RICHLAND HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: RICHLAND HOSPITAL (EIN 39-0808498)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-17
IRS object ID: 201433219349308238
Schema version: 2013v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-17T14:58:55-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3703 OAKWOOD HILLS PARKWAY	AddressLine1
City	EAU CLAIRE	City
State	WI	State
ZIP Code	54701	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	390808498	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE RICHLAND HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	RICH	BusinessNameControlTxt
Phone	6086476321	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	333 EAST SECOND STREET	AddressLine1
City	RICHLAND CENTER	City
State	WI	State
ZIP Code	53581	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KAREN TRAYNOR	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	6086476321	PhoneNum
Signature	2014-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	PAUL M TRACZEK CPA	PreparerPersonNm
PTIN	P01368830	PTIN
Phone	7158323407	PhoneNum
Preparation	2014-11-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	TERRI POTTER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	333 EAST SECOND STREET	AddressLine1
City	RICHLAND CENTER	City
State	WI	State
ZIP Code	53581	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$46,661,810	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.RICHLANDHOSPITAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1937	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	THE RICHLAND HOSPITAL IS DEDICATED TO CARING, EDUCATING, AND HEALING - TO BE THE COMMUNITY'S "FIRST CHOICE FOR BETTER HEALTH."	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	329	TotalEmployeeCnt
Total Volunteers	146	TotalVolunteersCnt
Total Gross UBI	$215,845	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$81,913	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$614,320	PYContributionsGrantsAmt
CY Contributions Grants	$570,826	CYContributionsGrantsAmt
PY Program Service Revenue	$35,378,393	PYProgramServiceRevenueAmt
CY Program Service Revenue	$38,020,875	CYProgramServiceRevenueAmt
PY Investment Income	$473,096	PYInvestmentIncomeAmt
CY Investment Income	$552,022	CYInvestmentIncomeAmt
PY Other Revenue	-$259,438	PYOtherRevenueAmt
CY Other Revenue	-$255,738	CYOtherRevenueAmt
PY Total Revenue	$36,206,371	PYTotalRevenueAmt
CY Total Revenue	$38,887,985	CYTotalRevenueAmt
PY Grants And Similar Paid	$18,250	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$23,290	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$18,558,356	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$19,925,735	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$111,923	CYTotalFundraisingExpenseAmt
PY Other Expenses	$14,516,404	PYOtherExpensesAmt
CY Other Expenses	$15,844,801	CYOtherExpensesAmt
PY Total Expenses	$33,093,010	PYTotalExpensesAmt
CY Total Expenses	$35,793,826	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,113,361	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,094,159	CYRevenuesLessExpensesAmt
Total Assets BOY	$66,440,832	TotalAssetsBOYAmt
Total Assets EOY	$70,035,131	TotalAssetsEOYAmt
Total Liabilities BOY	$20,027,574	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$20,600,044	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$46,413,258	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$49,435,087	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE RICHLAND HOSPITAL IS DEDICATED TO CARING, EDUCATING, AND HEALING - TO BE THE COMMUNITY'S "FIRST CHOICE FOR BETTER HEALTH."	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$30,356,499	ExpenseAmt
Grant	$23,290	GrantAmt
Revenue	$35,654,643	RevenueAmt
Desc	THE RICHLAND HOSPITAL, INC. (THE HOSPITAL) OPERATES A 25-BED CRITICAL ACCESS HOSPITAL IN RICHLAND CENTER, WI. OUR MISSION IS, "THE RICHLAND HOSPITAL IS DEDICATED TO CARING, EDUCATING, AND HEALING - TO BE THE COMMUNITY'S FIRST CHOICE FOR BETTER HEALTH."PATIENTS SERVED BY THE RICHLAND HOSPITAL, INC. IN 2013 INCLUDED 3,154 ADULTS AND PEDIATRICS INPATIENT DAYS, 658 SWING BED PATIENT DAYS, 301 NEWBORN PATIENT DAYS, 37,325 TOTAL OUTPATIENT VISITS, AND 5,522 EMERGENCY ROOM VISITS.AS A PART OF THE HOSPITAL'S MISSION AS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION IN THE COMMUNITIES SERVED, THE RICHLAND HOSPITAL, INC. PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS COMMUNITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE RICHLAND HOSPITAL, INC. MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. IN THE CURRENT YEAR, THE TOTAL CHARGES PROVIDED TO PARENTS UNDER THE COMMUNITY CARE POLICY AGGREGATED APPROXIMATELY $516,227 IN TOTAL CHARGES. THE ESTIMATED COST OF PROVIDING CARE TO PATIENTS UNDER THE COMMUNITY CARE POLICY WAS APPROXIMATELY $480,000. IN ADDITION, THE RICHLAND HOSPITAL, INC. IS A PROVIDER UNDER THE WISCONSIN MEDICAL ASSISTANCE PROGRAM. UNDER THIS PROGRAM, THE HOSPITAL IS LEGALLY BOUND TO ACCEPT THE AMOUNT DETERMINED BY THE STATE OF WISCONSIN AS PAYMENT IN FULL FOR EACH PATIENT'S CHARGES. THE CHARGE REDUCTIONS POSTED BY THE HOSPITAL IN ACCEPTANCE OF LOWER PAYMENTS BY THE MEDICAL ASSISTANCE PROGRAM IN 2013 AGGREGATED APPROXIMATELY $5.4 MILLION. (FOR ADDITIONAL INFORMATION ON THE HOSPITAL'S CHARITY CARE PROGRAM AND PARTICIPATION IN THE WISCONSIN MEDICAL ASSISTANCE PROGRAM, PLEASE REFER TO SCHEDULE H OF THE FORM 990.)THE RICHLAND HOSPITAL, INC. ALSO ENGAGES IN A VARIETY OF COMMUNITY BUILDING ACTIVITIES THAT WOULD NOT OTHERWISE, WITHOUT THE EFFORTS AND SPECIALIZED KNOWLEDGE OF THE LOCAL COMMUNITY HOSPITAL, BE PROVIDED FOR THE BENEFIT OF THE RESIDENTS OF RICHLAND CENTER, WISCONSIN AND THE SURROUNDING COMMUNITIES THAT ARE SERVED. IN 2013, THE RICHLAND HOSPITAL, INC. HOSTED HEALTH FAIRS, PARTICIPATED IN LOCAL WELLNESS EVENTS, CONDUCTED EDUCATIONAL SEMINARS, AND PROVIDED INFORMATIONAL PACKETS FOR MEMBERS OF OUR COMMUNITY. OUR TARGET AUDIENCE WAS THE ENTIRE FAMILY: MEN, WOMEN, CHILDREN, AND INFANTS. THE RICHLAND HOSPITAL, INC. HOSTED A WOMEN'S HEALTH FAIR AND A TODDLER WELLNESS EVENT IN RICHLAND CENTER. IT ALSO SPONSORED A WELLNESS EVENT IN SPRING GREEN FOR SCHOOL AGE CHILDREN. EACH OF THE EVENTS WAS FREE TO ATTEND, OPEN TO THE PUBLIC, AND DREW MORE THAN 75 PEOPLE EACH. ITEMS DONATED INCLUDED: STAFF TIME, MATERIALS, SPACE, GIVEAWAYS, AND EQUIPMENT.THE RICHLAND HOSPITAL, INC. PROVIDED FREE BREASTFEEDING AND DIABETES SUPPORT GROUP MEETINGS. EDUCATIONAL MATERIALS WERE PROVIDED FREE OF CHARGE. HEALTHCARE PROFESSIONALS SPOKE TO THE PUBLIC AT COMMUNITY EVENTS THAT WERE FREE AND OPEN TO THE PUBLIC AND THEY PROVIDED INDIVIDUAL COUNSELING AS WELL TO HELP PEOPLE UNDERSTAND THE SERVICES AVAILABLE LOCALLY. EDUCATIONAL MATERIALS WERE PROVIDED FREE OF CHARGE IN A VARIETY OF VENUES. THEY COVERED A WIDE RANGE OF HEALTHCARE TOPICS INCLUDING: CANCER, DIABETES, HEART DISEASE, INFANT AND CHILD DEVELOPMENT, NUTRITION, EXERCISE, SMOKING CESSATION, BREAST HEALTH, ADVANCED DIRECTIVES, COLONOSCOPIES, JOINT AND MUSCLE DEGENERATION, AND MORE.THE BLOOD CENTER OF WISCONSIN HELD MULTIPLE DRIVES IN THE HOSPITAL'S LOWER LEVEL AT NO COST. IN ADDITION, EMPLOYEES COULD DONATE BLOOD WHILE ON WORK TIME AND DID NOT HAVE TO PUNCH OUT. HOME HEALTH UNITED HELD MULTIPLE GRIEF SUPPORT GROUP MEETINGS IN THE HOSPITAL'S LOWER LEVEL AT NO COST. THESE MEETINGS WERE OPEN TO EVERYONE AND FREE OF CHARGE. THE RICHLAND HOSPITAL, INC. PROVIDED PROMOTIONS, SNACKS, AND BEVERAGES AS WELL.THE HOSPITAL ALSO PARTICIPATES IN HEALTH EDUCATION AWARENESS AND CAREER BUILDING ACTIVITIES SUCH AS CLINICAL TRAINING EXPERIENCE, SPEAKERS AT LOCAL SCHOOLS, AND PARTICIPATION IN CAREER FAIRS FOR AREA MIDDLE AND HIGH SCHOOLS AND FOR ADULTS. THE HOSPITAL RECOGNIZES THAT IT IS IMPORTANT TO EDUCATE LOCAL COMMUNITY MEMBERS ON THESE CAREERS AS A CAREER BUILDING INITIATIVE SO THAT LOCAL PRIMARY CARE AND ACCESS TO CARE WILL BE CONTINUED IN THE FUTURE WITH WELL-TRAINED AND EDUCATED COMMUNITY MEMBERS IN HEALTHCARE RELATED FIELDS.FINALLY, WHILE THERE IS GROWING AGREEMENT IN THE UNITED STATES ABOUT WHAT CONSTITUTES A NON-PROFIT HOSPITAL'S "COMMUNITY BENEFIT", THIS REMAINS A WORK IN PROGRESS. THE RICHLAND HOSPITAL, INC. PROVIDES SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS. BUT IN ADDITION, THE HOSPITAL BELIEVES THAT IT PROVIDES A CRITICALLY IMPORTANT COMMUNITY BENEFIT WHICH IS NOT EASILY ABLE TO BE QUANTIFIED. THROUGH ITS HOSPITAL SERVICES, LIKE MOST RURAL HOSPITALS, THE RICHLAND HOSPITAL, INC. WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY. WITHHOUT THIS HOSPITAL, THIS CARE WOULD NOT BE AVAILABLE LOCALLY AND THE ECONOMIC WELL-BEING OF THE SURROUNDING COMMUNITIES WOULD BE NEGATIVELY AFFECTED BY THE LOSS OF PROFESSIONAL, TECHNICAL, AND SERVICE JOBS.THE RICHLAND HOSPITAL, INC. IS COMMITTED TO WORKING CLOSELY WITH COMMUNITY PARTNERS TO IMPROVE THE OVERALL HEALTH OF THE PEOPLE IN OUR COMMUNITY. WE ARE DEDICATED TO CARING, EDUCATING, AND HEALING WE WANT TO BE THE COMMUNITY'S FIRST CHOICE FOR BETTER HEALTH.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,536,696	ExpenseAmt
Revenue	$2,151,657	RevenueAmt
Desc	THE RICHLAND HOSPITAL, INC. ALSO OPERATES TWO RURAL HEALTH CLINICS LOCATED IN SPRING GREEN AND MUSCODA, WI. DURING 2013, THESE TWO CLINICS PROVIDED A TOTAL OF 8,017 VISITS TO PATIENTS IN BOTH COMMUNITIES. THE CLINICS ARE DESIGNATED RURAL HEALTH CLINICS BY THE MEDICARE AND MEDICAID PROGRAMS AND AS SUCH BY DEFINITION ARE LOCATED IN DESIGNATED RURAL OR UNDERSERVED AREAS OF THE COUNTRY BY HEALTHCARE PRACTITIONERS. THESE CLINICS PROVIDE CARE TO A LARGE PORTION OF MEDICARE AND MEDICAID BENEFICIARIES WHO WITHOUT ACCESS TO CARE LOCALLY WOULD BE REQUIRED TO TRAVEL FARTHER DISTANCES FOR QUALITY HEALTHCARE.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$31,893,195	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	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	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	0	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	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 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	40	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	329	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	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	KAREN TRAYNOR	PersonNm
Phone	6086476321	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	333 EAST SECOND STREET	AddressLine1
City	RICHLAND CENTER	City
State	WI	State
ZIP Code	53581	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
BRYAN MYERS MD
CHIEF OF STAFF	5.00	Yes (X)	$0	$0	$0
KEVIN WHITNEY MD
DIRECTOR	1.50	Yes (X)	$0	$0	$0
RICHARD MARSHALL
DIRECTOR	1.50	Yes (X)	$0	$0	$0
MELISSA SPRECHER
DIRECTOR	1.50	Yes (X)	$0	$0	$0
JERRY GANDER
DIRECTOR	1.50	Yes (X)	$0	$0	$0
GERALD MCCAULEY
DIRECTOR	1.50	Yes (X)	$0	$0	$0
DENNIS HAMILTON
PRESIDENT	1.50	Yes (X)	$0	$0	$0	Yes (X)
ROBERT NUGENT
VICE PRESIDENT	1.50	Yes (X)	$0	$0	$0	Yes (X)
DOROTHY BEHLING
SECRETARY	1.50	Yes (X)	$0	$0	$0	Yes (X)
DWAYNE HILTBRAND
TREASURER	1.50	Yes (X)	$0	$0	$0	Yes (X)
MICHAEL DELFS
CEO	40.00		$201,718	$0	$30,320	Yes (X)
KAREN TRAYNOR
CFO	40.00		$138,614	$0	$11,000	Yes (X)
JEREL BERRES MD
ER DIRECTOR	40.00		$290,248	$0	$38,704		Yes (X)
E RACHEL SHANNON-GOODRICH CRNA
ANESTHETIST	40.00		$297,788	$0	$41,965		Yes (X)
MUHAMMAD S KHAN MD
ER PHYSICIAN	44.40		$289,877	$0	$35,213		Yes (X)
BRYAN MCCARVEL
ANESTHESIA DIRECTOR	40.00		$311,036	$0	$37,589		Yes (X)
ALEX PASQUARIELLO MD
ER PHYSICIAN	40.00		$262,495	$0	$24,980		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,791,776	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$219,771	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	18	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
THE RICHLAND MEDICAL CENTER LTD
301 EAST SECOND STREET	RICHLAND CENTER	WI	53581	PHYSICIANS/CLINIC MGMT SERVICES	$843,328
MERITER LABORATORIES
36 SOUTH BROOKS ST	MILWAUKEE	WI	53288	LAB SERVICES	$185,337
ALBET J ALTER JR
W9107 SR 39	BLANCHARDVILLE	WI	53516	RADIOLOGY SERVICES	$139,500
WHITNEY SLEEP DIAGNOSTIC & CONSULTANT
119 GRAYSTONE PLAZA STE 102	DETROIT LAKES	MN	56501	SLEEP STUDY SERVICES	$131,200
WIPFLI LLP
PO BOX 8010	WAUSAU	WI	54402	ACCTG/COMPLIANCE/AUDIT/CONSULTING SVCS	$111,438

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	6	CntrctRcvdGreaterThan100KCnt
Related Organizations	$531,831	RelatedOrganizationsAmt
Government Grants	$16,303	GovernmentGrantsAmt
All Other Contributions	$22,692	AllOtherContributionsAmt
Total Contributions	$570,826	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621990	$37,379,616	$37,299,828	$79,788
CONTRACTED THERAPY	621990	$256,657	$256,657
MEDICAL RECORDS	621990	$206,480	$134,215	$72,265
MEALS	722320	$142,610	$80,088	$62,522

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$35,512	TotalRevenueColumnAmt
Related Or Exempt Func Income	$35,512	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$38,020,875	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$407,252	TotalRevenueColumnAmt
Exclusion	$407,252	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$818,890	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,074,628	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$255,738	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$255,738	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,270	UnrelatedBusinessRevenueAmt
Exclusion	-$257,008	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$6,843,967	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$6,691,457	SecuritiesAmt
Other	$7,740	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$152,510	SecuritiesAmt
Other	-$7,740	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$144,770	TotalRevenueColumnAmt
Exclusion	$144,770	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$38,887,985	TotalRevenueColumnAmt
Related Or Exempt Func Income	$37,806,300	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$215,845	UnrelatedBusinessRevenueAmt
Exclusion	$295,014	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,915	TotalAmt
Program Services	$2,915	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$20,375	TotalAmt
Program Services	$20,375	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$381,652	TotalAmt
Management And General	$381,652	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$14,146,947	TotalAmt
Program Services	$12,706,075	ProgramServicesAmt
Management And General	$1,367,052	ManagementAndGeneralAmt
Fundraising	$73,820	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$514,857	TotalAmt
Program Services	$462,680	ProgramServicesAmt
Management And General	$49,489	ManagementAndGeneralAmt
Fundraising	$2,688	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,910,053	TotalAmt
Program Services	$3,513,800	ProgramServicesAmt
Management And General	$375,839	ManagementAndGeneralAmt
Fundraising	$20,414	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$972,226	TotalAmt
Program Services	$852,691	ProgramServicesAmt
Management And General	$114,581	ManagementAndGeneralAmt
Fundraising	$4,954	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$293,876	TotalAmt
Management And General	$293,876	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$89,195	TotalAmt
Management And General	$89,195	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,008,536	TotalAmt
Program Services	$2,495,236	ProgramServicesAmt
Management And General	$505,463	ManagementAndGeneralAmt
Fundraising	$7,837	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$82,124	TotalAmt
Program Services	$5,283	ProgramServicesAmt
Management And General	$76,841	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$318,498	TotalAmt
Program Services	$221,751	ProgramServicesAmt
Management And General	$94,537	ManagementAndGeneralAmt
Fundraising	$2,210	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$211,736	TotalAmt
Management And General	$211,736	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,597,066	TotalAmt
Program Services	$1,549,879	ProgramServicesAmt
Management And General	$47,187	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$38,234	TotalAmt
Program Services	$33,296	ProgramServicesAmt
Management And General	$4,938	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$39,718	TotalAmt
Program Services	$34,551	ProgramServicesAmt
Management And General	$5,167	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,044,987	TotalAmt
Program Services	$3,044,987	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$100,040	TotalAmt
Management And General	$100,040	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$4,882,467	$4,823,281	$59,186
PROVISION FOR BAD DEBT	$2,020,897	$2,020,897
EQUIPMENT RENTAL & MAIN	$737,348	$725,419	$11,929
FOOD	$235,765	$235,765

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	-$855,686	TotalAmt
Program Services	-$855,686	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$35,793,826	TotalAmt
Program Services	$31,893,195	ProgramServicesAmt
Management And General	$3,788,708	ManagementAndGeneralAmt
Fundraising	$111,923	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,721	BOYAmt
EOY	$1,496	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$11,241,353	BOYAmt
EOY	$11,729,525	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,742,948	BOYAmt
EOY	$7,047,123	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$242,615	BOYAmt
EOY	$214,580	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,273,808	BOYAmt
EOY	$1,292,890	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$301,636	BOYAmt
EOY	$384,773	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$57,198,533	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$28,094,678	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$31,169,518	BOYAmt
EOY	$29,103,855	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$6,643,681	BOYAmt
EOY	$11,456,167	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,867,867	BOYAmt
EOY	$4,918,751	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,955,685	BOYAmt
EOY	$3,885,971	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$66,440,832	BOYAmt
EOY	$70,035,131	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,173,174	BOYAmt
EOY	$3,966,776	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$482,419	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$16,495,000	BOYAmt
EOY	$15,755,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$359,400	BOYAmt
EOY	$395,849	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$20,027,574	BOYAmt
EOY	$20,600,044	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$45,776,690	BOYAmt
EOY	$48,814,806	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$576,568	BOYAmt
EOY	$560,281	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$60,000	BOYAmt
EOY	$60,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$46,413,258	BOYAmt
EOY	$49,435,087	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$66,440,832	BOYAmt
EOY	$70,035,131	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,094,159	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$260,987	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$333,317	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$4,516	OtherActivitiesAmt
Total Lobbying Expenditures	$4,516	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	THE RICHLAND HOSPITAL, INC. (THE "HOSPITAL") PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THESE DUES ARE PRIMARILY FOR ACCESS TO EDUCATIONAL MATERIALS AND STAFF TRAINING AND DEVELOPMENT. THE WHA HAD NOTIFIED THE HOSPITAL THAT APPROXIMATELY $2,002 OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT. THE HOSPITAL IS ALSO A MEMBER OF THE RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). EACH YEAR, THE HOSPITAL PAYS MEMBERSHIP FEES TO RWHC. THE 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 SECURING GRANT FUNDING FOR NEW OR EXISTING HEALTHCARE PROGRAMS, LEGAL SERVICES, REIMBURSEMENT REVIEW SERVICES, ACCOUNTING ASSISTANCE, CONTRACTING FOR THERAPIST COVERAGE, AND ADMINISTRATIVE CONSULTING SERVICES. AS A PART OF THESE SERVICES, RWHC ALSO DOES PROVIDE ANALYSIS OF 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 BEHALF OF THE MEMBER ORGANIZATIONS. IT WAS DETERMINED THAT APPROXIMATELY $2,514 OF THE FEES PAID BY THE HOSPITAL IN 2013 RELATED TO LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE HEALTHCARE ENVIRONMENT IN THE STATE OF WISCONSIN.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$70,005	BeginningYearBalanceAmt
Investment Earnings Or Losses	$468	InvestmentEarningsOrLossesAmt
End Year Balance	$70,473	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$69,671	BeginningYearBalanceAmt
Investment Earnings Or Losses	$334	InvestmentEarningsOrLossesAmt
End Year Balance	$70,005	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$69,549	BeginningYearBalanceAmt
Investment Earnings Or Losses	$122	InvestmentEarningsOrLossesAmt
End Year Balance	$69,671	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$69,400	BeginningYearBalanceAmt
Investment Earnings Or Losses	$149	InvestmentEarningsOrLossesAmt
End Year Balance	$69,549	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$69,240	BeginningYearBalanceAmt
Investment Earnings Or Losses	$160	InvestmentEarningsOrLossesAmt
End Year Balance	$69,400	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.85140	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.14860	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$941,726	OtherCostOrOtherBasisAmt
Book Value	$941,726	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,331,703	OtherCostOrOtherBasisAmt
Depreciation	$17,189,719	DepreciationAmt
Book Value	$24,141,984	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$609,073	OtherCostOrOtherBasisAmt
Depreciation	$281,466	DepreciationAmt
Book Value	$327,607	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,637,272	OtherCostOrOtherBasisAmt
Depreciation	$10,351,151	DepreciationAmt
Book Value	$3,286,121	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$678,759	OtherCostOrOtherBasisAmt
Depreciation	$272,342	DepreciationAmt
Book Value	$406,417	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$29,103,855	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
UNDER BOND INDENTURE AGREEMENT	$2,582,789	F
FUNDED DEPRECIATION	$2,094,984	F
UNEMPLOYMENT RESERVE	$159,933	F
RESTRICTED INVESTMENTS	$81,045	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$4,918,751	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
UNAMORTIZED BOND INSURANCE PREMIUM AND ISSUANCE COSTS	$706,302
INTEREST IN NET ASSETS OF SUPPORTING ORGANIZATIONS	$1,380,718
DEFERRED COMPENSATION PLAN ASSETS	$395,849
AMOUNTS RECEIVABLE FROM THIRD-PARTY REIMBURSEMENT PROGRAMS	$1,403,102

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$3,885,971	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DEFERRED COMPENSATION PLAN LIABILITY	Desc
Amt	$395,849	Amt

Field	Value	IRS element (for citing)
Total Liability	$395,849	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$37,379,745	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$1,075,274	OtherRevenueAmt
Revenue Not Reported	$1,075,274	RevenueNotReportedAmt
Revenue Subtotal	$36,304,471	RevenueSubtotalAmt
Other Revenues Not Included	$2,583,514	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$2,583,514	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$38,887,985	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$34,816,771	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,074,628	OtherExpensesIncludedAmt
Expenses Not Reported	$1,074,628	ExpensesNotReportedAmt
Expenses Subtotal	$33,742,143	ExpensesSubtotalAmt
Other Expenses Not Included	$2,051,683	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$2,051,683	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$35,793,826	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE ENDOWMENT FUNDS MAINTAINED BY THE RICHLAND HOSPITAL, INC. HAVE BEEN RESTRICTED BY DONORS TO BE MAINTAINED IN PERPETUITY, THE INCOME OF WHICH IS EXPENDABLE TO SUPPORT SCHOLARSHIP PROGRAMS OF THE HOSPITAL.
PART X, LINE 2:	THE HOSPITAL IS A TAX-EXEMPT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SIMILAR STATE OF WISCONSIN TAX LAWS. THE HOSPITAL IS ALSO ENGAGED TO A LIMITED EXTENT IN CERTAIN ACTIVITIES SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME (UBI). UBI IS NOT SIGNIFICANT. IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE HOSPITAL DETERMINES 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 FINANCIAL STATEMENTS. THE HOSPITAL RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS IN 2013 AND 2012. FEDERAL TAX RETURNS FOR TAX YEARS 2010 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES INCLUDED WITH EXPENSES ON FINANCIAL STATEMENTS 1,074,628. NET ASSETS RELEASED FROM RESTRICTIONS 646.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	CONTRIBUTIONS FROM RELATED ORGANIZATIONS 531,831. SCHOLARSHIP & GRANT EXPENSE NET AGAINST GRANT REVENUE ON FINANCIAL STATEMENT 30,786. PROVISION FOR BAD DEBTS NET AGAINST REVENUE ON FINANCIAL STATEMENTS 2,020,897.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES INCLUDED WITH EXPENSES ON FINANCIAL STATEMENTS 1,074,628.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	DISTRIBUTIONS FROM SCHOLARSHIP FUNDS SCHOLARSHIP & GRANT EXPENSE NET AGAINST GRANT REVENUE ON FINANCIAL STATEMENT 30,786. PROVISION FOR BAD DEBTS NET AGAINST REVENUE ON FINANCIAL STATEMENTS 2,020,897.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$480,238	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$480,238	NetCommunityBenefitExpnsAmt
Total Expense	0.01340	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,049,155	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,610,602	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,438,553	NetCommunityBenefitExpnsAmt
Total Expense	0.04020	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,731	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,459	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$272	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,571,124	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,652,061	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,919,063	NetCommunityBenefitExpnsAmt
Total Expense	0.05360	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,528	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,898	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$57,630	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,544,266	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,107,554	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,436,712	NetCommunityBenefitExpnsAmt
Total Expense	0.04010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,548	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,548	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,626,342	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,123,452	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,502,890	NetCommunityBenefitExpnsAmt
Total Expense	0.04190	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,197,466	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,775,513	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,421,953	NetCommunityBenefitExpnsAmt
Total Expense	0.09550	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,100	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,100	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,100	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,100	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$1,017,085	BadDebtExpenseAmt
Bad Debt Expense Attributable	$508,542	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$13,088,895	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$13,122,381	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$33,486	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	0	WrittenDebtCollectionPolicyInd
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	THE RICHLAND HOSPITAL INC	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	333 EAST SECOND STREET	AddressLine1
City	RICHLAND CENTER	City
State	WI	State
ZIP Code	53581	ZIPCode

Field	Value	IRS element (for citing)
State License	1045	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	THE RICHLAND HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.RICHLANDHOSPITAL.COM	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Other Needs Addressed	Yes (X)	OtherNeedsAddressedInd
All Needs Addressed	Yes (1)	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Collection Activities	Yes (1)	CollectionActivitiesInd
Reporting To Credit Agency	Yes (X)	ReportingToCreditAgencyInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
THE RICHLAND HOSPITAL, INC.	PART V, SECTION B, LINE 3: THE RICHLAND HOSPITAL, INC. ENGAGED IN AN EXTENSIVE ASSESSMENT OF THE HEALTH NEEDS OF THE COMMUNITY IN ITS STRATEGIC PLANNING PROCESS. THE ASSESSMENT INCLUDED DIRECT FEEDBACK FROM THE RESIDENTS OF THE MARKET AREA SERVED AS WELL AS USE OF OTHER SOURCES OF DATA RELATED TO COMMUNITY HEALTH NEEDS. IT INCLUDED PERFORMING PROJECTIONS OF DEMAND FOR HEALTHCARE SERVICES AND ASSESSING WHAT IS AVAILABLE IN THE MARKET AREA TO MEET THOSE DEMANDS.IN ADDITION, THE RICHLAND MEDICAL CENTER, LTD. PHYSICIANS AND PROVIDERS WHO OFFER PRIMARY AND SECONDARY LEVEL CARE, INCLUDING PREVENTIVE HEALTHCARE FOR THE PERSONS RESIDING IN THE MARKET AREA, PARTICIPATED IN A PLANNING SESSION WHERE DATA GATHERED WAS REVIEWED AND PROVIDED THEIR INPUT INTO NEEDS OF THE PATIENTS THEY SERVE. THE PLAN WAS PROVIDED IN DRAFT FORM TO PERSONS REPRESENTING THE AGING AND DISABILITIES RESOURCE CENTER, RICHLAND COUNTY PUBLIC HEALTH, RICHLAND FIT, RICHLAND FREE CLINIC, AND RICHLAND COUNTY HEALTH AND HUMAN SERVICES. WE THEN MET WITH THESE PERSONS TO DISCUSS OUR PLANS AND COMMUNITY PRIORITIES. APPENDIX B CONTAINS A FULL SUMMARY OF THEIR COMMENTS.STUDIES THAT HAVE BEEN DONE WERE ALSO USED AND INCLUDED THE RICHALND COUNTY COMMUNITY ASSESSMENT REPORT DONE IN 2011, BY RICHLAND COUNTY PUBLIC HEALTH AND COUNTY HEALTH RANKINGS AND ROADMAPS COMPLETED BY THE POPULATION HEALTH INSTITUTE, UNIVERSITY OF WISCONSIN STARTING IN 2010 AND DONE ANNUALLY.THE RICHALND HOSPITAL IS A COMMUNITY PARTNER IN THE RICHLAND FIT PROGRAM. A COMMUNITY HEALTH NEED ASSESSMENT AS WELL AS A STRATEGIC AND IMPLEMENTATION PLAN WAS DEVELOPED FOCUSING ON THE HIGH OBESITY RATES IN RICHLAND COUNTY. THE EFFORTS TO DEVELOP THE PLAN AND DO NECESSARY RELATED RESEARCH WAS FUNDED BY THE UNIVERSITY OF WISCONSIN PARTNERSHIP PROGRAM IN 2011, AND IMPLEMENTATION AND MEASUREMENT OF OUTCOMES IS IN PROCESS.RANDOM SAMPLE TELEPHONE SURVEY OF RESIDENTS OF THE MARKET AREA SERVED BY THE RICHLAND HOSPITAL, INC. RANDOMLY SURVEYED 250 HOUSEHOLDS IN ITS MARKET AREA REGARDING HEALTHCARE SERVICES AND NEEDS. PERSONS OF ALL INCOME LEVELS WERE INCLUDED IN THE SURVEY PROCESS. THIS PRODUCED SURVEY RESULTS THAT ARE AT THE 94 PERCENT CONFIDENCE LEVEL WITH A MARGIN OF ERROR OF + SIX PERCENTAGE POINTS.
THE RICHLAND HOSPITAL, INC.	PART V, SECTION B, LINE 5D: THE CHNA WAS ALSO ADVERTISED TO THE PUBLIC WHEN IT WAS COMPLETE AND AVAILABLE AT HOSPITAL-BASED LOCATIONS AS WELL AS THROUGH FACEBOOK AND BREWER PUBLIC LIBRARY IN RICHLAND CENTER.
THE RICHLAND HOSPITAL, INC.	PART V, SECTION B, LINE 6I: THE HOSPITAL ALSO IDENTIFIED OTHER HEALTH NEEDS BY PARTNERING WITH OTHER ORGANIZATIONS TO DEVELOP A SHARED COMMUNITY-WIDE HEALTH NEEDS ASSESMENT IN THE FUTURE.
THE RICHLAND HOSPITAL, INC.	PART V, SECTION B, LINE 14G: THE HOSPITAL ALSO PROVIDED FINANCIAL ASSISTANCE INFORMATION IN BROCHURES LOCATED IN THE CASHIERS OFFICE. BROCHURES CAN ALSO BE FOUND AT BOTH OF THE RURAL HEALTH CLINICS. FURTHER INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY IS ALSO AVAILABLE THROUGH PHONE CONVERSATIONS WITH FINANCIAL COUNSELORS AT THE HOSPITAL. BROCHURES ARE ALSO AVAILABLE AT THE REHAB DEPARTMENT, FREE CLINIC, AND RICHLAND COUNTY RESOURCE AND DISABILITY OFFICE.
THE RICHLAND HOSPITAL, INC.	PART V, SECTION B, LINE 18E: THE HOSPITAL'S BUSINESS OFFICE STAFF ALSO MAKES AN ATTEMPT TO CONTACT EACH PATIENT WITH A BALANCE GREATER THAN $300 AND THE COMMUNITY CARE PROGRAM IS MENTIONED ON THE PHONE CALL.
THE RICHLAND HOSPITAL, INC.	PART V, SECTION B, LINE 20D: THE HOSPITAL FOLLOWS A CALCULATION TO DETERMINE AN AMOUNT GENERALLY BILLED ("AGB") TO CHARGE UNINSURED PATIENTS. THE CALCULATION OF ABG SHALL EQUAL AMOUNTS GENERALLY BILLED TO INDIVIDUALS WITH INSURANCE COVERING THAT CARE. AGB SHALL BE CALCULATED ANNUALLY AND WILL BE BASED ON THE IMMEDIATELY PRECEDING 12-MONTH PERIOD SPANNING DECEMBER THROUGH NOVEMBER. CALCULATIONS INCLUDE PAYMENTS FOR DEDUCTIBLES AND CO-PAYMENTS. THE AGB AS CALCULATED SHALL BE EFFECTIVE ON THE 14TH DAY OF JANUARY OF EACH YEAR AND APPLIED TO ANY APPLICATION DETERMINATIONS MADE ON OR AFTER THAT DATE REGARDLESS OF THE ORIGINAL DATE OF SERVICE OR THE ORIGINAL DATE OF APPLICATION. THE AGB PERCENTAGE IS EQUAL TO THE SUM OF ALL CLAIMS PAYMENTS FOR MEDICALLY NECESSARY CARE FOR HEALTHCARE COVERED BY MEDICARE AND PRIVATE INSURERS DIVIDED BY GROSS CHARGES RELATED TO CLAIMS.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
MUSCODA HEALTH CENTER
1075 NORTH WISCONSIN AVENUE	MUSCODA	WI	53573	RURAL HEALTH CLINIC
SPRING GREEN MEDICAL CENTER
150 EAST JEFFERSON STREET	SPRING GREEN	WI	53588	RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	THE RICHLAND HOSPITAL, INC. PREPARES A COMMUNITY BENEFIT REPORT ANNUALLY AND FILES IT WITH THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THE REPORT IS AVAILABLE TO THE GENERAL PUBLIC ON WHA'S DATABASE AND WEBSITE.
PART I, LINE 7:	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 LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUES. THIS COST TO CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR THE FORM 990.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES AT THE RICHLAND HOSPITAL, INC. INCLUDES THE OPERATION OF THE HOSPITAL EMERGENCY ROOM DEPARTMENT, THE INTENSIVE CARE INPATIENT UNIT, AND THE OPERATION OF TWO RURAL HEALTH CLINICS. THESE SERVICES ARE UNAVAILABLE TO MEMBERS OF THE COMMUNITY OTHER THAN THROUGH THE RICHLAND HOSPITAL, INC. AND ARE PRIMARILY UTILIZED FOR EMERGENCY SERVICES. THE EMERGENCY ROOM DEPARTMENT OPERATES 24 HOURS PER DAY, SEVEN DAYS PER WEEK AND IS STAFFED BY PRIMARILY BOARD CERTIFIED EMERGENCY ROOM PHYSICIANS. THE HOSPITAL ALSO WORKS IN CONJUNCTION WITH A LOCAL CLINIC ORGANIZATION TO PROVIDE A THIRD YEAR RESIDENT PHYSICIAN AN OPPORTUNITY TO PROVIDE SERVICES TO PATIENTS IN THE EMERGENCY MEDICAL SETTING AS PART OF THEIR PHYSICIAN TRAINING EXPERIENCE. AS PART OF THE PATIENT SERVICES PROVIDED TO THE COMMUNITY, THE HOSPITAL HAS DESIGNATED A PORTION OF ITS INPATIENT UNIT AS A CERTIFIED INTENSIVE CARE UNIT KNOWN AS THE "SPECIAL CARE UNIT." THIS UNIT REQUIRES A HIGHER ACUITY OF NURSING AND HAS DEDICATED STAFF TO PROVIDE THIS CARE TO PATIENTS. A SIGNIFICANT PORTION OF THE ADMISSIONS TO THE UNIT COME FROM EMERGENCY ADMISSIONS TO THE HOSPITAL SO IT IS CONSIDERED A SUBSIDIZED HEALTH SERVICE PROVIDED TO THE COMMUNITY BY THE HOSPITAL. THE CLINICS ARE DESIGNATED RURAL HEALTH CLINICS BY THE MEDICARE AND MEDICAID PROGRAMS AND AS SUCH BY DEFINITION ARE LOCATED IN DESIGNATED RURAL OR UNDERSERVED AREAS OF THE COUNTRY BY HEALTHCARE PRACTITIONERS. THESE CLINICS PROVIDE CARE TO A LARGE PORTION OF MEDICARE AND MEDICAID BENEFICIARIES WHO WITHOUT ACCESS TO CARE LOCALLY WOULD BE REQUIRED TO TRAVEL FARTHER DISTANCES FOR QUALITY HEALTHCARE. IT IS THE GOAL OF THE RICHLAND HOSPITAL, INC. TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENT'S ABILITY TO PAY.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE RICHLAND HOSPITAL, INC. ENGAGES IN A VARIETY OF COMMUNITY BUILDING ACTIVITIES THAT WOULD OTHERWISE NOT BE MET OR PROVIDED WITHOUT THE EFFORTS AND SPECIALIZED KNOWLEDGE OF THE LOCAL COMMUNITY HOSPITAL TO THE RESIDENTS OF RICHLAND CENTER, WISCONSIN AND THE SURROUNDING AREAS. SOME OF THE COMMUNITY BUILDING ACTIVITIES THAT THE HOSPITAL PARTICIPATES IN ARE THE LOCAL HEALTH AND WELLNESS FAIRS, SUPPORT GROUPS, PROVIDING EDUCATIONAL MATERIALS TO COMMUNITY MEMBERS, SAFE SITTER CLASSES, AND LOCAL BLOOD PRESSURE SCREENINGS TO NAME A FEW OF THESE ACTIVITIES. IN ADDITION, THE HOSPITAL IS A COMMUNITY PARTNER AND ACTIVE MEMBER OF THE RICHLAND FIT PROGRAM. RICHLAND FIT CONDUCTED A STUDY WHICH CREATED A STRATEGIC AND IMPLEMENTATION PLAN FOCUSING ON THE HIGH OBESITY RATES IN RICHLAND COUNTY. THE EFFORT TO DEVELOP THE PLAN AND DO NECESSARY RELATED RESEARCH WAS FUNDED BY THE UNIVERSITY OF WISCONSIN PARTNERSHIP PROGRAM IN 2011, AND IMPLEMENTATION AND MEASUREMENT OF OUTCOMES IS IN PROCESS. THE HOSPITAL ALSO TAKES AN ACTIVE ROLE IN WELLNESS THROUGH ITS SUPPORT OF LOCAL ATHLETES AND MAINTAINS CONTRACTS WITH AREA SCHOOL SYSTEM TO PROVIDE ATHLETIC TRAINERS FOR COVERAGE AT SCHEDULED SPORTING EVENTS. THIS SPORTS MEDICINE PROGRAM PROVIDES OUTREACH SERVICES TO RICHLAND CENTER, RIVERDALE (MUSCODA), AND ITHACA SCHOOL DISTRICTS AS WELL AS TO THE LOCAL UW-RICHLAND CENTER CAMPUS. SERVICES PROVIDED INCLUDE IN-SCHOOL INJURY PREVENTION / ASSESSMENTS CLINICS, DAILY PRACTICE COVERAGE (FREQUENCY VARIES WITH EACH SCHOOL), "HOME" EVENT COVERAGE AS REQUESTED BY SCHOOLS, AND EMERGENCY ACTION PLAN DEVELOPMENT FOR EACH SCHOOL. THE PROGRAM PROVIDES SKINFOLD TESTING FOR THE WRESTLING PROGRAMS IN ACCORDANCE WITH WIAA MANDATES AND IMPACT CONCUSSION SCREENING SERVICES TO ESTABLISH A BASELINE FOR ATHLETES. FINALLY, THE PROGRAM PROVIDES EDUCATION FOR LOCAL EMS SQUADS ON THE APPROPRIATE TRANSPORT OF INJURED ATHLETES. THE RICHLAND HOSPITAL, INC.'S SPORTS MEDICINE PROGRAM IS OPERATED AT A LOSS EACH YEAR, AN INVESTMENT IN THE COMMUNITY THAT WAS IN EXCESS OF $100,000 IN 2013. THE PROGRAM HAS DIRECT TIES TO ONE OF THE PRIORITIES IDENTIFIED BOTH BY THE RICHLAND FIT NEEDS ASSESSMENT BUT ALSO BY THE HOSPITAL'S 2013 CHNA, THE HIGH OBESITY RATE FOR YOUTH AND YOUNG ADULTS IN RICHLAND COUNTY.COMMUNITY BUILDING ACTIVITIES WERE DETERMINED BY MEMBERS OF THE COMMUNITY OR ASKED BY COMMUNITY REPRESENTATIVES OF THE RICHLAND HOSPITAL, INC. TO PROVIDE THESE SERVICES SINCE THE HOSPITAL HAS THE EXPERTISE IN THESE AREAS. THE HOSPITAL ALSO PARTICIPATES IN HEALTH EDUCATION AWARENESS AND CAREER BUILDING ACTIVITIES SUCH AS CLINICAL TRAINING EXPERIENCE, SPEAKERS AT LOCAL SCHOOLS, AND CAREER FAIRS. THE HOSPITAL RECOGNIZES THAT IT IS IMPORTANT TO EDUCATE LOCAL COMMUNITY MEMBERS ON THESE CAREERS AS A CAREER BUILDING INITIATIVE SO THAT LOCAL PRIMARY CARE AND ACCESS TO CARE WILL BE CONTINUED IN THE FUTURE WITH WELL-TRAINED AND EDUCATED COMMUNITY MEMBERS IN HEALTHCARE RELATED FIELDS.
PART III, LINE 4:	MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY REPONSIBLE FOR, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS 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 RECEIVABLE. MANY TIMES PATIENTS ARE UNABLE TO COMPLETE THE REQUIRED CHARITY CARE APPLICATION AND ARE TRANSFERRED TO COLLECTION SERVICES EVEN THOUGH THE ORGANIZATION PROVIDES THIS INFORMATION TO ALL PATIENTS AND ASSISTANCE WITH THE APPLICATIONS. DUE TO NO RESPONSES FROM SOME PATIENTS, A SIGNIFICANT AMOUNT OF BAD DEBTS COULD BE CONSIDERED AS CHARITY CARE.THE 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 LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUES. THIS COST TO CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT ARE WRITTEN OFF DURING THE FISCAL YEAR TO ESTIMATE THE COST OF THE CARE OF PATIENTS THAT HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE HOSPITAL.
PART III, LINE 8:	THE RICHLAND HOSPITAL, INC. IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL AND AS SUCH, A PORTION OF ITS REVENUES ARE PAID UNDER A COST REIMBURSEMENT SYSTEM. THE TOTAL MEDICARE REVENUE SHOWN BASED ON THE IRS 990 INSTRUCTIONS INCLUDES ONLY A PORTION OF THE TOTAL MEDICARE REVENUE OF THE HOSPITAL. THE AMOUNTS LISTED FOR MEDICARE DO NOT INCLUDE PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT, RADIOLOGIST SERVICES, AND SURGICAL ANESTHESIA SERVICES AT THE RICHLAND HOSPITAL, INC. PHYSICIAN COVERAGE IS REIMBURSED PRIMARILY ON FEE SCHEDULE REIMBURSEMENT AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT THE RICHLAND HOSPITAL, INC. PROVIDES TO THE COMMUNITY AND SURROUNDING AREA OF RICHLAND COUNTY, WISCONSIN. THE COSTING METHOD USED ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON AN OVERALL AVERAGE COST TO CHARGE RATIO AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE) DIVIDED BY TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT EXPENSE. THIS RATIO IS THEN MULTIPLIED BY THE TOTAL MEDICARE SERVICES WHICH ARE REIMBURSED ON A COST METHODOLOGY EXCLUDING THE FEE SCHEDULE ITEMS LIKE PHYSICIAN SERVICES AND THE HOSPITAL WOULD SHOW A LARGE LOSS ON THESE SERVICES.WHETHER THERE IS A SHORTFALL OR SURPLUS FROM SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, 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.
PART VI, LINE 2:	IN ADDITION TO THE COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT DESCRIBED IN SCHEDULE H, PART V, SECTION B, THE RICHLAND HOSPITAL, INC. ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES BY LOOKING AT LOCAL AND SURROUNDING COMMUNITY DEMOGRAPHICS TO DETERMINE THE SERVICES THAT ARE MOST NECESSARY IN ORDER TO FULFILL ITS MISSION. THE FACILITY ACTIVELY SEEKS INPUT FROM MEMBERS OF THE MEDICAL STAFF REGARDING EXISTING SERVICES, POTENTIAL NEED FOR EXPANDED SERVICES, AND THE POTENTIAL NEED FOR NEW SERVICE LINES NOT OFFERED LOCALLY. THE FACILITY ALSO REVIEWS HOSPITAL STATISTICS OF PATIENT VISITS TO DETERMINE WHAT TYPES OF SERVICES OFFERED BY THE FACILITY ARE BEING UTILIZED. THE HOSPITAL HAS CONTINUED TO USE FOCUS GROUPS FOR SPECIFIC SERVICE LINE ENHANCEMENT, MEETING DIRECTLY WITH TARGETED MEMBERS OF THE MARKET TO UNDERSTAND THEIR HEALTHCARE SERVICE DELIVERY NEEDS AND EXPECTATIONS TIED TO SPECIFIC AREAS OF CARE. IN PLANNING TO MEET COMMUNITY NEEDS, THE AGING OF THE POPULATION IS SIGNIFICANT BECAUSE PERSONS IN THE AGE CATEGORIES THAT ARE GROWING FACE MORE CHALLENGES RELATED TO HEALTHCARE THAN YOUNGER POPULATIONS. IN THE OLDER POPULATION GROUPS, PERSONS VISIT PRIMARY CARE PHYSICIANS MORE FREQUENTLY, HAVE HIGHER INCIDENT RATES OF HEART DISEASE, CANCER, AND RELATED ILLNESSES. THE ONSET OF CHRONIC DISEASES ARE HIGHER IN THIS AGE CATEGORY, E.G., ONSET OF DIABETES, COPD, OR HEART PROBLEMS, AND MUST BE MANAGED WITH ASSISTANCE FROM THE HEALTHCARE PROVIDERS FOR THE REMAINDER OF THE PERSON'S LIFE. IMPORTANT TO NOTE IS THAT AS A PERSON AGES, TRAVEL BECOMES MORE CHALLENGING, SO THE ABILITY TO GET AS MUCH OF THEIR HEALTHCARE NEEDS MET LOCALLY GROWS IN IMPORTANCE. HAVING VISITING SPECIALISTS, FOR EXAMPLE, ELIMINATES THE NEED FOR A TRIP TO A MAJOR MEDICAL CENTER FOR MANY. IN ADDITION, IT ENSURES THAT PERSONS GET THE CARE THAT THEY NEED.AN EXAMPLE OF A SOMEWHAT RECENT SERVICE ADDITION CAME IN 2011 WHEN THE HOSPITAL ADDED A LOCALLY MANAGED SLEEP STUDY SERVICE WHICH HAS BEEN WELL RECEIVED BY PATIENTS AND PHYSICIANS ALIKE. THE HOSPITAL CONTINUES TO MORE FULLY DEVELOP THE ELECTRONIC HEALTH RECORD SYSTEM WITH ONE OF THE MAIN GOALS BEING IMPROVED ACCESS TO STRONG CLINICAL DOCUMENTATION INCLUDING PATIENT MEDICAL HISTORIES AS A MEANS TO SUPPORT A MORE EFFICIENT AND EFFECTIVE PATIENT EXPERIENCE. IN TURN, THE ELECTRONIC HEALTH RECORD SYSTEM PROVIDES FOR A MORE COMPLETE MEDICAL HISTORY SHOULD THAT PATIENT REQUIRE TREATMENT AT OTHER HEALTHCARE FACILITIES. IN RESPONSE TO INCREASED PATIENT DEMANDS FOR ACCESS TO PRIMARY AMBULATORY CLINIC CARE, THE HOSPITAL COMPLETED CONSTRUCTION OF A REPLACEMENT CLINIC FACILITY IN MUSCODA, WISCONSIN, IN 2012 AS A MEANS TO BETTER SERVE THE NEEDS OF THE PATIENTS IN MUSCODA AND THE SURROUNDING RURAL COMMUNITIES.
PART VI, LINE 3:	CONSISTENT WITH THE MISSION OF THE RICHLAND HOSPITAL, INC., HEALTH-RELATED SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL IS COMMITTED TO PROVIDING FREE OR DISCOUNTED CARE TO QUALIFIED INDIVIDUALS THAT ARE IN NEED OF MEDICALLY NECESSARY TREATMENT EVEN IF THAT PERSON IS UNINSURED, UNDERINSURED, HIE QUALIFIED, INELIGIBLE FOR OTHER GOVERNMENT PROGRAMS, OR UNABLE TO PAY BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. WHEN A PATIENT'S ADJUSTED GROSS INCOME IS LESS THAN 150 PERCENT OF THE FEDERAL POVERTY LEVEL, THEY ARE PROVIDED CARE WITHOUT CHARGE. WHEN AN UNINSURED OR HEALTH INSURANCE EXCHANGE ELIGIBLE PATIENT'S ADJUSTED GROSS INCOME IS 151% TO 300% OF THE FEDERAL POVERTY LEVEL, THEY ARE PROVIDED CARE AT THE AMOUNT GENERALLY BILLED RATE. UNDERINSURED PATIENTS AT 150% TO 300% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR A DISCOUNT BASED ON A SLIDING SCALE. TO BE ELIGIBLE UNDER THIS PROGRAM, PATIENTS MUST COOPERATE WITH THE HOSPITAL TO EXPLORE ALTERNATIVE MEANS OF ASSISTANCE AND IF NECESSARY, INCLUDING APPLICATION OR ACTIONS NEEDED TO SECURE COVERAGE BY MEDICARE, MEDICAID, AND THE MARKETPLACE. PATIENTS WILL BE REQUIRED TO PROVIDE NECESSARY INFORMATION AND DOCUMENTATION WHEN APPLYING FOR A PROGRAM DISCOUNT, OR FOR OTHER PRIVATE OR PUBLIC PAYMENT PROGRAMS. THE FACILITY'S FINANCIAL COUNSELOR IS AVAILABLE TO ASSIST PATIENTS WITH THE APPLICATION PROCESS. APPLICATIONS AND ALL SUPPORTING DOCUMENTATION IS REVIEWED BY THE FACILITY'S FINANCIAL COUNSELOR FOR ELIGIBILITY AND APPROVED BY THE PATIENT ACCOUNTING SUPERVISOR. FREE RADIOLOGY, LABORATORY, AND OTHER DIAGNOSTIC ANCILLARY SERVICES ARE ALSO PROVIDED TO PATIENTS WHO ARE REFERRED TO THE HOSPITAL BY THE RICHLAND CENTER FREE CLINIC. THE HOSPITAL ALSO OFFERS AN AUTOMATIC 10% DISCOUNT ON ALL PRIVATE PAY ACCOUNTS. A PROMPT PAY DISCOUNT OF AN ADDITIONAL 5% IS ALSO AVAILABLE. THE RICHLAND HOSPITAL, INC. COMMUNICATES THE AVAILABILITY AND TERMS OF THE PROGRAM TO ALL PATIENTS, THROUGH MEANS WHICH INCLUDE, BUT ARE NOT LIMITED TO:-POSTED SIGNS WITHIN WAITING ROOMS, EMERGENCY ROOMS, AND FINANCIAL SERVICES DEPARTMENTS-COMMUNITY CARE PROGRAM APPLICATION OFFERED TO INDIVIDUAL PRIOR TO DISCHARGE-PERIODIC NOTIFICATIONS WITH PATIENT BILLS OR STATEMENTS AND OTHER ORAL AND WRITTEN CORRESPONDENCE INCLUDING "PLAIN LANGUAGE SUMMARY" OF THE PROGRAM-POSTED POLICIES ON THE HOSPITAL'S WEBSITE-BROCHURES WRITTEN IN PLAIN LANGUAGE ARE AVAILABLE FOR PATIENTS TO TAKE WITH THEM OR TO BE GIVEN TO PATIENTS BY HOSPITAL TEAM MEMBERS AND WILL BE MADE AVAILABLE FOR USE BY THE LOCAL AGING AND DISABILITY RESOURCE CENTER PERSONNEL AND AT THE RICHLAND COMMUNITY FREE CLINIC-DESIGNATED STAFF KNOWLEDGEABLE ON THE PROGRAM WILL BE AVAILABLE AT DEFINED HOURS TO ANSWER PATIENT QUESTIONS AND/OR MAY REFER PATIENTS TO THE PROGRAMREGISTRATION CLERKS AT THE HOSPITAL, AND AT THE TWO HOSPITAL-OWNED CLINICS, ARE TRAINED TO INQUIRE WITH SELF-PAY PATIENTS UPON REGISTRATION IF THEY WOULD LIKE FURTHER INFORMATION ON THESE POLICIES OR WOULD LIKE TO MEET WITH A MEMBER OF THE BUSINESS OFFICE STAFF. DURING THE COLLECTION PROCESS, THE RICHLAND HOSPITAL, INC. MAKES AN EFFORT TO PROVIDE INFORMATION AND INCLUDES CHARITY CARE PROGRAM MATERIALS WITH EACH STATEMENT THAT IS SENT. SOCIAL SERVICES AND BUSINESS OFFICE STAFF AT THE HOSPITAL ARE ALSO AVAILABLE TO PROVIDE INFORMATION TO PATIENTS ON OTHER GOVERNMENT PROGRAMS SUCH AS THE MEDICAID PROGRAM OR TO REFER PATIENTS TO PERSONNEL AT RICHLAND COUNTY OR OTHER STATE OF WISCONSIN OR COUNTY AGENCIES THAT MAY PROVIDE ACCESS TO CARE.
PART VI, LINE 4:	THE RICHLAND HOSPITAL, INC. IS LOCATED IN RICHLAND CENTER, WISCONSIN, WHICH IS A COMMUNITY OF APPROXIMATELY 5,000 PEOPLE AND IS LOCATED 50 MINUTES FROM MADISON, WISCONSIN. THE HOSPITAL OPERATES A 25-BED, ACUTE CARE CRITICAL ACCESS HOSPITAL AND TWO RURAL HEALTH CLINICS LOCATED IN NEIGHBORING COMMUNITIES. THE RICHLAND HOSPITAL, INC. OFFERS A WIDE VARIETY OF SERVICES IN ORDER TO FULFILL MANY OF THE NEEDS OF THE INDIVIDUALS IN THE LOCAL COMMUNITY. AMONG SERVICES PROVIDED ARE: DIAGNOSTIC CARE, 24-HOUR EMERGENCY ROOM, OBSTETRICS, REHABILITATION, SURGICAL CARE, AND DIABETES SELF-CARE PROGRAMS, ALONG WITH OTHER SPECIALTY SERVICES, WHICH INCLUDE: AUDIOLOGY, CARDIOLOGY, ORTHOPEDICS, CHEMOTHERAPY, CLINICAL SERVICES, AMONG OTHERS. CARE IS OFFERED TO PATIENTS REGARDLESS OF PAY SOURCE AND REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE COMMUNITIES SERVED BY THE RICHLAND HOSPITAL ARE DEFINED BY THE FOLLOWING ZIP CODES: 53506 AVOCA53556 LONE ROCK53518 BLUE RIVER53573 MUSCODA53581 RICHLAND CENTER53588 SPRING GREENTHEY ARE GEOGRAPHICALLY CONTIGUOUS COMMUNITIES. ACCORDING TO DATA PUBLISHED BY INTELLIMED, THE RICHLAND HOSPITAL, INC. HAD AN OVERALL INPATIENT MARKET SHARE OF 51.7 PERCENT AND OUTPATIENT MARKET SHARE OF 40.8 PERCENT IN THESE ZIP CODES. NO OTHER HEALTHCARE PROVIDER PROVIDING THE SAME SERVICES HAD A MARKET SHARE AS HIGH AS OR HIGHER THAN THE RICHLAND HOSPITAL, INC. (INTELLIMED COMBINES STATEWIDE HEALTHCARE DATA FROM WISCONSIN HOSPITAL ASSOCIATION IN A WEB-BASED SUPPORT ENGINE THAT ALLOWS US TO ANALYZE OUR MARKET.)SOCIO-DEMOGRAPHIC PROFILE OF THE MARKET AREA SERVED BYTHE RICHLAND HOSPITAL, INC. SERVES PERSONS WHO ARE REPRESENTATIVE OF THE POPULATION OF THE MARKET AREA. A HIGHER PERCENTAGE OF THE POPULATION SERVED IS ELDERLY; THIS IS DUE TO THE FACT THAT PERSONS 65 YEARS OF AGE AND OLDER ARE HOSPITALIZED AT NEARLY THREE TIMES THE OVERALL RATE. SOMETHINGS TO NOTE RELATED TO PLANNING FOR MEETING COMMUNITY HEALTH NEEDS INCLUDES THE FOLLOWING:THE OVERALL POPULATION OF THE MARKET AREA IS PROJECTED TO REMAIN VERY STABLE, WITH NEGLIGIBLE GROWTH OR DECLINE PROJECTED OVER THE NEXT FIVE YEARS.THE RESIDENTS OF THE MARKET AREA ARE AGING SIGNIFICANTLY. THERE IS A PROJECTED 6.3 PERCENT GROWTH IN THE POPULATION AGED 45 TO 64 AND A PROJECTED 5.1 PERCENT GROWTH IN THE POPULATION AGED 65 YEARS OF AGE AND OLDER. THERE IS A CORRESPONDING 11.5 PERCENT PROJECTED DECLINE IN THE 25 TO 44 YEAR OLD POPULATION. PERSONS IN THE 0 TO 14 AGE GROUP ARE ALSO PROJECTED TO DECREASE BY 0.7 PERCENT.DURING 2013, MEDICARE AND MEDICARE ADVANTAGE PLAN BENEFICIARIES ACCOUNTED FOR APPROXIMATELY 47 PERCENT OF ALL GROSS PATIENT SERVICE REVENUE AT THE RICHLAND HOSPITAL, INC. AND MEDICAID BENEFICIARIES ACCOUNTED FOR APPROXIMATELY 13 PERCENT OF ALL GROSS PATIENT SERVICE REVENUE. MEDICARE AND MEDICAID BENEFICIARIES MAKE UP THE LARGEST PORTION OF PATIENTS THAT ARE SERVED BY THE RICHLAND HOSPITAL, INC. OVER THE PREVIOUS FEW YEARS.
PART VI, LINE 5:	THE RICHLAND HOSPITAL, INC. IS ACCREDITED THROUGH THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. THE JOINT COMMISSION IS AN ORGANIZATION THAT EVALUATES HOSPITAL PERFORMANCE STANDARDS, FOCUSING ON THE QUALITY OF HEALTHCARE. ACCREDITATION THROUGH THE JOINT COMMISSION IS RECOGNIZED NATIONWIDE AS A SYMBOL OF QUALITY, AS IT REQUIRES RIGOROUS PERFORMANCE STANDARDS. TO EARN AND MAINTAIN ACCREDITATION, THE HOSPITAL IS EVALUATED THROUGH AN UNANNOUNCED SURVEY PROCESS COVERING NEARLY 600 STANDARDS RELATED TO QUALITY PATIENT CARE, SAFETY, INFECTION CONTROL, AND ONGOING PERFORMANCE-IMPROVEMENT ACTIVITIES, AMONG OTHERS. ALL HOSPITALS SURVEYED BY THE JOINT COMMISSION ARE EVALUATED AGAINST THE SAME CRITERIA, REGARDLESS OF SIZE OR LOCATION.THE ACTIVITIES OF THE RICHLAND HOSPITAL, INC. ARE SUPPORTED LOCALLY BY A VOLUNTEER BOARD OF DIRECTORS WHICH OVERSEE THE OPERATIONS OF THE HOSPITAL. THE BOARD OF DIRECTORS IS MADE UP OF COMMUNITY MEMBERS WHICH RESIDE IN RICHLAND CENTER, WI AND THE SURROUNDING AREA WHICH IS THE HOSPITAL'S PRIMARY PATIENT SERVICE AREA. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO A MAJORITY OF ALL QUALIFIED PHYSICIANS IN THE COMMUNITY AND SURROUNDING AREAS WHO WISH TO BETTER SERVE THEIR PATIENTS BY PROVIDING CARE AT THE RICHLAND HOSPITAL, INC. ANY SURPLUSES IN OPERATIONS THAT ARE ACHIEVED BY THE ORGANIZATION OPERATING IN AN EFFECTIVE MANNER AND CONTROLLING THE COST OF HEALTHCARE ARE PRIMARILY RESERVED FOR FUTURE BUILDING AND CAPITAL PURCHASE NEEDS. THE RICHLAND HOSPITAL, INC. RECOGNIZES THAT IT IS IMPORTANT TO SAVE THESE RESERVES DURING YEARS OF SURPLUS SO THAT IN TIMES OF ECONOMIC DOWNTURN, IF A LARGE CAPITAL ADDITION IS NEEDED, THE HOSPITAL WILL NOT HAVE TO PASS HIGHER COSTS ON TO MEMBERS OF THE COMMUNITY. THE HOSPITAL FURTHER ACHIEVES ITS GOAL OF PROVIDING TRUE COMMUNITY SUPPORT BY PROVIDING CHARITY CARE AS DESCRIBED THROUGHOUT SCHEDULE H AND PROVIDING SERVICES TO MEMBERS OF OTHER PROGRAMS WHICH OFTEN REIMBURSE THE HOSPITAL BELOW THE COST OF PROVIDING THIS CARE SUCH AS CHAMPUS, TRICARE, AND THE WISCONSIN HEALTH INSURANCE RISK SHARING PROGRAM OR "HIRSP" (THE HIRSP PROGRAM REIMBURSES THE HOSPITAL AT RATES SIMILAR TO THE MEDICAID PROGRAM AND IS FOR PATIENTS THAT HAVE PRE-EXISTING ILLNESSES WHICH MAKE IT DIFFICULT TO OBTAIN INSURANCE FROM COMMERCIAL INSURANCE CARRIERS IN THE MARKETPLACE).
PART VI, LINE 7, REPORTS FILED WITH STATES	WI

Schedule I IRS990ScheduleI

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS FOR HEALTHCARE EDUCATION	GrantTypeTxt
Recipient	31	RecipientCnt
Cash Grant	$20,375	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE RICHLAND HOSPITAL, INC. FOLLOWS A STANDARD PROCEDURE ON ISSUANCE OF SCHOLARSHIP FUNDS WHICH IS DETERMINATED BY THE BOARD OF DIRECTORS AND MANAGEMENT OF THE RICHLAND HOSPITAL, INC. THE RICHLAND HOSPITAL FOUNDATION, INC. AND THE PARTNERS OF THE RICHLAND HOSPITAL, INC. THESE THREE SEPARATE ORGANIZATIONS HAVE ESTABLISHED CRITERIA FOR REVIEW OF APPLICATIONS FOR PROSPECTIVE SCHOLARSHIP RECIPIENTS TO ENSURE THAT SCHOLARSHIPS ARE BEING GRANTED FOR HEALTH EDUCATION RELATED PURPOSES AND TO A QUALIFIED STUDENT STUDYING AT AN ACCREDITED TECHNICAL COLLEGE, COLLEGE, OR UNIVERSITY. (A LARGE PORTION OF THE FUNDING FOR SCHOLARSHIPS IS ALSO GOVERNED BY DONOR AGREEMENTS AS NOTED IN SCHEDULE D TO THE FORM 990 RELATED TO ENDOWMENT FUNDS.)	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	0	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	0	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
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	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 (6 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
MICHAEL DELFS
CEO	$200,574	$0	$0	$0	$1,144	$0	$4,648	$0	$25,672	$0	$232,038	$0	$0	$0
JEREL BERRES MD
ER DIRECTOR	$280,047	$0	$0	$0	$10,201	$0	$10,200	$0	$28,504	$0	$328,952	$0	$0	$0
E RACHEL SHANNON-GOODRICH CRNA
ANESTHETIST	$203,016	$0	$0	$0	$94,772	$0	$10,200	$0	$31,765	$0	$339,753	$0	$0	$0
MUHAMMAD S KHAN MD
ER PHYSICIAN	$289,044	$0	$0	$0	$833	$0	$10,200	$0	$25,013	$0	$325,090	$0	$0	$0
BRYAN MCCARVEL
ANESTHESIA DIRECTOR	$225,698	$0	$0	$0	$85,338	$0	$10,200	$0	$27,389	$0	$348,625	$0	$0	$0
ALEX PASQUARIELLO MD
ER PHYSICIAN	$260,411	$0	$0	$0	$2,084	$0	$10,200	$0	$14,780	$0	$287,475	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	HEALTH CLUB DUES GROSS UPS, WHEN APPLICABLE, WERE ADDED TO THE INDIVIDUAL'S COMPENSATION AT FAIR MARKET VALUE.
PART I, LINE 4B	JEREL BERRES, 457 PLAN CONTRIBUTION BY THE HOSPITAL: $6,875

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4	DURING 2013, THE BOARD OF DIRECTORS OF THE RICHLAND HOSPITAL, INC. APPROVED AN AMENDED VERSION OF THE HOSPITAL'S BYLAWS. THERE WERE SEVERAL UPDATES TO THE BYLAWS WHICH WERE PRIMARILY TO UPDATE THE LANGUAGE TO CURRENT PRACTICES OF THE HOSPITAL. THE MOST SIGNFICANT CHANGES TO THE BYLAWS WHICH IMPACT THE OPERATIONS OF THE HOSPITAL WERE THAT MEMBERS OF THE BOARD OF DIRECTORS CAN SERVE BEYOND A MAXIMUM OF A 3 YEAR TERM, 3 CONSECTIVE TIMES, ONLY IF THEY HAVE ONE YEAR ABSENT FROM THE BOARD OF DIRECTORS FOLLOWING THE NINE YEARS OF SERVING AND THAT MEMBERS OF THE BOARD OF DIRECTORS WILL NOT BE COMPENSATED FOR SERVING ON THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11	A COPY OF FORM 990 WAS EMAILED OR MAILED TO ALL MEMBERS OF THE HOSPITAL'S BOARD OF DIRECTORS BEFORE IT WAS FILED. ALL BOARD MEMBERS WERE GIVEN THE OPPORTUNITY TO RESPOND WITH COMMENTS PRIOR TO THE FINAL SUBMISSION OF THE FORM 990 TO THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	THE RICHLAND HOSPITAL, INC. REQUIRES ALL OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST-COMPENSATED EMPLOYEES, AND HIGHEST-COMPENSATED PROFESSIONAL OR INDEPENDENT CONTRACTORS TO COMPLETE ITS ANNUAL DISCLOSURE STATEMENT. THESE QUESTIONNAIRES ARE THEN REVIEWED BY THE BOARD OF DIRECTORS, NOTING ANY RELATIONSHIPS THAT COULD POTENTIALLY CREATE A CONFLICT OF INTEREST. ANY INDIVIDUALS WITH NOTED CONFLICTS ARE ASKED TO ABSTAIN FROM VOTING OR ACTING ON THOSE MATTERS.
FORM 990, PART VI, SECTION B, LINE 15A	THE BOARD OF DIRECTORS HAS AN ESTABLISHED PROCESS TO ANNUALLY REVIEW THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AND TO DEFINE APPROPRIATE MARKET AND PERFORMANCE BASED ADJUSTMENTS. COMPARATIVE DATA IS OBTAINED FROM EITHER THE WISCONSIN HOSPITAL ASSOCIATION EXECUTIVE COMPENSATION SURVEY OR OTHER REPUTABLE THIRD-PARTY HEALTHCARE DATA SOURCES TO USE IN THE ESTABLISHMENT OF A MARKET FOR THIS KEY POSITION. THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS FULFILLS THIS ROLE. THE BOARD OF DIRECTORS HAS DELEGATED THE AUTHORITY AND RESPONSIBILITY FOR THE ONGOING MAINTENANCE OF THE OVERALL ORGANIZATIONAL COMPENSATION MODEL TO THE CHIEF EXECUTIVE OFFICER. COMPARIATIVE MARKET DATA IS OBTAINED VIA THE RURAL WISCONSIN HEALTH COOPERATIVE AND THE WISCONSIN SOCIETY OF HOSPITAL HUMAN RESOURCE ADMINISTRATORS VIA INDEPENDENT SALARY SURVEYS THAT PROVIDE BENCHMARK INFORMATION FOR HEALTHCARE JOB CLASSES. THIS DATA IS USED TO ESTABLISH SALARY RANGES FOR ALL JOB CLASSES WITHIN THE ORGANIZATION. THE BOARD OF DIRECTORS ANNUALLY AUTHORIZES THE OVERALL INCREASE TO THE SALARY BUDGET FOR THE ORGANIZATION WITH THE CEO MAINTAINING DELEGATED AUTHORITY FOR IMPLEMENTATION WITHIN THE ORGANIZATIONAL COMPENSATION MODEL. DURING THE REVIEW PROCESS, DECISIONS AFFECTING COMPENSATION AND CONTRACTS ARE ONLY REVIEWED AND APPROVED BY INDIVIDUALS WHO DO NOT HAVE NOTED CONFLICTS.
FORM 990, PART VI, SECTION C, LINE 19	THE RICHLAND HOSPITAL, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT ITS HOSPITAL BUSINESS LOCATION DURING NORMAL BUSINESS HOURS.
FORM 990, PART XI, LINE 9:	NET CHANGE IN UNRESTRICTED NET ASSETS OF SUPPORTING ORGANIZATIONS: 214,627. NET CHANGE IN TEMPORARILY RESTRICTED NET ASSETS OF FOUNDATION: -16,113. DISTRIBUTIONS FROM SCHOLARSHIP FUNDS INCLUDED IN CHANGE IN NET ASSETS: CONTRIBUTIONS FROM RELATED ORGANIZATIONS: -531,831.
FORM 990, PART XII, LINE 2C: SELECTION OF INDEPENDENT ACCOUNTANT	THE FINANCE COMMITTEE OF THE RICHLAND HOSPITAL, INC., WHICH IS A SUB-COMMITTEE TO THE HOSPITAL'S BOARD OF DIRECTORS, REVIEWS THE ANNUAL AUDIT PROCESS WITH THE INDEPENDENT ACCOUNTANTS. BOARD MEMBERS ARE ALSO GIVEN THE NAMES AND CONTACT INFORMATION OF THE INDEPENDENT ACCOUNTANTS AT THE ANNUAL FINANCE COMMITTEE'S REVIEW MEETING OF THE AUDITED FINANCIAL STATEMENTS SO THAT THEY MAY INQUIRE, IF NEEDED, WITH THE ACCOUNTANTS THROUGHOUT THE YEAR. A BOARD MEMBER IS ALSO SELECTED ANNUALLY FOR REVIEW AND INQUIRY BY THE INDEPENDENT ACCOUNTANTS FOR SEPARATE AND PRIVATE INTERVIEW AS A PART OF THE AUDIT PROCESS. THESE FUNCTIONS ALLOW A GREATER AMOUNT OF OVERSIGHT BY THE BOARD INTO THE ANNUAL AUDIT PROCESS. THERE HAS BEEN NO CHANGE TO THESE PROCEDURES DURING THE PAST YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
THE RICHLAND HOSPITAL FOUNDATION INC
333 EAST SECOND STREET	RICHLAND CENTER	WI	53581	391567249	FOUNDATION	WI	501(C)(3)	LINE 9	N/A	0
PARTNERS OF RICHLAND HOSPITAL INC
333 EAST SECOND STREET	RICHLAND CENTER	WI	53581	391693458	AUXILIARY	WI	501(C)(3)	LINE 9	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	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
THE RICHLAND HOSPITAL FOUNDATION INC
C	$531,831	COST
PARTNERS OF RICHLAND HOSPITAL INC
Q	$62,522	COST