2011-05-16T15:58:14-07:00 2010-09-30 990 2009-10-01 391091432 REEDSBURG AREA MEDICAL CENTER REED 6085246487 2000 North Dewey Avenue Reedsburg WI 53959 Robert Van Meeteren 6085246487 2011-05-16 2009 2016-02-24 21:20:13Z Robert Van Meeteren 2000 North Dewey Avenue Reedsburg WI 53959 42038387 0 X www.ramchealth.com X 1976 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 by 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 locally. 11 11 423 200 0 0 48653 67675 39433456 40332914 160444 361360 1413496 1259338 41056049 42021287 502406 482931 0 0 21100879 22002955 0 0 71894 18315345 17553020 39918630 40038906 1137419 1982381 58257758 61451815 28934348 29731122 29323410 31720693 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 by 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 locally. 0 0 3133300 8568 7271781 Inpatient services include Multicare (medical/surgical), Obstetrics/Nursery and Intensive Care units at Reedsburg Area Medical Center. Within these units, RAMC provided short-term care for 4,996 patient days (1,456 patients) during the fiscal year ending 09/30/2010. This included 383 swing bed days, 898 observations and 282 births. RAMC is proud to be the first hospital in Wisconsin to install and offer the Responder 5 - a complete patient- and family-to-staff communication system for it's inpatients. The system allows doctors, nurses and other health workers to coordinate patient care directly with each other, the patient and the patient's family. It also allows the patient quick, easy and direct access to staff. 2844960 0 15806062 In our commitment to providing high-quality, effective, local healthcare, RAMC has made several updates to our Radiology department during the fiscal year ending 09/30/2010. RAMC installed and began testing patients requiring a mammogram with a new state-of-the-art digital mammography system. This advanced machine produces incredibly sharp digital images and more accurate mammograms. RAMC also updated and installed new equipment in our Flouroscopy room and expanded capabilities of our in-house MRI to include breast MRIs. A total of 25,243 procedures (3,149 inpatient; 22,094 outpatient) were performed by our Radiology department, including ultrasounds, CT scans, nuclear medicine, mammograms, x-ray, PET CT scans, MRI and bone density tests. 2669522 600 7564396 RAMC's Urgent Care & Emergency Care is here for our community whenever they need us. 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 multi-disciplinary team of skilled professionals, along with up-to-date diagnostic technology, are available 24-hours a day. The staff at RAMC is here to meet patients' physical, social, educational, emotional and spiritual needs. In the fiscal year ending 09/30/2010, 9,048 patients were seen in the Emergency Room and 4,213 visited Urgent Care. 25238005 473763 11379048 RAMC is committed to providing a wide range of high quality and up-to-date services. Additional services available at RAMC include, but are not limited to, laboratory services, rehabilitation, sleep medicine, occupational medicine, surgical services, consulting, massage therapy, orthopedics, parish nursing, chemotherapy, volunteer services, community outreach and wellness. 25238005 473763 11379048 33885787 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 65 0 1 423 1 0 0 0 0 0 0 0 0 0 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X Joseph Svetlik 6085246487 2000 North Dewey Ave Reedsburg WI 53959 Winthrup Byers 0 X 3725 0 0 Janice Gerlach 0 X 2526 0 0 Jeff Steel 0 X 2625 0 0 Phyllis Irish 0 X 3675 0 0 Deanna Benish MD 0 X 2325 0 0 Katherine Campbell 0 X 2125 0 0 Eric Molberg 0 X 2308 0 0 James Sebranek 0 X 2125 0 0 Christopher Wenninger MD 0 X 15000 0 0 Kurt Muchow 0 X 1925 0 0 Eric Sauey 0 X 1350 0 0 Robert Van Meeteren 40 X 169402 0 21554 Joseph Svetlik 40 X 142856 0 45783 Dale Turner 40 X 107285 0 30983 Dennis Schommer 28 X 98780 0 30668 Beverly Hoege 40 X 137220 0 24319 Carla Mercer 40 X 86802 0 21399 Gerry Chrabaszcz 40 X 267415 0 22332 Christopher Bjorklund 40 X 252858 0 22332 Kevin McBride 40 X 242882 0 22332 Kenneth Olson 40 X 236111 0 22079 Eric Newgent MD 40 X 235481 0 22655 George Johnson 0 X 163333 0 0 2180134 0 286436 14 1 1 0 Acute Care PO Box 4130 Des Moines IA 50333 ER Physicians 1395342 Shared Imaging PO Box 45686 Madison WI 537445686 Imaging Services 860853 Reedsburg Physicians Group 1900 North Dewey Avenue Suite A Reedsburg WI 53959 Physician services 503463 CPSI 6600 Wall Street Mobile AL 36695 Computer Software Support Services 422465 Marshfield Laboratories 1000 North Oak Avenue Marshfield WI 54449 Laboratory Services 210722 11 0 0 0 0 0 67675 1800 67675 Medicare 622000 14897615 14897615 0 0 Dean Health Plan 622000 7760473 7760473 0 0 Blue Cross 622000 3872258 3872258 0 0 Medicaid 622000 3595355 3595355 0 0 The Alliance 622000 2341390 2341390 0 0 7865823 7865823 0 0 40332914 320898 320898 0 0 52160 52160 0 0 0 0 0 0 521060 0 0 0 521060 0 521060 521060 0 0 0 5402 0 17100 0 -11698 -11698 -11698 0 0 0 Cafeteria/Meals 622000 708439 708439 0 0 Loss on Advance Refunding 622000 -175287 -175287 0 0 205126 205126 0 0 738278 42021287 41953612 0 0 415013 415013 67918 67918 0 0 0 0 945369 0 916025 29344 184399 0 184399 0 15837636 15496155 313476 28005 693500 678607 13493 1400 3160172 3078821 71716 9635 1181879 1119058 59311 3510 0 0 0 0 105656 0 105656 0 30362 0 30362 0 0 0 0 0 0 0 0 0 0 0 2917092 2917092 0 0 207981 207981 0 0 6751094 6751094 0 0 391615 391615 0 0 0 0 0 0 644260 0 644260 0 52014 52014 0 0 0 0 0 0 66079 66079 0 0 941136 0 941136 0 0 0 0 0 2267350 0 2267350 0 134730 0 134730 0 Professional Fees 1630137 1630137 0 0 Bad Debt 399311 0 399311 0 Food Expense 405416 405416 0 0 Dues/Licenses/Assessments 213899 213899 0 0 Patient/Community Education 7925 7925 0 0 386963 386963 0 0 40038906 33885787 6081225 71894 0 0 8084320 9429807 0 0 6660142 6196269 0 0 0 0 109989 79426 1321870 1683752 1810657 1762564 50856320 20308290 30512522 30548030 6719022 8353318 1926565 2206942 0 0 1112671 1191707 58257758 61451815 4711885 5118167 0 0 987747 897706 23130948 22875406 0 0 0 0 103768 839843 0 0 28934348 29731122 X 28207722 30543940 1115688 1176753 0 0 29323410 31720693 58257758 61451815 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 26703 26703 0 36234798 11550946 24683852 0 0 0 0 0 13756584 8435126 5321458 0 838235 322218 516017 30548030 Student loans 31335 C Bond Funds 2175607 C 2206942 Interest in net assets of supporting organizations 1191707 1191707 42021287 40038906 1982381 414902 0 0 0 0 414902 2397283 42021287 0 0 0 0 0 42021287 0 0 0 42021287 40038906 0 0 0 0 0 40038906 0 0 0 40038906 1 1 1 X 1 X 1 1 1 0 1 1 1031702 0 1031702 0.026 5589013 3595355 1993658 0.0503 0 0 6620715 3595355 3025360 0.0763 19990 199355 12306 187049 0.0047 104 52102 0 52102 0.0013 500 544342 213505 330837 0.0083 2545 427696 0 427696 0.0108 0 23139 1223495 225811 997684 0.0251 0 23139 7844210 3821166 4023044 0.1014 500 1800 0 1800 0.00 300 10944 0 10944 0.0003 22600 0 22600 0.0006 40 3134 0 3134 0.0001 400 6142 0 6142 0.0002 0 1240 44620 0 44620 0.0012 1 219830 0 11541240 11426971 114269 X 1 1 Reedsburg Area Medical Center

2000 North Dewey Avenue Reedsburg WI 53959

X X X X RAMC uses a cost of charge ratio of 0.550523. This is derived by taking total expenses divided by gross charges for the fiscal year ending 09/30/2009 (40,038,906 / 72,728,879 = 0.550523). 399,311 Management provides for probable uncollectible amounts, primarily uninsured patient 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 management has used reasonable collection efforts are written off through a charge to the valuation allowance and a credit to patient accounts receivable. The amount reported on line two is calculated as follows: Bad debt expense of $889,033.07 less amounts recovered of $489,722.24 = net bad debt expense of $399,311.83 x .550523 (cost-to-charge ratio) = $219,829.80. The Medicare allowable costs were obtained from Medicare Cost Reports. Once the patient meets all qualifications for financial assistance, all or part of the account balance is written off, as appropriate. Any remaining balance, if any, would be collected under the normal debt collection policy. Every three years, RAMC conducts a formal Community Assessment, measuring awareness, preference, image and community needs. We conduct this within our primary service area - both within Reedsburg and the surrounding communities. We further have a feedback section on our website, ramchealth.com, allowing a forum for which the public can provide suggestions and comments. RAMC has also been busy gathering data from the Sauk County Health Needs Assessment, which has recently been conducted. This information has been segmented into our main market area. In working with a committee consisting of members including business and industry, this information has been prioritized and we are in the process of building a team of people who will help us as we set our actionable, measurable goals. Community 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. The hospital, when appropriate, will review the patient's financial situation to see if the patient qualifies for any form of assistance; Social Services is available to assist in this process. Patients Accounts is 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 RAMC Charity Care programs and county or state 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 our 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 direction to additional consumer resources. RAMC 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 covers four counties, the majority being in Sauk County, and is responsible for approximately 73% of RAMC's discharged patients. Since 1990, Sauk County has seen a 26.2% population growth while Reedsburg has experienced a 47.3% population growth. Reedsburg has also experienced a sizable increase in it's minority populations over the past several years, most notably in the Hispanic community. In 2009, Sauk County had a median income of $58,834 (compared to $63,969 for the Sate of Wisconsin) and unemployment rate of 7.3% (compared to 7.9% for the Sate of Wisconsin). In 2008, the unemployment rate was 4.8% for both Sauk County and the State of Wisconsin. There are no other hospitals located in RAMC's primary service area. Primary competition is from other community hospitals located in neighboring communities, as well as tertiary care hospitals in Madison that provide certain services not available at RAMC. RAMC 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. 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. RAMC employees are active in educating partners 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. RAMC is also mindful of and proactive in developing or partnering with groups working to better the current economic and environmental conditions of our community. RAMC 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 their 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 this goal. RAMC is the sole hospital in our community and provides numerous volunteer opportunities for area residents. WI 1 Reedsburg Area Senior Life Center 2350 North Dewey Avenue Reedsburg WI 53959 760775289 501(c)(3) 400000 Fair market value General operations Reedsburg Area Medical Center Foundation 2090 Ridgeview Drive Reedsburg WI 53959 391243616 501(c)(3) 15013 0 Fair market value Assist in the support of the Foundation's Free Clinic program which supports local residents who lack health insurance and the financial resources to pay for their health care needs. 2 0 Tuition assistance 28 62421 0 Fair market value Stipends 16 5496 0 Fair market value SchI_P01_S00_L02 Schedule I, Part I, Line 2 Grants were provided by RAMC to the Reedsburg Area Senior Life Center and the Reedsburg Area Medical Center Foundation. RAMC has (at least monthly) access to both of these organization's financial records and board meeting minutes for review of how funds are spent. 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 statewide and nationwide. It is our goal to have these trained professionals continue to work at RAMC in their new position to continue incorporating and fulfilling our mission in regards to our community and the level of care we provide. Proof of the cost of tuition and successful course completion are required. X X X X X 0 0 0 1 0 1 0 0 0 Robert Van Meeteren 142944 0 15750 0 10708 0 8832 0 12722 0 190956 0 159123 0 Joseph Svetlik 109216 0 13801 0 19839 0 33061 0 12722 0 188639 0 184030 0 Beverly Hoege 116092 0 13838 0 7289 0 19202 0 5117 0 161538 0 196797 0 Gerry Chrabaszcz 228459 0 0 0 38956 0 12250 0 10082 0 289747 0 308318 0 Christopher Bjorklund 236358 0 0 0 16500 0 12250 0 10082 0 275190 0 296982 0 Kevin McBride 226382 0 0 0 16500 0 12250 0 10082 0 265214 0 279965 0 Kenneth Olson 219611 0 0 0 16500 0 11996 0 10082 0 258189 0 264656 0 Eric Newgent MD 205429 0 9842 0 20210 0 12272 0 10082 0 257835 0 261204 0 George Johnson 163333 0 0 0 0 0 0 0 0 0 163333 0 311259 0 SchJ_P01_S00_L05 Schedule J, Part I, Line 5 Physician is eligible and received payment based on charges generated from health care services this physician provided. SchJ_P01_S00_L06 Schedule J, Part I, Line 6 Officers receive bonus compensation based on organization net income and meeting targeted strategic plan goals. City of Reedsburg 396005582 2003-06-03 2600000 Refund prior issue 0 0 Wisconsin Health & Educational Facilities Authority 391337855 97710VH43 2006-06-28 11865000 Construct & equip facility & refund prior issue 0 0 Wisconsin Health & Educational Facilities Authority 391337855 97710BXK3 2010-09-16 5800000 Refund prior issue 0 0 Wisconsin Health & Educational Facilities Authority 391337855 97710BXP2 2010-09-16 4273300 Refund prior issue 0 0 2600000 2600000 0 2003 1 0 1 1 11865000 1183280 3522124 237300 6922296 2009 1 0 1 1 5800000 580000 5104000 116000 2010 1 0 1 1 3966000 3886680 79320 2010 1 0 1 1 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 Brooks Schommer Family member of key officer 51641 Employment compensation 0 Connie Molberg Family member of director 33474 Employment compensation 0 Thersa Svetlik Family member to key officer 16458 Employment compensation 0 Jaclyn Schommer Family member of key officer 14827 Employment compensation 0 Katherine Campbell Director & partner of La Rowe, Gerlach & Roy 19750 Legal services 0 F990_P06_S0B_L11 Form 990, Part VI, Section B, Line 11 Upon completion of the form 990, the VP of Finance reviews for accuracy and completeness. Upon his approval, it is presented to the Board of Directors for final approval. It is then signed by the President/CEO and filed with the IRS. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c Members annually disclose any possible conflicts 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. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 Independent Wage and Salary surveys are used for all key employees, including the CEO/President. Rural Wisconsin Health Cooperative and the Wisconsin Hospital Association are the vendors. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 Copies of information are made available upon request. SchK_P03_S00_L04 Schedule K, Part III, Line 4 The construction of the property financed by the 2006A bond does include some portions used in a private business use 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. Filed for and received an extension to file until May, 15, 2011.