GRANT REGIONAL HEALTH CENTER INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: GRANT REGIONAL HEALTH CENTER INC (EIN 39-1834962)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-15
IRS object ID: 201903199349320715
Schema version: 2018v3.1
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 C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-15T15:13:01-06:00	ReturnTs
Tax Period End	2018-12-31	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	4890 OWEN AYRES COURT SUITE 200	AddressLine1Txt
City	EAU CLAIRE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54701	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	391834962	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GRANT REGIONAL HEALTH CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GRAN	BusinessNameControlTxt
Phone	6087232143	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	507 SOUTH MONROE STREET	AddressLine1Txt
City	LANCASTER	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53813	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAWN BANDY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6087232143	PhoneNum
Signature	2019-11-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	PAUL M TRACZEK CPA	PreparerPersonNm
PTIN	P01368830	PTIN
Phone	7158323407	PhoneNum
Preparation	2019-11-15	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	4.30.113.218	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-15	IPDt
IP Tm	09:08:41	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	9747BB8E0DC0E78824B7C9EDF76D609BB7F00C05	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DAWN BANDY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	507 SOUTH MONROE STREET	AddressLine1Txt
City	LANCASTER	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53813	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$32,870,090	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GRANTREGIONAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1955	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE COMPREHENSIVE HOSPITAL AND CLINICAL SERVICES TO RESIDENTS OF SOUTHWEST WISCONSIN REGARDLESS OF A PATIENT'S ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	281	TotalEmployeeCnt
Total Volunteers	95	TotalVolunteersCnt
Total Gross UBI	$281,974	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$12,000	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$26,788,490	PYProgramServiceRevenueAmt
CY Program Service Revenue	$29,250,251	CYProgramServiceRevenueAmt
PY Investment Income	$776,340	PYInvestmentIncomeAmt
CY Investment Income	$895,225	CYInvestmentIncomeAmt
PY Other Revenue	$17,679	PYOtherRevenueAmt
CY Other Revenue	$13,940	CYOtherRevenueAmt
PY Total Revenue	$27,594,509	PYTotalRevenueAmt
CY Total Revenue	$30,159,416	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$17,097,062	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$18,142,810	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$10,422,973	PYOtherExpensesAmt
CY Other Expenses	$12,922,074	CYOtherExpensesAmt
PY Total Expenses	$27,520,035	PYTotalExpensesAmt
CY Total Expenses	$31,064,884	CYTotalExpensesAmt
PY Revenues Less Expenses	$74,474	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$905,468	CYRevenuesLessExpensesAmt
Total Assets BOY	$55,245,864	TotalAssetsBOYAmt
Total Assets EOY	$61,599,463	TotalAssetsEOYAmt
Total Liabilities BOY	$27,835,483	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$36,348,058	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$27,410,381	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$25,251,405	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WITH OUR HEARTS AND MINDS, WE ARE TOUCHING LIVES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$25,742,552	ExpenseAmt
Revenue	$28,916,344	RevenueAmt
Desc	GRANT REGIONAL HEALTH CENTER, INC. ("GRANT REGIONAL") PROVIDES HEALTH CARE SERVICES AND OTHER SUPPORT THROUGH VARIOUS PROGRAMS THAT ARE DESIGNED, AMONG OTHER MATTERS, TO ENHANCE THE HEALTH OF THE COMMUNITY, INCLUDING THE HEALTH OF LOW-INCOME PATIENTS. THE ORGANIZATION OPERATES A CRITICAL ACCESS HOSPITAL WHICH PROVIDES INPATIENT ACUTE CARE AND SWING BED SERVICES; ALONG WITH AN EMERGENCY DEPARTMENT, WHICH IS OPEN TWENTY-FOUR HOURS PER DAY; AND OTHER OUTPATIENT SERVICES. AMONG THE SERVICES PROVIDED ARE DIAGNOSTIC CARE INCLUDING LABORATORY AND RADIOLOGY SERVICES, OBSTETRICS, REHABILITATION, SURGICAL SERVICES, AND WALK-IN CARE. GRANT REGIONAL ALSO HAS RELATIONSHIPS WITH REGIONAL CENTERS IN MADISON, WISCONSIN AND DUBUQUE, IOWA WHO COME TO THE FACILITY ON A REGULAR BASIS TO PROVIDE SPECIALTY SERVICES. THE SPECIALTY SERVICES PROVIDED INCLUDE, BUT ARE NOT LIMITED TO: AUDIOLOGY, CARDIOLOGY, OB/GYN SURGERY, OPHTHALMOLOGY, ORTHOPEDICS, PULMONOLOGY, UROLOGY, ENT, AND NEUROLOGY. DURING 2018, GRANT REGIONAL HAD 979 ROUTINE MED/SURG PATIENT DAYS, 359 SWING BED DAYS, 288 NURSERY DAYS, 323 OBSTETRIC DAYS, AND 24 DAYS OF ROUTINE HOSPICE CARE FOR INPATIENT CARE AND PROVIDED 6,810 VISITS TO PATIENTS NEEDING EMERGENCY OR URGENT CARE IN THE EMERGENCY DEPARTMENT.CONSISTENT WITH THE MISSION OF GRANT REGIONAL, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, INCLUDING PROVIDING SERVICES TO THOSE PERSONS WHO ARE EITHER UNDERINSURED OR CANNOT AFFORD HEALTH INSURANCE BECAUSE OF INADEQUATE RESOURCES. HEALTH CARE SERVICES TO PATIENTS UNDER GOVERNMENT PROGRAMS, SUCH AS MEDICAID HOSPITAL SERVICES, ARE ALSO CONSIDERED PART OF GRANT REGIONAL'S BENEFIT PROVIDED TO THE COMMUNITY, SINCE A SUBSTANTIAL PORTION OF SUCH SERVICES ARE REIMBURSED AT AMOUNTS LESS THAN THE COSTS OF PROVIDING CARE.PATIENTS WHO MEET CERTAIN CRITERIA FOR CHARITY CARE, BASED ON FEDERAL POVERTY GUIDELINES, ARE PROVIDED CARE AT A SIGNIFICANTLY REDUCED RATE, DETERMINED BASED ON QUALIFYING CRITERIA AS DEFINED IN GRANT REGIONAL'S COMMUNITY CARE POLICY, AND FROM APPLICATIONS COMPLETED BY PATIENTS. THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THIS POLICY FOR 2018 TOTALED APPROXIMATELY $410,000. IN ADDITION, PATIENT CHARGES TO BENEFICIARIES OF THE WISCONSIN MEDICAID PROGRAM WERE REDUCED BY APPROXIMATELY $2,445,000 IN DISCOUNTS IN 2018. (SEE ALSO SCHEDULE H TO THE FORM 990 FOR ADDITIONAL INFORMATION ON THE COST OF PROVIDING THESE MEDICAL SERVICES TO MEMBERS OF THE COMMUNITY.)IN ADDITION TO THE VARIOUS INPATIENT, OUTPATIENT, AND CHARITY CARE SERVICES, GRANT REGIONAL HEALTH CENTER PROVIDED NUMEROUS BENEFITS TO ITS SURROUNDING COMMUNITIES. GRANT REGIONAL HEALTH CENTER PROVIDED EDUCATION ON TOPICS SUCH AS BREASTFEEDING, CANCER, DIABETES, HEART DISEASE, AND WOMEN'S HEALTH. HEALTH SCREENINGS INCLUDING BLOOD PRESSURE, CHOLESTEROL, DIABETES, HEARING, MAMMOGRAPHY, AND WOMEN'S HEALTH WERE ALSO PROVIDED. (SEE ALSO SCHEDULE H TO THE FORM 990 FOR INFORMATION ON THE COST OF PROVIDING THESE SERVICES IN THE COMMUNITY AND SURROUNDING AREAS.)GRANT REGIONAL ALSO PROVIDES ON-THE-JOB EDUCATION TO COLLEGE STUDENTS PURSUING CAREERS IN HEALTH CARE. STUDENTS ARE MENTORED DURING THEIR TIME AT THE FACILITY BY EMPLOYEES OF GRANT REGIONAL AND GRANT REGIONAL PROVIDES PRACTICAL EXPERIENCE THROUGH ITS CARE ENVIRONMENT FOR STUDENTS TO USE THROUGHOUT THEIR FUTURE CAREERS IN THE NURSING SERVICES FIELD.GRANT REGIONAL HAS BEEN DILIGENT AND SUCCESSFUL IN RECRUITING A UROLOGIST, ER PHYSICIAN, AND SEVERAL CLINIC FAMILY PRACTICE PROVIDERS TO EXPAND OUR MEDICAL STAFF.	Desc
Total Program Service Expenses	$25,742,552	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	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
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	0	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	0	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	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
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	92	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	281	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	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	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	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
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAWN BANDY CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6087232143	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	507 SOUTH MONROE STREET	AddressLine1Txt
City	LANCASTER	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53813	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MARK HOEHNE
DIRECTOR	0.50	0.50	Yes (X)	$0	$0	$0
DAVID KURIHARA
DIRECTOR	0.50		Yes (X)	$0	$0	$0
ERIC STADER MD
DIRECTOR	42.00		Yes (X)	$0	$55,860	$0
KRIS WOLF
DIRECTOR	0.50		Yes (X)	$0	$0	$0
ELLEN CONLEY
DIRECTOR	0.50		Yes (X)	$0	$0	$0
EDMUND TED SCHACHT III
DIRECTOR	0.50		Yes (X)	$0	$0	$0
JESSICA HERMSEN
DIRECTOR	0.50	0.50	Yes (X)	$0	$0	$0
ERIC SLANE MD
DIRECTOR	42.00		Yes (X)	$0	$77,930	$0
ROBERT HOFFMAN
SECRETARY	1.00		Yes (X)	$0	$0	$0	Yes (X)
TOM GILDERSLEEVE
VICE-CHAIR	1.00		Yes (X)	$0	$0	$0	Yes (X)
TOM VONDRUM
CHAIR	1.00		Yes (X)	$0	$0	$0	Yes (X)
DAWN BANDY
VP OF FINANCE/CFO	40.00			$103,769	$0	$27,658	Yes (X)
DAVID SMITH
PRESIDENT/CEO	40.00			$79,648	$0	$5,898	Yes (X)
NICOLE CLAPP CONTRACTED
PRESIDENT/CEO (THRU JANUARY)	40.00			$0	$0	$0	Yes (X)
MICHAEL LIEB CONTRACTED
PRESIDENT/CEO (FEBRUARY - MARCH)	40.00			$0	$0	$0	Yes (X)
JENNIFER RUTKOWSKI
VP OF PROF. SERVICE (THRU MARCH)	40.00			$112,428	$0	$8,553	Yes (X)
BRADLEY G BINSFELD
ORTHOPEDIC SURGEON	40.00			$643,376	$0	$27,103		Yes (X)
ROBERT SMITH MD
PHYSICIAN	41.00			$320,927	$0	$38,738		Yes (X)
ERIN L HUEBSCHMAN MD
PHYSICIAN	46.00			$375,696	$0	$17,034		Yes (X)
JAMES C ROSSER MD
PHYSICIAN (THRU NOVEMBER)	44.00			$383,895	$0	$40,613		Yes (X)
ADAM W SCHOPE MD
PHYSICIAN	43.00			$403,824	$0	$17,034		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,423,563	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$133,790	TotReportableCompRltdOrgAmt
Total Other Compensation	$182,631	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	20	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
HEALTHTECHS3 MANAGEMENT SERVICES
5110 MARYLAND WAY SUITE 200	BRENTWOOD	TN	37027	MANAGEMENT SERVICES	$623,830
ALLIED STONE LLC
PO BOX 368	LANCASTER	WI	53813	EXCAVATION	$476,280
NAVITUS HEALTH SOLUTIONS
2601 WEST BELTLINE HWY SUITE 600	MADISON	WI	53713	PHARMACEUTICAL DRUGS	$469,688
FASTAFF LLC
5700 S QUEBEC STREET SUITE 300	GREENWOOD VILLAGE	CO	80111	OR STAFFING	$145,647
BAYER HEALTHCARE
100 BAYER ROAD	PITTSBURGH	PA	15205	RADIOLOGY	$131,194

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	8	CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	621400	$28,796,888	$28,738,019	$58,869
THERAPEUTIC SERVICE REVENUE	812900	$169,875		$169,875
DIETARY	722210	$156,905	$156,905
CONTRACT SERVICE REVENUE	621400	$53,230		$53,230
LIFELINE	621990	$21,420	$21,420

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$51,933	TotalRevenueColumnAmt
Exclusion	$51,933	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$29,250,251	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$331,634	TotalRevenueColumnAmt
Exclusion	$331,634	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$54,122	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$40,182	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$13,940	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,940	TotalRevenueColumnAmt
Exclusion	$13,940	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,227,984	SecuritiesAmt
Other	$6,099	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$2,662,484	SecuritiesAmt
Other	$8,008	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$565,500	SecuritiesAmt
Other	-$1,909	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$563,591	TotalRevenueColumnAmt
Exclusion	$563,591	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30,159,416	TotalRevenueColumnAmt
Related Or Exempt Func Income	$28,916,344	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$281,974	UnrelatedBusinessRevenueAmt
Exclusion	$961,098	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$337,954	TotalAmt
Management And General	$337,954	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$13,841,050	TotalAmt
Program Services	$11,656,855	ProgramServicesAmt
Management And General	$2,184,195	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$536,047	TotalAmt
Program Services	$451,206	ProgramServicesAmt
Management And General	$84,841	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,561,023	TotalAmt
Program Services	$2,150,487	ProgramServicesAmt
Management And General	$410,536	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$866,736	TotalAmt
Program Services	$714,684	ProgramServicesAmt
Management And General	$152,052	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$356,606	TotalAmt
Management And General	$356,606	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$136,019	TotalAmt
Management And General	$136,019	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$55,930	TotalAmt
Management And General	$55,930	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$70,830	TotalAmt
Management And General	$70,830	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,821,875	TotalAmt
Program Services	$1,978,573	ProgramServicesAmt
Management And General	$843,302	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$164,186	TotalAmt
Management And General	$164,186	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$984,426	TotalAmt
Program Services	$684,016	ProgramServicesAmt
Management And General	$300,410	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,376,525	TotalAmt
Program Services	$1,376,525	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$418,066	TotalAmt
Program Services	$413,191	ProgramServicesAmt
Management And General	$4,875	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$26,546	TotalAmt
Program Services	$16,290	ProgramServicesAmt
Management And General	$10,256	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$575,116	TotalAmt
Program Services	$575,116	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,217,792	TotalAmt
Program Services	$2,217,792	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$152,081	TotalAmt
Management And General	$152,081	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$2,413,348	$2,413,348
REPAIRS & MAINTENANCE	$502,313	$502,081	$232
PROVISION FOR BAD DEBTS	$488,260	$488,260
OTHER DIRECT EXPENSES	$84,831	$26,804	$58,027

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$77,324	TotalAmt
Program Services	$77,324	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$31,064,884	TotalAmt
Program Services	$25,742,552	ProgramServicesAmt
Management And General	$5,322,332	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,291,296	BOYAmt
EOY	$1,222,581	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,618,810	BOYAmt
EOY	$174,746	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,306,499	BOYAmt
EOY	$4,450,219	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$564,108	BOYAmt
EOY	$551,022	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$774,073	BOYAmt
EOY	$1,401,173	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$60,559,383	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$19,145,265	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$28,924,409	BOYAmt
EOY	$41,414,118	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$10,725,917	BOYAmt
EOY	$8,456,243	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,040,752	BOYAmt
EOY	$3,929,361	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$55,245,864	BOYAmt
EOY	$61,599,463	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$8,821,419	BOYAmt
EOY	$5,379,998	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,991	BOYAmt
EOY	$1,363	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$18,751,301	BOYAmt
EOY	$30,468,120	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$259,772	BOYAmt
EOY	$498,577	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,835,483	BOYAmt
EOY	$36,348,058	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,877,001	BOYAmt
EOY	$23,953,357	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,533,380	BOYAmt
EOY	$1,298,048	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$27,410,381	BOYAmt
EOY	$25,251,405	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$55,245,864	BOYAmt
EOY	$61,599,463	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$905,468	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,277,501	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$23,992	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	0	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

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	$4,926	OtherActivitiesAmt
Total Lobbying Expenditures	$4,926	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	GRANT REGIONAL HEALTH CENTER, INC. PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING. THE AHA AND WHA HAVE NOTIFIED GRANT REGIONAL THAT $1,908 OF THE ANNUAL DUES PAID WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT. GRANT REGIONAL HEALTH CENTER, INC. IS ALSO A MEMBER OF THE RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). EACH YEAR, GRANT REGIONAL HEALTH CENTER, INC. PAYS MEMBERSHIP FEES TO THE RWHC AND IN RETURN, THE RWHC PROVIDES VARIOUS SERVICES FOR 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 OF CURRENT HEALTHCARE ISSUES IN AN EFFORT TO PROMOTE AND BETTER HEALTHCARE FOR HOSPITALS IN RURAL COMMUNITIES THROUGHOUT WISCONSIN. THESE EFFORTS ALSO INCLUDE LOBBYING ON THE PART OF MEMBER ORGANIZATIONS. THE RWHC DETERMINED THAT $3,018 OF THE FEES PAID BY GRANT REGIONAL HEALTH CENTER, INC. DURING 2018 RELATED TO LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE HEALTHCARE ENVIRONMENT IN THE STATE OF WISCONSIN.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,076,187	OtherCostOrOtherBasisAmt
Book Value	$2,076,187	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$42,677,062	OtherCostOrOtherBasisAmt
Depreciation	$9,827,664	DepreciationAmt
Book Value	$32,849,398	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,992,587	OtherCostOrOtherBasisAmt
Depreciation	$9,145,932	DepreciationAmt
Book Value	$5,846,655	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$813,547	OtherCostOrOtherBasisAmt
Depreciation	$171,669	DepreciationAmt
Book Value	$641,878	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$41,414,118	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
INTEREST IN NET ASSETS OF FOUNDATION	$1,298,047
RECEIVABLE FROM FOUNDATION	$372
PREPAID EXPENSES - LESS CURRENT PORTION	$1,020,942
INVESTMENT IN UNCONSOLIDATED AFFILIATE	$10,000
AMOUNTS RECEIVABLE FROM THIRD-PARTY REIMBURSEMENT PROGRAMS	$1,600,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$3,929,361	TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt	$29,640,508	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$40,182	OtherRevenueAmt
Revenue Not Reported	$40,182	RevenueNotReportedAmt
Revenue Subtotal	$29,600,326	RevenueSubtotalAmt
Investment Expenses Not Incld	$70,830	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$488,260	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$559,090	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$30,159,416	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$30,545,976	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$40,182	OtherExpensesIncludedAmt
Expenses Not Reported	$40,182	ExpensesNotReportedAmt
Expenses Subtotal	$30,505,794	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$70,830	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$488,260	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$559,090	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$31,064,884	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES NET AGAINST RENTAL INCOME 40,182.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE NET AGAINST REVENUE 488,260.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES NET AGAINST RENTAL INCOME 40,182.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE NET AGAINST REVENUE 488,260.

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	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
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	$116,932	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$116,932	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,453,773	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,729,933	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$723,840	NetCommunityBenefitExpnsAmt
Total Expense	0.02330	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,570,705	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,729,933	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$840,772	NetCommunityBenefitExpnsAmt
Total Expense	0.02710	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,495	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,127	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,368	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$358,939	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$358,939	NetCommunityBenefitExpnsAmt
Total Expense	0.01160	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,288,961	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,262,095	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,026,866	NetCommunityBenefitExpnsAmt
Total Expense	0.03310	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,951	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,951	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,728,346	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,283,222	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,445,124	NetCommunityBenefitExpnsAmt
Total Expense	0.04660	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,299,051	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,013,155	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,285,896	NetCommunityBenefitExpnsAmt
Total Expense	0.07370	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,080	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,080	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$114,671	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$114,671	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,110	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,110	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,882	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,882	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,509	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$50,509	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,375	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$53,375	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$91,702	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,065	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$69,637	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$317,329	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,065	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$295,264	NetCommunityBenefitExpnsAmt
Total Expense	0.00940	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$382,536	BadDebtExpenseAmt
Bad Debt Expense Attributable	$191,268	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$9,409,547	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$9,499,665	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$90,118	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	GRANT REGIONAL HEALTH CENTER INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	507 SOUTH MONROE STREET	AddressLine1Txt
City	LANCASTER	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53813	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.GRANTREGIONAL.COM	WebsiteAddressTxt
State License	1025	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
Other	PROVIDER-BASED RURAL HEALTH CLINIC	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GRANT REGIONAL HEALTH CENTER 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
CHNA Conducted	16	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 SUPPLEMENTAL SECTION	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SUPPLEMENTAL SECTION	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	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.GRANTREGIONAL.COM/MEDIA/1064/COMMUNITY_RESPONSIBILITY_PROGRAM_P	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.GRANTREGIONAL.COM/MEDIA/1302/COMMUNITY-CARE-APPLICATION.PDF	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.GRANTREGIONAL.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/	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
Other Publicity	Yes (X)	OtherPublicityInd
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 (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GRANT REGIONAL HEALTH CENTER, INC.	PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ENGAGED DIFFERENT SECTORS OF THE COMMUNITY AT VARIOUS LEVELS OF PARTICIPATION. COMMUNITY PARTICIPANTS WERE DEFINED AS KEY PARTNERS, STAKEHOLDERS, OR GENERAL COMMUNITY. DEFINITIONS AND PARTICIPATION LEVELS ARE DESCRIBED AS FOLLOWS:1. KEY PARTNERS - HOSPITALS, PUBLIC HEALTH, AND UW-EXTENSION: THIS GROUP MET REGULARLY TO CONDUCT THE CHNA. TASKS REQUIRED OF THIS GROUP INCLUDED IDENTIFYING PROCESSES, CREATING SURVEYS, IDENTIFYING TARGET AUDIENCES FOR PARTICIPATION IN THE SURVEYS, ASSEMBLING AND REVIEWING RESULTS OF DATA, IDENTIFYING COMMUNITIES FOR FOCUS GROUPS, AND CONDUCTING FOCUS GROUPS. 2. STAKEHOLDERS: INDIVIDUALS WITH A VESTED INTEREST IN THE COMMUNITY, AND INDIVIDUALS WHO REPRESENT A LARGER DEMOGRAPHIC (IE: SOCIAL WORKERS, FREE CLINIC WORKERS, SCHOOL PRINCIPALS, GOVERNMENT OFFICIALS). PARTICIPANTS WERE ASKED TO IDENTIFY THE SECTOR OR SECTORS OF THE POPULATION THEY REPRESENTED, INCLUDING: BUSINESS, HEALTH CARE, FAITH-BASED, EDUCATION, YOUTH-SERVING, AGRICULTURE, GOVERNMENT, AGING, DISABILITIES, LOW INCOME, MINORITY, EDUCATION, OR OTHER. 3. GENERAL COMMUNITY: INDIVIDUALS AND COMMUNITY MEMBERS REPRESENTING THEIR OWN INTERESTS WERE REACHED IN TWO WAYS: A GENERAL SURVEY COMPLETED AT PUBLIC EVENTS (COUNTY FAIRS, LOCAL FESTIVALS) AND FOCUS GROUPS. COMMUNITY MEMBERS COMPLETING THE WRITTEN SURVEY IDENTIFIED THEMSELVES BY AGE AND NUMBER OF CHILDREN IN HOUSEHOLD. FOCUS GROUPS PARTICIPANT WERE IDENTIFIED BY GENDER.
GRANT REGIONAL HEALTH CENTER, INC.	PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN JOINT EFFORT WITH THE FOLLOWING OTHER HOSPITALS:1. CROSSING RIVERS HEALTH OF PRAIRIE DU CHIEN2. GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS
GRANT REGIONAL HEALTH CENTER, INC.	PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN JOINT EFFORT WITH THE FOLLOWING OTHER ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: 1. CRAWFORD COUNTY PUBLIC HEALTH DEPARTMENT2. GRANT COUNTY PUBLIC HEALTH DEPARTMENT3. CRAWFORD COUNTY UNIVERSITY OF WISCONSIN - EXTENSION4. GRANT COUNTY UNIVERSITY OF WISCONSIN - EXTENSION5. AGING AND DISABILITY RESOURCE CENTER - CRAWFORD AND GRANT COUNTIES
GRANT REGIONAL HEALTH CENTER, INC.	PART V, SECTION B, LINE 7D: HTTPS://WWW.GRANTREGIONAL.COM/MEDIA/1293/CHNAREPORT2016.PDF
GRANT REGIONAL HEALTH CENTER, INC.	PART V, SECTION B, LINE 11: GRANT REGIONAL HAS A COMMITTEE IN PLACE AND IS ADDRESSING THE TOP PRIORITIES IDENTIFIED IN OUR MOST RECENT CHNA. OUR IMPLEMENTATION PLAN INCLUDES COMMUNITY HEALTH INITIATIVES THAT ALIGN WITH OUR ABILITIES AND SERVICE/PROGRAM STRENGTHS FOR THE BENEFIT OF OUR SURROUNDING COMMUNITIES. WE ARE CURRENTLY WORKING ON THE FOLLOWING INITIATIVES: (1) ACCESS TO CARE & AFFORDABILITY:-FINANCIAL ASSISTANCE: MONITOR UTILIZATION OF PAYOR MIX INCLUDING CHARITY CARE.-PRIMARY CARE: RECRUITMENT/RETENTION FOR GRCC AND ASSIST OTHER LOCAL CLINICS WHEN NEEDED.-SPECIALTY CARE: RECRUITMENT/RETENTION OF NEEDED SPECIALTY SERVICES.-INSURANCE BARRIERS: CONTINUE TO LOOK INTO ADDING HEALTH PLANS THAT COULD BE ACCEPTED AT GRCC.-CONTINUE TO RESEARCH ADDITIONAL OUTPATIENT SERVICES TO OFFER AT GRHC: EXAMPLE: TELESTROKE, PAIN MANAGEMENT, ETC.-CONTINUE TO OFFER SCHOLARSHIPS THROUGH FOUNDATION & AUXILIARY TO ASSIST LOCAL STUDENTS INTERESTED IN A CAREER IN HEALTHCARE FOR FUTURE.-CONTINUE TO PARTICIPATE IN GME PROGRAMS AS AVAILABLE.-PLANS TO IMPLEMENT THE ELECTRONIC MEDICAL RECORD WILL ENHANCE COORDINATION AND CONTINUITY OF CARE.(2) CHRONIC DISEASE:DIABETES-PROVIDE ASSISTANCE AND PROGRAMS AVAILABLE TO DIABETIC/PRE-DIABETIC PATIENTS IN OUR SERVICE AREA.-DESIGNATE A PARTIAL FTE TO FOCUS ON ASSISTING PATIENTS WITH FINANCIAL ASSISTANCE.-COLLABORATE WITH AREA ORGANIZATIONS WITH EXISTING PROGRAMS TO PROVIDE EDUCATIONAL MATERIALS AND CREATE AWARENESS (ADRC, HEALTH DEPT).-COORDINATE MONTHLY SUPPORT GROUP FOR ONGOING SUPPORT AND EDUCATION TO EXISTING AND NEW PATIENTS DIAGNOSED WITH DIABETES.-PARTICIPATE IN COMMUNITY EVENTS TO CREATE AWARENESS OF GRHC'S PROGRAM (SUCH AS DIABETES BREAKFAST, ETC.)-HEALTHY LIVING WITH DIABETES: 6-WEEK PROGRAM THAT GIVES SUPPORT AND EDUCATION TO THOSE LIVING WITH DIABETES.HEART DISEASE-PROVIDE SCREENINGS AT AREA COMMUNITY EVENTS SUCH AS BLOOD PRESSURES AT: DAIRY BREAKFAST, GRANT CO. FAIR, CATFISH FESTIVAL AND ALSO CHOLESTEROL SCREENINGS DURING PATIENT APPREC WEEK AND ELDERFEST.-CREATE ONGOING AWARENESS OF SENIOR WELLNESS PROGRAM.-CONTINUE TO MARKET TO PROVIDERS AND COMMUNITY INFO ABOUT OUR CARDIAC REHAB PROGRAM.STROKE-RAISE AWARENESS OF THE WARNING SIGNS OF STROKE.-FOLLOW UP WITH AREA EMS REGARDING TELESTROKE WITH CONTINUED EDUCATIONAL OPPORTUNITIES.BREAST CANCER-CONTINUE BCA CAMPAIGN DURING OCTOBER. COLLABORATE WITH ORGANIZATIONS FOR ONGOING AWARENESS OF EARLY DETECTION (EX. GRANT COUNTY CANCER COALITION).OTHER CHRONIC CONDITIONS-LIVING WELL WITH CHRONIC CONDITIONS: A 6-WEEK PROGRAM THAT OFFERS SUPPORT AND EDUCATION TO THOSE LIVING WITH CHRONIC CONDITIONS.(3) AGINGDEMENTIA-COORDINATE WALKING TOGETHER PROGRAM TO CREATE AWARENESS FOR FAMILIES DEALING WITH DEMENTIA.-CONTINUING EDUCATION FOR GRHC STAFF TO CREATE AWARENESS AND ENHANCE PATIENT EXPERIENCE.FALL PREVENTION-PROVIDE COMPREHENSIVE STEPPING ON 7 WEEK PROGRAM PARTNERING WITH ADRC.-CONTINUE ONGOING AWARENESS OF FALLS PREVENTION WITH GRHC STAFF.(4) WELLNESS/PREVENTION & PHYSICAL ACTIVITY/NUTRITIONLACK OF WELLNESS PROGRAMS OFFERED IN SERVICE AREA -OFFER OR SPONSOR WELLNESS OPPORTUNITIES IN OUR SURROUNDING COMMUNITIES. -RESEARCH GRANTS TO BE ABLE TO OFFER ADDITIONAL RESOURCES OR PROGRAMS IN OUR AREA. -PARTICIPATE IN EXISTING PROGRAMS AND HEALTH FAIRS TO PROMOTE WELLNESS (EX. ELDERFEST, SWTC WELLNESS FAIRS AND OTHERS WHEN OFFERED).OBESITY RATES IN ADULTS AND YOUTH CONTINUE TO RISE IN GRANT COUNTY-OFFER GRHC PROGRAMS OR PARTNER WITH GROUPS/ORGANIZATIONS TO OFFER COMPREHENSIVE WEIGHT LOSS PROGRAMS TO THE COMMUNITY (WEIGHT WATCHERS IF AVAILABLE).(5) HEALTH NEEDS THAT CAN NOT BE ADDRESSEDWHILE GRANT REGIONAL HEALTH CENTER, INC. IS COMMITTED TO ADDRESSING MANY OF THE UNMET COMMUNITY HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA, SOME AREAS UNFORTUNATELY WILL NOT BE ADDRESSED. THOSE AREAS INCLUDE: DRUG/ALCOHOL INTERVENTION, LACK OF ACCESS TO DENTAL PROVIDERS, AND CANCER CARE. GRANT REGIONAL SIMPLY DOES NOT HAVE THE PROGRAMS OR RESOURCES TO IMPACT THESE AREAS EFFECTIVELY. GIVEN THE FACT THAT THESE AREAS RANKED HIGH IN THE CHNA, GRANT REGIONAL RECOGNIZES THE NEED TO CONTINUE TO LOOK FOR WAYS TO COLLABORATE OR INITIATE PROGRAMS AND SERVICES TO THE BEST OF ITS ABILITY. A FEW RECENT STRIDES TOWARD EFFECTIVELY ADDRESSING THESE NEEDS INCLUDE:-GRANT REGIONAL OFFERED A CANCER SUPPORT GROUP WITH MONTHLY SPEAKERS TO EDUCATE AND PROVIDE SUPPORT FOR AREA FAMILIES AFFECTED BY CANCER. DUE TO LACK OF ATTENDANCE, THIS WAS RECENTLY DISCONTINUED. -WHILE GRANT REGIONAL DOES NOT OFFER ANY SUBSTANCE ABUSE SERVICES, THE HOSPITAL IS A STRONG COMMUNITY PARTNER IN COORDINATING AND PROMOTING AWARENESS OF THE ANNUAL PLUNGE - UNDERAGE DRINKING PREVENTION CAMPAIGN. ADDITIONALLY, THERE ARE STATE AND NATIONAL PROGRAMS THAT HAVE DEDICATED RESOURCES FOR SMOKING CESSATION AND ALCOHOL ABUSE.
GRANT REGIONAL HEALTH CENTER, INC.	PART V, SECTION B, LINE 13B: SOME PATIENTS MAY EXCEED 300% OF THE FEDERAL POVERTY GUIDELINES, BUT MAY STILL BE ELIGIBLE FOR CHARITY CARE WHEN ADDITIONAL CRITERIA SUCH AS CATASTROPHIC MEDICAL COSTS ARE CONSIDERED. CATASTROPHIC MEDICAL CARE COSTS ARE DETERMINED ON A CASE-BY-CASE BASIS TO PATIENTS WHO DUE TO A SIGNIFICANT OR RECURRENCE OF MEDICAL BILLS MAY NEED ADDITIONAL COMMUNITY SUPPORT TO HELP A PATIENT OR THEIR FAMILY THROUGH A DIFFICULT TIME.
GRANT REGIONAL HEALTH CENTER, INC.	PART V, SECTION B, LINE 13H: MEDICARE/MEDICAID ELIGIBILITY IS UTILIZED ALONG WITH ANY GOVERNMENT OR PUBLIC PROGRAMS WITH SIMILAR QUALIFYING CRITERIA SUCH AS HOUSING ASSISTANCE PROGRAMS, INMATES, HOMELESS, DECEASED, ETC. AS DEFINED IN THE FAP POLICY.
GRANT REGIONAL HEALTH CENTER, INC.	PART V, SECTION B, LINE 16J: THE FAP AND FAP SUMMARY WERE ALSO AVAILABLE IN SPANISH LANGUAGE UPON REQUEST.
GRANT REGIONAL HEALTH CENTER, INC.	PART V, SECTION B, LINE 23: THE HOSPITAL FOLLOWS ITS NORMAL PROCEDURES FOR COLLECTION OF THESE ACCOUNTS, INCLUDING DISCOUNTS BASED ON INCOME/ASSET LEVELS, PROMPT PAYMENT, OR MEDICAL INDIGENCE.
GRANT REGIONAL HEALTH CENTER	PART V, SECTION B, LINE 10A: HTTPS://WWW.GRANTREGIONAL.COM/MEDIA/1293/CHNAREPORT2016.PDF

Supplemental Information Detail SupplementalInformationDetail (14 entries)

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PART I, LINE 3C:	GRANT REGIONAL HEALTH CENTER, INC. USES THE FEDERAL POVERTY GUIDELINES AS ONE MEANS OF DETERMINING ELIGIBILITY FOR CHARITY CARE. THE FEDERAL POVERTY GUIDELINES ARE UPDATED AND PUBLISHED ANNUALLY BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. AS A GENERAL RULE, A PATIENT'S INCOME, BASED ON FAMILY SIZE, MUST BE AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINES TO BE ELIGIBLE FOR THE CHARITY CARE PROGRAM. A SLIDING SCALE BASED ON THE PATIENT'S INCOME LEVEL UNDER THE FEDERAL POVERTY GUIDELINES WILL BE USED TO DETERMINE THE PRECISE AMOUNT OF CHARITY CARE FOR WHICH A PATIENT WILL BE ELIGIBLE. SOME PATIENTS MAY EXCEED 300% OF THE FEDERAL POVERTY GUIDELINES, BUT MAY STILL BE ELIGIBLE FOR CHARITY CARE WHEN ADDITIONAL CRITERIA SUCH AS CATASTROPHIC MEDICAL COSTS ARE CONSIDERED. CATASTROPHIC MEDICAL CARE COSTS ARE DETERMINED ON A CASE-BY-CASE BASIS TO PATIENTS WHO DUE TO A SIGNIFICANT OR RECURRENCE OF MEDICAL BILLS MAY NEED ADDITIONAL COMMUNITY SUPPORT TO HELP A PATIENT OR THEIR FAMILY THROUGH A DIFFICULT TIME.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES AT GRANT REGIONAL HEALTH CENTER, INC. INCLUDE THE OPERATION OF THE EMERGENCY ROOM DEPARTMENT. THESE SERVICES ARE UNAVAILABLE TO MEMBERS OF THE COMMUNITY OTHER THAN THROUGH GRANT REGIONAL HEALTH CENTER, INC.'S EMERGENCY DEPARTMENT. THE DEPARTMENT OPERATES 24-HOURS PER DAY SEVEN DAYS PER WEEK AND IS STAFFED BY A COMBINATION OF PHYSICIANS AND MID-LEVEL PRACTITIONERS. IT IS THE GOAL OF GRANT REGIONAL HEALTH CENTER, INC. TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF A PATIENT'S ABILITY TO PAY.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $488,260.
PART II, COMMUNITY BUILDING ACTIVITIES:	GRANT REGIONAL HEALTH CENTER, INC. ALSO ENGAGES IN A VARIETY OF COMMUNITY BUILDING ACTIVITIES THAT WOULD OTHERWISE NOT BE PROVIDED TO RESIDENTS OF LANCASTER, WISCONSIN AND SURROUNDING AREAS WITHOUT THE EFFORTS AND SPECIALIZED KNOWLEDGE OF THE LOCAL COMMUNITY HOSPITAL. SOME OF THE COMMUNITY BUILDING ACTIVITIES OF GRANT REGIONAL HEALTH CENTER, INC. INCLUDE (WITHOUT LIMITATION) PARTICIPATION IN LOCAL HEALTH AND WELLNESS FAIRS, SPONSORSHIP OF SUPPORT GROUPS, PROVISION OF EDUCATIONAL MATERIALS TO COMMUNITY MEMBERS, AND LOCAL BLOOD PRESSURE SCREENINGS. THESE ACTIVITIES WERE DETERMINED BY MEMBERS OF THE COMMUNITY OR ASKED BY COMMUNITY REPRESENTATIVES OF GRANT REGIONAL HEALTH CENTER, INC. TO PROVIDE THESE SERVICES SINCE THE HOSPITAL HAS THE EXPERTISE IN THESE AREAS. THE HOSPITAL ALSO PARTICIPATES IN HEALTH EDUCATION AWARENESS AND CAREER BUILDING ACTIVITIES SUCH AS CLINICAL TRAINING EXPERIENCE, FACILITY TOURS TO STUDENTS, SPEAKERS AT LOCAL SCHOOLS, AND CAREER FAIRS. THE HOSPITAL RECOGNIZES THAT IT IS IMPORTANT TO EDUCATE LOCAL COMMUNITY MEMBERS ON THESE CAREERS AS A CAREER BUILDING INITIATIVE SO THAT LOCAL PRIMARY CARE AND ACCESS TO CARE WILL BE CONTINUED IN THE FUTURE WITH WELL-TRAINED AND EDUCATED COMMUNITY MEMBERS IN HEALTHCARE RELATED FIELDS.
PART III, LINE 2:	THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL PATIENT SERVICES REVENUE DIVIDED BY OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT WERE WRITTEN OFF DURING THE FISCAL YEAR TO ESTIMATE THE COST OF THE CARE OF PATIENTS THAT HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE HOSPITAL.
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 MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE. MANY TIMES PATIENTS ARE UNABLE TO COMPLETE THE REQUIRED CHARITY CARE APPLICATION AND ARE TRANSFERRED TO COLLECTION SERVICES EVEN THOUGH THE HOSPITAL PROVIDES THIS INFORMATION TO ALL PATIENTS AND ASSISTANCE WITH THE APPLICATIONS. DUE TO NO RESPONSES FROM SOME PATIENTS, A SIGNIFICANT AMOUNT OF BAD DEBTS COULD BE CONSIDERED AS CHARITY CARE.THE COST OF BAD DEBT EXPENSE INCLUDED ON LINE 3, PART III OF SCHEDULE H IS CALCULATED BASED ON THE OVERALL PROVISION FOR BAD DEBTS OF $443,036 MULTIPLIED BY THE COST TO CHARGE RATIO DETERMINED FOR SCHEDULE H AND APPLIED TO SIMILAR CALCULATIONS IN PART I OF SCHEDULE H.
PART III, LINE 4:	ACCOUNTS RECEIVABLE AND CREDIT POLICY: IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, GRANT REGIONAL HEALTH CENTER, INC. ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OR REVENUE TO ESTIMATE FOR IMPLICIT PRICE CONCESSIONS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE IMPLICIT PRICE CONCESSIONS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, GRANT REGIONAL HEALTH CENTER, INC. ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES IMPLICIT PRICE CONCESSIONS 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), GRANT REGIONAL HEALTH CENTER, INC. RECORDS PRICE CONCESSIONS 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 OF ACCOUNTS RECEIVABLE. THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE.
PART III, LINE 8:	GRANT REGIONAL HEALTH CENTER, INC. IS DESIGNATED 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 AT GRANT REGIONAL HEALTH CENTER, INC., SPECIALTY PHYSICIAN SERVICES SUCH AS GYNECOLOGY SERVICES IN THE SPECIALTY CLINIC, OR ANESTHESIA (CRNA) SERVICES. PHYSICIAN COVERAGE IS REIMBURSED PRIMARILY ON A FEE SCHEDULE REIMBURSEMENT METHODOLOGY AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY, CLINICAL, AND ANESTHESIA 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 GRANT REGIONAL HEALTH CENTER, INC. PROVIDES TO THE COMMUNITY AND SURROUNDING AREA OF GRANT COUNTY, WISCONSIN. THE COSTING METHOD USED ABOVE FOR IRS 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:	A PATIENT THAT IS FINANCIALLY RESPONSIBLE FOR THEIR MEDICAL BILLS AND IS NOT COVERED BY AN INSURANCE PLAN MAY TAKE A 25% PROMPT PAYMENT DISCOUNT IF THEY PAY THEIR BALANCE DUE IN FULL WITHIN 25 DAYS OF THE INITIAL SETTLEMENT DATE. GRANT REGIONAL HEALTH CENTER, INC. WILL HONOR SUCH PAYMENT AS PAYMENT IN FULL FOR SERVICES BILLED. WHEN A PATIENT'S INCOME IS LESS THAN 300% OF THE FEDERAL POVERTY LEVEL FOR THEIR FAMILY SIZE, THE PATIENT MAY ACCESS THE 25% DISCOUNT WITH A WRITTEN PAYMENT ARRANGEMENT TO BE PAID WITHIN A TWELVE MONTH PERIOD UPON APPROVAL OF THE HOSPITAL'S BUSINESS OFFICE MANAGER. HOWEVER, THE PATIENT WILL FIRST BE REFERRED TO THE PATIENT FINANCIAL COUNSELOR. THE PATIENT WILL THEN COMPLETE A FINANCIAL APPLICATION AND SUPPLY SUPPORTING DOCUMENTATION. ONCE THE APPLICATION IS COMPLETED THE BUSINESS OFFICE MANAGER WILL REVIEW AND APPROVE. THE PAYMENT AGREED UPON WILL BE IN ACCORDANCE WITH THE BUSINESS OFFICE'S PAYMENT PLAN POLICY. A LETTER WILL BE SENT TO THE PATIENT ACCEPTING THE FINANCIAL APPLICATION AND PAYMENT AGREEMENT TERMS.
PART VI, LINE 2:	GRANT REGIONAL HEALTH CENTER, INC. ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES BY LOOKING AT LOCAL AND SURROUNDING COMMUNITY DEMOGRAPHICS TO DETERMINE THE SERVICES THAT ARE MOST NECESSARY IN ORDER TO FULFILL ITS MISSION. THE FACILITY ALSO REVIEWS HOSPITAL STATISTICS OF PATIENT VISITS TO DETERMINE WHAT TYPES OF SERVICES OFFERED BY THE FACILITY ARE BEING UTILIZED.
PART VI, LINE 3:	CONSISTENT WITH THE MISSION OF GRANT REGIONAL HEALTH CENTER, INC., HEALTH-RELATED SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, INCLUDING PROVIDING SERVICES TO THOSE PERSONS WHO CANNOT AFFORD HEALTH INSURANCE BECAUSE OF INADEQUATE RESOURCES OR THOSE WHO ARE UNDERINSURED. WHEN A PATIENT'S INCOME IS LESS THAN 300% OF THE FEDERAL POVERTY LEVEL, THEY ARE PROVIDED CARE WITHOUT CHARGE OR AT A REDUCED RATE. THIS IS DETERMINED UPON APPROVAL BY THE BUSINESS OFFICE MANAGER AT THE FACILITY AFTER THE PATIENT HAS MET WITH A PATIENT FINANCIAL COUNSELOR AT THE FACILITY AND HAS COMPLETED A FINANCIAL APPLICATION, AND SUPPLIED THE NECESSARY DOCUMENTATION TO SUPPORT A FINANCIAL NEED FOR CARE UNDER GRANT REGIONAL'S COMMUNITY CARE POLICY. INFORMATION ON THE HOSPITAL'S CHARITY CARE POLICIES IS POSTED AT THE HOSPITAL PATIENT REGISTRATION DESK AND REGISTRATION CLERKS AT THE HOSPITAL ARE TRAINED TO INQUIRE WITH SELF PAY PATIENTS UPON REGISTRATION IF THEY WOULD LIKE FURTHER INFORMATION ON THESE POLICIES OR WOULD LIKE TO MEET WITH A MEMBER OF THE BUSINESS OFFICE STAFF. DURING THE COLLECTION PROCESS, GRANT REGIONAL HEALTH CENTER MAKES AN EFFORT TO ALSO PROVIDE INFORMATION AND SEND CHARITY CARE APPLICATION INFORMATION TO THE MAJORITY OF PRIVATE PAY OR SELF-PAY PATIENTS THAT DO NOT RESPOND WITH PAYMENT ON THE FIRST OR SECOND PATIENT STATEMENT THAT IS SENT ITEMIZING THE BALANCE OF THEIR HOSPITAL BILL. SOCIAL SERVICES AND BUSINESS OFFICE STAFF AT THE HOSPITAL ARE ALSO AVAILABLE TO PROVIDE INFORMATION TO PATIENTS ON OTHER GOVERNMENT PROGRAMS SUCH AS THE MEDICAL ASSISTANCE PROGRAM TO PATIENTS OR TO REFER PATIENTS TO PERSONNEL AT GRANT COUNTY OR OTHER STATE OF WISCONSIN OR COUNTY AGENCIES THAT MAY PROVIDE ACCESS TO CARE FOR ELIGIBLE PATIENTS OR PROVIDE OTHER INFORMATION TO PATIENTS.
PART VI, LINE 4:	GRANT REGIONAL HEALTH CENTER, INC. IS LOCATED IN LANCASTER, WISCONSIN, WHICH IS A COMMUNITY OF ABOUT 4,000 PEOPLE. LANCASTER IS LOCATED 30 MINUTES FROM DUBUQUE, IOWA AND 1 HOUR 30 MINUTES FROM MADISON, WISCONSIN. THE FACILITY OPERATES A 25-BED, ACUTE CARE CRITICAL ACCESS HOSPITAL. GRANT REGIONAL HEALTH CENTER OFFERS A WIDE VARIETY OF SERVICES IN ORDER TO FULFILL MANY OF THE NEEDS OF THE INDIVIDUALS IN THE LOCAL COMMUNITY. AMONG SERVICES PROVIDED ARE: DIAGNOSTIC CARE, 24-HOUR EMERGENCY ROOM, OBSTETRICS, REHABILITATION, SURGICAL CARE, AND DIABETES SELF-CARE PROGRAMS, ALONG WITH OTHER SPECIALTY SERVICES, WHICH INCLUDE AUDIOLOGY, CARDIOLOGY, UROLOGY, AND ORTHOPEDICS, AMONG OTHERS. CARE IS OFFERED TO PATIENTS REGARDLESS OF PAY SOURCE AND REGARDLESS OF A PATIENT'S ABILITY TO PAY. DURING 2018, MEDICARE AND MEDICARE ADVANTAGE PLAN BENEFICIARIES ACCOUNTED FOR APPROXIMATELY 41 PERCENT OF ALL GROSS PATIENT SERVICE REVENUE AT GRANT REGIONAL HEALTH CENTER AND MEDICAID BENEFICIARIES ACCOUNTED FOR APPROXIMATELY 12 PERCENT OF ALL GROSS PATIENT SERVICE REVENUE. MEDICARE AND MEDICAID BENEFICIARIES MAKE UP THE LARGEST PORTION OF PATIENTS THAT ARE SERVED BY GRANT REGIONAL HEALTH CENTER OVER THE PREVIOUS FEW YEARS.
PART VI, LINE 5:	GRANT REGIONAL HEALTH CENTER, INC. IS ACCREDITED THROUGH THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. THE JOINT COMMISSION IS AN ORGANIZATION THAT EVALUATES HOSPITAL PERFORMANCE STANDARDS, FOCUSING ON THE QUALITY OF HEALTH CARE. ACCREDITATION THROUGH THE JOINT COMMISSION IS RECOGNIZED NATIONWIDE AS A SYMBOL OF QUALITY, AS IT REQUIRES RIGOROUS PERFORMANCE STANDARDS. TO EARN AND MAINTAIN ACCREDITATION, GRANT REGIONAL IS EVALUATED THROUGH AN UNANNOUNCED SURVEY PROCESS COVERING NEARLY 600 STANDARDS RELATED TO QUALITY PATIENT CARE, SAFETY, INFECTION CONTROL, AND ONGOING PERFORMANCE-IMPROVEMENT ACTIVITIES, AMONG OTHERS. ALL HOSPITALS SURVEYED BY THE JOINT COMMISSION ARE EVALUATED AGAINST THE SAME CRITERIA, REGARDLESS OF SIZE OR LOCATION. THE ACTIVITIES OF GRANT REGIONAL HEALTH CENTER ARE SUPPORTED LOCALLY BY A VOLUNTEER BOARD OF DIRECTORS WHICH OVERSEE THE OPERATIONS OF THE HOSPITAL. THE BOARD OF DIRECTORS IS MADE UP OF COMMUNITY MEMBERS WHICH RESIDE IN LANCASTER, WI AND THE SURROUNDING AREA WHICH IS GRANT REGIONAL'S PRIMARY PATIENT SERVICE AREA. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO A MAJORITY OF ALL QUALIFIED PHYSICIANS IN THE COMMUNITY AND SURROUNDING AREAS WHICH WISH TO BETTER SERVE THEIR PATIENTS BY PROVIDING CARE AT GRANT REGIONAL HEALTH CENTER. ANY SURPLUSES IN OPERATIONS THAT ARE ACHIEVED BY THE ORGANIZATION OPERATING IN AN EFFECTIVE MANNER AND CONTROLLING THE COST OF HEALTHCARE ARE PRIMARILY RESERVED FOR FUTURE BUILDING AND CAPITAL PURCHASE NEEDS. GRANT REGIONAL HEALTH CENTER RECOGNIZES THAT IT IS IMPORTANT TO SAVE THESE RESERVES DURING YEARS OF SURPLUS SO THAT IN ANY TIMES OF ECONOMIC DOWNTURN IF A LARGE CAPITAL ADDITION IS NEEDED THE ORGANIZATION WILL NOT HAVE TO PASS HIGHER COSTS ON TO MEMBERS OF THE COMMUNITY. THESE FUNDS ARE TRANSFERRED TO A FUNDED DEPRECIATION INVESTMENT ACCOUNT REGULARLY THROUGHOUT EACH FISCAL YEAR WHERE SURPLUSES IN OPERATIONS ARE ACHIEVED. THE HOSPITAL FURTHER ACHIEVES ITS GOAL OF PROVIDING TRUE COMMUNITY SUPPORT BY PROVIDING CHARITY CARE AS DESCRIBED THROUGHOUT SCHEDULE H AND PROVIDING SERVICES TO MEMBERS OF OTHER PROGRAMS WHICH OFTEN REIMBURSE THE HOSPITAL BELOW THE COST OF PROVIDING THIS CARE SUCH AS CHAMPUS, TRICARE, AND THE WISCONSIN HEALTH INSURANCE RISK SHARING PROGRAM OR "HIRSP" (THE HIRSP PROGRAM REIMBURSES THE HOSPITAL AT RATES SIMILAR TO THE MEDICAID PROGRAM AND IS FOR PATIENTS THAT HAVE PRE-EXISTING ILLNESSES WHICH MAKE IT DIFFICULT TO OBTAIN INSURANCE FROM COMMERCIAL INSURANCE CARRIERS IN THE MARKETPLACE).
PART VI, LINE 7, REPORTS FILED WITH STATES	WI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	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 (5 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
BRADLEY G BINSFELD
ORTHOPEDIC SURGEON	$623,316	$0	$20,000	$0	$60	$0	$15,125	$0	$11,978	$0	$670,479	$0	$0	$0
ROBERT SMITH MD
PHYSICIAN	$320,531	$0	$0	$0	$396	$0	$15,125	$0	$23,613	$0	$359,665	$0	$0	$0
ERIN L HUEBSCHMAN MD
PHYSICIAN	$199,412	$0	$169,866	$0	$6,418	$0	$15,125	$0	$1,909	$0	$392,730	$0	$0	$0
JAMES C ROSSER MD
PHYSICIAN (THRU NOVEMBER)	$319,251	$0	$0	$0	$64,644	$0	$13,768	$0	$26,845	$0	$424,508	$0	$0	$0
ADAM W SCHOPE MD
PHYSICIAN	$380,014	$0	$23,750	$0	$60	$0	$15,125	$0	$1,909	$0	$420,858	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4A

DR. JAMES ROSSER AND JENNIFER RUTKOWSKI RECEIVED SEVERANCE PAY DURING THE YEAR OF $57,692 AND $65,520 RESPECTIVELY.

PART II:

FOR MANY YEARS, GRANT REGIONAL HEALTH CENTER USED A MANAGEMENT SERVICES AGREEMENT WITH HEALTHTECH3 AND THIS RELATIONSHIP WAS TERMINATED IN APRIL OF 2018. FOLLOWING THIS, MANAGEMENT SERVICES WERE UTILIZED FOR INTERIM CEO SERVICES UNDER A COLLABORATIVE AGREEMENT WITH SOUTHWEST HEALTH CENTER, A NON-PROFIT ORGANIZATION BASED IN PLATTEVILLE, WISCONSIN UNTIL A NEW EMPLOYED CEO WAS HIRED BY GRANT REGIONAL HEALTH CENTER'S BOARD OF DIRECTORS LATER IN 2018. NICOLE CLAPP AND MICHAEL LIEB WERE EMPLOYED AT HEALTHTECH3 AND PROVIDED CONTRACTED CEO SERVICES DURING THE YEAR. THE AGGREGATE AMOUNT PAID TO HEALTHTECH3 FOR THEIR SERVICES IS INCLUDED IN PART VII, SECTION B.

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
Bond Issued	2017-08-01	BondIssuedDt
Issue Price	$31,680,000	IssuePriceAmt
Purpose	HOSPITAL RENOVATION, EXPANSION, AND REFINANCE OF 2007 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	$368,964	RetiredAmt
Total Proceeds	$31,680,000	TotalProceedsAmt
Issuance Costs From Proceeds	$191,411	IssuanceCostsFromProceedsAmt
Capital Expenditures	$24,765,789	CapitalExpendituresAmt
Other Spent Proceeds	$6,722,800	OtherSpentProceedsAmt
Substantial Completion	2018	SubstantialCompletionYr
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (1)	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
Private Bus Concerning UBI	0.00010	PrivateBusConcerningUBIPct
Total Private Business Use	0.00010	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	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	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	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	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
HIGH POINT FAMILY MEDICINE LLC
PROFESSIONAL CORPORATION OWNED MORE THAN 5%	$6,666	DR. ERIC STADER A BOARD MEMBER FOR GRANT REGIONAL HEALTH CENTER, INC., IS AN OWNER OF THE LOCAL FAMILY MEDICINE CLINIC. THE AMOUNT DISCLOSED RELATES TO LEASE PAYMENTS THAT WERE MADE BY THE CLINIC TO GRANT REGIONAL HEALTH CENTER, INC. DURING 2018, THE CLINIC LEASED SPACE IN FENNIMORE, WISCONSIN FROM THE HOSPITAL TO RUN THEIR SATELLITE CLINIC.	0
ALLIED STONE LLC
PROFESSIONAL CORPORATION OWNED BY SPOUSE OF CURRENT OFFICER	$476,280	JEFF RUTKOWSKI, SPOUSE OF OFFICER JENNIFER RUTKOWSKI, IS OWNER OF THE LOCAL EXCAVATING CONTRACTOR BUSINESS. GRANT REGIONAL HEALTH CENTER, INC. HIRED ALLIED STONE LLC TO PERFORM EARTHWORK FOR THE BUILDING CONSTRUCTION PROJECT.	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	DIRECTORS ERIC STADER, MD AND ERIC SLANE, MD ARE BOTH PHYSICIAN PARTNERS OF HIGH POINT FAMILY MEDICINE CLINIC. THE PHYSICIANS OPERATE THE CLINIC TO PROVIDE PRIMARY CARE TO THE RESIDENTS OF LANCASTER, WISCONSIN, AND THE SURROUNDING AREA.
FORM 990, PART VI, SECTION A, LINE 7A	UNDER THE TERMS OF THE CORPORATE AND MEDICAL STAFF BYLAWS OF GRANT REGIONAL HEALTH CENTER, INC., THE MEDICAL STAFF APPOINTS ONE MEMBER OF THE BOARD OF DIRECTORS TO BE THE APPOINTED MEDICAL STAFF REPRESENTATIVE ON THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11B	THE BOARD OF DIRECTORS WAS PROVIDED ACCESS TO A COPY OF THE FORM 990 PRIOR TO THE FILING OF THE RETURN WITH THE IRS. THE FORM 990 IS ALSO REVIEWED BY SENIOR MANAGEMENT OF GRANT REGIONAL HEALTH CENTER, INC. PRIOR TO SUBMISSION TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICTS OF INTEREST ARE CONSIDERED TO EXIST IN SITUATIONS WHERE EMPLOYEE'S ACTIONS OR ACTIVITIES INVOLVE: - THE OBTAINING OF AN IMPROPER PERSONAL GAIN OR ADVANTAGE BY REASON OF AN EMPLOYEE'S POSITION WITH GRANT REGIONAL; - AN ADVERSE EFFECT UPON THE INTERESTS OF GRANT REGIONAL HEALTH CENTER, INC.; - THE OBTAINING BY A THIRD PARTY OF AN IMPROPER GAIN, OR OF AN ADVANTAGE TO THE DETRIMENT OF GRANT REGIONAL; OR - THE APPEARANCE OF ANY OF THE ABOVE. ANY RELATED ISSUES TO A CONFLICT OF INTEREST SHALL BE DISCLOSED TO THE APPROPRIATE SUPERVISOR, COMPLIANCE OFFICER, OR HOTLINE. COMPLIANCE WITH THE POLICY IS MONITORED BY HAVING BOARD MEMBERS, OFFICERS, AND EMPLOYEES DISCLOSE ANNUALLY IN A WRITTEN STATEMENT ANY ISSUES THAT MAY GIVE RISE TO A CONFLICT OF INTEREST. IF ANY CONFLICTS ARE KNOWN BY BOARD MEMBERS, THESE BOARD MEMBERS ARE ASKED TO ABSTAIN FROM VOTING ON ANY CONFLICTED MATTERS.
FORM 990, PART VI, SECTION B, LINE 15	GRANT REGIONAL HEALTH CENTER, INC. USES THE RURAL WISCONSIN HEALTH COOPERATIVE SURVEY TO DETERMINE PROPER COMPENSATION FOR ITS TOP MANAGEMENT PERSONNEL AND TO REVIEW FOR COMPARABILITY FACTORS. THE RURAL WISCONSIN HEALTH COOPERATIVE SURVEY IS A COMPILATION OF AVERAGE SALARIES AND COMPENSATION AMOUNTS FOR VARIOUS POSITIONS AT ITS MEMBER HOSPITALS WHICH INCLUDE A LARGE NUMBER OF RURAL AND COMMUNITY HOSPITALS LOCATED THROUGHOUT WISCONSIN. GRANT REGIONAL HEALTH CENTER, INC. ALSO PARTICIPATES IN THE ANNUAL WISCONSIN HOSPITAL ASSOCIATION COMPENSATION SURVEY TO ALLOW ACCESS TO SALARY AND BENEFIT COMPARABILITY DATA EACH YEAR. WHEN GRANT REGIONAL'S BUDGET PROCESS IS BEING REVIEWED EACH YEAR, AN AVERAGE WAGE INCREASE IS COMPARED WITH THIS DATA AND PRESENTED TO THE BOARD OF DIRECTORS TO REVIEW BEFORE SETTING TARGET OR BUDGETED PERFORMANCE OR MARKET VALUE ADJUSTED TO COMPENSATION EACH YEAR. GRANT REGIONAL ALSO REVIEWS THIS DATA WHEN IT DETERMINES THAT NEW POSITIONS SHOULD BE ADDED TO BETTER MEET PATIENT SERVICE NEEDS IN THE COMMUNITY.
FORM 990, PART VI, SECTION C, LINE 19	GRANT REGIONAL HEALTH CENTER, INC. WILL MAKE A COPY OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. SUMMARIZED FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC AT ANY TIME FOLLOWING THE SUBMISSION OF THE WISCONSIN HOSPITAL SURVEY TO THE WISCONSIN HOSPITAL ASSOCIATION.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN NET ASSETS OF GRHC FOUNDATION 23,992.
FORM 990, PART XII, LINE 2C:	SELECTION OF INDEPENDENT ACCOUNTANT: GRANT REGIONAL HAS A COMMITTEE OF THE BOARD OF DIRECTORS THAT ASSUMES RESPONSIBILITY FOR THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE BOARD OF DIRECTORS PROVIDES ITSELF ANNUALLY AN OPPORTUNITY TO MEET WITH THE INDEPENDENT ACCOUNTANTS FOLLOWING THE AUDIT EACH YEAR TO REVIEW THE FINANCIAL STATEMENTS AND ITEMS NOTED DURING THE AUDIT WITHOUT MANAGEMENT PRESENT TO ALLOW EVEN MORE OVERSIGHT BY THE BOARD INTO THE ANNUAL AUDIT PROCESS. MEMBERS OF THE BOARD OF DIRECTORS ALSO HAVE THE CONTACT INFORMATION OF THE INDEPENDENT ACCOUNTANT AND ARE ENCOURAGED TO CONTACT THE ACCOUNTANTS DURING THE YEAR WHEN QUESTIONS ARISE. AN INTERVIEW IS CONDUCTED BY A MEMBER OF THE INDEPENDENT ACCOUNTING FIRM'S STAFF WITH A BOARD MEMBER EACH YEAR AS WELL WITHOUT MANAGEMENT OR OTHER BOARD MEMBERS PRESENT. THERE HAS BEEN NO CHANGE TO THESE PROCEDURES DURING THE PAST YEAR.
FORM 990, PART VI, SECTION 1, LINE 3:	DELEGATION OF CONTROL/MANAGEMENT COMPANY EXPLANATION: GRANT REGIONAL HEALTH CENTER, INC.'S BOARD OF DIRECTORS MAINTAINS THE CONTROL OVER KEY DECISIONS OF GRANT REGIONAL INCLUDING REVIEW AND APPROVAL OF THE MONTHLY FINANCIAL STATEMENTS, STRATEGIC PLAN, BUDGETS, AND OTHER KEY OPERATING MEASURES AND GOALS. THE BOARD OF DIRECTORS HAD ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH HEALTHTECH3, A HOSPITAL MANAGEMENT COMPANY WHICH CONTRACTS WITH HOSPITALS THROUGHOUT THE UNITED STATES TO PROVIDE MANAGEMENT SERVICES ON EITHER A LONG-TERM OR SHORT-TERM BASIS. UNDER THIS AGREEMENT, HEALTHTECHS3 PROVIDES GENERAL ADMINISTRATIVE, CONSULTING, AND GROUP PURCHASING SERVICES TO GRANT REGIONAL HEALTH CENTER, INC. UNDER THE MANAGEMENT AGREEMENT, HEALTHTECHS3 IS ALSO RESPONSIBLE FOR THE SELECTION AND REVIEW OF THE ADMINISTRATOR OF GRANT REGIONAL HEALTH CENTER, INC. HEALTHTECH3 PROVIDED MANAGEMENT SERVICES TO GRANT REGIONAL HEALTH CENTER, INC THROUGH MARCH 2018, AND THE MANAGEMENT AGREEMENT WAS RELIEVED IN APRIL 2018.
FORM 990, PART VII, SECTION A, RELATED PARTY OFFICERS / OFFICERS' HOURS:	TWO OF THE DIRECTORS OF GRANT REGIONAL HEALTH CENTER, INC. PROVIDE EMERGENCY ROOM PHYSICIAN COVERAGE FOR GRANT REGIONAL IN ADDITION TO THE HOURS WORKED AS A DIRECTOR. THE HOURS LISTED FOR THESE TWO PHYSICIANS IN PART VII OF THE FORM 990 ALSO INCLUDES AN AVERAGE OF 0.50 HOURS PER WEEK FOR SERVICE ON GRANT REGIONAL'S BOARD OF DIRECTORS AS WELL AS TIME SPENT BOTH DIRECTLY PROVIDING PHYSICIAN SERVICES IN THE EMERGENCY ROOM AS WELL AS BEING AVAILABLE FOR ON-CALL AND SUPPORT SERVICES TO MID-LEVEL PRACTITIONERS WHEN PERFORMING SERVICES IN THE EMERGENCY DEPARTMENT SETTING.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
GRANT REGIONAL HEALTH CENTER FOUNDATION INC
507 SOUTH MONROE STREET	LANCASTER	WI	53813	391834961	FUNDRAISING	WI	501(C)(3)	LINE 12C, III-FI	N/A	0
GRANT REGIONAL HEALTH CENTER AUXILIARY
507 SOUTH MONROE STREET	LANCASTER	WI	53813	753031038	VOLUNTEERS	WI	501(C)(3)	LINE 10	N/A	0

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	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	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	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd