VERNON MEMORIAL HEALTHCARE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: VERNON MEMORIAL HEALTHCARE INC (EIN 39-0806404)
Tax period: 2019-10-01 to 2020-09-30
Filed: 2021-08-13
IRS object ID: 202112259349300221
Schema version: 2019v5.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-08-13T10:11:17-05:00	ReturnTs
Tax Period End	2020-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390758449	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WIPFLI LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1502 LONDON ROAD SUITE 200	AddressLine1Txt
City	DULUTH	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55812	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	390806404	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	VERNON MEMORIAL HEALTHCARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	VERN	BusinessNameControlTxt
Phone	6086372101	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	507 SOUTH MAIN STREET	AddressLine1Txt
City	VIROQUA	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54665	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MIKE SANDERS	PersonNm
Person Title	INTERIM CFO	PersonTitleTxt
Phone	6086372101	PhoneNum
Signature	2021-08-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL J PETERSON CPA	PreparerPersonNm
PTIN	P01833529	PTIN
Phone	2187224705	PhoneNum
Preparation	2021-08-11	PreparationDt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DAVID HARTBERG	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	507 SOUTH MAIN STREET	AddressLine1Txt
City	VIROQUA	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54665	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$89,986,483	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.VMH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1946	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	VERNON MEMORIAL HEALTHCARE, INC. WILL STRIVE TO HAVE THE VISION TO CONTINUALLY PROVIDE THE HIGHEST STANDARD OF CARE TO OUR PATIENTS AND THEIR FAMILIES WHILE BEING 'CLOSE TO HOME.' OUR MISSION AFFIRMS OUR COMMITMENT TO BEING THE BEST COMMUNITY HEALTHCARE SYSTEM IN THE REGION. IN SUPPORT OF THIS MISSION, WE CONSIDER IT ESSENTIAL TO PROVIDE COST-EFFECTIVE, ACCESSIBLE CARE AND SERVICES USING PROFESSIONAL TREATMENT TO THE INJURED, AFFLICTED, AND WELL PEOPLE WHO NEED THE RESOURCES WE HAVE AT OUR COMMAND, WITHOUT REGARD TO RACE, CREED, COLOR, SEX, HANDICAP, NATIONAL ORIGIN, OR ABILITY TO PAY. IT IS OUR INTENTION TO ENSURE THAT IN EACH AND EVERY CASE OUR PATIENTS SHALL BE TREATED WITH COMPASSION, UNDERSTANDING AND DIGNITY. FURTHER, THE RIGHTS AND PRIVILEGES OF THE PEOPLE WE SERVE SHALL ALWAYS BE HELD IN THE HIGHEST REGARD, AND THEIR WELL-BEING MUST ALWAYS HAVE FIRST CONSIDERATION.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	636	TotalEmployeeCnt
Total Volunteers	83	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$439,853	PYContributionsGrantsAmt
CY Contributions Grants	$2,915,153	CYContributionsGrantsAmt
PY Program Service Revenue	$78,763,401	PYProgramServiceRevenueAmt
CY Program Service Revenue	$74,131,912	CYProgramServiceRevenueAmt
PY Investment Income	$1,176,723	PYInvestmentIncomeAmt
CY Investment Income	$2,874,731	CYInvestmentIncomeAmt
PY Other Revenue	$290,114	PYOtherRevenueAmt
CY Other Revenue	$284,722	CYOtherRevenueAmt
PY Total Revenue	$80,670,091	PYTotalRevenueAmt
CY Total Revenue	$80,206,518	CYTotalRevenueAmt
PY Grants And Similar Paid	$111,673	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$14,703	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$42,468,192	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$37,679,616	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$35,934,018	PYOtherExpensesAmt
CY Other Expenses	$35,026,314	CYOtherExpensesAmt
PY Total Expenses	$78,513,883	PYTotalExpensesAmt
CY Total Expenses	$72,720,633	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,156,208	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,485,885	CYRevenuesLessExpensesAmt
Total Assets BOY	$101,363,359	TotalAssetsBOYAmt
Total Assets EOY	$109,351,678	TotalAssetsEOYAmt
Total Liabilities BOY	$29,099,917	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$31,616,627	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$72,263,442	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$77,735,051	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE ARE COMMITTED TO BEING THE BEST COMMUNITY HEALTHCARE SYSTEM IN THE REGION.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	Yes (1)	SignificantChangeInd
Expense	$57,421,870	ExpenseAmt
Grant	$14,703	GrantAmt
Revenue	$68,604,781	RevenueAmt
Desc	VERNON MEMORIAL HEALTHCARE ("VMH") OPERATES A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN VIROQUA, WISCONSIN, FOUR PROVIDER-BASED RURAL HEALTH CLINICS (VIROQUA, LA FARGE, SOLDIERS GROVE, AND WESTBY), AND THREE RETAIL PHARMACY LOCATIONS. VMH MAINTAINS A CLEAR AND CONSISTENT COMMITMENT TO ITS CHARITABLE PURPOSE THROUGH THE PROVISION OF HEALTH AND WELLNESS SERVICES TO THE COMMUNITIES SERVED WITHOUT REGARD TO AGE, RACE, GENDER, CREED, NATIONAL ORIGINAL, ABILITY TO PAY, AND PHYSICAL OR MENTAL HANDICAP. VMH'S DEDICATED WORKFORCE EXEMPLIFY SERVICE IN ALIGNMENT WITH ORGANIZATIONAL VALUE STATEMENTS: GREAT EXPERIENCES. RESPECTING EVERYONE. EXCELLENCE IN EVERYTHING WE DO. ALWAYS A HELPFUL ATTITUDE. TAKING CARE OF ONE ANOTHER.IN RESPONSE TO THE NEEDS OF THE COMMUNITIES SERVED, VMH IS PROUD TO PROVIDE HIGH QUALITY INPATIENT ACUTE CARE FOR MEDICAL, SURGICAL, OBSTETRICAL, AND NEWBORN SERVICE NEEDS. VMH FURTHER SUPPORTS THE NEEDS OF ITS PATIENTS BY OFFERING ACCESS TO SWING BED (SKILLED) NURSING CARE. WITH A CONSTANT FOCUS ON QUALITY AND PATIENT SAFETY, VMH OFFERS OUTPATIENT AND ANCILLARY HEALTHCARE SERVICES INCLUDING 24-HOUR EMERGENCY SERVICES, SURGICAL SERVICES, LABORATORY, X-RAY, ULTRASOUND, CT SCANS, MRI, MAMMOGRAPHY, CARDIAC REHABILITATION, SLEEP STUDY SERVICES, INFUSION AND GASTROINTESTINAL SERVICES, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND NUTRITIONAL THERAPY INCLUDING DIABETIC EDUCATION. PATIENTS SERVED BY THE HOSPITAL IN FISCAL 2020 INCLUDED 3,245 ADULT AND PEDIATRIC INPATIENT DAYS AND 140 NEWBORN DELIVERIES. THERE WAS A TOTAL OF 1,244 SURGERY CASES (INPATIENT AND OUTPATIENT COMBINED) AND THERE WERE 84,501 TOTAL OUTPATIENT VISITS. THE VMH EMERGENCY ROOM PROVIDED IMMEDIATE ACCESS TO CARE IN RESPONSE TO 6,302 EMERGENCY ROOM VISITS.AS A PART OF VMH'S MISSION, AND IN KEEPING WITH ITS STATUS AS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, VMH HAS ESTABLISHED A PATIENT FINANCIAL ASSISTANCE POLICY THAT SETS FORWARD THE CRITERIA BY WHICH A PATIENT MAY QUALIFY TO RECEIVE CARE AT AMOUNTS LESS THAN THE ESTABLISHED RATES; TO RECEIVE CHARITY CARE. VMH MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE PROVIDED, THE TOTAL HEALTHCARE SERVICES PROVIDED TO PATIENTS UNDER THIS POLICY ARE MEASURED IN BOTH TOTAL CHARGES AND AT THE ESTIMATED COST OF PROVIDING CARE TO PATIENTS WITH BOTH FIGURES REPORTED AND AVAILABLE BY REFERRING TO SCHEDULE H. IN ADDITION, VMH IS A PROVIDER UNDER THE WISCONSIN MEDICAID PROGRAM. UNDER THE PROGRAM, VMH IS LEGALLY BOUND TO ACCEPT THE AMOUNT DETERMINED BY THE STATE OF WISCONSIN AS PAYMENT IN FULL FOR EACH PATIENT'S CHARGES EVEN THOUGH REIMBURSEMENT IS LESS THAN THE COST TO PROVIDE THE CARE, THEREFORE, SERVICE TO PATIENTS UNDER THIS PROGRAM SHOULD ALSO BE CONSIDERED PART OF THE ORGANIZATION'S BENEFIT PROVIDED TO THE COMMUNITY. (FOR ADDITIONAL INFORMATION ON VMH'S CHARITY CARE AND/OR THE COST OF PARTICIPATION IN THE WISCONSIN MEDICAID PROGRAM, PLEASE REFER TO SCHEDULE H OF THE FORM 990.) IN ADDITION, VMH ENGAGES IN A VARIETY OF COMMUNITY BENEFIT ACTIVITIES, PROVIDING A CRITICALLY IMPORTANT COMMUNITY BENEFIT THAT WOULD NOT OTHERWISE BE AVAILABLE IN THE COMMUNITIES SERVED WITHOUT THE EFFORTS AND SPECIALIZED KNOWLEDGE OF THE LOCAL HEALTHCARE TEAM. IN 2020, THE WORLD WAS FACED WITH A GLOBAL PANDEMIC AND VMH FOUND ITSELF POSITIONED AS A CRITICAL RESOURCE, A PROFESSIONAL PARTNER, AND A COMMUNITY ADVOCATE THROUGHOUT THE LONG AND ARDUOUS RESPONSE. VMH IS PROUD OF THE WORK DONE TO PROVIDE SAFE AND ACCESSIBLE CARE TO OUR PATIENTS VIA COORDINATED ORGANIZATIONAL RESPONSES LIKE THE CREATION OF A RESPIRATORY CLINIC, THE CREATION OF VACCINE CLINICS, AND ORGANIZATIONAL SUPPORT FOR PROFESSIONALS SERVING ON VARIOUS COMMUNITY RESPONSE OR ADVISORY COUNCILS. VMH WAS CREATED AND IS MAINTAINED IN ORDER TO RESPOND TO THE IDENTIFIED HEALTHCARE NEEDS OF OUR COMMUNITIES BY PROVIDING ACCESS TO HIGH QUALITY AND SAFE CARE; CARE THAT WITHOUT THE PRESENCE OF VMH WOULD NOT BE AVAILABLE IN OUR SERVICE AREA.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$4,626,182	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$5,527,131	RevenueAmt
Desc	VERNON MEMORIAL HEALTHCARE, INC. OPERATES FOUR RURAL HEALTH CLINICS LOCATED IN VIROQUA, LAFARGE, SOLDIERS GROVE, AND WESTBY. TOGETHER, THESE CLINICS STRIVE TO MEET THE HEALTHCARE NEEDS OF PATIENTS AND FAMILIES WHO LIVE AND WORK IN THE COMMUNITIES THEY SERVE. A TOTAL OF 37,439 CLINIC VISITS OCCURRED IN FISCAL YEAR 2020. THE CLINICS ARE DESIGNATED AS RURAL HEALTH CLINICS BY THE MEDICARE AND MEDICAID PROGRAMS AND, BY DEFINITION OF THE REQUIREMENTS FOR THAT DESIGNATION, ARE LOCATED IN RURAL OR UNDERSERVED AREAS OF THE COUNTRY. THESE CLINICS PROVIDE CARE TO A LARGE PORTION OF MEDICARE AND MEDICAID BENEFICIARIES WHO, WITHOUT ACCESS TO CARE LOCALLY, WOULD BE REQUIRED TO TRAVEL FARTHER DISTANCES FOR QUALITY HEALTHCARE.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$62,048,052	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	66	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	636	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	0	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MIKE SANDERS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6086374964	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	507 SOUTH MAIN STREET	AddressLine1Txt
City	VIROQUA	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54665	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DR BRIAN LYLE
PHYSICIAN	40.00	Yes (X)	$490,864	$0	$12,758
DR ANTHONY MACASAET
ER PHYSICIAN	30.00	Yes (X)	$441,256	$0	$29,406
BRIAN MILLER
CRNA	40.00	Yes (X)	$401,166	$0	$46,623
DR ANDREW MANSPEAKER
ER PHYSICIAN	36.00	Yes (X)	$376,302	$0	$37,408
JEFFREY SCHEIDT
CRNA	40.00	Yes (X)	$377,526	$0	$29,784
KYLE BAKKUM
CEO (THRU DECEMBER)	40.00		$318,267	$0	$30,619	Yes (X)
KAREN TRAYNOR
CFO	40.00		$197,054	$0	$0	Yes (X)
DAVID HARTBERG
CEO	40.00		$15,965	$0	$1,870	Yes (X)
NATHAN CAMPBELL
CHAIR	1.00		$0	$0	$0	Yes (X)	Yes (X)
BLANE CHARLES
CHAIR (THRU DECEMBER)	1.00		$0	$0	$0	Yes (X)	Yes (X)
MARILYN CLAUSON
VICE CHAIR	1.00		$0	$0	$0	Yes (X)	Yes (X)
KATHY STITTLEBURG
TREASURER	1.00		$0	$0	$0	Yes (X)	Yes (X)
DAVE SARNOWSKI
SECRETARY	1.00		$0	$0	$0	Yes (X)	Yes (X)
VICKI ANDERSON
MEMBER	1.00		$0	$0	$0		Yes (X)
MARY GAJEWSKI
MEMBER	1.00		$0	$0	$0		Yes (X)
VIRGIL HANOLD
MEMBER (THRU JULY)	1.00		$0	$0	$0		Yes (X)
PAUL LARSEN
MEMBER	1.00		$0	$0	$0		Yes (X)
DORI MICKELSON
MEMBER	1.00		$0	$0	$0		Yes (X)
SHARON NELSON
MEMBER	1.00		$0	$0	$0		Yes (X)
TOM WESTON
MEMBER	1.00		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,618,400	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$188,468	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	57	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
BURLINGTON HEALTHCARE PROVIDERS
W329 N 4476 LAKELAND DR	NASHOTA	WI	53122	STAFFING SERVICE, EMERGENCY PHYSICIANS	$467,280
WIPFLI LLP
PO BOX 3160	MILWAUKEE	WI	53201	ACCOUNTING/LAW FIRM	$185,472
JEFFREY M LAWRENCE MD
E8869 APPLE LANE	VIROQUA	WI	54665	SURGEON	$125,400
TOWNE PARK
ONE PARK PLACE	ANNAPOLIS	MD	21401	VALET SERVICE	$111,345
ATLAS PHYSICIANS MIDWEST LLC
125 N 123RD ST	WAUWATOSA	WI	53226	STAFFING	$107,638

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	10	CntrctRcvdGreaterThan100KCnt
Related Organizations	$386,338	RelatedOrganizationsAmt
Government Grants	$2,356,560	GovernmentGrantsAmt
All Other Contributions	$172,255	AllOtherContributionsAmt
Total Contributions	$2,915,153	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOSPITAL	621990	$59,313,033	$59,313,033
RETAIL PHARMACY	446110	$7,524,352	$7,524,352
CLINIC	621110	$5,527,131	$5,527,131
CBRF	623000	$1,079,833	$1,079,833
HOME HEALTH & HOSPICE	621610	$615,719	$615,719

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$71,844	TotalRevenueColumnAmt
Related Or Exempt Func Income	$71,844	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$74,131,912	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$680,556	TotalRevenueColumnAmt
Exclusion	$680,556	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$284,722	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$284,722	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$284,722	TotalRevenueColumnAmt
Exclusion	$284,722	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$11,918,935	SecuritiesAmt
Other	$55,205	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$9,304,186	SecuritiesAmt
Other	$475,779	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,614,749	SecuritiesAmt
Other	-$420,574	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,194,175	TotalRevenueColumnAmt
Exclusion	$2,194,175	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$80,206,518	TotalRevenueColumnAmt
Related Or Exempt Func Income	$74,131,912	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,159,453	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$13,703	TotalAmt
Program Services	$13,703	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,000	TotalAmt
Program Services	$1,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$649,275	TotalAmt
Management And General	$649,275	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$29,330,742	TotalAmt
Program Services	$25,092,775	ProgramServicesAmt
Management And General	$4,237,967	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$505,587	TotalAmt
Program Services	$448,369	ProgramServicesAmt
Management And General	$57,218	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,254,159	TotalAmt
Program Services	$4,601,076	ProgramServicesAmt
Management And General	$653,083	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,939,853	TotalAmt
Program Services	$1,690,392	ProgramServicesAmt
Management And General	$249,461	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$449,718	TotalAmt
Management And General	$449,718	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,693,440	TotalAmt
Program Services	$4,207,407	ProgramServicesAmt
Management And General	$486,033	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$190,343	TotalAmt
Program Services	$183,294	ProgramServicesAmt
Management And General	$7,049	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$342,045	TotalAmt
Program Services	$181,638	ProgramServicesAmt
Management And General	$160,407	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$388,680	TotalAmt
Management And General	$388,680	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,754,138	TotalAmt
Program Services	$1,536,275	ProgramServicesAmt
Management And General	$1,217,863	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$55,184	TotalAmt
Program Services	$35,670	ProgramServicesAmt
Management And General	$19,514	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$105,996	TotalAmt
Program Services	$102,253	ProgramServicesAmt
Management And General	$3,743	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$850,219	TotalAmt
Program Services	$715,935	ProgramServicesAmt
Management And General	$134,284	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,424,407	TotalAmt
Program Services	$4,539,407	ProgramServicesAmt
Management And General	$885,000	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$228,976	TotalAmt
Program Services	$33,909	ProgramServicesAmt
Management And General	$195,067	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PHARMACEUTICALS	$7,283,863	$7,283,863
SUPPLIES	$6,185,408	$6,185,408
BAD DEBT EXPENSE	$3,500,176	$3,500,176
EQUIPMENT RENTAL & MAIN	$1,150,688	$1,055,618	$95,070

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,423,033	TotalAmt
Program Services	$639,884	ProgramServicesAmt
Management And General	$783,149	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$72,720,633	TotalAmt
Program Services	$62,048,052	ProgramServicesAmt
Management And General	$10,672,581	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,593,492	BOYAmt
EOY	$27,882,131	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,064,067	BOYAmt
EOY	$2,955,149	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,024,539	BOYAmt
EOY	$1,182,878	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,824,404	BOYAmt
EOY	$7,132,211	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,316,153	BOYAmt
EOY	$2,435,540	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$642,028	BOYAmt
EOY	$427,787	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$90,520,784	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$48,346,809	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$47,352,805	BOYAmt
EOY	$42,173,975	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$20,703,261	BOYAmt
EOY	$21,960,301	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$330,730	BOYAmt
EOY	$158,335	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,511,880	BOYAmt
EOY	$3,043,371	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$101,363,359	BOYAmt
EOY	$109,351,678	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,723,443	BOYAmt
EOY	$6,027,891	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$4,300,000	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,182,136	BOYAmt
EOY	$16,363,541	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$4,456,041	BOYAmt
EOY	$3,017,329	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,738,297	BOYAmt
EOY	$1,907,866	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$29,099,917	BOYAmt
EOY	$31,616,627	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$71,137,979	BOYAmt
EOY	$76,511,667	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,125,463	BOYAmt
EOY	$1,223,384	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$72,263,442	BOYAmt
EOY	$77,735,051	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$101,363,359	BOYAmt
EOY	$109,351,678	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$7,485,885	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,014,276	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$4,799	OtherActivitiesAmt
Total Lobbying Expenditures	$4,799	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	VERNON MEMORIAL HEALTHCARE, INC. PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE WISCONSIN HOSPITAL ASSOCIATION AND RURAL WISCONSIN HEALTH COOPERATIVE. THESE DUES ARE PRIMARILY FOR ACCESS TO EDUCATIONAL MATERIALS AND STAFF TRAINING AND DEVELOPMENT. A SMALL PORTION OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,757,582	OtherCostOrOtherBasisAmt
Book Value	$1,757,582	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$67,114,671	OtherCostOrOtherBasisAmt
Depreciation	$33,242,303	DepreciationAmt
Book Value	$33,872,368	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,362,343	OtherCostOrOtherBasisAmt
Depreciation	$15,104,506	DepreciationAmt
Book Value	$6,257,837	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$286,188	OtherCostOrOtherBasisAmt
Book Value	$286,188	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$42,173,975	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DEFERRED COMPENSATION PLAN LIABILITY - FUNDED	Desc
Amt	$1,907,866	Amt

Field	Value	IRS element (for citing)
Total Liability	$1,907,866	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$74,298,734	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$2,014,276	NetUnrealizedGainsInvstAmt
Other Revenue	-$3,795,587	OtherRevenueAmt
Revenue Not Reported	-$5,809,863	RevenueNotReportedAmt
Revenue Subtotal	$80,108,597	RevenueSubtotalAmt
Other Revenues Not Included	$97,921	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$97,921	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$80,206,518	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$68,925,046	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$68,925,046	ExpensesSubtotalAmt
Other Expenses Not Included	$3,795,587	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$3,795,587	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$72,720,633	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:	WELLNESS CENTER EXPENSE -295,411. BAD DEBT EXPENSE NET AGAINST REVENUE -3,500,176.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	CONTRIBUTIONS TO RESTRICTED NET ASSETS 391,950. NET ASSETS RELEASED FROM RESTRICTIONS -294,029.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	WELLNESS CENTER EXPENSE 295,411. BAD DEBT EXPENSE NET AGAINST REVENUE 3,500,176.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	0	FPGReferenceFreeCareInd
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$963,195	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$963,195	NetCommunityBenefitExpnsAmt
Total Expense	0.01320	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,064,701	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,040,121	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,024,580	NetCommunityBenefitExpnsAmt
Total Expense	0.01410	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,027,896	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,040,121	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,987,775	NetCommunityBenefitExpnsAmt
Total Expense	0.02730	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$360,067	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$109,905	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$250,162	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$696,058	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$696,058	NetCommunityBenefitExpnsAmt
Total Expense	0.00960	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$114,365	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$114,365	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,170,490	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$109,905	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,060,585	NetCommunityBenefitExpnsAmt
Total Expense	0.01460	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,198,386	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,150,026	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,048,360	NetCommunityBenefitExpnsAmt
Total Expense	0.04190	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$400	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$400	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,160	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,160	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$407	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$407	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,967	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,967	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$1,669,088	BadDebtExpenseAmt
Bad Debt Expense Attributable	$834,544	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$13,427,051	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$13,761,681	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$334,630	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	VERNON MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	507 SOUTH MAIN ST	AddressLine1Txt
City	VIROQUA	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54665	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.VMH.ORG	WebsiteAddressTxt
State License	1053	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	VERNON MEMORIAL HEALTHCARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, LINE 7D	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, LINE 7D	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, LINE 7D	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	0.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.VMH.ORG/MEDIA/TIJPF2RB/FAP-POLICY-2018.PDF	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.VMH.ORG/MEDIA/VMBPHKYI/VMH-FAP-APPLICATION-UPDATED.PDF	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.VMH.ORG/MEDIA/HRIF32AL/BRANDING-BROCHURE-FINANCIALASSISTANCEONL	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
VERNON MEMORIAL HEALTHCARE, INC.	PART V, SECTION B, LINE 3J: DATA FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE OBTAINED BY COLLECTING DATA THROUGH COMMUNITY SURVEYS, FOCUS GROUPS, STAKEHOLDER MEETINGS, AND AN EXTENSIVE REVIEW OF HEALTH AND SOCIOECONOMIC INDICATORS WITH THE HELP OF GREAT RIVERS UNITED WAY. FROM THE CHNA COMPASS NOW 2018 REPORT, "AS PART OF THE COMPASS NOW 2018 PROCESS, ORGANIZATIONS WERE ASKED TO REACH OUT TO AND SHARE THEIR EXPERTISE ABOUT POPULATIONS THAT MAY BE UNDER-REPRESENTED. THESE ORGANIZATIONS WERE ASKED TO PARTICIPATE IN THE PROCESS BY SOLICITING CONVENIENCE SURVEY RESPONSES, HOLDING FOCUS GROUPS, AND/OR ATTENDING STAKEHOLDER MEETINGS." THE POPULATIONS REPRESENTED WERE PEOPLE WITH DISABILITIES, AGING POPULATIONS, LOW-INCOME POPULATION, CHILDREN, YOUTH, AND FAMILIES, RACIAL AND ETHNIC MINORITIES, VICTIMS OF DOMESTIC VIOLENCE, SEXUAL VIOLENCE, AND TRAFFICKING, AND THE LGBTQ+ COMMUNITY.
VERNON MEMORIAL HEALTHCARE, INC.	PART V, SECTION B, LINE 5: THIS WAS COMPLETED VIA SURVEYS SENT AS DIRECT MAIL, HOWEVER RETURN RATE FOR SURVEYS WAS LOWER THAN DESIRED. MOST INFORMATION COLLECTED THAT WAS USABLE WAS BASED ON DATA COLLECTION VIA CENSUS REPORTS AND FOCUS GROUPS. FOCUS GROUPS CONSISTED OF STAKEHOLDERS FROM LOCAL LAW ENFORCEMENT, EDUCATION, RURAL AND FARMING COMMUNITIES, PRIVATE SECTOR WORKERS, AND HEALTHCARE.
VERNON MEMORIAL HEALTHCARE, INC.	PART V, SECTION B, LINE 6A: THE COMPASS NOW 2018 PARTNERSHIP WAS CONDUCTED IN JOINT EFFORT WITH THE FOLLOWING OTHER HOSPITALS:1. GUNDERSEN HEALTH SYSTEM2. MAYO CLINIC HEALTH SYSTEM - LACROSSE3. ST. JOSEPH'S HOSPITAL HILLSBORO4. TOMAH MEMORIAL HOSPITAL
VERNON MEMORIAL HEALTHCARE, INC.	PART V, SECTION B, LINE 6B: THE COMPASS NOW 2018 PARTNERSHIP WAS CONDUCTED IN JOINT EFFORT WITH THE FOLLOWING ORGANIZATIONS:1. GREAT RIVERS UNITED WAY2. TREMPEALEAU COUNTY HEALTH DEPARTMENT3. MONROE COUNTY HEALTH DEPARTMENT4. VERNON COUNTY UW-EXTENSION5. VERNON COUNTY HEALTH DEPARTMENT6. APTIV, INC.7. LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM8. LA CROSSE COUNTY HEALTH DEPARTMENT9. BUFFALO COUNTY HEALTH DEPARTMENT10. LA CROSSE COUNTY HUMAN SERVICES11. HOUSTON COUNTY HEALTH DEPARTMENT12. COULEECAP
VERNON MEMORIAL HEALTHCARE, INC.	PART V, SECTION B, LINE 7D: PART V, LINE 7A:HTTPS://WWW.VMH.ORG/MEDIA/0SHJMXBF/COMPASS-NOW-2018_WEB.PDFPART V, LINE 7B:HTTP://WWW.GREATRIVERSUNITEDWAY.ORG/OUR-WORK/COMMUNITY-NEEDS-ASSESSMENT/PART V, LINE 10A:HTTPS://WWW.VMH.ORG/MEDIA/UL4ESXDK/COMMUNITY-HEALTH-NEEDS-IMPLEMENTATION-PLAN2018.PDF
VERNON MEMORIAL HEALTHCARE, INC.	PART V, SECTION B, LINE 11: KEY ISSUES/NEEDS IDENTIFIED IN THE CHNA 2018 INCLUDE: INCREASED ACCESS TO MENTAL HEALTHCARE SERVICES, REDUCE DRUG AND ALCOHOL ABUSE, AND INCREASED ACCESS TO AFFORDABLE HEALTHCARE SERVICES. PER 2018 COMMUNITY HEALTH NEEDS ASSESSMENT, "THERE ARE ACCESS ISSUES FOR THESE SERVICES IN VERNON COUNTY. THE PERCENT OF ADULTS THAT NEED TREATMENT AND ARE NOT RECEIVING IT IN VERNON COUNTY IS 58%. THE PERCENT OF YOUTH THAT NEED TREATMENT AND ARE NOT RECEIVING IT IN VERNON COUNTY IS 53%." VERNON MEMORIAL HEALTHCARE (VMH) HAS CREATED A STRATEGY TO EXPAND BEHAVIORAL HEALTH SERVICES WITHIN THE ORGANIZATION, WHILE ALSO IDENTIFYING AREA ORGANIZATIONS THAT VMH CAN COLLABORATE WITH IN EXPANDING ACCESS TO PATIENTS IN THE VMH SERVICE AREA. VMH HAS INCREASED BEHAVIORAL HEALTH STAFF. EMPLOYED PROVIDERS INCLUDE: PSYCHIATRIST, GENERAL PSYCHIATRY (INCLUDING CHILD AND ADOLESCENT, PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER, AND LICENSED CLINICAL SOCIAL WORKERS. VMH WILL ACTIVELY RECRUIT ADDITIONAL BEHAVIORAL HEALTH STAFF. VMH WILL EVALUATE EXPANDING PATIENT SCHEDULES TO INCLUDE EARLY MORNINGS, EVENINGS, AND WEEKENDS TO ACCOMMODATE PATIENT NEEDS. VMH WILL EVALUATE THE POSSIBILITY OF PROVIDING SERVICES IN LOCAL SCHOOLS, AS WELL AS WORK WITH OTHER AREA HEALTHCARE ORGANIZATIONS TO BUILD A COLLABORATIVE IN POOLING OF RESOURCES TO PROVIDE IMPROVED ACCESS.PER 2018 COMMUNITY HEALTH NEEDS ASSESSMENT, "42% OF ALL DRIVING DEATHS IN VERNON COUNTY HAD ALCOHOL INVOLVEMENT. ABOUT 9% OF PEOPLE IN WESTERN WISCONSIN HAVE USED ILLEGAL DRUGS IN THE PAST MONTH, AND THE DEATH RATE DUE TO OPIOID OVERDOSE IN VERNON COUNTY WAS HIGHER THAN THAT OF THE WESTERN REGION." IN RESPONSE TO THE DRUG AND ALCOHOL CRISIS IN THE REGION, VMH HAS COLLABORATED WITH AREA LAW ENFORCEMENT BY DONATING PRESCRIPTION DRUG DROP-OFF BOXES TO PROVIDE SAFE AND SECURE DISPOSAL OF PRESCRIPTION MEDICATION. VMH HAS ALSO DONATED TO LOCAL LAW ENFORCEMENT TO ASSIST IN THE PURCHASE OF NARCAN KITS TO BE INCLUDED IN EVERY PATROL VEHICLE IN THE COUNTY IN AN EFFORT TO ASSIST IN BLOCKING THE EFFECTS OF OPIOIDS, ALLOWING LAW ENFORCEMENT TO INTERVENE WHEN THEY ARE SENT TO AN OVERDOSE CALL. VMH HAS ALSO IMPLEMENTED CONTROLLED SUBSTANCE AGREEMENTS BETWEEN PRIMARY CARE PROVIDER AND PATIENT, WHILE INTERNALLY REVIEWING AND REVISING AN INTERNAL PROTOCOL AT VMH AS THE RELATE TO THE DISPENSING OF CONTROLLED SUBSTANCES. VMH HAS PUT FORTH A GREAT EFFORT INTERNALLY WITH CONTINUED EDUCATION FOR PRIMARY CARE PROVIDERS, AS WELL AS A COLLABORATIVE EFFORT WITH LAW ENFORCEMENT.PER 2018 COMMUNITY HEALTH NEEDS ASSESSMENT, "ACCESS TO COMPREHENSIVE, QUALITY HEALTHCARE SERVICES ARE IMPORTANT IN PROMOTING AND MAINTAINING HEALTH, PREVENTING AND MANAGING DISEASES AND REDUCING PREMATURE DEATH." THE COST OF HEALTH CARE AND/OR THE ADEQUACY OF HEALTH INSURANCE DIRECTLY EFFECTS PATIENTS ACCESSING CARE THAT IS AVAILABLE.VMH CREATED A STRATEGY TO CONTINUE TO BUILD UPON COLLABORATION WITH AREA PARTNERS TO IMPROVE ACCESS TO HEALTH CARE BY COMMUNITY EDUCATION, AS WELL AS INCREASING PATIENT AWARENESS OF INTERNAL AND EXTERNAL FINANCIAL ASSISTANCE PROGRAMS AVAILABLE. IN AN EFFORT TO SHARE INFORMATION ABOUT AVAILABLE RESOURCES, VMH CONDUCTED A COMMUNITY HEALTH AND WELLNESS FAIR WITH AREA HEALTH CARE PARTNERS PARTICIPATING AND COMING TOGETHER TO SHARE HEALTH CARE OPPORTUNITIES IN OUR AREA. PRESENT AT THE FAIR INCLUDED: EMS SERVICES, FIRE/POLICES, ASSISTED LIVING FACILITIES, HOME HEALTH SERVICES, NUTRITION AND DIABETES EDUCATION, AND PHYSICAL THERAPY SERVICES. MANY OTHER COLLABORATIVE SERVICES WERE AVAILABLE TO PROVIDE EDUCATION TO THE PUBLIC ABOUT AFFORDABLE HEALTH CARE SERVICES THAT MAY NOT HAVE BEEN WELL KNOWN. A CHRONIC CARE MANAGEMENT PROGRAM WAS DEVELOPED WITHIN OUR RURAL HEALTH CARE CLINICS TO ALLOW FOR PROVIDERS TO COLLABORATE AND EDUCATE EACH OTHER ABOUT BEST PRACTICES AND THE NEEDS OF OUR COMMUNITY THROUGH CHRONIC CARE MANAGEMENT.
VERNON MEMORIAL HEALTHCARE, INC.	PART V, SECTION B, LINE 13B: PATIENTS' RELIANCE ON MEDICARE OR MEDICAL ASSISTANCE.
VERNON MEMORIAL HEALTHCARE, INC.	PART V, SECTION B, LINE 13H: THE ORGANIZATION PROVIDES "CATASTROPHIC CARE" FOR PATIENTS NOT MEETING FINANCIAL ASSISTANCE ELIGIBILITY. THESE PATIENTS MAY BE ELIGIBLE FOR ASSISTANCE UNDER CIRCUMSTANCES WHEN MEDICAL BILLS WOULD RESULT IN SEVERE FINANCIAL HARDSHIP. PATIENTS, OR THEIR GUARANTORS, MAY BE ELIGIBLE FOR CATASTROPHIC CARE ASSISTANCE IF THEY INCURRED OUT-OF-POCKET OBLIGATIONS RESULTING FROM MEDICAL SERVICES PROVIDED BY VERNON MEMORIAL HEALTHCARE, INC. THAT EXCEED 25% OF THE ADJUSTED GROSS INCOME AND HAVE ASSETS BELOW THE EQUIVALENT OF 600% OF THE FPL THRESHOLD.IF A PATIENT HAS A BALANCE OF $500 OR MORE AND INCOME IS BELOW 100% FPG, THEY WILL QUALIFY FOR CATASTROPHIC CARE.

Field	Value	IRS element (for citing)
Facility	13	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - HIRSCH CLINIC
407 S MAIN ST SUITE 400	VIROQUA	WI	54665	PROVIDER BASED RURAL HEALTH CLINIC
2 - VERNON MEMORIAL HEALTHCARE PHARMACY
407 S MAIN ST SUITE 400	VIROQUA	WI	54665	PHARMACY
3 - SOLAR TOWN PHARMACY
104 SUNSET AVE	SOLDIERS GROVE	WI	54655	PHARMACY
4 - LAFARGE MEDICAL CLINIC
206 N MILL ST	LAFARGE	WI	54639	PROVIDER BASED RURAL HEALTH CLINIC
5 - BLAND CLINIC
100 MELBY ST	WESTBY	WI	54667	PROVIDER BASED RURAL HEALTH CLINIC
6 - VERNON MEMORIAL HEALTHCARE INC
705 ARENA DRIVE	VIROQUA	WI	54665	HOSPICE
7 - KICKAPOO VALLEY MEDICAL CLINIC
102 SUNSET AVE	SOLDIERS GROVE	WI	54655	PROVIDER BASED RURAL HEALTH CLINIC
8 - VERNON MEMORIAL PHARMACY - LAFARGE
206 N MILL STREET	LAFARGE	WI	54639	PHARMACY
9 - VERNON MEMORIAL PHARMACY - WESTBY
115 W STATE STREET	WESTBY	WI	54667	PHARMACY
10 - FAIR HAVEN
601 ARENA DRIVE	VIROQUA	WI	54665	ASSISTED LIVING
11 - OLD TIMES
206 POLLY RUDE WAY	WESTBY	WI	54667	ASSISTED LIVING
12 - BOTHNE HOUSE
100 BOTHNE DRIVE	COON VALLEY	WI	54623	ASSISTED LIVING
13 - VERNON MEMORIAL HEALTHCARE INC
705 ARENA DRIVE	VIROQUA	WI	54665	HOME HEALTH AGENCY

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	CATASTROPHIC CARE: PATIENTS NOT MEETING FINANCIAL ASSISTANCE ELIGIBILITY THRESHOLDS MAY BE ELIGIBLE FOR ASSISTANCE UNDER CIRCUMSTANCES WHEN MEDICAL BILLS WOULD RESULT IN SEVERE FINANCIAL HARDSHIP. PATIENTS, OR THEIR GUARANTORS, MAY BE ELIGIBLE FOR CATASTROPHIC CARE ASSISTANCE IF THEY INCURRED OUT-OF-POCKET OBLIGATIONS RESULTING FROM MEDICAL SERVICES PROVIDED BY VERNON MEMORIAL HEALTHCARE, INC. THAT EXCEED 25% OF THE ADJUSTED GROSS INCOME AND HAVE ASSETS BELOW THE EQUIVALENT OF 600% OF THE FPL THRESHOLD.IF A PATIENT HAS A BALANCE OF $500 OR MORE AND INCOME IS BELOW 100% FPG, THEY WILL QUALIFY FOR CATASTROPHIC CARE.
PART I, LINE 7:	THE COSTING METHOD USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS COSTING METHODS FOR THE FORM 990.
PART II, COMMUNITY BUILDING ACTIVITIES:	OUR HOSPITAL PROVIDES 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 LOCAL ACCESS TO MANY HEALTH SERVICES: BIRTHING CENTER, DIAGNOSTICS, EMERGENCY SERVICES AND URGENT CARE, HOME CARE, HOSPICE, INFUSION SERVICES, INPATIENT CARE, LABORATORY SERVICES, OCCUPATIONAL HEALTH, REHABILITATION SERVICES, SPECIALTY MEDICINE, SPEECH AND AUDIOLOGY, SURGICAL SERVICES, AND WOMEN'S HEALTH.
PART III, LINE 4:	ACCOUNTS RECEIVABLE AND CREDIT POLICY:IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR 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 ORGANIZATION 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 PAYOR HAS NOT YET PAID, OR FOR PAYORS AND PATIENTS 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), THE ORGANIZATION 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 DOUBTFUL ACCOUNTS.THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE.
PART III, LINE 8:	VERNON MEMORIAL HEALTHCARE, INC. IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL AND AS SUCH A PORTION OF ITS REVENUES ARE PAID UNDER A COST REIMBURSEMENT SYSTEM. BASED ON THE INSTRUCTIONS, THE TOTAL MEDICARE REVENUE SHOWN ON THIS FORM 990 INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE THAT IS ACTUALLY RECEIVED BY THE HOSPITAL FROM THE MEDICARE PROGRAM. THE AMOUNTS LISTED FOR MEDICARE DO NOT INCLUDE PHYSICIAN AND MID-LEVEL PRACTITIONER SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT. PHYSICIAN COVERAGE IS REIMBURSED PRIMARILY ON A FEE SCHEDULE REIMBURSEMENT METHODOLOGY AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY 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 VERNON MEMORIAL HEALTHCARE, INC. PROVIDES TO THE COMMUNITY AND SURROUNDING AREA. THE COSTING METHOD USED ABOVE FOR IRS FORM 990 COMPLIANCE REPORTING IS ALSO BASED ON AN OVERALL AVERAGE COST-TO-CHARGE RATIO AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE) DIVIDED BY TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT EXPENSE. THIS RATIO IS THEN MULTIPLIED BY THE TOTAL MEDICARE SERVICES WHICH ARE REIMBURSED ON A COST METHODOLOGY EXCLUDING THE FEE SCHEDULE ITEMS LIKE PHYSICIAN AND MID-LEVEL PRACTITIONER SERVICES WHICH THE HOSPITAL WOULD SHOW A LARGE LOSS ON THESE SERVICES.WHETHER THERE IS A SHORTFALL OR SURPLUS FROM SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THE RECIPIENTS ARE TYPICALLY ELDERLY AND/OR DISABLED MEMBERS OF THE COMMUNITY AND 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:	IN ORDER TO PROVIDE THE LEVEL OF AID NECESSARY TO THE GREATEST NUMBER OF PATIENTS IN NEED, AND PROTECT THE RESOURCES NEEDED TO DO SO, THE FOLLOWING GUIDELINES APPLY: 1) SERVICES ARE PROVIDED UNDER CHARITY CARE ONLY WHEN DEEMED MEDICALLY NECESSARY AND AFTER PATIENTS ARE FOUND TO HAVE MET ALL FINANCIAL CRITERIA BASED ON THE DISCLOSURE OF PROPER INFORMATION AND DOCUMENTATION. 2) CHARITY CARE IS NOT AVAILABLE FOR ELECTIVE PROCEDURES. 3) PATIENTS ARE EXPECTED TO CONTRIBUTE PAYMENT FOR CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION; THEREFORE, EACH CASE WILL BE REVIEWED SEPARATELY. 4) CHARITY CARE IS NOT CONSIDERED AN ALTERNATIVE OPTION FOR PAYMENT AND PATIENTS MAY BE ASSISTED IN FINDING OTHER MEANS OF PAYMENT OR FINANCIAL ASSISTANCE BEFORE APPROVAL FOR CHARITY CARE. 5) UNINSURED PATIENTS WHO ARE BELIEVED TO HAVE THE FINANCIAL ABILITY TO PURCHASE HEALTH INSURANCE MAY BE ENCOURAGED TO DO SO IN ORDER TO ENSURE HEALTHCARE ACCESSIBILITY AND OVERALL WELL-BEING.
PART VI, LINE 2:	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONDUCTED IN CONJUNCTION WITH AREA HEALTH CARE FACILITIES, THE GREAT RIVERS UNITED WAY AND COUNTY HEALTH DEPARTMENTS, VERNON MEMORIAL HEALTHCARE CONTINUALLY GATHERS AND REVIEWS DATA RELATED TO COMMUNITY NEEDS BY UTILIZING MORE INFORMAL FOCUS AND ADVISORY GROUPS, DISCUSSIONS WITH AREA EMPLOYERS AND WEB SURVEYS, AS WELL AS THROUGH SERVING ON LOCAL AND STATE BOARDS AND COMMITTEES. THE ORGANIZATION COLLABORATES WITH COMMUNITY ORGANIZATIONS, CHURCHES, BUSINESSES, AGENCIES, AND LOCAL K-12 SCHOOLS, COLLEGES AND UNIVERSITIES TO DETERMINE THE NEEDS OF THE COMMUNITIES SERVED. BOARD MEMBERS REPRESENT NOT ONLY THE CITY OF VIROQUA, BUT COME FROM THE DIFFERENT AREAS SERVED BY THE ORGANIZATION. THESE BOARD MEMBERS REGULARLY MEET WITH THE PEOPLE IN THEIR AREAS TO UTILIZE THE SERVICES OFFERED BY THE ORGANIZATION AND BRING BACK THEIR ISSUES AND CONCERNS. ADDITIONAL RESOURCES ADDED TO COLLECTING DATA AND UNDERSTANDING THE COMMUNITIES VERNON MEMORIAL HEALTHCARE SERVES ARE INSIGHT DATA COLLECTED ON SOCIAL MEDIA AND FOLLOWING ONLINE AREA TRENDS. INFORMATION HAS ALSO BEEN COLLECTED VIA PATIENT SURVEYS SENT TO PATIENTS POST-VISIT REGARDING THE CARE THEY RECEIVED.
PART VI, LINE 3:	VERNON MEMORIAL HEALTHCARE MAKES EVERY EFFORT TO EDUCATE PATIENTS ABOUT FINANCIAL ASSISTANCE AVAILABLE AT THE TIME OF REGISTRATION AND FOLLOWING DISCHARGE. REGISTRATION HAS A HARD STOP IN EPIC TO REMIND STAFF TO OFFER FINANCIAL ASSISTANCE TO THE PATIENTS. IF A PATIENT REFUSES FINANCIAL ASSISTANCE AT TIME OF REGISTRATION, IT IS DOCUMENTED. FORMS AND INSTRUCTIONS ARE AVAILABLE AT ALL REGISTRATION AREAS, INCLUDING THE MAIN ENTRANCE TO THE HOSPITAL, OUTPATIENT SERVICES, EMERGENCY ROOM, HOME HEALTH, HOSPICE AND OUTLYING CLINICS. FINANCIAL COUNSELORS ARE AVAILABLE DURING DAYTIME HOURS TO ASSIST PATIENTS WITH THE COMPLETION OF FORMS, EITHER IN PERSON, OVER THE PHONE OR THRU MYCARE. INFORMATION ABOUT CHARITY CARE AND DISCOUNT PROGRAMS IS ALSO AVAILABLE ON THE ORGANIZATION'S WEBSITE. SIGNS AND PAMPHLETS REGARDING THE FINANCIAL ASSISTANCE PROGRAM ARE POSTED AT ALL REGISTRATION LOCATIONS.
PART VI, LINE 4:	VERNON MEMORIAL HEALTHCARE SERVES THE CITY OF VIROQUA AND THE SURROUNDING AREA. OTHER TOWNS IN THE PRIMARY SERVICE AREA INCLUDE WESTBY, READSTOWN, SOLDIERS GROVE, CASHTON, AND LAFARGE. THE SECONDARY SERVICE AREA EXTENDS TO THE CITIES OF DESOTO, FERRYVILLE, HILLSBORO, COON VALLEY, RICHLAND CENTER, GAYS MILLS, VIOLA, AND ONTARIO. THE COMMUNITIES AND SURROUNDING RURAL AREAS IN THE PRIMARY SERVICE HAVE AN APPROXIMATE POPULATION OF 28,000. THE SECONDARY SERVICE AREA INCLUDES AN ADDITIONAL 25,000 PERSONS. THE ENTIRE AREA IS RURAL WITH AN AGING POPULATION AND RELATIVELY LOW INCOME LEVELS.
PART VI, LINE 5:	VERNON MEMORIAL HEALTHCARE PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE IN THE COMMUNITIES IT SERVES. SERVICES ARE PROVIDED WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. VERNON MEMORIAL HEALTHCARE OPERATES A 24/7 EMERGENCY ROOM THAT IS OPEN TO SERVE ALL IN NEED, REGARDLESS OF ABILITY TO PAY. THE ORGANIZATION OWNS AND OPERATES FOUR RURAL HEALTH CLINICS LOCATED IN THE CITIES OF VIROQUA, WESTBY, SOLDIERS GROVE AND LAFARGE, AS WELL AS FOUR RETAIL PHARMACIES LOCATED IN VIROQUA, WESTBY, LAFARGE, AND SOLDIERS GROVE. HOME HEALTH AND HOSPICE SERVICES (INPATIENT AND OUTPATIENT) ARE ALSO PROVIDED. VERNON MEMORIAL HEALTHCARE COLLABORATES WITH COMMUNITIES, CHURCHES, BUSINESSES AND OTHER HEALTH CARE ORGANIZATIONS IN THE REGION TO FACILITATE AND STRENGTHEN ACCESSIBILITY OF QUALITY COMPREHENSIVE HEALTHCARE SERVICES. THE ORGANIZATION SUPPORTS THE LOCAL COMMUNITIES BY PROVIDING CONVENIENT LOCATIONS FOR PRIMARY CARE AND PHARMACY SERVICES. THE BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS WHO REPRESENT THE MAKE-UP OF THE AREAS SERVED BY THE ORGANIZATION. VERNON MEMORIAL HEALTHCARE HAS AN OPEN MEDICAL STAFF MADE UP OF QUALIFIED PHYSICIANS WHO WORK WITH THE HOSPITAL TO PROVIDE CARE TO THE COMMUNITIES SERVED. ALL QUALIFIED PHYSICIANS AND AFFILIATED STAFF WHO ARE GRANTED PRIVILEGES UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING AND ORIENTATION PROCESS. ANY SURPLUS FUNDS GENERATED THROUGH OPERATIONS ARE USED TO CONTINUE TO MEET THE NEEDS OF THE PEOPLE THAT ARE SERVED THROUGH THE ADDITION OF NEW FACILITIES AND EQUIPMENT, OR THE ADDITION OR EXPANSION OF NEEDED SERVICES.
PART VI, LINE 7, REPORTS FILED WITH STATES	WI

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
VERNON COUNTY TREASURER
400 COURTHOUSE SQUARE	VIROQUA	WI	54665	396005749	GOV'T ORGANIZATION	$7,200	COON PRAIRIE TRAIL CONSTRUCTION, TRAIL MAINTENANCE
FAMILY & CHILDREN'S CENTER
1707 MAIN STREET	LA CROSSE	WI	54601	390821863	501(C)(3)	$5,000	PAINT THE TOWN PURPLE, DOMESTIC ABUSE AWARENESS

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	CHARITABLE CONTRIBUTIONS MADE BY VERNON MEMORIAL HEALTHCARE (CMH) WILL BE LIMITED TO ELIGIBLE ORGANIZATIONS THAT SET FORWARD A FUNDING REQUEST THAT DEMONSTRATE AN ALIGNMENT WITH THE VMH MISSION, VMH VISION AND VALUES, AND/OR TARGETED TO SUPPORT A NEED SET FORWARD IN THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE COMMUNITIES SERVED BY VMN. ALL ELIGIBLE ORGANIZATIONS MUST BE RECOGNIZED AS A 501(C)(3) ENTITY BY THE INTERNAL REVENUE SERVICE. THE MARKETING MANAGER IS RESPONSIBLE FOR EVALUATION OF ALL APPLICATIONS TO DETERMINE ALIGNMENT WITH THIS POLICY AND TO ENSURE THAT VMH MAINTAINS APPROPRIATE OVERALL FISCAL CONTROL ON EXPENDITURE OF COMMUNITY SUPPORT FUNDS. IT IS HER/HIS INDIVIDUAL AUTHORITY TO DENY ANY REQUEST THAT DOES NOT MEET ESTABLISHED CRITERIA OR THAT IS NOT IN ALIGNMENT WITH THE VMH FISCAL NEEDS AND SHE/HE HAS FINAL AUTHORITY FOR THAT DECISION. FOR THOSE APPLICATIONS DEEMED TO MEET THE CRITERIA OF THIS POLICY, THE FOLLOWING TABLE HIGHLIGHTS AUTHORITY LIMITS: MARKETING MANAGER -$5,000 AND BELOW -AND ONE-TIME DONATION -AND TOTAL ANNUAL COMMITMENT REMAINS AT OR BELOW BUDGET CEO -$5,001 AND UP -AND ONE-TIME DONATION -AND TOTAL ANNUAL COMMITMENT REMAINS AT OR BELOW BUDGET BOARD OF DIRECTORS -DONATIONS CAUSE THE ENTITY TO EXCEED THE ANNUAL APPROVED BUDGET VALUE -AND/OR ALL MULTI-YEAR COMMITMENTS	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR BRIAN LYLE
PHYSICIAN	$490,864	$0	$0	$0	$0	$0	$3,563	$0	$9,195	$0	$503,622	$0	$0	$0
DR ANTHONY MACASAET
ER PHYSICIAN	$441,256	$0	$0	$0	$0	$0	$12,713	$0	$16,693	$0	$470,662	$0	$0	$0
BRIAN MILLER
CRNA	$401,166	$0	$0	$0	$0	$0	$13,622	$0	$33,001	$0	$447,789	$0	$0	$0
DR ANDREW MANSPEAKER
ER PHYSICIAN	$363,802	$0	$12,500	$0	$0	$0	$14,666	$0	$22,742	$0	$413,710	$0	$0	$0
JEFFREY SCHEIDT
CRNA	$377,526	$0	$0	$0	$0	$0	$4,392	$0	$25,392	$0	$407,310	$0	$0	$0
KYLE BAKKUM
CEO (THRU DECEMBER)	$318,267	$0	$0	$0	$0	$0	$11,359	$0	$19,260	$0	$348,886	$0	$0	$0
KAREN TRAYNOR
CFO	$197,054	$0	$0	$0	$0	$0	$0	$0	$0	$0	$197,054	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	391337855	BondIssuerEIN
CUSIP	97712DGX8	CUSIPNum
Bond Issued	2014-12-09	BondIssuedDt
Issue Price	$19,445,225	IssuePriceAmt
Purpose	REFINANCE 2005 BONDS	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$3,670,225	RetiredAmt
Total Proceeds	$19,445,225	TotalProceedsAmt
Issuance Costs From Proceeds	$286,481	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$19,158,744	OtherSpentProceedsAmt
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/09/2019	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 3	AS VERNON MEMORIAL HEALTHCARE RESPONDED TO THE GLOBAL PANDEMIC, THE HOSPICE AND HOME HEALTH SERVICES WERE PERMANENTLY CLOSED.
FORM 990, PART VI, SECTION A, LINE 6	ANY PERSON WHO IS EIGHTEEN YEARS OF AGE OR OLDER AND A BONA FIDE RESIDENT OF VERNON COUNTY, WISCONSIN, OR THE AREA WITHIN A RADIUS OF TWENTY-FIVE MILES OF THE CITY OF VIROQUA, WISCONSIN, AND WHO HAS HERETOFORE OR MAY HEREAFTER CONTRIBUTE TEN DOLLARS OR MORE TO VERNON MEMORIAL HEALTHCARE, INC. (THE ORGANIZATION") SHALL BE A MEMBER THEREOF. ALL MEMBERS OF THE ORGANIZATION SHALL BE VOTING MEMBERS. EACH MEMBER SHALL HAVE ONE VOTE ON ANY MATTER SUBMITTED TO A VOTE OF THE MEMBERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE DUTIES OF THE MEMBERS OF THE ORGANIZATION SHALL BE: THE ELECTION OF MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION, THE REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION, AND THE CHANGING OF THE NUMBER OF DIRECTORS CONSTITUTING THE BOARD OF DIRECTORS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B	THE DUTIES OF THE MEMBERS OF THE VERNON ORGANIZATION SHALL ALSO INCLUDE: THE AMENDMENT, RESTATEMENT, OR MODIFICATION OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE ORGANIZATION; AND THE APPROVAL OF THE SALE, LEASE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL OF THE ASSETS AND PROPERTY OF THE ORGANIZATION, THE DISSOLUTION OF THE ORGANIZATION, OR ITS MERGER WITH ANOTHER CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS OF VERNON MEMORIAL HEALTHCARE, INC. FOR REVIEW AFTER FILING THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12C	ALL BOARD MEMBERS OF VERNON MEMORIAL HEALTHCARE, INC. ARE REQUIRED TO DISCLOSE ALL POSSIBLE CONFLICTS OF INTEREST WHEN FIRST ELECTED TO THE BOARD OF DIRECTORS. DURING THEIR TERMS, IF ANY BUSINESS RELATIONSHIPS ARE ENTERED INTO WHICH MAY AFFECT THEIR INDEPENDENCE AS A MEMBER, THE MEMBER MUST IMMEDIATELY DISCLOSE THESE RELATIONSHIPS.
FORM 990, PART VI, SECTION B, LINE 15	TO DETERMINE APPROPRIATE SALARY RANGES FOR UPPER MANAGEMENT POSITIONS, VERNON MEMORIAL HEALTHCARE, INC. UTILIZES BENCHMARK DATA FROM SURVEYS CONDUCTED BY RELEVANT TRADE ORGANIZATIONS. THE CEO HAS THE RIGHT TO AMEND THE DETERMINED AMOUNT FOR THE CFO. THE BOARD HAS THE RIGHT TO AMEND THE AMOUNT FOR THE CEO. A COMMITTEE OF THE BOARD REVIEWS THE DATA FOR THE CEO ANNUALLY TO DETERMINE THE AMOUNT OF HIS COMPENSATION AND ANY CHANGES IN COMPENSATION ARE MAINTAINED IN THE PERSONNEL FILE.
FORM 990, PART VI, SECTION C, LINE 19	VERNON MEMORIAL HEALTHCARE, INC. MAKES ITS FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC ON A PER REQUEST BASIS. THE FORM 990 IS ALSO AVAILABLE TO THE PUBLIC ON A THIRD-PARTY WEBSITE CALLED GUIDESTAR.
FORM 990, PART XI, LINE 2C:	OVERSIGHT OF AUDIT: VERNON MEMORIAL HEALTHCARE, INC. DOES NOT HAVE A SPECIFIC COMMITTEE WHICH ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. THE ENTIRE BOARD OF DIRECTORS IS RESPONSIBLE FOR SELECTION OF THE INDEPENDENT ACCOUNTANT. NO CHANGES HAVE BEEN MADE IN THE PAST YEAR REGARDING THIS OVERSIGHT FUNCTION OF THE GOVERNING BODY.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	VERNON MEMORIALGUNDERSEN LUTHERAN MEDICAL BUILDING CONDOMINIUM ASSOC LTD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	507 S MAIN ST	AddressLine1Txt
City	VIROQUA	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54665	ZIPCd

Field	Value	IRS element (for citing)
EIN	320182492	EIN
Primary Activities	PROPERTY MANAGEMENT	PrimaryActivitiesTxt
Legal Domicile State	WI	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Share Of Total Income	$255,881	ShareOfTotalIncomeAmt
Share Of EOY Assets	$15,568	ShareOfEOYAssetsAmt
Ownership	0.50000	OwnershipPct
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd