2026-08-13T15:29:10-05:00 2025-09-30 393647910 WIPFLI ADVISORY LLC 1502 LONDON ROAD SUITE 220 DULUTH MN 55812 990 2024-10-01 391030310 GREATER WATERTOWN COMMUNITY HEALTH FOUNDATION INC GREA 9203904000 672 JOHNSON ST 300 WATERTOWN WI 530943827 NATHAN PETERS CFO 9203904000 2026-08-13 1 1 JESSICA NATUS P01799381 2187224705 2026-08-13 2024 2025-03-06 01:10:19Z BEN WEHMEIER 672 JOHNSON ST 300 WATERTOWN WI 530943827 63278866 0 X WWW.WATERTOWNHEALTHFOUNDATION.COM X 1965 WI TO INSPIRE COLLABORATION, MOBILIZE RESOURCES AND ENCOURAGE INNOVATION THAT MEASURABLY CONTRIBUTES TO THE WELLBEING OF OUR COMMUNITIES. 15 13 11 20 0 0 545727 2925970 23283979 24149973 6436099 7534343 826633 2523287 31092438 37133573 5033523 1203311 0 0 1286129 1603488 0 0 0 24411570 29148738 30731222 31955537 361216 5178036 131180063 134324904 22603436 19270426 108576627 115054478 TO INSPIRE COLLABORATION, MOBILIZE RESOURCES AND ENCOURAGE INNOVATION THAT MEASURABLY CONTRIBUTES TO THE WELLBEING OF OUR COMMUNITIES. 0 0 30757201 1203311 25957338 GREATER WATERTOWN COMMUNITY HEALTH FOUNDATION OPERATES AS A HEALTH FOUNDATION, SERVING AS A CATALYST FOR COMMUNITY HEALTH. WE LEAD OUR OWN FOUNDATION-DIRECTED HEALTH PROGRAMMING AND OFFER RESPONSIVE GRANT CYCLES. THE FOUNDATION HOLDS A 20% INTEREST IN WATERTOWN HOLDING COMPANY, LLC. THE FOUNDATION ALSO HOLDS MAJORITY OWNERSHIP INTEREST IN TWO SENIOR APARTMENT COMPLEXES, WATERTOWN SENIOR HOUSING, LLC AND WATERTOWN SENIOR HOUSING II, LLC. THE FOUNDATION HOLDS 100% INTEREST IN GWCHF HOLDINGS LLC, WHICH OPERATES A NONPROFIT CENTER AS WELL AS LAND FOR HOUSING REDEVELOPMENT PURPOSES. 30757201 1 1 0 1 0 0 0 0 0 0 1 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 8 0 11 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WI X X BEN WEHMEIER 9203902269 672 JOHNSON STREET SUITE 300 WATERTOWN WI 53094 DEB PORTMAN SECRETARY 40.00 X X 49378 0 27044 BENJAMIN WHEMEIER PRESIDENT & CEO 40.00 X X 10528 0 6260 MARGARET HANRAHAN CHAIR 2.00 X X 0 0 0 STEVEN BATTENBERG VICE CHAIR 2.00 X X 0 0 0 ELLIOT CLARK DIRECTOR 2.00 X 0 0 0 ORLANDO DOMINGUEZ DIRECTOR 2.00 X 0 0 0 MICHAEL GRAJEWSKI MD DIRECTOR 2.00 X 0 0 0 BARB GUDGEON DIRECTOR 2.00 X 0 0 0 KARLA MULLEN DIRECTOR 2.00 X 0 0 0 RANDY PHELPS DIRECTOR 2.00 X 0 0 0 CAROL QUEST DIRECTOR 2.00 X 0 0 0 TIM SCHULER DIRECTOR 2.00 X 0 0 0 MICK SELCK DIRECTOR 2.00 X 0 0 0 MIKE SULLIVAN MD DIRECTOR 4.00 X 0 0 0 MARCY TESSMANN DIRECTOR 2.00 X 0 0 0 TINA CRAVE CHIEF TRANSFORMATION OFFICER 40.00 X 199838 0 33189 NATHAN PETERS CFO/TREASURER 40.00 X 142474 0 30551 KIMBERLY MELCHER CHIEF IMPACT OFFICER 40.00 X 120548 0 30057 522766 0 127101 3 0 1 0 0 2523717 402253 2925970 JOINT VENTURE - HOSPITAL 621110 23025267 23025267 JOINT VENTURE - SENIOR HOUSING 900002 1124706 1124706 24149973 2016639 2016639 715922 0 715922 715922 715922 31662997 26145293 5517704 5517704 5517704 REIMBURSEMENT FOR TENANT IMPROVEM 900099 1807365 1807365 1807365 37133573 25957338 0 8250265 1203311 1203311 939219 829306 109913 533777 481510 52267 51024 47666 3358 79468 62264 17204 59034 3585 55449 309 309 5600 5600 60000 60000 353675 353675 114035 2838 111197 75526 5863 69663 97862 37482 60380 42790 42790 419531 419531 28115 2054 26061 260384 248099 12285 769883 769883 679878 679878 79559 79559 JOINT VENTURE - HOSPITA 21163424 21163424 COGS 4357746 4357746 REPAIRS AND MAINTENANCE 459058 415014 44044 DUES AND SUBSCRIPTIONS 44093 44093 78236 27747 50489 31955537 30757201 1198336 0 2675654 3470430 179658 184946 744 2953 824 25751 24947832 5813893 21501628 19133939 87436850 90088144 17702824 19064667 1681881 2354074 131180063 134324904 4411355 1437780 16652848 16573246 1539233 1259400 22603436 19270426 X 108527631 114945081 48996 109397 108576627 115054478 131180063 134324904 X 5178036 1376001 -76186 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 60000 60000 0 PART II-B, LINE 1: GRANT TO WISCONSIN EARLY CHILDHOOD ASSOCIATION: PURPOSE -SUPPORTING "RAISING WISCONSIN POLICY AGENDA" - $25,000 PROFESSIONAL FEE'S HARTELY BLUNT STRATEGIES: PURPOSE - THEY HELPED DRAFT TESTIMONY, TALKING POINTS, LETTERS, OR COALITION MATERIALS AIMED AT INFLUENCING SPECIFIC MISSION ALIGNED LEGISLATION - $35,000 1640842 1640842 21493349 5139307 16354042 1813641 674586 1139055 19133939 INVESTMENT IN WATERTOWN HOLDING COMPANY, LLC 19064667 F 19064667 SECURITY DEPOSITS PAYABLE 67779 DEFERRED COMPENSATION LIABILITY 1191621 1259400 10772886 1376001 -4357746 -2981745 13754631 353675 23025267 23378942 37133573 6080692 0 6080692 353675 25521170 25874845 31955537 PART XI, LINE 2D - OTHER ADJUSTMENTS: COGS -4,357,746. PART XI, LINE 4B - OTHER ADJUSTMENTS: HOSPITAL/JOINT VENTURE REVENUE 23,025,267. PART XII, LINE 4B - OTHER ADJUSTMENTS: HOSPITAL/JOINT VENTURE EXPENSES 21,163,424. COGS 4,357,746. 1 1 X 1 X 1 X 1 1 0 1 1 362871 362871 0.01170 2618163 1067275 1550888 0.04980 2981034 1067275 1913759 0.06150 30336 30336 0.00100 197881 167469 30412 0.00100 130611 130611 0.00420 358828 167469 191359 0.00620 3339862 1234744 2105118 0.06770 1 293322 3319820 3698741 -378921 X 1 1 1 1 WATERTOWN REGIONAL MEDICAL CENTER LLC 125 HOSPITAL DR WATERTOWN WI 53098 HTTP://WWW.WATERTOWNREGIONAL.COM/ 105 X X X WATERTOWN REGIONAL MEDICAL CENTER LLC 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTPS://WWW.WATERTOWNREGIONAL.COM/ABOUT/COMMUNITY-HEALTH-ASSESSMENT X WWW.WATERTOWNHEALTHFOUNDATION.COM/OURPRIORITIES.HTML#POPUP2 X 1 22 1 SEE SCHEDULE H, PART VI FOR FULL WEBSITE 0 1 X 200.000000000000 250.000000000000 X X X X X 1 1 X X X X 1 X SEE PART V, LINE 16J FOR FULL WEBSITE X SEE PART V, LINE 16J FOR FULL WEBSITE X SEE PART V, LINE 16J FOR FULL WEBSITE X X X X X 1 X 0 X X X 1 X 0 0 WATERTOWN REGIONAL MEDICAL CENTER, LLC PART V, SECTION B, LINE 5: WE HELD THREE FOCUS GROUPS IN THREE COMMUNITIES BETWEEN TWO COUNTIES AND A COMMUNITY NEEDS ASSESSMENT SUMMIT WHERE INPUT WAS OBTAINED FROM A DIVERSE GROUP OF STAKEHOLDERS. WATERTOWN REGIONAL MEDICAL CENTER AND FORT HEALTHCARE SURVEYED THEIR EMPLOYEES INCLUDING PROVIDERS. COMMUNITY WIDE SURVEYS WERE AVAILABLE IN DODGE AND JEFFERSON COUNTY AT VARIOUS LOCATIONS INCLUDING IN AN ELECTRONIC AND PAPER FORM AS WELL AS ENGLISH AND SPANISH. WATERTOWN REGIONAL MEDICAL CENTER, LLC PART V, SECTION B, LINE 6A: FORT HEALTHCARE AND BEAVER DAM COMMUNITY HOSPITAL (NOW MARSHFIELD MEDICAL CENTER BEAVER DAM) WATERTOWN REGIONAL MEDICAL CENTER, LLC PART V, SECTION B, LINE 6B: DODGE COUNTY HUMAN SERVICES & HEALTH DEPARTMENT; GREATER WATERTOWN COMMUNITY HEALTH FOUNDATION; JEFFERSON COUNTY HEALTH DEPARTMENT; ROCK RIVER COMMUNITY CLINIC; WATERTOWN DEPARTMENT OF PUBLIC HEALTH WATERTOWN REGIONAL MEDICAL CENTER, LLC PART V, SECTION B, LINE 11: WATERTOWN REGIONAL MEDICAL CENTER (WRMC) HAS DEVELOPED THIS COMMUNITY HEALTH IMPROVEMENT PLAN TO DRIVE IMPROVEMENT IN THE AFOREMENTIONED FOCUS AREAS. 1. BELONGING AND CONNECTION - WATERTOWN REGIONAL MEDICAL CENTER UNDERSTANDS THE IMPORTANCE OF MENTAL HEALTH CARE IN PROMOTING BELONGING AND CONNECTION. AS SUCH, WRMC WILL CONTINUE TO PROVIDE THE FOLLOWING SERVICES: OUTPATIENT BEHAVIORAL HEALTH SERVICES: DIRECTIONS COUNSELING CENTER, LOCATED AT 123 HOSPITAL DRIVE SUITE 110, OFFERS OUTPATIENT MENTAL HEALTH SERVICES. DIRECTIONS COUNSELING CENTER OFFERS INDIVIDUAL COUNSELING, CHILDREN AND ADOLESCENTS COUNSELING, MARRIAGE AND FAMILY COUNSELING, ALCOHOL AND OTHER DRUG COUNSELING AS WELL AS MEDICATION MANAGEMENT. THIS CLINIC CONSISTS OF TWO LICENSED THERAPISTS AND A PSYCHIATRIC NURSE PRACTITIONER. DIRECTIONS COUNSELING CENTER UNDERSTANDS THE IMPORTANCE OF MAKING BEHAVIORAL HEALTH SERVICES ACCESSIBLE AND CONVENIENT FOR PATIENTS AND, AS SUCH, WRMC WILL CONTINUE TO OFFER BEHAVIORAL HEALTH APPOINTMENTS. THE APPOINTMENTS WILL BE PROVIDED IN WATERTOWN AT THE DIRECTIONS COUNSELING CENTER AND VIRTUALLY USING SECURE TECHNOLOGY. COLUMBIA SUICIDE SCREENING: WATERTOWN REGIONAL MEDICAL CENTER UTILIZES THE COLUMBIA SUICIDE SEVERITY RATING SCALE THROUGHOUT THE HOSPITAL AND CLINICS TO SCREEN ALL PATIENTS 12 YEARS AND OLDER FOR RISK OF SUICIDE. THOSE INDIVIDUALS WHO RATE MODERATE TO HIGH RISK ARE REFERRED TO COMMUNITY BEHAVIORAL HEALTH RESOURCES TO ENSURE THEIR SAFETY. WRMC WILL CONTINUE TO SCREEN PATIENTS. INPATIENT GERIATRIC PSYCHIATRY: WATERTOWN REGIONAL MEDICAL CENTER HAS EXPANDED THE SENIOR BEHAVIORAL HEALTH UNIT DUE TO THE INCREASED NEED, NOW A 26-BED INPATIENT BEHAVIORAL HEALTH PROGRAM SPECIFIC TO SERVING ADULTS 55 YEARS AND OLDER WHO ARE EXPERIENCING ACUTE PSYCHIATRIC SYMPTOMS THAT ARE PUTTING THE INDIVIDUAL OR OTHERS AT IMMEDIATE RISK OR DANGER DUE TO THEIR MENTAL ILLNESS. THIS UNIT HAS SERVED HUNDREDS OF OLDER ADULTS WHO NEED ACUTE CRISIS STABILIZATION AND WILL CONTINUE TO DO SO. HARVEST MARKET: CONTINUES TO HOST SENIOR SUPPER ON THE FIRST WEDNESDAY OF EVERY MONTH TO PROMOTE COMMUNITY THROUGH A DISCOUNTED MEAL FOR SENIORS AND WELCOMES COMMUNITY MEMBERS TO COME FOR LUNCH AND SUPPER ON A REGULAR BASIS. 2. BASIC NEEDS WATERTOWN REGIONAL MEDICAL CENTER STRIVES TO ENSURE ALL PATIENTS HAVE EQUAL ACCESS TO COMMUNITYBASED RESOURCES AND SUPPORT. ROCK RIVER COMMUNITY CLINIC: THE ROCK RIVER COMMUNITY CLINIC PROVIDES MEDICAL AND DENTAL CARE TO THOSE THAT ARE UNDERINSURED AND UNINSURED IN DODGE, JEFFERSON, AND WALWORTH COUNTY. THE ROCK RIVER COMMUNITY CLINIC HAS A CLINIC LOCATED IN WATERTOWN. WRMC HAS AGREED TO DONATE $250,000 IN 2026 TO THE CLINIC AND WILL REASSESS ANNUALLY. MEDICAID ELIGIBILITY ASSISTANCE: WATERTOWN REGIONAL MEDICAL CENTER IS COMMITTED TO ASSESSING WHETHER CURRENT PATIENTS WHO ENTER OUR ORGANIZATION ARE ELIGIBLE FOR MEDICAID. OFTEN THE PROCESS OF APPLYING FOR MEDICAID CAN BE OVERWHELMING TO PATIENTS DUE TO THE NUMBER OF FORMS AND DOCUMENTATION THAT IS REQUIRED OF THEM. MEDICAID OFFERS A VARIETY OF SERVICES THAT PATIENTS MAY BENEFIT SUCH AS MEDICAL CARE AND TRANSPORTATION. WRMC WILL CONTINUE TO ASSIST PATIENTS THROUGH THE MEDICAID APPLICATION PROCESS TO DETERMINE ELIGIBILITY. CASE MANAGEMENT: WATERTOWN REGIONAL MEDICAL CENTER CURRENTLY HAS A CASE MANAGEMENT TEAM THAT PROVIDES PATIENTS DISCHARGING FROM THE HOSPITAL RESOURCES TO MAINTAIN HEALTH AND WELLNESS. OUR CASE MANAGEMENT TEAM ASSISTS WITH ARRANGING SERVICES SUCH AS LONG-TERM CARE PLACEMENT, HOME HEALTH SERVICES, WOUND-CARE, PALLIATIVE AND HOSPICE SERVICES, AFTER-CARE FOLLOW UP WITH PRIMARY CARE, BEHAVIORAL HEALTH FOLLOW UP, AND IN-HOME HEALTH AGENCIES. OUR CASE MANAGEMENT TEAM WORKS CLOSELY WITH DODGE AND JEFFERSON COUNTY ADULT PROTECTIVE SERVICES (APS) AND THE AGING AND DISABILITY RESOURCE CENTERS (ADRC) AS WELL AS COUNTY CRISIS TEAMS. OUR CASE MANAGEMENT TEAM MAKES REFERRALS TO COUNTY ADRCS FOR LONG-TERM CARE FUNDING, MEALS ON WHEELS, SUPPORT GROUPS, AND ADDITIONAL RESOURCES. WRMC WILL CONTINUE TO SCREEN PATIENTS FOR POTENTIAL NEEDS POST-MEDICAL CARE. SOCIAL DETERMINANTS OF HEALTH SCREENING: WRMC SCREENS ALL INPATIENTS AND EXPECTANT MOTHERS AT THE CENTER FOR WOMEN'S HEALTH FOR SOCIAL DETERMINANTS OF HEALTH AS PART OF ITS PARTNERSHIP WITH THE LOCAL WELCOME BABY COALITION. SCREENINGS OCCUR AT WEEKS EIGHT AND TWENTY OF PRENATAL CARE TO IDENTIFY NEEDS RELATED TO HOUSING, TRANSPORTATION, FOOD ACCESS, AND MORE. WHEN NEEDS ARE IDENTIFIED, REFERRALS ARE MADE TO LOCAL AGENCIES SUCH AS PUBLIC HEALTH, WATERTOWN FAMILY CONNECTIONS, AND WIC. THROUGH THIS PARTNERSHIP, WRMC SUPPORTS WELCOME BABY'S MISSION TO HELP FAMILIES BUILD SAFE, STABLE, AND SUPPORTIVE ENVIRONMENTS FOR NEWBORNSWHILE ALSO CONTRIBUTING POPULATION-LEVEL HEALTH DATA, ADVOCATING FOR POLICIES THAT EXPAND ACCESS TO EARLY CARE AND EDUCATION, AND PROVIDING TIGER CONNECT, A HIPAA-COMPLIANT TEXTING TOOL THAT ENABLES RAPID COMMUNICATION AND FOLLOW-UP. SPANISH TRANSLATION SERVICES: WRMC NOW PROVIDES VIDEO TRANSLATION SERVICES AVAILABLE IN ALL AREAS 24/7 AND WILL CONTINUE TO MAKE MORE HOSPITAL AND CLINIC SIGNAGE, FORMS, AND DOCUMENTS AVAILABLE IN SPANISH. 3. ACCESS TO AFFORDABLE, QUALITY HOUSINGACCESS TO SAFE, AFFORDABLE, AND QUALITY HOUSING PLAYS A VITAL ROLE IN THE OVERALL HEALTH AND WELL-BEING OF A COMMUNITY. STABLE HOUSING NOT ONLY PROVIDES INDIVIDUALS AND FAMILIES WITH SECURITY AND COMFORT, BUT IT ALSO CONTRIBUTES TO BETTER PHYSICAL AND MENTAL HEALTH OUTCOMES, STRONGER FAMILY STABILITY, AND A MORE VIBRANT LOCAL ECONOMY.AS ONE OF THE LARGEST EMPLOYERS IN THE WATERTOWN AREA, WATERTOWN REGIONAL MEDICAL CENTER RECOGNIZES THE IMPORTANCE OF HOUSING AS A FOUNDATION FOR COMMUNITY HEALTH. MANY OF OUR TEAM MEMBERS LIVE, WORK, AND RAISE FAMILIES RIGHT HERE, AND WE UNDERSTAND FIRSTHAND HOW CRITICAL IT IS FOR OUR COMMUNITY TO HAVE A RANGE OF HOUSING OPTIONS THAT MEET THE NEEDS OF OUR WORKFORCE AND RESIDENTS AT ALL INCOME LEVELS.WATERTOWN REGIONAL MEDICAL CENTER ACTIVELY SUPPORTS EFFORTS TO EXPAND HOUSING OPPORTUNITIES IN OUR REGION. WE WORK CLOSELY WITH COMMUNITY PARTNERS SUCH AS THE GREATER WATERTOWN COMMUNITY HEALTH FOUNDATION AND OTHER LOCAL ORGANIZATIONS TO ADVOCATE FOR PROJECTS THAT PROMOTE SAFE, ACCESSIBLE, AND AFFORDABLE LIVING SPACES. THIS INCLUDES SUPPORTING NEW HOUSING DEVELOPMENTS THROUGH LETTERS OF ENDORSEMENT TO THE WATERTOWN CITY COUNCIL AND OTHER LOCAL DECISION-MAKERS, HELPING MOVE PROJECTS FORWARD THAT ALIGN WITH OUR SHARED VISION OF A THRIVING, HEALTHY COMMUNITY. WE ALSO CONTRIBUTE ANNUALLY TO THRIVE ECONOMIC DEVELOPMENT, A NON-PROFIT ORGANIZATION WITH A FOCUS ON CREATING DIVERSE HOUSING OPPORTUNITIES IN JEFFERSON COUNTY.BY CHAMPIONING THESE INITIATIVES, WATERTOWN REGIONAL MEDICAL CENTER DEMONSTRATES ITS COMMITMENT TO ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH UNDERSTANDING THAT GOOD HEALTH BEGINS NOT ONLY WITH ACCESS TO MEDICAL CARE, BUT ALSO WITH ACCESS TO THE RESOURCES THAT HELP PEOPLE LIVE STABLE, FULFILLING LIVES4. FINANCIAL STABILITYWRMC IS ONE OF THE LARGEST EMPLOYERS IN WATERTOWN, SUPPORTING FAMILIES AND COMMUNITY ORGANIZATIONS THROUGHOUT THE AREA THROUGH VARIOUS MEANS INCLUDING LOCAL, STATE, AND PROPERTY TAXES AND SPONSORSHIPS AND DONATIONS. WRMC ALSO SUPPORTS THEIR PATIENTS AND EMPLOYEES THROUGH THE FOLLOWING INITIATIVES:FINANCIAL ASSISTANCE POLICY: WATERTOWN REGIONAL MEDICAL CENTER OFFERS FINANCIAL ASSISTANCE TO PATIENTS WHO ARE UNINSURED OR UNDERINSURED AND UNABLE TO PAY FOR MEDICALLY NECESSARY CARE. PATIENTS ARE SCREENED FOR ELIGIBILITY AND MAY QUALIFY FOR FREE OR DISCOUNTED SERVICES BASED ON INCOME AND FAMILY SIZE.COMPETITIVE WAGES AND BENEFITS: AS A MAJOR REGIONAL EMPLOYER, WRMC PROVIDES EMPLOYEES WITH COMPETITIVE WAGES, HEALTH INSURANCE, AND RETIREMENT BENEFITS CONTRIBUTING DIRECTLY TO THE FINANCIAL STABILITY OF LOCAL HOUSEHOLDS AND THE BROADER COMMUNITY ECONOMY.COMMUNITY SPONSORSHIPS AND DONATIONS: WRMC PROVIDES FINANCIAL SUPPORT TO LOCAL NONPROFITS, SCHOOLS, AND COMMUNITY ORGANIZATIONS, STRENGTHENING THE ECONOMIC AND SOCIAL FABRIC OF THE WATERTOWN AREA. WATERTOWN REGIONAL MEDICAL CENTER, LLC PART V, SECTION B, LINE 16J: FULL WEBSITE FOR FAP, FAP APPLICATION, AND FAP PLAIN LANGUAGE SUMMARY:HTTPS://WWW.WATERTOWNREGIONAL.COM/FINANCIAL-ASSISTANCE-PROGRAMTHE HOSPITAL WAS NOT REQUIRED TO TRANSLATE THE FAP, FAP APPLICATION, AND FAP PLAIN LANGUAGE SUMMARY INTO ANY LEP LANGUAGES. THERFORE, SCHEDULE H, PART V, LINE 16I WAS ANSWERED NO. FAP PLAIN LANGUAGE SUMMARY:HTTPS://WWW.WATERTOWNREGIONAL.COM/CONTENT/DAM/HOME/SCIONHEALTH/WEB-ASSETS/COMMUNITY-HOSPITALS/WATERTOWNREGIONAL-COM/MIGRATION/ASSETS/UPLOADS/WRMC_BILLING_AND_COLLECTION_POLICY.PDF 12 1 - EYE PHYSICIAN PRACTICE 123 HOSPITAL DRIVE SUITE 1002 WATERTOWN WI 53098 EYE PHYSICIAN PRACTICE 2 - AODAMENTAL COUNSELING 125 HOSPITAL DRIVE SUITE 110 WATERTOWN WI 53098 AODA/MENTAL COUNSELING 3 - OBGYN PHYSICIAN PRACTICE 128 HOSPITAL DRIVE WATERTOWN WI 53098 OB/GYN PHYSICIAN PRACTICE 4 - PHYSICIAN PRACTICE 1507 DOCTORS COURT WATERTOWN WI 53094 PHYSICIAN PRACTICE 5 - PHYSICIAN PRACTICE 134 HOSPITAL DRIVE WATERTOWN WI 53098 PHYSICIAN PRACTICE 6 - PULMONOLOGY CENTER 123 HOSPITAL DRIVE SUITE 2009 WATERTOWN WI 53098 PULMONOLOGY CENTER 7 - UROLOGY CLINIC 123 HOSPITAL DRIVE SUITE 2006 WATERTOWN WI 53098 UROLOGY CLINIC 8 - PHYSICIAN PRACTICE 102 VILLAGE WALK LANE JOHNSON CREEK WI 53038 PHYSICIAN PRACTICE 9 - PHYSICIAN PRACTICE 1025 MULBERRY STREET LAKE MILLS WI 53551 PHYSICIAN PRACTICE 10 - PHYSICIAN PRACTICE 111 ANNA STREET WATERLOO WI 53594 PHYSICIAN PRACTICE 11 - OCCUPATIONAL HEALTH 123 HOSPITAL DRIVE SUITE 2004 WATERTOWN WI 53098 OCCUPATIONAL HEALTH 12 - PHYSICIAN PRACTICE 334 S WESTERN AVE JUNEAU WI 53039 PHYSICIAN PRACTICE PART I, LINE 7: MEDICARE COST REPORT COST TO CHARGE RATIO PART I, LN 7 COL(F): THE AMOUNT OF BAD DEBTS EXCLUDED FROM THE CALCULATIONS IS 20% OF THE TOTAL HOSPITAL BAD DEBTS ($813,740). THE ORGANIZATION OWNS 20% OF THE HOSPITAL. SCHEDULE H, PART I, LINE 7 THE INFORMATION PRESENTED IN THE TABLE REPRESENTS 20% OF THE INFORMATION PRESENTED ON THE 12/31/24 K-1 OF WATERTOWN REGIONAL MEDICAL CENTER. GREATER WATERTOWN COMMUNITY HEALTH FOUNDATION OWNS A 20% INTEREST IN THE HOSPITAL. SCHEDULE H, PART I, LINE 6: THE COMMUNITY BENEFIT REPORT WAS PREPARED BY THE HOSPITAL, WATERTOWN HOLDING COMPANY, LLC. PART II, COMMUNITY BUILDING ACTIVITIES: WRMC PROVIDES BOARD AND COMMITTEE LEADERSHIP FOR NUMEROUS HEALTH-ENHANCING PARTNER ORGANIZATIONS THROUGHOUT OUR TWO COUNTY SERVICE AREA. WE PROVIDE MEDICAL DIRECTOR SERVICES FOR MULITIPLE EMS UNITS AND LEAD SEVERAL LOCAL HEALTH AND SAFETY COALITIONS TO ENSURE THAT LOCAL PARTNERS ARE WORKING WELL TOGETHER TO ADVANCE THE HEALTH AND SAFETY OF OUR REGION. PART III, LINE 2: BAD DEBT EXPENSE TIMES COST TO CHARGE RATIO. SCHEDULE H, PART II: THE INFORMATION PRESENTED IN THE TABLE REPRESENTS 20% OF THE INFORMATION PRESENTED ON THE 12/31/24 K-1 OF WATERTOWN REGIONAL MEDICAL CENTER. GREATER WATERTOWN COMMUNITY HEALTH FOUNDATION OWNS A 20% INTEREST IN THE HOSPITAL. PART III, LINE 4: THE HOSPITAL HAS AND FOLLOWS A BAD DEBT POLICY. PART III, LINE 8: MEDICARE ALLOWABLE COST IS BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CMS. THE FIGURES ON LINE 6 OF PART III REPRESENT 20% (FOUNDATION'S INTEREST IN THE HOSPITAL) OF 12 MONTHS THE 8/31/25 MEDICARE COST REPORT. PART III, LINE 9B: THE ACCOUNT BALANCES OF PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE UNDER WRMC'S FINANCIAL ASSISTANCE POLICY, BUT WHO FAIL TO PAY THE REMAINING (DISCOUNTED) BALANCE WHEN DUE, ARE CONSIDERED UNCOLLECTIBLE BAD DEBTS FOR THE AMOUNT OF SUCH BALANCES; SUCH ACCOUNTS WILL BE REFERRED TO OUTSIDE AGENCIES FOR COLLECTION. SCHEDULE H, PART V, LINE 10A: HTTPS://WWW.WATERTOWNREGIONAL.COM/ABOUT/COMMUNITY-HEALTH-ASSESSMENT PART VI, LINE 2: WRMC UTILIZES STATE INPATIENT AND OUTPATIENT HEALTHCARE ENCOUNTER DATA TO IDENTIFY THE TYPES OF CONDITIONS FOR WHICH THE COMMUNITY IS SEEKING CARE. THIS DATA PROVIDES INFORMATION ON CHRONIC DISEASE NEEDS. THE DATA ALSO IDENTIFIES WHERE COMMUNITY MEMBERS ARE ACCESSING CARE SO WRMC CAN IDENTIFY NEEDS FOR ADDITIONAL OR ENHANCED LOCAL SERVICES. THE ORGANIZATION UTILIZES QUALITY AND PATIENT EXPERIENCE DATA (BOTH INTERNAL DATA AND BENCHMARK BEST PRACTICE DATA) TO IDENTIFY NEEDS, PRIORITIES AND RESULTS. WRMC LEADERSHIP PARTICIPATES ON MULTIPLE COMMUNITY HEALTH COALITIONS AND NON-PROFIT BOARDS TO GAIN SUBJECTIVE AND OBJECTIVE INPUT ON COMMUNITY NEEDS. LEADERSHIP PARTICIPATION IN THESE EFFORTS ENSURES WRMC'S EAR IS ALWAYS OPEN TO THE NEEDS OF MULTI-SECTOR COMMUNITY PARTNERS. PART VI, LINE 3: WRMC USES MULTIPLE METHODS TO EDUCATE PATIENTS ABOUT ELIGIBILITY FOR FINANCIAL ASSISTANCE. LOCAL REFERRING PROVIDERS ARE FAMILIAR WITH WRMC'S CHARITY CARE POLICIES AND OFTEN GET PATIENTS IN CONTACT WITH WRMC FINANCIAL COUNSELORS AS THE CARE PROCESS IS INITIATED. OUR FRONT OFFICE/RECEPTION STAFF AT EACH POINT OF ENTRY IS EDUCATED ON BILLING AND ASSISTANCE PROCEDURES AND CAN SERVE AS AN IMMEDIATE RESOURCE FOR PATIENTS, REFERRING PATIENTS TO FINANCIAL COUNSELORS TO PROVIDE PERSONALIZED COUNSELING WHEN NECESSARY. MESSAGING ABOUT AVAILABILITY OF FINANCIAL PAYMENT ASSISTANCE IS DISPLAYED AT EACH REGISTRATION AREA, AND PATIENTS ARE PROVIDED WITH A COPY OF WRMC'S FINANCIAL ASSISTANCE POLICY. PART VI, LINE 4: WRMC SERVES THE RESIDENTS OF DODGE AND JEFFERSON COUNTIES IN A SERVICE AREA OF ROUGHLY 174,000 LIVES. BASIC COUNTY DEMOGRAPHIC INFORMATION IS AS FOLLOWS: DODGE COUNTY JEFFERSON COUNTY% RESIDENTS BELOW POVERTY 9.2% 7.7%% WITH HS DIPLOMA 92.7% 92.9%% SPEAK LANGUAGE OTHER THAN ENGLISH 5.4% 6.3%% RESIDENTS UNINSURED 5.6% 5.5%MEDIAN HOUSEHOLD INCOME $75,929 $83,750 PART VI, LINE 5: WRMC HAS AN OPEN MEDICAL STAFF AND A GENEROUS CHARITY CARE PROGRAM. WRMC IS ACTIVE IN COMMUNITY HEALTH IMPROVEMENT IN THE REGION. AN ACTIVE MEMBER OF THE DODGE-JEFFERSON HEALTHIER COMMUNITY PARTNERSHIP, WE WORK IN PARTNERSHIP WITH LOCAL HEALTH DEPARTMENTS, HOSPITALS, AND THE GREATER WATERTOWN COMMUNITY HEALTH FOUNDATION TO DEVELOP COMMUNITY HEALTH IMPROVEMENT PLANS. WRMC ALSO HAS AN ACTIVE CO-CHAIR POSITION IN OUR LOCAL HEALTH AND WELLNESS COALITION, GET HEALTHY WATERTOWN. GET HEALTHY WATERTOWN CONSISTS OF REPRESENTATIVES FROM VARIOUS ORGANIZATIONS WITHIN WATERTOWN ALONG WITH COMMUNITY MEMBERS WHO FOCUS ON GOALS THAT ALIGN WITH OUR COMMUNITY HEALTH ASSESSMENT AND FOCUS PRIMARILY ON PHYSICAL ACTIVITY, NUTRITION, AND MENTAL HEALTH. HEALTH EQUITY IS CONSIDERED WHEN PROVIDING SUPPORT FOR VARIOUS INITIATIVES IN THE COMMUNITY INCLUDING COMMUNITY GARDENS AND WALKING PROGRAMS. WE PROVIDE ONGOING SUPPORT (IN THE FORM OF FINANCIAL FUNDING AND DONATED DIAGNOSTIC AND LAB TESTING SERVICES) TO OUR LOCAL FREE CLINIC, THE ROCK RIVER COMMUNITY CLINIC. WRMC DEVELOPS ACTIVE PARTNERSHIPS WITH COMMUNITY PROVIDERS TO ENSURE QUALITY CARE ACROSS THE CONTINUUM. SUPPORT OF OUR LOCAL HOSPICE PROVIDER, RAINBOW HOSPICE, HAS BEEN A SIGNIFICANT PRIORITY. TWO WRMC LEADERS SERVE ON THE RAINBOW HOSPICE BOARD AND WRMC HAS MADE SIZABLE FINANCIAL DONATIONS TO ENHANCE THE HOSPICE SERVICES AVAILABLE LOCALLY. IN ADDITION TO RAINBOW HOSPICE, WE HAVE LEADERSHIP TEAM MEMBERS SERVING ON THE BOARDS OF OUR YMCA, UW CANCER CENTER JOHNSON CREEK BOARD, AND ECONOMIC DEVELOPMENT ORGANIZATION.OBESITY IS A KEY HEALTH CONCERN FOR OUR REGION, AND WRMC IS ACTIVE IN PROMOTING LIFESTYLE CHANGE. HARVEST MARKET CONTINUES TO PROVIDE HEALTHY FOOD TO THE COMMUNITY INCLUDING EMPLOYEES, PATIENTS, AND GUESTS. A "GO, SLOW, WHOA" SYSTEM IS IN PLACE WHICH HIGHLIGHTS FOOD THAT ARE CONSIDERED HEALTHY AND MEET CERTAIN DIETARY GUIDELINES, FOODS THAT SHOULD BE EATEN ON OCCASION BUT MIGHT CONTAIN ONE OR TWO ITEMS OVER THE RECOMMENDATION, AND OPTIONS THAT ARE DEEMED 'ON OCCASION' ITEMS WHICH SHOULD BE VIEWED AS A SPECIAL MEAL OR TREAT. WE OFFER AN ON-GOING FREE CLASS THAT TEACHES THE BASICS OF HEART HEALTHY EATING, AND WE HAVE DEVELOPED A COMMUNITY KITCHEN THAT OFFERS HEALTHY COOKING CLASSES AT A SIGNIFICANTLY DISCOUNTED RATE. OVER THE PAST YEAR WE HAVE HOSTED MULTIPLE SCHOOL GROUPS TO TEACH CHILDREN HEALTHY EATING HABITS. WE ALSO PROVIDE A FREE HEART HEALTHY CLASS TO MEMBERS OF OUR CARDIAC REHAB PROGRAM AT NO COST. WRMC ALSO HOSTED A COMMUNITY GARDEN LAST YEAR DONE ON VOLUNTEER TIME AND PRODUCE WAS PROVIDED TO A SENIOR MEAL SITE IN CONJUNCTION WITH THE WATERTOWN DEPARTMENT OF PUBLIC HEALTH AND RIVERSIDE MIDDLE SCHOOL GARDEN.WRMC HAS AN OPEN MEDICAL STAFF AND A GENEROUS CHARITY CARE PROGRAM. PART VI, LINE 6: WRMC IS A JOINT VENTURE BETWEEN THE GREATER WATERTOWN COMMUNITY HEALTH FOUNDATION, INC. AND SCION HEALTH. FIFTY PERCENT OF WRMC'S BOARD OF DIRECTORS ARE LOCAL AND APPOINTED BY THE GREATER WATERTOWN COMMUNITY HEALTH FOUNDATION. THESE MEMBERS REPRESENT THE DIVERSE NEEDS OF THE WATERTOWN REGION. WRMC ALSO IS GOVERNED BY A BOARD OF TRUSTEES WHO OVERSEE CLINICAL QUALITY, CREDENTIALING AND ACCREDITATION. PART VI, LINE 7, REPORTS FILED WITH STATES WI 1 BRIDGING BRIGHTER SMILES INC 711 W MORELAND BLVD WAUKESHA WI 53811 454063576 501(C)(3) 23400 0 X-RAY EXPANSION PROJECT COMMUNITY ACTION COALITION FOR SOUTH CENTRAL WISCONSIN (CACSCW) 4101 EAST TOWNE BLVD MADISON WI 53704 391053827 501(C)(3) 20000 0 FINANCIAL EMPOWERMENT CENTER CORNERSTONE OF GRACE PO BOX 746 WATERTOWN WI 530989998 843775046 501(C)(3) 22200 0 BOARD GIFT 2024 COFG, EICKSTAEDT LANE HOUSING DODGELAND SCHOOL DISTRICT 401 S WESTERN AVE JUNEAU WI 53039 391034256 GOVERNMENTAL 35530 0 ASQ HUB GRANT, BOARD GIFT 2024 ED FND WTTN GLACIAL COMMUNITY YMCA 1750 E VALLEY ROAD OCONOMOWOC WI 53066 390806378 501(C)(3) 206593 0 COLLECTIVE TRANSITION, YMCA BUILDING COMMUNITY, EMPLOYER SPONSORED CARE, YMCA DHS SOCIAL ISOLATION & LONELINESS (PG), BOARD GIFT 2024 WTTN YMCA GLACIAL HERITAGE DEVELOPMENT PARTNERSHIP 864 COLLINS ROAD SUITE 111 JEFFERSON WI 53549 813362283 501(C)(3) 20000 0 TECHNICAL ASSISTANCE SUPPORT HABITAT FOR HUMANITY OF WAUKESHA COUNTY 2020 SPRINGDALE ROAD WAUKESHA WI 53186 391642114 501(C)(3) 125200 0 COMPEER FINANCIAL RURAL COLLABORATION GRANT, HABITAT FOR HUMANITY; BUILDING A BETTER JEFFERSON COUNTY JEFFERSON COUNTY HUMAN SERVICES 1541 ANNEX ROAD JEFFERSON WI 53549 396005705 GOVERNMENTAL 9000 0 INFANT AND MATERNAL MENTAL HEALTH, YOUTH LEADERSHIP IN JUVENILE JUSTICE JOHNSON CREEK SCHOOL DISTRICT 455 AZTALAN STREET JOHNSON CREEK WI 53038 396002757 GOVERNMENTAL 16500 0 YOUTH WELLBEING SUMMIT 2025, LITTLE JAYS - BOOKS, SOURCES OF STRENGTH LAKE MILLS AREA SCHOOL DISTRICT 120 E LAKE PARK PLACE LAKE MILLS WI 53551 396023287 GOVERNMENTAL 12537 0 YOUTH WELLBEING SUMMIT 2025, LEADER IN ME, ASQ HUB GRANT MADISON COLLEGE 1300 W MAIN ST WATERTOWN WI 53098 391086718 501(C)(3) 7150 0 HEALTHWORKS NETWORK MENTAL HEALTH FIRST AID (MHFA) TRAINING MARANATHA BAPTIST UNIVERSITY INC 745 W MAIN ST WATERTOWN WI 53094 391097032 501(C)(3) 41670 0 WATERTOWN EMPLOYER SPONSORED CARE OCD AND ANXIETY INSTITUTE PC 2600 WHITE HORSE ROAD BERWYN PA 19312 461874565 S-CORP 30010 0 YOUTH MENTAL HEALTH OCONOMOWOC AREA SCHOOL DISTRICT 915 E SUMMIT AVENUE OCONOMOWOC WI 53066 396003743 GOVERNMENTAL 7500 0 EMPOWERING STUDENTS FOR POST SECONDARY SUCCESS RAINBOW HOSPICE 147 W ROCKWELL ST JEFFERSON WI 53549 391628298 501(C)(3) 33695 0 ALL THE LONELY PEOPLE SCREENING, RAINBOW DHS SOCIAL ISOLATION AND LONELINESS (PG) REACH OUT AND READ INC 89 SOUTH STREET SUITE 201 BOSTON MA 02111 043481253 501(C)(3) 9930 0 REACH OUT AND READ READING & MATH INC (WISCONSIN READING CORPS) 1200 WASHINGTON SOUTH STE 310 MINNEAPOLIS MN 55415 472306902 501(C)(3) 60000 0 WI READING CORP (SY21-ONGOING) ROCK RIVER COMMUNITY CLINIC 1461 WEST MAIN STREET WHITEWATER WI 53190 205297560 501(C)(3) 326321 0 MANAGEMENT TRANSITION, FOUNDATION FOR GROWTH, GRANT WRITING SERVICES, BOARD GIFT 2024 RRCC SAFE FAMILIES FOR CHILDREN 672 JOHNSON ST WATERTOWN WI 53094 472646525 501(C)(3) 10100 0 SPANISH TRANSLATION AND RECORDING SCHOOL DISTRICT OF JEFFERSON 206 S TAFT AVE JEFFERSON WI 53549 391207754 GOVERNMENTAL 51825 0 PLAYWORKS JEFFERSON MS, ASQ HUB GRANT, PLAYWORKS ACTIVE RECESS WATERLOO SCHOOL DISTRICT 813 N MONROE ST WATERLOO WI 53594 396008524 GOVERNMENTAL 38600 0 PLAYWORKS ACTIVE RECESS - MIDDLE & ELEM, YOUTH WELLBEING SUMMIT 2025 WATERTOWN UNIFIED SCHOOL DISTRICT 111 DODGE ST WATERTOWN WI 53094 396005031 GOVERNMENTAL 13299 0 PLAYWORKS ACTIVE RECESS, SCHOOL BOARD DEVELOPMENT - OCTOBER 25 RETREAT WISCONSIN EARLY CHILDHOOD ASSOCIATION (WECA) 2908 MARKETPLACE DRIVE FITCHBURG WI 53719 391345572 501(C)(3) 30648 0 RAISING WISCONSIN POLICY AGENDA, WECA CHILDCARE CONSULTING WISCONSIN HOSPITAL ASSOCIATION 5510 RESEARCH PARK DRIVE MADISON WI 53711 390969552 501(C)(6) 30000 0 WHA: INTEGRITY FOR DATA EQUITY AND ACCURACY (IDEA) WISCONSIN PHILANTHROPY NETWORK 790 N MILWAUKEE ST MILWAUKEE WI 53202 396236498 501(C)(3) 10000 0 WPN FUNDERS COLLABORATIVE FOR CHILDREN AND FAMILIES 24 1 PART I, LINE 2: THE FOUNDATION HAS CLEAR ELIGIBILITY CRITERIA FOR GRANTS. FOUNDATION STAFF REVIEW ELIGIBILITY CRITERIA PRIOR TO PRESENTING GRANT APPLICANTS TO THE FOUNDATION'S GRANT COMMITTEE. COMMITTEE MEMBERS REVIEW, RATE AND APPROVE REQUESTS BASED ON PRE-IDENTIFIED CRITERIA. X X X X 0 0 0 0 0 0 0 0 0 TINA CRAVE CHIEF TRANSFORMATION OFFICER 199838 0 0 0 0 0 8240 0 24949 0 233027 0 0 0 NATHAN PETERS CFO/TREASURER 142474 0 0 0 0 0 6272 0 24279 0 173025 0 0 0 KIMBERLY MELCHER CHIEF IMPACT OFFICER 120548 0 0 0 0 0 5108 0 24949 0 150605 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE AT ITS MONTHLY MEETING. ONCE APPROVED THERE, IT IS DISTRIBUTED TO THE FULL BOARD ELECTRONICALLY FOR COMMENTS. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY COVERS OFFICERS, DIRECTORS AND EMPLOYEES. EACH COMPLETES A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY. DETERMINATIONS ABOUT A CONFLICT ARE MADE AT THE BOARD LEVEL FOR OFFICERS AND DIRECTORS AND AT THE LEVEL OF THE PRESIDENT FOR STAFF MEMBERS. CONFLICTS ARE REVIEWED BY THE BOARD. WHEN A CONFLICT EXISTS, MEMBERS ARE ABLE TO PARTICIPATE IN DISCUSSION ON THE GIVEN TOPIC BUT MAY BE ASKED TO LEAVE THE ROOM PRIOR TO DELIBERATION AND VOTING. FORM 990, PART VI, SECTION B, LINE 15 TO DETERMINE THE COMPENSATION OF THE OFFICER OF THE CORPORATION, AN EXTERNAL BENCHMARKING COMPENSATION SURVEY DATA IS USED TO DETERMINE A FAIR AND REASONABLE SALARY AND BENEFITS. THIS FUNCTION IS PERFORMED BY EXECUTIVE COMMITTEE MEMBERS. CONTEMPORANEOUS NOTES OF THE COMPENSATION COMMITTEE ARE KEPT BY THE BOARD CHAIRMAN. FORM 990, PART VI, SECTION C, LINE 18 AVAILABLE IN PERSON AT THE FOUNDATION'S OFFICE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: DISTRIBUTIONS TO NON-CONTROLLING PARTNERS -76,186. WATERTOWN COLLECTIVE LLC 672 JOHNSON ST SUITE 300 WATERTOWN WI 53094 391030310 CORPORATE CENTER WI 724383 12814151 GWCHF HOLDINGS LLC HOFFMAN MATZ LLC 672 JOHNSON ST SUITE 300 WATERTOWN WI 53094 391030310 LAND FOR FUTURE DEVELOPMENT WI 4284365 3072771 GWCHF HOLDINGS LLC EICKSTAEDT LANE LLC 672 JOHNSON ST SUITE 300 WATERTOWN WI 53094 391030310 RESIDENTIAL RENTAL PROPERTY WI 34241 426411 GWCHF HOLDINGS LLC GWCHF HOLDINGS LLC 672 JOHNSON ST SUITE 300 WATERTOWN WI 53094 391030310 HOLDING COMPANY WI 0 0 WATERTOWN SENIOR HOUSING LLC 5201 EAST TERRACE DRIVE SUITE 300 MADISON WI 53718 391994439 LOW INCOME SENIOR HOUSING WI FOUNDATION RELATED 312634 1256496 0 0 0.60000 WATERTOWN SENIOR HOUSING II LLC 5201 EAST TERRACE DRIVE SUITE 300 MADISON WI 53718 470863700 LOW INCOME SENIOR HOUSING WI FOUNDATION RELATED 348465 1415150 0 0 0.60000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 WATERTOWN HOLDING COMPANY LLC 330 SEVEN SPRINGS WAY BRENTWOOD TN 37027 611757641 HOSPITAL TN PATIENT SERVICE REVENUE 0 23025267 23093447 0 0 0.20000