BEAVER DAM COMMUNITY HOSPITALS INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: BEAVER DAM COMMUNITY HOSPITALS INC (EIN 39-1157876)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-04
IRS object ID: 202523089349302752
Schema version: 2024v5.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-04T12:51:20-06:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	155 N WACKER DRIVE	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	391157876	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BEAVER DAM COMMUNITY HOSPITALS INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BEAV	BusinessNameControlTxt
Phone	9208877181	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	707 SOUTH UNIVERSITY AVENUE	AddressLine1Txt
City	BEAVER DAM	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53916	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	NICHOLAS OLSON	PersonNm
Person Title	EVP, CFO	PersonTitleTxt
Phone	6053331000	PhoneNum
Signature	2025-11-04	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JESS WAGENER	PreparerPersonNm
PTIN	P01622613	PTIN
Phone	3128792000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	MARSHFIELD MEDICAL CENTER-BEAVER DAM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	BILL GASSEN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2301 EAST 60TH ST	AddressLine1Txt
City	SIOUX FALLS	CityNm
State Abbreviation	SD	StateAbbreviationCd
ZIP	57104	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$118,234,530	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MARSHFIELDCLINIC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1972	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	WE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, COMPASSIONATE HEALTH CARE.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	300	TotalVolunteersCnt
Total Gross UBI	$2,530,802	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$18,504	PYContributionsGrantsAmt
CY Contributions Grants	$117,002	CYContributionsGrantsAmt
PY Program Service Revenue	$97,078,704	PYProgramServiceRevenueAmt
CY Program Service Revenue	$90,373,282	CYProgramServiceRevenueAmt
PY Investment Income	$3,459,880	PYInvestmentIncomeAmt
CY Investment Income	$6,200,039	CYInvestmentIncomeAmt
PY Other Revenue	$2,195,839	PYOtherRevenueAmt
CY Other Revenue	$2,286,382	CYOtherRevenueAmt
PY Total Revenue	$102,752,927	PYTotalRevenueAmt
CY Total Revenue	$98,976,705	CYTotalRevenueAmt
PY Grants And Similar Paid	$150	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$57,436,807	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$53,285,104	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$77,836,728	PYOtherExpensesAmt
CY Other Expenses	$58,104,227	CYOtherExpensesAmt
PY Total Expenses	$135,273,685	PYTotalExpensesAmt
CY Total Expenses	$111,389,331	CYTotalExpensesAmt
PY Revenues Less Expenses	-$32,520,758	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$12,412,626	CYRevenuesLessExpensesAmt
Total Assets BOY	$156,216,567	TotalAssetsBOYAmt
Total Assets EOY	$147,017,499	TotalAssetsEOYAmt
Total Liabilities BOY	$49,487,899	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$48,634,101	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$106,728,668	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$98,383,398	NetAssetsOrFundBalancesEOYAmt
Mission	WE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, COMPASSIONATE HEALTH CARE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$90,906,964	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$90,373,282	RevenueAmt
Desc	BEAVER DAM COMMUNITY HOSPITALS, INC. (BDCH) IS A NOT-FOR-PROFIT 60-BED COMMUNITY HOSPITAL LOCATED IN BEAVER DAM, WISCONSIN THAT PROVIDES BOTH INPATIENT AND OUTPATIENT SERVICES. THERE ARE MEDICAL/SURGICAL, TELEMETRY, INTENSIVE CARE, OBSTETRICS, AND NURSERY UNITS ON THE INPATIENT FLOORS. THERE IS AN EMERGENCY ROOM, URGENT CARE, SURGERY CENTER, REHABILITATION CENTER, PAIN CLINIC, OUTPATIENT MEDICAL ONCOLOGY CLINIC, MEDICAL IMAGING, PHARMACY DEPARTMENT AND A WOUND CENTER. BDCH ALSO OPERATES A 115-BED NURSING HOME AND PROVIDES HOME HEALTH AND HOSPICE SERVICES.	Desc
Total Program Service Expenses	$90,906,964	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	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	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	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	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NICHOLAS OLSON EVP CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6053331000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2301 EAST 60TH STREET	AddressLine1Txt
City	SIOUX FALLS	CityNm
State Abbreviation	SD	StateAbbreviationCd
ZIP	57104	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
COLLEEN HOERNEMAN
CHAIR	1.00	10.00	Yes (X)	Yes (X)	$0	$5,500	$0
MARK BRADLEY
VICE CHAIR	1.00	6.00	Yes (X)	Yes (X)	$0	$5,500	$0
JOHN BALTUS
SECRETARY/TREASURER	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
DOUG MATHISON
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
DAVID HOLMES
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
EDWARD FERNANDEZ MD
BOARD MEMBER	1.00	51.00	Yes (X)		$0	$592,054	$42,454
BRIAN HOERNEMAN MD
BOARD MEMBER/INTERIM MCHS CEO	1.00	54.00	Yes (X)	Yes (X)	$0	$1,584,168	$39,013
SAMANTHA KLEBE DO
BOARD MEMBER/MCHS CMO	1.00	54.00	Yes (X)		$0	$703,503	$36,357
JEANETTE WOJTALEWICZ
INTERIM MCHS CFO	1.00	54.00		Yes (X)	$0	$972,510	$0
ANGELIA FOSTER
PRESIDENT MMC-BEAVER DAM (THRU OCT 2024)	50.00	0.00			$0	$248,365	$22,213	Yes (X)
SUSAN TURNEY MD
FORMER MCHS CEO	0.00	0.00			$0	$2,241,715	$0		Yes (X)
CATHY BUKOWSKI
FORMER MCHS CFO	0.00	0.00			$0	$631,969	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,985,284	TotReportableCompRltdOrgAmt
Total Other Compensation	$140,037	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	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
VAYA WORKFORCE SOLUTIONS LLC
PO BOX 713427	CHICAGO	IL	60677	PROFESSIONAL SERVICES	$6,226,313
MORRISON HEALTHCARE
PO BOX 102289	ATLANTA	GA	30368	FOOD AND ENVIRONMENTAL	$2,104,829
A-1 EXCEL HOSPITALIST GROUP
W200 N5300 BEECHCRAFT RD	MENOMONEE FALLS	WI	53051	MEDICAL SERVICES	$1,979,873
ORTHOPEDIC AND SPINE CENTERS OF WI SC
2501 W BELTLINE HWY 601	MADISON	WI	53713	MEDICAL SERVICES	$1,109,603
CROTHALL HEALTHCARE INC
13028 COLLECTION CENTER DR	CHICAGO	IL	60693	FOOD AND ENVIRONMENTAL	$1,006,251

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	41	CntrctRcvdGreaterThan100KCnt
Related Organizations	$117,002	RelatedOrganizationsAmt
Total Contributions	$117,002	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE RE	621110	$82,997,447	$82,997,447
PHARMACY REVENUE	621110	$6,854,429	$4,323,758	$2,530,671
CAFETERIA REVENUE	722310	$239,300			$239,300

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$282,106	TotalRevenueColumnAmt
Related Or Exempt Func Income	$282,106	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$90,373,282	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,816,462	TotalRevenueColumnAmt
Unrelated Business Revenue	$131	UnrelatedBusinessRevenueAmt
Exclusion	$1,816,331	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$368,326	TotalRevenueColumnAmt
Exclusion	-$368,326	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,420,741	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$134,359	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,286,382	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,286,382	TotalRevenueColumnAmt
Exclusion	$2,286,382	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$23,867,824	SecuritiesAmt
Other	$7,545	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$19,120,075	SecuritiesAmt
Other	$3,391	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,747,749	SecuritiesAmt
Other	$4,154	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,751,903	TotalRevenueColumnAmt
Exclusion	$4,751,903	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$98,976,705	TotalRevenueColumnAmt
Related Or Exempt Func Income	$87,603,311	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,530,802	UnrelatedBusinessRevenueAmt
Exclusion	$8,725,590	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$248,365	TotalAmt
Management And General	$248,365	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$44,423,797	TotalAmt
Program Services	$43,505,814	ProgramServicesAmt
Management And General	$917,983	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$716,825	TotalAmt
Program Services	$693,974	ProgramServicesAmt
Management And General	$22,851	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,679,388	TotalAmt
Program Services	$5,577,503	ProgramServicesAmt
Management And General	$101,885	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,216,729	TotalAmt
Program Services	$2,145,200	ProgramServicesAmt
Management And General	$71,529	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$15,150	TotalAmt
Management And General	$15,150	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$24,996	TotalAmt
Management And General	$24,996	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,409,318	TotalAmt
Program Services	$5,409,318	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,882	TotalAmt
Program Services	$171	ProgramServicesAmt
Management And General	$4,711	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,520,953	TotalAmt
Program Services	$2,506,227	ProgramServicesAmt
Management And General	$14,726	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$54,668	TotalAmt
Program Services	$54,668	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,308,895	TotalAmt
Program Services	$4,304,677	ProgramServicesAmt
Management And General	$4,218	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$217,585	TotalAmt
Program Services	$212,502	ProgramServicesAmt
Management And General	$5,083	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$4,667	TotalAmt
Program Services	$2,717	ProgramServicesAmt
Management And General	$1,950	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,561,558	TotalAmt
Program Services	$1,561,558	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,219,149	TotalAmt
Program Services	$6,219,149	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
I/C PURCHASED SERVICES	$20,480,190	$1,520,022	$18,960,168
MEDICAL SUPPLIES	$15,309,324	$15,302,897	$6,427
WI MEDICAID ACCESS TAX	$1,354,288	$1,354,288
EQUIP REPAIRS & MAINT	$347,886	$347,886

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$270,718	TotalAmt
Program Services	$188,393	ProgramServicesAmt
Management And General	$82,325	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$111,389,331	TotalAmt
Program Services	$90,906,964	ProgramServicesAmt
Management And General	$20,482,367	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$662,435	BOYAmt
EOY	$245,626	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$9,367,856	BOYAmt
EOY	$117,158	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,819,893	BOYAmt
EOY	$2,390,803	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,432,391	BOYAmt
EOY	$12,022,771	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,954,856	BOYAmt
EOY	$2,576,734	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$111,750	BOYAmt
EOY	-$5,310	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$173,836,332	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$117,775,821	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$62,088,812	BOYAmt
EOY	$56,060,511	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$35,242,552	BOYAmt
EOY	$36,472,509	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$31,161,880	BOYAmt
EOY	$36,096,921	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$139,373	BOYAmt
EOY	$139,373	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$735,556	BOYAmt
EOY	$708,889	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$499,213	BOYAmt
EOY	$191,514	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$156,216,567	BOYAmt
EOY	$147,017,499	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$48,533,904	BOYAmt
EOY	$3,052,977	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$450,346	BOYAmt
EOY	$534,788	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
EOY	$44,797,944	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$175,292	BOYAmt
EOY	$160,169	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$328,357	BOYAmt
EOY	$88,223	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$49,487,899	BOYAmt
EOY	$48,634,101	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$103,913,007	BOYAmt
EOY	$95,992,595	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,815,661	BOYAmt
EOY	$2,390,803	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$106,728,668	BOYAmt
EOY	$98,383,398	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$156,216,567	BOYAmt
EOY	$147,017,499	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$12,412,626	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$443,379	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$4,510,735	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)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

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

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 D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,744,748	OtherCostOrOtherBasisAmt
Book Value	$3,744,748	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$88,748,225	OtherCostOrOtherBasisAmt
Depreciation	$46,118,706	DepreciationAmt
Book Value	$42,629,519	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$78,110,322	OtherCostOrOtherBasisAmt
Depreciation	$68,749,328	DepreciationAmt
Book Value	$9,360,994	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,233,037	OtherCostOrOtherBasisAmt
Depreciation	$2,907,787	DepreciationAmt
Book Value	$325,250	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$56,060,511	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	LTD PTNSHP COMM INV	Desc
Book Value	$36,096,921	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$36,096,921	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
OTHER PAYROLL LIABILITY	$85,199
OPERATING LEASE PAYABLE LONG-TERM	$3,024

Field	Value	IRS element (for citing)
Total Liability	$88,223	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART IV, LINE 2B:

SECURITY DEPOSITS ARE PAID TO BDCH BY RESIDENTS OF THE NURSING HOME UPON ENTERING INTO A RENTAL AGREEMENT AND ARE DUE BACK TO TENANTS UPON TERMINATION OF THEIR RENTAL AGREEMENT. THESE FUNDS ARE TRACKED SEPARATELY FROM BDCH'S FUNDS AND BELONG TO THE RESIDENTS.

PART X, LINE 2:

THE ORGANIZATION APPLIES FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES (ASC 740), WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS. ASC 740 PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. UNDER ASC 740, TAX POSITIONS WILL BE EVALUATED FOR RECOGNITION, DERECOGNITION, AND MEASUREMENT USING CONSISTENT CRITERIA AND WILL PROVIDE MORE INFORMATION ABOUT THE UNCERTAINTY IN INCOME TAX ASSETS AND LIABILITIES. THE SYSTEM HAS DETERMINED THAT IT DOESN'T HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2024 OR DECEMBER 31, 2023.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
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	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$635,621	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$635,621	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,228,562	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,913,479	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,315,083	NetCommunityBenefitExpnsAmt
Total Expense	0.08360	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,864,183	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,913,479	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,950,704	NetCommunityBenefitExpnsAmt
Total Expense	0.08930	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,394,667	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,394,667	NetCommunityBenefitExpnsAmt
Total Expense	0.01250	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,951	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,951	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,352,706	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,593,066	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,759,640	NetCommunityBenefitExpnsAmt
Total Expense	0.03380	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$188,861	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$188,861	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,939,185	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,593,066	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,346,119	NetCommunityBenefitExpnsAmt
Total Expense	0.04800	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,803,368	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,506,545	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,296,823	NetCommunityBenefitExpnsAmt
Total Expense	0.13730	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$111	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$111	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,020	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,020	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$298	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$298	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,429	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,429	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$5,861,574	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$6,032,015	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$10,985,986	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,953,971	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	MARSHFIELD MEDICAL CENTER - BEAVER DAM	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	707 S UNIVERSITY AVENUE	AddressLine1Txt
City	BEAVER DAM	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53916	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MARSHFIELDCLINIC.ORG	WebsiteAddressTxt
State License	199	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	MARSHFIELD MEDICAL CENTER-BEAVER DAM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SUPPLEMENTAL INFO	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SUPPLEMENTAL INFO	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	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
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MARSHFIELD MEDICAL CENTER-BEAVER DAM	PART V, SECTION B, LINE 5: WHEN MARSHFIELD MEDICAL CENTER-BEAVER DAM (MMC-BEAVER DAM) CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITAL ENGAGED A DIVERSE GROUP OF PEOPLE AND ORGANIZATIONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITIES IT SERVED. THE MMC-BEAVER DAM COMMUNITY HEALTH NEEDS PRIORITIZATION PROCESS WAS LED BY THE MMC-BEAVER DAM CHNA WORKGROUP (CHNA WORKGROUP). MEMBERS OF THE CHNA WORKGROUP INCLUDED SENIOR LEADERSHIP FROM MMC-BEAVER DAM, MMC-BEAVER DAM COMMUNITY HEALTH STAFF, DODGE COUNTY HUMAN SERVICES AND HEALTH DEPARTMENT. THE MMC-BEAVER DAM STAFF COORDINATING THE CHNA PROCESS HAS 12+ YEARS OF EXPERIENCE WORKING AT A LOCAL PUBLIC HEALTH DEPARTMENT AND HAS PREVIOUSLY COORDINATED CHNA PROCESSES. ADDITIONALLY, MMC-BEAVER DAM PARTICIPATED IN A REGIONAL CHNA PROCESS AS PART OF THE DODGE-JEFFERSON HEALTHIER COMMUNITIES PARTNERSHIP (DJHCP) AS IT HAS EVERY THREE YEARS SINCE THE MID-1990S. DATA COLLECTED AND USED FOR THE MMC-BEAVER DAM CHNA WAS OBTAINED THROUGH THE DJHCP CHNA PROCESS.DIRECT COMMUNITY INPUT WAS GATHERED THROUGH A COMMUNITY HEALTH SURVEY AND WAS THE MAJORITY OF THE PRIMARY DATA REVIEWED FOR THE MOST RECENT CHNA. AN ELECTRONIC (ONLINE) SURVEY WAS WIDELY DISTRIBUTED BY MMC-BEAVER DAM AND COMMUNITY PARTNERS TO DODGE COUNTY COMMUNITY MEMBERS (THOSE WHO LIVE AND/OR WORK IN DODGE COUNTY). AN ABBREVIATED HARDCOPY VERSION OF THE ELECTRONIC COMMUNITY HEALTH SURVEY WAS CREATED FOR RESIDENTS WITH LIMITED ACCESS TO THE INTERNET AND LIMITED HEALTH LITERACY. PAPER SURVEYS WERE DISTRIBUTED BY UNITED WAY OF DODGE COUNTY AND CHURCH HEALTH SERVICES AND THROUGH THE DODGE COUNTY INTERAGENCY GROUP. A TOTAL OF 430 DODGE COUNTY COMMUNITY MEMBERS PARTICIPATED IN THE SURVEY, OF WHICH APPROXIMATELY 275 PARTICIPANTS RESPONDED TO THE MAJORITY OF THE HEALTH NEEDS QUESTIONS. SURVEY RESPONDENTS REPRESENTED A RANGE OF RESIDENTS WITH A VARIETY OF INCOME AND EDUCATION LEVELS, AGES AND HOUSEHOLD SIZE.
MARSHFIELD MEDICAL CENTER-BEAVER DAM	PART V, SECTION B, LINE 6A: THROUGH THE DJHCP: WATERTOWN REGIONAL MEDICAL CENTER AND FORT HEALTHCARE.
MARSHFIELD MEDICAL CENTER-BEAVER DAM	PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITY(S): -WATERTOWN DEPARTMENT OF PUBLIC HEALTH-JEFFERSON COUNTY HEALTH DEPARTMENT-DODGE COUNTY HUMAN SERVICES AND HEALTH DEPARTMENT-GREATER WATERTOWN COMMUNITY HEALTH FOUNDATION -ROCK RIVER COMMUNITY CLINIC
MARSHFIELD MEDICAL CENTER-BEAVER DAM	PART V, SECTION B, LINE 11: A NUMBER OF HEALTH AREAS WERE IDENTIFIED THROUGH THE MOST RECENT CHNA: -ALCOHOL MISUSE-SUBSTANCE USE-MENTAL HEALTH -OBESITY-CHRONIC DISEASE PREVENTION AND MANAGEMENT-TRANSPORTATION ACCESS-ACCESS TO TECHNOLOGY/WI-FI/BROADBAND-QUALITY, AFFORDABLE CHILDCARE/AFTER-SCHOOL CARE -NUTRITION INSECURITYDUE TO THE INTERCONNECTED NATURE OF SEVERAL HEALTH AREAS, THE MMC-BEAVER DAM CHNA WORKGROUP CHOSE TO COMBINE MANY COMMUNITY HEALTH AREAS AND LIVING CONDITIONS INTO THE IDENTIFIED HEALTH PRIORITIES OF:-ALCOHOL AND SUBSTANCE USE-BEHAVIORAL HEALTH-CHRONIC DISEASE-SOCIAL DETERMINANTS OF HEALTHHEALTH PRIORITY: ALCOHOL AND SUBSTANCE USEGOAL 1: REDUCE YOUTH SUBSTANCE USE-STRATEGY 1: SUPPORT COMMUNITY WIDE ENVIRONMENTAL STRATEGIES, PREVENTION, AND/OR POLICY TO ADDRESS UNDERAGE ALCOHOL USE.GOAL 2: REDUCE COMMUNITY IMPACT RELATED TO SUBSTANCE USE AND MISUSE-STRATEGY 1: SUPPORT COMMUNITY WIDE ENVIRONMENTAL STRATEGIES, PREVENTION AND/OR POLICY TO ADDRESS SUBSTANCE USE.-STRATEGY 2: SUPPORT COMMUNITY LED RECOVERY EFFORTS TO REDUCE SUBSTANCE USE-STRATEGY 3: SUPPORT WORKPLACE DRUG PREVENTION AND RECOVERY EFFORTS.GOAL 3: ENGAGE IN COMMUNITY EFFORTS-STRATEGY 1: PARTICIPATE IN COMMUNITY-BASED GROUPSHEALTH PRIORITY: BEHAVIORAL HEALTHGOAL 1: DECREASE SUICIDE RATES FOR HIGH RISK POPULATIONS-STRATEGY 1: ENHANCE COMMUNITY MEMBER'S SKILLS TO SUPPORT MENTAL HEALTH PROMOTION AND SUICIDE PREVENTION.-STRATEGY 2: PROMOTE PROTECTIVE FACTORS THAT BUILD SENSE OF BELONGING.-STRATEGY 3: SUPPORT SUICIDE PREVENTION COMMUNITY AWARENESS EVENTS.GOAL 2: IMPROVE SOCIAL AND EMOTIONAL DEVELOPMENT OF CHILDREN AND ADOLESCENTS-STRATEGY 1: INCREASE AVAILABILITY OF MENTAL HEALTH SERVICES.-STRATEGY 2: ENHANCE COMMUNITY CAPACITY TO ADDRESS HIGH RISK YOUTH NEEDS THROUGH AFTERSCHOOL CARE OPTIONS.-STRATEGY 3: ENHANCE SCHOOL CAPACITY TO PROVIDE HIGH QUALITY SOCIAL, EMOTIONAL ASSESSMENT, SUPPORT, AND LEARNING.GOAL 3: ENGAGE IN COMMUNITY EFFORTS-STRATEGY 1: PARTICIPATE IN COMMUNITY-BASED GROUPSHEALTH PRIORITY: CHRONIC DISEASEGOAL 1: IMPROVE ACCESS TO HEALTHY FOODS-STRATEGY 1: INCREASE COMMUNITY CAPACITY TO PROVIDE NUTRITIOUS, LOCALLY GROWN FOOD AND ADDRESS FOOD INSECURITY.GOAL 2: REDUCE RATES OF PREVENTABLE CHRONIC CONDITIONS WITH FOCUS ON OBESITY/DIABETES-STRATEGY 1: ENHANCE PROGRAMMING TO IMPACT CHRONIC DISEASE SELF-MANAGEMENT AND PREVENTION WITH A FOCUS ON OBESITY AND DIABETES.-STRATEGY 2: PROVIDE EDUCATION AND SKILL BUILDING OPPORTUNITIES.GOAL 3: ENGAGE IN COMMUNITY EFFORTS-STRATEGY 1: PARTICIPATE IN COMMUNITY-BASED GROUPSHEALTH PRIORITY: SOCIAL DETERMINANTS OF HEALTH (SDOH)GOAL 1: INCREASE KNOWLEDGE AND AWARENESS OF HEALTH EQUITY-STRATEGY 1: CONDUCT AN ORGANIZATIONAL (INTERNAL) AND COMMUNITY ASSESSMENT (EXTERNAL) ASSESSMENT OF HEALTH DISPARITIES AND HEALTH EQUITY AND DEVELOP A WORK PLAN TO ADDRESS THOSE GAPS.GOAL 2: IMPROVE HEALTH OUTCOMES BY CONNECTING CLINICAL PRACTICE TO COMMUNITY EFFORTS TO ADDRESS SDOH BARRIERS-STRATEGY 1: SUPPORT AND CONNECT PATIENTS AND COMMUNITY MEMBERS TO RESOURCES TO ADDRESS SOCIALLY DETERMINED NEEDS. GOAL 3: IMPROVE HEALTH OUTCOMES BY IMPROVING LIVING CONDITIONS TO ADDRESS SDOH BARRIERS-STRATEGY 1: ENGAGE IN COMMUNITY CAPACITY BUILDING IN THE PHYSICAL, SOCIAL, AND/OR ECONOMIC ENVIRONMENT.GOAL 4: ENGAGE IN COMMUNITY EFFORTS-STRATEGY 1: PARTICIPATE IN COMMUNITY-BASED GROUPSHEALTH NEEDS NOT ADDRESSEDTHROUGH THE ASSESSMENT PROCESS, THE CHNA WORKGROUP IDENTIFIED OTHER COMMUNITY HEALTH NEEDS THAT WERE NOT PRIORITIZED. THE CHNA WORKGROUP CONSIDERED OTHER ORGANIZATIONS ADDRESSING THE SPECIFIC NEED, THE ABILITY OF MMC-BEAVER DAM TO IMPACT CHANGE, AVAILABILITY OF RESOURCES, AS WELL AS READINESS OF THE COMMUNITY FOR INTERVENTIONS. AFTER CONSIDERATION, THE FOLLOWING HEALTH NEEDS WILL NOT BE ADDRESSED BY MMC-BEAVER DAM FOR REASONS INDICATED: -ORAL HEALTH: MMC-BEAVER DAM IS WORKING TO GROW PARTNERSHIPS WITH LOCAL SERVICES THAT PROVIDE LOW-COST ORAL HEALTHCARE. FOR THE 2022 CHNA, THIS HEALTH NEED WAS NOT PRIORITIZED BY THE CHNA WORKGROUP. THIS DECISION IS DUE IN PART TO RESOURCE LIMITATIONS, AND THE FACT THAT MMC-BEAVER DAM IS NOT CURRENTLY EQUIPPED TO MEET THIS NEED. -ACCESS TO AND AFFORDABILITY OF CARE: MMC-BEAVER DAM CONTINUES TO MAKE PROGRESS TOWARDS INCREASING ACCESS AND REDUCING COST OF HIGH-QUALITY CARE. FOR THE 2022 CHNA, THIS HEALTH NEED WAS NOT PRIORITIZED BY THE CHNA WORKGROUP. THIS DECISION IS DUE IN PART TO RESOURCE LIMITATIONS, THE VERY BROAD NATURE OF THIS NEED, IN THAT IT IS NOT EASILY DEFINED AND NOT EASILY MEASURED.-POVERTY/LOW WAGE JOBS: MMC-BEAVER DAM'S CAPACITY TO ADDRESS SOCIOECONOMIC LEVELS OF DODGE COUNTY RESIDENTS IS VERY LIMITED. HOWEVER, OTHER ORGANIZATIONS IN THE COUNTY, INCLUDING THE UNITED WAY, ARE ADDRESSING THIS ISSUE. BY SHARING RESOURCES TO THOSE WHO NEED IT, MMC-BEAVER DAM IS COLLABORATING WITH THE AGENCIES WHO ARE WELL EQUIPPED TO ADDRESS SOCIOECONOMIC STRESSORS THIS DECISION IS DUE IN PART TO RESOURCE LIMITATIONS, THE VERY BROAD NATURE OF THIS NEED, IN THAT IT IS NOT EASILY DEFINED AND NOT EASILY MEASURED.-STRESS THAT ACCOMPANIES POVERTY: SIMILAR TO ADDRESSING POVERTY AND LOW-WAGE JOBS, MMC-BEAVER DAM'S CAPACITY TO ADDRESS STRESS DUE TO SOCIOECONOMIC STATUS IS LIMITED. HOWEVER, TO ATTEMPT TO ALLEVIATE STRESS, MMC-BEAVER DAM IS COMMITTED TO STRENGTHENING THE COMMUNITY TIES WITH OTHER AGENCIES BY PROVIDING REFERRALS TO SUCH AGENCIES AND IS CONTINUALLY WORKING TO INCREASE ACCESS TO LOW-COST SERVICES.
LINE 7A CHNA REPORT URL	HTTPS://WWW.MARSHFIELDCLINIC.ORG/CLINICLOCATIONS/DOCUMENTS/2023-2025%20MMC-BD%20CHNA.PDF
LINE 10A IMPLEMENTATION STRATEGY URL	HTTPS://WWW.MARSHFIELDCLINIC.ORG/CLINICLOCATIONS/DOCUMENTS/2023-2025%20MMC-BD%20IS.PDF

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 - HILLSIDE MANOR
803 S UNIVERSITY AVENUE	BEAVER DAM	WI	53916	SKILLED NURSING FACILITY
2 - REMEMBRANCE HOME
1810 NORTH SPRING STREET	BEAVER DAM	WI	53916	DEMENTIA-SPECIFIC COMMUNITY-BASED RESIDENTIAL FACILITY
3 - EAGLES WINGS
408 STONE STREET	BEAVER DAM	WI	53916	DEMENTIA-SPECIFIC COMMUNITY-BASED RESIDENTIAL FACILITY
4 - BEAVER DAM REFERENCE LAB
707 SOUTH UNIVERSITY AVENUE	BEAVER DAM	WI	53916	REFERENCE LAB
5 - HILLSIDE HOMECARE AND HOSPICE
709 SOUTH UNIVERSITY AVENUE	BEAVER DAM	WI	53916	HOME HEALTH AGENCY
6 - STONE TERRACE RETIREMENT LIVING CENTER
819 SOUTH UNIVERSITY AVENUE	BEAVER DAM	WI	53916	RESIDENTIAL CARE APARTMENT COMPLEX

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	AN INDIVIDUAL'S ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON INCOME AS COMPARED WITH FEDERAL POVERTY GUIDELINES. OTHER ELIGIBILITY FACTORS INCLUDE: ASSET LIMITATIONS, INSURANCE STATUS AND RESIDENCY. ACCOUNT BALANCE IS CONSIDERED FOR MEDICAL INDIGENCE ELIGIBILITY.
PART I, LINE 7:	COST TO CHARGE RATIOS ARE USED TO CALCULATE THE AMOUNTS ON LINE 7A - 7C (FINANCIAL ASSISTANCE, MEDICAID SHORTFALL, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS) AND LINE 7G (SUBSIDIZED HEALTH SERVICES) IS CALCULATED USING A COST ACCOUNTING SYSTEM. ALL OTHER AMOUNTS FOR LINES 7E, 7F, 7H AND 7I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST TO CHARGE RATIO, OR SIMILAR COST ACCOUNTING METHODOLOGY. THESE COSTS STILL REPRESENT THE COSTS TO PROVIDE BENEFITS.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES ARE CLINICAL SERVICES PROVIDED TO BOTH INPATIENTS AND OUTPATIENTS DESPITE A FINANCIAL LOSS TO THE ORGANIZATION. EACH LOSS HAS BEEN CALCULATED AFTER REMOVING LOSSES ASSOCIATED WITH BAD DEBTS, FINANCIAL ASSISTANCE AND MEDICAID. ALTHOUGH THESE SERVICES GENERATE OVERALL LOSSES TO THE ORGANIZATION, THEY CONTINUE TO MEET THE NEEDS OF THE COMMUNITIES SERVED. VARIOUS SERVICES THAT GENERATE LOSSES ARE PROVIDED BY THE ORGANIZATION THROUGH PHYSICIAN PRACTICES. FOR CY 2024, SUBSIDIZED HEALTH SERVICES PROVIDED THROUGH CLINIC PHYSICIAN PRACTICES GENERATED LOSSES OF $3,759,640.
PART II, COMMUNITY BUILDING ACTIVITIES:	MARSHFIELD MEDICAL CENTER-BEAVER DAM, IN ALIGNMENT WITH THE MARSHFIELD CLINIC HEALTH SYSTEM MISSION STATEMENT; ENRICHES LIVES, BY PARTICIPATING IN VARIOUS COMMUNITY BUILDING ACTIVITIES TO IMPROVE THE HEALTH OF THE COMMUNITY. THE HEALTH SYSTEM CONTINUED TO IMPLEMENT A FINANCIAL IMPROVEMENT PLAN BECAUSE OF SIGNIFICANT CHALLENGES IN THE HEALTHCARE INDUSTRY. DESPITE THIS, COMMUNITY-BUILDING ACTIVITIES CONTINUED, AND STRONGER, LOCAL CONNECTIONS WERE MADE. SOME EXAMPLES OF COMMUNITY BUILDING ACTIVITIES INCLUDE:COMMUNITY SUPPORT:MMC-BEAVER DAM PROVIDED FUNDING TO SUPPORT THE IMPLEMENTATION OF THE LIFE TOOLS PROGRAM IN 2 SCHOOLS IN DODGE COUNTY. LIFE TOOLS IS AN 8-WEEK PROGRAM THAT CONSISTS OF WEEKLY GROUP SESSIONS DURING NON-SCHOOL FOR YOUTH EXPERIENCING SOCIAL EMOTIONAL AND/OR MENTAL HEALTH CHALLENGES. A MARSHFIELD CLINIC HEALTH SYSTEM CHILD PSYCHOLOGIST PROVIDES TECHNICAL ASSISTANCE AND CONSULTATION TO FACILITATORS TO ENSURE QUALITY AND FIDELITY OF THE PROGRAM. PROVIDED A FREE, VIRTUAL DIABETES PREVENTION PROGRAM LED BY CDC-CERTIFIED LIFESTYLE COACHES TO EMPOWER PARTICIPANTS TO PREVENT OR DELAY THE ONSET OF TYPE 2 DIABETES. MMC-BEAVER DAM HOSTS BLOOD DRIVES TO PROVIDE BLOOD AND BLOOD PRODUCTS TO THE REGIONAL BLOOD BANK. MMC-BEAVER DAM STAFF FACILITATE THE DODGE COUNTY WOMEN'S CLUB, AN INITIATIVE DESIGNED TO BRING WOMEN TOGETHER TO PROVIDE HEALTH-RELATED INFORMATION AND IMPROVE SOCIAL CONNECTEDNESS IN THE COMMUNITY. THE GROUP HOLDS GATHERINGS SEPTEMBER THROUGH JUNE AND PROVIDED INFORMATION ABOUT WEIGHT LOSS MANAGEMENT, BREAST HEALTH, HEALTHCARE POWER OF ATTORNEY, SAFE COMPUTER AND SMART DEVICE USE. AS WELL AS ENGAGED IN INTERACTIVE CRAFTS, DANCING, AND GAMES. MMC-BEAVER DAM STAFF FACILITATE MOTHER TO MOTHER: POSTPARTUM SUPPORT GROUP TO INCREASE SUPPORT FOR POSTPARTUM MOTHERS IN THE COMMUNITY BY CONNECTING THEM WITH RESOURCES AND SERVICES AND BUILDING A COMMUNITY OF NEW MOTHERS TO IMPROVE MENTAL HEALTH AND OUTCOMES FOR FAMILIES. ENVIRONMENTAL IMPROVEMENTS: MMC-BEAVER DAM PROVIDED A MEDICATION DISPOSAL KIOSK IN THE HOSPITAL OPEN TO THE PUBLIC AND ENCOURAGES SAFE DISPOSAL OF MEDICATION IN THE COMMUNITY. MMC-BEAVER DAM SUPPORTS HARM REDUCTION METHODS RELATED TO USED SHARPS, BY ACCEPTING USED SHARPS FROM ANYONE IN THE COMMUNITY REGARDLESS OF PATIENT STATUS. COALITION BUILDING:MMC-BEAVER DAM STAFF PARTICIPATES IN THE DODGE-JEFFERSON HEALTHIER COMMUNITY PARTNERSHIP, THE WORKGROUP FOR THE DODGE AND JEFFERSON COUNTIES HEALTH IMPROVEMENT PLAN. MMC-BEAVER DAM STAFF PARTICIPATES IN THE DODGE COUNTY INTERAGENCY GROUP, A NETWORKING GROUP THAT PROMOTES INTER-AGENCY COLLABORATION BY BRINGING DODGE COUNTY NON-PROFITS TOGETHER TO SHARE INFORMATION AND RESOURCES. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: MMC-BEAVER DAM STAFF MET WITH PAVE (PROTECT, ADVOCATE, VALIDATE, EDUCATE), A DOMESTIC VIOLENCE SHELTER, TO DISCUSS GAPS IN CARE FOR THEIR MEMBERS/CLIENTS AND IDENTIFY OPPORTUNITIES FOR MMC-BEAVER DAM TO SUPPORT. AN MMC-BEAVER DAM WORKGROUP WAS DEVELOPED TO HELP IMPROVE THE GAPS IN CARE OF PAVE MEMBERS AND ADDRESS A LACK OF SERVICES IN THE COMMUNITY. MMC-BEAVER DAM SUPPORTS THE BEAVER DAM FARMERS MARKET MATCH PROGRAM IN PARTNERSHIP WITH THE BEAVER DAM DOWNTOWN FARMERS MARKET. THE PROGRAM CONNECTS PARTICIPANTS IN WI FOODSHARE, WIC FARMERS MARKET NUTRITION PROGRAM, AND SENIOR FARMERS MARKET NUTRITION PROGRAM WITH LOCAL PRODUCERS AND PROVIDES VOUCHERS TO INCREASE BUYING POWER AT THE FARMERS MARKET. INFORMATION IS PROVIDED IN ENGLISH AND SPANISH. MMC-BEAVER DAM SUPPORTS CYCLING WITHOUT AGE, A PROGRAM THAT PROVIDES THE FEELING OF RIDING A BICYCLE TO THOSE WHO ARE NOT ABLE TO PEDAL ON THEIR OWN USING A SPECIAL ELECTRIC-ASSIST TRISHAW AND A PILOT. STAFF AND VOLUNTEERS WERE TRAINED AS PILOTS AND PROVIDE RIDES TO RESIDENTS OF SENIOR LIVING FACILITIES. THE PROGRAM REDUCES SOCIAL ISOLATION AND PROVIDES HEALTH BENEFITS SIMILAR TO EXERCISE. WORKFORCE DEVELOPMENT:MMC-BEAVER DAM HOSTED STUDENTS FROM FALL RIVER HIGH SCHOOL'S HEALTH EXPLORATION CLASS FOR AN AFTERNOON OF FUN AND LEARNING. STUDENTS HAD THE OPPORTUNITY TO LEARN ABOUT VARIOUS DEPARTMENTS ACROSS THE HOSPITAL SUCH AS MEDICAL IMAGING, PHARMACY, NURSING, AND MANY OTHERS. THIS EVENT WAS THE RESULT OF A COLLABORATIVE EFFORT BETWEEN CESA 6, MMC-BEAVER DAM STAFF, AND FALL RIVER HIGH SCHOOL STAFF. MMC-BEAVER DAM FUNCTIONED AS A CLINICAL SITE FOR STUDENT NURSES, STUDENT-NURSING ASSISTANTS, PRECEPTORS FOR HEALTH CARE JOBS, AND MEDICAL RESIDENTS AND INTERNS. OTHER COMMUNITY BUILDING: MMC-BEAVER DAM STAFF FACILITATES THE COMMUNITY HEALTH SUBCOMMITTEE, A SUBCOMMITTEE OF THE HOSPITAL'S COMMUNITY ADVISORY BOARD. THIS COMMITTEE GATHERS TO DISCUSS ONGOING COMMUNITY HEALTH PROGRAMMING AND ENGAGEMENT AND REVIEWS AND APPROVES APPLICATIONS FOR COMMUNITY INVESTMENT FUNDING. IN 2024 FUNDING WAS PROVIDED TO 9 ORGANIZATIONS IN ALIGNMENT WITH THE FOLLOWING HEALTH PRIORITIES: ALCOHOL AND SUBSTANCE MISUSE, BEHAVIORAL HEALTH, AND HEALTH EQUITY. MMC-BEAVER DAM HOSTED THE SAFETY FIRST FAIR TO PROVIDE HEALTH RELATED INFORMATION TO THE COMMUNITY. STAFF AND NON-PROFIT COMMUNITY PARTNERS PROVIDED ENGAGING ACTIVITIES TO PROVIDE EDUCATION AND RESOURCES TO THE COMMUNITY. BEAVER DAM FIRE, EMS, DNR, POLICE, AND MEDFLIGHT PROVIDED HANDS ON EXPERIENCES FOR YOUNG AND OLD. EDUCATION WAS PROVIDED ON IMMUNIZATIONS, HAND WASHING, SAFETY AT HOME, MENTAL HEALTH, AND MEDICATION SAFETY.
PART III, LINE 3:	NO BAD DEBT IS ESTIMATED TO RELATE TO CHARITY CARE.
PART III, LINE 4:	PATIENT ACCOUNTS RECEIVABLE ARE REDUCED FOR EXPLICIT PRICE CONCESSIONS AND BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AS AN IMPLICIT PRICE CONCESSION. IN EVALUATING THE COLLECTABILITY OF PATIENTS' ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND CONTRACTUAL TERMS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ADDITIONAL IMPLICIT DISCOUNT, IF NECESSARY (I.E., FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND CO-PAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLES AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS AN IMPLICIT DISCOUNT IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE. THE SYSTEM'S IMPLICIT ALLOWANCE FOR SELF-PAY PATIENTS WAS APPROXIMATELY 62% AND 65% OF SELF-PAY ACCOUNTS RECEIVABLE AS OF DECEMBER 31, 2024 AND DECEMBER 31, 2023, RESPECTIVELY.
PART III, LINE 8:	THE ALLOWABLE MEDICARE COST ON PART III, LINE 6 IS DETERMINED USING THE CY 2024 MEDICARE COST REPORT. THE REIMBURSEMENT FROM MEDICARE IS DEDUCTED FROM THE ESTIMATED COST USING A COST-TO CHARGE RATIO IN ORDER TO DETERMINE THE SHORTFALL FROM THE MEDICARE PROGRAM. THE SYSTEM TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE REASONS FOR THIS TREATMENT INCLUDE (1) NON-NEGOTIABLE MEDICARE RATES ARE SOMETIMES NOT ALIGNED WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS; (2) THE SYSTEM IS ALLEVIATING THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES; AND (3) IRS REV. RUL. 69-545 NOTES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THIS ACTION INDICATES THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
PART III, LINE 9B:	THE ORGANIZATION HAS A BILLING AND COLLECTION POLICY WHICH SETS FORTH COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO BE ELIGIBLE OR PRESUMED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. MULTIPLE MEASURES ARE TAKEN TO COMMUNICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE AND DETERMINE WHETHER A PATIENT IS FINANCIAL ASSISTANCE ELIGIBLE BEFORE PURSUING EXTRAORDINARY COLLECTION ACTIONS (ECAS). ECAS MAY INCLUDE: REPORTING TO CONSUMER CREDIT REPORTING AGENCIES PURSUING LEGAL JUDGMENTS, FILING LIENS, GARNISHING WAGES, REQUIRING PREPAYMENT FOR NON-EMERGENCY SERVICES. ECAS WILL NOT BE INITIATED AND FURTHER ACTION WILL NOT BE TAKEN ON EXISTING ECAS ONCE A FINANCIAL ASSISTANCE APPLICATION IS IN PROCESS. IF THE PATIENT IS DETERMINED FINANCIAL ASSISTANCE ELIGIBLE, REASONABLE MEASURES WILL BE TAKEN TO REVERSE ANY ECA ALREADY IN PLACE.
PART VI, LINE 2:	IN ADDITION TO THE CHNA REPORTED IN PART FIVE SECTION B, MMC-BEAVER DAM USES RELIABLE THIRD-PARTY REPORTS, INCLUDING DATA FROM GOVERNMENT SOURCES, AND DIRECT COMMUNITY INVOLVEMENT TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. THE INFORMATION PROVIDED BY THESE SOURCES' POINTS TO AREAS OF NEED.MMC-BEAVER DAM COLLABORATES CLOSELY WITH MARSHFIELD CLINIC HEALTH SYSTEM'S CENTER FOR COMMUNITY HEALTH ADVANCEMENT (CCHA) TO ASSESS, DEVELOP, AND IMPLEMENT PROGRAMS TO IMPROVE THE HEALTH OF THE LOCAL COMMUNITY. CCHA'S STRATEGIC AREAS OF FOCUS INCLUDE SUBSTANCE USE, BEHAVIORAL HEALTH, HEALTH EQUITY, AND BUILDING COMMUNITY CAPACITY FOR HEALTH IMPROVEMENT. THIS WORK REQUIRES CONTINUAL ASSESSMENT OF THE NEEDS OF THE COMMUNITY WHICH REINFORCES MMC-BEAVER DAM'S CHNA AND FURTHER SUPPORTS THE STRATEGIES IDENTIFIED IN THE HOSPITAL'S IMPLEMENTATION STRATEGY. THE STRATEGIC AREAS REPRESENT COMPLEX CHALLENGES COMMUNITIES EXPERIENCE EVERY DAY, AND CCHA IS COMMITTED TO IMPROVING. MMC-BEAVER DAM UTILIZES THE CENTER FOR COMMUNITY HEALTH ADVANCEMENT'S COMMUNITY CONNECTIONS TEAM AND FINDHELP, A SOCIAL NEEDS PLATFORM THAT INCLUDES AN ELECTRONIC DATABASE OF COMMUNITY RESOURCES AVAILABLE IN AN AREA, TO ASSESS NEEDS AND THEN CONNECT INDIVIDUALS TO THOSE RESOURCES. ADDITIONALLY, THERE ARE PROCESSES IN PLACE AT MMC-BEAVER DAM TO ESTABLISH ONGOING DIRECT ENGAGEMENT WITH THE LOCAL HEALTH DEPARTMENT, NUMEROUS COMMUNITY-HEALTH-FOCUSED ORGANIZATIONS, COMMUNITY CHAMBERS, BOARDS OF ECONOMIC DEVELOPMENT, YOUTH-FOCUSED ORGANIZATIONS AND OTHER HEALTH IMPROVING ORGANIZATIONS. DIRECT COLLABORATION WITH, AND REQUESTS FROM, THESE GROUPS FURTHER KNOWLEDGE OF THE COMMUNITY AND ITS NEEDS.
PART VI, LINE 3:	PATIENT ASSISTANCE CENTER COUNSELORS ASSIST INDIVIDUALS WITH IDENTIFYING, REFERRING AND/OR APPLYING FOR PUBLIC, PRIVATE OR CHARITABLE RESOURCES FOR WHICH THE PATIENT MAY QUALIFY. COUNSELORS ARE AVAILABLE VIA PHONE AND IN PERSON TO ASSIST INDIVIDUALS WITH FINANCIAL ASSISTANCE. INFORMATION ON THE MARSHFIELD CLINIC HEALTH SYSTEM (MCHS) FINANCIAL ASSISTANCE POLICY IS POSTED IN HOSPITAL REGISTRATION AND ADMITTING LOCATIONS AND IN THE HOSPITAL EMERGENCY DEPARTMENT. FINANCIAL ASSISTANCE INFORMATION IS PRINTED ON MONTHLY BILLING STATEMENTS AND INCORPORATED INTO OTHER COMMUNICATIONS IN ORDER TO WIDELY PUBLICIZE THE AVAILABILITY OF FINANCIAL ASSISTANCE, AS DESCRIBED IN THE MCHS BILLING AND COLLECTION POLICY. THE MCHS FINANCIAL ASSISTANCE POLICY (INCLUDING THE PLAIN LANGUAGE SUMMARY), THE FINANCIAL ASSISTANCE APPLICATION AND THE BILLING AND COLLECTION POLICY ARE AVAILABLE IN ENGLISH, SPANISH, HMONG AND ANY OTHER LANGUAGE THAT IS THE PRIMARY LANGUAGE SPOKEN BY THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE POPULATION OF THE SERVICE AREA.THE MCHS FINANCIAL ASSISTANCE POLICY (INCLUDING THE PLAIN LANGUAGE SUMMARY), THE FINANCIAL ASSISTANCE APPLICATION AND THE BILLING AND COLLECTION POLICY MAY BE OBTAINED FREE OF CHARGE: ON THE HOSPITAL WEBSITE, IN PERSON, FROM FINANCIAL COUNSELORS, BY PHONE AND BY MAIL.
PART VI, LINE 4:	THE MMC-BEAVER DAM PRIMARY SERVICE AREA LIES ENTIRELY WITHIN DODGE COUNTY WHICH IS LOCATED IN THE SOUTH-EASTERN REGION OF WISCONSIN. KNOWN FOR ITS LAKES, STREAMS AND SMALL TOWNS, DODGE COUNTY, WISCONSIN OFFERS A PEACEFUL RURAL ENVIRONMENT LOCATED WITHIN AN HOUR DRIVE OF MILWAUKEE, MADISON AND FOX VALLEY METROPOLITAN AREAS. THE COUNTY IS COMPRISED OF FOUR CITIES, BEAVER DAM, MAYVILLE, JUNEAU (COUNTY SEAT) AND HORICON. OTHER MAJOR CITIES, A PORTION OF WHICH IS IN DODGE COUNTY, INCLUDE WATERTOWN, HARTFORD, WAUPUN AND COLUMBUS. DODGE COUNTY IS ALSO HOME TO OVER 30 VILLAGES AND TOWNSHIPS.THE RACIAL MAKE-UP OF DODGE COUNTY AS OF 2021 IS 88.6% WHITE, 5.8% HISPANIC OR LATINO, 0.6% AMERICAN INDIAN AND ALASKA NATIVE ALONE, 3.6% BLACK OR AFRICAN AMERICAN ALONE, 0.7% ASIAN ALONE, 0.1% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER ALONE, 1.1% TWO OR MORE RACES. THERE IS A GROWING SPANISH-SPEAKING POPULATION IN DODGE COUNTY. MANY ARE EMPLOYED IN THE AGRICULTURE SECTOR, WORKING ON FARMS OR FACTORIES, OR IN SEASONAL JOBS, WHICH PRESENT UNIQUE HEALTH CHALLENGES AND BARRIERS. THERE IS AN AMISH COMMUNITY IN COLUMBIA COUNTY ON THE BORDER OF DODGE COUNTY. THIS COMMUNITY IS WIDESPREAD OVER SEVERAL TOWNSHIPS AND CONSISTS OF SMALL TO MEDIUM-SIZED AMISH FARMSTEADS AND INDIVIDUAL HOMES. WHEN IN NEED OF MEDICAL CARE, MMC-BD IS OFTEN THE CLOSEST LOCATION FOR THESE FAMILIES.DODGE COUNTY RESIDENTS ACHIEVE 'HIGH SCHOOL GRADUATION OR HIGHER' AT A RATE OF 91.2% (STATE ACHIEVEMENT RATE IS 92.6%), BUT A SIGNIFICANTLY LOWER ACHIEVEMENT RATE FOR 'BACHELOR'S DEGREE OR HIGHER; ONLY 18.0% COMPARED TO 30.8% STATEWIDE. THE MEDIAN HOUSEHOLD INCOME IS $62,591.
PART VI, LINE 5:	MARSHFIELD CLINIC HEALTH SYSTEM (MCHS) PROMOTES THE HEALTH OF COMMUNITIES THROUGH ITS CENTER FOR COMMUNITY HEALTH ADVANCEMENT (CCHA), A DEPARTMENT WITHIN MCHS SOLELY DEDICATED TO COMMUNITY HEALTH. CCHA IS GOVERNED BY THE ENTERPRISE WIDE MCHS COMMUNITY HEALTH/COMMUNITY BENEFITS STEERING COMMITTEE WHICH IS TASKED WITH PROVIDING OVERSIGHT AND GUIDANCE ON SYSTEM COMMUNITY HEALTH AND COMMUNITY BENEFIT STRATEGY. THE COMMITTEE IS MADE UP OF INTERNAL EMPLOYEES WHO REPRESENT VARIOUS DIFFERENT DEPARTMENTS AND ROLES WITHIN THE HEALTH SYSTEM. THIS STRONG FOCUS ON COMMUNITY HEALTH IS FURTHER SUPPORTED BY THE MARSHFIELD CLINIC HEALTH SYSTEM BOARD OF DIRECTORS WHICH CONSISTS OF 24 MEMBERS, 11 OF THOSE MEMBERS ARE PHYSICIAN DIRECTORS AND 13 ARE INDEPENDENT DIRECTORS WHO RESIDE WITHIN THE SERVICE AREA AND ARE NOT EMPLOYEES OF THE ORGANIZATION.MARSHFIELD CLINIC HEALTH SYSTEM'S MISSION IS TO ENRICH LIVES THROUGH ACCESSIBLE, AFFORDABLE, AND COMPASSIONATE HEALTH CARE. MCHS PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES BY LIVING OUT THIS MISSION INCLUDING PROVIDING SEVERAL SERVICES WHICH WOULD NOT OTHERWISE BE AVAILABLE IN A RURAL SETTING SUCH AS, MCHS PROVIDERS PRACTICING MORE THAN 170 SPECIALTIES AND EMERGENCY ROOMS THAT ARE AVAILABLE TO ALL PATIENTS REGARDLESS OF THE ABILITY TO PAY. MCHS TRAINS AND EDUCATES HEALTHCARE PROFESSIONALS THROUGH A VARIETY OF INTERNSHIP PROGRAMS AND PARTNERS REGULARLY WITH LOCAL HIGH SCHOOLS AND COLLEGES TO DISCUSS CAREER, INTERNSHIP, AND VOLUNTEER OPPORTUNITIES FOR STUDENTS. MCHS ACCEPTS FINANCIAL ASSISTANCE AND PAYMENT PLANS ARE AVAILABLE; MCHS ALSO PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH PROGRAMS (E.G. MEDICARE, MEDICAID). A VARIETY OF HEALTH PROGRAMMING IS PROVIDED TO THE COMMUNITY AT NO COST SUCH AS CHILD SAFETY EDUCATION, SUPPORT GROUPS, AND PRESENTATIONS ON A VARIETY OF HEALTH TOPICS. MCHS STAFF ARE ACTIVELY INVOLVED IN THEIR LOCAL COMMUNITY AND LEND NOT ONLY THEIR EXPERTISE BUT OFTENTIMES LEADERSHIP AS WELL TO MANY ORGANIZATIONS SUCH AS UNITED WAY, YMCA, CHAMBER OF COMMERCE, ETC. STAFF FROM MCHS HAVE BEEN INSTRUMENTAL IN ACCOMPLISHING COMMUNITY NEEDS ASSESSMENTS AND IMPLEMENTATION OF COMMUNITY INITIATIVES IN AREAS OF SUBSTANCE MISUSE, BEHAVIORAL HEALTH, AND HEALTH EQUITY.
PART VI, LINE 6:	MMC-BEAVER DAM IS PART OF MARSHFIELD CLINIC HEALTH SYSTEM, INC., AN INTEGRATED HEALTH SYSTEM SERVING WISCONSIN AND MICHIGAN'S UPPER PENINSULA WITH MORE THAN 12,000 EMPLOYEES INCLUDING MORE THAN 1,600 PROVIDERS COMPRISING OVER 170 SPECIALTIES, A HEALTH PLAN AND RESEARCH AND EDUCATION PROGRAMS. THE HEALTH SYSTEM'S MISSION IS TO ENRICH LIVES AND CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, COMPASSIONATE HEALTH CARE. MARSHFIELD CLINIC HEALTH SYSTEM SERVES RURAL COMMUNITIES AND COLLECTIVELY PROMOTES HEALTH BY REDUCING BARRIERS TO ACCESSING CARE. ITS ENTITIES PROVIDE SERVICE AND HEALTH CARE THAT WOULDN'T OTHERWISE BE AVAILABLE THROUGH ITS 60 LOCATIONS AND 11 HOSPITALS IN COMMUNITIES ACROSS NORTHERN, CENTRAL AND WESTERN WISCONSIN AND IN MICHIGAN. MCHS PRIMARY OPERATIONS INCLUDE MARSHFIELD CLINIC LOCATIONS; MARSHFIELD CHILDREN'S HOSPITAL; MARSHFIELD MEDICAL CENTER HOSPITALS IN MARSHFIELD, EAU CLAIRE, BEAVER DAM, LADYSMITH, MINOCQUA, NEILLSVILLE, RICE LAKE, STEVENS POINT, WESTON, PARK FALLS, AND IRON MOUNTAIN (MICHIGAN); MARSHFIELD CLINIC RESEARCH INSTITUTE, SECURITY HEALTH PLAN, DIVISION OF EDUCATION AND MARSHFIELD CLINIC HEALTH SYSTEM FOUNDATION. UNIQUE TO MCHS IS ITS CENTER FOR COMMUNITY HEALTH ADVANCEMENT (CCHA), WHICH BUILDS BRIDGES BETWEEN THE HEALTHCARE SYSTEM AND THE COMMUNITY. CCHA LIVES OUR MISSION THROUGH COLLECTIVE IMPACT, COLLABORATIVE PARTNERSHIPS, AND INNOVATION TO ADDRESS POLICY, SYSTEMS AND ENVIRONMENT TO ADVANCE HEALTH, ESPECIALLY IN RURAL COMMUNITIES. CCHA COLLABORATES WITH COALITIONS, BUSINESSES, EDUCATIONAL SYSTEMS, LAW ENFORCEMENT AGENCIES, TRIBAL NATIONS, LOCAL GOVERNMENTS, AND OTHER HEALTHCARE PROVIDERS, NONPROFIT ORGANIZATIONS AND OTHER ENTITIES TO IMPROVE COMMUNITY HEALTH. THIS COLLABORATION HELPS TO ALIGN COMMUNITY HEALTH PRIORITIES IDENTIFIED IN THE CHNA WITH HEALTH SYSTEM PRIORITIES.
PART VI, LINE 7, REPORTS FILED WITH STATES	WI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	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
SUSAN TURNEY MD
FORMER MCHS CEO	$0	$0	$0	$0	$0	$2,241,715	$0	$0	$0	$0	$0	$2,241,715	$0	$0
BRIAN HOERNEMAN MD
BOARD MEMBER/INTERIM MCHS CEO	$0	$1,043,925	$0	$516,277	$0	$23,966	$0	$8,625	$0	$30,388	$0	$1,623,181	$0	$0
JEANETTE WOJTALEWICZ
INTERIM MCHS CFO	$0	$0	$0	$0	$0	$972,510	$0	$0	$0	$0	$0	$972,510	$0	$0
SAMANTHA KLEBE DO
BOARD MEMBER/MCHS CMO	$0	$476,625	$0	$201,334	$0	$25,544	$0	$8,625	$0	$27,732	$0	$739,860	$0	$0
EDWARD FERNANDEZ MD
BOARD MEMBER	$0	$338,138	$0	$225,978	$0	$27,938	$0	$8,625	$0	$33,829	$0	$634,508	$0	$0
CATHY BUKOWSKI
FORMER MCHS CFO	$0	$0	$0	$0	$0	$631,969	$0	$0	$0	$0	$0	$631,969	$0	$0
ANGELIA FOSTER
PRESIDENT MMC-BEAVER DAM (THRU OCT 2	$0	$244,146	$0	$0	$0	$4,219	$0	$3,017	$0	$19,196	$0	$270,578	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

THE MARSHFIELD CLINIC HEALTH SYSTEM'S (MCHS) INDEPENDENT COMPENSATION COMMITTEE (THE COMMITTEE) HAS FINAL AUTHORITY FOR APPROVING COMPENSATION AND BENEFITS OF ALL DISQUALIFIED PERSONS EMPLOYED BY ANY OF THE ORGANIZATIONS IN THE SYSTEM. THE COMMITTEE USES COMBINATIONS OF THE FOLLOWING TO EVALUATE COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, AND WRITTEN EMPLOYMENT CONTRACTS.

PART I, LINES 4A-B

LINE 4A: IN 2024, SUSAN TURNEY, MD RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $1,879,544 AND CATHY BUKOWSKI RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $631,969. LINE 4B: THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED A DISTRIBUTION FROM OR HAD AMOUNTS VEST IN THE PLAN: SUSAN TURNEY, MD - $362,171

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART IV, LINE 4:	MARSHFIELD CLINIC HEALTH SYSTEM (INCLUDING BEAVER DAM COMMUNITY HOSPITALS, INC.) IS A MEMBER OF VARIOUS HEALTHCARE ASSOCIATIONS (I.E. WISCONSIN HOSPITAL ASSOCIATION) THAT MAY PERFORM SOME LOBBYING ACTIVITY. ALL ASSOCIATED DUES ARE DISCLOSED ON THE FORM 990 OF MARSHFIELD CLINIC HEALTH SYSTEM, INC.
FORM 990, PART V, LINE 1C:	COMPENSATION REPORTED FOR THE INDEPENDENT CONTRACTORS HAS BEEN PAID BY A RELATED ORGANIZATION AND CENTRAL PURCHASING ORGANIZATION, MARSHFIELD CLINIC HEALTH SYSTEM, EIN 46-1495343. COMPENSATION REPORTED REPRESENTS SERVICES SOLELY PROVIDED TO BEAVER DAM COMMUNITY HOSPITALS INC SO IS INCLUDED AS IF PAID BY THE ORGANIZATION. MARSHFIELD CLINIC HEALTH SYSTEM HAS COMPLIED WITH A/P FILING REQUIREMENTS.
FORM 990, PART V, LINE 2A:	ALL PERSONNEL SERVICES FOR BEAVER DAM COMMUNITY HOSPITALS, INC. ARE PERFORMED BY EMPLOYEES OF MARSHFIELD CLINIC HEALTH SYSTEM, INC. ALL PHYSICIAN SERVICES FOR BEAVER DAM COMMUNITY HOSPITALS, INC. ARE PERFORMED BY EMPLOYEES OF MARSHFIELD CLINIC, INC.
FORM 990, PART VI, SECTION A, LINE 2	BOARD MEMBERS COLLEEN HOERNEMAN AND BRIAN HOERNEMAN, MD HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6	MCHS HOSPITALS, INC. (A WISCONSIN NONSTOCK, NONPROFIT ORGANIZATION DESCRIBED IN CODE SECTION 501(C)(3)) IS THE SOLE MEMBER OF BEAVER DAM COMMUNITY HOSPITALS, INC.
FORM 990, PART VI, SECTION A, LINE 7A	MCHS HOSPITALS, INC. (AS THE SOLE MEMBER) HAS THE RESERVE POWER TO APPOINT OR REMOVE MEMBERS OF THE BOARD OF DIRECTORS OF BEAVER DAM COMMUNITY HOSPITALS, INC.
FORM 990, PART VI, SECTION A, LINE 7B	MCHS HOSPITALS, INC. (THE SOLE MEMBER) HAS THE RIGHT TO APPROVE ANY CHANGES TO THE ARTICLES OF INCORPORATION AND BYLAWS OF BEAVER DAM COMMUNITY HOSPITALS, INC. MCHS HOSPITALS, INC. (THE SOLE MEMBER) HAS THE RIGHT TO INITIATE AND APPROVE LONG-TERM BORROWING AND OTHER FORMS OF LONG-TERM INDEBTEDNESS, INITIATE AND APPROVE THE PURCHASE, SALE OR ENCUMBRANCE OF REAL AND PERSONAL PROPERTY AND APPROVE OR DISAPPROVE ANNUAL OPERATING AND CAPITAL BUDGETS. MCHS HOSPITALS, INC. (THE SOLE MEMBER) ALSO HAS THE RIGHT TO INITIATE AND APPROVE ANY OF THE FOLLOWING ACTIONS: MERGER, CONSOLIDATION, AFFILIATION OR JOINT VENTURE WITH ANY OTHER ENTITY OR ENTITIES; LIQUIDATION, REORGANIZATION OR DISSOLUTION OF THE ORGANIZATION; FILING OF A VOLUNTARY PETITION IN BANKRUPTCY; ANY CHANGE IN CONTROL OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED INTERNALLY BY THE TAX DEPARTMENT AND REVIEWED BY EXECUTIVE MANAGEMENT. THE TAX DEPARTMENT PREPARES RETURN HIGHLIGHTS AND KEY DISCLOSURES FOR THE EXECUTIVE MANAGEMENT TEAM. AN EXTERNAL ACCOUNTING FIRM REVIEWS AND SIGNS THE RETURN. BEFORE THE RETURN IS FILED, A COMPLETE COPY IS PROVIDED TO THE CURRENT BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 12C	ALL OFFICERS, BOARD DIRECTORS, AND KEY EMPLOYEES OF EVERY MARSHFIELD CLINIC HEALTH SYSTEM (MCHS) ENTITY, AS WELL AS ANY OTHER PERSON DESIGNATED BY THE AUDIT AND COMPLIANCE COMMITTEE (ACC) TO BE A REQUIRED REPORTER BY VIRTUE OF HIS OR HER POSITION AT A SYSTEM ENTITY, SHALL ANNUALLY COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. SUCH FORMS SHALL BE DISTRIBUTED AND RECORDED BY THE SYSTEM'S DESIGNATED COMPLIANCE OFFICER. ALL FINANCIAL INTERESTS DISCLOSED AS PART OF THE ANNUAL DISCLOSURE PROCESS SHALL BE REVIEWED BY THE ACC. THE ACC SHALL INFORM THE BOARD OF DISCLOSED FINANCIAL INTERESTS WHICH MAY BEAR UPON OR RELATE TO A TRANSACTION UPON WHICH THE BOARD OR ANOTHER BOARD, COMMITTEE OR OTHER BODY OF A SYSTEM ENTITY, MAY DELIBERATE OR ACT. IN ADDITION TO THE ANNUAL DISCLOSURES, IF AT ANY TIME BETWEEN ANNUAL DISCLOSURES, A REQUIRED REPORTER BECOMES AWARE THAT THE BOARD, OR A BOARD, COMMITTEE OR OTHER BODY, OF ANY SYSTEM ENTITY MAY DELIBERATE OR ACT UPON ANY TRANSACTION THAT MAY HAVE ANY BEARING OF ANY KIND UPON, OR MAY RELATE IN ANY MANNER TO, AN EXISTING, INTENDED OR EXPECTED FINANCIAL INTEREST OF THE REQUIRED REPORTER, HE OR SHE SHALL DISCLOSE THE FINANCIAL INTEREST TO THE RELEVANT SYSTEM ENTITY BOARD, COMMITTEE OR BODY CHAIR, AS WELL AS TO THE SYSTEM'S COMPLIANCE OFFICER, IN ADVANCE OF ANY DELIBERATIONS OR ACTION, WRITTEN DISCLOSURE OF THE EXISTENCE, NATURE AND EXTENT OF HIS OR HER FINANCIAL INTEREST. ALL WRITTEN OR ORAL DISCLOSURES OF FINANCIAL INTERESTS SHALL BE RECORDED IN THE MINUTES OF THE BOARD AND BY THE OFFICE OF THE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER SHALL DISCLOSE THE COMPLETED FORMS AS NECESSARY TO THOSE MCHS EMPLOYEES RESPONSIBLE FOR COMPLETION OF THE IRS FORM 990.
FORM 990, PART VI, SECTION B, LINE 15	THE SYSTEM'S INDEPENDENT COMPENSATION COMMITTEE (COMPENSATION COMMITTEE) SHALL HAVE FINAL AUTHORITY FOR APPROVING COMPENSATION AND BENEFITS OF ALL DISQUALIFIED PERSONS (AS THAT TERM IS DEFINED IN 4958 OF THE INTERNAL REVENUE CODE (THE CODE)) EMPLOYED BY THE CORPORATION, INCLUDING BUT NOT LIMITED TO THE CORPORATION'S CEO. THE TERM DISQUALIFIED PERSONS INCLUDES (BUT IS NOT LIMITED TO) ANY PERSON (OR THE PERSON'S FAMILY MEMBER) WHO WAS, AT ANY TIME DURING THE 5-YEAR PERIOD ENDING ON THE DATE OF THE TRANSACTION, IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION. IT SHALL BE THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE TO INSURE THAT THE SYSTEM DOES NOT PAY AN AMOUNT THAT EXCEEDS REASONABLE COMPENSATION FOR ANY DISQUALIFIED PERSON. THE COMPENSATION COMMITTEE AND ITS OPERATING PROCEDURES SHALL BE DESIGNED TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS OF COMPENSATION OUTLINED IN TREASURY REG. SEC. 53.4958-6 WITH RESPECT TO EACH DISQUALIFIED PERSON. IN DETERMINING REASONABLENESS OF COMPENSATION, THE COMPENSATION COMMITTEE SHALL EVALUATE APPROPRIATE INFORMATION AS TO COMPARABILITY OF COMPENSATION, INCLUDING BUT NOT LIMITED TO: COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICES IN THE SYSTEM'S GEOGRAPHIC AREA; CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; AND ACTUAL WRITTEN JOB OFFERS FROM SIMILAR INSTITUTIONS. THE COMPENSATION COMMITTEE SHALL HAVE INDEPENDENT AUTHORITY TO OBTAIN OUTSIDE EXPERT OPINIONS ON THE REASONABLENESS AND FAIR MARKET VALUE OF COMPENSATION AND GATHER OTHER INFORMATION IT CONSIDERS NECESSARY OR APPROPRIATE TO MAKE ITS DECISIONS ON COMPENSATION. THE COMPENSATION COMMITTEE SHALL TIMELY DOCUMENT ITS DETERMINATION OF REASONABLENESS OF COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19	BEAVER DAM COMMUNITY HOSPITALS, INC. DOES NOT MAKE ITS CURRENT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UNLESS INCLUDED AS PART OF A FORM THAT IS REQUIRED TO BE PUBLICLY AVAILABLE.
FORM 990, PART X, LINE 20:	BEAVER DAM COMMUNITY HOSPITALS, INC. IS PART OF THE MARSHFIELD CLINIC HEALTH SYSTEM OBLIGATED GROUP. SINCE THE OBLIGATED GROUP IS RESPONSIBLE FOR ALL OUTSTANDING FINANCED DEBT OBLIGATIONS, ALL BOND RELATED REPORTING IS DISCLOSED ON THE FORM 990 OF MARSHFIELD CLINIC HEALTH SYSTEM INC.
FORM 990, PART XI, LINE 9:	NET ASSET TRANSFERS WITH RELATED ORGANIZATIONS 3,937,944. EQUITY INCOME IN AFFILIATES 572,791.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
DODGE HEALTH ENTERPRISES LLC
715 S UNIVERSITY AVE	BEAVER DAM	WI	53916	391538653	REFERENCE LAB	WI	$884	$112	BDCH
DELMAN DEVELOPMENT LLC
707 S UNIVERSITY AVE	BEAVER DAM	WI	53916	272375085	REAL ESTATE	WI	$0	$88,451	BDCH
BEAVER DAM MEDICAL BUILDING 2 LLC
705 S UNIVERSITY AVE	BEAVER DAM	WI	53916	391157876	BUILDING MANAGEMENT	WI	$622,952	$14,063,460	BDCH
WELL LIFE HOME MEDICAL EQUIPMENT AND SUPPLIES LLC
707 S UNIVERSITY AVE	BEAVER DAM	WI	53916	812463679	DURABLE MEDICAL EQUIPMENT	WI	$0	$0	BDCH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
BEAVER DAM COMMUNITY HOSPITALS FOUNDATION INC
707 S UNIVERSITY AVE	BEAVER DAM	WI	53916	391499140	PHILANTHROPY	WI	501(C)(3)	LINE 10	BDCH	Yes (1)
MCHS HOSPITALS INC
1000 N OAK AVE	MARSHFIELD	WI	54449	810977948	HOSPITAL	WI	501(C)(3)	LINE 3	MCHS	0
FLAMBEAU HOSPITAL INC
98 SHERRY AVE	PARK FALLS	WI	54552	390973724	HOSPITAL	WI	501(C)(3)	LINE 3	MCHS HOSP	0
LAKEVIEW MEDICAL CENTER INC
1700 W STOUT ST	RICE LAKE	WI	54868	390837206	HOSPITAL	WI	501(C)(3)	LINE 3	MCHS HOSP	0
FAMILY HEALTH CENTER OF MARSHFIELD INC
1000 N OAK AVE	MARSHFIELD	WI	54449	391681547	COM HLTH CTR	WI	501(C)(3)	LINE 7		0	N/A
MARSHFIELD CLINIC INC
1000 N OAK AVE	MARSHFIELD	WI	54449	390452970	MEDICAL SVCS	WI	501(C)(3)	LINE 3	MCHS	0
SECURITY HEALTH PLAN OF WISCONSIN INC
1515 N ST JOSEPH AVE	MARSHFIELD	WI	54449	391572880	HMO	WI	501(C)(4)	N/A	MCHS	0
MARSHFIELD CLINIC HEALTH SYSTEM INC
1000 N OAK AVE	MARSHFIELD	WI	54449	461495343	SUPPORT ORG	WI	501(C)(3)	LINE 12D, III-O		0	N/A
MCHS FOUNDATION INC
1000 N OAK AVE	MARSHFIELD	WI	54449	812822823	PHILANTHROPY	WI	501(C)(3)	LINE 7	MCHS	0
MEMORIAL HOSPITAL INC
N3708 RIVER AVE	NEILLSVILLE	WI	54456	390806828	HOSPITAL	WI	501(C)(3)	LINE 3	MCHS HOSP	0
DICKINSON COUNTY HEALTHCARE SYSTEM
1721 S STEPHENSON AVE	IRON MOUNTAIN	MI	49801	382780429	HOSPITAL	MI	501(C)(3)	LINE 3	MCHS HOSP	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	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SECURITY HEALTH PLAN OF WISCONSIN INC
L	$1,253,401	COST
BEAVER DAM COMMUNITY HOSPITALS FOUNDATION INC
C	$117,002	COST