2014-08-14T08:53:08-05:00 2013-09-30 390758449 WIPFLI LLP 3703 OAKWOOD HILLS PARKWAY EAU CLAIRE WI 54701 990 2012-10-01 391091432 REEDSBURG AREA MEDICAL CENTER REED 6085246487 2000 NORTH DEWEY AVENUE REEDSBURG WI 53959 ROBERT VAN MEETEREN 6085246487 2014-08-13 1 HOLLY POKRANDT CPA P00449155 7158323407 2014-08-06 2012 2015-11-30 17:44:51Z ROBERT VAN MEETEREN 2000 NORTH DEWEY AVENUE REEDSBURG WI 53959 54282284 0 X WWW.RAMCHEALTH.COM X 1967 WI REEDSBURG AREA MEDICAL CENTER (RAMC) IS A NON-PROFIT, NON-STOCK CORPORATION WHICH EXISTS FOR THE BENEFIT OF THE PEOPLE OF REEDSBURG AND SURROUNDING AREAS. RAMC'S MISSION IS TO PROVIDE QUALITY, COMPASSIONATE AND EFFECTIVE HEALTH CARE GOING BEYOND THE EXPECTED IN ALL WE DO. OUR MAIN FUNCTION IS TO PROVIDE PRIMARY CARE SERVICES CONSISTING OF, BUT NOT LIMITED TO ACUTE CARE, OBSTETRICS, URGENT/EMERGENCY CARE, DIAGNOSTIC SERVICES, REHABILITATION, SURGICAL SERVICES, COMMUNITY OUTREACH AND WELLNESS. DIVERSIFICATION AND EXPANSION OF SERVICES ARE CONSIDERED IN RESPONSE TO THE NEEDS OF THOSE WE SERVE. RAMC 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. 11 7 519 130 0 0 271658 20307 45065851 47008555 796240 1150688 482041 392511 46615790 48572061 254925 481143 0 0 23987903 25208360 0 0 0 20228057 20456695 44470885 46146198 2144905 2425863 63644587 65136935 28181788 27390687 35462799 37746248 X REEDSBURG AREA MEDICAL CENTER, ALWAYS THERE, GOING BEYOND THE EXPECTED TO PROVIDE COMPASSIONATE, QUALITY AND EFFICIENT HEALTHCARE. 0 0 40345699 481143 47008555 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 4,706 PATIENT DAYS (1,383 DISCHARGED PATIENTS) DURING THE FISCAL YEAR ENDING 9/30/13. THIS INCLUDED 369 MEDICARE SWING BED DAYS FOR 62 PATIENTS, 524 OBSERVATION DAYS AND 279 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 OUR 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, SEVEN DAYS A WEEK. A MULTIDISCIPLINARY TEAM OF SKILLED PROFESSIONALS, ALONG WITH UP-TO-DATE DIAGNOSTIC TECHNOLOGY, ARE AVAILABLE 24 HOURS A DAY. IN THE FISCAL YEAR ENDING 9/30/13, 8,990 PATIENTS WERE SEEN IN THE EMERGENCY ROOM (RESULTING IN 1,075 INPATIENT ADMISSIONS) AND 5,248 PATIENTS VISITED URGENT CARE.DURING THE 9/30/13 FISCAL YEAR RAMC CONTINUED TO MAKE STRIDES TOWARD A FULLY IMPLEMENTED ELECTRONIC MEDICAL RECORDS (EMR) SYSTEM. RAMC LAUNCHED THE PHYSICIAN-SIDE OF THE SYSTEM LAST YEAR AND IS ON TRACK TO LAUNCH THE NEXT PHASE, THE PATIENT PORTAL, IN 2014. IN ITS COMMITMENT TO PROVIDE HIGH-QUALITY, EFFECTIVE, LOCAL HEALTHCARE, RAMC HAS ALSO MADE SEVERAL UPDATES TO VARIOUS DEPARTMENTS THROUGHOUT THE ORGANIZATION. THE BIRTH CENTER INSTALLED THE KINDERGUARD INFANT SECURITY SYSTEM TO SAFEGUARD NEWBORNS WHILE ON THE UNIT AND ALSO RENOVATED THE WATERBIRTH SUITE TO BETTER MEET THE NEEDS OF EXPECTANT MOTHERS AND THEIR SUPPORT SYSTEM. UPGRADES WERE MADE TO THE CARDIAC SERVER USED IN ICU AND ER TO MONITOR CARDIAC PATIENTS, NEW PATIENT BEDS WERE PURCHASED FOR THE MULTICARE INPATIENT UNIT AND NEW SCOPES WERE PURCHASED TO ALLOW HIGH-DEFINITION VIDEO CAPABILITIES FOR DIAGNOSTIC ENDOSCOPY PROCEDURES. 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 CARE 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. 40345699 1 1 0 0 0 0 0 0 0 0 1 0 1 1 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 60 0 519 1 0 0 0 0 0 0 0 0 0 0 X 11 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ROBERT VAN MEETEREN 6085246487 2000 NORTH DEWEY AVENUE REEDSBURG WI 53959 JAMES SEBRANEK 0.50 X 1600 0 0 DEANNA BENISH MD 0.50 X 2050 0 0 WIN BYERS 0.50 X 1750 0 0 ERIC MOLBERG 0.50 X 800 0 0 BARRY BORCHERT 0.50 X 1000 0 0 PAMELA WELCH 0.50 X 2100 0 0 KONYA ANTONETTI 0.50 X 1150 0 0 KURT MUCHOW 0.50 X X 1200 0 0 KATHERINE CAMPBELL 0.50 X X 2150 0 0 ERIC SAUEY 0.50 X X 1000 0 0 CHRIS WENNINGER MD 0.50 X X 750 0 0 ROBERT VAN MEETEREN 40.00 X 218980 0 67799 JOSEPH SVETLIK 40.00 X 158279 0 59571 JAMES CLAY 40.00 X 366014 0 27200 GERRY CHRABASZCZ 40.00 X 270560 0 33365 KEVIN MCBRIDE 40.00 X 256879 0 32649 CHRISTOPHER BJORKLUND 40.00 X 271136 0 33824 KENNETH OLSON 40.00 X 263999 0 31796 1821397 0 286204 18 0 1 0 WEBER ORTHOPEDICS SC 922 OTT LANE BARABOO WI 53913 SURGEON 1115436 REEDSBURG PHYSICIANS GROUP 1900 N DEWEY AVE REEDSBURG WI 53959 PHYSICIANS 551624 2 16307 4000 20307 PATIENT SERVICE REVENUE 621400 46181827 46181827 CAFETERIA REVENUE 722310 793206 793206 OTHER 900099 33522 33522 47008555 251099 251099 392511 0 392511 392511 392511 6602378 7434 5692609 17614 909769 -10180 899589 899589 48572061 47008555 0 1543199 X 415488 415488 65655 65655 450186 450186 18702911 16310925 2391986 691334 602917 88417 4057116 3538236 518880 1306813 1139680 167133 39796 39796 37700 37700 5977451 5267088 710363 219757 219757 371556 5872 365684 190763 190763 1642602 1642602 139337 99775 39562 2629766 2629766 182978 182978 MEDICAL SUPPLIES 4668281 4668281 BAD DEBT EXPENSE 1384499 1384499 REPAIR & MAINTENANCE 1241085 1201307 39778 NONMEDICAL SUPPLIES 737384 430011 307373 993740 943597 50143 46146198 40345699 5800499 0 2412 32815 5531028 6275706 7793538 7422401 98511 96946 1515144 1531572 1691814 692258 53067965 25312206 28973412 27755759 12166713 12806411 4677737 4854023 1194278 3669044 63644587 65136935 5533644 5456522 1096429 317816 20361722 19624880 1189993 812113 0 1179356 28181788 27390687 X 34265503 36381325 1197296 1364923 35462799 37746248 63644587 65136935 X 2425863 -313218 170804 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 4644 4644 0 EXPLANATION OF LOBBYING ACTIVITIES: 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 APPROXIMATELY $4,644 OF THE ANNUAL DUES PAID WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT. 26703 26703 36407466 14272065 22135401 15794238 10652956 5141282 839558 387185 452373 27755759 BOND FUNDS 4854023 C 4854023 INTEREST IN NET ASSETS OF SUPPORTING ORGANIZATION 1361906 AMOUNTS RECEIVABLE FROM THIRD-PARTY REIMBURSEMENT PROGRAMS 595454 DEFERRED COMPENSATION PLAN ASSETS 1117136 DEBT ISSUANCE COSTS 308044 OTHER ASSETS 286504 3669044 DEFERRED COMPENSATION 1179356 1179356 X 47187562 0 47187562 1384499 1384499 48572061 44761699 0 44761699 1384499 1384499 46146198 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE CORPORATIONS ARE NONPROFIT 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. THE CORPORATIONS ARE ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. 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 2013 AND 2012. FEDERAL RETURNS FOR THE YEARS ENDED SEPTEMBER 30, 2010, AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1,384,499. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1,384,499. 1 1 1 X 1 X 1 1 0 1 1 1049936 1049936 0.02350 5548464 4630902 917562 0.02050 6598400 4630902 1967498 0.04400 342550 18090 324460 0.00720 130279 130279 0.00290 5715960 3404409 2311551 0.05160 434676 434676 0.00970 6623465 3422499 3200966 0.07140 13221865 8053401 5168464 0.11540 14323 14323 0.00030 4051 4051 0.00010 1209 1209 0.00000 16615 3010 13605 0.00030 36198 3010 33188 0.00070 0 669873 334963 13099418 13071872 27546 X 1 1 1 1 REEDSBURG AREA MEDICAL CENTER INC

2000 NORTH DEWEY AVENUE REEDSBURG WI 53959

WWW.RAMCHEALTH.COM X X X X PROVIDER BASED SPECIALTY CLINIC REEDSBURG AREA MEDICAL CENTER INC 1 1 X X X X X X X X X 12 1 0 1 X X X X X X X X X X 1 0 1 1 150.000000000000 1 400.000000000000 1 X X X X 1 1 X X X 1 X X X 1 X X X X X 1 X 0 0 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 METHOD USED ON FORM 990 IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST TO CHARGE RATIO IS APPLIED AGAINST 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, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1384499. PART II: 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 OR 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 OUR COMMUNITY AND PROVIDES NUMEROUS VOLUNTEER OPPORTUNITIES FOR AREA RESIDENTS. PART III, LINE 4: 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.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 PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST TO CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT ARE WRITTEN OFF DURING THE FISCAL YEAR TO ESTIMATE THE COST OF THE CARE OF PATIENTS THAT HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE HOSPITAL. THE HOSPITAL ALSO RECOGNIZES THAT IT ALSO PROVIDES A DISCOUNT TO SELF-PAY OR UNINSURED PATIENTS. THESE AMOUNTS ARE INCLUDED IN THE CONTRACTUAL ADJUSTMENTS ON THE FINANCIAL STATEMENTS AND ARE NOT INCLUDED IN THE RATIO AS DESCRIBED ABOVE AND APPROVED BY THE IRS FOR USE ON FORM 990. IF CONSIDERED, THESE ADDITIONAL WRITE-OFF AMOUNTS TO UNINSURED ACCOUNTS WOULD ALSO INCREASE THE ESTIMATED BAD DEBT EXPENSE AMOUNT ASSOCIATED WITH THESE UNCOLLECTIBLE ACCOUNTS TO THE HOSPITAL. 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, 2013, 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, WHICH 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 QUALIFICIATIONS 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. REEDSBURG AREA MEDICAL CENTER, INC. PART V, SECTION B, LINE 3: 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 VICTIM 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 RANAGE OF HEALTH ISSUES. REEDSBURG AREA MEDICAL CENTER, INC. PART V, SECTION B, LINE 5C: 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, INC. PART V, SECTION B, LINE 14G: IF A PATIENT DID NOT HAVE INSURANCE AND IT APPEARED THAT THEY WOULD HAVE DIFFICULTY PAYING THE HOSPITAL BILL, THE PATIENT WOULD BE INFORMED OF THE POLICY AND OFFERED AN APPLICATION. REEDSBURG AREA MEDICAL CENTER, INC. PART V, SECTION B, LINE 20D: 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 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.ORG, 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 AREA. 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 REPRESENTATITVES FROM BUSINESS AND INDUSTRY, THIS INFORMATION HAS BEEN PRIORITIZED AND THE HOSPITAL IS IN THE PROCESS OF BUILDING A TEAM OF PEOPLE WHO WILL HELP SET ACTIONABLE, MEASURABLE GOALS TO BENEFIT THE COMMUNITY. 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 ELIGIBILITY 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 77% 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 TO 2010, WHILE THE STATE OF WISCONSIN EXPERIENCED GROWTH OF 6%. THE CITY OF REEDSBURG GREW AT A RATE 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. 24% OF COUNTY RESIDENTS ARE UNDER THE AGE OF 18 (23% STATE), 15% ARE ABOVE THE AGE OF 65 (14% STATE) AND 46% OF SAUK COUNTY LIVES IN RURAL AREAS (30% STATE). THE MEDIAN HOUSEHOLD INCOME REPORTED FOR SAUK COUNTY IS $48,874 ($50,401 STATE) WHILE UNEMPLOYED IS 7.5% (7.5% STATE). THIRTY TWO PERCENT OF COUNTY CHILDREN ARE ELIGIBLE FOR FREE SCHOOL LUNCH (33% STATE) WHILE 18% LIVE IN POVERTY (18% STATE). FOURTEEN PERCENT OF COUNTY ADULTS AND 6% OF COUNTY CHILDREN ARE UNINSURED (13% AND 5% RESPECTIVELY FOR WISCONSIN). 9% OF COUNTY RESIDENTS (9% STATE) REPORTED NOT SEEING A DOCTOR FOR THE PRIOR 12 MONTHS DUE TO COST WHILE 26% (25% 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 42ND 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 AVAILABLE 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. REPORTS FILED WITH STATES PART VI, LINE 7 WI 1 REEDSBURG AREA SENIOR LIFE CENTER 2350 NORTH DEWEY AVENUE REEDSBURG WI 54959 760775289 501(C)(3) 400000 GENERAL OPERATIONS REEDSBURG AREA MEDICAL CENTER FOUNDATION 2090 RIDGEVIEW DRIVE REEDSBURG WI 54959 391243616 501(C)(3) 15000 FREE CLINIC 2 0 TUITION ASSISTANCE 26 56055 STIPENDS 22 9600 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANTS WERE PROVIDED BY REEDSBURG AREA MEDICAL CENTER (RAMC) TO REEDSBURG AREA SENIOR LIFE CENTER AND REEDSBURG AREA MEDICAL CENTER FOUNDATION. RAMC HAS (AT LEAST MONTHLY) ACCESS TO BOTH OF THESE 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 STATE- 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 ROBERT VAN MEETEREN 187019 0 29480 0 2481 0 46793 0 21006 0 286779 0 0 0 JOSEPH SVETLIK 142721 0 15558 0 0 0 37171 0 22400 0 217850 0 0 0 JAMES CLAY 366014 0 0 0 0 0 10000 0 17200 0 393214 0 0 0 GERRY CHRABASZCZ 270305 0 255 0 0 0 12500 0 20865 0 303925 0 0 0 KEVIN MCBRIDE 256145 0 734 0 0 0 12204 0 20445 0 289528 0 0 0 CHRISTOPHER BJORKLUND 268756 0 2380 0 0 0 12500 0 21324 0 304960 0 0 0 KENNETH OLSON 263729 0 270 0 0 0 12500 0 19296 0 295795 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 PRIOR ISSUE 0 0 0 B WISCONSIN HEALTH & EDUCATIONAL FACILITIES 391337855 97710VH43 2006-06-28 11865000 CONSTRUCT & EQUIP FACILITY & REFUND PRIOR ISSUE 0 0 0 C WISCONSIN HEALTH & EDUCATIONAL FACILITIES 391337855 97710BXK3 2010-09-16 5800000 REFUND PRIOR ISSUE 0 0 0 D WISCONSIN HEALTH & EDUCATIONAL FACILITIES 391337855 97710BXP2 2010-09-16 4273300 REFUND PRIOR ISSUE 0 0 0 A 1368420 2600000 2600000 1 0 1 1 B 3170000 11865000 1183280 3522124 237300 6922296 1 0 1 1 C 375000 5800000 580000 5104000 116000 1 0 1 1 D 4273300 4180408 85470 7422 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 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 0 A 0 B 0 C 0 D 0 SCHEDULE K PART IV, ARBITRAGE, LINE 2C DATE REBATE COMPUTATION PERFORMED ISSUER NAME: WISCONSIN HEALTH & EDUCATIONAL FACILITIES DATE THE REBATE COMPUTATION WAS PERFORMED: 06/28/2011 SCHEDULE K, PART III, LINE 4 THE CONSTRUCTION OF THE PROPERTY FINANCED BY 2006A REVENUE BONDS (B) INCLUDE SOME PORTIONS USED IN PRIVATE BUSINESS USED BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR STATE OR LOCAL GOVERNMENT. THE PORTION OF THE BUILDING USED BY THESE ENTITIES WAS FINANCED DIRECTLY BY RAMC THROUGH CASH PAYMENTS TOTALING $4,913,708. CONNIE MOLBERG FAMILY MEMBER OF DIRECTOR 41488 EMPLOYMENT COMPENSATION 0 REEDSBURG PHYSICIAN GROUP (RPG) TWO RAMC DIRECTORS ARE ALSO RPG PARTNERS 494653 PHYSICIAN COMPENSATION 0 LINDSEY MUCHOW FAMILY MEMBER OF DIRECTOR 42932 EMPLOYMENT COMPENSATION 0 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 MEMBERS ANNUALLY DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST WHEN THEY SIGN THE CONFLICT OF INTEREST POLICIES. MEMBERS ROUTINELY ABSTAIN FROM VOTING ON ANY MATTERS AND EXCUSE THEMSELVES FROM DECISIONS ON MATTERS WITH WHICH THEY HAVE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 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. 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. OTHER FEES FORM 990, PART IX, LINE 11G EMERGENCY ROOM PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,583,913. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,583,913. MOB PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,386,516. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,386,516. PHARMACY PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 225,241. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 225,241. LAB/RADIOLOGY PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,513,985. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,513,985. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 557,433. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 557,433. ADMINISTRATIVE PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 710,363. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 710,363. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: NET CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 170,804. SELECTION OF AN INDEPENDENT ACCOUNTANT FORM 990, PART XII, LINE 2C: THE HOSPITAL HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE BOARD OF DIRECTORS TAKES TIME TO MEET WITH INDEPENDENT ACCOUNTANTS FOLLOWING THE AUDIT EACH YEAR TO REVIEW THE FINANCIAL STATEMENTS AND ITEMS NOTED DURING THE AUDIT WITHOUT MANAGEMENT PRESENT TO ALLOW EVEN MORE OVERSIGHT BY THE BOARD INTO THE ANNUAL AUDIT PROCESS. MEMBERS OF THE BOARD OF DIRECTORS ALSO HAVE THE CONTACT INFORMATION OF THE INDEPENDENT ACCOUNTANT AND ARE ENCOURAGED TO CONTACT THE ACCOUNTANTS DURING THE YEAR WHEN QUESTIONS ARISE. THERE HAS BEEN NO CHANGE TO THESE PROCEDURES DURING THE PAST YEAR. REEDSBURG AREA MEDICAL CENTER FOUNDATION INC 2090 RIDGEVIEW DRIVE REEDSBURG WI 53959 391243616 FUNDRAISING WI 501(C)(3) LINE 7 REEDSBURG AREA MEDICAL CENTER INC 1 PARTNERS OF REEDSBURG AREA MEDICAL CENTER 2000 NORTH DEWEY AVENUE REEDSBURG WI 53959 237373902 FUNDRAISING WI 501(C)(3) LINE 7 REEDSBURG AREA MEDICAL CENTER INC 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0