BALDWIN AREA MEDICAL CENTER INC

THE MEDICAL CENTER OPERATES A CRITICAL ACCESS HOSPITAL, INCLUDING A PROVIDER-BASED, RURAL HEALTH CLINIC, A RURAL HEALTH CLINIC IN A NEIGHBORING COMMUNITY, AND A FITNESS CENTER WITH A CLEAR AND CONSISTENT CHARITABLE PURPOSE WHICH IS TO PROVIDE HEALTH AND WELLNESS SERVICES TO ALL RESIDENTS OF THE COMMUNITIES SERVED WITHOUT REGARD TO AGE, RACE, GENDER, CREED, NATIONAL ORIGIN, ABILITY TO PAY, AND PHYSICAL OR MENTAL HANDICAP. THE DEDICATION OF THE MEDICAL CENTER'S WORKFORCE PROVIDES A STRONG FOUNDATION FOR PROGRAM DEVELOPMENT THAT IS BASED UPON COMMUNITY NEED AND IN ALIGNMENT WITH ORGANIZATIONAL VALUES OF CARING, INNOVATION AND SUSTAINABILITY.DURING FISCAL YEAR 2025, THERE WERE 1,118 MEDICAL/SURGICAL (ACUTE AND OBSERVATIONS) ADMISSIONS, 208 SWING BED DAYS, AND 417 NEWBORN DELIVERIES. THE EXPANSION OF THE MEDICAL/SURGICAL AND OBSTETRICS WING HAS INCREASED THE FACILITY'S CAPACITY TO PROVIDE CARE. THE MEDICAL CENTER ALSO HAD 5756 EMERGENCY ROOM VISITS IN FISCAL YEAR 2025. THE MEDICAL CENTER FOCUSSES ON HEALTH AND WELLNESS AND INTEGRATIVE HEALTH SERVICES THAT INCLUDE HOLISTIC SERVICES PROVIDED BY TRADITIONAL MEDICAL PRACTITIONERS, SPECIALISTS, INTEGRATIVE HEALTH CARE PROVIDERS, HEALTH COACHES, DIETICIANS, BEHAVIORAL HEALTH SPECIALISTS, THERAPISTS AND FITNESS EXPERTS. THE MEDICAL CENTER HAS DEVELOPED SPECIFIC SERVICES AROUND EMOTIONAL RESILIENCY TRAINING (I.E. A COLLECTION OF SERVICES AIMED AT TEACHING PEOPLE TO MANAGE THEIR OWN PHYSICAL AND EMOTIONAL WELLBEING). IN ADDITION, THE MEDICAL CENTER PROVIDES A FULL SPECTRUM OF GERIATRIC SERVICES ON SITE AND WITHIN AREA NURSING HOMES AND ASSISTED LIVING FACILITIES. THIS INCLUDES 24/7 CALL AND THE REGULAR PROVISION OF ON-SITE CARE TO OVER 200 PATIENTS. THIS SERVICE IS NOT WELL REIMBURSED AND THUS, REQUIRES A SIGNIFICANT IN-KIND INVESTMENT FROM THE MEDICAL CENTER.IN ADDITION, THE MEDICAL CENTER OPERATES A SIMPLE HEALTH AND A FUNCTIONAL MEDICINE PROGRAM. THESE PROGRAMS ARE AIMED AT IMPROVING PATIENTS' HEALTH AND WELLNESS, AT THE PREVENTIVE LEVEL. THIS TYPE OF PROGRAM KEEPS PATIENT HEALTHCARE COSTS LOW, BY STARTING AT A FOUNDATIONAL LEVEL OF DIET AND EXERCISE. BOTH PROGRAMS HAVE DOCUMENTED OUTCOMES OF LOWERING UNNECESSARY EMERGENCY DEPARTMENT VISITS AND REDUCING HOSPITAL RE-ADMISSIONS. THE CHALLENGE IS IN A FEE FOR SERVICE ENVIRONMENT, THERE IS NO COMPREHENSIVE REIMBURSEMENT FOR INNOVATIVE PROGRAMMING, SUCH AS OFFERED THROUGH THESE SERVICES. AS A RESULT, WWH MAKES SIGNIFICANT INVESTMENT TO ENSURE THESE SERVICES CONTINUE TO BE AVAILABLE TO WWH PATIENTS AND OUR COMMUNITY.MEDICAL CENTER REPRESENTATIVES PROVIDE A VARIETY OF VOLUNTEER SERVICES TO ENHANCE THE COMMUNITY BY PARTICIPATING IN COLLABORATIVE EFFORTS RELATED TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, RELAY FOR LIFE, LOCAL SCHOOL EDUCATION PROGRAMS FOR STUDENTS REGARDING CAREER CHOICES AND MENTAL HEALTH SUPPORT, AND MANY OTHER INITIATIVES. THE MEDICAL CENTER OFFERS SCHOLARSHIP FUNDS TO SELECT AREA HIGH SCHOOL SENIORS LOOKING TO PURSUE A CAREER IN HEALTHCARE AND GRANT PROGRAM DOLLARS TO EMPLOYEES LOOKING TO ENHANCE THEIR PROFESSIONAL SKILLS IN A HEALTH-RELATED EDUCATION FIELD. THE MEDICAL CENTER FURTHER SERVES THE COMMUNITY BY PROVIDING OUTREACH PROGRAMS AND SERVICES THAT ARE INTENDED TO ENHANCE THE HEALTH AND WELL-BEING OF THE PEOPLE IN THE COMMUNITY. SOME OF THESE SERVICES AND/OR SUPPORT GROUPS INCLUDE THE FOLLOWING: COMMUNITY-WIDE HEALTH AND WELLNESS PROGRAMS; SCHOOL BASED MENTAL HEALTH SERVICES AND SCHOOL ATHLETIC TRAINING; CARDIAC, DIABETES, MENTAL HEALTH AND DEPRESSION SUPPORT GROUPS; DIABETES SELF-MANAGEMENT CLASSES; NUTRITION AND LIFESTYLE CONSULTATION AND PROGRAMS; EXPECTANT PARENT CLASSES AND BREASTFEEDING EDUCATION.UNCOMPENSATED CARE:THE MOST SIGNIFICANT EXPRESSION OF CHARITABLE SERVICE IS THE PROVISION OF UNCOMPENSATED HEALTHCARE SERVICES.A. CHARITY CARETHE MEDICAL CENTER PROVIDES HEALTHCARE SERVICES TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY. FOR THOSE INDIVIDUALS WITH VERIFIED INCOME THAT ARE AT OR BELOW 100% OF THE FEDERAL POVERTY GUIDELINES, SERVICES ARE PROVIDED WITHOUT ANY EXPECTATION OF PAYMENT. FOR INDIVIDUALS THAT HAVE VERIFIED INCOME AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINE, CARE IS AVAILABLE ON A DISCOUNTED SLIDING SCALE. THE MEDICAL CENTER SCREENS POTENTIAL CHARITY CARE PARTICIPANTS AND MAKES PATIENT INFORMATION READILY AVAILABLE ON THE CHARITY CARE PROGRAM. PROCEDURES ARE IN PLACE THAT ACTIVELY SEEK TO IDENTIFY PATIENTS WHO MAY QUALIFY FOR CHARITY CARE. SEE ADDITIONAL INFORMATION ON THE COST OF THIS COMMUNITY BENEFIT IN SCHEDULE H OF THE FORM 990.B. PROVISION FOR BAD DEBT - UNCOLLECTABLE ACCOUNTSTHE MEDICAL CENTER ESTABLISHED A PROVISION FOR BAD DEBT EXPENSE (VALUED AT THE USUAL AND CUSTOMARY CHARGE) THAT REPRESENTS THOSE HEALTHCARE SERVICES WHICH WERE PROVIDED TO PATIENTS THAT WERE UNABLE OR UNWILLING TO PAY. SEE ADDITIONAL INFORMATION ON THE COST OF THIS COMMUNITY BENEFIT IN SCHEDULE H OF THE FORM 990.GOVERNMENT PROGRAMS SUCH AS MEDICARE AND MEDICAID PROVIDE PAYMENT FOR SERVICES OFTEN AT RATES THAT ARE SUBSTANTIALLY BELOW THE USUAL AND CUSTOMARY CHARGE. SEE ADDITIONAL INFORMATION ON THE COST OF THESE COMMUNITY BENEFITS PROVIDED IN SCHEDULE H OF FORM 990.

WESTERN WISCONSIN HEALTH ALSO PROVIDES OUTPATIENT HEALTHCARE SERVICES AT THREE CLINICS THAT IT OPERATES. DURING FISCAL YEAR 2025, TOTAL OUTPATIENT ENCOUNTERS AT THESE CLINICS WERE 71,361. TWO OF THE CLINICS ARE DESIGNATED AS RURAL HEALTH CLINICS.IN ADDITION, THE THREE CLINICS PROVIDED CHARITY CARE AND BAD DEBT EXPENSE FOR FISCAL YEAR 2025 IN THE AMOUNT OF $690,317.