2026-07-29T12:03:10-05:00 2025-09-30 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2024-10-01 391091432 REEDSBURG AREA MEDICAL CENTER REED 6085246487 2000 NORTH DEWEY AVENUE REEDSBURG WI 53959 ROBERT VAN MEETEREN PRESIDENT/CEO 6085246487 2026-07-29 1 1 JUSTIN HARTERT P02236744 5074467100 2026-07-10 2024 2025-03-06 01:10:19Z ROBERT VAN MEETEREN 2000 NORTH DEWEY AVENUE REEDSBURG WI 53959 121680411 0 X WWW.RAMCHEALTH.COM X 1967 WI PROVIDE QUALITY, COMPASSIONATE, & EFFECTIVE HEALTH CARE GOING BEYOND THE EXPECTED IN ALL WE DO. 11 9 752 72 3009936 2094792 7452 521226 106800099 117456728 2695919 1925080 2085230 1777377 111588700 121680411 1534639 1613735 0 0 58585618 65802205 0 0 0 48394879 54842763 108515136 122258703 3073564 -578292 142027529 140648858 69478541 65089107 72548988 75559751 X REEDSBURG AREA MEDICAL CENTER, ALWAYS THERE, GOING BEYOND THE EXPECTED TO PROVIDE COMPASSIONATE, QUALITY, AND EFFICIENT HEALTH CARE. 0 0 100637487 1613735 97213183 AT REEDSBURG AREA MEDICAL CENTER (RAMC), WE BELIEVE THAT EVERYONE DESERVES ACCESS TO QUALITY HEALTH CARE, REGARDLESS OF THEIR INCOME LEVEL, AND OUR FOCUS REMAINS ON THE PATIENTS AND COMMUNITIES WE SERVE. WE ALSO BELIEVE THAT BEING A NON-PROFIT MEDICAL CENTER IS A PRIVILEGE AND AN OBLIGATION. EACH AND EVERY DAY WE STRIVE TO BE A LEADER IN COMMUNITY HEALTH. BY NOT ONLY MEETING, BUT OFTEN EXCEEDING THAT EXPECTATION, RAMC IS STRENGTHENING OUR RELATIONSHIP WITH PATIENTS, VISITORS AND NEIGHBORING COMMUNITIES. BEING A COMMUNITY PARTNER IS AN AWESOME AND IMPORTANT TASK. IT IS ONE WE FEEL HONORED TO UPHOLD. THE STAFF AT RAMC IS COMMITTED TO MEETING PATIENTS' PHYSICAL, SOCIAL, EDUCATIONAL, EMOTIONAL AND SPIRITUAL NEEDS WHETHER THAT PATIENT IS RECEIVING INPATIENT OR OUTPATIENT SERVICES. RAMC'S INPATIENT SERVICES INCLUDE MEDICAL/SURGICAL, OBSTETRICS/NURSERY, AND INTENSIVE CARE UNITS. WITHIN THESE UNITS, RAMC PROVIDED SHORT-TERM CARE FOR 3,344 PATIENT DAYS (1,188 DISCHARGED PATIENTS) DURING THE FISCAL YEAR ENDING 9/30/25. THIS INCLUDED 56 SWING BED DAYS FOR 6 PATIENTS, 944 OBSERVATION DAYS AND 249 BIRTHS. RAMC'S EMERGENCY DEPARTMENT AND WALK-IN CLINIC ARE HERE FOR THE COMMUNITY WHENEVER THEY MAY NEED IT. THE WALK-IN CLINIC HAS HOURS OF AVAILABILITY FOR MINOR MEDICAL NEEDS SEVEN DAYS A WEEK AND THE EMERGENCY DEPARTMENT IS OPEN AND PHYSICIAN-STAFFED 24 HOURS A DAY, SEVEN DAYS A WEEK. IN THE FISCAL YEAR ENDING 9/30/25, 9,997 PATIENTS WERE SEEN IN THE EMERGENCY DEPARTMENT (RESULTING IN 1,186 INPATIENT ADMISSIONS) AND 13,707 PATIENTS VISITED THE WALK-IN CLINIC. AS IDENTIFIED IN OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, HOUSING, MENTAL HEALTH AND SUBSTANCE ABUSE ARE THE TOP PRIORITIES THAT RAMC WILL WORK TO ADDRESS. WE ARE COMMITTED TO MAKING POSITIVE IMPACTS IN THESE AREAS AND SHOW THIS THROUGH OUR COMMUNITY PARTNERSHIPS AND SUPPORT. RAMC HAS COLLABORATED WITH COMMUNITY PARTNERS ON SEVERAL INITIATIVES INCLUDING, BUT NOT LIMITED TO, WORKING WITH SAUK COUNTY HEALTH & WELLNESS COALITION FOR MENTAL HEALTH TRAINING; COLLABORATION WITH THE SAUK COUNTY HEALTH DEPARTMENT TO COMBAT DEATH BY SUICIDE; IS A MEMBER OF THE SAUK COUNTY PARTNERSHIP FOR PREVENTION; SUPPORT OUR LOCAL BOYS & GIRLS CLUB; AND HOLD COMMUNITY DIABETES PREVENTION PROGRAMMING AND HEALTHY LIVING CLASSES (HEALTH4U) AS WELL AS VARYING SUPPORT GROUPS. RAMC HAS PLACED A LARGE FOCUS ON EXPANDING BEHAVIORAL HEALTH SERVICES IN OUR PRIMARY CARE CLINIC (RAMC PHYSICIANS GROUP). EXPANDING ACCESS TO THESE MUCH-NEEDED SERVICES FOR UNDERSERVED POPULATIONS, ESPECIALLY MEDICAID PATIENTS, IS A HIGH PRIORITY AT RAMC. WE HAVE SEVERAL PROVIDERS RANGING FROM PSYCHIATRISTS, A PSYCHOLOGIST, LICENSED PROFESSIONAL COUNSELORS, AND ADVANCED CARE PROVIDERS SPECIALIZING IN BEHAVIORAL HEALTH AND WE OFFER BOTH IN PERSON AND TELE-HEALTH BEHAVIORAL HEALTH SERVICES TO BEST MEET THE PATIENT'S NEEDS.IN ADDITION, RAMC SUPPORTS MANY LOCAL EVENTS AND ACTIVITIES DESIGNED TO HELP ENCOURAGE HEALTHY LIFESTYLES AND CHOICES. DURING THE FISCAL YEAR ENDING 9/30/25, RAMC HAS DEMONSTRATED OUR COMMITMENT TO ENSURING THAT QUALITY HEALTHCARE IS ALWAYS AVAILABLE CLOSE TO HOME THROUGH THE ADDITION OF PROVIDERS AND CONTINUED SUPPORT OF COMMUNITY WELLNESS PROGRAMS. OUR TWO PHARMACIES OFFER SERVICES SUCH AS IMMUNIZATIONS, BLOOD PRESSURE AND BLOOD SUGAR CHECKS, MEDICATION REVIEW AND DAILY MEDICATION PACKAGING WITH THE RAPID PACK PROGRAM. OTHER SERVICES AVAILABLE TO MEET THE COMMUNITY'S HEALTH NEEDS INCLUDE, BUT ARE NOT LIMITED TO, LABORATORY, PHYSICAL, OCCUPATIONAL, SPEECH AND CARDIAC AND PULMONARY REHABILITATION, SLEEP MEDICINE, SURGICAL SERVICES, CONSULTING SERVICES, MASSAGE THERAPY, ACUPUNCTURE, ORTHOPEDICS, OBSTETRICS, CHEMOTHERAPY, INFUSIONS, AUDIOLOGY, FAMILY PRACTICE, CHRONIC CARE MANAGEMENT, PEDIATRICS, INPATIENT AND OUTPATIENT PHARMACIES, GYNECOLOGY, DIABETES MANAGEMENT AND EDUCATION, MEDICAL IMAGING, NUTRITION SERVICES, RESPIRATORY THERAPY, VOLUNTEER SERVICES, COMMUNITY OUTREACH AND WELLNESS. 11679441 0 17066197 REEDSBURG AREA MEDICAL CENTER COMMUNITY PHARMACY IS CONVENIENTLY LOCATED ON THE RAMC CAMPUS WITHIN THE RAMC PHYSICIAN'S GROUP WHILE RAMC VIKING PHARMACY IS LOCATED WITHIN A LOCAL GROCERY STORE. BOTH PHARMACIES ARE OPEN TO ALL MEMBERS OF THE PUBLIC. PATIENTS CAN FILL/REFILL PRESCRIPTIONS AT THEIR CONVENIENCE AND AS IT FITS INTO THEIR SCHEDULES. AUTOMATED SERVICES MAKE IT EASY TO CALL IN AND PICK UP REFILLS AND REQUEST REFILLS THROUGH MYCHART. IN ADDITION TO FILLING PRESCRIPTIONS, BOTH PHARMACIES OFFER AN EXTENSIVE ARRAY OF OVER-THE-COUNTER MEDICATIONS, VITAMINS AND SUPPLEMENTS, FIRST AID NEEDS AND PERSONAL ITEMS. 112316928 1 1 0 1 0 0 0 0 0 1 1 0 0 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 0 1 0 0 0 0 0 0 1 1 0 0 0 1 43 0 1 752 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X BARRY BORCHERT 6085246487 2000 N DEWEY AVE REEDSBURG WI 53959 JULIE ADELMAN CHAIR 0.50 0.00 X X 1750 0 0 JOEL GROSKREUTZ VICE CHAIR 0.50 0.00 X X 1600 0 0 KATHY REUTER SECRETARY 0.50 0.00 X X 2400 0 0 KRISTI BROWN TREASURER 0.50 0.00 X X 1500 0 0 CHRISTOPHER WENNINGER MEDICAL ADVISOR / TRUSTEE 40.00 0.00 X 999460 0 46526 BENJAMIN NESSEIM PHYSICIAN / TRUSTEE 40.00 0.00 X X 554231 0 43519 BECKY PETERSON TRUSTEE 0.50 0.00 X 1050 0 0 RICHIE STRUTZ TRUSTEE 0.50 0.00 X 800 0 0 MEGAN SCHUMANN TRUSTEE 0.50 0.00 X 300 0 0 HEATHER KINSMAN TRUSTEE 0.50 0.00 X 200 0 0 DON LICHTE JR TRUSTEE 0.50 0.00 X 800 0 0 DEREK HORKAN TRUSTEE (THRU 10/2024) 0.50 0.00 X 1200 0 0 RAYNELLE SYFTESTAD TRUSTEE (THRU 10/2024) 0.50 0.00 X 700 0 0 ROBERT VAN MEETEREN CEO / PRESIDENT 40.00 0.00 X 503078 0 91110 BARRY BORCHERT CFO 40.00 0.00 X 316366 0 62803 MATTHEW NIESEN PHYSICIAN 40.00 0.00 X 1332020 0 36213 ALYSSA POLK PHYSICIAN 40.00 0.00 X 518922 0 29453 ANTHONY RUZGA PHYSICIAN 40.00 0.00 X 483031 0 44976 CHRISTINE TRAUTMAN PHYSICIAN 40.00 0.00 X 479699 0 39144 PAULA HOBSON PHYSICIAN 40.00 0.00 X 422678 0 25785 5621785 0 419529 115 0 1 0 MADISON EMERGENCY PHYSICIANS SC 1221 JOHN Q HAMMONS DR PO BOX 4496 MADISON WI 53744 PHYSICIAN SERVICES 3085091 SHARED IMAGING SERVICES PO BOX 88450 MILWAUKEE WI 53288 MEDICAL IMAGING SERVICES 1768683 APOGEE MEDICAL MANAGEMENT INC 15059B N SCOTTSDALE RD SUITE 600 SCOTTSDALE AZ 85254 PHYSICIAN SERVICES 1331505 CENTRAL MN DIAGNOSTICS INC - 446115 PO BOX 64756 ST PAUL MN 551640756 MEDICAL IMAGING SERVICES 1127326 MARSHFIELD LABORATORIES 1000 N OAK AVE MARSHFIELD WI 54449 LAB ANALYSIS 783547 16 400000 121226 521226 PATIENT SERVICE REVENUE 621400 96895919 96895919 PHARMACY REVENUE 456110 20243545 17066197 3177348 CAFETERIA REVENUE 722514 317264 317264 117456728 362580 -167412 529992 489518 0 489518 489518 489518 1556579 5921 0 0 1556579 5921 1562500 1562500 MEAL REVENUE 621400 530149 530149 JOINT VENTURE GAIN/(LOSS) 900099 468586 468586 MISCELLANEOUS REVENUE 900099 289124 289124 1287859 121680411 114279380 3009936 3869869 X 1443277 1443277 170458 170458 2910931 2418692 492239 47397593 43134096 4263497 2322804 2116183 206621 9990941 9068044 922897 3179936 2881085 298851 167779 167779 85393 85393 14232480 13589207 643273 45163 43122 2041 1459459 1393495 65964 1328988 1268921 60067 250340 239025 11315 2474195 2474195 5642552 4901967 740585 580742 554494 26248 INCOME TAX EXPENSE 637765 637765 MEDICAL SUPPLIES 24039566 22953037 1086529 BAD DEBT EXPENSE 964871 964871 RECRUITING EXPENSE 703145 671365 31780 2230325 2031394 198931 122258703 112316928 9941775 0 5564 5574 2247913 2133211 13371261 14619357 3390962 3473920 288558 332323 113221137 50765666 63404893 62455471 45472038 45754326 1375875 1541316 681143 567545 11789322 9765815 142027529 140648858 14026596 10986357 17240 19961 51270024 49976767 4164681 4106022 69478541 65089107 X 71767985 75355463 781003 204288 72548988 75559751 142027529 140648858 X -578292 1669957 1919098 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7552 7552 0 PART II-B, LINE 1: A PORTION OF ANNUAL DUES PAID TO BOTH THE AMERICAN HOSPITAL ASSOCIATION AND THE WISCONSIN HOSPITAL ASSOCIATION ARE USED BY THOSE ORGANIZATIONS FOR LOBBYING PURPOSES. VARIOUS RAMC EMPLOYEES ANNUALLY ATTEND WISCONSIN HOSPITAL ASSOCIATION'S ADVOCACY DAY WHERE THEY HAVE THE OPPORTUNITY TO LEARN ABOUT THE CURRENT LEGISLATIVE CLIMATE AND ISSUES IMPACTING WISCONSIN HEALTHCARE AND THEN MEET WITH STATE LEGISLATORS. 110826 3115 2179 111762 1290096 -174505 1000000 4765 110826 1213295 76801 1290096 2551745 900000 -466510 1771940 1213295 2334169 217576 2551745 1.00000 0.00000 0.00000 0 0 26703 26703 88648332 34534929 54113403 305594 130448 175146 23886098 16100289 7785809 354410 354410 62455471 DEFERRED COMPENSATION PLAN ASSETS 3586499 INTEREST IN NET ASSETS FOUNDATION 201270 THIRD PARTY RECEIVABLE 3025446 DUE FROM RELATED PARTY 1394258 RIGHT-OF-USE ASSETS 1558342 9765815 DEFERRED COMPENSATION 2847424 LEASE LIABILITIES 1258598 4106022 X PART V, LINE 4: THE EARNINGS OF THE ENDOWMENT WERE USED FOR CAPITAL EXPENDITURES. PART X, LINE 2: THE CORPORATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE CORPORATION IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE CORPORATION 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 OFTHE TAX POSITION IS NOT RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS. THE CORPORATION RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED BENEFITS IN 2025 AND 2024. 1 1 X 1 X 1 X 1 1 1 0 1 1 1242306 1242306 0.01020 13528382 9603293 3925089 0.03210 14770688 9603293 5167395 0.04230 2484950 2484950 0.02030 2602388 2602388 0.02130 6679927 2590985 4088942 0.03340 1453936 1453936 0.01190 13221201 2590985 10630216 0.08690 27991889 12194278 15797611 0.12920 28505 28505 0.00020 29175 29175 0.00020 3862 3862 0.00000 22208 22208 0.00020 83750 83750 0.00060 0 964871 964871 12680135 19949321 -7269186 X 1 1 1 1 REEDSBURG AREA MEDICAL CENTER 2000 NORTH DEWEY AVENUE REEDSBURG WI 53959 WWW.RAMCHEALTH.COM 1057 X X X X PROVIDER-BASED CLINIC AND SPECIALTY CLINIC REEDSBURG AREA MEDICAL CENTER 1 0 0 1 X X X X X X X X X 24 1 1 1 1 X SEE PART V, SECTION B, LINE 7D X X 1 24 1 SEE PART V, SECTION B, LINE 7D 0 1 X 150.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X SEE PART V, LINE 16J X SEE LINE 16J X SEE LINE 16J X X X X X X 1 X 0 X X X X X 1 X 0 0 REEDSBURG AREA MEDICAL CENTER PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS INCLUDED PARTNERSHIPS WITH REEDSBURG AREA MEDICAL CENTER, SAUK PRAIRIE HEALTHCARE & SSM HEALTH, AND BARABOO-ST CLARE HOSPITAL. PUBLIC HEALTH SAUK COUNTY FACILITATED THE HEALTH AND WELLNESS STEERING COMMITTEE AND THE SAUK COUNTY DATA COUNCIL TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).WE COLLECTED PRIMARY AND SECONDARY DATA TO COMPLETE THIS REPORT. WE RECEIVED 1,106 RESPONSES OVERALL, WHICH REPRESENTS ABOUT 1.6% OF THE POPULATION OF SAUK COUNTY. THE PRIMARY DATA INCLUDED MULTIPLE PERSPECTIVES AND EXPERIENCES FROM PEOPLE WHO LIVE AND/OR WORK IN SAUK COUNTY. THE PRIMARY DATA WAS COLLECTED USING MULTIPLE METHODS: A COMMUNITY HEALTH ASSESSMENT SURVEY, ONE-ON-ONE KEY INFORMANT INTERVIEWS, AND FOCUS GROUPS. TO COLLECT PRIMARY DATA, WE USED AN ONLINE CONVENIENCE SAMPLE SURVEY 'CONVENIENCE SURVEY' THAT WAS AVAILABLE FROM FEBRUARY 5, 2024, TO MAY 1, 2024. THE CONFIDENTIAL AND ANONYMOUS SURVEY ASKED RESPONDENTS TO THINK ABOUT THEIR COMMUNITY AND IDENTIFY COMMUNITY PROBLEMS AND COMMUNITY STRENGTHS. RESPONDENTS WERE ALSO ASKED TO ANSWER DEMOGRAPHIC QUESTIONS. THE SURVEY WAS ADVERTISED TO OUR ENTIRE COMMUNITY BY WAY OF LOCAL NEWSPAPER PRESS RELEASES. ONLINE ADVERTISEMENTS RAN ON THE WEBSITES OF ALL THREE COUNTY HEALTHCARE SYSTEMS AS WELL AS PUBLIC HEALTH'S WEBSITE AND INCLUDED CORRESPONDING SOCIAL MEDIA SITES. RADIO INTERVIEWS ON MAGNUM RADIO GROUP STATIONS, PRESS RELEASES TO THE SCHOOL DISTRICTS, INTERNAL COMMUNICATIONS WITHIN THE COALITION ENTITIES, AND LOCAL ENTITIES SUCH AS CHURCHES AND LIBRARIES ASSISTED BY DISTRIBUTING INFORMATION. CARDS ADVERTISING THE SURVEY WERE CREATED AND HANDED OUT AT LOCAL ENTITIES INCLUDING LIBRARIES, LOCAL BUSINESSES, CHURCHES, MENTAL HEALTH OFFICES, AND PHARMACIES. A TARGETED MAILING LIST WAS PURCHASED AND A SURVEY CARD SENT TO RESIDENTS IN LOW INTERNET AREAS.THE SURVEY WAS BALANCED BY 18 FOCUS GROUPS AND 12 KEY INFORMANT INTERVIEWS CONDUCTED BY STEERING COMMITTEE MEMBERS THAT REPRESENTED SOME OF THE HISTORICALLY UNDER-REPRESENTED POPULATIONS INCLUDING HISPANICS, PEOPLE EXPERIENCING HOMELESSNESS, DOMESTIC VIOLENCE SURVIVORS, INDIVIDUALS IN RECOVERY, SINGLE PARENTS, AND INDIVIDUALS LIVING IN POVERTY, AS WELL AS INDIVIDUALS EMPLOYED IN VARYING DIFFERENT PROFESSIONS. IN ADDITION TO GATHERING INPUT DIRECTLY FROM OUR COMMUNITY MEMBERS, SECONDARY DATA WAS COLLECTED BY CREDIBLE LOCAL, STATE, AND NATIONAL GOVERNMENTAL AND NON-GOVERNMENTAL ENTITIES. REEDSBURG AREA MEDICAL CENTER PART V, SECTION B, LINE 6A: INCLUDED AS MEMBERS OF THE SAUK COUNTY HEALTH & WELLNESS COALITION ARE ST. CLARE HOSPITAL (BARABOO, WI) AND SAUK PRAIRIE HEALTH CARE (SAUK CITY, WI). REEDSBURG AREA MEDICAL CENTER PART V, SECTION B, LINE 6B: INCLUDED AS MEMBERS OF THE SAUK COUNTY HEALTH AND WELLNESS ASSOCIATION ARE THE SAUK COUNTY HEALTH DEPARTMENT, SAUK COUNTY HEALTH & WELLNESS COALITION, REEDSBURG AREA CHAMBER OF COMMERCE, REEDSBURG , BARABOO, AND WISCONSIN DELLS AREA SCHOOL DISTRICTS, HO-CHUNK NATION, HOPE HOUSE, COUNTY AND LOCAL EMERGENCY RESPONSE TEAMS, LOCAL LAW ENFORCEMENTS, SAUK COUNTY AGING AND DISABILITY RESOURCE CENTER, THE CITY OF REEDSBURG, BOYS AND GIRLS CLUB, REEDSBURG YOUNG PROFESSIONALS, AND OTHERS. REEDSBURG AREA MEDICAL CENTER PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ON OUR WEBSITE AT: HTTPS://RAMCHEALTH.COM/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/COMMUNITY HEALTH NEEDS ASSESSMENT DIRECT LINK:HTTPS://RAMCHEALTH.COM/WP-CONTENT/UPLOADS/2024/11/2024-CHNA.PDFIMPLEMENTATION STRATEGY DIRECT LINK:HTTPS://RAMCHEALTH.COM/WP-CONTENT/UPLOADS/2025/07/CHIP-2024.PDF REEDSBURG AREA MEDICAL CENTER PART V, SECTION B, LINE 11: RAMC HAD IDENTIFIED THE FOLLOWING THREE PRIORITIES FOR OUR HOSPITAL TO ADDRESS AS IDENTIFIED IN OUR 2024 COMMUNITY HEALTH NEEDS ASSESSMENT: AFFORDABLE HOUSING, MENTAL HEALTH AND SUBSTANCE USE. WE ARE COMMITTED TO MAKING POSITIVE IMPACTS IN THESE AREAS AND SHOW THIS THROUGH OUR COMMUNITY PARTNERSHIPS AND SUPPORT.RAMC IS CONTINUALLY EXPANDING OUR BEHAVIORAL HEALTH DEPARTMENT WITH THE ADDITION OF NEW PROVIDERS AND SERVICES TO PROVIDE MUCH NEEDED ADDITIONAL RESOURCES TO OUR COMMUNITY. WE HAVE COLLABORATED WITH COMMUNITY PARTNERS ON SEVERAL INITIATIVES, INCLUDING, BUT NOT LIMITED TO, WORKING WITH SAUK COUNTY HEALTH DEPARTMENT FOR MENTAL HEALTH AND SUICIDE PREVENTION TRAINING, AS WELL COLLABORATING WITH ORGANIZATIONS INCLUDING RURAL SAFETY DAYS, SAUK COUNTY PARTNERSHIP FOR PREVENTION AND RECOVERY, REGION 11 CRITICAL INCIDENT AND STRESS MANAGEMENT GROUP. AFFORDABLE HOUSING ACTIONS INCLUDE A PRESENTATION OF THE CHNA TO THE CITY OF REEDSBURG COMMON COUNCIL MEETING AND IS WORKING WITH COMMUNITY LEADERS TO FURTHER ADDRESS THIS BURDEN. RAMC PARTNERS WITH SAUK COUNTY PUBLIC HEALTH TO WORK ON CAMPAIGNS FOR ALCOHOL, TOBACCO AND DRUG ABUSE. TO FURTHER SUPPORT OUR CHNA RAMC STAFF ALSO VOLUNTEERED TO LEAD THE FOLLOWING INITIATIVE: ESTABLISHING A SAFE HAVEN BABY BOX IN REEDSBURG; HOSTED A SPANISH RESOURCE FAIR TO BETTER SERVE SPANISH-SPEAKING RESIDENTS; ORGANIZED A TEDDY BEAR CLINIC TO REDUCE FEAR OF MEDICAL CARE AMONG YOUNG CHILDREN; PROVIDED CARE AT FREE CLINICS TO EXPAND HEALTHCARE ACROSS THE AREAS AND VOLUNTEERING AT AND SUPPORTING AREA FOOD PANTRIES TO ADDRESS HUNGER AND FOOD INSECURITY. DURING THE FISCAL YEAR ENDING 9/30/25, RAMC HAS DEMONSTRATED OUR COMMITMENT TO ENSURING QUALITY HEALTHCARE IS ALWAYS AVAILABLE CLOSE TO HOME THROUGH THE ADDITION OF PROVIDERS AND CONTINUED SUPPORT OF COMMUNITY WELLNESS PROGRAMS. OUR TWO PHARMACIES OFFER SERVICES SUCH AS IMMUNIZATIONS, BLOOD PRESSURE AND BLOOD SUGAR CHECKS AND MEDICATION REVIEW. OTHER SERVICES AVAILABLE TO MEET THE COMMUNITY'S HEALTH NEEDS INCLUDE, BUT ARE NOT LIMITED TO: LABORATORY, PHYSICAL, OCCUPATIONAL, SPEECH, PEDIATRIC, CARDIAC AND PULMONARY REHABILITATION, SLEEP MEDICINE, SURGICAL SERVICES, CONSULTING SERVICES, MASSAGE THERAPY, ACUPUNCTURE, ORTHOPEDICS, OBSTETRICS, CHEMOTHERAPY, INFUSIONS, WOUND CARE, AUDIOLOGY, FAMILY PRACTICE, PEDIATRICS, INPATIENT AND TWO RETAIN PHARMACIES, GYNECOLOGY, DIABETES MANAGEMENT, CHRONIC CARE, MEDICAL IMAGING, NUTRITION SERVICES, OCCUPATIONAL HEALTH, RESPIRATORY THERAPY, BEHAVIORAL HEALTH, WALK-IN CARE, VOLUNTEER SERVICES, COMMUNITY OUTREACH AND WELLNESS ACTIVITIES.THERE IS NO LIMIT TO THE NUMBER OF ISSUES TO WHICH A HEALTHCARE INSTITUTION COULD DEVOTE RESOURCES. TIME, PEOPLE AND MONEY ARE OFTEN LIMITING FACTORS IN WHY WE CANNOT DO MORE. HOWEVER, PREVAILING WISDOM SUGGESTS AN ORGANIZATION LIKE RAMC MUST FOCUS ON A FEW HIGH-PRIORITY PROJECTS AND MAKE EVERY EFFORT TO AVOID DUPLICATION AND ENCOURAGE COLLABORATION AND COORDINATION WITH OTHER ORGANIZATIONS AND COMMUNITY GROUPS. AS RAMC ASSESSED UNMET HEALTH NEEDS AND DETERMINED ITS PRIORITIES, WE ALSO EVALUATED OTHER AREAS IN NEED OF IMPROVEMENT. OBESITY, DIET AND EXERCISE CONTINUE TO BE A PREVAILING ISSUE; UNHEALTHY WEIGHT MANAGEMENT LEADS TO MANY OTHER HEALTH ISSUES. RAMC SUPPORTS PROGRAMS SUCH AS THE HEALTH4U DIABETES AND OBESITY PROGRAM, AS WELL AS HEALTHY LIVING AWARENESS EDUCATION TO THE COMMUNITY TO SUPPORT HEALTHY LIFESTYLES. MALNUTRITION IS ANOTHER ISSUE ALREADY BEING ADDRESSED WITHIN THE COMMUNITY. THIS IS AN ISSUE WE SEE OFTEN THROUGH OUR EMERGENCY ROOM. WE ARE AWARE OF THIS NEED AND WILL CONTINUE TO MONITOR IT. SCHOOL DISTRICTS ARE OFFERING MORE PROGRAMS TO BRING FOOD TO CHILDREN YEAR-ROUND, AND RAMC FINANCIALLY CONTRIBUTES TO SCHOOL GARDENS. FOOD PANTRIES IN THE COMMUNITY ARE CONSTANTLY BEING REFRESHED TO SUPPLY HEALTHY OPTIONS. RAMC HOSTS AN ON-CAMPUS FARMERS MARKET EVERY FRIDAY MAY OCTOBER, ENCOURAGING HEALTHY ALTERNATIVES AND SUPPORTING LOCAL GROWERS. RAMC ALSO FINANCIALLY SUPPORTS VARIOUS RUNS AND WALKS THROUGHOUT THE SPRING, SUMMER AND FALL, PROMOTES EXERCISE OPPORTUNITIES ONLINE THROUGH THE WEBSITE, AND WORKS TOWARDS ENHANCING THE WELLNESS PARK LOCATED ACROSS FROM THE RAMC CAMPUS, OFFERING WALKING PATHS, OUTDOOR EXERCISE EQUIPMENT, BASKETBALL, PLAYGROUND OPPORTUNITIES AND MORE. AS A RURAL COMMUNITY, FARM SAFETY CONTINUES TO BE A PRIORITY WHICH THE HOSPITAL ADDRESSES BY SUPPORTING ANNUAL EVENTS LIKE RURAL FARM SAFETY DAY FOR AREA SCHOOL CHILDREN. TRANSPORTATION WAS AN ISSUE BROUGHT UP AT EVERY LISTENING SESSION AND RAMC IS WORKING WITH THE LOCAL CAB COMPANY TO ENCOURAGE TRANSPORTATION OUTSIDE OF THE CITY LIMITS. REEDSBURG AREA MEDICAL CENTER PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT:HTTPS://RAMCHEALTH.COM/BILLING-FINANCES/COMMUNITY-CARE/FINANCIAL ASSISTANCE POLICY DIRECT LINK:HTTPS://RAMCHEALTH.COM/WP-CONTENT/UPLOADS/2025/02/COMMUNITY-CARE-AND-FINANCIAL-ASSISTANCE-POLICY.PDFFINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY:HTTPS://RAMCHEALTH.COM/WP-CONTENT/UPLOADS/2025/02/FAP-CCPLS-ENGLISH.PDFFINANCIAL ASSISTANCE POLICY APPLICATION DIRECT LINK:HTTPS://RAMCHEALTH.COM/WP-CONTENT/UPLOADS/2025/02/COMM-CARE-APPLICATION-2025.PDF REEDSBURG AREA MEDICAL CENTER PART V, SECTION B, LINE 20E: RAMC WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. SUCH EFFORTS INCLUDE: WAITING 120 DAYS FROM THE FIRST POST-DISCHARGE BILLING STATEMENT; VALIDATION OF THE BALANCE OWED AND THAT ALL SOURCES OF PAYMENT HAVE BEEN IDENTIFIED AND BILLED BY RAMC; DOCUMENTATION OF THE ATTEMPT TO OFFER THE PATIENT THE OPPORTUNITY TO APPLY FOR CHARITY CARE; DOCUMENTATION THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE; DOCUMENTATION THAT THE PATIENT HAS BEEN OFFERED A PAYMENT PLAN BUT HAS NOT HONORED THE TERMS OF THE AGREEMENT; AND AT LEAST 30 DAYS BEFORE STARTING ANY EXTRAORDINARY ACTION, WILL SEND THE PATIENT A WRITTEN NOTICE STATING THAT RAMC OFFERS FINANCIAL ASSISTANCE, IDENTIFY THE EXTRAORDINARY ACTION(S) THAT MAY BE TAKEN, GIVE A DEADLINE OF WHEN SUCH ACTION(S) WILL TAKE PLACE AND INCLUDE THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. REEDSBURG AREA MEDICAL CENTER PART V, SECTION B, LINE 23: PATIENTS WHOSE FAMILY INCOME DOES NOT MAKE THEM ELIGIBLE FOR ALLOWANCES AT 100% WILL RECEIVE SERVICES AT AMOUNTS NO GREATER THAN AMOUNTS GENERALLY BILLED (AGB). TO CALCULATE THE AGB, RAMC TAKES THE TOTAL MEDICARE, MEDICAID, COMMERCIAL, AND MANAGED CARE PAYMENTS FOR THE PRIOR FISCAL YEAR AND DIVIDES IT BY CHARGES FOR THOSE SAME PAYERS (LOOK BACK METHOD). RAMC WILL RECALCULATE THE AGB ON AN ANNUAL BASIS, BASED UPON DATA FROM THE PRIOR 12 MONTHS. THE AGB CALCULATED WILL BE EFFECTIVE OCTOBER 1ST EACH YEAR AND APPLIED TO DETERMINATIONS MADE ON OR AFTER THAT DATE REGARDLESS OF THE DATE OF SERVICE OR ORIGINAL DATE OF APPLICATION. THIS PERCENTAGE IS THEN APPLIED TO ALL ACCOUNTS COVERED BY THE FINANCIAL ASSISTANCE POLICY. PART I, LINE 3C: ELIGIBLE INDIVIDUALS MUST RESIDE IN OR HAVE A PRIMARY CARE PHYSICIAN IN RAMC'S SERVICE AREA. FINANCIAL NEED IS DETERMINED BY COMPLETING AN APPLICATION WHICH WILL ASSES THE PATIENT'S FINANCIAL RESOURCES AVAILABLE TO THEM, ALONG WITH REVIEW OF ALL OUTSTANDING ACCOUNTS AND PREVIOUS PAYMENT HISTORY. INCOME VERIFICATION MAY INCLUDE A COPY OF THE APPLICANT'S MOST RECENT FEDERAL INCOME TAX RETURN OR W-2 FORM(S), THE LAST THREE PAYSTUB(S) AND OTHER VERIFICATION OF INCOME, AS DEEMED NECESSARY. 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 ALONG WITH THE RAMC WEBSITE. PART I, LINE 7: 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, EXCLUDING THE PROVISION FOR BAD DEBT, DIVIDED BY GROSS PATIENT 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 WHO HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE HOSPITAL. THE HOSPITAL ALSO RECOGNIZES THAT IT 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 I, LINE 7G: SUBSIDIZED HEALTH SERVICES AT REEDSBURG AREA MEDICAL CENTER INCLUDE OBSTETRICS, OCCUPATION HEALTH, DIETARY SERVICES, HEALTH & FITNESS, CONSULTING, SG INFUSION, SAT OPTHALMOLOGY, PG LAB AND HOSPITALIST SERVICES. 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, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX, LINE 24(E), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $964,871. PART II, COMMUNITY BUILDING ACTIVITIES: RAMC IS PROUD TO ENCOURAGE OUR EMPLOYEES TO GIVE BACK TO OUR COMMUNITY ON THEIR STAFF TIME. IN ADDITION TO THEIR JOB RESPONSIBILITIES, THEY TAKE ON ADDITIONAL ROLES IN OUR COMMUNITY BY SERVING ON LOCAL BOARDS AND COMMITTEES, SERVING AT FOOD PANTRIES AND COMMUNITY MEALS, AND SO MUCH MORE. 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 ALSO ACTIVE IN EDUCATING THE COMMUNITY ON A WIDE VARIETY OF HEALTH TOPICS. 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 MINDFUL OF AND PROACTIVE IN DEVELOPING OR PARTNERING WITH GROUPS WORKING TO BETTER THE CURRENT ECONOMIC AND ENVIRONMENTAL CONDITIONS OF OUR COMMUNITY. ADDITIONAL EXAMPLES OF COMMUNITY BUILDING ACTIVITIES INCLUDE DEDICATED PATIENT ADVOCATE STAFF TO ASSIST COMMUNITY MEMBERS WITH ANSWERING MEDICARE, MEDICAID AND OTHER INSURANCE QUESTIONS AND NAVIGATING THE HEALTH INSURANCE MARKET PLACE; BEING A KEY MEMBER IN THE DEVELOPMENT OF THE REEDSBURG BOYS & GIRLS CLUB; PRACTICING GOOD STEWARDSHIP THROUGH CONTINUED RECYCLING EFFORTS; AND SUPPORTING LOCAL COMMUNITY DEVELOPMENT AND GROWTH THROUGH SUPPORT OF LOCAL CHAMBERS OF COMMERCE AND OTHER COMMUNITY ORGANIZATIONS AND PROGRAMS. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON LINE 2 IS REPORTED AT COST. PART III, LINE 3: IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL 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 THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS AND PATIENTS WHO ARE KNOWN TO HAVE FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES PATIENTS WITHOUT INSURANCE AND WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF THEIR PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. MANY TIMES PATIENTS DO NOT COMPLETE THE REQUIRED CHARITY (COMMUNITY) CARE APPLICATION AND ARE TRANSFERRED TO COLLECTION SERVICES EVEN THOUGH RAMC PROVIDES THIS INFORMATION TO ALL PATIENTS AND OFFERS ASSISTANCE WITH THE APPLICATIONS. DUE TO NO RESPONSES FROM SOME PATIENTS, A SIGNIFICANT AMOUNT OF BAD DEBTS COULD BE CONSIDERED AS CHARITY CARE. PART III, LINE 4: SEE THE "PATIENT AND RESIDENT ACCOUNTS RECEIVABLE AND CREDIT LOSSES NOTE ON PAGES 10 AND 11 OF THE ATTACHED FINANCIAL STATEMENTS. 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 RAMC PROVIDES TO ITS 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, 2024, 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 PREVIOUSLY). 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 THESE MEMBERS OF THE COMMUNITY. PART III, LINE 9B: UNDER THE HOSPITAL'S COLLECTION AND CHARITY CARE POLICIES, RAMC 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 QUALIFICATIONS 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. PART VI, LINE 2: RAMC HAS A FEEDBACK SECTION ON THE HOSPITAL'S WEBSITE, WWW.RAMCHEALTH.COM, ALLOWING A FORUM FOR WHICH THE PUBLIC CAN PROVIDE SUGGESTIONS AND COMMENTS. PATIENTS AND COMMUNITY MEMBERS ARE ALSO ABLE TO PROVIDE COMMENTS, FEEDBACK AND RATINGS ON VARIOUS SOCIAL MEDIA SITES SUCH AS FACEBOOK AND INSTAGRAM. RAMC GATHERS DATA FROM THE SAUK COUNTY HEALTH NEEDS ASSESSMENT THAT 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 REPRESENTATIVES FROM BUSINESS AND INDUSTRY, THIS INFORMATION HAS BEEN PRIORITIZED AND USED TO DEVELOP IMPLEMENTATION STRATEGIES. PART VI, LINE 3: COMMUNITY CARE NOTIFICATIONS ARE APPROPRIATELY POSTED IN PUBLIC AREAS OF THE HOSPITAL AND CLINICS. COPIES ARE AVAILABLE IN THE LANGUAGE OF ANY POPULATION CONSISTING OF THE LESSER OF 5% OR 1,000 PEOPLE IN THE COMMUNITY. NOTICES OF THE COMMUNITY CARE AND FINANCIAL ASSISTANCE POLICY ARE AVAILABLE ON EVERY BILLING STATEMENT. NOTIFICATIONS/PLAIN LANGUAGE SUMMARY ARE PRESENT WITHIN THE EMERGENCY ROOM AND WALK-IN CLINIC. PATIENTS WILL BE ABLE TO OBTAIN A FREE COPY OF THE POLICY/PLAIN LANGUAGE SUMMARY AND APPLICATION FOR COMMUNITY CARE AT ALL POINTS OF ADMISSION AS WELL AS THE BUSINESS OFFICE. THE COMMUNITY CARE AND FINANCIAL ASSISTANCE POLICY AND APPLICATION PLAIN LANGUAGE SUMMARY, BILLING AND COLLECTION POLICY AND COMMUNITY CARE APPLICATION, AND LIST OF PROVIDERS COVERED AND PROVIDERS NOT COVERED UNDER FAP ARE PUBLICIZED ON THE RAMC WEBSITE. QUESTIONS REGARDING THE POLICY OR REGARDING THE COMMUNITY CARE APPLICATION PROCESS CAN BE DIRECTED TO RAMC FINANCIAL COUNSELORS. 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 THREE QUARTERS OF THE HOSPITAL'S DISCHARGED PATIENTS. SAUK COUNTY HAS REMAINED STEADY WITH ONLY A 0.22% POPULATION GROWTH OVER THE PAST YEAR. THE PERCENTAGE OF THE POPULATION AGED 65 AND OLDER IS 20.6%, A VERY SLIGHT INCREASE FROM 2024, ALTHOUGH THE POPULATION AGED 18 AND YOUNGER HAS REMAINED STABLE. THE RURAL POPULATION HAS REMAINED UNCHANGED AT 44.7%. THE POPULATION IDENTIFYING AS NON-HISPANIC WHITE IS 88.9%, WHILE 6.9% IDENTIFY AS HISPANIC; BOTH ARE A SLIGHT INCREASE OVER 2024. THE CURRENT MEDIAN HOUSEHOLD INCOME IN SAUK COUNTY IS $79,349, A 12.5% INCREASE FROM THE 2024 MEDIAN OF $70,484. THE PERCENTAGE OF CHILDREN LIVING IN POVERTY HAS REMAINED STEADY AT 12%, WITH 42% OF SAUK COUNTY'S CHILDREN ELIGIBLE FOR FREE OR REDUCED PRICE SCHOOL LUNCH. THE OVERALL SAUK COUNTY HIGH SCHOOL GRADUATION RATE WAS 93%: THE REEDSBURG GRADUATION RATE WAS 94.3%. IN SAUK COUNY, 8% OF ADULTS ARE UNINSURED AND 6% OF THE CHILDREN ARE UNINSURED. REEDSBURG AREA MEDICAL CENTER IS THE ONLY HOSPITAL WITHIN OUR PRIMARY SERVICE AREA; TWO ADDITIONAL HOSPITALS ARE LOCATED WITHIN 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 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 TOOLS AND SKILLS NEEDED TO CREATE BETTER HEALTH. RAMC PROVIDES HEALTH CARE SERVICES AND OTHER FINANCIAL SUPPORT THROUGH VARIOUS PROGRAMS THAT ARE DESIGNED, IN PART, TO ENHANCE THE HEALTH OF THE COMMUNITY, INCLUDING THE HEALTH OF LOW-INCOME PATIENTS. CONSISTENT WITH OUR MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF 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 AND DISABLED, 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. RAMC 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 WISCONSIN HOSPITAL ASSOCIATION, RURAL WISCONSIN HEALTH COOPERATIVE, AND SAUK COUNTY HEALTH BOARDS. MANY EMPLOYEES ARE ALSO MEMBERS OF COMMUNITY SERVICE BOARDS AND VOLUNTEER GROUPS. RAMC IS MINDFUL OF AND PROACTIVE IN DEVELOPING OR PARTNERING WITH GROUPS WORKING TO BETTER THE CURRENT ECONOMIC AND ENVIRONMENTAL CONDITIONS OF OUR COMMUNITY. RAMC IS OPERATED BY A BOARD OF DIRECTORS COMPRISED OF LOCAL, INDEPENDENT COMMUNITY MEMBERS, A MEDICAL STAFF ORGANIZED IN THE PUBLIC INTEREST AND OPEN TO ALL QUALIFIED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS, 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 MEDICAL CENTER, 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. RAMC 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. RAMC, LIKE MOST COMMUNITY HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY, WHICH WITHOUT THE HOSPITAL, WOULD NOT BE AVAILABLE LOCALLY, REQUIRING DISTANCE DRIVING TO RECEIVE CARE. BEYOND INPATIENT HOSPITALIZATIONS, RAMC PROVIDES LOCAL ACCESS TO MANY SERVICES INCLUDING: LABORATORY, PHYSICAL, OCCUPATIONAL, SPEECH, PEDIATRIC, CARDIAC AND PULMONARY REHABILITATION, SLEEP MEDICINE, SURGICAL SERVICES, CONSULTING SERVICES, MASSAGE THERAPY, ACUPUNCTURE, ORTHOPEDICS, OBSTETRICS, CHEMOTHERAPY, INFUSIONS, WOUND CARE, AUDIOLOGY, FAMILY PRACTICE, PEDIATRICS, INPATIENT AND TWO RETAIN PHARMACIES, GYNECOLOGY, DIABETES MANAGEMENT, CHRONIC CARE, MEDICAL IMAGING, NUTRITION SERVICES, OCCUPATIONAL HEALTH, RESPIRATORY THERAPY, BEHAVIORAL HEALTH, WALK-IN CARE, VOLUNTEER SERVICES, COMMUNITY OUTREACH AND WELLNESS ACTIVITIES. PART VI, LINE 7, REPORTS FILED WITH STATES WI 1 REEDSBURG AREA SENIOR LIFE CENTER 2350 NORTH DEWEY AVENUE REEDSBURG WI 54959 760775289 501(C)(3) 1443277 0 GENERAL OPERATIONS 1 0 TUITION ASSISTANCE 27 58526 REFERRAL INCENTIVES 60 33750 NURSING SCHOLARSHIPS 13 76982 STIPENDS 18 0 1200 ESTIMATED VALUE EMPLOYEES RECEIVED MERCHANDISE FOR POINTS ACCUMULATED THROUGH AN EMPLOYEE REFERRAL PROGRAM.SOME OF THESE EMPLOYEES WERE ALSO COUNTED WITH REFERRAL INCENTIVES.THIS PROGRAM WAS DISCONTINUED IN JANUARY, 2025. PART I, LINE 2: RAMC HAS (AT LEAST MONTHLY) ACCESS TO THE FINANCIAL RECORDS AND BOARD MEETING MINUTES OF BOTH THE REEDSBURG AREA SENIOR LIFE CENTER AND THE REEDSBURG AREA MEDICAL CENTER FOUNDATION, ALLOWING FOR REVIEW OF HOW FUNDS ARE ALLOCATED. RAMC 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 NATIONWIDE. 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. PART III, COLUMN (B): EMPLOYEE TUITION REIMBURSEMENT TOTALS ARE FROM DRILLED-IN DATA FROM A PAYROLL TOTALS REPORT EMPLOYEE REFERRAL INCENTIVES FROM PAYROLL REPORT DRILLED-IN DETAIL NURSING SCHOLARSHIPS PAID AND CODED TO GL 1.000.40817 (RECRUITING EXPENSE). ANYONE CAN APPLY AS LONG AS THEY ARE ENROLLED OR WILL BE ENROLLED IN A NURSING PROGRAM. APPLICANTS GO THROUGH AN INTERVIEW PROCESS AND ARE CHOSEN BASED UPON FUTURE EMPLOYMENT NEEDS AT RAMC. THOSE RECEIVING THE SCHOLARSHIP ARE REQUIRED TO WORK TWO YEARS AT RAMC UPON COMPLETION OF THEIR CONTINUING EDUCATION. IF THEY DO NOT FULFILL THE EMPLOYMENT TERMS, THEY NEED TO REIMBURSE RAMC FOR THE SCHOLARSHIP DOLLARS THAT THEY RECEIVED. X X X X X 1 1 0 0 0 0 0 0 0 MATTHEW NIESEN PHYSICIAN 1332020 0 0 0 0 0 9867 0 26346 0 1368233 0 0 0 CHRISTOPHER WENNINGER MEDICAL ADVISOR / TRUSTEE 999460 0 0 0 0 0 17250 0 29276 0 1045986 0 0 0 BENJAMIN NESSEIM PHYSICIAN / TRUSTEE 554231 0 0 0 0 0 14674 0 28845 0 597750 0 0 0 ROBERT VAN MEETEREN CEO / PRESIDENT 413611 0 89467 0 0 0 61200 0 29910 0 594188 0 0 0 ALYSSA POLK PHYSICIAN 518922 0 0 0 0 0 3878 0 25575 0 548375 0 0 0 ANTHONY RUZGA PHYSICIAN 483031 0 0 0 0 0 17250 0 27726 0 528007 0 0 0 CHRISTINE TRAUTMAN PHYSICIAN 479699 0 0 0 0 0 13000 0 26144 0 518843 0 0 0 PAULA HOBSON PHYSICIAN 422678 0 0 0 0 0 13597 0 12188 0 448463 0 0 0 BARRY BORCHERT CFO 282124 0 34242 0 0 0 39885 0 22918 0 379169 0 0 0 PART I, LINES 4A-B ROBERT VAN MEETEREN'S COMPENSATION REPORTED ON FORM 990, PART VII INCLUDED $13,450 FOR SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN; TERMS AND CONDITIONS WERE AS FOLLOWS: MONTHLY PAYMENTS BY RAMC TO 457(F) PLAN A WISCONSIN HEALTH & EDUCATION FACILITIES 391337855 97710BXP2 2014-02-19 7500000 REFUND SERIES 2010 BONDS 0 0 0 B WISCONSIN HEALTH & EDUCATION FACILITIES 391337855 2017-12-29 29600000 CONSTRUCTION & REFUND SERIES 2010 BONDS 0 0 0 C WISCONSIN HEALTH & EDUCATION FACILITIES 391337855 2024-01-24 18200000 CONSTRUCTION OF PG REPLACEMENT CLINIC 0 0 0 A 3489904 7500000 7500000 2006 1 0 1 1 B 3196546 4511983 29600000 431179 25118110 4050711 0 1 1 1 C 18200000 328269 17817731 54000 2025 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 0 1 1 0 0 0 0 A 1 B 1 C 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: WISCONSIN HEALTH & EDUCATION FACILITIES DATE THE REBATE COMPUTATION WAS PERFORMED: 02/01/2024 ISSUER NAME: WISCONSIN HEALTH & EDUCATION FACILITIES DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2022 SUSAN ETHUN FAMILY MEMBER OF DIRECTOR 114814 EMPLOYMENT COMPENSATION 0 SARA FERGUSON FAMILY MEMBER OF DIRECTOR 78558 EMPLOYMENT COMPENSATION 0 HALEY STOVEY FAMILY MEMBER OF DIRECTOR 69439 EMPLOYMENT COMPENSATION 0 CAROL FINNEGAN FAMILY MEMBER OF DIRECTOR 53039 EMPLOYMENT COMPENSATION 0 KRISTI LICHTE FAMILY MEMBER OF DIRECTOR 42058 EMPLOYMENT COMPENSATION 0 PEYTON VAN MEETEREN FAMILY MEMBER OF DIRECTOR 11173 EMPLOYMENT COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRMAN, FIRST VICE-CHAIRMAN, MEDICAL ADVISOR, SECRETARY AND TREASURER. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE, WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, THE POWERS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE AFFAIRS OF THE CORPORATION, EXCEPT ACTION IN RESPECT TO AMENDING THE BY-LAWS, MAKING RULES OR REGULATIONS GOVERNING NOMINATIONS OR ELECTIONS, OR DISPOSING OF OR MORTGAGING ASSETS OF THE CORPORATION. THE BOARD OF DIRECTORS MAY SELECT ONE OR MORE OF ITS MEMBERS AS ALTERNATIVE MEMBERS OF SUCH COMMITTEE WHO MAY TAKE THE PLACE OF ANY ABSENT MEMBER OR MEMBERS AT ANY MEETING OF SUCH COMMITTEE, UPON REQUEST BY THE CHAIRMAN OF THE BOARD OR UPON REQUEST BY THE CHAIRMAN OF SUCH MEETING. SUCH COMMITTEE SHALL FIX ITS OWN RULES GOVERNING THE CONDUCT OF ITS ACTIVITIES AND SHALL MAKE SUCH REPORT TO THE BOARD OF DIRECTORS OF ITS ACTIVITIES AS THE BOARD OF DIRECTORS MAY REQUEST. FORM 990, PART VI, SECTION B, LINE 11B UPON COMPLETION OF THE FORM 990, MANAGEMENT REVIEWED FOR ACCURACY AND COMPLETENESS. UPON APPROVAL, THE FORM 990 WAS PRESENTED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE PURPOSE OF THE CONFLICT OF INTEREST POLICY IS TO PROTECT THE CORPORATION'S INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF ANY GOVERNING BOARD MEMBER, SENIOR LEADERSHIP STAFF, PROVIDER OR EMPLOYEE. THIS POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE WISCONSIN LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE CORPORATIONS. ANY DIRECTOR, PRINCIPAL OFFICER, EMPLOYEE OR MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, THROUGH BUSINESS, INVESTMENT OR FAMILY: (I) AN OWNERSHIP OR INVESTMENT INTEREST IN ANY ENTITY WITH WHICH THE CORPORATION HAS A TRANSACTION OR ARRANGEMENT; OR (II) A COMPENSATION ARRANGEMENT WITH THE CORPORATION OR WITH ANY ENTITY OR INDIVIDUAL WITH WHICH THE CORPORATION HAS A TRANSACTION OR ARRANGEMENT; OR (III) A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH, ANY ENTITY OR INDIVIDUAL WITH WHICH THE CORPORATION IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. COMPENSATION INCLUDES DIRECT AND INDIRECT REMUNERATION AS WELL AS GIFTS OR FAVORS THAT ARE SUBSTANTIAL IN NATURE. EACH DIRECTOR, PRINCIPAL OFFICER, EMPLOYEE AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY; AND (D) UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OR COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A THREE-FOURTHS (3/4) VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. 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. THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION OF THE CEO. EXECUTIVE COMMITTEE DOES THE EVALUATION AND CHAIR MEETS WITH THE CEO; MINUTES ARE KEPT IN THE RAMC BOARD MINUTE JOURNAL. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2025. 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. FORM 990, PART IX, LINE 11G CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 5,399,492. MANAGEMENT AND GENERAL EXPENSES 255,596. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,655,088. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 7,952,794. MANAGEMENT AND GENERAL EXPENSES 376,462. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,329,256. COLLECTION FEES: PROGRAM SERVICE EXPENSES 236,921. MANAGEMENT AND GENERAL EXPENSES 11,215. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 248,136. FORM 990, PART XI, LINE 9: NET CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 1,919,098. REEDSBURG AREA MEDICAL CENTER FOUNDATION 2000 NORTH DEWEY AVE REEDSBURG WI 53959 391243616 FUNDRAISING WI 501(C)(3) LINE 12C, III-FI N/A 0 PARTNERS OF REEDSBURG AREA MEDICAL CENTER 2000 NORTH DEWEY AVE REEDSBURG WI 53959 237373902 FUNDRAISING WI 501(C)(3) LINE 3 N/A 0 WORKSITE WELLNESS CENTER INC 223 E MAIN ST REEDSBURG WI 53959 881751899 COMPANY WELLNESS PROGRAM WI RAMC S -167412 821707 1.00000 1 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 WORKSITE WELLNESS INC D 1374381 FMV / CASH BASIS