2012-05-14T09:31:05-05:00 2011-06-30 WIPFLI LLP 3703 OAKWOOD HILLS PARKWAY/PO BOX 6 EAU CLAIRE WI 547020690 990 2010-07-01 391370626 SOUTHWEST HEALTH CENTER INC SOUT 6083482331 1400 EAST SIDE RD PLATTEVILLE WI 538189800 MIKE GUTSCH 6083482331 2012-05-11 1 PAUL M TRACZEK CPA 7158323407 2012-05-11 2010 2016-02-24 21:20:13Z DAN ROHRBACH 1400 EAST SIDE RD PLATTEVILLE WI 538189800 41421190 0 X WWW.SOUTHWESTHEALTH.ORG X 1981 WI SOUTHWEST HEALTH CENTER OFFERS AN INTEGRATED CONTINUUM OF HEALTH CARE SERVICES. AS THE PROVIDER OF CHOICE OF THE PEOPLE OF SOUTHWEST WISCONSIN, VALUE IS OUR DRIVING FORCE. CONTINUALLY IMPROVING OUR SERVICES ENABLES US TO SURPASS EXPECTATIONS WHILE ACHIEVING COST-EFFECTIVE CLINICAL QUALITY. IN COLLABORATION WITH OUR COMMUNITY, AREA PHYSICIANS, AND OTHERS, WE RESPOND TO NEEDS BY MAINTAINING A FISCALLY STRONG ORGANIZATION THAT ENSURES A MEANINGFUL IMPACT ON THE LIVES OF THOSE WE SERVE. 9 9 472 49 15688 -23833 36405 112382 31162642 31666320 443123 979157 408229 328359 32050399 33086218 0 0 0 0 14161801 13971216 0 0 0 16379891 17009157 30541692 30980373 1508707 2105845 57888440 61408799 27754037 27495872 30134403 33912927 X CARING FOR LIFE. 0 0 21465156 24551259 SOUTHWEST HEALTH CENTER, INC. (THE "ORGANIZATION")PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY 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 THE MISSION OF THE ORGANIZATION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, INCLUDING PROVIDING SERVICES TO THOSE PERSONS WHO ARE EITHER UNDERINSURED OR WHO CANNOT AFFORD HEALTH INSURANCE BECAUSE OF INADEQUATE RESOURCES. HEALTH CARE SERVICES TO PATIENTS UNDER GOVERNMENT PROGRAMS, SUCH AS MEDICAID HOSPITAL SERVICES, ARE ALSO CONSIDERED PART OF THE ORGANIZATION'S BENEFIT PROVIDED TO THE COMMUNITY, SINCE A SUBSTANTIAL PORTION OF SUCH SERVICES ARE REIMBURSED AT AMOUNTS LESS THAN THE COSTS OF PROVIDING CARE. PATIENTS WHO MEET CERTAIN CRITERIA FOR CHARITY CARE, GENERALLY BASED ON FEDERAL POVERTY GUIDELINES, ARE PROVIDED CARE AT A SIGNIFICANTLY REDUCED RATE, DETERMINED BASED ON QUALIFYING CRITERIA AS DEFINED IN THE ORGANIZATION'S CHARITY CARE POLICY AND FROM APPLICATIONS COMPLETED BY PATIENTS AND THEIR FAMILIES. THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THIS POLICY FOR 2011 TOTALED $542,129. IN ADDITION, DISCOUNTS TO THE MEDICAID PROGRAM FOR HOSPITAL SERVICES AMOUNTED TO $5,497,873. (SEE ADDITIONAL INFORMATION ON THE COST TO THE HOSPITAL OF PROVIDING SERVICES TO MEDICAID AND CHARITY CARE RECIPIENTS IN SCHEDULE H OF THE FORM 990.)BENEFITS FOR SERVING THE COMMUNITY ALSO INCLUDE:- A COMMUNITY HEALTH INFORMATION NEWSLETTER THAT CONTAINS A BROAD RANGE OF PRACTICAL INFORMATION TO IMPROVE HEALTH AND WELLNESS AND IS MAILED TO 15,000+ LOCAL HOUSEHOLDS- OFFERING HEALTH SCREENINGS AND INFORMATION TO HUNDREDS OF AREA CONSUMERS OVER 65 YEARS OLD AT LOCAL SENIOR HEALTH FAIRS- A DIABETES HEALTH FAIR THAT EDUCATES THE COMMUNITY ON THIS DISEASE- A DIABETES MONTHLY SUPPORT GROUP- PROVIDING OF SPACE FOR AN AEROBICS CLASS THAT IS HELD TWICE PER WEEK- A WEEKLY HEALTH INFORMATION COLUMN IN A LOCAL NEWSPAPER- SPONSOR OF A PUBLIC WOMEN'S DAY THAT PROVIDED HEALTH INFORMATION- HOSTING OF A WEBSITE WITH IMPORTANT HEALTH INFORMATION- PROMOTION OF A HEALTH RESOURCE CENTER THAT PROVIDES PATIENTS, FAMILY MEMBERS, AND COMMUNITY MEMBERS ANSWERS TO HEALTH QUESTIONS AND OTHER RESOURCES TO HELP THEM LEARN ABOUT ANY HEALTH TOPIC- SPONSORING OF SEGMENTS ON LOCAL RADIO THAT PROVIDE WELLNESS FACTS AND INFORMATION TO THE COMMUNITYFOR 2011, TOTAL HOSPITAL PATIENT DAYS WERE 2,948 AND TOTAL OUTPATIENT ENCOUNTERS WERE 38,097. SOME KEY STATISTICS INCLUDED IN THESE TOTALS WERE 1,894 ACUTE INPATIENT DAYS, 729 SWING BED INPATIENT DAYS, 295 NURSERY DAYS, AND 9,698 EMERGENCY ROOM VISITS. 2611245 3635665 THE ORGANIZATION'S NURSING HOME PROVIDES LONG TERM CARE SERVICES FOR THE AGED AND DISABLED MEMBERS OF THE COMMUNITY. HEALTH CARE SERVICES TO MEDICAID NURSING HOME RESIDENTS, ARE CONSIDERED PART OF THE ORGANIZATION'S BENEFIT PROVIDED TO THE COMMUNITY, SINCE A SUBSTANTIAL PORTION OF SUCH SERVICES ARE REIMBURSED AT AMOUNTS LESS THAN THE COSTS OF PROVIDING CARE. FOR 2011, TOTAL NURSING HOME RESIDENT DAYS WERE 26,446. INCLUDED IN THIS TOTAL WAS 16,565 DAYS FOR RESIDENTS COVERED UNDER THE MEDICAID AND FAMILY CARE PROGRAMS.THE NURSING HOME OFFERS SKILLED NURSING CARE IN BOTH SHORT-TERM REHABILITATION PROGRAMS AND LONG-TERM CARE RESIDENT PROGRAMS. SOME OF THE SPECIALIZED CARE SERVICES OFFERED INCLUDE IV THERAPY CARE, WOUND CARE, PAIN MANAGEMENT, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY AMONG MANY OF THE CARE PROGRAMS PROVIDED. THE NURSING HOME OPERATES IN CONJUNCTION WITH THE HOSPITAL TO PROVIDE A SMOOTH TRANSITION FOR PATIENTS NEEDING EXTENDED REHABILITATION OR LONG-TERM CARE SERVICES. THE COOPERATION OF FACILITIES ALSO ALLOWS THE ORGANIZATION TO SHARE MANY DEPARTMENTS AND SERVICES IN SOUTHWEST HEALTH CENTER'S CONTINUED EFFORT TO PROVIDE HIGH QUALITY AND LOW COST CARE TO THE COMMUNITY.BASED ON THE 2011 MEDICARE COST REPORT, ADDITIONAL EXPENSES OF APPROXIMATELY $2,017,072 WERE ALLOCATED TO THE NURSING HOME THAT ARE INCLUDED IN THE HOSPITAL'S EXPENSES ON LINE 4A OF PART III OF THE 990, AND THESE EXPENSES INCLUDE ALLOCATIONS FOR EMPLOYEE BENEFITS, ADMINISTRATIVE FUNCTIONS, BUILDING DEPRECIATION, DIETARY, AND OTHER SHARED OVERHEAD EXPENSES. 2121805 2779005 THE ORGANIZATION PROVIDES BEHAVIORAL HEALTH SERVICES IN THE FORM OF INPATIENT, OUTPATIENT, AND CLINICAL COUNSELING SETTINGS WITH A FOCUS ON SENIOR BEHAVORIAL SCIENCES AT THE "SENIOR BEHAVORIAL SCIENCES" (SBS) CENTER. THE PRIMARY PATIENTS SERVED BY THIS CENTER ARE PATIENTS OVER THE AGE OF 55 AND ARE PRIMARILY MEDICARE AND MEDICAID PROGRAM BENEFICIARES WHICH OFTEN REIMBURSE THE ORGANIZATION AT RATES BELOW THE COST OF TREATING THESE PATIENTS. HOWEVER, THE ORGANIZATION FEELS THAT IT IS THEIR MISSION IN THE COMMUNITY TO PROVIDE THESE SERVICES TO PATIENTS IN NEED. THE SBS OPERATES OUT OF A MODERN FACILITY IN PLATTEVILLE, WISCONSIN WHICH WAS CONSTRUCTED IN 2009. THE SBS IS PROUD TO OFFER THESE SERVICES IN A MODERN FACILITY AT A TIME WHEN MANY DISTINCT PART PSYCHIATRIC UNITS ARE CLOSING DUE TO POOR REIMBURSEMENT FROM THIRD-PARTY PAYORS. THROUGH A GRANT PROVIDED BY THE HELEN BADER FOUNDATION, SBS ALSO OFFERS A MEMORY CLINIC TO WORK WITH SENIOR PATIENTS WHO ARE HAVING DIFFICULTIES WITH MEMORY AS THEY CONTINUE TO WORK TO LIVE ON THEIR OWN AS LONG AS POSSIBLE. THE SBS CENTER IS STAFFED BY A FULL-TIME PYSCHIATRIST, A NURSE PRACTITIONER, AND PROFESSIONAL NURSING AND SOCIAL SERVICES STAFF. PATIENTS OF THE SBS ALSO HAVE FULL ACCESS TO ALL OF THE DIAGNOSTIC, THERAPY, AND EMERGENCY SERVICES OF THE SOUTHWEST HEALTH CENTER HOSPITAL.THE TOTAL SBS CENTER PATIENT DAYS WERE 2,593 IN 2011.BASED ON THE 2011 MEDICARE COST REPORT, ADDITIONAL EXPENSES OF APPROXIMATELY $420,915 WERE ALLOCATED TO THE SBS CENTER THAT ARE INCLUDED IN THE HOSPITAL'S EXPENSES ON LINE 4A OF PART III OF THE 990, AND THESE EXPENSES INCLUDE ALLOCATIONS FOR EMPLOYEE BENEFITS, ADMINISTRATIVE FUNCTIONS, BUILDING DEPRECIATION, DIETARY, AND OTHER SHARED OVERHEAD EXPENSES. 630785 684703 THE ORGANIZATION ALSO OPERATES A HOSPICE PROGRAM. HOSPICE SERVICES ARE OFFERED IN GRANT, IOWA, LAFAYETTE, AND RICHLAND COUNTIES IN WISCONSIN, AND IN A VARIETY OF SETTINGS, INCLUDING THE PATIENTS HOME, A HOSPITAL, A NURSING HOME OR RESIDENTIAL CARE FACILITY, OR A PRIVATE HOSPICE FACILITY. HOSPICE CARE TREATS THE PERSON RATHER THAN THE DISEASE AND FOCUSES ON MANAGING SYMPTOMS SO THAT A PATIENT'S LAST DAYS ARE DIGNIFIED. FOR FISCAL YEAR 2011, A TOTAL OF 5,555 UNDUPLICATED DAYS OF CARE WERE PROVIDED TO HOSPICE PATIENTS.BASED ON THE 2011 MEDICARE COST REPORT, ADDITIONAL EXPENSES OF APPROXIMATELY $288,484 WERE ALLOCATED TO THE HOSPICE PROGRAM THAT ARE INCLUDED IN THE HOSPITAL'S EXPENSES ON LINE 4A OF PART III OF THE 990, AND THESE EXPENSES INCLUDE ALLOCATIONS FOR EMPLOYEE BENEFITS, ADMINISTRATIVE FUNCTIONS, BUILDING DEPRECIATION, DIETARY, AND OTHER SHARED OVERHEAD EXPENSES. 630785 684703 26828991 1 1 0 1 0 0 0 0 1 1 0 1 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 14 0 1 472 1 1 1 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MIKE GUTSCH 6083482331 1400 EAST SIDE RD PLATTEVILLE WI 538189800 JAMES SCHNELLER 2.00 X 0 0 0 PATRICK CLARE 2.00 X 0 0 0 DOUGLAS ROGERS 2.00 X 0 0 0 WILLIAM VAN DEEST 2.00 X 0 0 0 MICHAEL CONNOLLY MD 2.00 X 0 0 0 RITA ELVER 2.00 X 0 0 0 DUANE FORD 2.00 X 0 0 0 EMMY PROBST 2.00 X 0 0 0 JOHN STREICH 2.00 X 0 0 0 MEENAKSHI MASKI MD 2.00 X 0 0 0 KEVIN CARR MD 2.00 X 0 0 0 ANNE KLAWITER 40.00 X 0 268320 0 DUNLOP ECKER 40.00 X 0 0 0 MIKE GUTSCH 50.00 X 150338 0 22734 TERRANCE NORTON JR 40.00 X 222679 0 25891 LISA SCHWEITZER 40.00 X 108577 0 20862 481594 268320 69487 3 0 1 1 ACUTE CARE INC PO BOX 4130 DES MOINES IA 50333 ER PHYSICIAN COVERAGE 1521691 SHARED IMAGING SERVICES 915 17TH STREET PRAIRIE DU SAC WI 53578 RADIOLOGY SERVICES 793957 HORIZON MENTAL HEALTH MGMT PO BOX 910214 DALLAS TX 753910214 BEHAVIORAL HEALTH SERVICES 660354 CMT ANESTHESIA LLC 4834 HWY 151 SOUTH PLATTEVILLE WI 53818 ANESTHESIA SERVICES 522300 HEALTHTECH MANAGEMENT SERVICES INC 405 DUKE DRIVE SUITE 210 FRANKLIN TN 37067 ADMINISTRATIVE SERVICES 486103 15 35356 63662 13364 112382 HOSPITAL PATIENT REVEN 621990 24450170 24450170 NURSING HOME REVENUE 623000 3635665 3635665 PSYCHIATRIC REVENUE 623990 2779005 2779005 HOSPICE REVENUE 621990 684703 684703 CAFETERIA REVENUE 621990 101089 101089 15688 15688 31666320 499954 499954 780578 452219 328359 328359 328359 8354767 7189 7870897 11856 483870 -4667 479203 479203 33086218 31650632 15688 1307516 469854 469854 10670176 9483201 1186975 385067 342231 42836 1668331 1482742 185589 777788 683319 94469 162605 162605 102335 102335 212814 212814 5636954 5094971 541983 262611 262611 149399 30768 118631 190047 190047 3371213 3102763 268450 111957 24895 87062 50888 34219 16669 2171241 2171241 103968 103968 SUPPLIES 2307510 2155410 152100 PHARMACUETICALS 1048635 1048635 BAD DEBT EXPENSE 1004354 1004354 MISCELLANEOUS EXPENSE 122626 66274 56352 30980373 26828991 4151382 0 42964 2163 7364027 4237167 4989566 4868720 568906 543578 601581 565638 49532477 20588776 30607803 28943701 12786720 21315809 926873 932023 57888440 61408799 2523024 2670695 111013 65177 24720000 24360000 400000 400000 27754037 27495872 X 30006820 33761701 47552 60916 80031 90310 30134403 33912927 57888440 61408799 X 2105845 1672679 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5825 5825 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: SOUTHWEST HEALTH CENTER PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THESE DUES ARE PAID PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING AND MATERIALS. AHA AND WHA HAVE NOTIFIED SOUTHWEST HEALTH CENTER THAT APPROXIMATELY $2,877 OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT. SOUTHWEST HEALTH CENTER IS ALSO A MEMBER OF THE RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). EACH YEAR, SOUTHWEST HEALTH CENTER PAYS MEMBERSHIP FEES TO RWHC. RWHC PROVIDES SUPPORT SERVICES FOR A NUMBER OF ITS MEMBER HOSPITALS THROUGHOUT THE STATE OF WISCONSIN. SOME OF THE MANY SERVICES PROVIDED TO MEMBER HOSPITALS INCLUDE PROVIDING ASSISTANCE TO ORGANIZATIONS IN FINDING GRANT FUNDING FOR NEW PROGRAMS, LEGAL SERVICES, REIMBURSEMENT REVIEW SERVICES, ACCOUNTING ASSISTANCE, CONTRACTING FOR THERAPIST AND EMERGENCY ROOM PATIENT CARE COVERAGE, AND ADMINISTRATIVE CONSULTING SERVICES. AS A PART OF THESE SERVICES, RWHC ALSO DOES PROVIDE ANALYSIS OF CURRENT HEALTHCARE ISSUES IN AN EFFORT TO PROMOTE AND BETTER HEALTHCARE FOR HOSPITALS IN RURAL COMMUNITIES THROUGHOUT WISCONSIN. ONE OF THESE EFFORTS ALSO INCLUDES SOME LOBBYING ON THE PART OF THE MEMBER ORGANIZATIONS. RWHC DETERMINED THAT APPROXIMATELY $2,948 OF THE FEES PAID BY SOUTHWEST HEALTH CENTER IN 2011 RELATED TO LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE HEALTHCARE ENVIRONMENT IN THE STATE OF WISCONSIN. 80031 10279 90310 66537 13494 80031 1.00000 1 0 1226277 1226277 34392908 10283371 24109537 31921 8246 23675 13642269 10137181 3505088 239102 159978 79124 28943701 BOARD DESIGNATED FUNDS FOR CAPITAL IMPROVEMENTS 19349877 F DEBT SERVICE RESERVE FUNDS 1965932 F 21315809 ESTIMATED AMOUNTS PAYABLE TO REIMBURSEMENT PROGRAM 400000 400000 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENT FUNDS REPRESENT THE HEALTH CENTER'S INTEREST IN AN IRREVOCABLE TRUST. THE HEALTH CENTER RECEIVES INCOME FROM THE ENDOWMENT ON AN ANNUAL BASIS AND THIS INCOME IS USED TO SUPPORT OPERATIONS OF THE HEALTH CENTER. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: SOUTHWEST HEALTH CENTER, INC. AND SOUTHWEST HEALTH CENTER FOUNDATION, INC. ARE NONPROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THEY ARE ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. THE OTHER SUBSIDIARIES OF THE HEATH CENTER ARE TAXABLE CORPORATIONS AND INCLUDE SOUTHWEST MEDICAL SERVICES, INC.; SOUTHWEST SENIOR ENTERPRISES, INC.; SOUTHWEST WISCONSIN HEALTH COOPERATIVE, INC.; AND UNITED PHYSICIANS, INC. THE HEALTH CENTER ANNUALLY EVALUATES THE ACTIVITY IN THESE TAXABLE SUBSIDIARIES TO DETERMINE ANY NEED FOR AN ESTIMATED PROVISION OR CREDIT FOR INCOME TAXES OR RELATED DEFERRED TAX ASSETS OR LIABILITIES. IF ANY TAX PROVISIONS OR CREDITS ARE DETERMINED TO BE NECESSARY, THE HEALTH CENTER RECORDS THESE AMOUNTS IN THE CONSOLIDATED FINANCIAL STATEMENTS. DEFERRED INCOME TAXES ARE PROVIDED UNDER THE LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED UPON THE DIFFERENCE BETWEEN THE FINANCIAL STATEMENT AND TAX BASES OF ASSETS AND LIABILITIES, AS MEASURED BY THE ENACTED TAX RATES WHICH WILL BE IN EFFECT WHEN THESE DIFFERENCES ARE EXPECTED TO REVERSE. THE PROVISION OR CREDIT FOR DEFERRED TAXES IS THE RESULT OF CHANGES IN THE DEFERRED TAX ASSETS AND LIABILITIES. IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE HEALTH CENTER ASSESSES 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 TAX AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF TAX POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE HEALTH CENTER'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE WHEN INCURRED. AS OF JUNE 30, 2011 AND 2010, THERE WERE NO MATERIAL TAX PENALTIES, OR INTEREST RELATED TO TAX PENALTIES, RECORDED BY THE HEALTH CENTER IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE HEALTH CENTER RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED BENEFITS IN 2011 AND 2010. FEDERAL RETURNS FOR THE YEARS ENDED JUNE 30, 2008, AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE IRS. 1 1 X 0 1 X 1 1 0 1 1 298242 298242 0.00990 5480316 4777925 702391 0.02340 5778558 4777925 1000633 0.03330 85695 5439 80256 0.00270 2319818 1713566 606252 0.02020 2405513 1719005 686508 0.02290 8184071 6496930 1687141 0.05620 0 552526 276263 6925798 6805023 120775 X 1 1 2 1 SOUTHWEST HEALTH CENTER INC

1400 EAST SIDE ROAD PLATTEVILLE WI 53818

X X X X 2 SOUTHWEST HEALTH CENTER INC

1185 NORTH ELM STREET PLATTEVILLE WI 53818

X X PSYCHIATRIC HOSPITAL SOUTHWEST HEALTH CENTER INC 1 SOUTHWEST HEALTH CENTER INC 2 1 SOUTHWEST HEALTH CENTER NURSING HOME

808 SOUTH WASHINGTON STREET CUBA CITY WI 53807

SKILLED NURSING FACILITY PART I, LINE 3C: ALTHOUGH FEDERAL POVERTY GUIDELINES ARE USED FOR CALCULATING DISCOUNTED CARE TO BE PROVIDED UNDER THE ORGANIZATION'S CHARITY CARE POLICY, THESE GUIDELINES ARE NOT USED TO DETERMINE FREE CARE GIVEN. ALTHOUGH FREE CARE IS GENERALLY NOT GIVEN, A 95% DEDUCTION FROM BILLED CHARGES IS GRANTED TO PATIENTS UNDER 100% OF THE FEDERAL POVERTY GUIDELINES. 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 SERVICES REVENUES. 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. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES AT SOUTHWEST HEALTH CENTER, INC. INCLUDE THE OPERATION OF THE INPATIENT PSYCHIATRIC UNIT AND HOSPICE SERVICES. THE PSYCHIATRIC PROGRAM IS OPERATED TO PROVIDE SUPPORT TO THE COMMUNITY BY PROVIDING CARE FOR INDIVIDUALS FROM THE SURROUNDING AREA WHO HAVE MENTAL AND BEHAVIORAL CONDITIONS, WHICH WOULD OTHERWISE BE UNDERSERVED. THE HOSPICE PROGRAM PROVIDES SUPPORT TO THE COMMUNITY BY ENSURING THE PATIENT'S LAST DAYS ARE DIGNIFIED. IT IS THE GOAL OF SOUTHWEST HEALTH CENTER TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF A PATIENT'S ABILITY TO PAY. (ADDITIONAL INFORMATION ON THE INPATIENT GERO-PSYCHIATRIC PROGRAM CAN BE FOUND IN PART 4C OF PAGE 2 OF THE FORM 990, AND ADDITIONAL INFORMATION ON THE THE HOSPICE PROGRAM CAN BE FOUND IN PART 4D OF PAGE 2 OF THE FORM 990.) PART I, L7 COL(F): THE COSTING METHOD AND CALCULATIONS USED ON FORM 990 ARE BASED ON TOTAL OPERATING EXPENSES EXCLUDING BAD DEBT EXPENSE. THE COMMUNITY BENEFIT EXPENSE PERCENTAGES ARE CALCULATED BY DIVIDING THE COMMUNITY BENEFIT EXPENSE FOR EACH CATEGORY OF COMMUNITY SERVICES PROVIDED BY SOUTHWEST HEALTH CENTER REPORTED IN THE TABLE ON LINE 7 PART I OF THE SCHEDULE H BY THE TOTAL OPERATING EXPENSES OF THE HOSPITAL LESS THE PROVISION FOR BAD DEBTS OF 1,004,354. 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 ORGANIZATION 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 THE ORGANIZATION 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 ORGANIZATION'S TOTAL OPERATING EXPENSES LESS PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUES. 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 ORGANIZATION. THE ORGANIZATION 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 ORGANIZATION. 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 ORGANIZATION, 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, PSYCHIATRIC PHYSICIAN PROFESSIONAL SERVICES, REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS, PHYSICAL THERAPY SERVICES PROVIDED TO NURSING HOME RESIDENTS, AND A SIGNIFICANT PORTION OF LAB SERVICES PROVIDED TO AREA CLINIC PATIENTS. THESE PHYSICIAN PROFESSIONAL SERVICES, CLINICAL REFERENCE LAB SERVICES, AND NURSING HOME THERAPY SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULE REIMBURSEMENTS AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY PHYSICIAN, THERAPY, AND DIAGNOSTIC LABORATORY TESTING 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 SOUTHWEST HEALTH 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 JUNE 30, 2011, 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 ORGANIZATION'S COLLECTION AND CHARITY CARE POLICIES, SOUTHWEST HEALTH CENTER MAKES EVERY ATTEMPT TO IDENTIFY AND PROMOTE CHARITY CARE TO PATIENTS. INCLUDED IN THE ORGANIZATION'S CHARITY CARE POLICY IT IS NOTED THAT PATIENTS MAY QUALIFY FOR CHARITY CARE EITHER PRIOR TO ADMISSION OR FOLLOWING DISCHARGE. ALL INPATIENT SELF-PAY ADMISSIONS ARE SCREENED BY THE HOSPITAL'S PATIENT FINANCIAL COUNSELOR OR SOCIAL WORKERS TO ALLOW THESE PATIENTS THE ABILITY TO COMPLETE THEIR APPLICATION DURING THEIR STAY AT THE HOSPITAL, DEPENDING UPON THE PATIENT'S CONDITION, OR THE PATIENT'S RESPONSIBLE PARTY MAY BE CONTACTED TO COMPLETE AND RETURN THE FORMS AT A LATER TIME WHEN THEIR CARE ALLOWS THIS COMPLETION. 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. PART VI, LINE 8: SOUTHWEST HEALTH CENTER, INC. 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 WEBSITE. PART VI, LINE 2: SOUTHWEST HEALTH CENTER, INC. ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES AND AREAS IT SERVES BY REVIEWING LOCAL DEMOGRAPHICS AND TRENDS IN PATIENT SERVICE UTILIZATION TO DETERMINE WHICH SERVICES COULD AND SHOULD BE MADE AVAILABLE TO THE COMMUNITY IN A COST-EFFECTIVE MANNER TO BE CONSISTENT WITH SOUTHWEST HEALTH CENTER'S MISSION IN THE COMMUNITY. SOUTHWEST HEALTH CENTER ALSO REVIEWS STATISTICS IN THE HOSPITAL AND CLINICS TO REVIEW THE CURRENT SERVICES BEING OFFERED AND ENSURE THAT RESOURCES ARE BEING APPROPRIATELY ALLOCATED TO AREAS IN NEED BY COMMUNITY MEMBERS AND PATIENTS. THE ORGANIZATION ALSO MEETS WITH LOCAL COMMUNITY MEMBERS, LOCAL CLINICAL PHYSICIAN GROUPS, AND MEMBERS OF ITS STAFF TO DETERMINE WHICH SERVICES MAY BENEFIT THE COMMUNITY. PART VI, LINE 3: UNINSURED AND UNDER INSURED PATIENTS ARE ASKED TO MEET WITH ONE OF THE ORGANIZATION'S FINANCIAL COUNSELORS EITHER AT THE TIME SERVICE IS PROVIDED OR WHEN THE PATIENT'S BILL IS GENERATED. THE FINANCIAL COUNSELOR EXPLAINS THE VARIOUS PAYMENT OPTIONS AVAILABLE TO THE PATIENT AS WELL AS THE HOSPITAL'S CHARITY CARE PROGRAM AND OFFERS THE CHARITY CARE APPLICATION WHEN APPROPRIATE. IF OTHER PROGRAMS ARE AVAILABLE TO THE PATIENT, SUCH AS THE WISCONSIN MEDICAL ASSISTANCE OR BADGERCARE PROGRAMS, THESE PATIENTS ARE REFERRED TO THE APPROPRIATE GOVERNMENT AGENCY FOR FURTHER ASSISTANCE. PART VI, LINE 4: THE PRIMARY SERVICE AREA FOR SOUTHWEST HEALTH CENTER, INC. ENCOMPASSES ALL PERSONS LIVING WITHIN A 20 TO 30 MILE RADIUS OF THE FACILITIES IT OPERATES IN PLATTEVILLE AND CUBA CITY, WISCONSIN. SOME OF THE COMMUNITIES INCLUDED IN THIS AREA ARE PLATTEVILLE, CUBA CITY, DICKEYVILLE, TENNYSON, POTOSI, BELMONT, ELLENBORO, AND REWEY, WISCONSIN, AMONG MANY OTHERS. SOUTHWEST HEALTH CENTER, INC. PROVIDES A SIGNFICANT PORTION OF ITS PATIENT SERVICES TO BENEFICIARIES OF THE MEDICARE AND MEDICAL ASSISTANCE PROGRAMS. IN 2011, THESE MEDICARE AND MEDICAL ASSISTANCE PATIENTS ACCOUNTED FOR APPROXIMATELY 63 PERCENT OF THE GROSS PATIENT SERVICE REVENUE PROVIDED BY THE ORGANIZATION DURING THE YEAR. PART VI, LINE 6: 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. SOUTHWEST HEALTH CENTER, INC. PROVIDES SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS AND IN ADDITION, THE ORGANIZATION BELIEVES THAT IT PROVIDES A CRITICALLY IMPORTANT BENEFIT WHICH IS NOT QUANTIFIED. SOUTHWEST HEALTH 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, THE ORGANIZATION PROVIDES LOCAL ACCESS TO MANY SERVICES INCLUDING: DIAGNOSTICS, EMERGENCY SERVICES, INFUSION SERVICES, NURSING HOME SERVICES, SWING BED SERVICES, CLINICAL SERVICES, LABORATORY SERVICES, OCCUPATIONAL HEALTH, REHABILITATION SERVICES, SPECIALTY MEDICINE, SLEEP CENTER, SPEECH PATHOLOGY, SURGICAL SERVICES, HOSPICE SERVICES, PSYCHIATRIC SERVICES, AND WOMEN'S SERVICES, TO NAME SOME OF THE MAJOR SERVICES PROVIDED. REPORTS FILED WITH STATES PART VI, LINE 7 WI X X 0 0 0 0 0 0 0 0 0 ANNE KLAWITER 0 268320 0 0 0 0 0 0 0 0 0 268320 0 0 MIKE GUTSCH 137338 0 13000 0 0 0 7540 0 15194 0 173072 0 0 0 TERRANCE NORTON JR 212679 0 10000 0 0 0 10697 0 15194 0 248570 0 0 0 SUPPLEMENTAL INFORMATION PART III HEALTHTECH MANAGEMENT SERVICES IS THE UNRELATED ORGANIZATION THAT PROVIDES COMPENSATION TO ANNE KLAWITER, THE CEO OF SOUTHWEST HEALTH CENTER UNDER THE MANAGEMENT SERVICES CONTRACT IN PLACE BETWEEN HEALTHTECH MANAGEMENT SERVICES AND SOUTHWEST HEALTH CENTER. WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97710VSL3 2004-04-01 20000000 HOSPITAL REPLACEMENT 0 0 0 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97710BWY4 2010-07-15 6465000 REFUNDING OF 2004 VARIABLE RATE BONDS FOR REPLACEMENT HOSPITAL 0 0 0 365000 20000000 131032 19868968 2005 0 0 1 1 120000 6465000 125000 6340000 1 0 1 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE MEMBERS OF THE BOARD OF DIRECTORS ARE PROVIDED ACCESS TO A COPY OF THE FORM 990 FOR REVIEW PRIOR TO SUBMISSION. RESPONSES ON THE 990 ARE ALSO REVIEWED BY THE CFO OF THE ORGANIZATION PRIOR TO ITS SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS DISCLOSES ANY CONFLICTS OF INTEREST BY COMPLETING A QUESTIONNAIRE AND DISCLOSURE FORM ANNUALLY. EMPLOYEES ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY UPON HIRE AND AT ANNUAL INTERVALS. IF ANY SIGNIFICANT CONFLICTS ARISE WITH MEMBERS OF THE BOARD OF DIRECTORS, MANAGEMENT, OR KEY EMPLOYEES, IT IS PROPERLY DOCUMENTED AND FOLLOWED UP ON BY THE APPROPRIATE GOVERNING GROUP OR DEPARTMENT WITHIN THE ORGANIZATION ACCORDING TO THE CONFLICT OF INTEREST POLICY. ANY BOARD MEMBERS WITH NOTED CONFLICTS ARE ASKED TO ABSTAIN FROM VOTING ON ANY POTENTIALLY CONFLICTED ITEMS. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS BASED ON THE BOARD OF DIRECTORS' REVIEW OF THE MANAGEMENT AGREEMENT WITH HEALTHTECH MANAGEMENT SERVICES. THE BOARD OF DIRECTORS RELIES ON REVIEW OF THE MANAGEMENT AGREEMENT RATES FOR REVIEW OF THE COMPENSATION PAID TO THE CEO. COMPENSATION OF THE ORGANIZATION'S OFFICERS AND OTHER EMPLOYEES IS COMPARED TO A SURVEY FROM OTHER SIMILAR ORGANIZATIONS PERFORMED BY THE RURAL WISCONSIN HEALTH COOPERATIVE ANNUALLY. THE OFFICERS' COMPENSATION WAS APPROVED BY INDIVIDUALS WITHOUT CONFLICT, AND DOCUMENTATION REGARDING THEIR COMPENSATION ADJUSTMENTS ARE MAINTAINED. FORM 990, PART VI, SECTION C, LINE 19 THE ABBREVIATED FINANCIAL STATEMENTS ARE MADE PUBLICLY AVAILABLE THROUGH THE WISCONSIN HOSPITAL ASSOCIATION, AND THE COMPLETE AUDITED CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,669,831. NET ASSETS RELEASED FROM RESTRICTIONS 2,848. TOTAL TO FORM 990, PART XI, LINE 5: 1,672,679. THE ORGANIZATION ANSWERED "YES" TO QUESTION 2C UNDER PART XI OF THE 990, INDICATING THAT THE ORGANIZATION DOES HAVE A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE COMMITTEE THAT ASSUMES THIS RESPONSIBILITY IS THE ORGANIZATION'S FINANCE COMMITTEE. THIS COMMITTEE MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS REGARDING THE SELECTION OF THE INDEPENDENT ACCOUNTANT, AND THE BOARD OF DIRECTORS MAKES THE FINAL APPROVAL. THE BOARD OF DIRECTORS ALSO MEETS WITH THE AUDITORS ANNUALLY, AND APPROVES THE AUDIT REPORT. THE PROCESS USED BY THIS COMMITTEE HAS NOT CHANGED IN THE PAST YEAR. MANAGEMENT SERVICES AGREEMENT PART VI, LINE 3 SOUTHWEST HEALTH CENTER, INC. (SHC) HAS ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH HEALTHTECH MANAGEMENT SERVICES (HEALTHTECH), A HOSPITAL MANAGEMENT COMPANY WHICH CONTRACTS WITH HOSPITALS THROUGHOUT THE UNITED STATES TO PROVIDE MANAGEMENT SERVICES ON EITHER A LONG-TERM OR SHORT-TERM BASIS. UNDER THIS AGREEMENT, HEALTHTECH PROVIDES GENERAL ADMINISTRATIVE, CONSULTING, AND GROUP PURCHASING SERVICES TO SHC. UNDER THE MANAGEMENT AGREEMENT, HEALTHTECH IS ALSO RESPONSIBLE FOR THE SELECTION AND REVIEW OF THE ADMINISTRATOR OF SHC WITH FINAL APPROVAL OF THE ADMINISTRATOR'S SELECTION BY THE BOARD OF DIRECTORS OF SHC. SOUTHWEST HEALTH CENTER FOUNDATION INC 1400 EAST SIDE ROAD PLATTEVILLE WI 53818 391977502 FUNDRAISING WI 501(C)(3) LINE 11A, I N/A 1 SOUTHWEST SENIOR ENTERPRISES INC 1400 EAST SIDE ROAD PLATTEVILLE WI 53818 205501580 SENIOR CARE CAMPUS & ACTIVITIES WI N/A C 140736 171543 1.00000 UNITED PHYSICIANS INC 1400 EAST SIDE ROAD PLATTEVILLE WI 53818 391571681 PHYSICIAN SERVICES WI N/A S 358 32847 1.00000 SOUTHWEST WISCONSIN HEALTH COOPERATIVE INC 1400 EAST SIDE ROAD PLATTEVILLE WI 53818 HOSPITAL SHARED SERVICES WI N/A S 3 1884 1.00000 SOUTHWEST MEDICAL SERVICES INC 1400 EAST SIDE ROAD PLATTEVILLE WI 53818 INACTIVE-MANAGEMENT OF RESIDENTIAL FACILITY WI N/A S 1.00000 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 SOUTHWEST HEALTH CENTER FOUNDATION INC N 65570 COST