2024-08-12T09:05:56-05:00 2023-09-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2022-10-01 390808526 BALDWIN AREA MEDICAL CENTER INC BALD 7156841111 1100 BERGSLIEN STREET BALDWIN WI 540020300 EILIDH PEDERSON CEO 7156841111 2024-07-31 1 0 MICHAEL J PETERSON CPA P01833529 2187224705 2024-07-12 2022 2024-08-08 14:25:15Z WESTERN WISCONSIN HEALTH EILIDH PEDERSON 1100 BERGSLIEN STREET BALDWIN WI 540020300 73184531 0 X WWW.WWHEALTH.ORG X 1936 WI TO BUILD A HEALTHIER TOMORROW...TOGETHER. 10 10 494 30 304314 0 4831406 1038451 65488822 70307365 1077243 1638913 -11639 3080 71385832 72987809 4829 2000 0 0 37896345 37190539 0 0 0 28527785 29973205 66428959 67165744 4956873 5822065 72065532 79476797 36781818 37876683 35283714 41600114 X TO BUILD A HEALTHIER TOMORROW...TOGETHER. 0 0 37524957 2000 46924148 THE MEDICAL CENTER OPERATES A CRITICAL ACCESS HOSPITAL, INCLUDING A PROVIDER-BASED, RURAL HEALTH CLINIC, A RURAL HEALTH CLINIC IN A NEIGHBORING COMMUNITY, AND A FITNESS CENTER WITH A CLEAR AND CONSISTENT CHARITABLE PURPOSE WHICH IS TO PROVIDE HEALTH AND WELLNESS SERVICES TO ALL RESIDENTS OF THE COMMUNITIES SERVED WITHOUT REGARD TO AGE, RACE, GENDER, CREED, NATIONAL ORIGIN, ABILITY TO PAY, AND PHYSICAL OR MENTAL HANDICAP. THE DEDICATION OF THE MEDICAL CENTER'S WORKFORCE PROVIDES A STRONG FOUNDATION FOR PROGRAM DEVELOPMENT THAT IS BASED UPON COMMUNITY NEED AND IN ALIGNMENT WITH ORGANIZATIONAL VALUES OF CARING, INNOVATION AND SUSTAINABILITY.DURING FISCAL YEAR 2023, THERE WERE 1068 MEDICAL/SURGICAL (ACUTE AND OBSERVATIONS) ADMISSIONS, 403 SWING BED DAYS, AND 278 NEWBORN DELIVERIES. THE MEDICAL CENTER ALSO HAD 4817 EMERGENCY ROOM VISITS IN FISCAL YEAR 2023. THE MEDICAL CENTER FOCUSSES ON HEALTH AND WELLNESS AND INTEGRATIVE HEALTH SERVICES THAT INCLUDES HOLISTIC SERVICES PROVIDED BY TRADITIONAL MEDICAL PRACTITIONERS, SPECIALISTS, INTEGRATIVE HEALTH CARE PROVIDERS, HEALTH COACHES, DIETICIANS, BEHAVIORAL HEALTH SPECIALISTS, THERAPISTS AND FITNESS EXPERTS. THE MEDICAL CENTER HAS DEVELOPED SPECIFIC SERVICES IN THE AREA OF EMOTIONAL RESILIENCY TRAINING (I.E. A COLLECTION OF SERVICES AIMED AT TEACHING PEOPLE TO MANAGE THEIR OWN PHYSICAL AND EMOTIONAL WELLBEING). IN ADDITION, THE MEDICAL CENTER PROVIDES A FULL SPECTRUM OF GERIATRIC SERVICES ON SITE AND WITHIN AREA NURSING HOMES AND ASSISTED LIVING FACILITIES. THIS INCLUDES 24/7 CALL AND THE REGULAR PROVISION OF ON-SITE CARE TO OVER 200 PATIENTS. THIS SERVICE IS NOT WELL REIMBURSED AND THUS, REQUIRES A SIGNIFICANT IN-KIND INVESTMENT FROM THE MEDICAL CENTER.IN ADDITION, THE MEDICAL CENTER OPERATES A SIMPLE HEALTH AND A FUNCTIONAL MEDICINE PROGRAM. THESE PROGRAMS ARE AIMED AT IMPROVING PATIENTS' HEALTH AND WELLNESS, AT THE PREVENTIVE LEVEL. THIS TYPE OF PROGRAM KEEPS PATIENT HEALTHCARE COSTS LOW, BY STARTING AT A FOUNDATIONAL LEVEL OF DIET AND EXERCISE. BOTH PROGRAMS HAVE DOCUMENTED OUTCOMES OF LOWERING UNNECESSARY EMERGENCY DEPARTMENT VISITS AND REDUCING HOSPITAL RE-ADMISSIONS. THE CHALLENGE IS IN A FEE FOR SERVICE ENVIRONMENT, THERE IS NOT COMPREHENSIVE REIMBURSEMENT FOR INNOVATIVE PROGRAMMING, SUCH AS OFFERED THROUGH THESE SERVICES. AS A RESULT, WWH MAKES SIGNIFICANT INVESTMENT TO ENSURE THESE SERVICES CONTINUE TO BE AVAILABLE TO WWH PATIENTS AND OUR COMMUNITY.MEDICAL CENTER REPRESENTATIVES PROVIDE A VARIETY OF VOLUNTEER SERVICES TO ENHANCE THE COMMUNITY BY PARTICIPATING IN COLLABORATIVE EFFORTS RELATED TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, RELAY FOR LIFE, LOCAL SCHOOL EDUCATION PROGRAMS FOR STUDENTS REGARDING CAREER CHOICES AND MENTAL HEALTH SUPPORT, AND MANY OTHER INITIATIVES. THE MEDICAL CENTER OFFERS SCHOLARSHIP FUNDS TO SELECT AREA HIGH SCHOOL SENIORS LOOKING TO PURSUE A CAREER IN HEALTHCARE AND GRANT PROGRAM DOLLARS TO EMPLOYEES LOOKING TO ENHANCE THEIR PROFESSIONAL SKILLS IN A HEALTH-RELATED EDUCATION FIELD. THE MEDICAL CENTER FURTHER SERVES THE COMMUNITY BY PROVIDING OUTREACH PROGRAMS AND SERVICES THAT ARE INTENDED TO ENHANCE THE HEALTH AND WELL-BEING OF THE PEOPLE IN THE COMMUNITY. SOME OF THESE SERVICES AND/OR SUPPORT GROUPS INCLUDE THE FOLLOWING: COMMUNITY-WIDE HEALTH AND WELLNESS PROGRAMS; SCHOOL BASED MENTAL HEALTH SERVICES AND SCHOOL ATHLETIC TRAINING; CARDIAC, DIABETES, MENTAL HEALTH AND DEPRESSION SUPPORT GROUPS; DIABETES SELF-MANAGEMENT CLASSES; NUTRITION AND LIFESTYLE CONSULTATION AND PROGRAMS; EXPECTANT PARENT CLASSES AND BREASTFEEDING EDUCATION; AND COMMUNITY WIDE COVID-19 VACCINATION CLINICS FOR ELIGIBLE PARTICIPANTS.UNCOMPENSATED CARE:THE MOST SIGNIFICANT EXPRESSION OF CHARITABLE SERVICE IS THE PROVISION OF UNCOMPENSATED HEALTHCARE SERVICES.A. CHARITY CARETHE MEDICAL CENTER PROVIDES HEALTHCARE SERVICES TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY. FOR THOSE INDIVIDUALS WITH VERIFIED INCOME THAT IS AT OR BELOW 100% OF THE FEDERAL POVERTY GUIDELINES, SERVICES ARE PROVIDED WITHOUT ANY EXPECTATION OF PAYMENT. FOR INDIVIDUALS THAT HAVE VERIFIED INCOME AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINE, CARE IS AVAILABLE ON A DISCOUNTED SLIDING SCALE. THE MEDICAL CENTER SCREENS POTENTIAL CHARITY CARE PROGRAM PARTICIPANTS AND MAKES PATIENT INFORMATION READILY AVAILABLE ON THE CHARITY CARE PROGRAM. PROCEDURES ARE IN PLACE THAT ACTIVELY SEEK TO IDENTIFY PATIENTS WHO MAY QUALIFY FOR CHARITY CARE. SEE ADDITIONAL INFORMATION ON THE COST OF THIS COMMUNITY BENEFIT IN THE SCHEDULE H OF THE FORM 990.B. PROVISION FOR BAD DEBT -UNCOLLECTABLE ACCOUNTSTHE MEDICAL CENTER ESTABLISHED A PROVISION FOR BAD DEBT EXPENSE (VALUED AT THE USUAL AND CUSTOMARY CHARGE) THAT REPRESENTS THOSE HEALTHCARE SERVICES WHICH WERE PROVIDED TO PATIENTS THAT WERE UNABLE OR UNWILLING TO PAY. SEE ADDITIONAL INFORMATION ON THE COST OF THIS COMMUNITY BENEFIT IN THE SCHEDULE H OF THE FORM 990.GOVERNMENT PROGRAMS SUCH AS MEDICARE AND MEDICAID PROVIDE PAYMENT FOR SERVICES OFTEN AT RATES THAT ARE SUBSTANTIALLY BELOW THE USUAL AND CUSTOMARY CHARGE. SEE ADDITIONAL INFORMATION ON THE COST OF THESE COMMUNITY BENEFITS PROVIDED IN SCHEDULE H OF THE FORM 990. 19232208 0 22764735 WESTERN WISCONSIN HEALTH ALSO PROVIDES OUTPATIENT HEALTHCARE SERVICES AT TWO CLINICS THAT IT OPERATES. DURING FISCAL YEAR 2023, TOTAL OUTPATIENT ENCOUNTERS AT THESE CLINICS WERE 56,592. BOTH CLINICS ARE DESIGNATED AS RURAL HEALTH CLINICS.IN ADDITION, THE TWO CLINICS PROVIDED CHARITY CARE AND BAD DEBT EXPENSE FOR FISCAL YEAR 2023 IN THE AMOUNT OF $304,950. 759686 0 93016 WESTERN WISCONSIN HEALTH HAS A FITNESS CENTER THAT IS OPEN TO ALL EMPLOYEES, PATIENTS, AND THE GENERAL PUBLIC. THE CENTER HAS AN AVERAGE OF APPROXIMATELY 890 MEMBERS WITH OVER 32,000 ANNUAL VISITS. WESTERN WISCONSIN HEALTH IS EXPANDING SERVICES TO BUSINESSES IN THE COMMUNITIES SERVED. THESE SERVICES INCLUDED HEALTH SCREENING, EDUCATION, OCCUPATIONAL HEALTH SERVICES, PRE-EMPLOYMENT SCREENING AND WORKPLACE EVALUATION. DURING THE COVID-19 PANDEMIC, WWHEALTH HAS SUPPORTED BUSINESSES WITH EDUCATION, TESTING AND VACCINATIONS. THE MEDICAL CENTER IS DEVELOPING SPECIALTY SERVICES IN MANY AREAS, INCLUDING EXPANSION OF BEHAVIORAL HEALTH SERVICES, IN PARTICULAR TELEHEALTH BEHAVIORAL AND SUBSTANCE USE DISORDER SERVICES IN EARLY 2023. 57516851 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 63 0 494 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X LEA KAISER 7156841111 1100 BERGSLIEN STREET BALDWIN WI 540020300 NILIN RAJ MD 40.00 X 352414 0 49237 PETER DAHLBERG MD 40.00 X 402551 0 9150 DENNIS HARTUNG OB/GYN 40.00 X 410364 0 9150 CHUKWUNONSO CHIME MD 40.00 X 598589 0 44791 FAISAL ANWAR MD 40.00 X 423259 0 6150 EILIDH PEDERSON CEO 50.00 X 362393 0 38765 LEA KAISER CFO 50.00 X 131420 0 24140 DANIELLE JOHNSON PRESIDENT 2.00 2.00 X X 0 0 0 JOHN BUELOW VICE CHAIR 2.00 2.00 X X 0 0 0 DEANNE KOLL SECRETARY/TREASURER 2.00 2.00 X X 0 0 0 ALISON PAGE CFO (FORMER) 50.00 X 149968 0 4499 CHRISTOPER BABBITT DIRECTOR 2.00 2.00 X 0 0 0 SHANE BAUER DIRECTOR 2.00 2.00 X 0 0 0 BRANDON GRABER DIRECTOR 2.00 2.00 X 0 0 0 CHRISTINE PENFIELD DIRECTOR 2.00 2.00 X 0 0 0 DANE RASMUSSEN DIRECTOR 2.00 2.00 X 0 0 0 ERIC RUSSELL DIRECTOR 2.00 2.00 X 0 0 0 RON SILER DIRECTOR 2.00 2.00 X 0 0 0 ROBERT STEVENS DIRECTOR (THRU 10/2022) 2.00 2.00 X 0 0 0 2830958 0 185882 66 1 1 0 EMERGENCY CARE CONSULTANTS 2829 UNIVERSITY AVE SE STE 730 MINNEAPOLIS MN 55407 ER PHYSICIANS 2919029 ALLINA HEALTH SYSTEM NW 7710 PO BOX 9383 MINNEAPOLIS MN 554409383 INFORMATION SYSTEM, PHARMACY, EKG 1422632 RIVER VALLEY ANESTHESIA PO BOX 118 NEW RICHMOND WI 54017 CRNA SERVICES 1197226 CENTRAL MINNESOTA DIAGNOSTICS PO BOX 64756 ST PAUL MN 56353 RADIOLOGY SERVICES 1023546 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 554850737 STAFFING AGENCY 840534 16 32167 932598 73686 1038451 PATIENT SERVICES REVENUE 621400 66879302 66879302 PHARMACY 340(B) REVENUE 621400 2616642 2313341 303301 OTHER HOSPITAL SERVICES/CAFETERIA 621400 718405 493134 1013 224258 WELLNESS CENTER REVENUE 621400 93016 93016 70307365 825421 825421 1000000 11985 174523 -11985 825477 813492 813492 10188 32167 10214 -26 -26 AUXILIARY REVENUE 900099 3106 3106 3106 72987809 69781899 304314 1863145 X 2000 2000 673133 673133 28673709 24270557 4403152 737439 620415 117024 5185612 4334858 850754 1920646 1588706 331940 133617 133617 28800 28800 6481 6481 10622473 10096937 525536 305742 350 305392 310557 228538 82019 812099 80792 731307 685338 678976 6362 277571 223490 54081 730361 633223 97138 3010998 2610535 400463 304653 304653 MEDICAL SUPPLIES AND PH 8373067 8365603 7464 BAD DEBT EXPENSE 2215473 2215473 REPAIRS AND MAINTENANCE 618552 618552 EQUIPMENT AND RENTALS 369887 228808 141079 1167536 719038 448498 67165744 57516851 9648893 0 489072 977930 11655847 14874896 3971 0 8301108 11091039 1712697 1773562 369079 468032 56728740 23779229 33740378 32949511 10606783 11705778 198117 366995 4988480 5269054 72065532 79476797 4498733 6049482 634703 1053670 4722494 4506800 25865870 24789955 1060018 1476776 36781818 37876683 X 35279966 41596366 3748 3748 35283714 41600114 72065532 79476797 5822065 494335 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 6481 6481 0 PART II-B, LINE 1: BALDWIN AREA MEDICAL CENTER, INC. (THE "MEDICAL CENTER") PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE WISCONSIN HOSPITAL ASSOCIATION (WHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). THESE DUES ARE PRIMARILY FOR ACCESS TO EDUCATIONAL MATERIALS AND STAFF TRAINING AND DEVELOPMENT. WHA AND AHA HAVE NOTIFIED THE MEDICAL CENTER THAT A PORTION OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT. THE MEDICAL CENTER IS ALSO A MEMBER OF THE RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). EACH YEAR, BAMC 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, THE RWHC ALSO PROVIDES AN ANALYSIS ON CURRENT HEALTHCARE ISSUES IN AN EFFORT TO PROMOTE BETTER HEALTHCARE OPERATIONS 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 A PORTION OF THE FEES PAID BY THE MEDICAL CENTER RELATED TO LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE HEALTHCARE ENVIRONMENT IN THE STATE OF WISCONSIN. 2481033 2481033 40046340 16477789 23568551 13277298 7301440 5975858 924069 924069 32949511 CASH SURRENDER VALUE OF LIFE INSURANCE 529064 ADVANCES TO MEDICAL PROFESSIONALS 103394 AMOUNTS PAYABLE TO THIRD-PARTY REIMBURSEMENT PROGRAMS 4296303 ROU ASSETS - OPERATING LEASES 340293 5269054 457(B) PLAN LIABILITY 1136655 OPERATING LEASE LIABILITY 340121 1476776 GOLF OUTING 42355 32167 10188 2268 4000 3846 100 42355 32167 10188 2268 4000 3846 100 10214 -26 1 1 X 1 X 1 X 1 1 1 0 1 1 179786 179786 0.00280 8881272 9111373 0 0.00000 9061058 9111373 179786 0.00280 656557 323541 333016 0.00510 29673137 20953048 8720089 0.13430 17733 17733 0.00030 30347427 21276589 9070838 0.13970 39408485 30387962 9250624 0.14250 0 1306156 653078 13066727 13132345 -65618 X 1 1 1 1 BALDWIN AREA MEDICAL CENTER INC 1100 BERGSLIEN STREET BALDWIN WI 54002 WWW.WWHEALTH.ORG 1052 X X X X RURAL HEALTH CLINIC BALDWIN AREA MEDICAL CENTER INC 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X HTTPS://WWW.WWHEALTH.ORG/ABOUT/DOCUMENTS/ SEE SUPPLEMENTAL INFORMATION X X 1 21 1 HTTPS://WWW.WWHEALTH.ORG/ABOUT/DOCUMENTS/ 0 1 X 200.000000000000 300.000000000000 X X X 1 1 X X X 1 X WWW.WWHEALTH.ORG/YOUR-VISIT/FINANCIAL-ASSISTANCE/ X WWW.WWHEALTH.ORG/YOUR-VISIT/FINANCIAL-ASSISTANCE/ X WWW.WWHEALTH.ORG/YOUR-VISIT/FINANCIAL-ASSISTANCE/ X X X X X X X 1 X 0 X X X X 1 X 0 0 BALDWIN AREA MEDICAL CENTER, INC. PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SOUGHT INPUT FROM DIVERSE STAKEHOLDERS, INCLUDING HEALTHCARE PROVIDERS, COMMUNITY LEADERS, AND THE PUBLIC. A SURVEY WAS CREATED AND COMPLETED BY THE RESIDENTS OF ST. CROIX AND PIERCE COUNTIES, WHERE PARTICIPANTS IDENTIFIED THE HEALTH PRIORITIES THAT THEY FEEL ARE THE MOST IMPERATIVE TO ADDRESS IN THE REGION. BALDWIN AREA MEDICAL CENTER, INC. PART V, SECTION B, LINE 6A: CONDUCTED WITH: HUDSON HOSPITAL AND CLINICS, HUDSON, WISCONSINRIVER FALLS AREA HOSPITAL; RIVER FALLS, WISCONSIN WESTFIELDS HOSPITAL; NEW RICHMOND, WISCONSIN BALDWIN AREA MEDICAL CENTER, INC. PART V, SECTION B, LINE 6B: CONDUCTED WITH ST. CROIX COUNTY PUBLIC HEALTH DEPARTMENT, PIERCE COUNTY PUBLIC HEALTH, HUDSON HOSPITAL AND CLINIC-HEALTH PARTNERS, WESTFIELDS HOSPITAL AND CLINICHEALTH PARTNERS, RIVER FALLS HOSPITAL AND CLINICALLINA HEALTH AND UNITED WAY OF ST. CROIX VALLEY. BALDWIN AREA MEDICAL CENTER, INC. PART V, SECTION B, LINE 7D: SCHEDULE H, PART V, LINE 7B:HTTPS://WWW.HEALTHIERTOGETHERPIERCESTCROIX.ORG/ASSESSMENTS BALDWIN AREA MEDICAL CENTER, INC. PART V, SECTION B, LINE 11: THE PRIOR 2020-2022 PLAN COMPLETED IN DECEMBER 2022, AND A NEW PLAN WAS IMPLEMENTED IN JANUARY 2023 DUE TO NEW AND EMERGING COMMUNITY HEALTH NEEDS THAT INCLUDES THE FOLLOWING: PRIORITY AREA 1: MENTAL, SOCIAL, AND EMOTIONAL HEALTH GOAL 1: ENHANCE WORKFORCE RESILIENCY AND WELLBEING. OBJECTIVE 1A: BY DECEMBER 2023, ADDRESS THE SHORT AND LONG-TERM MENTAL HEALTH IMPACTS THAT COVID-19 HAD ON HEALTHCARE WORKERS (DIRECT AND NON-DIRECT PATIENT CARE) BY OFFERING RESILIENCY TRAINING AND EMPLOYEE ENGAGEMENT OPPORTUNITIES TO PROMOTE WELLBEING, TEAMWORK, AND EMPLOYEE RETENTION. ACTION PLAN: 1.DEVELOP HEALTH PROGRAM & EMPLOYEE ENGAGEMENT SPECIALIST ROLE TO FOCUS ON EMPLOYEE SUPPORT STRATEGIES AND OUTCOMES AS THEY RELATE TO EMPLOYEE ENGAGEMENT AND EMPLOYEE WELLBEING (COMPLETED, MAY 2023).2.DEVELOP AND IMPLEMENT NEW EMPLOYEE SUPPORT STRATEGIES (IN PROGRESS THROUGH SEPTEMBER 2023).GOAL 2: BUILD HEALTHY COPING SKILLS AND STRESS REDUCTION STRATEGIES FOR YOUTH AND THEIR CAREGIVERS.OBJECTIVE 2A: BY DECEMBER 2025, INCREASE AWARENESS OF MENTAL HEALTH, MENTAL ILLNESS, SUBSTANCE USE DISORDERS AND THEIR ASSOCIATED STIGMA THROUGH COMMUNITY AWARENESS, EDUCATION AND SUPPORT OPPORTUNITIES. ACTION PLAN: PROVIDE EMPLOYEE AND COMMUNITY CLASSES ABOUT MENTAL HEALTH AND SUBSTANCE USE DISORDERS. (IN PROGRESS THROUGH SEPTEMBER 2023). OBJECTIVE 1A: BY DECEMBER 2023, INCREASE YOUTH MENTAL HEALTH COLLABORATION AMONG SCHOOL, COUNTY, MEDICAL, AND NON-PROFIT PARTNERS TO SUPPORT MENTAL HEALTH SCREENING, SUPPORT, AND COORDINATION OF CARE FOR YOUTH TO BIMONTHLY MEETINGS WITH 75% OF PIERCE AND ST. CROIX COUNTY SCHOOLS PARTICIPATING. ACTION PLAN: 1. FACILITATE BIMONTHLY MEETINGS TO COLLABORATE IN OPPORTUNITIES TO PROVIDE MENTAL HEALTH SCREENINGS AND MENTAL HEALTH CARE TO SCHOOLS (IN PROGRESS THROUGH SEPTEMBER 2023). GOAL 3: IMPROVE LOCAL ACCESS TO MEET THE NEEDS OF RESIDENTS SEEKING MENTAL HEALTH CARE. OBJECTIVE 3A: MAINTAIN BEHAVIORAL HEALTH CRISIS TELEMEDICINE IN 4 HOSPITAL EMERGENCY DEPARTMENTS AND INCREASE BEHAVIORAL HEALTH TELEMEDICINE IN 2 SATELLITE SITES BY 2025.ACTION PLAN: 1. PROVIDE BEHAVIORAL HEALTH TELEHEALTH VISITS TO PATIENTS IN SCHOOL MENTAL HEALTH SITES AND TO ELLSWORTH (LIBRARY SATELLITE SITE) BY JULY 2023 (COMPLETE, JULY 2023).OBJECTIVE 3B: BY 2025, INCREASE AMOUNT OF PRESCRIPTION MEDICATIONS AND OPIOIDS COLLECTED IN A SECURE MANNER AT DROP BOX LOCATIONS AT HOSPITALS BY 5%. ACTION PLAN: 1. EXPLORE OPTIONS TO PROVIDE SECURE COLLECTION AND DISPOSAL OF PRESCRIPTION MEDICATIONS AND OPIOIDS AT WWH (IN PROGRESS, SEPTEMBER 2023).OBJECTIVE 3C: INCREASE ACCESS TO LOCAL SUBSTANCE USE DISORDER OUTPATIENT TREATMENT THROUGH CONTRACTUAL PARTNERSHIP BY 2023.ACTION PLAN: 1. BEGIN CONTRACT WITH SUBSTANCE USE DISORDER PROVIDER BY END OF 2023 (PROVIDER COMPLETE JULY 2023, PROGRAM SET UP IN PROGRESS SEPTEMBER 2023). PRIORITY AREA: THRIVING AND LIVABLE COMMUNITIES FOR ALLGOAL 1: IMPROVE SOCIAL, ENVIRONMENTAL, AND ECONOMIC CONDITIONS THAT INFLUENCE HEALTH. OBJECTIVE 1I: BY DECEMBER 2023, IMPLEMENT A SYSTEM-WIDE APPROACH TO ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH) THROUGH SCREENING, SYSTEMS, COMMUNITY PARTNERSHIPS, AND REFERRALS. ACTION PLAN: 1. HIRE COMMUNITY AND CLINICAL CARE COORDINATOR TO COORDINATE COMMUNITY RESOURCE REFERRALS AND NEEDS WITH PATIENTS (COMPLETE, SEPTEMBER 2023). 2.ASSESS PATIENTS FOR SDOH CONCERNS IN ANNUAL PHYSICALS, WELL CHILD CHECKS, AND ED/HOSPITAL ADMISSIONS (IN PROGRESS THROUGH SEPTEMBER 2023).3.COLLECT AND EVALUATE SDOH DATA TO FURTHER INFORM COMMUNITY HEALTH NEEDS (IN PROGRESS THROUGH SEPTEMBER 2023).GOAL 2: INCREASE EQUITABLE ACCESS TO HEALTHCARE.OBJECTIVE 2A: BY DECEMBER 2024, IDENTIFY AND ADDRESS BARRIERS TO CARE TO ENSURE HEALTH EQUITY TO ALL WE SERVE.ACTION PLAN: 1. CONDUCT HEALTH EQUITY, DIVERSITY, AND INCLUSION SURVEY AMONG STAFF AND COMMUNITY (STAFF SURVEY COMPLETE SEPTEMBER 2023, COMMUNITY SURVEY WORK IN PROGRESS THROUGH SEPTEMBER 2023).2.DEVELOP PATIENT ADVISORY GROUP WITH PATIENTS REPRESENTING MARGINALIZED POPULATIONS IN OUR COMMUNITY (IN PROGRESS THROUGH SEPTEMBER 2023). 3.PROVIDE STAFF DIVERSITY, EQUITY, AND INCLUSION TRAINING (IN PROGRESS THROUGH SEPTEMBER 2023).4.INCREASE COMMUNICATIONS IN SPANISH (IN PROGRESS THROUGH SEPTEMBER 2023).5.ASSESS AND STRATEGIZE OPPORTUNITIES TO BETTER SUPPORT MATERNAL CARE FOR MARGINALIZED POPULATIONS IN OUR COMMUNITY (IN PROGRESS THROUGH SEPTEMBER 2023).OBJECTIVE 2B: BY 2023, INCREASE ACCESS TO WHEELCHAIR ACCESSIBLE TRANSPORTATION FOR PATIENTS.ACTION PLAN: 1. FUNDRAISE THROUGH 2022 TO PURCHASE WHEELCHAIR ACCESSIBLE VAN TO PROVIDE PATIENTS ACCESS TO MEDICAL SERVICES BY 2023 (COMPLETE SEPTEMBER 2023). OBJECTIVE 3C: BY JUNE 2023, EXPAND DENTAL-CARE OPTIONS FOR MEDICAID, UNDER-INSURED, AND UNINSURED PATIENTS. ACTION PLAN: 1. PARTNER WITH CHILDREN'S DENTAL SERVICES TO PROVIDE MOBILE DENTAL CARE ON-SITE AT WWH (DELAYED AS OF SEPTEMBER 2023). BALDWIN AREA MEDICAL CENTER, INC. PART V, SECTION B, LINE 13H: CATASTROPHIC FINANCIAL ASSISTANCE: IN THE EVENT THE PATIENT OR FAMILY EXPERIENCES A CATASTROPHIC MEDICAL EVENT RESULTING IN MEDICAL BILLS THAT ARE LARGE IN COMPARISON TO THE UNINSURED ASSETS OR FINANCIAL MEANS, AN APPLICANT MAY REQUEST SPECIAL CONSIDERATION OF THE CATASTROPHICNEED. THE MEDICAL CENTER WILL TAKE INTO CONSIDERATION THE FOLLOWING FACTORS IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE AS A RESULT OF A CATASTROPHIC EVENT: 1. THE AMOUNT OWED BY THE PATIENT IN RELATIONSHIP TO HIS/HER TOTAL FINANCIAL MEANS. 2. THE MEDICAL STATUS OF THE PATIENT OR OF HIS/HER FAMILY MEMBER. 3. WHETHER THE PATIENT LIVES ON A FIXED INCOME BALDWIN AREA MEDICAL CENTER, INC. PART V, SECTION B, LINE 16J: AVAILABILITY OF THE FAP IS ALSO PRINTED PATIENT BILLING STATEMENTS WHICH ARE MAILED MONTHLY TO ANY PATIENT HAVING A SELF PATIENT ACCOUNT BALANCE. 1 1 - ROBERTS MEDICAL CLINIC 503 CHERRY LANE ROBERTS WI 54023 RURAL HEALTH CLINIC 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 MEDICAL CENTER'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR THE FORM 990. (THE COSTING METHODOLOGY FOR SUBSIDIZED HEALTH SERVICES FOR LINE 7G ON THE FIRST PAGE OF SCHEDULE H OF THE FORM 990 IS BASED ON COST ALLOCATIONS FROM THE MEDICARE COST REPORT. THIS ALLOCATION METHOD AND PRINCIPLES OF ALLOCATION WERE USED TO DERIVE A SPECIFIC AMOUNT OF COST ALLOCATION TO THE VARIOUS PROGRAMS AND COST CENTERS OPERATED BY BALDWIN AREA MEDICAL CENTER, INC.) PART I, LINE 7G: THE COST OF SUBSIDIZED HEALTH SERVICES IS BASED ON COST ALLOCATIONS FROM THE MEDICARE COST REPORT. ALLOWABLE COSTS ARE ASSIGNED DIRECTLY TO DEPARTMENTS THROUGHOUT THE YEAR AND THEN THE COST REPORT USES THE ALLOCATION METHODOLOGY TO ASSIGN ALL OTHER COSTS TO CALCULATE SERVICE LINE COSTS. SUBSIDIZED HEALTH SERVICES INCLUDE THE OPERATION OF THE ADULTS AND PEDIATRICS HOSPITAL INPATIENT UNIT, THE EMERGENCY DEPARTMENT, AND THE RURAL HEALTH CLINIC. THESE SERVICES ARE UNAVAILABLE TO MEMBERS OF THE COMMUNITY OTHER THAN THROUGH BALDWIN AREA MEDICAL CENTER, INC. IT IS THE GOAL OF BALDWIN AREA MEDICAL CENTER, INC. TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENT'S ABILITY TO PAY. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,215,473. PART II, COMMUNITY BUILDING ACTIVITIES: BALDWIN AREA MEDICAL CENTER, INC. PROVIDES SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS AND IN ADDITION, THE MEDICAL CENTER BELIEVES THAT IT PROVIDES A CRITICALLY IMPORTANT BENEFIT WHICH IS NOT QUANTIFIED. BALDWIN AREA MEDICAL CENTER, INC., 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 MEDICAL CENTER PROVIDES LOCAL ACCESS TO MANY SERVICES INCLUDING: BIRTHING CENTER, DIAGNOSTICS, EMERGENCY SERVICES, INFUSION SERVICES, SWING-BED SERVICES, CLINICAL SERVICES, LABORATORY SERVICES, OCCUPATIONAL HEALTH, REHABILITATION SERVICES, SPECIALTY MEDICINE, SLEEP CENTER, SPEECH PATHOLOGY, SURGICAL SERVICES, WOUND CARE, BEHAVIORAL HEALTH, AND WOMEN'S SERVICES, TO NAME SOME OF THE MAJOR SERVICES PROVIDED. PART III, LINE 2: 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 BALDWIN AREA MEDICAL CENTER, INC. REPORTED IN THE TABLE ON LINE 7 PART I OF THE SCHEDULE H BY THE TOTAL OPERATING EXPENSES OF THE MEDICAL CENTER LESS THE PROVISION FOR BAD DEBTS. PART III, LINE 3: 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 MEDICAL CENTER 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 REQUIRED CHARITY CARE APPLICATION AND ARE TRANSFERRED TO COLLECTION SERVICES EVEN THOUGH THE MEDICAL CENTER PROVIDES THIS INFORMATION TO ALL PATIENTS AND PROVIDES ASSISTANCE WITH THE APPLICATION. DUE TO NO RESPONSES FROM SOME PATIENTS A PORTION AMOUNT OF BAD DEBTS COULD BE CONSIDERED AS CHARITY CARE AND THE MEDICAL CENTER HAS REFLECTED AN AMOUNT OF THESE ADDITIONAL BAD DEBTS IN PART III OF SCHEDULE H OF THE 990. PART III, LINE 4: IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, BALDWIN AREA MEDICAL CENTER, INC. ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF PATIENT REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, BALDWIN AREA MEDICAL CENTER, INC. ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), BALDWIN AREA MEDICAL CENTER, INC. RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES, IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE. 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 MEDICAL CENTER, 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 MEDICAL CENTER AS WELL AS HOSPITAL INPATIENT PHYSICIAN PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN PROFESSIONAL SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULE REIMBURSEMENTS AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY 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 BALDWIN AREA MEDICAL CENTER, INC. PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD USED ABOVE FOR IRS FORM 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED SEPTEMBER 30, 2023, AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES, AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUE (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE).WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHICH ARE TYPICALLY ELDERLY OR DISABLED MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. PART III, LINE 9B: UNDER THE MEDICAL CENTER'S COLLECTION AND CHARITY CARE POLICIES, BALDWIN AREA MEDICAL CENTER, INC. MAKES EVERY ATTEMPT TO IDENTIFY AND PROMOTE CHARITY CARE TO PATIENTS. INCLUDED IN THE MEDICAL CENTER'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 MEDICAL CENTER'S PATIENT FINANCIAL COUNSELOR OR SOCIAL WORKERS TO ALLOW THESE PATIENTS THE ABILITY TO COMPLETE THEIR APPLICATION DURING THEIR STAY AT THE MEDICAL CENTER, DEPENDING UPON THE PATIENT'S CONDITION, 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 MEDICAL CENTER'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 2: WESTERN WISCONSIN HEALTH (WW HEALTH) ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES BY REVIEWING LOCAL DEMOGRAPHIC AND TRENDS TO DETERMINE WHICH SERVICES COULD AND SHOULD BE MADE AVAILABLE TO THE COMMUNITY. WESTERN WISCONSIN HEALTH IS ALSO A PARTICIPATING MEMBER IN HEALTHIER TOGETHER-PIERCE AND ST. CROIX COUNTIES, A GROUP IN WHICH LOCAL HOSPITALS, PUBLIC HEALTH, AND OTHER HEALTH RELATED AND GOVERNMENT ENTITIES, AND COMMUNITY MEMBERS IN PIERCE AND ST. CROIX COUNTIES WORK TOGETHER TO BETTER UNDERSTAND THE CURRENT AND FUTURE HEALTH NEEDS OF THE REGION. HEALTHIER TOGETHER-PIERCE AND ST. CROIX COUNTIES TEAM FOLLOW THE CENTERS FOR DISEASE CONTROL (CDC) COMMUNITY HEALTH ASSESSMENT AND GROUP EVALUATION (CHANGE) TOOL, WHICH WAS DESIGNED TO HELP COMMUNITIES DEVELOP AN ACTION PLAN THROUGH ASSESSMENT AND PRIORITIZATION. WW HEALTH PARTICIPATES IN MULTIPLE COMMUNITY GROUPS AND COLLABORATIONS WITH LOCAL AND STATE ORGANIZATIONS TO STAY ABREAST OF CURRENT TRENDS IN COMMUNITY HEALTH NEEDS. PART VI, LINE 3: UNINSURED AND UNDERINSURED PATIENTS ARE ASKED TO MEET WITH THE WESTERN WISCONSIN HEALTH'S FINANCIAL COUNSELOR 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 CHARITY CARE PROGRAM AND OFFERS THE CHARITY CARE APPLICATION WHEN APPLICABLE. IF OTHER PROGRAMS ARE AVAILABLE TO THE PATIENT, SUCH AS THE MEDICAID OR BADGERCARE PROGRAMS, THESE PATIENTS ARE REFERRED TO THE APPROPRIATE GOVERNMENT AGENCY FOR FURTHER ASSISTANCE. PART VI, LINE 4: WESTERN WISCONSIN HEALTH IS LOCATED IN WESTERN WISCONSIN RIGHT OFF OF I-94 IN BALDWIN, WI. THE PRIMARY SERVICE AREA INCLUDES COMMUNITIES IN A 25 MILES RADIUS. PART VI, LINE 5: WESTERN WISCONSIN HEALTH IS ENGAGED IN MANY ASPECTS OF PROMOTING HEALTH AND WELLNESS IN THE COMMUNITY. WW HEALTH OFFERS EDUCATIONAL SESSIONS THAT ARE OPEN THE COMMUNITY MEMBERS ON A BROAD RANGE OF HEALTH AND WELLNESS TOPICS SUCH AS HEART HEATH, PAIN MANAGEMENT, BEHAVIORAL HEALTH AND RESILIENCY, HEALTHY COOKING, CANCER PREVENTION, JOINT PAIN, AND MUCH MORE. WW HEALTH PROVIDES A BROAD VARIETY OF WELLNESS PROGRAMS AND CLASSES ON-SITE IN ADDITION TO PROVIDING HEALTH AND WELLNESS CLASSES, PRESENTATIONS, AND HEALTH SCREENINGS AT LOCAL SCHOOLS AND BUSINESSES. WW HEALTH ALSO HAS A COMMUNITY FITNESS CENTER OPEN TO THE PUBLIC. PART VI, LINE 7, REPORTS FILED WITH STATES WI X X 0 0 0 0 0 0 0 0 0 NILIN RAJ MD 324128 0 25580 0 2706 0 9150 0 40087 0 401651 0 0 0 PETER DAHLBERG MD 399581 0 0 0 2970 0 9150 0 0 0 411701 0 0 0 DENNIS HARTUNG OB/GYN 379882 0 18953 0 11529 0 9150 0 0 0 419514 0 0 0 CHUKWUNONSO CHIME MD 565132 0 3960 0 29497 0 9150 0 35641 0 643380 0 0 0 FAISAL ANWAR MD 322871 0 85721 0 14667 0 6150 0 0 0 429409 0 0 0 EILIDH PEDERSON CEO 307395 0 53788 0 1210 0 7548 0 31217 0 401158 0 0 0 LEA KAISER CFO 125144 0 6000 0 276 0 3049 0 21091 0 155560 0 0 0 ALISON PAGE CFO (FORMER) 148908 0 0 0 1060 0 4499 0 0 0 154467 0 0 0 A BALDWIN VILLAGE OF 396006200 2014-11-14 6000000 HOSPITAL CONSTRUCTION 0 0 0 A 208181 6000000 161527 5838473 2017 0 0 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY BALDWIN AREA MEDICAL CENTER, INC.'S MANAGEMENT. THE FORM 990 IS ALSO PROVIDED TO THE BOARD MEMBERS FOR REVIEW AND FINAL APPROVAL PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS DISCUSSED AT THE ANNUAL MEETING, AND BOARD MEMBERS ARE REQUIRED TO REVIEW, UPDATE, AND SIGN ANNUAL DISCLOSURE STATEMENTS. THE BOARD CHAIR MONITORS FOR CONFLICTS AND ANY BOARD MEMBERS WITH KNOWN CONFLICTS ARE ASKED TO REFRAIN FROM VOTING ON THOSE CONFLICTED ITEMS. FORM 990, PART VI, SECTION B, LINE 15 FOR ALL POSITIONS, SALARY SURVEYS ARE COMPLETED BY BALDWIN AREA MEDICAL CENTER, INC. AND THE DATA IS COLLECTED BY A THIRD-PARTY. THE REVIEW OF THE DATA IS CONDUCTED BY BALDWIN AREA MEDICAL CENTER, INC. IN THE CASE OF THE CEO, THE DATA IS REVIEWED BY THE BOARD CHAIR AND EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS WHO DETERMINE WHAT THE CEO RECEIVES FOR A SALARY INCREASE. SENIOR MANAGER POSITIONS ARE REVIEWED BY THE CEO WHO MAKES THE FINAL DECISION AS TO THE INCREASE AMOUNT OR WAGE ADJUSTMENT. HOWEVER, IN THE MAJORITY OF INSTANCES IT HAS BEEN BASED UPON WHAT THE MEDICAL CENTER CAN AFFORD, WHICH HAS BEEN HELD LOWER THAN SUGGESTED MARKET OR MERIT INCREASES. FOR ALL OTHER POSITIONS, THE HUMAN RESOURCES DIRECTOR MAKES THE RECOMMENDATION AND THE SENIOR MANAGER REVIEWS THE RECOMMENDATION AND FINALLY THE ENTIRE PLAN IS REVIEWED BY THE CEO. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G EMERGENCY ROOM SERVICES: PROGRAM SERVICE EXPENSES 3,030,394. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,030,394. LAB SERVICES: PROGRAM SERVICE EXPENSES 759,859. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 759,859. RADIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 1,206,990. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,206,990. ANESTHESIA SERVICES: PROGRAM SERVICE EXPENSES 1,429,626. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,429,626. CLINIC SERVICES: PROGRAM SERVICE EXPENSES 100,469. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 100,469. PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 330,151. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 330,151. HOUSEKEEPING SERVICES: PROGRAM SERVICE EXPENSES 151,960. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 151,960. OTHER SERVICES: PROGRAM SERVICE EXPENSES 3,087,488. MANAGEMENT AND GENERAL EXPENSES 525,536. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,613,024. ST CROIX VALLEY SHARED SERVICES INC 990 MAIN STREET BALDWIN WI 540029248 391791601 HOME HEALTH AND HOSPICE WI 501(C)(3) LINE 10 BALDWIN AREA MEDICAL CENTER INC 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 ST CROIX VALLEY SHARED SERVICES INC Q 104231 CASH