2011-08-10T14:44:49-05:00 2010-09-30 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2009-10-01 390848401 Community Memorial Hospital Inc COMM 9208463444 855 S Main Street Oconto Falls WI 54154 LISA KRAUSE 9208463444 2011-08-08 1 TERRI REXRODE 9206620016 2011-08-08 2009 2016-02-24 21:20:13Z LISA KRAUSE 855 SOUTH MAIN STREET OCONTO FALLS WI 54154 38152057 0 X www.cmhospital.org X 1929 WI Community Memorial Hospital, Inc. operates an acute care hospital providing comprehensive inpatient medical and surgical services as well as emergency, primary care physician, and outpatient services. The Hospital has been designated as a critical access hospital under Medicare and Medicaid regulations. This designation, which enables the Hospital to receive reimbursement under cost-based methods, limits the number of staffed beds the Hospital may operate to 25. 7 6 409 0 2008150 -233339 162444 410963 35064131 37415355 254773 153678 -20580 -70130 35460768 37909866 36959 0 0 18590849 19697091 0 0 17972842 17734851 36600650 37431942 -1139882 477924 25603271 25952413 12427529 12475958 13175742 13476455 TO PROVIDE HIGH QUALITY HEALTHCARE, CLOSE TO HOME. 0 0 29017950 35407205 Community Memorial Hospital is an independent healthcare system serving greater Oconto County with a full-service hospital and six CMH primary care clinics located throughout Oconto County. The federally designated critical access hospital with 25 beds and an additional 3 nursery beds has a 24-hour, physician-staffed Emergency Department, Urgent Care, retail pharmacy, intensive care, inpatient and outpatient surgical and diagnostic services, rehabilitation, oncology outpatient clinic, obstetrics, the CMH Center for Women's Care, and the CMH Center for Orthopedic Care. CMH Primary Care Clinics are located in Lena, Oconto Falls, Oconto, Gillett, Suring, and Mountain. Community Memorial Hospital is a non-profit organization dedicated to our mission to provide high quality health care close to home. Community Memorial Hospital extends this mission into our values of Quality, Care, Community, Trust, and Respect and promotes the health of the community by providing a variety of healthcare services. During the fiscal year ending September 30, 2010, the hospital had 1,135 discharges; 110 live births; 5,325 visits to the Emergency Room; 1,793 surgical cases (including ambulatory); 5,339 visits to our urgent care clinic, and 40,382 visits to our hospital-based clinics.Community Memorial Hospital provides healthcare services to all members of the community without regard to their age, race, sex, or ability to pay for services. During fiscal year 2010, Community Memorial Hospital provided $1,682,997 in charity care, $460,196 in patient discounts for government programs outside of Title 18 & Title 19, and $2,292,473 in bad debt write offs of patient accounts as bad debt due to the patients inability to pay for services they received.In addition to its hospital and clinic services, Community Memorial Hospital provides the community many opportunities to receive free and low-cost health screenings and services. For each of these offerings, Community Memorial Hospital provided planning, publicity, staff, equipment, supplies, and facilities.Community Memorial Hospital hosts community health information seminars on various topics that are free and open to the public. Community Memorial Hospital assumes the entire costs for the speaker to present the seminar, publicity, supplies, and the meals. Four CMH Senior Specials dinner seminars were held in 2010.Community Memorial Hospital is pleased to partner, participate and collaborate with many community partners for various initiatives and events. Community Memorial Hospital planned and sponsored the 3th Annual Hot Cake Hustle 5K and 10K Run/Walk September, 2010, a community health initiative. We also presented the second annual Oconto County Safety Fair May 16, 2010 in cooperation with the Oconto County Health Department, Oconto Falls Fire and Police Departments and the Oconto Falls Ambulance Service. CMH offered four free workshops for cancer patients in 2010 through the American Cancer Society Look Good Feel Better program. CMH hosts American Red Cross blood drives multiple times each year. Community Memorial Hospital is an active member in the Oconto Falls Chamber of Commerce and actively participates in their OFAC golf committee and the Executive Committee. For each of these initiatives, Community Memorial Hospital provided planning, publicity, staff, equipment, supplies, and facilities.In the community, partner organizations seek the direction and leadership of Community Memorial Hospital and the CMH Primary Care Clinics to lead several projects to provide free health information and services, and promote a healthier lifestyle. In 2010, CMH led a county-wide EMS project to measure the impact of misuse of EMS services through a planning grant from the Wisconsin Office of Rural Health. In collaboration with the city of Oconto Falls Police Department and the U.S. DEA, Community Memorial Hospital hosted a medication drop-off event September 25, 2010. Community Memorial Hospital provided publicity, planning, staff, supplies, and facilities for the event. CMH is proud of its values to always strive to strengthen our community partnerships to promote health and wellness. CMH supports and participates in area school-related activities. In addition to providing comprehensive sports physical clinics in which the fees are donated back to the schools of the participating students, CMH participated in area school health fairs, career fairs, and early childhood screenings. School field trip tours are routinely hosted at the hospital. This is a summation of services provided by Community Memorial Hospital in the fiscal year 2010. 29017950 1 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 1 1 0 0 1 50 0 409 1 1 1 0 0 0 0 0 0 0 0 7 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 WI X LISA KRAUSE 9208463440 855 SOUTH MAIN STREET OCONTO FALLS WI 54154 HOWARD ESLIEN JR 1.00 X X 0 0 0 DANIEL BOETTCHER 1.00 X X 0 0 0 RONALD CURRAN 1.00 X X 0 0 0 CRISTY KAEMPFER 1.00 X 0 0 0 JAN STRANZ 1.00 X 0 0 0 JUDITH BOWERS 1.00 X 0 0 0 LUZ BALMADRID 40.00 X 332467 0 26105 JAMES VANDORNICK 40.00 X 150951 0 64694 LISA KRAUSE 40.00 X 104650 0 44850 Jagdev Bhatoya 40.00 X 269648 0 21190 ISAIAS CUPINO 40.00 X 469586 0 31348 KEITH ELKINS 40.00 X 360018 0 11974 DOUGLAS GREMBAN 40.00 X 235903 0 24682 Genadi Maltinski 40.00 X 390064 0 0 2313287 0 224843 18 0 1 0 EMCARE PHYSICIANS 7032 COLLECTION CENTER DRIVE CHICAGO WI 60693 CONTRACT PHYSICAN LABOR 1092960 BRIM HEALTHCARE PO BOX 636426 CINCINNATI OH 45263 CONTRACT UPPER MANAGEMENT 561474 BELLIN HEALTH OUTREACH PO BOX 23400 GREEN BAY WI 54303 REFERENCE LAB SERVICES 288007 ST MARY'S MEDICAL CENTER 1726 SHAWANO AVE GREEN BAY WI 54303 REFERENCE LAB SERVICES 232481 NEW Women's Health Care Associates 1726 Shawno Ave GREEN BAY WI 54303 OB Gyn Physician Staff 111619 6 320267 79172 11524 410963 NET PATIENT SERVICE RE 900099 34768960 34768960 RETAIL PHARMACY REVENU 446110 2008150 2008150 ONCOLOgY CONTRACT REVE 621300 415254 415254 OTHER REVENUE 900099 170109 170109 GIFT SHOP REVENUE 900099 25424 25424 27458 27458 37415355 153678 153678 172061 242191 -70130 -70130 -70130 37909866 35407205 2008150 83548 978132 255601 722531 14593054 13247839 1345215 487 487 3180192 2551698 628494 945226 801554 143672 215644 215644 15643 15643 843897 843897 15064 15064 3238679 2933095 305584 281991 281991 6416156 6124043 292113 207826 43746 164080 1882320 951152 931168 53289 36853 16436 6678 4769 1909 582419 582419 1503373 1503373 204150 105235 98915 BAD DEBT EXPENSE 1781509 1781509 OTHER EXPENSES 486213 180369 305844 37431942 29017950 8413992 0 1215735 2060066 2656870 1807526 5080203 5888123 68187 215459 284669 804298 1067433 554817 614002 25076531 14816175 11583196 10260356 2078407 2247855 1414286 1654196 25603271 25952413 2249875 2927918 8225959 8078098 1281687 1042720 670008 427222 12427529 12475958 X 12872866 13213180 302876 263275 13175742 13476455 25603271 25952413 X 0 1 0 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5243 5243 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: WHA AND AHA DUES 235001 235001 14214839 5736265 8478574 10426184 8903983 1522201 200507 175927 24580 10260356 Investments held by third party broker 1982080 F Interest in the Community Memorial Foundation 265775 C 2247855 DUE FROM WOODLANDS 245715 BOND FUNDS 1065542 Section 457 Plan Asset 342939 1654196 CAPITAL LEASES 53035 Due To Third Party Payors 31248 Section 457 Plan Liability 342939 427222 37909866 37431942 477924 155484 -332695 -177211 300713 37816726 0 37816726 15064 78076 93140 37909866 37659069 242191 242191 37416878 15064 15064 37431942 Part X: Description of Uncertain Tax Positions Under FIN 48: In order to account for uncertain tax positions, ASC Topic 740-10, Accounting for Uncertainty in Income Taxes, requires an organization to assess 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 position is not recognized in the finacial statements. The Hospital recorded no assets or liabilities related to uncertain tax positions or unrecognized tax benefits in 2010 or 2009. Federal and state tax returns for the years ended Septemebr 30, 2009, 2008, and 2007, remain subject to examination by the applicable taxing authorities. Part XI, Line 8 - Other Adjustments: CHANGE IN INTEREST IN COMMUNITY FOUNDATION: -359868. FUNDING OF FOUNDATION EXPENSES: 27173. Part XII, Line 4b - Other Adjustments: RENTAL EXPENSE IN INCOME: -242191. Tranfer from Foundation: 320267. Part XIII, Line 2d - Other Adjustments: RENTAL EXPENSES INCLUDED IN INCOME: 242191. 1 1 1 X 1 X 1 1 0 1 1 749666 0 749666 0.02100 6644266 3877065 2767201 0.07760 255617 171963 83654 0.00230 7649549 4049028 3600521 0.10090 140860 140860 0.00400 6778 6778 0.00020 147638 147638 0.00420 7797187 4049028 3748159 0.10510 5515 5515 0.00020 830 830 0.00000 3750 3750 0.00010 10095 10095 0.00030 1 686677 18250104 7485571 10764533 X 1 1 COMMUNITY MEMORIAL HOSPITAL

855 SOUTH MAIN STREET OCONTO FALLS WI 54154

X X X X CMH PRIMARY CARE CLINIC

340 NORTH GREEN BAY AVE GILLETT WI 54124

CLINIC CMH PRIMARY CARE CLINIC

200 SOUTH ROSERA STREET LENA WI 54139

CLINIC CMH MEDICAL CENTER

103 FIRST STREET OCONTO WI 54153

CLINIC CMH PRIMARY CARE CLINIC

14353 HWY 32/64 MOUNTAIN WI 54149

CLINIC CMH PRIMARY CARE CLINIC

913 E MAIN STREET SURING WI 54174

CLINIC Part I, Line 6a: Wisconsin Hospital Association Part III, Line 4: Bad debts were reported on the financial statements at gross charges. Then the cost to charge ratio was used to convert the bad debt amount from a charge based number to a cost based number. Part III, Line 8: The Medicare program does not cover all services provided to their participants and the hospital is not allowed to collect from the participants for some services based on the hospital's agreement with the program. Therefore, not all revenues are covered by Medicare. In addition, Medicare does not allow all business costs of the hospital to be included in the cost report, so there are additional uncovered costs. The shortfall by the Medicare program could be avoided by not providing care to Medicare patients; therefore, this shortfall should be included as a benefit provided by the hospital.Part I, Line 7: The costing methodology used to determine the Medicare allowable cost report is based on the audited financial statements of Community Memorial Hospital and the hospital's expensing of costs to the appropriate cost center through the hospital's internal computer system. Part III, Line 9b: Patient's are informed of the charity care program upon registration. Those that think they may qualify are given an application which is then reviewed and discounts are applied to the account based on family size and how there income falls in the federal poverty guidelines. Part I, line 7, column (f):Bad debt expense $1,781,509 was excluded from the total expenses of $37,431,942 when calculating the percentages in Part I as allowed per the instructions. Part VI, Line 2: A community health assessment plan is currently being developed. Part VI, Line 3: During fiscal year 2010, when a patient presented for services without insurance they were able to meet with a patient finacial advocate to discuss financial options that may be available to them including state and federal aid programs as well as charity care. The patients or their representative were also assisted with the application as part of this process. Part VI, Line 4: Community Memorial Hospital serves greater Oconto County. Oconto County, Wisconsin is a large, rural county which includes medically underserved areas and populations and which consistently faces economic development challenges. The U.S. Census Bureau estimated the 2010 Oconto County population at 37,660 persons. According to the U.S. Census Bureau, the largest city in the county had a 2000 population of 4,708 and the county itself had 37.7 persons per square mile in 2010. Oconto County contains Medically Underserved Areas as well as Primary Care Health Professional Shortage Areas as designated by the U.S. Dept. of Health and Human Services Health Resources and Services Administration. Nineteen Medically Underserved Areas are designated within Oconto County according to HRSA.The only other hospital in the CMH service area is a 4-bed hospital located in Oconto, the county's largest city. Other hospitals that serve the Oconto County community including the nearest tertiary care hospitals are located thirty miles south in Green Bay.In a community needs assessment survey of the CMH service area conducted in August 2007 by the Leede Research Group, the largest barriers to healthcare cited by community members are financial constraints, a lack of affordable medical insurance coverage, and geographical/transportation constraints that negatively impact access to medical facilities. Of those surveyed, 30.1% indicated that location was their primary consideration when selecting a doctor and/or clinic.According to U.S. Census Bureau 2005-2009 data, in Oconto County the percentage of persons age 25 and older with a Bachelor's degree or higher was 13.4% compared to 25.5% statewide. Per capita money income for the county was $24,397 compared to $26,447 in Wisconsin. Median household income for 2009 was $49,037 compared to $49,994 staewide. The April 2011 unemployment rate for the county was 9.3%, the nineteenth highest among Wisconsin's 72 counties according to the State of Wisconsin Department of Workforce Development. The latest poverty data avalaible is from 2009 and shows Oconto county with a poverty rate of 10.4%.CMH is proud of its commitment to provide service to any person seeking medical care, regardless of ability to pay. This makes CMH a very special place in today's healthcare market. In addition, the CMH family of healthcare providers has a long history of working cooperatively with local, state and federal healthcare agencies, educators, industry, and general public to develop and deliver effective healthcare services to the rural Northeast Wisconsin population. CMH is distinguished by its reliable and consistent level of superior service and commitment to continuous improvement of its patient care services. CMH medical staff members are commited partners in enhancing organizational performance and continually working to improve patient care. Part VI, Line 5: The hospital provides education to the community members about various health issues at the health fairs done throughout the county such as skin cancer screening, heart fair, etc. Part VI, Line 6: The Community Memorial Hospital Board of Directors consist of dedicated members of the community who provide exceptional leadership, insight and positive direction in the organizational mission to meet the healthcare needs of our community locally. A majority of the governing body is comprised of persons who reside in the CMH primary service area. Members are stakeholders in the communities served by the Community Memorial Hospital who provide direction and supervision to the organization. A significant portion of the governing body is comprised of persons who are neither employees nor contractors of Community Memorial Hospital, nor family members thereof.As a non-profit healthcare system Community Memorial Hospital invests its services/programs and facility/equipment upgrades and maintains a zero profit at the end of the fiscal year.CMH maintains an open medical staff, extending privileges to all qualified physicians in the community for medical and surgical services provided at these facilities.In addition to its regular hospital and clinic services, Community Memorial Hospital provides the community many opportunities to receive low-cost and free health screenings and services. For each of these free and low-cost service offerings, Community Memorial Hospital provided planning, publicity, staff, equipment, supplies, and facilities.- Low-cost Flu Shot Clinics were held in October and November at each of the CMH Primary Care Clinics. CMH provided free flu shots to its hospital volunteers. - A panel of free screenings was offered at the CMH Rehabilitation Services Open House January 31, 2010 that included balance testing, scoliosis screening, osteoporosis screening, blood pressure, and grip strength testing. - CMH held an annual Skin Cancer Screening April 29, part of a regional program which provides free skin cancer education and screening in affiliation with St. Vincent Hospital and the Mary Hendricks Johnson Foundation. Total participants screened were 63. - During May, 2010, CMH provided its annual Heart Fair Screenings at Community Memorial Hospital and the CMH Clinics throughout Oconto County at an extremely reduced rate for a cholesterol screening, glucose screening, lipid panel, blood pressure check, weight check, and heart health education from the CMH cardiac rehabilitation staff. Total participants screened were 105.- Also in May, 2010 CMH held a free osteoporosis screening at the Mountain Health Fair. - During July and August, 2010, CMH offered Sports Physical Clinics at its six CMH Primary Care Clinics throughout Oconto County. Students received comprehensive WIAA sports physicals for $20 which CMH then donated back to the students' school sports program. - CMH partnered with Prevea Health Urologists to offer free prostate screenings at our September 30, 2010 CMH Cancer Awareness Event which also featured free Smoking Cessation Education and free Breast Cancer Risk Assessments. Event mailers that included cancer awareness education were sent to 6,300 residents. The response was excellent: 72 men received free prostrate screenings.CMH hosts community health information seminars on various topics that are free and open to the public. In 2010 CMH introduced a new educational series of seminars featuring specialists speaking about health issues of senior citizens. The CMH Senior Specials dinner seminars are free and open to the public. Community Memorial Hospital assumes the entire costs for the speaker to present the seminar, the advertising to announce the seminar, and the supplies for the seminar, and the meals. Four CMH Senior Specials dinner seminars were held in 2010 with 190 attendees. Community Memorial Hospital is pleased to lend its direction and leadership to collaborate with many community organizations for various initiatives and events to provide free health information and services and promote a healthier lifestyle. For each of these initiatives, Community Memorial Hospital provided planning, publicity, staff, equipment, supplies, and facilities.- CMH offered four free workshops for cancer patients in 2010 through the American Cancer Society Look Good Feel Better program. Thirteen women undergoing cancer treatment participated in the 2010 sessions at which they each received a free kit filled with skin care items and cosmetics, and they were offered a free wig. The women enjoyed skin, makeup, and hair lessons and tips from specially trained cosmetologists to help them manage appearance-related side effects of cancer treatment.- CMH hosts a Diabetes Support Group that meets monthly at Community Memorial Hospital.- The CMH Center for Womens Care hosts the SHARE Pregnancy and Infant Loss Support program with a support group for families touched by miscarriage, stillbirth, or early infant death that meets monthly at Community Memorial Hospital. The group also has an annual Walk of Angels event at Community Memorial Hospital that includes extended family and friends for fellowship, reflection, and a balloon release. - CMH hosts American Red Cross blood drives multiple times each year. - In February of 2010, CMH offered a low-cost babysitting course through the nationally recognized Safe Sitter program.- CMH held the second annual Oconto County Safety Fair May 16, 2010 in cooperation with the Oconto County Health Department, Oconto Falls Fire and Police Departments and the Oconto Falls Ambulance Service. Approximately 400 people attended the free event and enjoyed interactive displays including distracted driving and fire safety.- Community Memorial Hospital is an active member in the Oconto Falls Chamber of Commerce and actively participates in their OFAC golf committee and the Executive Committee. - CMH led a county-wide EMS project to measure the cost of the misuse of EMS services and put forth a plan to address the most frequent and most costly misuse. This EMS Frequent User project, initiated through a planning grant from the Wisconsin Office of Rural Health, encompassed hospital emergency department, county behavioral health, and ambulance services.- Community Memorial Hospital planned and sponsored the 3th Annual Hot Cake Hustle 5K and 10K Run/Walk September, 2009, a community health initiative. The event had over 200 runners and walkers.- In collaboration with the city of Oconto Falls Police Department and the U.S. DEA, Community Memorial Hospital hosted a medication drop-off event September 25, 2010. Forty pounds of unwanted medication was collected.- CMH supports and participates in area school-related activities. CMH participated in area school health fairs, career fairs, and early childhood screenings. School field trip tours are routinely hosted at the hospital. Community Memorial Hospital provides its Community Room large conference room as well as its other meeting areas free-of-charge to community groups. Some of the many local groups that meet at Community Memorial Hospital include 4H Clover, Relay for Life, Overeaters Anonymous, Cemetery Association, Weight Watchers, Quilting Groups, the County Fair Board, the County Fairest of the Fair committee, UW Extension, Breast Cancer Support Group, and the Oconto Falls Lioness Club. Community Memorial Hospital has long been a cornerstone of the greater Oconto County community and provides an essential service to Oconto County residents. CMH is proud of its mission to provide high quality health care close to home, and always strives to strengthen its community partnerships to promote health and wellness. Part VI, Line 7: N/A WI X X X X 0 0 0 1 0 0 0 0 0 LUZ BALMADRID 154473 0 177994 0 0 0 5702 0 20403 0 358572 0 0 0 JAMES VANDORNICK 150951 0 0 0 0 0 0 0 64694 0 215645 0 0 0 Jagdev Bhatoya 264648 0 5000 0 0 0 0 0 21190 0 290838 0 0 0 ISAIAS CUPINO 186975 0 282611 0 0 0 7350 0 23998 0 500934 0 0 0 KEITH ELKINS 168698 0 191320 0 0 0 6214 0 5760 0 371992 0 0 0 DOUGLAS GREMBAN 152583 0 83320 0 0 0 3848 0 20834 0 260585 0 0 0 Genadi Maltinski 0 0 390064 0 0 0 0 0 0 0 390064 0 0 0 Part I, Line 5 Physician and midlevel compensation contracts have a base salary plus a percentage of revenues in excess of the base relative value units performed. WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97710VKA5 2003-01-15 3490000 ACQUISITION, CONSTRUCTION, IMPROVEMENT, AND EQUIPING HOSPITAL FACILITIES 0 0 wISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97710VKB3 2003-01-15 5605000 aCQUISITION, CONSTRUCTION, IMPROVEMENT, AND EQUIPING HOSPITAL FACILITIES 0 0 3445134 293283 46266 315020 2784783 2006 0 0 1 1 5470872 465730 73469 500248 4472409 2006 0 0 1 1 0 1 0 0 0 0.01000 0.01000 1 0 1 0 0 0 0.01000 0.01000 1 0 0 0 0 0 0 0 0 0 0 0 0 NEW Women's healthcare Associates X 139094 68187 0 1 1 68187 NEW CENTER FOR WOMAN'S CARE CURRENT BOARD MEMBER OWNS ORGANIZATION (JUDITH BOWERS) 81619 CONTRACTED PHYSCIAN 0 Form 990, Part VI, Section B, line 11 A draft copy of the 990 is to be presented to the board of directors for their review by the CFO prior to filing. Form 990, Part VI, Section B, line 12c BOARD MEMBERS ARE REQUIRED TO REVIEW AND SIGN OFF ON THE POLICY ANNUALLY. Form 990, Part VI, Section B, line 15 MGMA SURVEY DATA AND A POSITION REVIEW PROCESS IS DONE BY THE PERSON THE INDIVIDUAL REPORTS TO. THE INFORMATION IS THEN PRESENTED TO THE BOARD OF DIRECTORS, AN INDEPENDENT PARTY, AT THEIR MONTHLY MEETING FOR THEIR FINAL APPROVAL. DECISIONS MADE AT THE BOARD OF DIRECTORS MEETINGS ARE DOCUMENTED. Form 990, Part VI, Section C, line 19 THE ORGANIZATION CURRENTLY DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICT ON INTEREST POLICY AVAILABLE TO THE PUBLIC AT THIS TIME. CMA ANESTHESIA LLC 855 SOUTH MAIN STREET OCONTO FALLS WI 54154 201543181 ANESTHESIA BILLING SERVICES WI 0 101089 N/A COMMUNITY HEALTHCARE FOUNDATION 855 SOUTH MAIN STREET OCONTO FALLS WI 54154 391700944 FUNDRAISING FOR LOCAL NONPROFIT ORGNAIZATIONS WI 501(c)(3) Line 7 N/A 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 COMMUNITY HEALTHCARE FOUNDATION Q 489202