SAUK PRAIRIE HEALTHCARE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: SAUK PRAIRIE HEALTHCARE INC (EIN 39-0872080)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-08-03
IRS object ID: 201632169349300808
Schema version: 2015v2.1
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 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	2016-08-03T08:51:36-05:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410746749	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	220 SOUTH SIXTH STREET SUITE 300	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55402	ZIPCd

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

Filer Filer

Field	Value	IRS element (for citing)
EIN	390872080	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SAUK PRAIRIE HEALTHCARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SAUK	BusinessNameControlTxt
Phone	6086433311	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	260 26TH STREET	AddressLine1Txt
City	PRAIRIE DU SAC	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53578	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JAMES DREGNEY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6086433311	PhoneNum
Signature	2016-07-28	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KOREY BOELTER	PreparerPersonNm
PTIN	P00775161	PTIN
Phone	6123764500	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2016-12-15 16:53:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JAMES DREGNEY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	260 26TH STREET	AddressLine1Txt
City	PRAIRIE DU SAC	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53578	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$88,308,658	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SAUKPRAIRIEHEALTHCARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1956	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	EXTRAORDINARY HEALTHCARE FROM THE HEART - ONE PERSON AT A TIME.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	662	TotalEmployeeCnt
Total Volunteers	121	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,364,600	PYContributionsGrantsAmt
CY Contributions Grants	$779,904	CYContributionsGrantsAmt
PY Program Service Revenue	$75,116,601	PYProgramServiceRevenueAmt
CY Program Service Revenue	$81,105,326	CYProgramServiceRevenueAmt
PY Investment Income	$326,445	PYInvestmentIncomeAmt
CY Investment Income	$581,211	CYInvestmentIncomeAmt
PY Other Revenue	-$80,087	PYOtherRevenueAmt
CY Other Revenue	$27,628	CYOtherRevenueAmt
PY Total Revenue	$76,727,559	PYTotalRevenueAmt
CY Total Revenue	$82,494,069	CYTotalRevenueAmt
PY Grants And Similar Paid	$85,341	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$146,638	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$42,522,502	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$45,550,947	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$106,326	CYTotalFundraisingExpenseAmt
PY Other Expenses	$34,463,664	PYOtherExpensesAmt
CY Other Expenses	$38,328,790	CYOtherExpensesAmt
PY Total Expenses	$77,071,507	PYTotalExpensesAmt
CY Total Expenses	$84,026,375	CYTotalExpensesAmt
PY Revenues Less Expenses	-$343,948	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,532,306	CYRevenuesLessExpensesAmt
Total Assets BOY	$154,049,516	TotalAssetsBOYAmt
Total Assets EOY	$150,616,117	TotalAssetsEOYAmt
Total Liabilities BOY	$79,350,266	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$78,170,526	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$74,699,250	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$72,445,591	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	EXTRAORDINARY HEALTHCARE FROM THE HEART - ONE PERSON AT A TIME.VISION: WE WILL SET THE STANDARD FOR COMMUNITY-BASED HEALTHCARE THAT IMPROVES THE HEALTH AND QUALITY OF LIFE OF THE PEOPLE WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$55,966,122	ExpenseAmt
Grant	$146,638	GrantAmt
Revenue	$69,105,873	RevenueAmt
Desc	SAUK PRAIRIE HEALTHCARE, INC. (THE "HOSPITAL"), A 36-BED ACUTE CARE GENERAL HOSPITAL, IS A NONPROFIT, NONSTOCK WISCONSIN CORPORATION PROVIDING SERVICES TO SAUK CITY, PRAIRIE DU SAC, AND THE SURROUNDING COMMUNITIES. THE HOSPITAL FULFILLS ITS MISSION AND VISION BY OFFERING HIGH-QUALITY SERVICES IN RURAL COMMUNITIES, THEREBY ALLOWING OUR PATIENTS TO BE TREATED LOCALLY WITHOUT LENGTHY COMMUTES OR WAITING. THE HOSPITAL HAS GAINED A REGIONAL REPUTATION OF EXCELLENCE IN ORTHOPEDICS, GENERAL SURGERY, SPINE SURGERY, AND GYNECOLOGY SURGERY. TOTAL ADMISSIONS FOR 2015 WERE 1,851 WITH PATIENT DAYS OF 4,177. TOTAL OUTPATIENT VISISTS WERE 60,965. KEY PATIENT SERVICES INCLUDING 316 BIRTHS IN THE NURSERY, 5,412 SUGICAL PROCEDURES, 71,351 REHABILITATION THERAPY SERVICES, 27,484 MEDICAL IMAGING SERVICES, AND 13,842 EMERGENCY ROOM VISITS ARE AMONG MANY OF THE SERVICES PROVIDED TO PATIENTS DURING 2015.THE HOSPITAL OPERATES FOUR CLINICS IN RURAL AREAS: LODI, SPRING GREEN, PLAIN, AND BLACK EARTH, BRINGING PRIMARY CARE TO THOSE COMMUNITIES. THE CLINICS HAD CLOSE TO 36,100 VISITS IN 2015. AS A CHARITABLE ORGANIZATION, THE HOSPITAL PROVIDED OVER $1.5 MILLION IN FREE CARE TO PAITENTS IN OUR SERVICE AREA IN 2015, IN ADDITION TO SUBSIDIZING SERVICES THAT DO NOT COVER COSTS, FREE HEALTH SCREENINGS, EDUCATION PROGRAMS, AND YOUTH OUTREACH.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$14,538,059	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$11,999,453	RevenueAmt
Desc	THE HOSPITAL ALSO OWNS AND OPERATES PHYSICIAN PRACTICES IN SPRING GREEN, MAZOMANIE (DBA WISCONSIN HEIGHTS CLINIC), PLAIN, AND LODI, WISCONSIN, AS WELL AS OPERATES ORTHOPEDIC AND SURGICAL PHYSICIAN PRACTICES IN PRAIRIE DU SAC, WISCONSIN. TOTAL CLINIC VISITS TO THESE GIVE SITES FOR 2015 WAS 36,078.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$70,504,181	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	Yes (1)	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	39	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	662	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	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	0	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

Field	Value	IRS element (for citing)
Person	JAMES DREGNEY	PersonNm
Phone	6086433311	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	260 26TH STREET	AddressLine1Txt
City	PRAIRIE DU SAC	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53578	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
TAMMY ADLER
PRESIDENT	5.80	Yes (X)	Yes (X)	$16,200	$0	$0
PHILIP KEISER
VICE PRESIDENT	2.90	Yes (X)	Yes (X)	$10,900	$0	$0
DALE CARLSON
TREASURER	3.10	Yes (X)	Yes (X)	$8,400	$0	$0
ROXI MAIER
SECRETARY	4.00	Yes (X)	Yes (X)	$11,100	$0	$0
NEIL BISHOP
TRUSTEE	3.10	Yes (X)		$6,800	$0	$0
NANCY BREUNING
TRUSTEE	5.00	Yes (X)		$14,515	$0	$0
RICHARD MARINO
TRUSTEE	4.20	Yes (X)		$12,300	$0	$0
ALLAN PECKHAM
TRUSTEE	3.40	Yes (X)		$11,900	$0	$0
TODD SCHAD MD
TRUSTEE	1.80	Yes (X)		$59,935	$0	$0	4.00
TOM SCHWARTZ
TRUSTEE	2.90	Yes (X)		$9,900	$0	$0
VICKIE WENZEL-SCHLICK
TRUSTEE	3.20	Yes (X)		$9,100	$0	$0
LARRY SCHROEDER
CEO	40.00		Yes (X)	$374,577	$0	$35,135
CAROL MAY
VP FINANCE & OPERATIONS	40.00		Yes (X)	$188,584	$0	$25,819
MARGARET SHEEKS
VP PATIENT SERVICES (FORMER)	40.00		Yes (X)	$106,156	$0	$16,704
DENISE COLE-OUZOUNIAN
VP PATIENT SERVICES	40.00		Yes (X)	$76,777	$0	$15,159
MICHAEL LAMSON MD
SURGEON	40.00			$823,637	$0	$35,635		Yes (X)
DAVID MARCU MD
SURGEON	40.00			$808,094	$0	$38,135		Yes (X)
MATTHEW HERBERT MD
SURGEON	40.00			$822,381	$0	$18,818		Yes (X)
WILLIAM BODEMER MD
SURGEON	40.00			$788,719	$0	$43,373		Yes (X)
ARNOLD ROSENTHAL MD
SURGEON	40.00			$556,693	$0	$35,873		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,716,668	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$264,651	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	59	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
CENTRAL MINNESOTA DIAGNOSTICS
150 10TH STREET NW	MILACA	MN	56353	CT & MRI SERVICE	$1,336,134
SHARED IMAGING
PO BOX 88450	MILWAUKEE	WI	53288	ULTRASOUND, CARDIAC ECHO & NUCLEAR MED S	$1,036,953
FCM CORPORATION
4906 FENRITE DR	MADISON	WI	53716	GENERAL CONTRACTOR	$598,494
RIPPE KEANE MARKETING
5950 SEMINOLE CENTRE COURT SUITE 2	MADISON	WI	53711	MARKETING SERVICE	$411,141
MARITER LABORATORIES
PO BOX 681166	CHICAGO	IL	60695	LAB TESTING SERVICE	$369,204

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	10	CntrctRcvdGreaterThan100KCnt
Related Organizations	$779,904	RelatedOrganizationsAmt
Total Contributions	$779,904	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
HOSPITAL PATIENT REVENUE	621990	$67,688,765	$67,688,765
CLINIC REVENUE	621110	$11,999,453	$11,999,453
OTHER HOSPITAL SERVICES	621990	$1,151,679		$1,151,679
CAFETERIA AND VENDING	621990	$265,429		$265,429

Field	Value	IRS element (for citing)
Total Program Service Revenue	$81,105,326	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$910,578	TotalRevenueColumnAmt
Exclusion	$910,578	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$125,679	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$98,051	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$27,628	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,628	TotalRevenueColumnAmt
Exclusion	$27,628	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$5,031,245	SecuritiesAmt
Other	$355,926	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,550,037	SecuritiesAmt
Other	$166,501	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$518,792	SecuritiesAmt
Other	$189,425	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$329,367	TotalRevenueColumnAmt
Exclusion	-$329,367	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$82,494,069	TotalRevenueColumnAmt
Related Or Exempt Func Income	$79,688,218	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,025,947	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$89,936	TotalAmt
Program Services	$89,936	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$56,702	TotalAmt
Program Services	$56,702	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$838,911	TotalAmt
Management And General	$838,911	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$35,875,881	TotalAmt
Program Services	$32,179,628	ProgramServicesAmt
Management And General	$3,613,091	ManagementAndGeneralAmt
Fundraising	$83,162	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,433,360	TotalAmt
Program Services	$1,285,322	ProgramServicesAmt
Management And General	$144,716	ManagementAndGeneralAmt
Fundraising	$3,322	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,245,812	TotalAmt
Program Services	$4,658,328	ProgramServicesAmt
Management And General	$575,299	ManagementAndGeneralAmt
Fundraising	$12,185	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,156,983	TotalAmt
Program Services	$1,847,126	ProgramServicesAmt
Management And General	$303,693	ManagementAndGeneralAmt
Fundraising	$6,164	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$152,985	TotalAmt
Management And General	$152,985	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$37,800	TotalAmt
Management And General	$37,800	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,124,992	TotalAmt
Program Services	$4,696,756	ProgramServicesAmt
Management And General	$1,428,236	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$775,096	TotalAmt
Program Services	$337,487	ProgramServicesAmt
Management And General	$437,609	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,948,283	TotalAmt
Program Services	$1,344,936	ProgramServicesAmt
Management And General	$601,854	ManagementAndGeneralAmt
Fundraising	$1,493	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$738,109	TotalAmt
Management And General	$738,109	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,407,356	TotalAmt
Program Services	$166,091	ProgramServicesAmt
Management And General	$1,241,265	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$53,542	TotalAmt
Program Services	$37,046	ProgramServicesAmt
Management And General	$16,496	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,663,763	TotalAmt
Program Services	$2,663,763	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,918,991	TotalAmt
Program Services	$5,918,991	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$402,339	TotalAmt
Program Services	$251,899	ProgramServicesAmt
Management And General	$150,440	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$13,107,188	$13,107,188
REPAIRS & MAINTENANCE	$1,362,174	$982,860	$379,314
MEDICAID ASSESSMENT TAX	$1,247,318		$1,247,318
BAD DEBT	$564,021	$564,021

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,824,833	TotalAmt
Program Services	$316,101	ProgramServicesAmt
Management And General	$1,508,732	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$84,026,375	TotalAmt
Program Services	$70,504,181	ProgramServicesAmt
Management And General	$13,415,868	ManagementAndGeneralAmt
Fundraising	$106,326	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$227,200	BOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$17,010,841	BOYAmt
EOY	$16,788,332	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,225,043	BOYAmt
EOY	$9,777,589	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$150,659	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,147,329	BOYAmt
EOY	$1,156,061	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,303,493	BOYAmt
EOY	$1,015,756	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$130,456,466	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$39,889,771	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$93,972,793	BOYAmt
EOY	$90,566,695	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$25,546,775	BOYAmt
EOY	$25,090,617	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$250,000	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$822,671	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,616,042	BOYAmt
EOY	$4,997,737	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$154,049,516	BOYAmt
EOY	$150,616,117	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,270,519	BOYAmt
EOY	$7,956,644	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$68,000,000	BOYAmt
EOY	$66,519,294	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$479,010	BOYAmt
EOY	$223,170	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,600,737	BOYAmt
EOY	$3,471,418	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$79,350,266	BOYAmt
EOY	$78,170,526	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$70,240,510	BOYAmt
EOY	$68,528,300	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,058,373	BOYAmt
EOY	$2,404,045	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,400,367	BOYAmt
EOY	$1,513,246	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$74,699,250	BOYAmt
EOY	$72,445,591	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$154,049,516	BOYAmt
EOY	$150,616,117	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,532,306	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$150,000	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$571,353	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	Yes (1)	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$7,121	OtherActivitiesAmt
Total Lobbying Expenditures	$7,121	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	PART II-B, LINE 1 (I): SAUK PRAIRIE HEALTHCARE, INC. (THE "HOSPITAL") PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO WISCONSIN HOSPITAL ASSOCIATION (WHA). THESE DUES ARE PRIMARILY FOR ACCESS TO EDUCATIONAL MATERIALS AND STAFF TRAINING DEVELOPMENT. THE HOSPITAL IS ALSO A MEMBER OF THE RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). EACH YEAR, THE HOSPITAL PAYS MEMBERSHIP FEES TO THE RWHC. RWHC PROVIDES SUPPORT SERVICES FOR A NUMBER OF ITS MEMBER HOSPITALS THROUGHOUT THE STATE OF WISCONSIN. SOME OF THE MANY SERVICES PROVIDED TO MEMBER HOSPITALS INCLUDE PROVIDING ASSISTANCE TO ORGANIZATIONS IN FINDING GRANT FUNDING FOR NEW PROGRAMS, LEGAL SERVICES, REIMBURSEMENT REVIEW SERVICES, ACCOUNTING ASSISTANCE, CONTRACTING FOR THERAPIST AND EMERGENCY ROOM PATIENT CARE COVERAGE, AND ADMINISTRATIVE CONSULTING SERVICES. AS A PART OF THESE SERVICES, THE RWHC ALSO DOES PROVIDE ANALYSIS ON CURRENT HEALTHCARE ISSUES IN AN EFFORT TO PROMOTE AND BETTER HEALTHCARE FOR HOSPITALS IN RURAL COMMUNITIES THROUGHOUT WISCONSIN. ONE OF THESE EFFORTS ALSO INCLUDES SOME LOBBYING ON THE PART OF THE MEMBER ORGANIZATIONS. PART II-B, LINE 1 (D AND G): REPRESENTATIVES FROM SAUK PRAIRIE HEALTHCARE, INC. ANNUALLY PARTICIPATE IN THE WISCONSIN HOSPITAL ASSOCIATION'S ADVOCACY DAY WHERE THE REPRESENTATIVES ARE GIVEN THE OPPORTUNITY TO GATHER WITH OTHER HEALTHCARE ORGANIZATIONS IN THE STATE OF WISCONSIN AND ALSO MEET WITH STATE GOVERNMENT REPRESENTATIVES WITH THE PURPOSE OF IMPROVING THE DELIVERY OF HEALTHCARE NOT ONLY AT SAUK PRAIRIE HEALTHCARE, INC. BUT ALSO COLLECTIVELY IN THE STATE OF WISCONSIN. AS ISSUES OR PROPOSED LEGISLATION ARISE THROUGHOUT THE YEAR, OFFICIALS OF SAUK PRAIRIE HEALTHCARE, INC. WILL SEND LETTERS OF COMMENT TO LOCAL, STATE, AND FEDERAL GOVERNMENT REPRESENTATIVES TO EITHER SHOW SUPPORT OF PROPOSED CHANGES OR VOICE AN OPINION TO IMPROVE THE OUTCOME OF PROPOSED LEGISLATION OR OTHER CHANGES. THESE ACTIVITIES RESULT IN MINIMAL COST TO THE OPERATION OF SAUK PRAIRIE HEALTHCARE, INC.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,654,555	BeginningYearBalanceAmt
Investment Earnings Or Losses	$33,501	InvestmentEarningsOrLossesAmt
End Year Balance	$1,688,056	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,495,840	BeginningYearBalanceAmt
Investment Earnings Or Losses	$158,715	InvestmentEarningsOrLossesAmt
End Year Balance	$1,654,555	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,329,586	BeginningYearBalanceAmt
Investment Earnings Or Losses	$166,254	InvestmentEarningsOrLossesAmt
End Year Balance	$1,495,840	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,196,971	BeginningYearBalanceAmt
Investment Earnings Or Losses	$132,615	InvestmentEarningsOrLossesAmt
End Year Balance	$1,329,586	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,147,396	BeginningYearBalanceAmt
Investment Earnings Or Losses	$49,575	InvestmentEarningsOrLossesAmt
End Year Balance	$1,196,971	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.89640	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.10360	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,338,643	OtherCostOrOtherBasisAmt
Book Value	$7,338,643	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$64,164,835	OtherCostOrOtherBasisAmt
Depreciation	$13,796,502	DepreciationAmt
Book Value	$50,368,333	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,615,010	OtherCostOrOtherBasisAmt
Depreciation	$128,988	DepreciationAmt
Book Value	$1,486,022	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$57,154,955	OtherCostOrOtherBasisAmt
Depreciation	$25,964,281	DepreciationAmt
Book Value	$31,190,674	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$183,023	OtherCostOrOtherBasisAmt
Book Value	$183,023	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$90,566,695	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DEFFERED COMPENSATION LIABILITY	$1,815,968
THIRD PARTY SETTLEMENTS	$1,655,450

Field	Value	IRS element (for citing)
Total Liability	$3,471,418	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$81,008,259	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$150,000	NetUnrealizedGainsInvstAmt
Other Revenue	-$653,957	OtherRevenueAmt
Revenue Not Reported	-$803,957	RevenueNotReportedAmt
Revenue Subtotal	$81,812,216	RevenueSubtotalAmt
Other Revenues Not Included	$681,853	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$681,853	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$82,494,069	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$83,470,469	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$98,051	OtherExpensesIncludedAmt
Expenses Not Reported	$98,051	ExpensesNotReportedAmt
Expenses Subtotal	$83,372,418	ExpensesSubtotalAmt
Other Expenses Not Included	$653,957	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$653,957	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$84,026,375	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE SCHNELLER SISTERS FUND SHALL BE HELD AS A SEPARATE PERMANENT ENDOWMENT FUND ON THE BOOKS AND RECORDS OF THE FOUNDATION, THE INCOME FROM WHICH SHALL BE DISTRIBUTED TO SAUK PRAIRIE HEALTHCARE, INC. FOR UNRESTRICTED NEEDS. ALL DISTRIBUTIONS FROM THE SCHNELLER SISTERS FUND SHALL BE DESIGNATED AS HAVING BEEN MADE "IN MEMORY OF THE SCHNELLER SISTERS: CECELIA SCHNELLER MUELLER, ADLYNN F. BALFANZ, AND MARY ANN ROSAR."
PART X, LINE 2:	IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE HOSPITAL ASSESSES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL HAS NOT RECORDED ANY ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS AS OF DECEMBER 31, 2015 OR 2014.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE -564,021. GOOD NEIGHBOR ADJUSTMENTS -89,936.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	CONTRIBUTION FROM RELATED ORGANIZATION 779,904. RENTAL EXPENSES -98,051.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 98,051.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	GOOD NEIGHBOR CLINIC SERVICES PROVIDED 89,936. BAD DEBT EXPENSE 564,021.

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
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	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	$724,711	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$724,711	NetCommunityBenefitExpnsAmt
Total Expense	0.00870	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,676,403	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,922,012	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,754,391	NetCommunityBenefitExpnsAmt
Total Expense	0.04500	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,401,114	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,922,012	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,479,102	NetCommunityBenefitExpnsAmt
Total Expense	0.05370	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$286,576	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,650	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$268,926	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$135,508	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$135,508	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,264,464	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,650,216	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,614,248	NetCommunityBenefitExpnsAmt
Total Expense	0.01930	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$232,778	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$232,778	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,919,326	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,667,866	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,251,460	NetCommunityBenefitExpnsAmt
Total Expense	0.02690	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,320,440	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,589,878	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,730,562	NetCommunityBenefitExpnsAmt
Total Expense	0.08060	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,760	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,760	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,168	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,168	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,922	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,922	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,143	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,143	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,811	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,811	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,295	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$43,295	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$104,099	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$104,099	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$564,021	BadDebtExpenseAmt
Bad Debt Expense Attributable	$282,010	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$16,458,426	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$19,360,023	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,901,597	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	SAUK PRAIRIE HEALTHCARE INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	260 26TH STREET	AddressLine1Txt
City	PRAIRIE DU SAC	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53578	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SAUKPRAIRIEHEALTHCARE.ORG	WebsiteAddressTxt
State License	122	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SAUK PRAIRIE HEALTHCARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
Other	Yes (X)	OtherInd
CHNA Conducted	15	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	WWW.SAUKPRAIRIEHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH	OwnWebsiteURLTxt
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	WWW.SAUKPRAIRIEHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH	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	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://WWW.SAUKPRAIRIEHEALTHCARE.ORG/PATIENTS/BILLING/COMMUNITY-CARE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://WWW.SAUKPRAIRIEHEALTHCARE.ORG/PATIENTS/BILLING/COMMUNITY-CARE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://WWW.SAUKPRAIRIEHEALTHCARE.ORG/PATIENTS/BILLING/COMMUNITY-CARE	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
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Permit Legal Judicial Process	Yes (X)	PermitLegalJudicialProcessInd
Collection Activities	Yes (1)	CollectionActivitiesInd
Reporting To Credit Agency	Yes (X)	ReportingToCreditAgencyInd
Engaged Legal Judicial Process	Yes (X)	EngagedLegalJudicialProcessInd
Other Actions	Yes (X)	OtherActionsInd
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 (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SAUK PRAIRIE HEALTHCARE, INC.	PART V, SECTION B, LINE 3J: INPUT FROM LOCAL PHYSICIANS WITH REGARD TO THE HIGHEST COMMUNITY HEALTH NEEDS WAS ALSO INCLUDED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT.
SAUK PRAIRIE HEALTHCARE, INC.	PART V, SECTION B, LINE 5: ALONG WITH COLLECTING AND ANALYZING DATA FROM THE SAUK COUNTY HEALTH & WELLNESS COALITION SURVEY AND ONLINE DATA SOURCES, FIVE KEY INFORMANT FOCUS GROUP MEETINGS WERE CONDUCTED WITH STAKEHOLDERS REPRESENTING BROAD INTERESTS OF THE SERVICE AREA. THE GROUPS INCLUDED, BUT WERE NOT LIMITED TO, SCHOOL REPRESENTATIVES, LAW ENFORCEMENT OFFICERS, HEALTHCARE PROVIDERS, EMERGENCY RESPONSE PROFESSIONALS, CLERGY MEMBERS, MUNICIPAL OFFICIALS, AND COMMUNITY GROUP LEADERS. THE QUESTIONS ASKED WERE RELATED TO GENERAL COMMUNITY ISSUES AND CONCERNS, ISSUES IN THE COMMUNITY THAT PROMOTE POOR HEALTH, AND ISSUES RELATED TO HEALTHCARE ACCESS. AT THE MEETINGS, HEALTH CONCERNS WERE IDENTIFIED AND PRIORITIZED.IN ADDITION TO THE KEY INFORMANT MEETINGS FACILITATED BY SPH, MANY OTHER COMMUNITY FORUMS WERE HELD BY MEMBERS OF THE SAUK COUNTY HEALTH & WELLNESS COALITION. ON NOVEMBER 17, 2015, A "CREATING OUR HEALTHY COMMUNITY PLAN" FORUM AND PRIORITY SESSION WAS HELD AT HO-CHUNK CASINO. AT THIS STRATEGY SESSION, APPROXIMATELY 56 COMMUNITY STAKEHOLDERS HELD FOCUSED DISCUSSIONS ABOUT THE TOP HEALTH NEED PRIORITIES AND PROPOSED MOBILIZATION TACTICS TO CONSIDER FOR DEPLOYMENT. THE PARTICIPANTS USED A PRIORITIZATION EXERCISE TO RANK THE HEALTH ISSUES FACING THE AREA. IN TOTAL, SPH CONDUCTED FOCUS GROUPS INVOLVING MORE THAN 50 INDIVIDUALS AND WE ALSO USED COMMUNITY INPUT FROM HUNDREDS OF MEETING PARTICIPANTS PROVIDED BY OUR COLLABORATION COLLEAGUES AT SAUK COUNTY HEALTH DEPARTMENT, ST. CLARE HOSPITAL, AND REEDSBURG AREA MEDICAL CENTER (SEE CHNA APPENDIX FOR A LIST OF PARTICIPANTS AND MEETINGS).
SAUK PRAIRIE HEALTHCARE, INC.	PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN JOINT EFFORT WITH THE FOLLOWING OTHER HOSPITALS: ST. CLARE HOSPITAL (BARABOO, WI) AND REEDSBURG AREA MEDICAL CENTER (REEDSBURG, WI). SAUK PRAIRIE HEALTHCARE, INC. ALSO WORKED WITH THE RICHLAND HOSPITAL (RICHLAND CENTER) AND UPLAND HILLS HEALTH( DODGEVILLE), BUT TO A LESSOR DEGREE THAN ST. CLARE AND REEDSBURG.
SAUK PRAIRIE HEALTHCARE, INC.	PART V, SECTION B, LINE 6B: SAUK PRAIRIE HEALTHCARE, INC. WORKED WITH REEDSBURG AREA MEDICAL CENTER (REEDSBURG, WI) AND ST. CLARE HOSPITAL (BARABOO, WI) AND THE SAUK COUNTY DEPARTMENT OF HEALTH TO IDENTIFY AND PRIORITIZE HEALTH NEEDS. THIS GROUP MEETS ON AT LEAST A QUARTERLY BASIS TO CONTINUALLY ASSESS NEEDS AND COORDINATE AND REPORT ON HEALTH INITIATIVE PROGRESS IN EACH MEMBER'S RESPECTIVE SERVICE AREA.
SAUK PRAIRIE HEALTHCARE, INC.	PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS MADE PUBLICLY AVAILABLE IN FEBRUARY 2016 AND IT'S AVAILABILITY WAS ANNOUNCED VIA A COMMUNITY NEWSLETTER TO MORE THAN 20,000 HOUSEHOLDS IN APRIL 2016. THE CHNA WAS INTERNALLY ANNOUNCED TO EMPLOYEES AND MEDICAL STAFF OF THE HOSPITAL ON FEBRUARY 2016. IT WAS INTERNALLY ANNOUNCED TO EMPLOYEES AND MEDICAL STAFF OF THE HOSPITAL.
SAUK PRAIRIE HEALTHCARE, INC.	PART V, SECTION B, LINE 11: MENTAL HEALTH:MENTAL HEALTH IS A STATE OF WELL-BEING IN WHICH AN INDIVIDUAL REALIZES HIS OR HER OWN ABILITIES, CAN COPE WITH NORMAL STRESSES OF LIFE, CAN WORK PRODUCTIVELY AND IS ABLE TO MAKE A CONTRIBUTION TO HIS OR HER COMMUNITY (WORLD HEALTH ORGANIZATION, 2014). WITHOUT TREATMENT, THE CONSEQUENCES OF MENTAL ILLNESS FOR THE INDIVIDUAL AND SOCIETY CAN INCLUDE DISABILITY, UNEMPLOYMENT, SUBSTANCE ABUSE, HOMELESSNESS, INCARCERATION, AND SUICIDE. THE ECONOMIC COST OF UNTREATED MENTAL ILLNESS IS MORE THAN 100 BILLION DOLLARS EACH YEAR IN THE US (NATIONAL ALLIANCE ON MENTAL ILLNESS, 2014).ACCORDING TO THE NATIONAL INSTITUTE OF MENTAL HEALTH, AN ESTIMATED 13 MILLION AMERICAN ADULTS HAVE A SERIOUSLY DEBILITATING MENTAL ILLNESS. SUICIDE IS THE 11TH LEADING CAUSE OF DEATH IN THE US, ACCOUNTING FOR THE DEATHS OF APPROXIMATELY 30, 000 AMERICANS EACH YEAR (NATIONAL INSTITUTE OF MENTAL HEALTH).OF THE 14 CHOICES LISTED ON THE 2015 SAUK COUNTY HEALTH & WELLNESS COALITION SURVEY, MENTAL HEALTH WAS RANKED THE SECOND MOST SIGNIFICANT HEALTH PROBLEM IN SAUK AND COLUMBIA COUNTY. SPECIFIC CATEGORIES OF MENTAL HEALTH IDENTIFIED INCLUDED DEPRESSION, ANXIETY, AND COPING.THE MAIN CONCERN WITH MENTAL HEALTH IN THE COMMUNITY IS LIMITED ACCESS AND THE LACK OF MENTAL HEALTH FACILITIES. EMERGENCY SERVICE OFFICIALS NOTED INCREASED SUICIDE ATTEMPTS AND SUBSTANCE ABUSE LINKED TO MENTAL HEALTH IN THE COMMUNITY. ACCORDING TO THE SAUK COUNTY CHILD DEATH REVIEW TEAM, SUICIDES IN SAUK COUNTY HAVE DOUBLED WITHIN THE LAST YEAR. OUR KEY INFORMANT GROUPS CONSISTENTLY CITED TERMS LIKE "ALIENATION AND "ISOLATION" AS MENTAL HEALTH-RELATED FACTORS AMONG YOUTH AND THE ELDERLY.PROPOSED ACTION STEPS:-PARTICIPATE IN AND/OR HELP FORM LOCAL SUICIDE PREVENTION COALITIONS. SPH CURRENTLY PARTICIPATES ON THE SAUK PRAIRIE COALITION.-DEVELOP A QUESTION, PERSUADE, AND REFER (QPR) TRAINING PROGRAM FOR LAW ENFORCEMENT, TEACHERS, GUIDANCE COUNSELORS AND CLERGY IN CONJUNCTION WITH THE SAUK COUNTY HEALTH DEPARTMENT. -PARTNER WITH VARIOUS COMMUNITY AGENCIES AND SCHOOLS ON EDUCATIONAL OUTREACH DEALING WITH MENTAL HEALTH, SUICIDE, AND ALCOHOL AND DRUG ABUSE AWARENESS.-PARTICIPATE IN AND SUPPORT THE ACTIVITIES OF THE LODI COMMUNITY ACTION TEAM AS THEY RELATE TO ADDRESSING MENTAL HEALTH ISSUES.-WORK WITH INTERESTED LAW ENFORCEMENT AGENCIES AND AMBULANCE SERVICES TO EXAMINE THE CONCEPT OF THE "COMMUNITY PARAMEDIC" TO HELP ADDRESS THE MENTAL HEALTH CRISIS SITUATIONS AND FOLLOW UP NEEDS.-COLLABORATE WITH REGIONAL PROVIDERS TO INCREASE ACCESS TO MENTAL HEALTH SERVICES.OBESITY (INCLUDING POOR NUTRITION AND LACK OF PHYSICAL ACTIVITY):OBESITY IS DEFINED AS A LIFE-LONG, PROGRESSIVE, LIFE-THREATENING, GENETICALLY RELATED, AND COSTLY DISEASE OF EXCESS FAT STORAGE. THIS DISORDER IS ASSOCIATED WITH ILLNESSES DIRECTLY CAUSED OR WORSENED BY SIGNIFICANT WEIGHT. MORBID OBESITY (OR CLINICALLY SEVERE OBESITY) IS DEFINED AS BEING OVER 200% OF IDEAL WEIGHT, MORE THAN 100 POUNDS OVERWEIGHT, OR A BODY MASS INDEX (BMI) OF 40 OR HIGHER, AT WHICH SERIOUS MEDICAL CONDITIONS OCCUR AS A DIRECT RESULT OF THE OBESITY. OBESITY AND UNHEALTHY WEIGHT MANAGEMENT CAN ALSO CONTRIBUTE TO THE DEVELOPMENT OF OTHER DISEASES, SUCH AS DIABETES AND HEART DISEASE.THROUGHOUT THE U.S. THE NUMBER OF INDIVIDUALS CONSIDERED OVERWEIGHT OR OBESE CONTINUES TO RISE. IN ADDITION TO BEING COSTLY FOR THE NATION'S HEALTH CARE SYSTEM, OBESITY ALSO CAN LEAD TO, OR COMPLICATE, OTHER HEALTH CONDITIONS INCLUDING HEART DISEASE, STROKE, DIABETES AND CERTAIN TYPES OF CANCER.OBESITY CONTINUES TO BE A GROWING ISSUE IN THE SAUK AND COLUMBIA COUNTY COMMUNITIES. OF 18 CHOICES ON THE 2015 SAUK COUNTY HEALTH AND WELLNESS COALITION SURVEY, BEING OVERWEIGHT WAS RANKED THE SECOND MOST IMPORTANT RISKY BEHAVIOR.LACK OF PHYSICAL ACTIVITY IS ONE OF THE MAIN CONTRIBUTORS OF OBESITY. THIS ISSUE WAS DISCUSSED AT ALL OF THE KEY INFORMANT FOCUS GROUPS. GIVEN THE WIDE VARIETY OF VENUES TO BE PHYSICALLY ACTIVE, THERE MAY BE A LACK OF INTEREST IN UTILIZING THE AREAS RESOURCES THAT ENCOURAGE EXERCISE AND MOTION.PROPOSED ACTION STEPS:-PARTICIPATE IN AND SUPPORT THE DEVELOPMENT OF THE GREAT SAUK STATE TRAIL TO PROMOTE WALKING, RUNNING, AND BICYCLING.-COLLABORATE WITH THE SAUK PRAIRIE SCHOOL DISTRICT PHYSICAL EDUCATION DEPARTMENT TO EXPAND THEIR HEART RATE MONITOR PROGRAM. EXPAND TO A MINIMUM OF ONE ADDITIONAL SCHOOL DISTRICT.-LEAD AND PARTICIPATE IN THE SAUK PRAIRIE WELLNESS MOVEMENT TO PROMOTE BETTER NUTRITIONAL HABITS AND PHYSICAL ACTIVITIES. IN DOING SO, EXAMINE CLOSELY THE NEEDS AND MOTIVATIONAL CUES AMONG THE RESIDENTS OF THE BLUFFVIEW NEIGHBORHOOD IN ORDER TO DEVELOP EFFECTIVE PROGRAMS. THIS ACTION STEP COULD ALSO INCLUDE REVISITING THE "KIDS COUNT" PROGRAM IN CONJUNCTION WITH THE SAUK PRAIRIE SCHOOL DISTRICT.-GROW THE SPH WELLNESS SERVICES FOR BUSINESSES TO PROMOTE HEALTHY LIFESTYLES AMONG THE WORKING POPULATION AND THEIR FAMILY MEMBERS.-JOIN WITH OTHER INTERESTED GROUPS IN SPRING GREEN, PLAIN, ARENA, MAZOMANIE, AND BLACK EARTH TO FOSTER HEALTH AND WELLNESS COALITIONS THAT ADDRESS LOCAL NEEDS. RELATED TO MENTAL HEALTH ISSUES, THESE GROUPS SHOULD CONCENTRATE EFFORTS ON INCREASING OPPORTUNITIES FOR SOCIALIZATION AMONG AT-RISK POPULATIONS.-OFFER PRE-/POST-NATAL EXERCISE CLASSES TO ADDRESS OBESITY IN PREGNANT WOMEN THAT PROVIDES RESOURCES, INCLUDING NUTRITION AND EXERCISE.-THROUGH THEIR PRIMARY CARE PROVIDER, OFFER FREE OR LOW COST ACCESS TO THE WELLSPRING WELLNESS CENTER TO QUALIFIED PATIENTS BASED ON NEED AND/OR INCOME.-PARTICIPATE IN AND SUPPORT THE INITIATIVES OF ACTIVATE LODI.-CONTINUE TO EXPAND "STIR IT UP" PROGRAM BEYOND THE TOWER ROCK SCHOOL.CHRONIC DISEASE:CHRONIC DISEASE BURDEN IS MORE HIGHLY CONCENTRATED AMONG HIGH-RISK POPULATIONS. THE POOR ARE MORE VULNERABLE TO CHRONIC DISEASES BECAUSE OF MATERIAL DEPRIVATION AND PSYCHOLOGICAL STRESS, HIGHER LEVELS OF RISKY BEHAVIOR, UNHEALTHY LIVING CONDITIONS AND LIMITED ACCESS TO GOOD-QUALITY HEALTHCARE.AS OF 2012, APPROXIMATELY HALF OF ALL ADULTS NATIONWIDE, 117 MILLION PEOPLE, HAD ONE OR MORE CHRONIC HEALTH CONDITIONS AND ONE OF FOUR HAD TWO OR MORE. SEVEN OF THE TOP 10 CAUSES OF DEATH IN THE US ARE CHRONIC DISEASES, WITH HEART DISEASE AND CANCER ACCOUNTING FOR NEARLY 48% OF ALL DEATHS.FROM THE SAUK COUNTY HEALTH & WELLNESS COALITION SURVEY, OF THE 14 CHOICES OF THE MOST IMPORTANT HEALTH PROBLEMS IN SPH SERVICE AREA, HEART DISEASE AND STROKE WAS LISTED WITH THE HIGHEST RANK. PROPOSED ACTION STEPS:-PROVIDE INTENSIVE EDUCATION AND INDIVIDUALIZED FOLLOW UP TO INPATIENTS AND FAMILIES REGARDING MANAGEMENT OF HEART FAILURE AND DIABETES.-THROUGH THEIR PRIMARY CARE PROVIDER, OFFER FREE OR LOW COST ACCESS TO THE WELLSPRING WELLNESS CENTER TO QUALIFIED PATIENTS BASED ON NEED AND/OR INCOME.-MAKE STAFF AVAILABLE TO PROVIDE EDUCATION OUTREACH TO COMMUNITY GROUPS.-EXAMINE OPPORTUNITIES TO COLLABORATE WITH AREA AMBULANCE PROVIDERS TO CREATE A MOBILE INTEGRATED HEALTHCARE (MIH) PROGRAM. THIS TYPE OF PROGRAM CAN INCLUDE SERVICES SUCH AS PROVIDING TELEPHONE ADVICE TO 9-1-1 CALLERS, CHRONIC DISEASE MANAGEMENT, POST-DISCHARGE FOLLOW UP, AND MANY OTHER SERVICES.-ASSEMBLE AN SPH "CHRONIC CONDITION" TASK FORCE TO DEVELOP STRATEGIES FOR ADDRESSING UNMET NEEDS OF PATIENTS AND RESIDENTS WITH SPECIFIC DIAGNOSES.-INITIATE A SAUK PRAIRIE HEALTHCARE "BREATHE EASY QUIT SMOKING" CAMPAIGN INCLUDING CAREGIVER TRAINING AND COMMUNITY-BASED CLASSES FOR THE PUBLIC.THROUGHOUT THE DATA COLLECTION PROCESS, ALCOHOL AND DRUG ABUSE WAS A CLEAR TOP PRIORITY, ESPECIALLY THE CURRENT PROBLEMS ASSOCIATED WITH HEROIN ADDICTION. HOWEVER, THIS ISSUE WAS NOT SELECTED AS ONE OF SPH'S TOP PRIORITIES BECAUSE THE SAUK COUNTY DEPARTMENT OF HUMAN SERVICES WAS RECENTLY AWARDED A GRANT TO ADDRESS THE DRUG ABUSE ISSUE THROUGHOUT THE COUNTY. THE SECURED FUNDING IS TO REPLICATE AND AUGMENT THE COMMUNITY ACTIVATED RECOVERY ENHANCEMENT (CARE) PROGRAM CREATED BY THE GOOD NEIGHBOR CLINIC, THE SAUK PRAIRIE POLICE DEPARTMENT, AND OTHER HEALTH PROFESSIONALS AND COMMUNITY VOLUNTEERS. THIS PROGRAM TREATS CLIENTS BY ADMINISTERING AN OPIATE BLOCKER AND INCLUDES COUNSELING, HOUSING, EMPLOYMENT, AND SUPPORT TO FAMILIES. SAUK PRAIRIE HEALTHCARE SUPPORTS THE CARE INITIATIVE AND WILL PARTICIPANT TO THE BEST OF ITS ABILITY.
SAUK PRAIRIE HEALTHCARE, INC.	PART V, SECTION B, LINE 16I: INFORMATION ABOUT THE POLICY IS INCLUDED ON BILLING INVOICES, ON ADMISSION INFORMATION, ON THE WEBSITE, AND IS REFERENCED IN COLLECTION EFFORTS. IT IS ALSO MENTIONED IN COMMUNITY TALKS ON HEALTH INSURANCE.
SAUK PRAIRIE HEALTHCARE, INC.	PART V, SECTION B, LINE 19D: THE HOSPITAL ATTEMPTS TO CONTACT THE PATIENT TO SEE IF THEY QUALIFY FOR COMMUNITY CARE. IF THE HOSPITAL CANNOT CONTACT THE PATIENT OR THE PATIENT HAS OTHER ACCOUNTS IN BAD DEBT, THE ACCOUNTS GO INTO THE HOSPITAL'S NORMAL COLLECTION PROCESS.
SAUK PRAIRIE HEALTHCARE, INC.	PART V, SECTION B, LINE 22D: THE HOSPITAL FOLLOWS ITS NORMAL PROCEDURES FOR COLLECTION OF THESE ACCOUNTS, INCLUDING DISCOUNTS BASED ON INCOME/ASSET LEVELS, PROMPT PAYMENT, OR MEDICAL INDIGENCE. THE AVERAGE DISCOUNT OF THE THREE LARGEST MANAGED CARE CONTRACTS IS USED TO CALCULATE THE MAXIMUM RATE CHARGED TO FAP ELIGIBLE PATIENTS.

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ORTHOPEDIC ASSOCIATES OF SAUK PRAIRIE
250 26TH ST	PRAIRIE DU SAC	WI	53578	ORTHOPEDIC CLINIC
2 - LODI MEDICAL CLINIC
160 VALLEY DRIVE	LODI	WI	53555	PHYSICIAN CLINIC
3 - RIVER VALLEY MEDICAL CLINIC
436 SUNRISE DRIVE	SPRING GREEN	WI	53588	RURAL HEALTH CLINIC
4 - WISCONSIN HEIGHTS CLINIC
506 CROCKER STREET SUITE 3	MAZOMANIE	WI	53560	PHYSICIAN CLINIC
5 - PLAIN MEDICAL CLINIC
825 MAIN STREET	PLAIN	WI	53577	RURAL HEALTH CLINIC
6 - SURGICAL ASSOCIATES
250 26TH ST	PRAIRIE DU SAC	WI	53578	SURGICAL CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE COSTING METHODOLOGY USED ON FORM 990 IS PRIMARILY BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST TO CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER SUGGESTED COSTING METHODS FOR THE FORM 990. THE COSTING METHOD FOR SUBSIDIZED HEALTH SERVICES IS BASED ON INTERNAL RECORDS ALLOCATIONS WHICH ARE SIMILAR TO A DIRECT COSTING ACCOUNTING SYSTEM FOR THESE SERVICES NOTED AS SUBSIDIZED HEALTH SERVICES.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES AT SAUK PRAIRIE HEALTHCARE, INC. INCLUDE THE OPERATION OF SEVERAL HOSPITAL DEPARTMENTS THAT OPERATE AT A LOSS FROM OPERATIONS, BUT ARE CONSIDERED VITAL HOSPITAL AND CLINIC SERVICES SUCH AS THE INTENSIVE CARE UNIT, OUTPATIENT PHYSICIAN CLINICS, INCLUDING INTERNAL MEDICINE (HOSPITAL MEDICINE), AND SEVERAL OTHER DEPARTMENTS. A LARGE PORTION OF THESE SERVICES ARE ACCESSED BY COMMUNITY MEMBERS THROUGH THE HOSPITAL'S EMERGENCY SERVICES DEPARTMENT. IT IS THE GOAL OF SAUK PRAIRIE HEALTHCARE, INC. TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF A PATIENT'S ABILITY TO PAY.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 564,021.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE HOSPITAL'S COMMUNITY BUILDING EFFORTS PROMOTE BOTH THE PHYSICAL AND ECONOMIC HEALTH OF THE COMMUNITIES IT SERVES. FROM AN ECONOMIC PERSPECTIVE, SAUK PRAIRIE HEALTHCARE, INC. STAFF CONTRIBUTES HUNDREDS OF HOURS TO CHAMBERS OF COMMERCE ACTIVITIES AND SUPPORT WORKFORCE DEVELOPMENT THROUGH COMMUNITY AND EDUCATIONAL PROGRAMS. THE PHYSICAL HEALTH OF THE COMMUNITY IS SUPPORTED THROUGH THE DEVELOPMENT OF HEALTH-RELATED COALITIONS, PARTICULARLY THE SAUK PRAIRIE WELLNESS MOVEMENT AND THE SAUK COUNTY HEALTH AND WELLNESS COALITION.
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 OPERATING EXPENSES EXCLUDING THE PROVISION FOR BAD DEBT, DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT ARE WRITTEN OFF DURING THE YEAR TO ESTIMATE THE COST OF CARE WHO HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE HOSPITAL. THE HOSPITAL ALSO RECOGNIZES THAT IT ALSO PROVIDES A DISCOUNT TO SELF-PAY OR UNINSURED PATIENTS. THESE AMOUNTS ARE EXCLUDED FROM GROSS PATIENT SERVICE REVENUE ON THE FINANCIAL STATEMENTS AND ARE NOT INCLUDED IN THE RATIO AS DESCRIBED ABOVE AND APPROVED BY THE IRS FOR USE ON FORM 990. IF CONSIDERED, THESE ADDITIONAL WRITE-OFF AMOUNTS TO UNINSURED ACCOUNTS WOULD ALSO INCREASE THAT ESTIMATED BAD DEBT EXPENSE AMOUNT ASSOCIATED WITH THESE UNCOLLECTIBLE ACCOUNTS 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 THE ORGANIZATION HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVEABLE.
PART III, LINE 4:	PATIENT ACCOUNTS RECEIVABLE AND CREDIT POLICY:IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS AND PATIENTS WHO ARE KNOWN TO 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 THEIR PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE.
PART III, LINE 8:	WHETHER THERE IS SHORTFALL OR A SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PATIENTS, WHO ARE TYPICALLY ELDERLY MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. THE TOTAL MEDICARE REVENUE SHOWN ON SCHEDULE H IS BASED ON THE IRS FORM 990 INSTRUCTIONS AND ONLY INCLUDE THE CHARGES FROM MEDICARE PROGRAM BENEFICIARIES THAT ARE REPORTED ON THE HOSPITAL'S MEDICARE COST REPORT. THE AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT AT SAUK PRAIRIE HEALTHCARE, INC., PHYSICIAN SERVICES FOR THE INTERNAL MEDICINE (HOSPITALIST) PROGRAM, PHYSICIAN SERVICES PROVIDED TO TWO OF THE FOUR OUTLYING PHYSICIAN CLINICS, CRNA SERVICES PROVIDED TO PATIENTS UNDERGOING ANESTHESIA AT THE HOSPITAL, AND A SIGNIFICANT PORTION OF LAB AND PHYSICAL THERAPY SERVICES WHICH ARE REIMBURSED BY THE MEDICARE PROGRAM UNDER ANOTHER METHODOLOGY. PHYSICIAN COVERAGE OUTPATIENT LAB SERVICES AND OUTPATIENT PHYSICAL THERAPY SERVICES ARE REIMBURSED PRIMARILY ON A FEE SCHEDULE REIMBURSEMENT AT RATES THAT ARE OFTEN BELOW THE COST OF CARING FOR PATIENTS. EMERGENCY PHYSICIAN SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT SAUK PRAIRIE HEALTHCARE, INC. PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHODOLOGY USED ABOVE FOR IRS FORM 990 COMPLIANCE REPORTING IS ALSO BASED ON AN OVERALL AVERAGE COST TO CHARGE RATIO AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT EXPENSE DIVIDED BY HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENT ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE). THIS RATIO IS THEN MULTIPLIED BY THE TOTAL MEDICARE SERVICES, WHICH ARE REIMBURSED ON A COST REPORTING METHODOLOGY. INCLUDING THE FEE SCHEDULE ITEMS, SUCH AS PHYSICIAN SERVICES, WOULD PRODUCE A LARGER LOSS OR SHORTFALL ON THESE SERVICES TO BE REPORTED ON THE FORM 990 IN ANY GIVEN YEAR.
PART III, LINE 9B:	IT IS THE POLICY OF SAUK PRAIRIE HEALTHCARE, INC. THAT EACH PATIENT RECEIVES CARE REGARDLESS OF THE ABILITY TO PAY. IF DURING THE COLLECTION PROCESS A PATIENT DOES NOT COMPLETE THE NECESSARY PAPERWORK OR RESPOND TO ATTEMPTS BY THE HOSPITAL TO PROVIDE CHARITY SERVICES, THE PATIENT MAY STILL REQUEST CHARITY INFORMAITON AND COMPLETE THE INFORMATION AT ANY TIME DURING THE COLLECTION PROCESS. THE PATIENT WILL BE REFERRED TO THE HOSPITAL'S CHARITY CARE POLICY AND CAN QUALIFY FOR CHARITY CARE, AND HAVE ANY COLLECTION ISSUES REVERSED BY THE ORGANIZATION, IF THEY SHOW A NEED FOR CARE BASED ON THE HOSPITAL'S POLICY.
PART VI, LINE 2:	THE HOSPITAL ENGAGES IN THE FOLLOWING ACTIVITIES TO ASSESS THE HEALTHCARE NEEDS OF THE 42,000 RESIDENT THROUGHOUT ITS 700 SQUARE MILE PRIMARY SERVICE AREA: ANALYZE HEALTH STATUS INFORMATION, EPIDEMIOLOGICAL DATA, AND HOSPITAL DISCHARGE DATA FURNISHED BY THE STATE OF WISCONSIN AND SAUK COUNTY TO IDENTIFY ISSUES AND TRENDS; MEET PERIODICALLY WITH THE COUNTY HEALTH DEPARTMENT AND TWO OTHER NEARBY HOSPITALS TO ASSESS HIGH PRIORITY HEALTH NEEDS AND COORDINATE ACTION; PARTICIPATE IN AND HELP COORDINATE COUNTY-WIDE INPUT SESSIONS WITH THE COUNTY HEALTH DEPARTMENT; LEAD AND PARTICIPATE IN COMMUNITY WELLNESS GROUPS AND INITIATIVES THROUGHOUT THE SERVICE AREA; CONDUCT "COMMUNITY HEALTH NEED" FOCUS GROUPS CONSISTING OF COMMUNITY LEADERS AND RANDOMLY SELECTED RESIDENTS; ANALYZE THE POPULATION-BASED NEED FOR MEDICAL PROVIDERS BY SPECIALTY. THIS INFORMATION IS ASSESSED AND MODIFIED BY MEMBERS OF THE HOSPITAL MEDICAL STAFF; LEADER PARTICIPATION AND LEADERSHIP IN CIVIC AND COMMUNITY SERVICE ORGANIZATIONS; ACTIVELY ENGAGE HOSPITAL BOARD MEMBERS IN COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND PROVIDE THE BOARD WITH MONTHLY UPDATES REGARDING COMMUNITY HEALTH ACTIVITIES.
PART VI, LINE 3:	1. AT THE TIME OF REGISTRATION, A REGISTRATION SPECIALIST WILL INQUIRE IF THERE IS HEALTH INSURANCE. IF NOT, THEY WILL BE ADVISED OF THE HOSPITAL'S COMMUNITY CARE PROGRAM IF THEY RESIDE WITHIN OUR SERVICE AREA. THOSE WHO HAVE A SAUK PRAIRIE BASED PHYSICIAN WILL ALSO BE CONSIDERED FOR ELIGIBILITY. COMMUNITY CARE INFORMATION IS ALSO POSTED ON THE HOSPITAL WEBSITE AND BILLS STATE THAT IF THE PATIENT IS HAVING DIFFICULTY PAYING THEY SHOULD CONTACT A HOSPITAL REPRESENTATIVE, AS THEY MAY BE ELIGIBLE FOR FREE OR REDUCED FEES. 2. ANY PATIENT REQUESTING ADDITIONAL INFORMATION ABOUT THE COMMUNITY CARE PROGRAM WILL BE REFERRED TO THE PATIENT ACCOUNTS SPECIALIST, WHO WILL EXPLAIN THE PROGRAM AND ITS ELIGIBLITY CRITERIA. WHEN APPLICABLE, ALL GOVERNMENT ASSISTANCE PROGRAMS SUCH AS MEDICAID, BADGER CARE, AND CRIME VICTIMS MUST BE EXHAUSTED BEFORE APPLYING FOR COMMUNITY CARE (EXCEPTION: THE GOVERNMENT ASSISTANCE PROGRAM APPLICATION MAY BE WAIVED BASED ON RELIGIOUS BELIEFS). COMMUNITY CARE IS NOT AVAILABLE FOR ELECTIVE PROCEDURES. PERSONS RESIDED IN THE SAUK PRAIRIE HEALTHCARE, INC.'S PRIMARY SERVICE AREA WILL BE CONSIDERED FOR ELIGIBLITY DETERMINATION. IN THE CASE OF EMERGENCY SERVICES, COMMUNITY CARE MAY BE EXTENDED TO THOSE RESIDING OUTSIDE OF THE PRIMARY SERVICE AREA. 3. THE INFORMATION IS ALSO POSTED ON OUR WEBSITE UNDER "PREPARING FOR YOUR STAY." IF AT ANY TIME PRIOR TO, DURING, OR AFTER THE SERVICES ARE PROVIDED THE PATIENT EXPRESSED CONCERNS ABOUT PAYMENT, THE COMMUNITY CARE PROGRAM IS EXPLAINED. INFORMATION IS ALSO PRINTED ON PATIENT STATEMENTS AND DISCUSSED WITH THE PATIENT DURING THE BILLING PROCESS.
PART VI, LINE 4:	THE HOSPITAL'S PRIMARY SERVICE AREA ENCOMPASSES A 700 SQUARE MILE REGION IN RURAL SOUTH CENTRAL WISCONSIN, INCLUDING SAUK, SOUTHERN COLUMBIA, NORTHWEST DANE, NORTHERN IOWA AND EASTERN RICHLAND COUNTIES. THE HOSPITAL IS LOCATED IN SAUK PRAIRIE (COMMON NAME FOR THE NEIGHBORING MUNICIPALITIES OF SAUK CITY AND PRAIRIE DU SAC) AND THE CLINICS ARE LOCATED IN FOUR TOWNS SURROUNDING SAUK PRAIRIE (BLUE EARTH, SPRING GREEN, PLAIN, AND LODI). NO OTHER HOSPITALS ARE LOCATED WITHIN THE PRIMARY SERVICE AREA, HOWEVER, EIGHT INPATIENT HOSPITALS (INCLUDING 5 RURAL AND 3 TERTIARY FACILITIES) ARE LOCATED WITHIN A 30 MILE RADIUS OF SAUK PRAIRIE HEALTHCARE, INC. DEMOGRAPHIC ANALYSIS INDICATES A 5-YEAR GROWTH RATE OF 2.5% COMPARED TO THE STATE OF WISCONSIN'S RATE OF 1.9%. AGE GROUPS THAT WILL GROW AT A CONSIDERABLY FASTER RATE THAN THE STATE INCLUDE 0-17 YEAR OLDS (1.9%), 25-34 (15.2%), AND 65+ (16.6%). HEALTH ISSUES AFFECTING THESE AGE SEGMENTS INCLUDE PRENATAL SCREENING, TEEN PREGNANCY, LACK OF ACCESS TO HEALTHCARE, AND MEDICAL ISSUES ASSOCIATED WITH AGING. THE AREA HAS LITTLE RACIAL AND ETHNIC DIVERSITY, ALTHOUGH THE NUMBER OF HISPANIC RESIDENTS HAS INCREASED CONSIDERABLY SINCE 2000. BY 2018, THIS POPULATION SEGMENT WILL REPRESENT 5.1% OF THE TOTAL POPULATION. SPECIFIC HEALTH-RELATED ISSUES CONFRONTING THIS POPULATION INCLUDE DIABETES, ACCESS TO CARE, AND LANGUAGE BARRIERS. AVERAGE HOUSEHOLD INCOME OF SERVICE AREA RESIDENTS IS 10% HIGHER THAN THE STATE AVERAGE. THIS DIFFERENCE IS DUE IN LARGE PART BECAUSE OF THE RELATIVELY STRONG JOB MARKET IN MADISON, WHICH ATTRACTS COMMUTERS FROM THE SERVICE AREA. THROUGHOUT THE SERVICE AREA, HOWEVER, AGRICULTURE AND TOURISM REPRESENT A CONSIDERABLE NUMBER OF LOW-PAYING JOBS, TYPICALLY WITHOUT HEALTH BENEFITS. A PORTION OF THE HOSPITAL PRIMARY SERVICE AREA IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA/POPULATION. THIS AREA IS LOCATED IN THE TOWN OF ARENA (MCD 02575). SAUK COUNTY IS ALSO DESIGNATED AS A HEALTH MANPOWER SHORTAGE AREA FOR PSYCHIATRY.
PART VI, LINE 5:	SAUK PRAIRIE HEALTHCARE, INC. IS AN INDEPENDENT COMMUNITY HOSPITAL GOVERNED BY AN 11-MEMBER BOARD OF DIRECTORS WHO RESIDE WITHIN THE PRIMARY SERVICE AREA. THE BOARD IS ELECTED BY THE 120 MEMBER COMMUNITY HOSPITAL ASSOCIATION. AN INDEPENDENT HOSPITAL IS A CRUCIAL PART OF THE HOSPITAL'S VISION, BECAUSE IT KEEPS CONTROL AT THE LOCAL LEVEL, NOT IN A CORPORATE HEADQUARTERS LOCATED ELSEWHERE. LOCAL CONTROL ALLOWS THE HOSPITAL TO MAKE DECISIONS THAT ARE BEST FOR THE LOCAL COMMUNITIES. THE SAUK PRAIRIE HEALTHCARE, INC. MEDICAL STAFF PRIVILEGES QUALIFIED PHYSICIANS IN ITS COMMUNITIES. THE VAST MAJORITY OF THE ACTIVE MEDICAL STAFF PRACTICE SOLELY AT SAUK PRAIRE HEALTHCARE, INC. OR ASSOCIATED CLINICS. THE HOSPITAL STRATEGIC PLAN SPECIFICALLY ADDRESSES OUR DESIRE TO "IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE AND THE ORGANIZATION'S EFFORTS TO ASSESS THE NEEDS OF THE COMMUNITY AND ADDRESS THOSE NEEDS. SAUK PRAIRIE HEALTHCARE, INC. PROMOTES COMMUNITY HEALTH THROUGH A BROAD ARRAY OF APPROACHES. THE FOLLOWING LIST DESCRIBES SPECIFIC PROGRAMS AND ACTIVITIES THAT CONTRIBUTE TO IMPROVING THE HEALTH OF THE COMMUNITY AND ENHANCING THE PROVISION OF MEDICAL CARE: TRAINING MEDICAL STUDENTS, NURSING STUDENTS, AND OTHER HEALTH PROFESSIONS; CONTRIBUTE TIME AND FINANCIAL RESOURCES IN THE DEVELPOMENT OF A DENTAL CLINIC, COLLABORATIVE WITH OTHER INDIVIDUALS AND ORGANIZATIONS IN THE COMMUNITY, TO PROVIDE DENTAL SERVICES TO UNINSURED AND UNDERINSURED MEMBERS OF THE COMMUNITIES SERVED WHO WOULD OTHERWISE NOT HAVE ACCESS OR THE ABILITY TO ACCESS THESE SERVICES ON A REGULAR BASIS; ORGANIZE AND/OR PARTICIPATE IN HEALTH FAIRS; OFFER CPR/FIRST AID CLASSES; ISSUE EDUCATIONAL NEWS RELEASES; CONDUCT COMMUNITY-BASED CLINICAL SCREENINGS (HEARING AID CHECKS, BLOOD PRESSURE, AND CHOLESTERAL SCREENING); PROVIDE SERVICES FOR THE GOOD NEIGHBOR CLINIC OF SAUK PRAIRIE, INC. (LOCAL FREE CLINIC); MEDICATION TAKE BACK DAY; DISCOUNTED EQUIPMENT AND SUPPLIES; ADVANCED DIRECTIVES COUNSELING; BLOOD DRIVES; BREASTFEEDING EDUCATION; CANCER EDUCATION; CLINICS FOR UNDERINSURED/LAB & MEDICATION COSTS; COMMUNITY GARDEN; COMMUNITY HEALTH IMPROVEMENT ADVOCACY; DIABETES EDUCATION; FAMILY/PARENTING/SIBLING EDUCATION; IMMUNIZATIONS/PERTUSSIS; MOBILE MEALS; PRESCRIPTION DRUG COLLECTION; SCHOOL-BASED HEALTH EDUCATION PROGRAMS; SCREENING/HEARING; SELF-HELP/CARDIAC REHAB; SELF-HELP/FITNESS AND EXERCISE; SELF-HELP/NUTRITION AND WEIGHT MANAGEMENT; SELF-HELP/SPORTS INJURY PREVENTION; SHARPS COLLECTION; SUPPORT GROUPS-BEREAVEMENT/GRIEF; SUPPORT GROUPS-BREASTFEEDING; SUPPORT GROUP-DIABETES; SUPPORT GROUPS-NEW MOM; SUPPORT GROUPS-SLEEP APNEA; TRANSPORTATION TOCKENS (BUS, CAB FARE); SUBSIDIZED THE SALE OF A VACANT CLINIC BUILDING IN LODI, WISCONSIN.
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

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE GOOD NEIGHBOR CLINIC OF SAUK PRAIRIE INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1906 NORTH ST	AddressLine1Txt
City	PRAIRIE DU SAC	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53578	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	391963290	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$0	CashGrantAmt
Non Cash Assistance	$89,936	NonCashAssistanceAmt
Valuation Method Used	COST	ValuationMethodUsedDesc
Non Cash Assistance	MEDICAL SERVICES AND SUPPLIES	NonCashAssistanceDesc
Purpose Of Grant	TO PROVIDE MEDICAL ASSISTANCE TO THOSE WHO NORMALLY COULD NOT AFFORD IT.	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	TUITION REIMBURSMENT	GrantTypeTxt
Recipient	23	RecipientCnt
Cash Grant	$56,702	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	SAUK PRAIRIE HEALTHCARE, INC. FOLLOWS THE FOLLOWING PROCESS TO PROVIDE ADDITIONAL SUPPLIES TO THE GOOD NEIGHBOR CLINIC ("GNC"): (1) GNC STAFF REQUESTS PRODUCT FROM MATERIALS STAFF, (2) IF TOTAL VALUE EXCEEDS $100, MATERIALS STAFF PROVIDES LIST OF PRODUCTS AND ASSOCIATED COST (WITHOUT MARK UPS) IN AN E-MAIL TO CFO AND COPY OF EMAIL TO FINANCE & MATERIALS DIRECTORS, (3) CFO WILL RESPOND BACK TO THE E-MAIL (VIA REPLY TO ALL) INDICATING WHETHER THE REQUEST SHOULD BE BILLABLE OR A CHARITABLE CONTRIBUTION, (4) MATERIALS STAFF PULLS CENTRAL STORES PRODUCTS AND FORWARDS TO GNC, (5) IF REQUIRED, PURCAHSE ORDER WILL BE CUT FOR NON-STOCK PRODUCTS, (6) FINANCE USES THE REPLY TO ALL FROM CFO AS INFORMATION REQUIRED FOR BILLING GNC FOR THE PRODUCTS IF REQUIRED, (7) FINANCE CAN FIND GENERAL LEDGER BREAKDOWNS FOR PRODUCTS VIA A GENERAL LEDGER DISTRIBUTION REPORT FOR GOOD NEIGHBOR CLINIC AS REQUIRED. IF THE REQUEST IS UNDER $100, THE REQUESTS WILL BE PROCESSED THROUGH AND WILL BE CONSIDERED A CHARITABLE CONTRIBUTION. SAUK PRAIRIE HEALTHCARE, INC. ALSO PROVIDES A SIGNIFICANT AMOUNT OF MEDICAL SERVICES TO PATIENTS OF THE GOOD NEIGHBOR CLINIC. THE HOSPITAL RELIES UPON THE INCOME REQUIREMENTS SCREENING PROCESS BY THE GOOD NEIGHBOR CLINIC TO REFER PATIENTS IN NEED OF FREE CARE FOR SERVICES. SAUK PRAIRIE HEALTHCARE ("SPH") ALSO PROVIDES FINANCIAL ASSISTANCE TO EMPLOYEES OF SPH TO ADVANCE THEIR KNOWLEDGE, SKILLS AND ABILITIES THROUGH POST-SECONDARY EDUCATION. APPLICATION FOR TUITION REIMBURSEMENT MUST BE MADE AT LEAST TWO WEEKS PRIOR TO THE COURSE STARTING DATE. THE APPLICATION MATERIALS MUST INCLUDE A COPY OF THE CLASS OR CURRICULUM DESCRIPTION BEING SUBMITTED FOR APPROVAL AND THE COST PER COURSE OR PER CREDIT. THE TUITION REIMBURSEMENT REQUEST FORM MUST BE COMPLETED AND SIGNED BY THE EMPLOYEE, DEPARTMENT DIRECTOR, AND VICE PRESIDENT PRIOR TO THE FIRST DATE OF CLASS. WITHIN 60 DAYS OF COMPLETION OF THE COURSE(S), THE EMPLOYEE MUST SUBMIT RECEIPTS FOR TUITION PAID BY THE EMPLOYEE AND PROOF OF SATISFACTORY COMPLETION TO THE HUMAN RESOURCES DEPARTMENT. UPON VERIFICATION OF ALL INFORMATION, HUMAN RESOURCES WILL ARRANGE FOR A REIMBURSEMENT CHECK TO BE ISSUED TO THE EMPLOYEE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LARRY SCHROEDER
CEO	$340,552	$0	$30,000	$0	$4,025	$0	$13,250	$0	$21,885	$0	$409,712	$0	$0	$0
CAROL MAY
VP FINANCE & OPERATIONS	$178,531	$0	$9,000	$0	$1,053	$0	$9,583	$0	$16,236	$0	$214,403	$0	$0	$0
MICHAEL LAMSON MD
SURGEON	$512,064	$0	$310,853	$0	$720	$0	$13,250	$0	$22,385	$0	$859,272	$0	$0	$0
DAVID MARCU MD
SURGEON	$523,565	$0	$284,097	$0	$432	$0	$13,250	$0	$24,885	$0	$846,229	$0	$0	$0
MATTHEW HERBERT MD
SURGEON	$523,014	$0	$298,887	$0	$480	$0	$13,250	$0	$5,568	$0	$841,199	$0	$0	$0
WILLIAM BODEMER MD
SURGEON	$527,566	$0	$260,673	$0	$480	$0	$13,250	$0	$30,123	$0	$832,092	$0	$0	$0
ARNOLD ROSENTHAL MD
SURGEON	$472,061	$0	$81,464	$0	$3,168	$0	$13,250	$0	$22,623	$0	$592,566	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 1A	FormAndLineReferenceDesc
Explanation	THE BOARD HAS APPROVED A POLICY TO COMPENSATE THE CEO FOR THE TRAVEL OF HIS/HER SPOUSE FOR HOSPITAL RELATED BUSINESS ACTIVITY. THE CEO WILL BE COMPENSATED FOR REASONABLE TRAVEL EXPENSE INCURRED BY HIS/HER SPOUSE. BOARD APPROVAL NEEDS TO BE RECEIVED PRIOR TO MAKING THE TRAVEL ARRANGEMENTS. THE COST OF ANY SUCH TRAVEL REIMBURSMENTS ARE ADDED TO THE CEO'S W-2 FOR TAX REPORTING PURPOSES. DURING 2015, THE CEO RECEIVED $1,108 OF TRAVEL REIMBURSMENTS FROM THE HOSPITAL, WHICH WAS INCLUDED IN TAXABLE WAGES ON HIS W-2 AND IS INCLUDED ON SCHEDULE J.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
A	391337855	97710B6V9	2013-02-19	$38,000,000	CONSTRUCTION OF NEW HOSPITAL	0	0	0
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
B	391337855		2013-02-19	$30,000,000	CONSTRUCTION OF NEW HOSPITAL	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt
A	$38,000,000	$3,384,826	$562,253	$34,053,525	2014	0	0	Yes (1)	Yes (1)
B	$30,000,000	$1,989,793	$542,647	$27,469,720	2014	0	0	Yes (1)	Yes (1)	$1,480,706

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 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	0
B	0	0	0	0	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	0	0	0	0	0	0
B	0	Yes (1)	0	0	Yes (1)	0	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE COMPRISED OF THE CURRENT AND PAST BOARD PRESIDENTS, CURRENT BOARD VICE PRESIDENT, AND CURRENT BOARD TREASURER & SECRETARY. THE EXECUTIVE COMMITTEE, AT ITS SOLE DISCRETION, IS EMPOWERED TO EXERCISE THE POWERS OF THE FULL BOARD WITH RESPECT TO ANY MATTER THAT SHOULD NOT BE POSTPONED UNTIL THE NEXT MEETING OF THE BOARD OF DIRECTORS. THE COMMITTEE SHALL: -ACT ON BEHALF OF THE BOARD OF DIRECTORS WHEN NECESSARY -ACT AS A RESOURCE FOR THE CEO ON EMERGING, CONFIDENTIAL, AND SENSITIVE MATTERS -CONDUCT THE CEO'S ANNUAL PERFORMANCE EVALUATION -NEGOTIATE AND RECOMMEND THE CEO'S COMPENSATION PACKAGE -NEGOTIATE THE CEO'S EMPLOYMENT CONTRACT -REGULARLY REPORT ITS ACTIONS TO THE BOARD OF DIRECTORS
FORM 990, PART VI, SECTION A, LINE 4	THE ORGANIZATION HAS AMENDED ARTICLE 1 OF THEIR ARTICLES OF INCORPORATION, TO REFLECT THEIR CHANGE IN NAME FROM SAUK PRAIRIE MEMORIAL HOSPITAL, INC. TO SAUK PRAIRE HEALTHCARE, INC.
FORM 990, PART VI, SECTION A, LINE 6	ANNUAL MEMBERSHIP WILL BE CONFERRED FOR ONE YEAR UPON PERSONS CONTRIBUTING THE SUM OF TEN DOLLARS TO THE CORPORATION AND/OR THE SAUK PRAIRIE HEALTHCARE FOUNDATION. LIFE MEMBERSHIP WILL BE CONFERRED UPON PERSONS CONTRIBUTING THE SUM OF ONE HUNDRED DOLLARS TO THE CORPORATION AND/OR SAUK PRAIRIE HEALTHCARE FOUNDATION. TWO LIFE MEMBERSHIPS WILL BE CONFERRED UPON TWO PERSONS CONTRIBUTING THE SUM OF TWO HUNDRED DOLLARS OR MORE TO THE CORPORATION AND/OR SAUK PRAIRIE HEALTHCARE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7B	AN ANNUAL AND LIFE MEMBERSHIP SHALL BE ENTITLED TO ONE VOTE AT THE ANNUAL MEETING OR AT ANY SPECIAL MEETINGS OF THE MEMBERSHIP. THOSE WITH LIFE MEMBERSHIPS MAY ALSO HOLD OFFICE AS A DIRECTOR OF THE CORPORATION OR SERVE ON A COMMITTEE. MEMBERS MAY VOTE ON ELECTIONS OF BOARD MEMBERS, CHANGES TO THE BYLAWS, AND OTHER BUSINESS ALLOWED BY LAW.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS REVIEWED IN DETAIL BY THE DIRECTOR OF FINANCE, THE CFO, AND A DISCUSSION IS HELD WITH THE CEO FOR ANY NEW OR UNUSUAL ITEMS. UPON APPROVAL, THE BOARD OF DIRECTORS RECEIVES AN ELECTRONIC COPY OF THE FORM 990 PRIOR TO SUBMISSION WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	SINCE SAUK PRAIRIE HEALTHCARE, INC. IS A PART OF A SMALL COMMUNITY, CONFLICTS ARE GENERALLY KNOWN, IF NOT DISCLOSED THROUGH THE ANNUAL PROCESS CONDUCTED BY HUMAN RESOURCES. THE ANNUAL PROCESS INCLUDES ALL DIRECTOR LEVEL EMPLOYEES AND ABOVE OF THE HOSPITAL. THE BOARD OF DIRECTORS HAS A CONFLICT OF INTEREST POLICY AND MUST ANNUALLY SIGN A DISCLOSURE FROM STATING ANY POTENTIAL CONFLICTS OF INTEREST. THE BOARD PRESIDENT THEN DISCLOSES ANY CONFLICTS OF INTEREST TO THE FULL BOARD OF DIRECTORS. CONFLICT OF INTEREST STATEMENTS COMPLETED BY BOARD MEMBERS ARE REVIEWED BY THE BOARD PRESIDENT AND EMPLOYEE'S CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY STAFF LEADERSHIP AND/OR ADMINISTRATION. THESE INDIVIDUALS ARE CHARGED WITH THE RESPONSIBILITY OF ENSURING THAT BUSINESS IS CONDUCTED IN A MANNER THAT ADHERES TO THE HOSPITAL'S FORMALLY APPROVED CONFLICT OF INTEREST POLICY. WHEN A CONFLICT OF INTEREST IS DISCUSSED AND VOTED ON AT A MEETING, THE BOARD MEMBER INVOLVED EXCUSES HIM OR HERSELF FROM THE VOTE, AND THERE ARE ALSO OCCASIONS WHERE THEY LEAVE FOR THE DISCUSSION AND VOTE IF DEEMED NECESSARY.
FORM 990, PART VI, SECTION B, LINE 15A	THE BOARD OF DIRECTORS HAS ESTABLISHED POLICY BG-8 TO ESTABLISH ITS COMPENSATION PHILOSOPHY WITH RESPECT TO EXECUTIVE COMPENSATION AND TO DEFINE PRACTICES ASSOCIATED IN ACCORDANCE WITH IRC 4958. HOSPITAL EXECUTIVE SALARY IS SET ANNUALLY USING COMPARABILITY DATA FROM OUTSIDE CONSULTANTS AND THIRD-PARTY SURVEY DATA. THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR SETTING SALARY FOR THE CEO BASED ON THE CEO'S JOB PERFORMANCE. THE COMMITTEE RELIES UPON COMPARABILITY DATA DEVELOPED BY OUTSIDE CONSULTANTS TO SUPPORT ITS DECISION MAKING PROCESS AND TO ENSURE COMPETITIVE SALARY LEVELS. THE BOARD REVIEWS BG-8 ANNUALLY AT THE GOVERNANCE COMMITTEE. COMPENSATION FOR OTHER KEY EMPLOYEES IS ESTABLISHED BY APPLICATION OF THE HOSPITAL'S COMPENSATION PHILOSOPHY, WHEREIN RATES OF PAY ARE COMPARED TO MARKET RATES OBTAINED THROUGH PARTICIPATION IN WAGE AND BENEFIT SURVEYS. PAY RANGES ARE OBTAINED FROM SURVEYS OF SIMILARLY SITUATED HOSPITALS LOCATED WITHIN THE STATE OF WISCONSIN IN TERMS OF SIZE AND REVENUE CATEGORY. THE HOSPITAL ADOPTED A "MEET THE MARKET" APPROACH TO COMPENSATION FOR POSITIONS AT THESE LEVELS. THIS MEANS THAT SAUK PRAIRIE HEALTHCARE, INC. TARGETS THE MIDPOINT OF THE PAY RANGE ASSOCIATED WITH EACH POSITION. THE CEO APPROVES COMPENSATION FOR ALL OTHER OFFICERS AND KEY EMPLOYEES BASED ON THE CRITERIA ABOVE.
FORM 990, PART VI, SECTION C, LINE 19	THE ABBREVIATED FINANCIAL STATEMENTS ARE A PART OF THE HOSPITAL'S ANNUAL REPORT PRESENTED TO THE PUBLIC AT THE ANNUAL MEETING AND POSTED ON THE HOSPITAL'S WEBSITE. THE ABBREVIATED FINANCIAL STATEMENTS ARE ALSO MADE PUBLICLY AVAILABLE THROUGH THE WISCONSIN HOSPITAL ASSOCIATION. THE HOSPITAL'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:	NET ASSETS RELEASED FROM RESTRICTION 750,000. NET ASSETS RELEASED FROM RESTRICTION OF FOUNDATION -779,904. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION -541,449.

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
SAUK PRAIRIE HEALTHCARE FOUNDATION LTD
80 FIRST STREET	PRAIRIE DU SAC	WI	53578	930841113	FUNDRAISING	WI	501(C)(3)	LINE 9	N/A	0
FRIENDS OF SAUK PRAIRIE HEALTHCARE
260 26TH STREET	PRAIRIE DU SAC	WI	53578	391453754	VOLUNTEERING	WI	501(C)(3)	LINE 11C, III-FI	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	Yes (1)	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	Yes (1)	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	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd