725 0 6798 0 2574 0 7105 0 21611 0 179813 0 0 0 ELZBIETA OSTROMECKI HOSPITALIST 281268 0 13000 0 1957 0 9849 0 27666 0 333740 0 0 0 BERT CALLAHAN ORTHOPEDICS & SPORTS MEDICINE PHYSIC 883327 0 0 0 18547 0 0 0 26902 0 928776 0 0 0 JOHN DAVID HOSPITALIST 173296 0 15467 0 321 0 0 0 17215 0 206299 0 0 0 MELISSA GREER FAMILY PRACTICE PHYSICIAN 184166 0 15000 0 416 0 0 0 9069 0 208651 0 0 0 PART I, LINE 6 THE BDCH BOARD OF DIRECTORS APPROVED AN INCENTIVE PLAN FOR THE CHIEF EXECUTIVE OFFICER THAT RELATED TO THE FINANCIAL PERFORMANCE, QUALITY, PATIENT SATISFACTION, EMPLOYEE TURNOVER, ORGANIZATIONAL GROWTH AND INDIVIDUAL PERSONAL GOALS. THE INCENTIVE MATRIX WAS APPROVED BY THE BOARD. EACH YEAR THE INCENTIVE COMPENSATION MEASURES ARE CALCULATED AFTER COMPLETION OF THE AUDIT AND PRESENTED TO THE BOARD OF DIRECTORS EXECUTIVE COMPENSATION COMMITTEE WHICH IS COMPRISED OF FIVE INDEPENDENT BOARD MEMBERS FOR APPROVAL. THE EXECUTIVE TEAM INCENTIVE PLAN IS THEN DEVELOPED BASED ON THE CEO'S PLAN AND DIRECTION OF BOARD APPROVED GOALS. A WISCONSIN HEALTH & EDUCATION FACILITIES AUTHORITY 391337855 2012-05-09 25745000 REFINANCE 2004A CALLABLE, 2004B, & 1998 BONDS 0 0 0 B WISCONSIN HEALTH & EDUCATION FACILITIES AUTHORITY 391337855 97712DBW5 2013-06-25 42864560 REFINANCE 2004A BONDS 0 0 0 A 4710000 25745000 312355 25645000 2006 1 0 1 1 B 1457418 -130440 42864560 4352086 646395 5006944 2006 0 1 1 1 A 0 1 1 1 0 0.00050 0.00080 0.00130 0 0 1 B 0 1 1 1 0 0.00050 0.00080 0.00130 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION A, LINE 1 THE MEMBERSHIP OF THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRPERSON OF THE BOARD, THE SECRETARY, THE TREASURER, AND THE VICE CHAIRPERSON OF THE BOARD AND SUCH MEMBERS OF THE BOARD OF DIRECTORS AS MAY BE APPOINTED BY THE BOARD OF DIRECTORS. THE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF BDCH DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS MAY OVERRULE ANY ACTION PREVIOUSLY TAKEN BY THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION A, LINE 7A ONE MEMBER OF THE BOARD OF DIRECTORS SHALL BE A PHYSICIAN ELECTED AS THE CHIEF OF STAFF BY THE MEDICAL STAFF OF BDCH. FORM 990, PART VI, SECTION B, LINE 11 THE HOSPITAL'S CFO PERFORMS A THOROUGH REVIEW OF THE RETURN AND REVIEWS IT WITH BDCH'S CEO BEFORE PRESENTING IT TO THE HOSPITAL'S COMPENSATION COMMITTEE WHICH IS NOW COMPRISED OF FIVE INDEPENDENT BOARD MEMBERS (CHAIRPERSON, VICE-CHAIRPERSON, CHAIRPERSON OF THE FINANCE COMMITTEE, CHAIRPERSON OF THE QUALITY COMMITTEE, AND ONE PAST BOARD CHAIR) FOR REVIEW, DISCUSSION, AND QUESTIONS. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, OFFICER AND COMMITTEE MEMBER SIGNS, AS A CONDITION TO SERVING THE CORPORATION IN HIS OR HER RESPECTIVE ROLE AND ANNUALLY THEREAFTER, A STATEMENT AGREEING TO BE BOUND BY THE TERMS OF THE CONFLICT OF INTEREST POLICY. ANY DIRECTOR, OFFICER OR COMMITTEE MEMBER HAVING A FINANCIAL INTEREST OR OTHER INTEREST IN A CONTRACT, MATTER OR OTHER TRANSACTION PRESENTED TO THE BOARD OF DIRECTORS OR A COMMITTEE THEREOF FOR AUTHORIZATION, APPROVAL, OR RATIFICATION SHALL MAKE A PROMPT, FULL AND FRANK DISCLOSURE OF SUCH PERSON'S INTEREST TO THE BOARD OR COMMITTEE PRIOR TO ITS ACTING ON SUCH CONTRACT OR TRANSACTION. SUCH DISCLOSURE SHALL INCLUDE ANY RELEVANT AND MATERIAL FACTS, KNOWN TO SUCH PERSON, ABOUT THE CONTRACT, MATTER OR TRANSACTION WHICH MIGHT REASONABLY BE CONSTRUED TO BE ADVERSE TO THE CORPORATION'S INTEREST. AFTER THE POTENTIALLY CONFLICTED INDIVIDUAL HAS LEFT THE ROOM, THE BOARD OR COMMITTEE TO WHICH SUCH DISCLOSURE IS MADE SHALL THEREUPON DETERMINE, BY MAJORITY VOTE, WHETHER THE DISCLOSURE SHOWS THAT A CONFLICT OF INTEREST EXISTS OR CAN REASONABLY BE CONSTRUED TO EXIST. IF A CONFLICT IS DEEMED TO EXIST, SUCH PERSON SHALL BE INVITED BACK TO PRESENT ANY FACTUAL INFORMATION HE OR SHE DEEMS APPROPRIATE OR TO RESPOND TO QUESTIONS IF SUCH IS REQUESTED OF OTHERS PRESENT. THE INDIVIDUAL SHALL THEN AGAIN LEAVE THE ROOM AND NOT VOTE ON, NOR USE PERSONAL INFLUENCE ON, OR PARTICIPATE (OTHER THAN TO PRESENT FACTUAL INFORMATION TO OR RESPOND TO QUESTIONS AS DESCRIBED ABOVE) IN THE DISCUSSIONS AND DELIBERATIONS WITH RESPECT TO SUCH CONTRACT, MATTER OR TRANSACTIONS. SUCH PERSON MAY BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM AT ANY MEETING WHERE THE CONTRACT, MATTER OR TRANSACTION IS UNDER DISCUSSION OR IS BEING VOTED UPON. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE VOTE AND, WHERE APPLICABLE, THE ABSTENTION FROM VOTING AND PARTICIPATION, AND WHETHER A QUORUM WAS PRESENT. FORM 990, PART VI, SECTION B, LINE 15A THE DETERMINATION OF THE CEO'S COMPENSATION IS IMPLEMENTED, REVIEWED, AND MONITORED BY THE BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE. THIS COMMITTEE IS COMPRISED OF FIVE INDEPENDENT BOARD MEMBERS AND IS ASSISTED BY AN OUTSIDE NATIONALLY RECOGNIZED CONSULTING FIRM DEALING WITH HOSPITAL EXECUTIVE COMPENSATION AND BENEFITS. SALARIES AND BENEFITS FOR THE CEO ARE EVALUATED BY THE EXECUTIVE COMPENSATION COMMITTEE ON AN ANNUAL BASIS AND COMPARED TO THE NATIONAL EXECUTIVE COMPENSATION BENCHMARKS FOR HOSPITAL EXECUTIVES AS PRESENTED BY THE OUTSIDE NATIONALLY RECOGNIZED CONSULTING FIRM SPECIALIZING IN EXECUTIVE COMPENSATION. THE DETERMINATION OF THE CFO'S, OTHER OFFICERS', AND KEY EMPLOYEES' COMPENSATION IS IMPLEMENTED, REVIEWED, AND MONITORED ON AN ANNUAL BASIS BY THE CEO, BASED ON NATIONAL EXECUTIVE COMPENSATION BENCHMARKS. FORM 990, PART VI, SECTION C, LINE 19 BDCH DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. BDCH DOES HOWEVER MAKE ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC USING SEVERAL METHODS. FIRST, AN ANNUAL REPORT IS DISTRIBUTED TO THE COMMUNITY USING THE CURRENT MAILING ADDRESSES IN OUR SERVICE AREA. IN ADDITION, SINCE WE HAVE TAX-EXEMPT BONDS, WE REPORT OUR FINANCIAL STATEMENTS THROUGH THE MUNICIPAL SECURITIES RULEMAKING BOARD (MSRB) - ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA). FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 5,491,360. MANAGEMENT AND GENERAL EXPENSES 3,159,059. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,650,419. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 1,505,433. MANAGEMENT AND GENERAL EXPENSES 329,013. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,834,446. FORM 990, PART XI, LINE 9: PENSION RELATED CHANGES -3,242,353. CHANGE IN BENEFICIAL INTEREST IN BDCH FOUNDATION 1,177,414. 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