2015-08-13T10:37:31-05:00 2014-12-31 390758449 WIPFLI LLP PO BOX 8010 WAUSAU WI 544028010 990 2014-01-01 391528430 BAY AREA MEDICAL CENTER INC BAYA 7157354200 3100 SHORE DRIVE MARINETTE WI 54143 DAN CARLSON CFO 7157354200 2015-08-07 1 KIM HELLER P00766668 7158453111 2015-08-04 2014 2016-02-25 16:41:14Z DAN CARLSON 3100 SHORE DRIVE MARINETTE WI 54143 111726248 0 X WWW.BAMC.ORG X 1985 WI BAY AREA MEDICAL CENTER (BAMC) IS A REGIONAL HEALTH CARE FACILITY PROVIDING A WIDE RANGE OF MEDICAL SERVICES TO THE RESIDENTS OF MARINETTE AND MENOMINEE COUNTIES AND THE SURROUNDING AREAS. BAMC'S PRIMARY EXEMPT PURPOSE IS THE PROVISION OF HEALTH CARE SERVICES. 9 9 782 0 3028974 -783536 25576 42751 117098235 109347863 1793687 3851864 3768542 -2655510 122686040 110586968 0 0 0 0 59857201 51114212 0 0 0 58345842 54134257 118203043 105248469 4482997 5338499 157404669 217937336 55223349 59810739 102181320 158126597 X WE ARE YOUR MEDICAL CENTER, STRIVING TO EXCEED YOUR EXPECTATIONS BY PROVIDING COMPASSIONATE, COST-EFFECTIVE, QUALITY HEALTHCARE TO ALL. 0 0 82247474 102809068 INPATIENT HOSPITAL SERVICES FOR MEDICAL, SURGICAL AND OBSTETRICS/GYNECOLOGY PATIENTS - BAMC PROVIDED CARE FOR 3,259 PATIENTS WHO WERE ADMITTED AS INPATIENTS DURING 2014. THESE SERVICES INCLUDED 24/7 CARE FOR PATIENTS ADMITTED WITH MEDICAL CONDITIONS WARRANTING A HOSPITAL STAY, PATIENTS ADMITTED FOR SURGICAL PROCEDURES EXTENSIVE ENOUGH TO REQUIRE A STAY OVERNIGHT OR FOR SEVERAL DAYS FOLLOWING THE PROCEDURES, AND PATIENTS ADMITTED FOR THE DELIVERY OF NEWBORNS.OUTPATIENT SURGICAL SERVICES - BAMC PERFORMED 2,709 OUTPATIENT SURGICAL PROCEDURES FOR PATIENTS DURING 2014. THESE PROCEDURES INCLUDED ORTHOPEDIC, UROLOGICAL, GENERAL SURGERY, GYNECOLOGY, AND ENT SURGERIES.EMERGENCY SERVICES - BAMC OPERATES AN EMERGENCY DEPARTMENT, WHICH INCLUDES AN AMBULANCE SERVICE STAFFED WITH PARAMEDICS, TO RESPOND TO EMERGENCY CARE NEEDS OF THE AREA. IT IS THE ONLY EMERGENCY DEPARTMENT AVAILABLE IN THE COMMUNITY. THE EMERGENCY DEPARTMENT IS STAFFED WITH EMERGENCY CARE PHYSICIANS ON A 24/7 BASIS AND THE DEPARTMENT SAW 20,367 PATIENT VISITS IN 2014, WITH 2,372 OF THESE VISITS RESULTING IN PATIENTS BEING ADMITTED TO THE HOSPITAL FOR INPATIENT CARE. THE AMBULANCE SERVICE HAD 3,306 PATIENT TRANSPORTS IN 2014. 82247474 1 0 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 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 84 0 782 1 1 1 0 0 0 0 0 0 0 0 0 X 9 9 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X DAN CARLSON CFO 7157354200 3100 SHORE DR MARINETTE WI 54143 TONY FURTON CHAIR 1.00 X X 0 0 0 PAT KRAH VICE CHAIR 0.80 X X 0 0 0 WILLIAM MALLORY MD SEC/TREAS 0.80 X X 0 0 0 SANDY EWALD BOARD MEMBER 0.80 X 0 0 0 MARC JAMO BOARD MEMBER 0.80 X 0 0 0 BRAD HAHN BOARD MEMBER 0.80 X 0 0 0 JEFF BARD BOARD MEMBER 0.80 X 0 0 0 OSAMA HALAWEH MD BOARD MEMBER 0.80 X 0 0 0 TIM RENNES BOARD MEMBER 0.80 X 0 0 0 PATRICK O'HARA BOARD MEMBER 0.80 X 0 0 0 BERNADINE VAN COURT COO 40.00 X 282104 0 30858 C DANIEL CARLSON CFO 40.00 X 309434 0 63065 EDWARD HARDING CEO 40.00 X 522162 0 83533 THOMAS LEOW MD PHYSICIAN 40.00 X 614663 0 48966 MICHAEL KARKKAINEN MD PHYSICIAN 40.00 X 1457546 0 71096 MOHAMED EL-JACK MD PHYSICIAN 40.00 X 1244495 0 95526 EDGAR MASSABNI MD PHYSICIAN 40.00 X 840473 0 73927 BRANDON SCHARER MD PHYSICIAN 40.00 X 584294 0 20327 5855171 0 487298 50 0 1 0 SODEXO INC & AFFLILIATES 9801 WASHINGTONIAN BLVD GAITHERSBURG MD 20878 OUTSOURCED ENVIRONMENTAL SERVICES 905569 VON BRIESEN & ROPER SC 411 E WISCONSIN AVE SUITE 1000 MILWAUKEE WI 532024409 LEGAL SERVICES 878041 BELLIN MEMORIAL HOSPITAL 744 WEBSTER AVENUE GREEN BAY WI 543053400 REFERENCE LAB 734379 INFINITY HEALTHCARE 111 E WISCONSIN AVE - SUITE 2100 MILWAUKEE WI 53202 OCCUPATIONAL HEALTH SERVICE PHYSICIAN FE 729462 ONEIL CANNON HOLLMAN DEJONG & LAING LLC 111 E WISCONSIN AVE - SUITE 1400 MILWAUKEE WI 53202 LEGAL SERVICES 595932 33 42751 42751 NET PATIENT REVENUE 900099 103704797 103704797 RETAIL PHARMACY 446110 2721555 2721555 SPACE LEASED FOR MEDICAL PURPOSES 621110 1471292 1471292 OTHER MISCELLANEOUS ACTIVITIES 900099 523715 523715 REFERENCE LAB 621500 307419 307419 619085 273497 345588 109347863 1525513 1525513 57940 72932 -14992 -14992 -14992 2640366 752333 0 1066348 2640366 -314015 2326351 2326351 INTEREST RATE SWAP VALUATION ADJU 900099 -2640518 -2640518 -2640518 110586968 102809068 3028974 4706175 1291155 1291155 40402965 33378630 7024335 1049227 1019283 29944 8370865 6591478 1779387 1555552 1555552 106192 106192 9839221 4804450 5034771 144220 83572 60648 18912440 17446685 1465755 1331798 873977 457821 3351 3351 210284 172663 37621 1384241 1384241 6103897 5035474 1068423 922038 730110 191928 BAD DEBTS 6384572 6384572 REPAIRS AND MAINTENANCE 4398919 1582620 2816299 WI HOSPITAL ASSESSMENT 2728604 2728604 TRAVEL 223 223 108705 27764 80941 105248469 82247474 23000995 0 3645 3545 12242944 33043729 17111293 26298368 2829614 2868438 1617298 1527363 118500285 71902824 50161427 46597461 69496395 107016479 3351764 0 590289 581953 157404669 217937336 10451925 9752005 35570000 34345000 9201424 15713734 55223349 59810739 X 101873463 157807250 307857 319347 102181320 158126597 157404669 217937336 X 5338499 -1081437 51688215 X X 0 1 X 1 0 X 0 0 0 0 0 1 9087 0 0 0 9087 0 PART II-B, LINE 1: PORTION OF AHA ($5,233) AND WHA (3,854) DUES = $9,087. 1644987 1644987 74279213 40604748 33674465 1535045 1847861 -312816 40471980 29450215 11021765 569060 569060 46597461 ACCRUED POSTRETIREMENT BENEFITS 2206288 DEFERRED COMPENSATION 356519 INTEREST RATE SWAP VALUATION 6209111 CAPITAL LEASE OBLIGATION 82652 AMOUNTS PAYABLE TO THIRD-PARTY REIMBURSEMENT PROGRAM 3209164 CONTINGENT MEMBER EQUITY CONTRIBUTION 3650000 15713734 X 110629522 0 110629522 -42554 -42554 110586968 105321401 72932 72932 105248469 0 105248469 PART X, LINE 2: TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE ORGANIZATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON 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 FINANCIAL STATEMENTS. THE ORGANIZATION HAS NOT RECORDED ANY ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS AS OF DECEMBER 31, 2014 AND 2013. THE ORGANIZATION IS ALSO ENGAGED, TO A LIMITED EXTENT, IN ACTIVITIES THAT THE INTERNAL REVENUE SERVICE (IRS) CONSIDERS UNRELATED TO ITS EXEMPT PURPOSE AND, THEREFORE, TAXABLE. THESE ACTIVITIES, HOWEVER, ANNUALLY RESULT IN NET OPERATING LOSSES FOR INCOME TAX PURPOSES. THE ORGANIZATION DOES NOT PRESENTLY ANTICIPATE THAT A TAX BENEFIT FROM THESE NET OPERATING LOSSES WILL BE REALIZED IN THE FUTURE. ANY POTENTIAL DEFERRED TAX ASSET RESULTING FROM THE AVAILABILITY OF NET OPERATING LOSS CARRYFORWARDS IS OFFSET BY A VALUATION ALLOWANCE OF EQUAL AMOUNT. ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES. NO DEFERRED TAX ASSETS AND LIABILITIES HAVE BEEN RECOGNIZED SINCE NO OTHER DIFFERENCES EXIST BETWEEN THE FINANCIAL TAX BASIS OF REPORTING THE ORGANIZATION'S ASSETS AND LIABILITIES. THE ORGANIZATION'S FEDERAL TAX RETURNS FOR TAX YEARS 2011 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -72,932. TEMPORARILY RESTRICTED CONTRIBUTIONS 30,378. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 72,932. 1 1 1 X 1 X 1 1 0 1 1 1149725 1149725 0.01160 15082029 12006012 3076017 0.03110 16231754 12006012 4225742 0.04270 104000 104000 0.00110 104000 104000 0.00110 16335754 12006012 4329742 0.04380 1 2467644 21709988 23297577 -1587589 X 1 1 1 1 BAY AREA MEDICAL CENTER INC 3100 SHORE DRIVE MARINETTE WI 54143 X X X BAY AREA MEDICAL CENTER 1 0 0 1 X X X X X X X X X 13 1 0 0 1 X SEE 7D FOR FULL WEB ADDRESS HTTP://WWW.BAMC.ORG/PDFS/COMMUNITYHEALTHNEEDS.PDF X 1 13 1 HTTP://WWW.BAMC.ORG/PDFS/COMMUNITYHEALTHNEEDS.PDF 0 0 1 X 100.000000000000 200.000000000000 X X X 1 1 X X X 1 X X X X 1 0 X X X X 1 X 0 0 BAY AREA MEDICAL CENTER PART V, SECTION B, LINE 5: BAMC HELD TWO HEALTH CARE ROUND TABLES THAT BROUGHT COMMUNITY GROUPS TOGETHER TO NOT ONLY SHARE THEIR RESEARCH BUT BEGIN THE PROCESS OF GREATER COLLABORATION TO ACCOMPLISH SIMILAR GOALS. BAMC ALSO PARTICIPATED IN THREE OF THE INITIATIVES AS A PARTICIPANT GROUP FACILITATOR FOR THE TRI CITY UNITED WAY STUDY AND AS A PARTICIPANT IN THE MARINETTE COUNTY ASSESSMENT. A BRIEF DESCRIPTION OF THESE OTHER AGENCY RESEARCH EFFORTS ARE IN THE BAY AREA COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. BAY AREA MEDICAL CENTER PART V, SECTION B, LINE 11: BAMC COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2013 AND IDENTIFIED THREE AREAS OF FOCUS: -ACCESS TO CARE -DRUG ABUSE -OBESITYIN 2014 BAMC WORKED TO ADVANCE ALL THREE OF THESE INITIATIVES IN A NUMBER OF WAYS.ACCESS TO CARE - BAMC OFFERED FREE CONSULTATION TO COMMUNITY MEMBERS LOOKING TO BECOME INSURED THROUGH THE FEDERAL EXCHANGES. THIS INVOLVED WORKING WITH OTHER COMMUNITY GROUPS TO IDENTIFY ELIGIBLE INDIVIDUALS AND OFFER THEM ACCESS TO FOUR CERTIFIED FINANCIAL COUNSELORS AT NO CHARGE FOR ASSISTANCE IN SIGNING ON OR MAINTAINING THEIR PREVIOUSLY ESTABLISHED COVERAGE. TO DATE OVER 1000 RESIDENTS HAVE BEEN ASSISTED IN THIS EFFORT. DRUG ABUSE - BAMC HAS BEEN A FOUNDING MEMBER OF A COMMUNITY TASK FORCE ATTEMPTING TO REDUCE DRUG ABUSE IN OUR MARKET. THIS INVOLVEMENT INCLUDES WORKING WITH A VARIETY OF OTHER COMMUNITY ORGANIZATIONS ON A MULTI-PRONGED APPROACH. BAMC HAS BEEN A MAJOR SPONSOR IN TWO PHYSICIAN TARGETED ROUND TABLES REGARDING PRESCRIPTION DRUG ABUSE AND ALSO PROVIDED ADMINISTRATIVE SUPPORT FOR ESTABLISHING A BASELINE OF CURRENT PRACTICES IN THE PRESCRIBING COMMUNITY. BAMC CONTINUES TO BE A MAJOR SPONSOR OF THE HEALTHY YOUTH COALITION, A LOCAL NONPROFIT ORGANIZATION THAT PROMOTES HEALTHY LIFESTYLES AND CHOICES THROUGH SCHOOL EDUCATION AND LIAISON PROGRAMS. BAMC ALSO OFFERS A YEARLY PRESCRIPTION DRUG TAKE BACK PROGRAM TO GIVE RESIDENTS A SAFE AND SECURE WAY TO DISPOSE OF NARCOTICS AND OTHER PRESCRIPTION DRUGS NO LONGER BEING USED.OBESITY - BAMC IS A MAJOR SPONSOR FOR A SERIES OF LOCAL RUNS AND WALKS ENCOURAGING THE ADOPTION OF HEALTHY EXERCISE HABITS. IN 2014 BAMC ASSUMED PRIMARY LEADERSHIP AND ADMINISTRATION OF TWO 5K/10K RUNS THAT INVOLVED OVER 700 PARTICIPANTS. ONE OF THE RUNS ALSO INVOLVES CHILDREN IN AN EFFORT TO ENCOURAGE EARLY ADOPTION OF THIS KIND OF EXERCISE. BAMC ALSO SUPPORTS CYCLING AS ANOTHER HEALTHY LIFESTYLE BY SPONSORING AND MANAGING THE BAMC MENOMINEE CENTURY BIKE RIDE, ONE OF THE LARGEST RIDES IN THE MIDWEST. IN ADDITION TO THE RIDE, WHICH HAS NEARLY 1000 RIDERS EACH YEAR, BAMC ALSO BEGAN A PROGRAM TO PROMOTE BIKE SAFETY THROUGH THE LOCAL SCHOOL SYSTEMS. BAY AREA MEDICAL CENTER PART V, SECTION B, LINE 16I: A FINANCIAL BROCHURE IS OFFERED TO PATIENTS UPON REGISTRATION AND BILLING STATEMENTS REFERENCE THE POLICY BUT DO NOT INCLUDE DETAIL. BAY AREA MEDICAL CENTER PART V, SECTION B, LINE 22D: IT MATCHES OR EXCEEDS THE COMMERCIAL INSURANCE RATE PAID BY THE GREATEST NUMBER OF OUR NEGOTIATED COMMERCIAL INSURANCE MANAGED CARE PLANS. 2 BAY AREA MOBILITY CENTER 3117 SHORE DRIVE MARINETTE WI 54143 REHABILITATION SERVICES AND OCCUPATIONAL HEALTH BAY AREA REHAB SERVICES - CRIVITZ WI 218 S US HWY 141 SUITE 100 CRIVITZ WI 54114 REHABILITATION SERVICES AND OCCUPATIONAL HEALTH PART I, LINE 7: BAY AREA UTILIZES A COST TO CHARGE RATIO. PART I, LINE 7G: TWIN COUNTIES FREE CLINIC PART I, LN 7 COL(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 $6,384,572 PART III, LINE 2: BAY AREA MEDICAL CENTER UTILIZED A COST TO CHARGE RATIO FOR DETERMINING THE COST OF BAD DEBT EXPENSE. PART III, LINE 4: BAY AREA ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE 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 UNCOLLECTIBLE ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, BAY AREA 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 THIRD-PARTY PAYORS HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO HAVE FINANCIAL DIFFICULTIES THAT MAKE 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 WITH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), BAY AREA 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. PART III, LINE 8: AMOUNTS ABOVE USE STANDARD MEDICARE DETERMINATION OF ALLOWABLE AND UNALLOWABLE DEPARTMENTS, STANDARD/RECOMMENDED MEDICARE ALLOCATION OF ADMINISTRATION AND GENERAL DEPARTMENTS COSTS TO ALLOWABLE AND UNALLOWABLE DEPARTMENTS BY THE USE OF BAY AREA MEDICAL CENTER'S MEDICARE COST REPORT. THE MEDICARE COST REPORT WAS CALCULATED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO FOLLOWS THE REGULATIONS FOR FILING THE MEDICARE COST REPORT. PART III, LINE 9B: BAY AREA MEDICAL CENTER WILL PROVIDE NEEDED HOSPITAL CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THESE SERVICES. COMMUNITY CARE IS ALLOCATED TO PATIENTS BASED ON SET GUIDELINES ESTABLISHED BY THE ORGANIZATION. A FULL OR PARTIAL ADJUSTMENT WILL BE DETERMINED BY COMPARING THE PATIENT'S FINANCIAL STATUS TO A SLIDING FEE SCHEDULE BASED ON THE MOST RECENTLY PUBLISHED FEDERAL POVERTY GUIDELINES.IT IS THE POLICY OF BAY AREA MEDICAL CENTER TO WRITE-OFF BOTH PARTIAL AND FULL PATIENT BALANCES FOR ACCOUNTS THAT QUALIFY FOR COMMUNITY CARE. THERE ARE NO FURTHER COLLECTIONS EFFORTS RELATED TO THOSE WHO QUALIFY FOR A FULL COMMUNITY CARE WRITE-OFF. PATIENTS THAT HAVE HAD PARTIAL WRITE-OFFS THAT DO NOT COOPERATE WITH COLLECTION EFFORTS ON THE BALANCES REMAINING WILL BE REFERRED TO A THIRD-PARTY COLLECTION AGENCY. IF STILL UNCOLLECTIBLE, THE PATIENT ACCOUNT WILL BE WRITTEN OFF TO BAD DEBT. PART VI, LINE 2: BAY AREA MEDICAL CENTER USES A BI-ANNUAL COMMUNITY SURVEY AND ALSO PARTICIPATES IN THE MARINETTE & MENOMINEE COUNTY HEALTH ASSESSMENT INITIATIVES. PART VI, LINE 3: - BROCHURES ARE PROVIDED TO EVERY PATIENT.- THE INFORMATION IS AVAILABLE ON THE ORGANIZATION'S WEBSITE.- ONE ON ONE MEETINGS WITH FINACIAL ADVISORS ARE ALSO AVAILABLE. PART VI, LINE 4: BAY AREA MEDICAL CENTER SERVES MARINETTE COUNTY, WI AND MENOMINEE COUNTY, MI. THERE ARE NO OTHER HOSPITALS LOCATED IN THESE COUNTIES. PART VI, LINE 5: - THE MAJORITY OF THE BAMC BOARD IS MADE UP OF RESIDENTS OF THE TWO COUNTIES IT SERVES. - BAMC HOSTS QUARTERLY MEETINGS WITH LOCAL MENTAL HEALTH PROFESSIONALS TO SUPPORT THIS INITIATIVE. WE ARE ALSO MEMBERS OF THE MICHIGAN HEALTHCARE CONSORTIUM IN THE UPPER PENINSULA.- ANY SURPLUS FUNDS ARE USED FOR IMPROVEMENTS TO THE FACILITY, EQUIPMENT, STAFF DEVELOPMENT AND PATIENT CARE. - BAMC PROVIDES DIRECT FINANCIAL SUPPORT TO THE TWIN COUNTIES FREE CLINIC. - BAMC HAS WORKING ARRANGEMENTS WITH A TWO YEAR TECHNICAL SCHOOL AND TWO YEAR COLLEGE TO OFFER NURSING AND OTHER MEDICAL PROFESSIONAL STUDENTS INTERNSHIPS IN THEIR PREPARATION FOR HEALTH CARE CAREERS. - BAMC PROVIDES SUPPORT TO LOCAL AREA VOLUNTEER RESCUE SQUAD UNITS THAT WORK WITH THE HOSPITAL-BASED AMBULANCE SERVICE.BAY AREA ACTIVELY PROVIDED OR PARTICIPATED IN THE FOLLOWING COMMUNITY-BASED ACTIVITIES AND PROGRAMS DURING 2014 AND 2013:- PROMOTED GENERAL HEALTH EDUCATION SERVICES SUCH AS HEALTH FAIRS, CANCER EDUCATION, HEALTHY HEART EDUCATION, AND HEALTHY EATING.- OFFERED HEALTH INFORMATION ON BAY AREA'S WEBSITE AND THROUGH HEALTH-RELATED PUBLICATIONS DISTRIBUTED AT NO CHARGE.- OFFERED BLOOD PRESSURE SCREENINGS, CHOLESTROL TESTING, GLUCOSE TESTING, BMD TESTING, AND INCONTINENCE SCREENINGS.- PROVIDED COLESTERAL CANCER SCREENINGS AND FREE MAMMOGRAMS.- PROVIDED ADVANCE DIRECTIVES AND LIVING WELL ASSISTANCE.- PROVIDED GUIDANCE, REFERRAL, AND ENROLLMENT ASSISTANCE FOR PUBLIC MEDICAL PROGRAMS, CERTIFIED COUNSELING FOR AFFORDABLE CARE ACT HEALTH EXCHANGE APPLICANTS, AND OTHER FAMILY SUPPORT ASSISTANCE.- PROVIDED SPACE AND FREE LAB TESTING AND DIAGONSTIC SERVICES TO SUPPORT A FREE COMMUNITY PHYSICIAN CLINIC.- PROVIDED EMERGENCY CAB FARE FOR PATIENTS WITH TRANSPORTATION NEEDS RELATED TO THEIR HEALTH CARE SERVICES.- PROMOTED PARTICIPATION IN BLOOD DRIVES BY EMPLOYEES AND THE GENERAL PUBLIC.- CONTRIBUTED TO THE EDUCATION OF STUDENT NURSES AND OTHER HEALTH CARE PROFESSIONALS.- SPONSORED AND ORGANIZED THE BAMC MENOMINEE RIVER CENTURY BIKE RIDE WHICH ATTRACTS OVER 1,000 RIDERS.- SPONSORED AND SUPPORTED CHAMBER OF COMMERCE AND EDUCATIONAL LEADERSHIP PROGRAMS.- PROVIDED ATHLETIC TRAINING SERVICES, CONCUSSION EVALUATIONS, AND SPORTS PHYSICALS TO AREA SCHOOL SYSTEMS AND SPORTS PROGRAMS.- PROVIDED FINANCIAL AND STAFF SUPPORT FOR COMMUNITY RUNS AND WALKS.-SPONSORED AND ORGANIZED THE BAMC WATERFRONT 5K/10K RUN, WHICH ATTRACTS OVER 400 RUNNERS.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 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 IS NOT QUANTIFIED. OUR HOSPITAL, LIKE MOST RURAL HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY-CARE THAT WITHOUT OUR HOSPITAL, WOULD NOT BE AVAILABLE LOCALLY.BEYOND INPATIENT HOSPITALIZATIONS, WE PROVIDE LOCAL ACCESS TO MANY HEALTH SERVICES: AMBULANCE SERVICES, BIRTHING CENTER, DIAGNOSTICS, EMERGENCY SERVICES, INPATIENT CARE, LABORATORY SERVICES, OCCUPATIONAL HEALTH & REHABILITATION SERVICES, SURGICAL SERVICES AND WOMENS' SERVICES. PART VI, LINE 6: BAMC'S ROLE HAS NOT CHANGED SINCE IT IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. THE ROLE OF AURORA IS TO SUPPORT BAMC'S MISSION BY PROVIDING STATEGIC AND OPERATIONAL SUPPORT. X X X X X 0 1 0 0 0 0 0 0 0 BERNADINE VAN COURT COO 221214 0 34529 0 26361 0 17465 0 13393 0 312962 0 0 0 C DANIEL CARLSON CFO 219284 0 80822 0 9328 0 23956 0 39109 0 372499 0 0 0 EDWARD HARDING CEO 389404 0 118693 0 14065 0 45725 0 37809 0 605696 0 0 0 THOMAS LEOW MD PHYSICIAN 206952 0 370178 0 37533 0 25122 0 23844 0 663629 0 0 0 MICHAEL KARKKAINEN MD PHYSICIAN 392742 0 760837 0 303967 0 32301 0 38794 0 1528641 0 0 0 MOHAMED EL-JACK MD PHYSICIAN 396763 0 633588 0 214144 0 89761 0 5765 0 1340021 0 0 0 EDGAR MASSABNI MD PHYSICIAN 629862 0 5417 0 205194 0 33468 0 40459 0 914400 0 0 0 BRANDON SCHARER MD PHYSICIAN 108268 0 428829 0 47197 0 19651 0 675 0 604620 0 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN AND RECEIVED PAYMENT FROM A NON-QUALIFIED RETIREMENT PLAN: CONTRIBUTIONS TO 457F PLAN: THOMAS LEOW, M.D. $23,000; MICHAEL KARKKAINEN, M.D. $82,679; MOHAMED EL-JACK, M.D. $91,639; EDGAR MASSABNI, M.D. $ 34,500; BRANDON SCHARER, M.D. $5,750; BERNADINE VAN COURT $0; DANIEL CARLSON $0; EDWARD HARDING $0. PAYMENTS FROM 457F PLAN: THOMAS LEOW, M.D. $3; MICHAEL KARKKAINEN, M.D. $12; MOHAMED EL-JACK, M.D. $15; EDGAR MASSABNI, M.D. $5; BRANDON SCHARER, M.D. $2; BERNADINE VAN COURT $2; DANIEL CARLSON $3,826; EDWARD HARDING $8 DISTRIBUTIONS THAT WERE PREVIOUSLY TAXED FROM 457(F) PLANS: THOMAS LEOW, M.D. $17,322; MICHAEL KARKKAINEN, M.D. $24,501; MOHAMED EL-JACK, M.D. $81,961; EDGAR MASSABNI, M.D. $25,668; BRANDON SCHARER, M.D. $11,851; BERNADINE VAN COURT $9,665; DANIEL CARLSON $16,156; EDWARD HARDING $37,925 A WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337955 97710V7Q5 2008-02-20 40000000 TO FUND PURCHASE OF HOSPITAL BUILDINGS, FIXTURES, AND CAPITAL EQUIPMENT. 0 0 0 A 5655000 40000000 13677860 738720 25583420 2008 0 1 1 1 A 0 0 0 0 0.00470 0.00470 0 0 0 A 0 0 0 0 1 1 PIPER JAFFRAY 30.000000000000 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 4 DURING 2014 M & M HEALTH CARE, INC WAS FORMED AS A PRIVATE, NOT-FOR-PROFIT CORPORATION. IN CONJUNCTION WITH THE REORGANIZATION, BAY AREA AMENDED ITS ARTICLES OF INCORPORATION TO RECOGNIZE AURORA HEALTH CARE NORTH, INC. AND M & M HEALTH CARE AS ITS CORPORATE MEMBERS WITH 49% AND 51% MEMBERSHIP INTERESTS, RESPECTIVELY. FORM 990, PART VI, SECTION A, LINE 6 IN 2014, BAMC AND AURORA HEALTH CARE NORTH, INC. NEGOTIATED AN ARRANGEMENT UNDER WHICH M&M AND AURORA BECAME THE SOLE MEMBERS OF BAMC. M&M HOLDS 51% OF THE VOTING INTERESTS IN BAMC AND AURORA HOLDS 49% OF THE VOTING INTERESTS. FORM 990, PART VI, SECTION A, LINE 7A BAY AREA MEDICAL CENTER'S BY-LAWS INDICATE THAT THE BOARD OF DIRECTORS OF THE CORPORATION SHALL BE NINE (9), FIVE OF WHOM SHALL BE APPOINTED BY M&M HEALTH CARE, INC. AND FOUR OF WHOM SHALL BY APPOINTED BY AURORA HEALTH CARE NORTH, INC. FORM 990, PART VI, SECTION A, LINE 7B THE CORPORATE MEMBERS HAVE RETAINED THE FOLLOWING RESERVED POWERS OVER THE CORPORATION SUCH THAT NONE OF SUCH ACTIONS MAY BE TAKEN BY THE CORPORATION WITHOUT THE UNANIMOUS APPROVAL OF ALL CORPORATE MEMBERS, AND THE CORPORATE MEMBERS, ACTING UNANIMOUSLY, MAY INITIATE AND TAKE SUCH ACTIONS: - TO CHANGE THE CORPORATION'S MISSION OR PURPOSE; - TO APPROVE ANY AMENDMENT TO THE ARTICLES OF INCORPORATION, BYLAWS OR OTHER GOVERNING DOCUMENTS OF THE CORPORATION, INCLUDING THE CONFLICT OF INTEREST, INSIDER TRASACTION, AND CONFIDENTIALITY POLICY ADOPTED BY THE THE BOARD OF DIRECTORS FROM TIME TO TIME; - TO APPROVE ALL MATTERS RELATING TO THE MEMBERSHIP OF THE CORPORATION OR ANY RIGHTS ARISING FROM SUCH MEMBERSHIP, INCLUDING THE ISSUING OF ADDITIONAL MEMBERSHIPS IN THE CORPORATION, RECLASSIFYING MEMBERSHIPS IN THE CORPORATION, CREATING A NEW CLASS OF MEMBERSHIP IN THE CORPORATION, BRINGING ON A NEW MEMBER OF THE CORPORATION, TRANSFERRING MEMBERSHIPS IN THE CORPORATION OR ANY RIGHTS ARISING THEREFROM OR REDEEMING MEMBERSHIPS IN THE CORPORATION OR ANY RIGHTS ARISING FROM THEREFROM; - TO APPROVE ANY INDEBTNESS FOR BORROWED MONEY TO BE INCURRED OR GUARANTEED ON BEHALF OF THE CORPORATION, EXCEPT THAT FINANCING FOR A FACILITY PLAN DEVELOPED IN 2014 OR 2015 AND APPROVED BY SUPER-MAJORITY BOARD APPROVAL DOES NOT REQUIRE THE UNANIMOUS APPROVAL OF ALL CORPORATE MEMBERS; - TO APPROVE CAPITAL LEASES IN EXCESS OF $3,000,000 IN THE AGGREGATE (AS DETERMINED BY TOTAL LEASE AND OTHER PAYMENTS); FORM 990, PART VI, SECTION B, LINE 11 THE CFO REVIEWS THE FORM 990 IN DETAIL AND THEN PROVIDES A COPY OF THE FORM 990 TO THE BOARD OF DIRECTORS TO REVIEW AT A BOARD MEETING PRIOR TO WHEN THE FORM 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C BOARD OF DIRECTORS - PERSONS WITH ACTUAL OR POTENTIAL CONFLICTS OF INTEREST SHALL FILE FORMAL STATEMENTS DISCLOSING ACTUAL OR POTENTIAL CONFLICTS WHENEVER AN ACTUAL OR POTENTIAL CONFLICT ARISES; BEFORE ANY TRANSACTIONS CONSTITUTING A CONFLICT OR POTENTIAL CONFLICT IS CONSUMMATED; AND ONCE EACH CALENDAR YEAR SO LONG AS THE CONFLICT OR POTENTIAL CONFLICT CONTINUES TO EXIST. THE DISCLOSURE STATEMENT SHALL INCLUDE A DESCRIPTION OF THE RELATIONSHIP OR INTEREST CAUSING THE CONFLICT OR POTENTIAL CONFLICT, THE ROLE IN THE RELATIONSHIP OR TRANSACTION PLAYED BY THE PERSON HAVING THE CONFLICT, AND THE BENEFITS AND DETRIMENTS ACCRUING TO THE HOSPITAL AND TO THE PERSON HAVING THE CONFLICT AS A RESULT OF THE CONTRACT, TRANSACTION, OR RELATIONSHIP. ANY MEMBER OF THE BOARD OF DIRECTORS HAVING AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ON ANY MATTER SHALL NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER CONSITUTING A CONFLICT. THE INTERESTED DIRECTOR MAY, HOWEVER, BE COUNTED FOR THE PURPOSE OF DETERMING WHETHER A QUORUM OF THE BOARD, OR OF A COMMITTEE OF THE BOARD, EXISTS. THE MATTER CONSITUTING THE CONFLICT SHALL BE APPROVED IF IT IS APPROVED BY A MAJORITY OF DISINTERESTED DIRECTORS VOTING ON THE MATTER. THE CONFLICT OF INTEREST POLICY SHALL BE REVIEWED ANNUALLY FOR THE INFORMATION AND GUIDANCE OF THE BOARD OF DIRECTORS AND THAT ANY NEW MEMBERS OF THE SAID BOARD OF DIRECTORS BE ADVISED OF THE POLICY UPON ENTERING ON THE DUTIES OF HIS/HER OFFICE. IN ADDITION TO THE BOARD OF DIRECTORS BEING HELD TO THE CONFLICT OF INTEREST POLICY, COPIES OF THE POLICY ARE PROVIDED TO ALL MANAGEMENT EMPLOYEES. CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED ANNUALLY BY ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES. THE COMPLETED FORMS ARE KEPT ON FILE BY ADMINISTRATION. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTOR'S COMPENSATION COMMITTEE REVIEWS COMPARABLE COMPENSATION INFORMATION ON OTHER HOSPITALS AND ESTABLISHES BAMC'S EXECUTIVE COMPENSATION LEVELS. MEMBERS OF THE COMPENSATION COMMITTEE DO NOT HAVE A CONFLICT OF INTEREST AND THE CONCLUSIONS ARE SUBSTANTIATED. THE REVIEW PROCESS TAKES PLACE AT LEAST ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DEEMS THESE DOCUMENTS PROPRIETARY SO THEY ARE NOT MADE AVAILABLE TO THE PUBLIC, EXCEPT THAT THE AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FORM 990. FORM 990, PART XI, LINE 9: INCREASE IN BENEFICIAL INTEREST IN BAMC FOUNDATION, INC. 57,956. ASSETS RELEASED FROM RESTRICTIONS -49,040. CHANGE IN POSTRETIREMENT BENEFIT OBLIGATION OTHER THAN EXPENSE 190,268. RECLASSIFICATION OF ACCUMULATED LOSS ON DESIGNATED CASHFLOW HEDGE 38,645. MEMBER EQUITY CONTRIBUTION 45,800,030. ACQUISITION OF WUPOMS -1,330,453. DISTRIBUTIONS TO MEMBERS -196,078. GAIN FROM DISCONTINUED OPERATION 7,176,887. FORM 990, PART XI, LINE 2C THE PROCESS OF OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART IV, LINE 12 BAY AREA MEDICAL CENTER WAS AUDITED AS PART OF A COMBINED AUDIT. BAMC ASSETS MADE UP 99% OF TOTAL ASSETS IN THE COMBINED AUDIT. FORM 990, PART XI, LINE 2B AND 2C BAY AREA MEDICAL CENTER WAS AUDITED AS PART OF A COMBINED AUDIT. SEE EXPLANATION TO PART IV, LINE 12. BAY AREA MEDICAL CENTER FOUNDATION INC 3100 SHORE DRIVE MARINETTE WI 54143 392020734 FUNDRAISING FOR BAMC, INC. WI 501 (C) 3 LINE 11A, I M & M HEALTH CARE INC 1 WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES INC 3100 SHORE DRIVE MARINETTE WI 54143 391677100 PROVIDING RADIATION ONCOLOGY SERVICES WI 501 (C) 3 LINE 11A, I BAY AREA MEDICAL CENTER INC 1 M & M HEALTH CARE INC 3100 SHORE DRIVE MARINETTE WI 54143 471540754 OVERSEEING THE ACCOMPLISHMENTS OF BAMC'S MISSION WI 501 (C) 3 LINE 11A, I BAY AREA MEDICAL CENTER INC 1 NORTHSHORE HEALTH NETWORK INC 3100 SHORE DRIVE MARINETTE WI 54143 271389366 MESSENGER MODEL PHO FOR MANAGED CARE CONTRACTS WI BAY AREA MEDICAL CENTER INC C 4690 15253 1.00000 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 1 BAY AREA MEDICAL CENTER FOUNDATION INC C 53009 CASH WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES INC J 317534 LEASE AGREEMENT WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES INC O 180482 LEASED EMPLOYEE AGREEMENT WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES INC Q 154872 CASH