2026-08-14T17:38:18-05:00 2025-09-30 393647910 WIPFLI ADVISORY LLC 1502 LONDON ROAD SUITE 220 DULUTH MN 55812 990 2024-10-01 390938661 BURNETT MEDICAL CENTER INC BURN 7154635353 257 WEST SAINT GEORGE AVENUE GRANTSBURG WI 54840 MEGAN SANDGREN CEO 7154635353 2026-08-14 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2026-08-14 2024 2025-03-06 01:10:19Z MEGAN SANDGREN 257 WEST SAINT GEORGE AVENUE GRANTSBURG WI 54840 27385137 0 X WWW.BURNETTMEDICALCENTER.COM X 1956 WI THE MISSION OF BURNETT MEDICAL CENTER IS TO PROVIDE COMPASSIONATE, COMPREHENSIVE, COMMUNITY HEALTHCARE THAT EXCEEDS OUR CUSTOMER'S EXPECTATIONS. OUR MISSION, AS WELL AS OUR VISION AND VALUES, SERVES AS A GUIDELINE FOR DAILY DECISION MAKING AND REPRESENTS THE PRINCIPLES AND PRACTICES THAT WE CONSTANTLY APPLY. THE COMFORT AND CARE OF OUR PATIENTS IS A MAJOR FOCUS OF OURS. WE WANT TO BE THE HEALTHCARE PROVIDER OF "CHOICE" - PROVIDING EXPERT AND COST-EFFECTIVE CARE IN A "HOMETOWN" ATMOSPHERE. ANOTHER OBJECTIVE OF OURS IS TO PROVIDE EDUCATION THAT WILL INCREASE HEALTH AWARENESS. PART OF OUR MISSION IS TO CONTINUALLY PUT THE "CARE" IN HEALTHCARE. MORE HEALTHCARE INFORMATION IS NOW AVAILABLE FROM OUR WEBSITE, WHICH ALSO PROVIDES PATIENT EDUCATION RESOURCES FOR THOSE WE SERVE. 7 7 259 13 0 0 596800 23441 28516483 27236959 72891 90115 34330 34622 29220504 27385137 0 0 0 0 14784873 15356607 0 0 0 14683861 14064518 29468734 29421125 -248230 -2035988 23132366 20942383 11871306 11455913 11261060 9486470 X THE MISSION OF BURNETT MEDICAL CENTER IS TO PROVIDE COMPASSIONATE, COMPREHENSIVE, COMMUNITY HEALTHCARE THAT EXCEEDS OUR CUSTOMER'S EXPECTATIONS. OUR MISSION, AS WELL AS OUR VISION AND VALUES, SERVES AS A GUIDELINE FOR DAILY DECISION MAKING AND REPRESENTS THE PRINCIPLES AND PRACTICES THAT WE CONSTANTLY APPLY. THE COMFORT AND CARE OF OUR PATIENTS IS A MAJOR FOCUS OF OURS. WE WANT TO BE THE HEALTHCARE PROVIDER OF "CHOICE" - PROVIDING EXPERT AND COST-EFFECTIVE CARE IN A "HOMETOWN" ATMOSPHERE.ANOTHER OBJECTIVE OF OURS IS TO PROVIDE EDUCATION THAT WILL INCREASE HEALTH AWARENESS. PART OF OUR MISSION IS TO CONTINUALLY PUT THE "CARE" IN HEALTHCARE. MORE HEALTHCARE INFORMATION IS NOW AVAILABLE FROM OUR WEBSITE, WHICH ALSO PROVIDES PATIENT EDUCATION RESOURCES FOR THOSE WE SERVE. 0 0 14896137 0 20847445 HOSPITAL:BURNETT MEDICAL CENTER, LOCATED IN RURAL NORTHWEST WISCONSIN IS A 17-BED CRITICAL ACCESS HOSPITAL THAT PROVIDES THE FOLLOWING SERVICES THROUGHOUT A THREE-COUNTY REGION:ACUTE CARE HAS 50+ EMPLOYEES WHO ALSO WORK IN OR, ER, AND PAR. WE PROVIDE GENERAL INPATIENT MEDICAL AND SURGICAL CARE, AS WELL AS A LARGE VOLUME OF OUTPATIENT SERVICES WHICH INCLUDE: OP SURGERY, BLOOD TRANSFUSION, IV THERAPY AS EXAMPLES. ALL OF THE RN STAFF IS ACLS ACCREDITED AND THE ENTIRE STAFF IS CERTIFIED IN CPR. THE GOAL OF THE NURSING STAFF IS TO PROVIDE EXCELLENT PATIENT CARE, CLOSE TO HOME, NEAR FAMILY AND FRIENDS.WE ALSO PROVIDE A FULL RANGE OF SERVICES FROM A 24/7 ER TO CARDIAC REHAB, AND WE PROVIDE OTHER THERAPEUTIC AND DIAGNOSTIC SERVICES VIA RADIOLOGY, LABORATORY, PHYSICAL THERAPY, AND OCCUPATIONAL THERAPY.DURING FY2025, IN A TOTAL OF 1,098 PATIENT DAYS WE SERVED 195 PATIENTS IN OUR INPATIENT AND SWING BED PROGRAMS. WE PERFORMED 324 SURGICAL PROCEDURES, SAW 3,964 PATIENTS IN EMERGENCY, AND PROVIDED SERVICES FOR 19,708 OTHER OUTPATIENT VISITS. GROSS HOSPITAL REVENUE OF $296,965 WAS PROVIDED AS CHARITY CARE TO 244 DIFFERENT PATIENTS FOR 862 EPISODES OF CARE.SINCE JUNE OF 2004, BURNETT MEDICAL CENTER HAS BEEN PARTICIPATING IN A PROGRAM DEVELOPED BY ABBOTT NORTHWESTERN HOSPITAL AND THE MINNEAPOLIS HEART INSTITUTE. THE LEVEL 1 HEART ATTACK PROGRAM IS AN INNOVATIVE APPROACH TO TREATING PATIENTS SUFFERING FROM A HEART ATTACK. THE KEY INGREDIENT FOR SUCCESS IS SPEED IN TREATMENT. THE GOAL IS TO TREAT AND TRANSPORT PATIENTS WITHIN 120 MINUTES, MEANING 120 MINUTES FROM THE TIME A PATIENT ENTERS THE EMERGENCY ROOM AT BURNETT MEDICAL CENTER UNTIL THE FIRST BALLOON IS INFLATED OR STENT PLACED AT ABBOTT NORTHWESTERN HOSPITAL (ABNW).BECAUSE RURAL HOSPITALS DO NOT HAVE THE CAPABILITY TO DO ANGIOPLASTY, IT IS IMPORTANT TO MOVE A HEART ATTACK PATIENT TO THE NEAREST HOSPITAL THAT HAS A HEART CATHETERIZATION LAB. THE LEVEL 1 PROGRAM HAS A DEFINITE PROTOCOL TO MOVE THESE PATIENTS QUICKLY DURING THAT "GOLDEN HOUR" WHEN ANGIOPLASTY IS THE MOST SUCCESSFUL.BURNETT MEDICAL CENTER IS ONE OF 30 HOSPITALS IN MINNESOTA AND WISCONSIN PARTICIPATING IN THE LEVEL 1 PROGRAM. CLEARLY, THE LEVEL 1 PROGRAM IS ADVANTAGEOUS TO RESIDENTS OF BURNETT COUNTY, KNOWING THAT CARDIOVASCULAR DISEASE IS THE LEADING CAUSE OF DEATH FOR MEN AND WOMEN IN THE US. THIS TEAM APPROACH GIVES PATIENTS THE ADVANTAGE OF TIME WHICH TRANSLATES TO BETTER OUTCOMES AND DECREASED MORTALITY. BURNETT MEDICAL CENTER'S MEDICAL AND NURSING STAFF HAVE BEEN TRAINED FOR THIS PROGRAM AND ARE PREPARED AND PLEASED TO PROVIDE QUICK ACCESS TO EFFICIENT CARDIAC CARE THROUGH THE LEVEL 1 HEART ATTACK PROGRAM. 4383853 0 3219100 CLINIC:BURNETT MEDICAL CENTER CLINIC IS LOCATED JUST OFF HIGHWAY 70 IN GRANTSBURG AND IS PART OF OUR EXPANDED FACILITY. THE CLINIC IS STAFFED BY 20 EMPLOYEES INCLUDING (1) PHYSICIANS, (6) CERTIFIED NURSE PRACTITIONERS, AND (1) CERTIFIED NURSE MIDWIFE. SERVED SPECIALISTS INCLUDING A GENERAL SURGEON, UROLOGY, CARDIOLOGY, ORTHOPEDICS, AND OTHERS ALL SEE PATIENTS IN THE CLINIC.WE ARE PLEASED TO OFFER OUR PATIENTS A RANGE OF SERVICES INCLUDING: PHYSICALS (INCLUDING WELL CHILD CHECKS, PRE-OPERATIVE, DOT, ETC.), OBSTETRICAL EXAMS, HEALTH STATUS ASSESSMENTS, DIAGNOSIS AND TREATMENT OF COMMON, ACUTE AND CHRONIC HEALTH CONDITIONS, IMMUNIZATIONS, FAMILY PLANNING, DIABETIC EDUCATION, WOMEN'S HEALTH, COLONOSCOPY PROCEDURES, FRACTURE CARE, VASECTOMIES, ROUTINE LABORATORY TESTING, EKG'S, AND HOLTER MONITORING. ADDITIONALLY, THE CLINIC LABORATORY IS A CERTIFIED COLLECTION SITE FOR URINE DRUG SCREENING.HOURS OF OPERATION HAVE BEEN EXPANDED TO ALLOW PEOPLE INCREASED ACCESS, INCLUDING WORKING FAMILIES WITH SCHOOL-AGE CHILDREN, PEOPLE THAT WORK VARYING SHIFTS, ETC. OUR PROVIDERS HAVE COLLABORATIVE RELATIONSHIPS WITH AREA INDUSTRIES, INCLUDING THE LOCAL SCHOOL SYSTEMS. THIS ALLOWS BURNETT MEDICAL CENTER TO PROVIDE EDUCATIONAL OPPORTUNITIES TO EMPLOYEES OF THESE INDUSTRIES, INCLUDING BLOODBORNE PATHOGENS TRAINING, HEALTH EDUCATION TO SCHOOL CHILDREN, AND PARTICIPATION IN EMPLOYEE HEALTH FAIRS. BMC PROVIDERS PARTICIPATE IN THE LOCAL ROTARY GROUP AND IN COUNTY COALITIONS TO REDUCE PRESCRIPTION DRUG ABUSE AND IMPROVE AWARENESS OF WELLNESS ACTIVITIES IN THE AREA. WE ALSO SPONSOR AN ANNUAL 5K/10K EVENT THAT RAISES FUNDS FOR A LOCAL CHARITY WHILE PROMOTING HEALTHY LIFESTYLES. THIS YEAR IS OUR 19TH ANNUAL EVENT.OVER 11,192 PRIMARY CARE CLINIC VISITS AND SPECIALTY CLINIC VISITS 1003 WERE PROVIDED DURING FY 2025. CLINIC GROSS REVENUE OF $22,332 WAS PROVIDED AS CHARITY CARE TO 115 DIFFERENT PATIENTS IN 170 VISITS. 4304197 0 3170414 CONTINUING CARE:THE CONTINUING CARE CENTER OF BURNETT MEDICAL CENTER OFFERS 46 SEMI-PRIVATE AND 4 PRIVATE ROOM ACCOMMODATIONS AND A FULL RANGE OF HEALTH AND PERSONAL CARE SERVICES. PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY ARE AVAILABLE, AS WELL AS NUTRITIONAL SERVICES, RECREATIONAL ACTIVITIES, AND SOCIAL SERVICES. ADDITIONALLY, ADULT DAY CARE AND RESPITE CARE IS AVAILABLE. THE GOAL OF THE CONTINUING CARE CENTER'S STAFF IS TO PROVIDE NECESSARY HEALTH SERVICES WHILE MAINTAINING AN ATMOSPHERE OF HOPE, HARMONY, HUMOR, AND A "HOME" AWAY FROM HOME.WE STRIVE TO ENHANCE THE QUALITY OF RESIDENTS' LIFE VIA A VENUE FOR COMMUNITY-BASED VOLUNTEERS SHARING THEIR TIME AND TALENT WITH OUR RESIDENTS, SUCH AS MUSICAL BANDS, ROTARY CLUB SPONSORED FUNCTIONS, ETC.DURING FY 2025 WE HAD 9,298 RESIDENT DAYS SERVING ABOUT 38 DIFFERENT RESIDENTS. 23584187 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 14 0 259 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X MEGAN SANDGREN 7154635353 257 WEST SAINT GEORGE AVENUE GRANTSBURG WI 54840 KEN KUTZ PRESIDENT 0.50 X X 0 0 0 PATRICK TAYLOR PRESIDENT (TERM 01/25) 0.50 X X 0 0 0 DAVE DAHLBERG VICE PRESIDENT 0.50 X X 0 0 0 LOIS CARLSON SECRETARY/TREASURER 0.50 X X 0 0 0 JULIE FIEDLER SECRETARY/TREASURER (TERM 01/25) 0.50 X X 0 0 0 RANDY CAREY DIRECTOR 0.50 X 0 0 0 TANYA JENSEN DIRECTOR 0.50 X 0 0 0 STUART MCINTOSH DIRECTOR 0.50 X 0 0 0 TAYLOR PAAP DIRECTOR 0.50 X 0 0 0 GORDON LEWIS CEO (TERM 05/25) 40.00 X 236446 0 12937 THOMAS MULLINS CFO 40.00 X 65906 0 5202 MARK THAYER MEDICAL DIRECTOR/INTERIM CEO 40.00 X 239700 0 14006 TIMOTHY NOVICK MD 40.00 X 339884 0 25418 JORDAN FRASER MD 40.00 X 248923 0 21495 LISA TAYLOR RN 40.00 X 191146 0 8998 ANDERS ULLAND MD/SURGEON 40.00 X 307667 0 13860 LINAE HICKS NURSE PRACTITIONER 40.00 X 181295 0 22551 1810967 0 124467 17 0 1 0 SF HOLDING LLC 2195 160TH ST COIX FALLS WI 54024 ANESTHESIA 550000 NICOLE KELSEN 3615 FOX RUN DRIVE ALLENTOWN PA 18103 MD ORTHO SURGEN 272899 SPORTING INNOVATION LLC 1434 182ND AVE NEW RICHMOND WI 54017 MD ER 207600 WIPFLI LLP PO BOX 3160 MILWAUKEE WI 53201 AUDIT/IT SERVICES 174540 JASON DEVRIES 12405 292ND ST LINDSTROM MN 55045 MD ER 125465 5 21741 1700 23441 HOSPITAL PATIENT SERVICE REVENUE 621990 18691586 18691586 NURSING HOME RESIDENT SERVICE REV 623000 3219100 3219100 CLINIC PATIENT SERVICE REVNUE 621110 3170414 3170414 PHARMACY REVENUE 456110 2155859 2155859 27236959 89485 89485 11369 0 11369 11369 11369 630 0 630 630 630 CAFETERIA REVENUE 900099 14772 14772 8481 8481 23253 27385137 27236959 0 124737 X 503860 503860 11322019 9318170 2003849 247615 198618 48997 2435391 1938154 497237 847722 669287 178435 75311 75311 103927 103927 4510 4510 14678 14678 5252354 4918370 333984 102718 4828 97890 199658 83724 115934 116724 116724 431098 431098 72712 64944 7768 205395 167489 37906 1134070 924775 209295 168716 168716 MEDICAL SUPPLIES 2509875 2508109 1766 BAD DEBT EXPENSE 1586205 1586205 REPAIRS & MAINTENANCE 1510568 584036 926532 DUES AND SUBSCRIPTIONS 286411 28838 257573 289588 157542 132046 29421125 23584187 5836938 0 250 250 4295504 3566041 4552633 4236734 367051 391073 108592 92951 29468179 20965348 9586243 8502831 3270845 3490862 951248 661641 23132366 20942383 2940163 3697318 175 200 7124743 6258171 1806225 1500224 11871306 11455913 X 11221459 9459887 39601 26583 11261060 9486470 23132366 20942383 X -2035988 17049 244349 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4510 4510 0 PART II-B, LINE 1: BURNETT MEDICAL CENTER, INC. PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND TO THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING AND DEVELOPMENT. THE AHA AND WHA HAVE NOTIFIED BURNETT MEDICAL CENTER, INC. THAT $4,510 OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT. 50000 50000 20653930 14486159 6167771 8764249 6479189 2285060 8502831 457(B) PLAN PAYABLE 1109602 OPERATING LEASE OBLIGATIONS 16280 CAPITAL LEASE 374342 1500224 26043718 17049 227737 244786 25798932 1586205 1586205 27385137 27834920 0 27834920 1586205 1586205 29421125 PART XI, LINE 2D - OTHER ADJUSTMENTS: CMDI EQUITY GAINS 227,737. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1,586,205. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1,586,205. 1 1 X 1 X 1 X 1 1 1 0 1 1 212219 212219 0.00720 4622002 2894983 1727019 0.05870 4834221 2894983 1939238 0.06590 3530935 1358924 2172011 0.07380 4929 4929 0.00020 3535864 1358924 2176940 0.07400 8370085 4253907 4116178 0.13990 0 1066368 533184 5805349 5832741 -27392 X 1 1 1 1 BURNETT MEDICAL CENTER INC 257 WEST SAINT GEORGE AVENUE GRANTSBURG WI 54840 1034 X X X X BURNETT MEDICAL CENTER INC 1 0 0 1 X X X X X X X X X 24 1 0 1 1 X SEE SUPPLEMENTAL INFORMATION X HEALTHYBURNETT.ORG X X 1 24 1 SEE SUPPLEMENTAL INFORMATION 0 1 X 100.000000000000 250.000000000000 X X X X X 1 1 X X X X 1 X HTTPS://WWW.BURNETTMEDICALCENTER.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X HTTPS://WWW.BURNETTMEDICALCENTER.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X HTTPS://WWW.BURNETTMEDICALCENTER.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X X X X X X X 1 X 0 X X X X 1 X 0 0 BURNETT MEDICAL CENTER, INC. PART V, SECTION B, LINE 5: THROUGHOUT THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS, EFFORTS WERE MADE TO ENGAGE AND GATHER INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED. THIS WAS ACCOMPLISHED IN THE FOLLOWING CAPACITIES:1. SURVEY:THE SURVEY WAS AVAILABLE TO THE PUBLIC FOR ABOUT 1 MONTH AND WAS DISTRIBUTED ONLINE THROUGH VARIOUS CHANNELS SUCH AS FACEBOOK, BURNETT MEDICAL CENTER'S WEBSITE, AND MULTIPLE MASS EMAILS TO ORGANIZATIONS AND INDIVIDUALS. THE SURVEY ASKED RESPONDENTS TO IDENTIFY WHAT THEY PERCEIVED TO BE THE THREE BIGGEST HEALTH PROBLEMS AND RISKY BEHAVIORS AMONG BURNETT COUNTY RESIDENTS (SEE APPENDIX FOR RESULTS). DEMOGRAPHIC QUESTIONS ABOUT INCOME, INSURANCE TYPE, AND RACE/ETHNICITY, AMONG OTHERS WERE ALSO ASKED TO IDENTIFY MEMBERS OF DIFFERENT POPULATIONS AND THUS ENSURE THEIR REPRESENTATION.2. COMMUNITY HEALTH FORUM:TWO COMMUNITY HEALTH FORUMS WERE CONDUCTED IN THE SPRING OF 2025. THE ONE AT THE GRANTSBURG SENIOR CENTER WAS CONDUCTED BY BURNETT COUNTY DHHS-PUBLIC HEALTH. THE OTHER OCCURRED WITH THE GRANTSBURG ROTARY CLUB BY BURNETT MEDICAL CENTER AND YOUTH OF BURNETT COUNTY. THE FORUMS CONSISTED OF SHARING THE SURVEY DATA AND ASKING THE PARTICIPANTS WHAT NEXT STEPS SHOULD BE TAKEN TO IMPROVE THE TOP THREE HEALTH NEEDS IN BURNETT COUNTY. THE DISCUSSIONS FOCUSED ON EDUCATION AND COMMUNITY INVOLVEMENT FOR ALL THREE HEALTH NEEDS. INPUT WAS GATHERED FROM LOCAL BUSINESS OWNERS, PUBLIC HEALTH REPRESENTATIVES, NON-PROFIT ORGANIZATION PROFESSIONALS, AND OTHER INDIVIDUALS WHO SERVE UNDERSERVED GROUPS. BURNETT MEDICAL CENTER, INC. PART V, SECTION B, LINE 6B: BURNETT COUNTY DHHS-PUBLIC HEALTH BURNETT MEDICAL CENTER, INC. PART V, SECTION B, LINE 7D: LINE 7A:HTTPS://WWW.BURNETTMEDICALCENTER.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/LINE 10A:HTTPS://WWW.BURNETTMEDICALCENTER.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ BURNETT MEDICAL CENTER, INC. PART V, SECTION B, LINE 11: DURING FY2025, BURNETT MEDICAL CENTER ADDRESSED THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THROUGH DIRECT PATIENT SUPPORT, COMMUNITY EDUCATION, RESOURCE CONNECTION, AND COLLABORATION WITH COMMUNITY ORGANIZATIONS.MENTAL/BEHAVIORAL HEALTH: BURNETT MEDICAL CENTER SUPPORTED ACCESS TO BEHAVIORAL HEALTH SERVICES BY CONNECTING PATIENTS WITH APPROPRIATE COMMUNITY RESOURCES AND PROVIDERS WHEN BEHAVIORAL HEALTH SERVICES WERE NOT AVAILABLE DIRECTLY THROUGH THE FACILITY. SPECIFICALLY PROMOTING AWARENESS AND CONNECTION TO A LOCAL BEHAVIORAL HEALTH ORGANIZATION, NORTHWEST PASSAGE, BEING PRESENT AT BMC'S ANNUAL SPRING HEALTH FAIR. BMC ALSO CONTINUED TO COLLABORATE WITH THE YOUTH OF BURNETT COUNTY PREVENTION COALITION (YOBC) AND OTHER COMMUNITY ORGANIZATIONS TO SUPPORT ACTIVITIES DESIGNED TO INCREASE AWARENESS OF BEHAVIORAL HEALTH ISSUES, AVAILABLE SERVICES, AND RESOURCES, WITH PARTICULAR ATTENTION TO VULNERABLE AND DIVERSE POPULATIONS.ALCOHOL AND OTHER DRUG ABUSE (AODA): BMC ADDRESSED AODA BY MAINTAINING AND PROMOTING INFORMATION ABOUT AVAILABLE COUNSELING SERVICES AND COMMUNITY RESOURCES, INCLUDING ALCOHOLICS ANONYMOUS (AA) AND NARCOTICS ANONYMOUS GROUPS, AND BY COLLABORATING WITH LOCAL AODA STAKEHOLDERS TO IDENTIFY OPPORTUNITIES TO IMPROVE ACCESS TO SERVICES; THERE IS A WEEKLY AA GROUP THAT MEETS AT BMC. BMC ALSO SUPPORTED COMMUNITY PREVENTION AND EDUCATION EFFORTS THROUGH PARTICIPATION IN ANNUAL DRUG TAKE BACK EVENTS IN APRIL AND OCTOBER, IN PARTNERSHIP WITH LOCAL LAW ENFORCEMENT. THESE ACTIVITIES PROVIDE EDUCATION REGARDING PRESCRIPTION MEDICATIONS, PROMOTE THE USE OF PRESCRIPTION DRUG DROP BOXES, AND HELP INCREASE AWARENESS OF THE RISKS AND IDENTIFICATION OF ALCOHOL AND OTHER DRUG MISUSE. BMC ALSO PROVIDED EDUCATION AND RESOURCES INTENDED TO HELP PREVENT ALCOHOL AND OTHER DRUG USE AMONG SCHOOL-AGED CHILDREN. BMC CONTINUES TO LEAD, YOBC PREVENTION COALITON, WHICH AIMS TO IMPACT YOUTH IN BURNETT COUNTY, SPECIFICALLY PREVENTION EFFORTS FOCUSED ON NICOTINE, TOBACCO/VAPING, AND ALCOHOL USE.ACCESS TO AFFORDABLE HOUSING: ALTHOUGH AFFORDABLE HOUSING IS OUTSIDE THE DIRECT SCOPE OF BMC'S HEALTHCARE SERVICES, BMC RECOGNIZED HOUSING STABILITY AS AN IMPORTANT POPULATION HEALTH ISSUE. DURING FY2025, BMC SUPPORTED COLLABORATION WITH LOCAL CHAMBER OF COMMERCE ORGANIZATIONS REGARDING COMMUNITY HOUSING NEEDS. THE PURPOSE OF THIS COLLABORATION WAS TO SUPPORT DATA-INFORMED LOCAL DECISION-MAKING RELATED TO AFFORDABLE AND APPROPRIATE HOUSING FOR CURRENT EMPLOYEES AND PROVIDERS OR FUTURE EMPLOYEES OF BMC.SIGNIFICANT NEEDS NOT ADDRESSED: BMC DID NOT DEVELOP SEPARATE IMPLEMENTATION STRATEGIES FOR SEVERAL OTHER HEALTH FOCUS AREAS IDENTIFIED IN THE CHNA BECAUSE THEY WERE CONSIDERED LOWER PRIORITY, WERE OUTSIDE THE MEDICAL CENTER'S AVAILABLE RESOURCES OR EXPERTISE, AND/OR WERE ALREADY BEING ADDRESSED BY OTHER COMMUNITY ORGANIZATIONS AND HEALTHCARE PROVIDERS. THESE AREAS INCLUDED COMMUNICABLE DISEASES, TOBACCO USE AND EXPOSURE, ENVIRONMENTAL AND OCCUPATIONAL HEALTH, HEALTHY GROWTH AND DEVELOPMENT, INJURY AND VIOLENCE PREVENTION, ORAL HEALTH, PHYSICAL ACTIVITY, REPRODUCTIVE AND SEXUAL HEALTH, ADEQUATE/APPROPRIATE/SAFE FOOD AND NUTRITION, AND CHRONIC DISEASE PREVENTION AND MANAGEMENT. THE CHNA IDENTIFIES EXISTING COMMUNITY ORGANIZATIONS AND PROVIDERS ADDRESSING THESE NEEDS, INCLUDING BURNETT COUNTY HEALTH DEPARTMENT, LOCAL CLINICS AND PHARMACIES, SCHOOLS, DENTAL PROVIDERS, COMMUNITY ORGANIZATIONS, UW-EXTENSION, WIC, FOOD SHELVES, AND OTHER LOCAL AGENCIES.BMC COMMITTED STAFF PERSONNEL AND FINANCIAL RESOURCES THROUGH ITS ANNUAL BUDGETING AND STRATEGIC PLANNING PROCESSES TO CARRY OUT THE PROGRAMS AND ACTIVITIES IDENTIFIED IN ITS IMPLEMENTATION STRATEGY. BURNETT MEDICAL CENTER, INC. PART V, SECTION B, LINE 13H: HOMELESSNESS IS ALSO A DETERMINATION FACTOR. BURNETT MEDICAL CENTER, INC. PART V, SECTION B, LINE 16J: REGISTRATION AND CLINIC PERSONNEL OFTEN REFER UNINSURED AND LOW-INCOME INDIVIDUALS TO A FINANCIAL COUNSELOR TO DISCUSS THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY. 2 1 - BURNETT MEDICAL CENTER CLINIC 257 W ST GEORGE AVE GRANTSBURG WI 54840 PROVIDER BASED RURAL HEALTH CLINIC 2 - THE CONTINUING CARE CENTER OF BURNETT MEDICAL CENTER 257 W ST GEORGE AVE GRANSTBURG WI 54840 SKILLED NURSING FACILITY PART I, LINE 7: THE COSTING METHOD USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO WHICH IS DEVELOPED BASED ON THE MEDICAL CENTER'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS COSTING METHODS FOR THE FORM 990. PART I, LINE 7G: THE COST OF SUBSIDIZED SERVICES IS BASED ON COST ALLOCATIONS FROM THE MEDICARE COST REPORT. ALLOWABLE COSTS ARE ASSIGNED DIRECTLY TO DEPARTMENTS THROUGHOUT THE YEAR AND THEN THE COST REPORT USES THE ALLOCATION METHODOLOGY TO ASSIGN ALL OTHER COSTS TO CALCULATE SERVICE LINE COSTS. SUBSIDIZED HEALTH SERVICES INCLUDE THE OPERATION OF THE CLINIC. THESE SERVICES ARE UNAVAILABLE TO MEMBERS OF THE COMMUNITY OTHER THAN THROUGH BURNETT MEDICAL CENTER, INC. IT HAS BEEN THE GOAL OF BURNETT MEDICAL CENTER, INC. TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF A PATIENT'S ABILITY TO PAY. PART II, COMMUNITY BUILDING ACTIVITIES: BMC PROMOTES THE HEALTH OF THE COMMUNITY NOT ONLY THROUGH DIRECT PATIENT CARE, BUT ALSO THROUGH PREVENTION, EDUCATION, COMMUNITY OUTREACH, HEALTH-RELATED PROGRAMMING, AND COLLABORATION WITH LOCAL ORGANIZATIONS.BMC ACTIVELY ENGAGES WITH THE COMMUNITY THROUGH HEALTH EDUCATION AND PREVENTIVE HEALTH EVENTS. DURING THE FY, BMC HOSTED ITS SPRING INTO HEALTH FAIR, PROVIDING COMMUNITY MEMBERS WITH HEALTH INFORMATION, EDUCATION, AND OPPORTUNITIES TO LEARN ABOUT HEALTHCARE SERVICES AND RESOURCES. BMC ALSO PROVIDED FREE TOBACCO CESSATION APPOINTMENTS, FREE DIABETES EDUCATION APPOINTMENTS, AND FREE SPORTS PHYSICALS FOR GRANTSBURG STUDENTS. BMC PARTICIPATED IN APRIL AND OCTOBER DRUG TAKE BACK DAYS TO PROMOTE SAFE MEDICATION DISPOSAL AND EDUCATE THE PUBLIC ABOUT PRESCRIPTION MEDICATIONS AND SUBSTANCE-USE PREVENTION. THESE ACTIVITIES ARE CONSISTENT WITH BMC'S CHNA IMPLEMENTATION STRATEGY, WHICH IDENTIFIES BEHAVIORAL HEALTH AND ALCOHOL AND OTHER DRUG ABUSE AS SIGNIFICANT COMMUNITY HEALTH NEEDS AND CALLS FOR EDUCATION, PREVENTION, RESOURCE CONNECTION, AND COMMUNITY COLLABORATION.BMC ALSO SUPPORTS THE HEALTH AND WELL-BEING OF CHILDREN AND FAMILIES IN THE COMMUNITY. THROUGH ITS REACH OUT AND READ PROGRAM, BMC PROVIDES FREE BOOKS TO CHILDREN DURING WELL-CHILD VISITS, INCORPORATING LITERACY PROMOTION AND HEALTH EDUCATION INTO PEDIATRIC CARE. BMC ALSO PROVIDES SCHOLARSHIPS TO GRANTSBURG STUDENTS AND HOSTS CNA CLASSES ON SITE, SUPPORTING THE DEVELOPMENT OF THE LOCAL HEALTHCARE WORKFORCE AND HELPING MAINTAIN ACCESS TO QUALIFIED HEALTHCARE PROFESSIONALS IN THE RURAL COMMUNITY.BMC PROVIDES SPACE AND SUPPORT FOR COMMUNITY HEALTH AND WELLNESS ACTIVITIES, INCLUDING HOSTING ALCOHOLICS ANONYMOUS (AA) MEETINGS AND BLOOD DRIVES. BMC ALSO PARTICIPATES IN COMMUNITY EVENTS AND SUPPORTS LOCAL ORGANIZATIONS THROUGH SPONSORSHIPS AND FUNDRAISING ACTIVITIES. DURING THE FY, THESE ACTIVITIES INCLUDED SUPPORT FOR THE FOUNDATION VALENTINE BRUNCH FUNDRAISER, FOUNDATION GOLF OUTING FUNDRAISER, GRANTOBERFEST, AND THE GO FOR THE GUST 5K/10K FUNDRAISER BENEFITING A LOCAL ORGANIZATION. BMC ALSO PARTICIPATED IN VAPE ESCAPE ROOMS IN LOCAL SCHOOLS AS PART OF YOUTH TOBACCO AND VAPING PREVENTION EFFORTS. THESE ACTIVITIES ALLOW BMC TO ENGAGE DIRECTLY WITH COMMUNITY MEMBERS AND SUPPORT PROGRAMS THAT CONTRIBUTE TO THE HEALTH, SAFETY, EDUCATION, AND OVERALL WELL-BEING OF THE COMMUNITIES IT SERVES. PART III, LINE 2: THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO WHICH IS DEVELOPED BASED ON THE MEDICAL CENTER'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. 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 CHARITY CARE OF PATIENTS THAT HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE HOSPITAL. THE MEDICAL CENTER ALSO PROVIDES DISCOUNTS TO ELIGIBLE UNINSURED OR UNDERINSURED PATIENTS UNDER ITS CHARITY CARE POLICY. THESE AMOUNTS ARE INCLUDED IN THE CONTRACTUAL ADJUSTMENTS ON THE FINANCIAL STATEMENTS AND ARE NOT INCLUDED IN THE RATIO AS DESCRIBED ABOVE AND APPROVED BY THE IRS FOR USE ON FORM 990. IF CONSIDERED, THESE ADDITIONAL WRITE-OFF AMOUNTS TO UNINSURED OR UNDERINSURED ACCOUNTS WOULD ALSO INCREASE THE ESTIMATED BAD DEBT EXPENSE ASSOCIATED WITH THESE UNCOLLECTIBLE ACCOUNTS TO THE HOSPITAL. PART III, LINE 3: MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER THE HOSPITAL HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE AND CREDIT POLICY: IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS AND PATIENTS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE. PART III, LINE 8: BURNETT MEDICAL CENTER, INC. IS DESIGNATED A CRITICAL ACCESS HOSPITAL AND AS SUCH A PORTION OF ITS REVENUE IS PAID UNDER A COST REIMBURSEMENT SYSTEM. BASED ON THE INSTRUCTIONS, THE TOTAL MEDICARE REVENUE SHOWN ON THIS FORM 990 INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE THAT IS ACTUALLY RECEIVED BY THE MEDICAL CENTER FROM THE MEDICARE PROGRAM. THE AMOUNTS LISTED FOR MEDICARE DO NOT INCLUDE PHYSICIAN AND MID-LEVEL PRACTITIONER SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT AT BURNETT MEDICAL CENTER, INC. PHYSICIAN COVERAGE IS REIMBURSED PRIMARILY ON A FEE SCHEDULE REIMBURSEMENT METHODOLOGY 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 BURNETT MEDICAL CENTER, INC. PROVIDES TO THE COMMUNITY AND SURROUNDING AREA OF GRANTSBURG, 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 MEDICAL CENTER PATIENT SERVICE REVENUE (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 AND MID-LEVEL PRACTITIONER SERVICES WHICH THE MEDICAL CENTER WOULD SHOW A LARGE LOSS ON THESE SERVICES. WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHICH ARE TYPICALLY ELDERLY OR DISABLED 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 III, LINE 9B: PATIENTS RECEIVE OUR COMMUNITY CARE APPLICATION WHEN THEY PRESENT FOR SERVICES. THEY ARE ENCOURAGED TO REVIEW THE APPLICATION AND SUBMIT THE REQUIRED INFORMATION TO APPLY FOR POTENTIAL COVERAGE. IF THEY HAVE QUESTIONS OR NEED HELP WITH THE APPLICATION THEY MAY MEET WITH OUR FINANCIAL COUNSELOR AND/OR OUR BUSINESS OFFICE MANAGER. PART VI, LINE 2: WE RELY ON MARKETING AND DEMOGRAPHIC DATA FOR BOTH OUR PRIMARY AND SECONDARY SERVICE AREAS AS SUPPLIED BY THE WISCONSIN HOSPITAL ASSOCIATION THROUGH KAAVIO. SUCH MARKET-BASED ANALYSIS PROVIDES EVIDENCE-BASED ESTIMATES AND PROJECTIONS FOR THE MEDICAL NEEDS OF THOSE THAT LIVE WITHIN OUR SERVICE AREA. WE THEN ASSESS THE AVAILABILITY OF EXISTING HEALTHCARE PROVIDERS AND SERVICES TO DETERMINE WHAT GAPS MAY EXIST, AND HOW WE CAN BEST ALIGN OUR SERVICES IN ORDER TO BE ENGAGED IN THE ABILITY TO ADDRESS UNMET NEED IN PARTNERSHIP WITH BOTH PUBLIC AND PRIVATE PROVIDERS OF HEALTHCARE SERVICES. THE RESULT OF OUR REVIEW AND ANALYSIS SERVES AS A FUNDAMENTAL BASIS FOR THE DEVELOPMENT OF GOALS AND OBJECTIVES IN OUR STRATEGIC PLAN.FURTHERMORE, AS REQUIRED BY LAW, WE CONDUCT AND COMPLETE, ONCE EVERY THREE YEARS, A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS REQUIRED UNDER THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, AND RELY ON OUR FINDINGS TO DETERMINE ANY NEEDED CHANGES OR CHALLENGES IN OUR FOCUS. IN CONDUCTING THE CHNA, BOTH QUANTITATIVE AND QUALITATIVE DATA, IS COLLECTED IN COLLABORATION WITH THE BURNETT COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES-PUBLIC HEALTH.QUANTITATIVE DATA SOURCES INCLUDING THE COUNTY HEALTH RANKINGS, THE UNITED STATES CENSUS BUREAU, THE WISCONSIN DEPARTMENT OF HEALTH SERVICES, WISCONSIN INTERACTIVE STATISTICS ON HEALTH, AND THE BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM WERE RELIED UPON AND USED TO ASSESS THE HEALTH NEEDS OF THE SERVICE AREA BY COMPARING COUNTY-LEVEL DATA FOR GIVEN INDICATORS OF HEALTH TO STATE AND NATIONAL BENCHMARKS. WE INTEGRATED THIS QUANTITATIVE DATA WITH THE QUALITATIVE DATA THAT WAS GATHERED FROM COMMUNITY MEMBERS AND ORGANIZATIONS TO DEVELOP A BETTER UNDERSTANDING OF COMMUNITY PERCEPTIONS OF THE SERVICE AREA'S HEALTH NEEDS. THIS DATA IS GATHERED THROUGH (1) AN INTERNET-BASED SURVEY AND PAPER SURVEY (2) A COMMUNITY FORUM. THE RESULTS OF THE ASSESSMENT ARE USED ALONG WITH KNOWLEDGE OF EXISTING ASSETS AVAILABLE TO MEET IDENTIFIED HEALTH NEEDS IN DEVELOPING AN IMPLEMENTATION STRATEGY THAT DELINEATES HOW BURNETT MEDICAL CENTER WILL TARGET EXISTING PROGRAMS AND RESOURCES, TARGET AND DEPLOY ANY AVAILABLE ADDITIONAL RESOURCES, AND COLLABORATE WITH OTHER COMMUNITY ENTITIES TO ADDRESS THE IDENTIFIED HEALTH NEEDS. PART VI, LINE 3: PATIENTS ARE TOLD ABOUT OUR COMMUNITY CARE PROGRAM BY OUR FINANCIAL COUNSELOR, REGISTRATION STAFF, PATIENT ACCOUNT REPRESENTATIVES AND BUSINESS OFFICE MANAGER. IN ADDITION, WE HAVE SIGNS POSTED BY BOTH OUR CLINIC AND ER REGISTRATION AREAS INFORMING OUR PATIENTS OF THE COMMUNITY CARE PROGRAM AVAILABLE AT OUR FACILITY. IF THE PATIENT FEELS THEY WILL NEED ASSISTANCE WITH THEIR MEDICAL BILLS, THEY ARE ENCOURAGED TO APPLY FOR THE COMMUNITY CARE PROGRAM WITH ALL THE REQUIRED INFORMATION. FINALLY, PATIENTS ALSO HAVE ACCESS TO THE COMMUNITY CARE APPLICATION INFORMATION ON OUR WEBSITE, FOR EASIER ACCESS FOR OUR PATIENTS. WHILE WE DO NOT HAVE ANY CERTIFIED APPLICATION COUNSELORS, WE ARE CHARTER MEMBERS THAT JOINED THE FEDERAL GOVERNMENT'S CHAMPIONS FOR COVERAGE CAMPAIGN TO HELP EDUCATE PEOPLE ABOUT AND TO PROMOTE THE HEALTH INSURANCE MARKETPLACE. AS A CHAMPION FOR COVERAGE, WE HAVE UNDERTAKEN INITIATIVES TO DIRECT PEOPLE TO THE MARKETPLACE, INCLUDING SENDING OUR PATIENTS TO THE OFFICIAL CONSUMER SOURCES (HEALTHCARE.GOV WEBSITE AND CONSUMER CALL CENTER) TO LEARN ABOUT THE MARKETPLACE AND GET COVERAGE, HANGING POSTERS AND FACT SHEETS IN OUR FACILITY, AND HAVING STAFF LEARN ABOUT THE MARKETPLACE IN EDUCATION SESSIONS. WE HAVE ALSO PARTICIPATED IN A COUNTY-WIDE EDUCATION SESSION ON THE NEW HEALTHCARE EXCHANGE AND HAVE WILLINGLY PROVIDED POSITIVE, RESPONSIVE ANSWERS TO MEDIA INQUIRIES. PART VI, LINE 4: BURNETT MEDICAL CENTER PRIMARILY SERVES THE RESIDENTS OF BURNETT COUNTY, WISCONSIN, A 100% RURAL COUNTY WITH APPROXIMATELY 16,526 RESIDENTS. BMC'S PRIMARY SERVICE AREA IS BURNETT COUNTY, WITH THE LARGEST CONCENTRATION OF PATIENTS COMING FROM THE COMMUNITIES OF GRANTSBURG, WEBSTER, SIREN, AND DANBURY. BASED ON 2024 INPATIENT DATA, GRANTSBURG RESIDENTS ACCOUNTED FOR APPROXIMATELY 48% OF BMC'S INPATIENTS, WHILE WEBSTER, SIREN, AND DANBURY TOGETHER ACCOUNTED FOR AN ADDITIONAL 72% OF INPATIENTS. BMC ALSO SERVES RESIDENTS OF NEIGHBORING PINE COUNTY, MINNESOTA, AND POLK COUNTY, WISCONSIN, AMONG OTHER SURROUNDING COMMUNITIES.THE POPULATION SERVED IS PREDOMINANTLY RURAL AND HAS AN OLDER DEMOGRAPHIC PROFILE. BURNETT COUNTY HAS A MEDIAN AGE OF 55.2 YEARS, COMPARED WITH 40.7 YEARS FOR WISCONSIN AND 39.1 YEARS NATIONALLY. APPROXIMATELY 90% OF THE POPULATION IS WHITE, APPROXIMATELY 3% IS NATIVE AMERICAN, AND APPROXIMATELY 2% IS HISPANIC, WITH THE REMAINING POPULATION CONSISTING OF AFRICAN AMERICAN, ASIAN, AND OTHER RACIAL AND ETHNIC GROUPS.THE COMMUNITY ALSO INCLUDES ECONOMICALLY VULNERABLE POPULATIONS. BURNETT COUNTY'S AVERAGE HOUSEHOLD INCOME WAS APPROXIMATELY $61,664, ROUGHLY $16,000 BELOW THE WISCONSIN AVERAGE, AND APPROXIMATELY 13.1% OF RESIDENTS LIVED IN POVERTY, COMPARED WITH 10.6% STATEWIDE AND 12.4% NATIONALLY. IN ADDITION, APPROXIMATELY 8% OF BURNETT COUNTY ADULTS WERE UNINSURED IN 2022, COMPARED WITH 6% STATEWIDE, CREATING AN ADDITIONAL BARRIER TO ACCESSING PREVENTIVE AND DIAGNOSTIC HEALTHCARE SERVICES.BMC'S SERVICE AREA THEREFORE INCLUDES A PREDOMINANTLY RURAL, OLDER POPULATION, AS WELL AS RESIDENTS AND FAMILIES WHO MAY EXPERIENCE ECONOMIC, INSURANCE, TRANSPORTATION, BEHAVIORAL HEALTH, HOUSING, AND OTHER BARRIERS TO ACCESSING HEALTHCARE. BMC SERVES THESE POPULATIONS THROUGH ITS HOSPITAL, CLINIC, AND LONG-TERM CARE SERVICES AND THROUGH COMMUNITY PARTNERSHIPS, HEALTH EDUCATION, PREVENTION, AND OUTREACH ACTIVITIES DESIGNED TO IMPROVE ACCESS TO HEALTHCARE AND PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITIES IT SERVES. PART VI, LINE 5: AS A SOLE COMMUNITY RURAL HOSPITAL, BURNETT MEDICAL CENTER (BMC) TAKES PRIDE IN PROVIDING ACCESSIBLE HEALTHCARE CLOSE TO HOME FOR RESIDENTS OF BURNETT COUNTY AND SURROUNDING COMMUNITIES. AS A CRITICAL ACCESS HOSPITAL WITH AN ADJOINING CLINIC AND LONG-TERM CARE FACILITY, BMC PROVIDES HEALTHCARE SERVICES TO THE PREDOMINANTLY RURAL POPULATION IT SERVES. BMC'S COMMUNITY INVOLVEMENT IS FURTHER SUPPORTED BY ITS GOVERNANCE AND PARTNERSHIPS. THE ORGANIZATION'S BOARD OF DIRECTORS IS COMPOSED OF COMMUNITY VOLUNTEERS WHO PROVIDE OVERSIGHT AND ADVOCATE FOR LOCAL HEALTHCARE NEEDS. BMC ALSO COLLABORATES WITH GOVERNMENTAL AGENCIES, NONPROFIT ORGANIZATIONS, HEALTHCARE PROVIDERS, AND COMMUNITY GROUPS. IN CONDUCTING ITS MOST RECENT CHNA, BMC PARTNERED WITH BURNETT COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC HEALTH AND THE YOUTH OF BURNETT COUNTY PREVENTION COALITION AND CONTINUES TO COLLABORATE WITH COMMUNITY PARTNERS ON IDENTIFIED HEALTH NEEDS.BMC'S HEALTHCARE MISSION IS ALSO SUPPORTED THROUGH THE BURNETT MEDICAL CENTER FOUNDATION, PHILANTHROPIC CONTRIBUTIONS, GRANTS, AND THE USE OF AVAILABLE ORGANIZATIONAL RESOURCES TO IMPROVE PATIENT CARE AND COMMUNITY HEALTH. BMC INCORPORATES IDENTIFIED COMMUNITY HEALTH NEEDS INTO ITS BUDGETING AND STRATEGIC PLANNING PROCESSES AND COMMITS STAFF AND FINANCIAL RESOURCES AS NECESSARY TO IMPLEMENT PROGRAMS AND ACTIVITIES INTENDED TO IMPROVE COMMUNITY HEALTH.BMC FURTHERS ITS EXEMPT PURPOSE THROUGH PARTICIPATION IN GOVERNMENT-SPONSORED HEALTHCARE PROGRAMS, INCLUDING MEDICARE, MEDICAID, AND TRICARE, HELPING MAINTAIN ACCESS TO HEALTHCARE FOR ELIGIBLE RESIDENTS. BMC ALSO MAINTAINS AN OPEN MEDICAL STAFF MODEL TO SUPPORT ACCESS TO QUALIFIED HEALTHCARE PROVIDERS IN THE COMMUNITY. WHEN RESOURCES ARE AVAILABLE, BMC INVESTS IN PATIENT CARE, QUALITY IMPROVEMENTS, CAPITAL EQUIPMENT, TECHNOLOGY, AND OTHER INITIATIVES THAT SUPPORT THE DELIVERY OF QUALITY HEALTHCARE CLOSE TO HOME.THROUGH THESE ACTIVITIES, BMC EXTENDS ITS COMMUNITY BENEFIT BEYOND THE PROVISION OF MEDICAL SERVICES BY PROMOTING PREVENTION, EARLY INTERVENTION, HEALTH EDUCATION, YOUTH AND FAMILY WELLNESS, SUBSTANCE-USE PREVENTION, COMMUNITY ENGAGEMENT, HEALTHCARE WORKFORCE DEVELOPMENT, AND ACCESS TO HEALTHCARE RESOURCES. THESE EFFORTS SUPPORT BMC'S MISSION AND ITS ROLE AS A COMMUNITY-BASED RURAL HEALTHCARE PROVIDER. PART VI, LINE 7, REPORTS FILED WITH STATES WI X X X 0 0 0 0 0 0 0 0 0 TIMOTHY NOVICK MD 339084 0 800 0 0 0 10275 0 15143 0 365302 0 0 0 ANDERS ULLAND MD/SURGEON 307667 0 0 0 0 0 9360 0 4500 0 321527 0 0 0 JORDAN FRASER MD 243353 0 5350 0 220 0 7775 0 13720 0 270418 0 0 0 MARK THAYER MEDICAL DIRECTOR/INTERIM CEO 238311 0 0 0 1389 0 4292 0 9714 0 253706 0 0 0 GORDON LEWIS CEO (TERM 05/25) 236446 0 0 0 0 0 7009 0 5928 0 249383 0 0 0 LINAE HICKS NURSE PRACTITIONER 181295 0 0 0 0 0 0 0 22551 0 203846 0 0 0 LISA TAYLOR RN 181996 0 9150 0 0 0 5853 0 3145 0 200144 0 0 0 A BURNETT COUNTY 396005675 2007-03-23 7000000 TO REFINANCE AND PROVIDE FUNDS FOR BUILDING RENOVATION AND EXPANSION 0 0 0 B VILLAGE OF GRANTSBURG 396006277 2007-04-10 5000000 TO PROVIDE FUNDS FOR BUILDING RENOVATION AND EXPANSION 0 0 0 C VILLAGE OF SIREN 396008452 2007-04-25 4850000 TO PROVIDE FUNDS FOR BUILDING RENOVATION AND EXPANSION 0 0 0 A 4375466 7000000 140000 5464764 1395236 2008 1 0 1 1 B 3120062 5000000 100000 4900000 2008 0 0 1 1 C 3026461 4850000 97000 4753000 2008 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 A 0 0 1 0 0 0 0 0 0 B 0 0 1 0 0 0 0 0 0 C 0 0 1 0 0 0 0 0 0 A 0 B 0 C 0 FORM 990, PART VI, SECTION A, LINE 6 EACH PERSON, BUSINESS, CORPORATION, OR ORGANIZATION WHO HAS CONTRIBUTED AND PAID ONE HUNDRED DOLLARS OR MORE TO BURNETT MEDICAL CENTER, INC. "THE MEDICAL CENTER" SHALL BE A LIFETIME MEMBER OF THE MEDICAL CENTER. EACH PERSON, BUSINESS, CORPORATION, OR ORGANIZATION IS ENTITLED TO HOLD A MAXIMUM OF ONE MEMBERSHIP CERTIFICATE. A HUSBAND AND WIFE, OR TWO OR MORE RELATED PERSONS, MAY HOLD A MEMBERSHIP AS JOINT TENANTS, HOWEVER, ONLY ONE VOTE PER MEMBERSHIP SHALL BE PERMITTED. FORM 990, PART VI, SECTION A, LINE 7A THE DUTIES OF THE MEMBERS OF THE MEDICAL CENTER SHALL BE: THE FORMULATION AND DEVELOPMENT OF THE OVERALL PURPOSES, OBJECTIVES, AND PHILOSOPHY OF THE MEDICAL CENTER; THE ELECTION OF MEMBERS OF THE BOARD OF DIRECTORS OF THE MEDICAL CENTER; THE REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS OF THE MEDICAL CENTER; THE CHANGING OF THE NUMBER OF DIRECTORS CONSTITUTING THE BOARD OF DIRECTORS; THE AMENDMENT, RESTATEMENT, OR MODIFICATION OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE MEDICAL CENTER; AND THE APPROVAL OF THE SALE, LEASE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL OF THE ASSETS AND PROPERTY OF THE MEDICAL CENTER OR ITS MERGER WITH ANOTHER CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS FOR BURNETT MEDICAL CENTER, INC. REVIEWS AND APPROVES FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BURNETT MEDICAL CENTER, INC. HAS A CONFLICT OF INTEREST POLICY. THE PURPOSE OF THIS POLICY IS TO PROTECT THE INTEREST OF THE MEDICAL CENTER WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR DIRECTOR OF THE CORPORATION. IT IS EXPECTED THAT SUCH PERSONS SHALL EXERCISE THE UTMOST GOOD FAITH IN ALL TRANSACTIONS TOUCHING UPON THEIR DUTIES AT BURNETT MEDICAL CENTER, INC. AND ITS PROPERTY. ALL MEMBERS OF THE BOARD COMPLETE A DISCLOSURE FORM UPON APPOINTMENT, AND REVIEW AND SIGN IT ANNUALLY THEREAFTER. THIS STATEMENT ESTABLISHES THE DUTY OF AN INTERESTED PARTY TO DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND MUST DISCLOSE ALL MATERIAL FACTS. AFTER ANY SUCH DISCLOSURE, HE/SHE SHALL LEAVE THE GOVERNING BOARD MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON BY THE REMAINING BOARD MEMBERS. IF THE BOARD HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS OF SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF MEMBERS FAIL TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 BURNETT MEDICAL CENTER INC.'S EXECUTIVE COMPENSATION POLICY IS DESIGNED WITH THE GOAL OF PROVIDING REMUNERATION THAT IS FAIR, REASONABLE, AND COMPETITIVE. THE MEDICAL CENTER'S BOARD MAY ESTABLISH A COMPENSATION COMMITTEE OR MAY ACT AS A COMMITTEE OF THE WHOLE IN EXECUTIVE SESSION. THE COMMITTEE OVERSEES THE TOTAL COMPENSATION PACKAGES TO ENSURE THAT THEY ARE COMPETITIVE WITH OTHER HEALTHCARE ORGANIZATIONS, REFLECT JOB RESPONSIBILITIES AND REQUIREMENTS, AND ARE FAIR, EQUITABLE, AND CONSISTENTLY MANAGED. THE COMMITTEE MEETS AS OFTEN AS IT DEEMS APPROPRIATE TO CARRY OUT ITS RESPONSIBILITIES. IN GENERAL, THE MEDICAL CENTER POSITIONS TOTAL EXECUTIVE COMPENSATION AT THE MEDIAN OF THE MARKET. THE BOARD OF DIRECTORS USES CONTEMPORANEOUS DATA INCLUDING EXECUTIVE COMPENSATION DATA FROM THE WISCONSIN HOSPITAL ASSOCIATION AS A GUIDE WHEN APPROVING THE COMPENSATION OF THE ADMINISTRATOR AND CHIEF FINANCIAL OFFICER. THE POLICY IS MEANT TO BE FLEXIBLE SO THAT COMPENSATION CAN BE ABOVE OR BELOW THE MEDIAN BASED ON EXPERIENCE, PERFORMANCE, SIZE AND COMPLEXITY OF ORGANIZATION, AND BUSINESS NEED TO ATTRACT AND RETAIN EXECUTIVE TALENT. FORM 990, PART VI, SECTION C, LINE 19 BURNETT MEDICAL CENTER, INC. MAKES ITS FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC ON A PER REQUEST BASIS. FORM 990, PART IX, LINE 11G RADIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 618,803. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 618,803. ANESTHESIOLOGY CONTRACT LABOR: PROGRAM SERVICE EXPENSES 550,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 550,000. CLINIC PURCHASED SERVICES AND CONTRACT LABOR: PROGRAM SERVICE EXPENSES 386,301. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 386,301. LAUNDRY PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 256,815. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 256,815. DIETARY PURCHASED SERVICES AND CONTRACT LABOR: PROGRAM SERVICE EXPENSES 336,136. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 336,136. EMERGENCY CONTRACT LABOR: PROGRAM SERVICE EXPENSES 895,109. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 895,109. MEDICAL AND ADMIN PURCHASED SERVICES AND CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,875,206. MANAGEMENT AND GENERAL EXPENSES 333,984. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,209,190. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 16,612. CHANGE IN INVESTMENT IN UNCONSOLIDATED AFFILIATE 227,737. FORM 990, PART XII, LINE 2C: OVERSIGHT OF THE AUDIT: BURNETT MEDICAL CENTER, INC. DOES NOT HAVE A SPECIFIC COMMITTEE WHICH ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. THE ENTIRE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ATTACHED AUDITED FINANCIAL STATEMENTS: THE ORGANIZATION'S AUDIT HAS NOT BEEN FINALIZED AS OF THE DUE DATE OF THIS FORM 990 BECAUSE CERTAIN OUTSTANDING MATTERS REMAIN UNDER REVIEW AND ARE OUTSIDE THE CONTROL OF THE ORGANIZATION. TO COMPLY WITH IRS FILING REQUIREMENTS, THE ORGANIZATION IS ATTACHING DRAFT FINANCIAL STATEMENTS WITH THIS RETURN. MANAGEMENT BELIEVES THE DRAFT FINANCIAL STATEMENTS CONTAIN SUBSTANTIALLY ALL INFORMATION EXPECTED TO BE REFLECTED IN THE FINAL AUDITED FINANCIAL STATEMENTS AND ARE MATERIALLY CONSISTENT WITH THE INFORMATION REPORTED ON THIS FORM 990. IF THE FINAL AUDITED FINANCIAL STATEMENTS DIFFER IN ANY MATERIAL RESPECT, THE ORGANIZATION INTENDS TO FILE AN AMENDED FORM 990.