MEMORIAL MEDICAL CENTER INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: MEMORIAL MEDICAL CENTER INC (EIN 23-7013497)
Tax period: 2015-10-01 to 2016-09-30
Filed: 2017-05-08
IRS object ID: 201731289349300783
Schema version: 2015v3.0
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	2017-05-08T09:26:25-05:00	ReturnTs
Tax Period End	2016-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	420714325	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	227 W FIRST ST STE 700	AddressLine1Txt
City	DULUTH	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	558021926	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	237013497	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MEMO	BusinessNameControlTxt
Phone	7156855515	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1615 MAPLE LANE	AddressLine1Txt
City	ASHLAND	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54806	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KENT DUMONSEAU	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7156855515	PhoneNum
Signature	2017-04-28	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MARY BETH SANTORI	PreparerPersonNm
PTIN	P00023783	PTIN
Phone	2187275025	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JASON DOUGLAS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1615 MAPLE LANE	AddressLine1Txt
City	ASHLAND	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54806	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$82,454,822	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ASHLANDMMC.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1968	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	INPATIENT AND OUTPATIENT MEDICAL SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	437	TotalEmployeeCnt
Total Volunteers	169	TotalVolunteersCnt
Total Gross UBI	$26,340	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$4,606	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$56,584	PYContributionsGrantsAmt
CY Contributions Grants	$129,259	CYContributionsGrantsAmt
PY Program Service Revenue	$67,690,397	PYProgramServiceRevenueAmt
CY Program Service Revenue	$74,091,124	CYProgramServiceRevenueAmt
PY Investment Income	$1,139,417	PYInvestmentIncomeAmt
CY Investment Income	$917,483	CYInvestmentIncomeAmt
PY Other Revenue	$106,618	PYOtherRevenueAmt
CY Other Revenue	$56,150	CYOtherRevenueAmt
PY Total Revenue	$68,993,016	PYTotalRevenueAmt
CY Total Revenue	$75,194,016	CYTotalRevenueAmt
PY Grants And Similar Paid	$45,605	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$146,606	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$29,333,739	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$31,238,271	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$27,083,626	PYOtherExpensesAmt
CY Other Expenses	$33,469,730	CYOtherExpensesAmt
PY Total Expenses	$56,462,970	PYTotalExpensesAmt
CY Total Expenses	$64,854,607	CYTotalExpensesAmt
PY Revenues Less Expenses	$12,530,046	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,339,409	CYRevenuesLessExpensesAmt
Total Assets BOY	$111,198,428	TotalAssetsBOYAmt
Total Assets EOY	$130,164,685	TotalAssetsEOYAmt
Total Liabilities BOY	$17,773,076	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$26,195,455	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$93,425,352	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$103,969,230	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	MEMORIAL MEDICAL CENTER WILL REACH OUT AS A TRUSTED PARTNER TO IMPROVE THE HEALTH AND WELLNESS FOR PEOPLE OF OUR SOUTH SHORE REGION OF LAKE SUPERIOR.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$54,353,668	ExpenseAmt
Grant	$146,606	GrantAmt
Revenue	$74,064,784	RevenueAmt
Desc	MEMORIAL MEDICAL CENTER (MMC) IS A CRITICAL ACCESS HOSPITAL WITH OVER 60 FULL-TIME PHYSICIANS ON STAFF AND OVER 400 EMPLOYEES. LOCATED IN THE CITY OF ASHLAND, MMC SERVES AS A REGIONAL MEDICAL REFERRAL CENTER FOR PATIENTS FROM SEVEN NORTHWESTERN WISCONSIN COUNTIES AND THE NEIGHBORING GOGEBIC COUNTY OF MICHIGAN. MMC OFFERS INPATIENT AND OUTPATIENT SERVICES INCLUDING: MEDICAL-SURGICAL; INTENSIVE CARE; OBSTETRICS INCLUDING LABOR, DELIVERY, POSTPARTUM AND RECOVERY (LDPR) SUITES; BEHAVIORAL HEALTH; AND 24-HOUR EMERGENCY CARE. INPATIENT AND OUTPATIENT SURGERIES INCLUDE: ORTHOPEDIC, UROLOGY, OPHTHALMOLOGY, ENT AND OB/GYN IN ADDITION TO GENERAL SURGERY. SUPPORT DIAGNOSTIC SERVICES INCLUDE: LABORATORY; RADIOLOGY WITH MRI, CT AND DIAGNOSTIC ULTRASOUND; NUTRITIONAL SERVICES; PHARMACY; ENDOSCOPY SUITES AND A SLEEP DISORDER CENTER. REHABILITATION SERVICES INCLUDE: CARDIAC REHABILITATION AND CARDIOPULMONARY REHABILITATION; PHYSICAL THERAPY AND SPORTS MEDICINE. LIFELINE EMERGENCY RESPONSE SYSTEM, HOSPICE SERVICES AND SOCIAL SERVICES ARE ALSO AVAILABLE WITHIN MMC. AN ADDITIONAL BUILDING ON THE MMC CAMPUS HOUSES THE BEHAVIORAL HEALTH SERVICES PROVIDING INPATIENT AND OUTPATIENT AODA AND MENTAL HEALTH CARE AND THERAPIES. MMC OPENED AS A PRIVATE, NOT-FOR-PROFIT HOSPITAL IN 1972, COMBINING THE SERVICES PREVIOUSLY PROVIDED BY TRINITY HOSPITAL AND ASHLAND COMMUNITY HOSPITAL, BOTH LOCATED IN ASHLAND. MMC IS THE ONLY HOSPITAL LOCATED IN ASHLAND, BAYFIELD AND IRON COUNTIES.	Desc
Total Program Service Expenses	$54,353,668	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
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	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	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	Yes (1)	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 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	67	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	437	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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	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
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	ART MERTIG	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7156855500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1615 MAPLE LANE	AddressLine1Txt
City	ASHLAND	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54806	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

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
MATTHEW ANICH
BOARD MEMBER	1.00	2.00	Yes (X)	$0	$0	$0
SCOTT WARREN MD
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
JOHN OUJIRI MD
BOARD MEMBER	1.00		Yes (X)	$0	$0	$0
ANNE SULLIVAN
BOARD MEMBER	1.00	2.00	Yes (X)	$0	$0	$0
PATRICIA SCHRAUFNAGEL
CHAIR	1.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
THOMAS JOKINEN
BOARD MEMBER	1.00		Yes (X)	$0	$0	$0
CHRISTINE IVERSON
VICE CHAIR	1.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
T JAY JONES
TREASURER	1.00		Yes (X)	$0	$0	$0	Yes (X)
WILLIAM SLOAN
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
THOMAS CUNNINGHAM MD
BOARD MEMBER	1.00		Yes (X)	$0	$0	$0
JASON DOUGLAS
PRESIDENT/CEO - MMC	37.00	3.00	Yes (X)	$359,333	$0	$42,504	Yes (X)
STEVE BITZER
SECRETARY	1.00		Yes (X)	$0	$0	$0	Yes (X)
PEGGY VAN HOLLEN-KMAN
BOARD MEMBER	1.00		Yes (X)	$0	$0	$0
DEBORAH DRYER MD
MEDICAL STAFF PRESIDENT	1.00		Yes (X)	$0	$0	$0	Yes (X)
KAREN HANSEN
CHIEF OPERATING OFFICER -	40.00			$191,774	$0	$32,837	Yes (X)
KENT DUMONSEAU
VICE PRESIDENT/CFO - REI	24.00	16.00		$0	$212,602	$38,990	Yes (X)
WILLIAM MATTILA
PHARMACY DIRECTOR	40.00			$158,674	$0	$36,941		Yes (X)
PATRICK MARSHALL
PHARMACIST	40.00			$136,870	$0	$28,207		Yes (X)
KATHRYN TUTTLE
CLINICAL DIRECTOR OF NURSING	40.00			$138,184	$0	$32,766		Yes (X)
CARL BAUER
DIRECTOR OF REHABILITATION SERVICES	40.00			$133,544	$0	$17,179		Yes (X)
LUKE BEIRL
PHARMACIST	40.00			$135,865	$0	$19,997		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,254,244	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$212,602	TotReportableCompRltdOrgAmt
Total Other Compensation	$249,421	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	18	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
REGIONAL ENTERPRISES INC
1615 MAPLE LANE	ASHLAND	WI	54806	IS/ACCTNG/COMPLIANCE	$4,641,320
THE BOLDT COMPANY
1001 TALL PINE LANE	CLOQUET	MN	557200287	CONTRUCTION COMPANY	$2,807,714
SUPERIOR ANESTHESIA ASSOCIATES
301 ELLIS AVENUE SUITE 3	ASHLAND	WI	54806	ANESTHESIA SERVICES	$1,375,330
TAMARACK
1615 MAPLE LANE	ASHLAND	WI	54806	ER PRO-FEES	$1,216,273
KAHLER SLATER
111 WEST WISCONSIN AVE	MILWAUKEE	WI	532032501	PROFESSIONAL DESIGN SERVICES	$765,889

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	15	CntrctRcvdGreaterThan100KCnt
Government Grants	$17,409	GovernmentGrantsAmt
All Other Contributions	$111,850	AllOtherContributionsAmt
Total Contributions	$129,259	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERV REV	621500	$73,376,244	$73,349,904	$26,340
MEDICARE EHR INCENTIVE PAYMENTS	524114	$501,541	$501,541
CAFETERIA	722210	$182,275	$182,275
OTHER OPERATING REVENUE	900099	$31,064	$31,064

Field	Value	IRS element (for citing)
Total Program Service Revenue	$74,091,124	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$407,609	TotalRevenueColumnAmt
Exclusion	$407,609	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$330,467	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$274,317	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$56,150	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$56,150	TotalRevenueColumnAmt
Exclusion	$56,150	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$7,496,006	SecuritiesAmt
Other	$357	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$6,983,163	SecuritiesAmt
Other	$3,326	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$512,843	SecuritiesAmt
Other	-$2,969	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$509,874	TotalRevenueColumnAmt
Exclusion	$509,874	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$75,194,016	TotalRevenueColumnAmt
Related Or Exempt Func Income	$74,064,784	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$26,340	UnrelatedBusinessRevenueAmt
Exclusion	$973,633	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$141,606	TotalAmt
Program Services	$141,606	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$5,000	TotalAmt
Program Services	$5,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$657,848	TotalAmt
Management And General	$657,848	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$23,225,436	TotalAmt
Program Services	$21,154,388	ProgramServicesAmt
Management And General	$2,071,048	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$899,607	TotalAmt
Program Services	$819,017	ProgramServicesAmt
Management And General	$80,590	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,749,907	TotalAmt
Program Services	$4,112,303	ProgramServicesAmt
Management And General	$637,604	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,705,473	TotalAmt
Program Services	$1,515,626	ProgramServicesAmt
Management And General	$189,847	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$190,559	TotalAmt
Management And General	$190,559	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$328,620	TotalAmt
Management And General	$328,620	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,191,585	TotalAmt
Management And General	$3,191,585	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,844,281	TotalAmt
Management And General	$1,844,281	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$153,534	TotalAmt
Program Services	$127,058	ProgramServicesAmt
Management And General	$26,476	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,856,096	TotalAmt
Program Services	$3,136,168	ProgramServicesAmt
Management And General	$719,928	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$144,664	TotalAmt
Management And General	$144,664	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
UBI TAX	$1,000	$1,000
OTHER PROFESSIONAL SERV	$12,191,607		$12,191,607
NURSING SUPPLIES & OTHE	$5,595,156		$5,595,156
PROVISION FOR BAD DEBTS	$3,485,837		$3,485,837

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,486,791	TotalAmt
Program Services	$2,069,902	ProgramServicesAmt
Management And General	$416,889	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$64,854,607	TotalAmt
Program Services	$54,353,668	ProgramServicesAmt
Management And General	$10,500,939	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$55,749,388	BOYAmt
EOY	$37,390,168	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,879,106	BOYAmt
EOY	$12,184,240	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,055,365	BOYAmt
EOY	$1,691,437	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,191,105	BOYAmt
EOY	$2,683,603	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$399,247	BOYAmt
EOY	$637,718	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$77,061,833	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$36,451,154	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$26,951,268	BOYAmt
EOY	$40,610,679	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$15,782,385	BOYAmt
EOY	$32,402,257	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$190,564	BOYAmt
EOY	$2,564,583	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$111,198,428	BOYAmt
EOY	$130,164,685	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$8,495,675	BOYAmt
EOY	$7,126,505	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,494,245	BOYAmt
EOY	$13,693,950	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$783,156	BOYAmt
EOY	$5,375,000	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,773,076	BOYAmt
EOY	$26,195,455	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$93,425,352	BOYAmt
EOY	$103,969,230	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$93,425,352	BOYAmt
EOY	$103,969,230	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$111,198,428	BOYAmt
EOY	$130,164,685	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$10,339,409	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$204,469	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
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	$4,133	OtherActivitiesAmt
Total Lobbying Expenditures	$4,133	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	MEMORIAL MEDICAL CENTER PAYS DUES TO CERTAIN ORGANIZATIONS RELATED TO THE INDUSTRY WHICH HAVE LOBBYING EXPENSES. THE AMOUNT LISTED IS THE PERCENTAGE OF THE DUES PAID THAT WERE USED FOR LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$189,441	OtherCostOrOtherBasisAmt
Book Value	$189,441	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,900,677	OtherCostOrOtherBasisAmt
Depreciation	$13,638,337	DepreciationAmt
Book Value	$16,262,340	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$43,256,112	OtherCostOrOtherBasisAmt
Depreciation	$21,236,554	DepreciationAmt
Book Value	$22,019,558	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,715,603	OtherCostOrOtherBasisAmt
Depreciation	$1,576,263	DepreciationAmt
Book Value	$2,139,340	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$40,610,679	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	COLLABORATIVE AGREEMENT	Desc
Amt	$5,375,000	Amt

Field	Value	IRS element (for citing)
Total Liability	$5,375,000	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$72,143,076	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$204,469	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$204,469	RevenueNotReportedAmt
Revenue Subtotal	$71,938,607	RevenueSubtotalAmt
Other Revenues Not Included	$3,255,409	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$3,255,409	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$75,194,016	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$61,599,198	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$277,286	OtherExpensesIncludedAmt
Expenses Not Reported	$277,286	ExpensesNotReportedAmt
Expenses Subtotal	$61,321,912	ExpensesSubtotalAmt
Other Expenses Not Included	$3,532,695	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$3,532,695	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$64,854,607	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	NOT-FOR-PROFIT ORGANIZATIONS MAY BECOME SUBJECT TO INCOME TAXES IF QUALIFICATION AS A TAX-EXEMPT ENTITY CHANGES, IF UNRELATED BUSINESS INCOME IS GENERATED, AND IN CERTAIN OTHER INSTANCES. NOT-FOR-PROFIT ORGANIZATIONS ARE REQUIRED TO ASSESS THE CERTAINTY OF THEIR TAX POSITIONS RELATED TO THESE MATTERS AND, IN SOME CASES, RECORD LIABILITIES FOR POTENTIAL TAXES, INTEREST AND PENALTIES ACCOMPANIED BY FOOTNOTE DISCLOSURES. THE HOSPITAL HAS NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE THE ACCRUAL OF AN INCOME TAX PROVISION. GENERALLY, THE HOSPITAL IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL OR STATE TAX AUTHORITIES FOR YEARS BEFORE 2013.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR DOUBTFUL RECEIVABLES 3,485,837. LOSS ON DISPOSAL OF PROPERTY -2,969. RECLASSIFICATION OF DONATIONS 46,858. RECLASSIFICATION OF RENTAL EXPENSES -274,317.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	LOSS ON DISPOSAL OF PROPERTY 2,969. RECLASSIFICATION OF RENTAL EXPENSES 274,317.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR DOUBTFUL RECEIVABLES 3,485,837. RECLASSIFICATION OF DONATIONS 46,858.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
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	$382,724	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$382,724	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,138,655	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,931,796	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,206,859	NetCommunityBenefitExpnsAmt
Total Expense	0.01970	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,521,379	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,931,796	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,589,583	NetCommunityBenefitExpnsAmt
Total Expense	0.02590	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,148	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,148	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,092	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$65,092	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,039,091	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,803,667	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,235,424	NetCommunityBenefitExpnsAmt
Total Expense	0.02010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$168,744	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$168,744	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,297,075	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,803,667	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,493,408	NetCommunityBenefitExpnsAmt
Total Expense	0.02430	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,818,454	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,735,463	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,082,991	NetCommunityBenefitExpnsAmt
Total Expense	0.05020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,485,837	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$20,968,242	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$20,938,020	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$30,222	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	MEMORIAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1615 MAPLE LANE	AddressLine1Txt
City	ASHLAND	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54806	ZIPCd

Field	Value	IRS element (for citing)
Website Address	ASHLANDMMC.COM/	WebsiteAddressTxt
State License	1065	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	MEMORIAL MEDICAL CENTER	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
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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	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	HTTP://ASHLANDMMC.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, PAGE 7	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	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://ASHLANDMMC.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
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	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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	HTTP://ASHLANDMMC.COM/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE-POLICY/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://ASHLANDMMC.COM/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE-POLICY/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://ASHLANDMMC.COM/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE-POLICY/	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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MEMORIAL MEDICAL CENTER	PART V, SECTION B, LINE 5: AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, COMMUNITY INPUT WAS SOUGHT THROUGH SURVEYING 597 RESIDENTS WITHIN THE CHEQUAMEGON BAY REGION IN FALL OF 2015. SURVEY RESPONSES WERE SOUGHT VIA SOCIAL MEDIA, PRESS RELEASES PUBLISHED IN 8 AREA NEWSPAPERS, EMAIL OUTREACH AMONG PUBLIC HEALTH AND HOSPITAL OFFICIALS, COMMUNITY DROP BOXES AROUND THE REGION AND A SURVEYOR GATHERING DATA FROM UNDERSERVED POPULATIONS SUCH AS WORKING WITH SENIORS AT SENIOR MEALS AND THE AREA'S SENIOR CENTER, ATTENDING TRIBAL HEALTH FAIRS, AND CANVASING IN SOME OF OUR OUTLYING COMMUNITIES. AN ADDITIONAL STAKEHOLDER PRIORITIZING SESSION TOOK PLACE IN SEPTEMBER, 2015 WHICH HAS OVER 50 ATTENDEES INCLUDING LOCAL LAW ENFORCEMENT, SOCIAL SERVICES, PUBLIC HEALTH, ELECTED OFFICIALS, SCHOOL PERSONNEL, SOCIAL SERVICES AND CONCERNED CITIZENS.
MEMORIAL MEDICAL CENTER	PART V, SECTION B, LINE 6B: BAYFIELD COUNTY HEALTH DEPARTMENT AND ASHLAND COUNTY HEALTH & HUMAN SERVICES DEPARTMENT.
MEMORIAL MEDICAL CENTER	PART V, SECTION B, LINE 7D: FINALIZED REPORTS ARE DISTRIBUTED AT AREA LIBRARIES AND TO THE COUNTY BOARD MEMBERS OF ASHLAND AND BAYFIELD.
MEMORIAL MEDICAL CENTER	PART V, SECTION B, LINE 11: PART V, SECTION B, LINE 11: THE COORDINATED TEAM OF MEMORIAL MEDICAL CENTER, ASHLAND COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT AND BAYFIELD COUNTY HEALTH DEPARTMENT DETERMINED THAT DUE TO THE MAGNITUDE OF THE NUMBER ONE HEALTH ISSUE IDENTIFIED, IT WAS ESSENTIAL TO FOCUS EFFORTS ON THAT AREA TO MAKE AN IMPACT ON THE OVERALL REGION. THIS DECISION WAS MADE IN PART DUE TO REGIONAL RESOURCE ALLOCATION AND THE SEVERE MAGNITUDE OF THE PROBLEM. IN ADDITION, A NUMBER OF ACTIVITIES WERE CURRENTLY GOING ON IN THE COMMUNITY AROUND MENTAL HEALTH AND NUTRITION/HEALTHY FOODS (ISSUES IDENTIFIED AS NUMBER 2 AND NUMBER 3)-BOTH OF WHICH MMC AND OTHER PARTNERS ARE ACTIVELY INVOLVED IN.THE FOLLOWING THREE GOALS AND ACTIVITY AROUND ALCOHOL AND OTHER DRUG ABUSE (AODA) TOOK PLACE WITHIN THE FIRST 18-MONTHS OF ESTABLISHING THE GOAL. IT INCLUDES: GOAL 1: RESEARCH OPPORTUNITIES TO IMPROVE RECOVERY CAPACITY OF BAYFIELD AND ASHLAND COUNTY RESIDENTS ADDICTED TO METHAMPHETAMINE AND BUILD INTERNAL CAPACITY TO ACHIEVE AND SUSTAIN A SYSTEMS LEVEL LOCAL RESPONSE.THE COMMUNITY HEALTH IMPROVEMENT PLAN STEERING COMMITTEE CONNECTED WITH THE COORDINATOR OF THE CHEQUAMEGON COALITION ON EMERGING DRUGS IN REGARDS TO HOW WE CAN WORK TOGETHER TO ADDRESS METH USE WITHIN OUR COMMUNITY. THIS GROUP IS PRIMARILY MOVING FORWARD ON THIS GOAL, WITH INPUT AND PARTICIPATION FROM CHIP MEMBERS.THE COALITION RECEIVED A FEDERAL FIVE-YEAR PARTNERSHIP FOR SUCCESS GRANT FOR $25,000 PER YEAR. THE FOCUS IS TO REDUCE AVAILABILITY AND ACCESS, INCREASE AWARENESS, FORM COLLABORATIONS AND INCREASE THE AMOUNT OF DATA FOR STATEWIDE USE OF ALL DRUGS, INCLUDING METHAMPHETAMINE. 2016 ACTIVITIES INCLUDE:- COLLABORATION WITH MELLEN POLICE DEPARTMENT AND LA POINTE POLICE DEPARTMENT TO IMPLEMENT A PRESCRIPTION DROP BOX AT EACH LOCATION.- COLLABORATION WITH MMC, DHS, LOCAL LAW ENFORCEMENT AND THE WITC WELDING PROGRAM TO CREATE MULTIPLE COMMUNITY SHARPS DROP BOX LOCATIONS. (MMC WOULD DISPOSE OF SHARPS BROUGHT).- PROVIDE FUNDING FOR LAW ENFORCEMENT OFFICERS MATT ALBERTUS AND MICHAEL ERON TO BECOME DRUG RECOGNITION EXPERTS. THIS PROGRAM TRAINS OFFICERS TO RECOGNIZE THE SIGNS AND SYMPTOMS OF IMPAIRMENT FROM THE SEVEN CATEGORIES OF DRUGS BY UTILIZING A TWELVE-STEP EVALUATION PROGRAM. OFFICERS TRAINED AS DRUG RECOGNITION EXPERTS (DRES) ARE FREQUENTLY CALLED UPON TO DIFFERENTIATE BETWEEN DRUG INFLUENCE AND MEDICAL AND/OR MENTAL DISORDERS, AND THE TRAINING IS AN EXTREMELY VALUABLE TOOL IN COMBATING THE ADVERSE IMPACT OF DRUG AND ALCOHOL-IMPAIRED DRIVING IN OUR COMMUNITIES.- HOSTED TWO REGIONAL COMMUNITY FORUMS AROUND DRUG USE AND ABUSE. THE FIRST WAS HELD AT WITC IN ASHLAND COUNTY. THE SECOND WAS HELD AT THE NORTHERN GREAT LAKES VISITOR CENTER IN BAYFIELD COUNTY TO COINCIDE WITH RECOVERY DAY. MMC WAS A SPONSOR AND PARTICIPATED IN BOTH OF THESE FORUMS.GOAL 2: IMPLEMENT STRATEGIES DESIGNED TO REDUCE ACCESS TO ALCOHOL BY INDIVIDUALS UNDER THE AGE OF 21 IN BAYFIELD AND ASHLAND COUNTIES.ASHLAND AND BAYFIELD COUNTIES WERE AWARDED A 5-YEAR, GRANT OF $100,000 PER YEAR TO ADDRESS ADOLESCENT HEALTH. AS PART OF THIS GRANT, EFFORTS AROUND ALCOHOL ABUSE ARE BEING ADDRESSED. ACTIVITIES TO DATE INCLUDE:- APPROXIMATELY 18 ADOLESCENTS FROM BAYFIELD COUNTY PARTICIPATED IN THE LEAD AND SEED TRAINING, CULTIVATING LEADERSHIP AND IMPROVED DECISION-MAKING SKILLS, IN NOVEMBER 2016. THAT SAME TRAINING WILL TAKE PLACE IN ASHLAND COUNTY IN 2017. ALSO CDC-RECOMMENDED CURRICULUM (WHICH INCLUDES ALCOHOL EDUCATION) TO IMPROVE ADOLESCENT HEALTH OUTCOMES HAS BEEN IMPLEMENTED IN FOUR SCHOOLS IN BAYFIELD COUNTY AND THREE SCHOOLS IN ASHLAND COUNTY.- YOUTH ADVISORY GROUPS HAVE BEEN FORMED IN THREE BAYFIELD COUNTY SCHOOLS AND TWO ASHLAND COUNTY SCHOOLS. THE ADVISORY GROUPS ADDRESS ADOLESCENT HEALTH CONCERNS IN THEIR COMMUNITIES, INCLUDING ALCOHOL AND DRUG ABUSE. THE WELLNESS FOR LIFE COALITION, MADE UP OF ADULTS IN LEADERSHIP ROLES FROM ASHLAND AND BAYFIELD COUNTIES, CONTINUE TO MEET AND SERVE AS THE STEERING COMMITTEE FOR THE ADVISORY GROUPS.RECOVERY SERVICES STAFF IS CURRENTLY INVOLVED IN THE ASHLAND SCHOOL DISTRICT'S AODA COMMITTEE, WHICH IS FOCUSING ON HOW TO BRING INCREASED EDUCATION AND AWARENESS AROUND AODA ISSUES WITHIN THE SCHOOL'S CURRICULUM.RECOVERY SERVICES STAFF IS ATTENDING THE CRIMINAL JUSTICE MEETINGS, WHICH FOCUS AROUND HOW LAW ENFORCEMENT ARE ADDRESSING RECOVERY IN OUR COMMUNITY. I.E EFFORTS UNDERWAY TO REDUCE AUTOMATIC FELONY STATUS FOR DRUG OFFENDERS IF THEY ARE WILLING TO COMPLETE A PROGRAM. ALSO, MANDATORY TEXTING OF UPCOMING COURT DATES ARE NOW REQUIRED FOR CRIMINAL OFFENDERS. ACCORDING TO DA, THIS HELPS DECREASE NO-SHOW RATES. MMC CONTINUES TO BE A PART OF THIS DIALOGUE. RECOVERY SERVICES STAFF IS ALSO PARTICIPATING IN DRUG COURT.CARRIE ALAJOKI, FORMER OB NURSE, IS WORKING WITH BHS TO SCREEN ALL UNDERAGE PATIENTS FOR ALCOHOL USE, AND THEN REFER THE POSITIVES TO COUNSELING SERVICES, AND PROVIDE THEM WITH RESOURCES UPON DISCHARGE. THIS IS PART OF HER DOCTORATE PROJECT AND IS BEING DONE IN COLLABORATION WITH THE DIRECTOR OF RECOVERY SERVICES AND THE IN-PATIENT BHS NURSE MANAGER.GOAL 3: ADVOCATE AND EDUCATE FOR POLICY CHANGE TO DECREASE AODA ABUSE IN ASHLAND AND BAYFIELD COUNTIES.BAYFIELD COUNTY, IN COLLABORATION WITH MMC WAS AWARDED A 2-YEAR COMMUNITY OPPORTUNITY GRANT FOR $25,000 PER YEAR. FUNDS FROM THE COMMUNITY OPPORTUNITY GRANT WILL BE USED TO ADDRESS THE HARMFUL EFFECTS OF ALCOHOL ABUSE AND MISUSE IN NORTHWEST WISCONSIN. MORE SPECIFICALLY, THE PROJECT, WHICH IS IN COORDINATION WITH THE AREA'S LOCAL COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) COALITION, WILL FOCUS ON INCREASING AWARENESS OF ALCOHOL ABUSE IN OUR REGION TO REGIONAL DECISION-MAKERS, AS WELL AS FACILITATE POLICY AND ENVIRONMENTAL CHANGES TO UTILIZE BEST PRACTICES ON ALCOHOL AVAILABILITY VIA OUTLET DENSITY, LICENSING AND SALES. ACTIVITIES TO DATE INCLUDE:- FACT SHEET ON SPECIFIC ALCOHOL STATISTICS/COSTS/IMPACT FOR ASHLAND, BAYFIELD, DOUGLAS AND SAWYER COUNTIES HAS BEEN ESTABLISHED.- INFORMATION SHEETS ON EVIDENCE-BASED RECOMMENDATIONS FOR FESTIVAL LICENSING, SERVER TRAINING AND PLACE OF LAST DRINK. STILL RESEARCHING MOST CURRENT STATISTICS FOR NUMBER OF DEATHS ARRESTS AND MOTOR VEHICLE CRASHES CAUSED BY ALCOHOL IN WISCONSIN BEFORE SHARING BEST PRACTICES AND RECOMMENDATIONS TO LOCALLY ELECTED BOARDS.IN ADDITION, THE FOLLOWING ACTIVITIES HAVE TAKEN PLACE WITHIN MMC SURROUNDING OUR AODA GOALS.VOICES FOR RECOVERY: LEAD BY MMC RECOVERY SERVICES STAFF. HOSTING A COLOR RUN ON JUNE 24. HOSTED A ST. PATTY'S DAY SAFE AND SOBER PARTY AT THE BRETTINGS CENTER. ANOTHER ONE IS SCHEDULED FOR APRIL 7. ADDITIONAL EVENTS ARE STILL BEING SCHEDULED, BUT WILL INCLUDE A FALL RECOVERY SERVICES DAY PICNIC AS PART OF RECOVERY AWARENESS MONTH.BAY AREA HEALTH EDUCATION COALITION: MMC IS A SPONSOR, PARTICIPANT AND CO-PLANNER OF EVENTS. THE MAY 16 EVENT AT WITC FOCUSES AROUND EMERGING DRUGS AND THE RECOVERY PROCESS. JAY GIANCOLA FROM RECOVERY SERVICES WILL BE SPEAKING, AMONG OTHER COMMUNITY LEADERS AND INDIVIDUALS WITHIN RECOVERY.REGIONAL AODA MEETING: MMC CONVENED, WITH THE ASSISTANCE OF MIKE CASHMAN FROM THE ADOLESCENT HEALTH GRANT, THE 5 REGIONAL COALITIONS ADDRESSING AODA (BAD RIVER, RED CLIFF, HAVE YOU HAD ENOUGH/BAYFIELD COUNTY, COALITION ON EMERGING DRUGS AND THE COMMUNITY HEALTH IMPROVEMENT PLAN COALITION) THIS PAST FALL AT THE NORTHERN GREAT LAKES VISITOR CENTER. APPROXIMATELY 65 PEOPLE ATTENDED. WE PROVIDED UPDATES AND FOUND COMMONALITIES WHERE WE MIGHT BE ABLE TO SHARE INFORMATION AND RESOURCES. I.E. PARENTS WHO HOST, LOSE THE MOST. THIS WILL LIKELY BECOME AN ANNUAL SHARING OF INFORMATION EVENT.
MEMORIAL MEDICAL CENTER	PART V, SECTION B, LINE 16I: THE FINANCIAL ASSISTANCE POLICY IS PUBLISHED IN THE LOCAL NEWSPAPER.
MEMORIAL MEDICAL CENTER	PART V, SECTION B, LINE 22D: FOLLOWING A DETERMINATION OF FINANCIAL-ASSISTANCE ELIGIBILITY, THE ELIGIBLE INDIVIDUAL WILL NOT BE CHARGED MORE FOR EMERGENCY OR MEDICALLY NECESSARY CARE THAN THE AMOUNTS GENERALLY BILLED (AGB) TO INDIVIDUALS WITH INSURANCE COVERING SUCH CARE.AT MMC THE AGB IS DETERMINED THROUGH THE "LOOK-BACK METHOD" WHICH IS CALCULATED AS FOLLOWS:FOR 2017, MMC IS USING THE "LOOK-BACK METHOD" TO CALCULATE THE AGB. THIS METHOD BASED AGB ON FULLY ALLOWED PAYMENTS AMOUNTS FOR HOSPITAL CLAIMS WITH A PRIMARY PAYER OF EITHER MEDICARE FEE FOR SERVICE OR A COMMERCIAL PAYER DURING THE PERIOD 9/1/15-8/31/16. MMC DIVIDES THE SUM OF TOTAL PAYMENTS ALLOWED BY THOSE PAYERS (INCLUDING COINSURANCE, COPAYMENTS, AND DEDUCTIBLES) BY THE SUM OF TOTAL HOSPITAL CHARGES FOR THOSE CLAIMS TO IDENTIFY THE "AGB PERCENTAGE".MMC WILL NOT CHARGE PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE MORE THAN BELOW-NOTED AGB PERCENTAGE FOR EMERGENCY OR MEDICALLY NECESSARY SERVICES IN 2016-2017.AGB FOR THE PERIOD 10/1/16-9/30/2017 (UNLESS EARLIER UPDATED) WILL BE 60 PERCENT OF TOTAL HOSPITAL CHARGES.MMC WILL RE-CALCULATE ITS AGB AT LEAST ANNUALLY.THE CURRENT DISCOUNT RATES OFFERED TO ELIGIBLE INDIVIDUALS ARE: 55% FOR INDIVIDUALS AT OR BELOW 100% OF THE FEDERAL POVERTY GUIDELINE 45% FOR INDIVIDUALS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINE
PART V, SECTION B, LINE 7B	CHNA REPORT, OTHER WEBSITE: HTTP://WWW.ASHLANDCOUNTYWI.GOVOFFICE3.COM/VERTICAL/SITES/%7B215E4EAC-21AA-4D0B-8377-85A847C0D0ED%7D/UPLOADS/2015-2017CHIP.PDF

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	COSTS ARE CALCULATED USING FINANCIAL DATA AND THE COST TO CHARGE RATIO FROM THE AS FILED 2016 MEDICARE COST REPORT.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES INCLUDE CARDIAC REHABILITATION, PHYSICAL THERAPY, PSYCHIATRIC/PSYCHOLOGICAL SERVICES AND BEHAVIORAL HEALTH INPATIENT, AND OBSERVATION BEDS.
PART I, LN 7 COL(F):	BAD DEBT EXPENSE FROM FINANCIAL STATEMENTS IS $3,485,837.
PART III, LINE 2:	IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY 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. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A 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 ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AS A PERCENTAGE OF SELF-PAY AND OTHER RECEIVABLES HAS DECREASED FROM 30.5 PERCENT FOR THE YEAR ENDED SEPTEMBER 30, 2015 TO 29.9 PERCENT FOR THE YEAR ENDED SEPTEMBER 30, 2016.
PART III, LINE 3:	AT MEMORIAL MEDICAL CENTER, INC. BAD DEBT IS CONSIDERED THE UNWILLINGNESS TO PAY, WHILE CHARITY CARE AND FREE CARE ARE INABILITY TO PAY.
PART III, LINE 4:	SEE FOOTNOTE 1 ON PAGE 7 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	MEMORIAL MEDICAL CENTER, INC. IS A CRITICAL ACCESS HOSPITAL THAT IS REIMBURSED AT 101% OF COST (LESS 2% MEDICARE SEQUESTRATION). THE MEDICARE FEES FOR REIMBURSED SERVICES RESULTED IN NET REVENUE OF $694,694 AND ALLOWABLE COSTS OF $1,645,885 RESULTING IN A SHORTFALL OF $951,191. THE SHORTFALL IS THE RESULT OF UNREIMBURSED PROFESSIONAL CARE. THE MEDICARE ADVANTAGE FEES FOR REIMBURSED SERVICES RESULTED IN NET REVENUE OF $3,706,140 AND ALLOWABLE COSTS OF $4,026,440 RESULTING IN A SHORTFALL OF $320,300.THE HOSPITAL FOLLOWED MEDICARE'S PRESCRIBED METHODS OF DETERMINING COSTS PAYABLE UNDER TITLE XVIII (MEDICARE) IN COMPLETING ITS ANNUAL MEDICARE COST REPORT (COST REPORT) USING DATA AVAILABLE FROM THE INSTITUTION'S BASIC ACCOUNTS, AS USUALLY MAINTAINED, TO ARRIVE AT EQUITABLE AND PROPER PAYMENT FOR SERVICES. THE COST REPORT WAS COMPLETED USING THE HOSPITAL'S TRIAL BALANCE OF EXPENSES, AS WELL AS OTHER STATISTICAL AND FINANCIAL RECORDS MAINTAINED BY THE HOSPITAL. AS REQUIRED BY MEDICARE REGULATIONS, CERTAIN RECLASSIFICATIONS AND ADJUSTMENTS TO COSTS WERE INCLUDED IN THE COST REPORT TO DETERMINE MEDICARE ALLOWABLE COSTS.AFTER MEDICARE ALLOWABLE COSTS ARE DETERMINED, THE COST REPORT PROVIDES FOR THE STEP DOWN METHOD OF COST FINDING. THIS METHOD PROVIDES FOR ALLOCATING THE COST OF SERVICES RENDERED BY EACH GENERAL SERVICE COST CENTER TO OTHER COST CENTERS, WHICH UTILIZE THE SERVICES. ONCE THE COSTS OF A GENERAL SERVICE COST CENTER HAVE BEEN ALLOCATED, THAT COST CENTER IS CONSIDERED CLOSED. ONCE CLOSED, IT DOES NOT RECEIVE ANY OF THE COSTS SUBSEQUENTLY ALLOCATED FROM THE REMAINING GENERAL SERVICE COST CENTERS. AFTER ALL COSTS OF THE GENERAL SERVICE COST CENTERS HAVE BEEN ALLOCATED TO THE REMAINING COST CENTERS, THE TOTAL COSTS OF THESE REMAINING COST CENTERS ARE FURTHER DISTRIBUTED TO THE DEPARTMENTAL CLASSIFICATION TO WHICH THEY PERTAIN, E.G., HOSPITAL GENERAL INPATIENT ROUTINE, SUBPROVIDER, ANCILLARY, ETC.AFTER THE STEP-DOWN PROCESS, THE COST REPORT PROVIDES FOR THE APPORTIONMENT OF COSTS TO THE MEDICARE PROGRAM BASED ON A NUMBER OF DIFFERENT METHODOLOGIES INCLUDING PER PATIENT DAY, PER VISIT, AND PERCENTAGE OF CHARGES, AS MOST PREVALENT. MEDICARE COSTS AS DETERMINED BY THE COST REPORT METHODOLOGIES DESCRIBED PREVIOUSLY WERE UTILIZED TO COMPLETE THE APPLICABLE MEDICARE ALLOWABLE COSTS OF CARE FOR SCHEDULE H (FORM 990) PART III SECTION B LINE 6.
PART III, LINE 9B:	MEMORIAL MEDICAL CENTER'S BILLING AND COLLECTION POLICY STATES:A. SUBJECT TO COMPLIANCE WITH THE PROVISIONS OF THIS POLICY, MMC MAY TAKE ANY AND ALL LEGAL ACTIONS, INCLUDING EXTRAORDINARY COLLECTION ACTIONS (ECAS), TO OBTAIN PAYMENT FOR MEDICAL SERVICES PROVIDED.B. ALL PATIENTS WILL BE OFFERED A PLAIN LANGUAGE SUMMARY (APPENDIX A) AND AN APPLICATION FORM (APPENDIX B) FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY (FAP) AS PART OF THE DISCHARGE OR INTAKE PROCESS FROM A HOSPITAL.C. AT LEAST THREE SEPARATE STATEMENTS FOR COLLECTION OF SELF-PAY ACCOUNTS SHALL BE MAILED OR EMAILED TO THE LAST KNOWN ADDRESS OF EACH RESPONSIBLE INDIVIDUAL(S); PROVIDED, HOWEVER, THAT NO ADDITIONAL STATEMENTS NEED BE SENT AFTER A RESPONSIBLE INDIVIDUAL(S) SUBMITS A COMPLETE APPLICATION FOR FINANCIAL ASSISTANCE UNDER THE FAP OR HAS PAID IN-FULL. AT LEAST 60 DAYS SHALL HAVE ELAPSED BETWEEN THE FIRST AND LAST OF THE REQUIRED THREE MAILINGS. IT IS THE RESPONSIBLE INDIVIDUAL(S) OBLIGATION TO PROVIDE A CORRECT MAILING ADDRESS AT THE TIME OF SERVICE OR UPON MOVING. IF AN ACCOUNT DOES NOT HAVE A VALID ADDRESS, THE DETERMINATION FOR "REASONABLE EFFORT" WILL HAVE BEEN MADE. ALL SINGLE PATIENT ACCOUNT STATEMENTS OF SELF-PAY ACCOUNTS WILL INCLUDE BUT NOT LIMITED TO:1. AN ACCURATE SUMMARY OF THE HOSPITAL SERVICES COVERED BY THE STATEMENT;2. THE CHARGES FOR SUCH SERVICES;3. THE AMOUNT REQUIRED TO BE PAID BY THE RESPONSIBLE INDIVIDUAL(S) (OR, IF SUCH AMOUNT IS NOT KNOWN, A GOOD FAITH ESTIMATE OF SUCH AMOUNT AS OF THE DATE OF THE INITIAL STATEMENT); AND4. A CONSPICUOUS WRITTEN NOTICE THAT NOTIFIES AND INFORMS THE RESPONSIBLE INDIVIDUAL(S) ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE HOSPITAL FAP INCLUDING THE TELEPHONE NUMBER OF THE DEPARTMENT AND DIRECT WEBSITE ADDRESS WHERE COPIES OF DOCUMENTS MAY BE OBTAINED.D. AT LEAST ONE OF THE STATEMENTS MAILED OR EMAILED WILL INCLUDE WRITTEN NOTICE THAT INFORMS THE RESPONSIBLE INDIVIDUAL(S) ABOUT THE ECAS THAT ARE INTENDED TO BE TAKEN IF THE RESPONSIBLE INDIVIDUAL(S) DOES NOT APPLY FOR FINANCIAL ASSISTANCE UNDER THE FAP OR PAY THE AMOUNT DUE BY THE BILLING DEADLINE. SUCH STATEMENT MUST BE PROVIDED TO THE RESPONSIBLE INDIVIDUAL(S) AT LEAST 30 DAYS BEFORE THE DEADLINE SPECIFIED IN THE STATEMENT. A PLAIN LANGUAGE SUMMARY WILL ACCOMPANY THIS STATEMENT. IT IS THE RESPONSIBLE INDIVIDUAL(S) OBLIGATION TO PROVIDE A CORRECT MAILING ADDRESS AT THE TIME OF SERVICE OR UPON MOVING. IF AN ACCOUNT DOES NOT HAVE A VALID ADDRESS, THE DETERMINATION FOR "REASONABLE EFFORT" WILL HAVE BEEN MADE.E. RESPONSIBLE INDIVIDUAL(S) PROPENSITY TO PAY WILL BE SCORED BASED ON THAT ASSESSMENT OF THE RESPONSIBLE INDIVIDUAL(S) LIKELIHOOD TO PAY AND DOLLAR AMOUNT OF THE SELF-PAY ACCOUNT.F. MMC OFFERS PAYMENT PLANS THAT BEAR NO INTEREST. GENERALLY, BALANCE REQUIRE A MINIMUM PAYMENT OF $25.00 PER MONTH AND MUST BE PAID IN FULL WITHIN 24 MONTHS.G. PRIOR TO INITIATION OF ANY ECAS, AN ORAL ATTEMPT WILL BE MADE TO CONTACT RESPONSIBLE INDIVIDUAL(S) BY TELEPHONE AT THE LAST KNOWN TELEPHONE NUMBER, IF ANY, AT LEAST ONCE DURING THE SERIES OF MAILED OR EMAILED STATEMENTS IF THE ACCOUNT REMAINS UNPAID. DURING ALL CONVERSATIONS, THE PATIENT OR RESPONSIBLE INDIVIDUAL(S) WILL BE INFORMED ABOUT THE FINANCIAL ASSISTANCE THAT MAY BE AVAILABLE UNDER THE FAP.H. ECAS MAY BE COMMENCED AS FOLLOWS:1. IF ANY RESPONSIBLE INDIVIDUAL(S) FAIL TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE FAP BY 120 DAYS AFTER THE FIRST POST DISCHARGE STATEMENT, AND THE RESPONSIBLE PARTIES HAVE RECEIVED A STATEMENT WITH A BILLING DEADLINE DESCRIBED IN SECTION III.E ABOVE, THEN MMC OR COLLECTION AGENCY MAY INITIATE ECAS.2. IF ANY RESPONSIBLE INDIVIDUAL(S) SUBMITS AN INCOMPLETE APPLICATION FOR FINANCIAL ASSISTANCE UNDER THE FAP PRIOR TO THE APPLICATION DEADLINE, THEN ECAS MAY NOT BE INITIATED UNTIL AFTER EACH OF THE FOLLOWING STEPS HAS BEEN COMPLETED:A. PFS PROVIDES THE RESPONSIBLE INDIVIDUAL(S) WITH A WRITTEN NOTICE THAT DESCRIBES THE ADDITIONAL INFORMATION OR DOCUMENTATION REQUIRED UNDER THE FAP IN ORDER TO COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE, WHICH NOTICE WILL INCLUDE A COPY OF THE PLAIN LANGUAGE SUMMARY.B. PFS PROVIDES THE RESPONSIBLE INDIVIDUAL(S) WITH AT LEAST 30 DAYS' PRIOR WRITTEN NOTICE OF THE ECAS THAT MMC OR COLLECTION AGENCY MAY INITIATE AGAINST THE RESPONSIBLE INDIVIDUAL(S) IF THE FAP APPLICATION IS NOT COMPLETED OR PAYMENT IS NOT MADE; PROVIDED, HOWEVER, THAT THE COMPLETION DEADLINE FOR PAYMENT MAY NOT BE SET PRIOR TO 120 DAYS AFTER THE FIRST POST DISCHARGE STATEMENT.C. IF THE RESPONSIBLE INDIVIDUAL(S) WHO HAS SUBMITTED THE INCOMPLETE APPLICATION COMPLETES THE APPLICATION FOR FINANCIAL ASSISTANCE, AND PFS DETERMINES DEFINITIVELY THAT THE RESPONSIBLE INDIVIDUAL(S) IS INELIGIBLE FOR ANY FINANCIAL ASSISTANCE UNDER THE FAP, MMC WILL INFORM THE RESPONSIBLE INDIVIDUAL(S) IN WRITING THE DENIAL AND INCLUDE A 30 DAYS' PRIOR WRITTEN NOTICE OF THE ECAS THAT MMC OR COLLECTION AGENCY MAY INITIATE AGAINST THE RESPONSIBLE INDIVIDUAL(S); PROVIDED, HOWEVER, THAT THE BILLING DEADLINE MAY NOT BE SET PRIOR TO 120 DAYS AFTER THE FIRST POST DISCHARGE STATEMENT.D. IF THE RESPONSIBLE INDIVIDUAL(S) WHO HAS SUBMITTED THE INCOMPLETE APPLICATION FAILS TO COMPLETE THE APPLICATION BY THE COMPLETION DEADLINE SET IN THE NOTICE PROVIDED PURSUANT TO SECTION III.G.3.B ABOVE, THEN ECAS MAY BE INITIATED.E. IF AN APPLICATION, COMPLETE OR INCOMPLETE, FOR FINANCIAL ASSISTANCE UNDER THE FAP IS SUBMITTED BY A RESPONSIBLE INDIVIDUAL(S), AT ANY TIME PRIOR TO THE APPLICATION DEADLINE, MMC WILL SUSPEND ECAS WHILE SUCH FINANCIAL ASSISTANCE APPLICATION IS PENDING.I. AFTER THE COMMENCEMENT OF ECAS IS PERMITTED UNDER SECTION III.G ABOVE, COLLECTION AGENCIES SHALL BE AUTHORIZED TO REPORT UNPAID ACCOUNTS TO CREDIT AGENCIES, AND TO FILE JUDICIAL OR LEGAL ACTION, GARNISHMENT, OBTAIN JUDGMENT LIENS AND EXECUTE UPON SUCH JUDGMENT LIENS USING LAWFUL MEANS OF COLLECTION; PROVIDED, HOWEVER, THAT PRIOR APPROVAL OF PFS SHALL BE REQUIRED BEFORE INITIAL LAWSUITS MAY BE INITIATED. MMC AND EXTERNAL COLLECTION AGENCIES MAY ALSO TAKE ANY AND ALL LEGAL OTHER ACTIONS INCLUDING BUT NOT LIMITED TO TELEPHONE CALLS, EMAILS, TEXTS, MAILING NOTICES, AND SKIP TRACING TO OBTAIN PAYMENT FOR MEDICAL SERVICES PROVIDED.IV. POLICY AVAILABILITYCONTACT OUR BUSINESS OFFICE AT 715-934-4267 FOR INFORMATION REGARDING ELIGIBILITY OR THE PROGRAMS THAT MAY BE AVAILABLE TO YOU, TO REQUEST A COPY OF THE FAP, FAP APPLICATION FORM, OR COLLECTION POLICY TO BE MAILED TO YOU, OR IF YOU NEED A COPY OF THE FAP, FAP APPLICATION FORM, OR COLLECTION POLICY TRANSLATED TO SPANISH. FULL DISCLOSURE OF THE FAP, FAP APPLICATION FORM, OR COLLECTION POLICY MAY BE FOUND AT WWW.ASHLANDMMC.COM. A PAPER COPY OF OUR FAP, FAP APPLICATION FORM, OR COLLECTION POLICY CAN BE OBTAINED AT OUR FACILITY LOCATED AT 1615 MAPLE LANE, ASHLAND, WI 54806 AT THE REGISTRATION DESK.
PART VI, LINE 2:	MEMORIAL MEDICAL CENTER IS WORKING WITH LOCAL ORGANIZATIONS INCLUDING ASHLAND AND BAYFIELD COUNTY AND LOCAL SENIOR CITIZEN GROUPS TO PUT TOGETHER A 3 YEAR COMMUNITY NEEDS ASSESSMENT. THE PROCESS WILL INCLUDE SURVEYS OF AREA GROUPS AND INDIVIDUALS TO GAIN A PERSPECTIVE OF NEEDS THAT LOCAL CITIZENS BELIEVE ARE NECESSARY TO MEET THE HEALTHCARE NEEDS OF THE AREA.
PART VI, LINE 3:	NOTICES ARE PUBLISHED IN THE LOCAL NEWSPAPER, INTERVIEWS ARE CONDUCTED AT ADMISSION AND FOR THOSE PATIENTS PREADMITTED INFORMATION IS DISTRIBUTED AND INTERVIEWS CONDUCTED TO EXPLORE ALL THE AVENUES AVAILABLE FOR PAYMENT OF THEIR HEALTHCARE SERVICES TO INCLUDE THEIR ELIGIBILITY FOR CHARITY CARE.
PART VI, LINE 4:	MEMORIAL MEDICAL CENTER SERVES AN AREA THAT EXTENDS 25 MILES WEST, 75 MILES EAST AND 45 MILES SOUTH. OUR PRIMARY SERVICE AREA HAS A POPULATION OF APPROX. 35,000 PEOPLE. THE AVERAGE INCOME OF OUR SERVICE AREA IS WELL BELOW STATE AVERAGES.
PART VI, LINE 5:	MEMORIAL MEDICAL CENTER DOES HAVE AN OPEN MEDICAL STAFF WITH A BROAD RANGE OF SPECIALTIES. THE MEMBERS OF THE MEDICAL STAFF PROVIDE SERVICES OUT OF TWO LARGER CLINICS AS WELL AS MANY SMALL INDEPENDENT PRACTICES. ALL HAVE EQUAL PRIVILEGES ON THE MEDICAL STAFF. IN ADDITION WE HAVE A BOARD OF DIRECTORS THAT REPRESENT THE LARGER SERVICE AREA. BOARD OF DIRECTORS COME FROM COMMUNITIES 30-40 MILES FROM ASHLAND AS WELL AS REPRESENTATIVES FROM ASHLAND AND WASHBURN (10 MILES AWAY).
PART VI, LINE 6:	MEMORIAL MEDICAL CENTER IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
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 (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ESSENTIA HEALTH FOUNDATION
130 WEST SUPERIOR ST	DULUTH	MN	55801	271984704	501(C)(3)	$32,824	GENERAL SUPPORT
ASHLAND CARES
301 ELLIS AVENUE	ASHLAND	WI	54806	473650960	501(C)(3)	$20,300	GENERAL SUPPORT
DRUMMOND AREA SCHOOL DISTRICT
52440 EASTERN AVENUE PO BOX 40	DRUMMOND	WI	54832	396001738	BAYFIELD COUNTY	$30,000	CARDIO EQUIPMENT
HOWARD SANDIN SCHOLARSHIP FUND
1615 MAPLE LANE	ASHLAND	WI	54806	237013497	501(C)(3)	$5,000	GENERAL SUPPORT
MELLEN SCHOOL DISTRICT
420 SOUTH MAIN STREET PO BOX 500	MELLEN	WI	54546	396008011	ASHLAND COUNTY	$30,000	FITNESS EQUIPMENT
DULUTH SUPERIOR AREA COMMUNITY
222 EAST SUPERIOR STREET SUITE 302	DULUTH	MN	55802	411429402	501(C)(3)	$10,000	2016 DISASTER

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	10	RecipientCnt
Cash Grant	$5,000	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE HOSPITAL REQUIRES RECIPIENTS TO PROVIDE DOCUMENTATION SUPPORTING EXPENDITURE OF RELATED GRANT FUNDS RECEIVED. EXPENDITURES ARE REQUIRED TO QUALIFY FOR THE PURPOSE THE GRANT/AWARD WAS GIVEN OR THE FUNDS ARE REQUIRED TO BE RETURNED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
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 (8 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
JASON DOUGLAS
PRESIDENT/CEO - MMC	$318,149	$0	$23,184	$0	$18,000	$0	$13,250	$0	$29,254	$0	$401,837	$0	$0	$0
KAREN HANSEN
CHIEF OPERATING OFFICER -	$177,307	$0	$14,467	$0	$0	$0	$6,967	$0	$25,870	$0	$224,611	$0	$0	$0
KENT DUMONSEAU
VICE PRESIDENT/CFO - REI	$0	$197,118	$0	$15,484	$0	$0	$0	$9,848	$0	$29,142	$0	$251,592	$0	$0
WILLIAM MATTILA
PHARMACY DIRECTOR	$158,674	$0	$0	$0	$0	$0	$7,891	$0	$29,050	$0	$195,615	$0	$0	$0
PATRICK MARSHALL
PHARMACIST	$136,870	$0	$0	$0	$0	$0	$7,176	$0	$21,031	$0	$165,077	$0	$0	$0
KATHRYN TUTTLE
CLINICAL DIRECTOR OF NURSING	$138,184	$0	$0	$0	$0	$0	$6,963	$0	$25,803	$0	$170,950	$0	$0	$0
CARL BAUER
DIRECTOR OF REHABILITATION SERVICES	$133,544	$0	$0	$0	$0	$0	$6,647	$0	$10,532	$0	$150,723	$0	$0	$0
LUKE BEIRL
PHARMACIST	$135,865	$0	$0	$0	$0	$0	$6,361	$0	$13,636	$0	$155,862	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ASHLAND COUNTY WISCONSIN
A	396005666	2011-09-20	$10,000,000	CONSTRUCT AND EQUIP FACILITY	0	0	0
BAYFIELD COUNTY WISCONSIN
B	396005670	2011-10-05	$3,827,785	CONSTRUCT AND EQUIP FACILITY	0	0	0
ASHLAND COUNTY WISCONSIN
C	396005666	2014-12-29	$7,120,000	CONSTRUCT AND EQUIP FACILITY	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt
A	$5,046,614	$10,000,000	$10,000,000	2012
B	$1,935,753	$3,827,785	$3,827,785	2012
C	$107,670	$7,120,000	$6,996,567	2016	$123,433

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	Yes (1)
C	0	0	0	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	REGIONAL ENTERPRISES, INC. IS THE SOLE CORPORATE MEMBER OF MEMORIAL MEDICAL CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7A	REGIONAL ENTERPRISES, INC. MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B	IN ADDITION TO DOING ALL THINGS REQUIRED BY LAW, REI, AS THE SOLE MEMBER OF MMC, SHALL HAVE THE FOLLOWING RESERVE POWERS: A) THE POWER TO MAKE, AMEND, OR REPEAL MMC'S BYLAWS AND ARTICLES OF INCORPORATION. B) TO APPROVE ANY CHANGE IN MMC'S PHILOSOPHY, MISSION OR VISION STATEMENTS, AND APPROVE THE LONG-RANGE GOALS AND STRATEGIC PLAN FOR MMC. C) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGET. D) TO APPROVE ALL BUILDING PROGRAMS THAT EXCEED $1,000,000 IN VALUE. E) TO SELECT AND RETAIN AN INDEPENDENT AUDING FIRM. F) TO APPROVE THE PURCHASE, SALE, LEASE, DISPOSITION, OR ALIENATION OF ANY REAL PROPERTY OWNED BY MMC. G) TO APPROVE ANY PLAN OF DISSOLUTION OR MERGER, CONSOLIDATION, ACQUISITION OR DISPOSITION OF REAL PROPERTY OR RELOCATION OF THE FACILITIES OF MMC. H) BASED ON A RECOMMENDATION FROM THE BOARD OF DIRECTORS OF MMC, TO APPOINT AND MONITOR THE PERFORMANCE OF THE PRESIDENT/CEO OF REI, WHO SHALL ALSO SIMULTANEOUSLY SERVE AS THE PRESIDENT/CEO OF MMC.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 MUST GO THROUGH AN ADMINISTRATIVE REVIEW AND THEN BE APPROVED BY THE BOARD OF DIRECTORS BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	A. DEFINITIONS 1. AN "INTERESTED PERSON" MEANS ANY CURRENT DIRECTOR, PRINCIPAL OFFICER OR MEMBER OF A COMMITTEE THAT REPORTS TO THE BOARD OF DIRECTORS. IF A PERSON MEETS THE DEFINITION OF AN INTERESTED PERSON FOR REI OR ANY OF ITS AFFILIATED CORPORATIONS, THAT PERSON SHALL BE CONSIDERED AN INTERESTED PERSON FOR ALL CORPORATIONS WITH THE REI SYSTEM. 2. AN "INSIDER" MEANS ANY PERSON WHO IS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF REI. FOR PURPOSES OF APPLYING THE PROCEDURES OF THIS POLICY, THE FOLLOWING WILL BE CONSIDERED INSIDERS: ANY INTERESTED PERSON AS DEFINED HEREIN; THE MANAGERS AT REI AND ITS AFFILIATED CORPORATIONS; AND MEMBERS OF THE VARIOUS MEDICAL STAFFS AT MEMBERS' HOSPITALS. FOR PURPOSES OF THIS PROTOCOL, A "MANAGER" INCLUDES ANY PERSON WHO MANAGES A DISCRETE SEGMENT OR ACTIVITY OF REI, OR ANY OF ITS AFFILIATES, THAT REPRESENTS A SUBSTANTIAL PORTION (I.E., 10% OR MORE) OF THE ACTIVITIES, ASSETS, INCOME, OR EXPENSES OF REI OR SUCH AFFILIATE AS COMPARED TO THE ORGANIZATION AS A WHOLE. FINALLY, ANYONE WHO HAS BEEN AN INTERESTED PERSON AT ANY TIME IN THE PAST FIVE (5) YEARS AND ANYONE WHO WAS A MEMBER OF ANY MEDICAL STAFF OF A MEMBER HOSPITAL AT SOME TIME IN THE PAST FIVE (5) YEARS, SHALL BE CONSIDERED AN INSIDER. 3. FOR PURPOSES OF THIS POLICY, "FAMILY" OF AN INSIDER SHALL MEAN: A. SUCH INDIVIDUAL'S SPOUSE AND THE PARENTS AND SIBLINGS OF THE SPOUSE; B. SUCH INDIVIDUAL'S PARENTS, GRANDPARENTS, SIBLINGS (WHOLE OR HALF BLOOD OR BY ADOPTIONS), CHILDREN, GRANDCHILDREN AND GREAT GRANDCHILDREN; AND C. SPOUSES OF SUCH INDIVIDUAL'S GRANDPARENTS, SIBLINGS, CHILDREN, GRANDCHILDREN, AND GREAT GRANDCHILDREN. B. DISCLOSURE 1. EACH DIRECTOR AND OFFICER SHALL DISCLOSE TO THE BOARD OF DIRECTORS, OR TO THE OTHER MEMBERS OF ANY COMMITTEE CONSIDERING A PROPOSED BUSINESS TRANSACTION OR ARRANGEMENT, THE EXISTENCE AND NATURE OF ANY FINANCIAL INTEREST SUCH PERSON OR A MEMBER OF SUCH PERSON'S FAMILY MAY HAVE WITH RESPECT TO SUCH PROPOSED TRANSACTION OR ARRANGEMENT. EACH DIRECTOR AND PRINCIPAL OFFICER SHALL PROMPTLY MAKE DISCLOSURES AS MAY BE NECESSARY TO KEEP THE BOARD OR COMMITTEE FULLY APPRISED OF SUCH PERSON'S FINANCIAL INTERESTS. DISCLOSURE SHALL ALSO BE ACCOMPLISHED ON AN ANNUAL BASIS BY HAVING EACH DIRECTOR AND PRINCIPAL OFFICER EXECUTE AND DELIVER TO REI A CERTIFICATE REGARDING CONFLICTS OF INTEREST IN SUBSTANTIALLY THE FORM ATTACHED TO THIS POLICY. 2. THE REQUIREMENT THAT INTERESTED PERSONS DISCLOSE THEIR FINANCIAL INTERESTS SUBSTANTIALLY REQUIRES EACH DIRECTOR AND PRINCIPAL OFFICER TO DISCLOSE ANY INSIDER TRANSACTION IN WHICH HE OR SHE, HIS/HER FAMILY MEMBERS OR A CONTROLLED ENTITY ARE INVOLVED. THIS OCCURS BECAUSE THE DEFINITION OF A FINANCIAL INTEREST IS BROADER THAN THE DEFINITION OF AN INSIDER TRANSACTION. HOWEVER, NOT ALL FINANCIAL INTERESTS DISCLOSED WILL RESULT IN A CONFLICT OF INTEREST OR AN INSIDER TRANSACTION. A TRANSACTION INVOLVING A DIRECTOR OR OFFICER WILL FALL INTO ONE OF THE FOLLOWING THREE CATEGORIES: (I) IT NEITHER INVOLVES AN INTERESTED PERSON NOR IS AN INSIDER TRANSACTION, (II) IT INVOLVES AN INTERESTED PERSON, BUT IS NOT AN INSIDER TRANSACTION; OR (III) IT INVOLVES AN INTERESTED PERSON AND IS AN INSIDER TRANSACTION. C. RESPONSE TO DISCLOSURES IF ANY DIRECTOR OR PRINCIPAL OFFICER DISCLOSES A POTENTIAL FINANCIAL INTEREST TO THE BOARD OF DIRECTORS OR ANY COMMITTEE REGARDING A PROPOSED TRANSACTION OR ARRANGEMENT, THE BOARD OR COMMITTEE SHALL FIRST DETERMINE WHETHER THE PROPOSED TRANSACTION OR ARRANGEMENT COULD BE CONSIDERED AN INSIDER TRANSACTION. IF THE BOARD OR COMMITTEE IS CERTAIN THAT THE TRANSACTION OR ARRANGEMENT WILL NOT INVOLVE AN INSIDER, THE BOARD OR COMMITTEE SHALL FOLLOW ONLY THE PROCEDURES SET FORTH IN SECTION III(C)(1) BELOW. IF THE TRANSACTION OR ARRANGEMENT INVOLVES OR MAY INVOLVE AN INSIDER, THE BOARD OR COMMITTEE SHALL FOLLOW THE PROCEDURES IN BOTH SECTION III(C)(1) AND SECTION III(C)(2). 1. PROCEDURES FOR DISCLOSURES OF ANY FINANCIAL INTEREST THAT MAY RESULT IN A CONFLICT OF INTEREST ON THE PART OF AN INTERESTED PERSON THAT DOES NOT MEET THE DEFINITION OF AN INSIDER TRANSACTION A. THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF IT IS DETERMINED NO CONFLICT EXISTS, THE INTERESTED PERSON MAY REJOIN THE MEETING AND PARTICIPATE IN THE DISCUSSIONS AND ACTIONS REGARDING THIS AGENDA ITEM. B. THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER REI CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. I. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE, THAT BODY SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN REI'S BEST INTEREST AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO REI. II. IF THE BOARD OR COMMITTEE BELIEVES AN ALTERNATE TRANSACTION COULD BE CONSIDERED THAT WOULD BE MORE ADVANTAGEOUS TO REI, THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION. FURTHER ACTION BY THE BOARD OR COMMITTEE SHALL BE TABLED UNTIL SUCH TIMES AS THE DISINTERESTED PERSON HAS BEEN ABLE TO REPORT HIS OR HER FINDINGS TO THE APPROPRIATE GOVERNING BODY. C. THE BOARD OR COMMITTEE SHALL NOT APPROVE ANY TRANSACTION OR ARRANGEMENT THAT IS NOT IN THE BEST INTERESTS OF REI AND THAT IS NOT FAIR AND REASONABLE TO REI. D. ONCE DISCUSSION AND/OR ACTION REGARDING THE AGENDA ITEM RELATING TO THE DIRECTOR'S FINANCIAL INTEREST HAS BEEN COMPLETED, THE INTERESTED PERSON MAY REJOIN THE BOARD OR COMMITTEE MEETING. 2. PROCEDURES FOR DISCLOSURE OF ANY FINANCIAL INTEREST THAT MAY RESULT IN A CONFLICT OF INTEREST THAT IS ALSO A POTENTIAL INSIDER TRANSACTION A. THE INSIDER SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE INSIDER TRANSACTION IS DISCUSSED. IN ADDITION, THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL ALSO DECIDE WHETHER THE TRANSACTION OR ARRANGEMENT UNDER CONSIDERATION COULD CONSTITUTE AN INSIDER TRANSACTION. AS A PART OF THIS CONSIDERATION, THE BOARD OR COMMITTEE SHALL ALSO CONSIDER WHETHER THEIR ACTION COULD BE CONSTRUED TO BE AN EXCESS BENEFIT TRANSACTION SUBJECT TO THE INTERMEDIATE SANCTIONS DISCUSSED ABOVE. B. IN DETERMINING WHETHER A TRANSACTION OR ARRANGEMENT IS AN EXCESS BENEFIT TRANSACTION, THE BOARD OR COMMITTEE CONSIDERING THE TRANSACTION OR ARRANGEMENT SHOULD REVIEW APPROPRIATE DATA AS TO COMPARABILITY. THE BOARD OR COMMITTEE MAY RELY ON SUCH INFORMATION OR DATA PROVIDED BY REI'S MANAGEMENT. C. THE BOARD OR COMMITTEE SHALL NOT APPROVE ANY TRANSACTION OR ARRANGEMENT THAT IS AN EXCESS BENEFIT TRANSACTION. D. RECORDS OF PROCEEDINGS 1. THE MINUTES OF THE BOARD AND COMMITTEE MEETINGS SHALL CONTAIN: A. THE NAMES OF PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST WITH RESPECT TO ANY PROPOSED TRANSACTION OR ARRANGEMENT WITH REI, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION WITH THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED. B. THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO BE A PARTY TO AN INSIDER TRANSACTION, THE NATURE OF THE INSIDER'S RELATIONSHIP TO REI, AND A RECORD OF ALL VOTES TAKEN IN CONNECTION WITH THE BOARD'S DECISION AS TO WHETHER THE INSIDER TRANSACTION WAS AN EXCESS BENEFIT TRANSACTION. C. THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO ANY TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO PROPOSED TRANSACTION OR A ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN APPROVING OR REJECTING ANY PROPOSED TRANSACTION OR ARRANGEMENT. 2. REI SHALL DOCUMENT THE BASIS FOR ITS DETERMINATION REGARDING WHETHER ANY INSIDER TRANSACTION IS AN EXCESS BENEFIT TRANSACTION. E. VIOLATIONS OF THE PROTOCOL 1. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A DIRECTOR OR PRINCIPAL OFFICER HAS FAILED TO DISCLOSE A FINANCIAL INTEREST, IT SHALL INFORM THE DIRECTOR OR PRINCIPAL OFFICER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE DIRECTOR OR PRINCIPAL OFFICER AN OPPORTUNITY TO EXPLAIN WHY DISCLOSURE WAS NOT MADE. 2. IF, AFTER HEARING THE RESPONSE OF THE DIRECTOR OR PRINCIPAL OFFICER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE DIRECTOR HAS IN FACT FAILED TO DISCLOSE A FINANCIAL INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND/OR CORRECTIVE ACTION. THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE ABOVE CONFLICT OF INTEREST POLICY BY PROVIDING A QUESTIONNAIRE TO BOARD MEMBERS ANNUALLY AS WELL AS REVIEWING THE POLICY ANNUALLY WITH THE BOARD.
FORM 990, PART VI, SECTION B, LINE 15	MMC PARTICIPATES IN SALARY SURVEYS SPECIFIC TO ADMINISTRATOR POSITIONS. THIS INFORMATION IS USED TO DEVELOP SALARY RANGES FOR THE ADMINISTRATIVE STAFF. THE BOARD OF DIRECTORS PARTICIPATES IN DEVELOPMENT OF RANGES AND ESTABLISHMENT OF SALARIES FOR THE THREE SENIOR LEADERS OF THE ORGANIZATION AS DESCRIBED IN CORPORATE BYLAWS AND BOARD POLICIES. ANY CHANGES TO THE BENEFIT PACKAGE MUST BE APPROVED BY THE MMC BOARD OF DIRECTORS. THE BOARD APPROVES ALL COMPENSATION CHANGES FOR THE PRESIDENT AS OUTLINED IN CORPORATE BYLAWS AND BOARD POLICIES. CHANGES IN COMPENSATION FOR THE VICE-PRESIDENTS ARE DETERMINED BY THE PRESIDENT USING RANGES ESTABLISHED AND APPROVED BY THE BOARD, IN CONJUNCTION WITH SALARY SURVEY INFORMATION.
FORM 990, PART VI, SECTION C, LINE 19	THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FROM ADMINISTRATION FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).
FORM 990, PART VII, SECTION A	JASON DOUGLAS: TIME ALLOCATION: REI MEDICAL CLINICS, INC: 1 HOUR PER WEEK REGIONAL ENTERPRISES, INC: 1 HOUR PER WEEK MEDICAL SERVICES, INC: 1 HOUR PER WEEK MEMORIAL MEDICAL CENTER: 37 HOURS PER WEEK COMPENSATION RELATED TO REI MEDICAL CLINICS, INC: REPORTABLE COMPENSATION = $0 OTHER COMPENSATION = $0 COMPENSATION RELATED TO REGIONAL ENTERPRISES, INC: REPORTABLE COMPENSATION = $0 OTHER COMPENSATION = $0 COMPENSATION RELATED TO MEDICAL SERVICES, INC: REPORTABLE COMPENSATION = $0 OTHER COMPENSATION = $0 COMPENSATION RELATED TO MEMORIAL MEDICAL CENTER: REPORTABLE COMPENSATION = $359,333 OTHER COMPENSATION = $ 42,504 KENT DUMONSEAU: TIME ALLOCATION: REI MEDICAL CLINICS, INC: 1 HOUR PER WEEK REGIONAL ENTERPRISES, INC: 1 HOUR PER WEEK MEDICAL SERVICES, INC: 14 HOUR PER WEEK MEMORIAL MEDICAL CENTER: 24 HOURS PER WEEK COMPENSATION RELATED TO REI MEDICAL CLINICS, INC: REPORTABLE COMPENSATION = $0 OTHER COMPENSATION = $0 COMPENSATION RELATED TO REGIONAL ENTERPRISES, INC: REPORTABLE COMPENSATION = $212,602 OTHER COMPENSATION = $ 38,990 COMPENSATION RELATED TO MEDICAL SERVICES, INC: REPORTABLE COMPENSATION = $0 OTHER COMPENSATION = $0 COMPENSATION RELATED TO MEMORIAL MEDICAL CENTER: REPORTABLE COMPENSATION = $0 OTHER COMPENSATION = $0

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
MEDICAL SERVICES INC
11040 N STATE ROAD 77	HAYWARD	WI	54843	391536207	HEALTH CARE	WI	501(C)(3)	LINE 3	REGIONAL ENTERPRISES INC	0
REGIONAL ENTERPRISES INC
1615 MAPLE LANE	ASHLAND	WI	54806	391555837	SUPPORT	WI	501(C)(3)	LINE 11B, II		0	N/A
REI MEDICAL CLINICS INC
1615 MAPLE LANE	ASHLAND	WI	54806	391701306	SUPPORT	WI	501(C)(3)	LINE 11B, II	REGIONAL ENTERPRISES INC	0
TAMARACK PROFESSIONAL GROUP INC
1615 MAPLE LANE	ASHLAND	WI	54806	391198085	HEALTH CARE	WI	501(C)(3)	LINE 11B, II	REGIONAL ENTERPRISES INC	0
MMC DEVELOPMENT CORP INC
1615 MAPLE LANE	ASHLAND	WI	54806	391360035	SUPPORT	WI	501(C)(3)	LINE 8		0	N/A

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