2023-11-13T09:56:45-06:00 2022-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2022-01-01 810977948 MCHS HOSPITALS INC MCHS 7153875511 1000 N OAK AVENUE MARSHFIELD WI 54449 CATHY BUKOWSKI CFO 7153875511 2023-11-08 1 CATHY BUKOWSKI 999009999 1 DAVID LOWENTHAL P00378651 3122071040 2023-10-30 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SUSAN TURNEY MD CEO 1000 N OAK AVENUE MARSHFIELD WI 54449 1373193943 0 X WWW.MARSHFIELDCLINIC.ORG X 2015 WI WE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, COMPASSIONATE HEALTH CARE. 9 6 0 500 0 0 29567703 24201137 1473553963 1348342854 -41672 95161 711915 554572 1503791909 1373193724 266168 983601 0 0 656802805 835906729 0 0 0 756028904 843674175 1413097877 1680564505 90694032 -307370781 1593897920 2934686508 972653007 990998784 621244913 1943687724 X WE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, COMPASSIONATE HEALTH CARE. 0 0 1454878764 983601 1345192311 MCHS HOSPITALS, INC. (MCHSH), INCORPORATED IN DECEMBER 2015 AS A NONPROFIT, NONSTOCK CORPORATION WHICH OWNS AND OPERATES THE FOLLOWING ACUTE CARE FACILITIES IN WISCONSIN EITHER DIRECTLY OR THROUGH WHOLLY OWNED SUBSIDIARIES: MARSHFIELD MEDICAL CENTER (MMC) (ACQUIRED IN JULY 2017), MMC-RICE LAKE (THROUGH ITS SUBSIDIARY LAKEVIEW MEDICAL CENTER), MMC-EAU CLAIRE (OPENED IN JULY 2018), MMC-LADYSMITH (ACQUIRED IN SEPTEMBER 2018), MMC-NEILLSVILLE (ACQUIRED IN DECEMBER 2018 THROUGH ITS SUBSIDIARY MEMORIAL HOSPITAL, INC.), MMC-BEAVER DAM (ACQUIRED IN MAY 2019 THROUGH ITS SUBSIDIARY BEAVER DAM COMMUNITY HOSPITALS, INC. (BDCH)), MMC-MINOCQUA (OPENED IN JUNE 2020), CONTINUED ON SCHEDULE OMMC-WESTON (ACQUIRED IN AUGUST 2020), MMC-PARK FALLS (ACQUIRED IN AUGUST 2020 THROUGH ITS SUBSIDIARY FLAMBEAU HOSPITAL, INC.), MMC-DICKINSON (ACQUIRED IN FEBRUARY 2022 THROUGH ITS SUBSIDIARY DICKINSON COUNTY HEALTHCARE SYSTEM) AND MMC-RIVER REGION (OPENED IN MAY 2022). 1454878764 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 0 1 1 1 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 6 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X JANETTE TOWNSEND VP OF FINANCE 7153875511 1000 N OAK AVENUE MARSHFIELD WI 54449 X MARK BUGHER CHAIR 1.00 9.00 X X 0 26500 0 MARK BRADLEY VICE CHAIR 1.00 5.00 X X 0 9500 0 RUWAN DISSANAYAKE MD SECRETARY 1.00 50.00 X X 0 528556 54315 JOHN BALTUS TREASURER 1.00 0.00 X X 0 0 0 DOUG MATHISON BOARD MEMBER 1.00 1.00 X 0 0 0 SUSAN TURNEY MD BOARD MEMBER/MCHS CEO 1.00 54.00 X 0 3048492 315344 COLLEEN HOERNEMAN BOARD MEMBER 1.00 2.00 X 0 7500 0 WILLIAM MELMS MD BOARD MEMBER/MCHS CMO 1.00 54.00 X 0 829413 57055 MARGARET MINERICK BOARD MEMBER 1.00 1.00 X 0 1000 0 GORDON EDWARDS MCHS CFO/COO - PART YEAR 1.00 54.00 X 0 829645 31752 KATHY BRESSLER MCHS COO 1.00 54.00 X 0 370779 16874 JERARD JENSEN MCHS GENERAL COUNSEL 1.00 54.00 X 0 1058880 65255 PATRICK BOARD PRESIDENT MMC - PART YEAR 50.00 0.00 X 443453 0 35967 WILLIAM PRIEST PRESIDENT MMC-EAU CLAIRE 50.00 0.00 X 367181 0 55585 RYAN NEVILLE PRESIDENT MMC-WESTON 50.00 0.00 X 368030 0 53671 TY ERICKSON PRESIDENT MMC-MINOCQUA 50.00 0.00 X 339970 0 57055 WEB FRANCOIS PRESIDENT MMC-RIVER REGION 50.00 0.00 X 206598 0 12555 1725232 6710265 755428 5 0 1 0 0 19511706 4689431 24201137 NET PATIENT SERVICE RE 621110 1309346115 1309346115 PREMIUM REVENUE 621110 25169304 25169304 INTERCOMPANY REVENUE 621110 6148096 6148096 MISC OTHER OPERATING R 621110 4528796 4528796 CAFETERIA REVENUE 621110 3150543 3150543 1348342854 2316 2316 554572 0 554572 554572 554572 93064 219 92845 92845 92845 1373193724 1345192311 0 3800276 983601 983601 693188454 692656432 532022 31360886 31331699 29187 77272880 77186605 86275 34084509 34047702 36807 101991 101991 85404878 85386328 18550 55890 54816 1074 4891445 4891445 1819025 1817672 1353 28787250 28787250 1717723 1717228 495 15450 15450 27655634 27655634 40083333 40083333 MEDICAL SUPPLIES 249551996 249551667 329 I/C PURCHASED SERVICES 224871395 224871395 GOODWILL IMPAIRMENT 115000000 115000000 BAD DEBT EXPENSE 33523785 33523785 30194380 30188117 6263 1680564505 1454878764 225685741 0 X -12100783 -16993008 32609392 18041287 0 1168350 769386336 2242342481 47253100 45523808 1499809 1828031 860781269 255677981 472985984 605103288 159054301 29425991 119975774 4970327 3234007 3275953 1593897920 2934686508 51816234 39272187 35713895 517364 869085416 790153921 728160 145180148 15309302 15875164 972653007 990998784 X 621244913 1943687724 621244913 1943687724 1593897920 2934686508 X -307370781 1629813592 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 23970565 23970565 409112289 56749021 352363268 2026625 1650905 375720 413796562 192462233 221334329 11875228 4815822 7059406 605103288 ASSET RETIREMENT OBLIGATION 15304010 OPERATING LEASE PAYABLE LONG-TERM 571154 15875164 X PART X, LINE 2: THE ORGANIZATION APPLIES FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES (ASC 740), WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS. ASC 740 PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. UNDER ASC 740, TAX POSITIONS WILL BE EVALUATED FOR RECOGNITION, DERECOGNITION, AND MEASUREMENT USING CONSISTENT CRITERIA AND WILL PROVIDE MORE INFORMATION ABOUT THE UNCERTAINTY IN INCOME TAX ASSETS AND LIABILITIES. THE SYSTEM HAS DETERMINED THAT IT DOESN'T HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2022 OR DECEMBER 31, 2021. 1 1 X 1 X 1 X 1 1 1 0 1 1 8092529 0 8092529 0.00490 156066456 78495982 77570474 0.04710 0 0 164158985 78495982 85663003 0.05200 2197884 945864 1252020 0.00080 14518100 4036363 10481737 0.00640 0 0 0 0 105303 0 105303 0.00010 16821287 4982227 11839060 0.00730 180980272 83478209 97502063 0.05930 2944 2944 0.00000 1929 1929 0.00000 161 161 0.00000 2868 2868 0.00000 1484 1484 0.00000 9386 9386 0.00000 1 13501142 172926492 255139414 -82212922 X 1 1 6 1 MARSHFIELD MEDICAL CENTER 611 ST JOSEPH AVENUE MARSHFIELD WI 54449 WWW.MARSHFIELDCLINIC.ORG 51 X X X X X 2 MARSHFIELD MEDICAL CENTER-EAU CLAIRE 2310 CRAIG ROAD EAU CLAIRE WI 54701 WWW.MARSHFIELDCLINIC.ORG 323 X X X 3 MARSHFIELD MEDICAL CENTER-LADYSMITH 1200 PORT ARTHUR RD LADYSMITH WI 54848 WWW.MARSHFIELDCLINIC.ORG 1030 X X X 4 MARSHFIELD MEDICAL CENTER-MINOCQUA 9576 HIGHWAY 70 MINOCQUA WI 54848 WWW.MARSHFIELDCLINIC.ORG 325 X X X 5 MARSHFIELD MEDICAL CENTER-WESTON 3400 MINISTRY PARKWAY WESTON WI 54476 WWW.MARSHFIELDCLINIC.ORG 310 X X X 6 MARSHFIELD MEDICAL CENTER-RIVER REGION 4100 STATE HIGHWAY 66 STEVENS POINT WI 54482 WWW.MARSHFIELDCLINIC.ORG 340 X X X MARSHFIELD MEDICAL CENTER 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X HTTPS://TINYURL.COM/5N84D2WN X 1 21 1 HTTPS://TINYURL.COM/4VPC65TK 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE X WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE X WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 MARSHFIELD MEDICAL CENTER-EAU CLAIRE 2 0 0 1 X X X X X X X X X 21 1 1 1 1 X HTTPS://TINYURL.COM/3VVKZ9WE X 1 21 1 HTTPS://TINYURL.COM/3ZXDNEUB 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE X WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE X WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 MARSHFIELD MEDICAL CENTER-LADYSMITH 3 0 0 1 X X X X X X X X 21 1 0 1 1 X HTTPS://TINYURL.COM/47CBMDHF X 1 21 1 HTTPS://TINYURL.COM/MRZR2TT8 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE X WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE X WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 MARSHFIELD MEDICAL CENTER-MINOCQUA 4 0 0 1 X X X X X X X X 21 1 1 1 1 X HTTPS://TINYURL.COM/7N6SCCNM X 1 21 1 HTTPS://TINYURL.COM/5ENBEHHB 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE X WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE X WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 MARSHFIELD MEDICAL CENTER-WESTON 5 0 0 1 X X X X X X X X 21 1 1 1 1 X HTTPS://TINYURL.COM/4TKRTUFN X 1 21 1 HTTPS://TINYURL.COM/3UDAZHBU 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE X WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE X WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 MARSHFIELD MEDICAL CENTER-RIVER REGION 6 1 0 0 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE X WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE X WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 MARSHFIELD MEDICAL CENTER PART V, SECTION B, LINE 5: WHILE MARSHFIELD MEDICAL CENTER (MMC) STRIVES TO WORK COLLABORATIVELY TOGETHER WITH DIVERSE SECTORS OF THE COMMUNITY THE COVID-19 PANDEMIC PREVENTED THE WOOD COUNTY HEALTH DEPARTMENT FROM BEING AN ACTIVE PARTNER THIS YEAR. THE WOOD COUNTY HEALTH DEPARTMENT WAS EXEMPT FROM CONDUCTING A COMMUNITY HEALTH ASSESSMENT IN ORDER TO FOCUS EFFORTS AND CAPACITY ON ADDRESSING COVID-19. THEREFORE, MMC PARTNERED WITH ASPIRUS INC. TO CONDUCT A COMMUNITY HEALTH SURVEY, KEY INFORMANT INTERVIEWS AND A FOCUS GROUP ENGAGING DIVERSE STAKEHOLDERS AND INDIVIDUALS ACROSS WOOD COUNTY. COMMUNITY HEALTH ASSESSMENT SURVEY: PRIMARY DATA COLLECTION BEGAN WITH A COMMUNITY HEALTH SURVEY IN MARCH 2021. AN ELECTRONIC SURVEY WAS WIDELY DISTRIBUTED TO WOOD COUNTY RESIDENTS. AN ABBREVIATED HARDCOPY VERSION OF THE ELECTRONIC COMMUNITY HEALTH SURVEY WAS CREATED FOR RESIDENTS WITH LIMITED ACCESS TO INTERNET AND LIMITED HEALTH LITERACY A TOTAL OF 922 RESPONDENTS QUALIFIED AND COMPLETED THE HEALTH SURVEY. AN ELECTRONIC HEALTH SURVEY WAS DISTRIBUTED TO VARIOUS INDIVIDUALS AND ORGANIZATIONS, WHICH INCLUDED UNITED WAY, YMCA, WOOD COUNTY HEALTH DEPARTMENT, AGING AND DISABILITY RESOURCE CENTER, CHAMBERS OF COMMERCE, SCHOOL DISTRICTS, COMMUNITY FOUNDATIONS, COALITIONS AND MORE. HARD COPY SURVEYS WERE DISTRIBUTED TO FOOD PANTRIES, COMMUNITY HEALTH WORKERS WORKING WITH COMMUNITIES OF COLOR AND AT MASS VACCINATION CLINICS. FOCUS GROUPS: FOCUS GROUPS AND KEY INFORMANT INTERVIEWS SERVED THE PURPOSE OF DIVING DEEPER INTO HEALTH ISSUES AND WERE METHODS USED TO ENGAGE MARGINALIZED POPULATIONS WHO WERE LESS REPRESENTED IN THE COMMUNITY HEALTH SURVEY. ONE FOCUS GROUP WAS CONDUCTED IN APRIL 2019 WITH INDIVIDUALS FROM AN UNDERREPRESENTED POPULATION. THE INDIVIDUALS ALSO REPRESENTED VARIOUS PROFESSIONAL BACKGROUNDS SUCH AS PUBLIC HEALTH, EDUCATION, BUSINESS AND INJURY AND VIOLENCE PREVENTION. KEY INFORMANT INTERVIEWS: NINE KEY INFORMANT INTERVIEWS WERE COMPLETED WITH PROFESSIONALS AND RESIDENTS OF DIVERSE BACKGROUNDS REPRESENTATIVE OF THOSE FROM THE AGING POPULATION, POPULATIONS WITH DISABILITIES, COMMUNITIES OF COLOR, GOVERNMENT, PUBLIC HEALTH, EDUCATION, BUSINESS, BEHAVIORAL HEALTH AND ALCOHOL AND SUBSTANCE USE RECOVERY. MARSHFIELD MEDICAL CENTER-EAU CLAIRE PART V, SECTION B, LINE 5: PRIMARY DATA COLLECTION: WHEN MARSHFIELD MEDICAL CENTER-EAU CLAIRE (MMC-EAU CLAIRE) CONDUCTED ITS MOST RECENT CHNA, THE HOSPITAL ENGAGED A DIVERSE GROUP OF PEOPLE AND ORGANIZATIONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITIES IT SERVED.MARSHFIELD MEDICAL CENTER-EAU CLAIRE (MMC-EAU CLAIRE), IN PARTNERSHIP WITH THE EAU CLAIRE CITY COUNTY HEALTH DEPARTMENT, CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH, UNITED WAY OF THE GREATER CHIPPEWA VALLEY, HSHS SACRED HEART AND ST. JOSEPH'S HOSPITAL, AND MAYO CLINIC HEALTH SYSTEM, COMPLETED ITS SECOND CHNA PROCESS SINCE OPENING ITS DOORS IN JULY 2018. THE EAU CLAIRE COUNTY AND CHIPPEWA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT PROCESSES WERE CONDUCTED SIMULTANEOUSLY BY A SINGLE PROJECT MANAGER. THE MMC-EAU CLAIRE CHNA REPORT HIGHLIGHTS ONLY DATA COLLECTION/ANALYSIS ACTIVITIES AND COMMUNITY PARTICIPATION AS IT RELATES TO EAU CLAIRE COUNTY. IN ADDITION TO ANALYZING DEMOGRAPHIC INFORMATION, THE GROUP COLLECTED SECONDARY DATA THROUGH BOTH AN ONLINE AND PAPER SURVEY CONCERNING DISEASE, DEATH, DISABILITY, INJURY, AND COMMUNITY OPINIONS. AN ABBREVIATED HARDCOPY OF THE SURVEY WAS CREATED TO AID THOSE WITH LIMITED HEALTH LITERACY. A TRANSLATOR WAS PROVIDED FOR THOSE WHO DO NOT SPEAK ENGLISH AS A PRIMARY LANGUAGE.AN ELECTRONIC SURVEY WAS WIDELY DISTRIBUTED BY THE CHA PARTNERSHIP TO EAU CLAIRE COUNTY RESIDENTS VIA PARTNER DISTRIBUTION LISTS, WEBSITES AND SOCIAL MEDIA. ADS WERE PURCHASED THROUGH VOLUME ONE AND FACEBOOK, AND FLYERS DISTRIBUTED THROUGH COMMUNITY ORGANIZATIONS SUCH AS FEED MY PEOPLE FOOD BANK. THE CHA PARTNERSHIP FOCUSED EFFORTS TO REACH VULNERABLE POPULATIONS THROUGH GROUPS SUCH AS JONAH (JOINING OUR NEIGHBORS ADVANCING HOPE), EL CENTRO AND THE EAU CLAIRE AREA HMONG MUTUAL ASSISTANCE ASSOCIATION; AND DISTRIBUTED PAPER SURVEYS THROUGH THE AGING AND DISABILITY RESOURCE CENTER (VIA MEALS ON WHEELS) AND EAU CLAIRE COUNTY JAIL. A PRESS RELEASE TO LOCAL MEDIA OUTLETS ALSO ACCOMPANIED THE RELEASE OF THE SURVEY. PRECAUTIONS AROUND THE COVID-19 PANDEMIC PREVENTED MORE TARGETED, IN-PERSON OUTREACH EFFORTS AND REQUIRED HEAVY RELIANCE ON VIRTUAL COMMUNICATION. THIS POSED A SIGNIFICANT OBSTACLE TO MORE COMPREHENSIVE COMMUNITY OUTREACH AND SURVEY COMPLETION. SEVERAL VERSIONS OF THE SURVEY WERE DEVELOPED, INCLUDING FULL-LENGTH, ONLINE VERSIONS IN BOTH ENGLISH AND SPANISH AND BOTH FULL-LENGTH AND SHORTENED, PAPER VERSIONS IN ENGLISH AND SPANISH. DESCRIPTIONS OF THE HEALTH NEEDS WERE SIMPLIFIED PER THE RECOMMENDATIONS OF WISCONSIN HEALTH LITERACY TO AID IN READING COMPREHENSION. MARSHFIELD MEDICAL CENTER-LADYSMITH PART V, SECTION B, LINE 5: PRIMARY DATA COLLECTION BEGAN WITH A COMMUNITY HEALTH SURVEY IN MARCH 2021. AN ELECTRONIC SURVEY WAS WIDELY DISTRIBUTED BY THE CBW-LADYSMITH TO RUSK COUNTY RESIDENTS. AN ABBREVIATED HARDCOPY VERSION OF THE ELECTRONIC COMMUNITY HEALTH SURVEY WAS CREATED FOR RESIDENTS WITH LIMITED ACCESS TO THE INTERNET AND LIMITED HEALTH LITERACY. THE SURVEY ASKED RESIDENTS TO EVALUATE FOURTEEN HEALTH NEEDS BASED ON THE WISCONSIN DEPARTMENT OF HEALTH SERVICES HEALTH PLAN, HEALTHY PEOPLE, HEALTHIEST WISCONSIN 2020, AND INCLUDE: MENTAL HEALTH, SUBSTANCE USE, ALCOHOL MISUSE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, OBESITY, PHYSICAL ACTIVITY, INJURY AND VIOLENCE PREVENTION, HEALTHY NUTRITION, HEALTHY GROWTH AND DEVELOPMENT, COMMUNICABLE DISEASE PREVENTION AND CONTROL, TOBACCO USE AND EXPOSURE, ORAL HEALTH, REPRODUCTIVE AND SEXUAL HEALTH, AND ENVIRONMENTAL AND OCCUPATIONAL HEALTH. ADDITIONALLY, THE CBW-L UTILIZED A BEST PRACTICE SURVEY TEMPLATE CREATED BY CHA PLANNING PARTNERS IN EAU CLAIRE AND CHIPPEWA COUNTIES. THE CBW-L RECOGNIZES THAT HEALTH IS DETERMINED BY MORE THAN HEALTH CARE. IN AN EFFORT TO FURTHER UNDERSTAND THE CONDITIONS THAT AFFECT A WIDE RANGE OF HEALTH, FUNCTIONING, AND QUALITY-OF-LIFE OUTCOMES AND RISKS, A SERIES OF QUESTIONS RELATED TO SOCIAL DETERMINANTS OF HEALTH (SDOH) WERE INCLUDED AND FURTHER ANALYZED. THE SURVEY COLLECTED 364 RESPONSES BETWEEN MARCH THROUGH APRIL 2021 FROM RUSK COUNTY RESIDENTS. OVERALL, RESPONDENTS TENDED TO BE WHITE, FEMALE AND BETWEEN THE AGES OF 55-64. 18.18% OF SURVEY RESPONDENTS ARE RETIRED, AND LESS THAN 3% OF SURVEY RESPONDENTS SAID THEY WERE UNEMPLOYED, DISABLED. KEY INFORMANT INTERVIEWS:KEY INFORMANT INTERVIEWS ARE IN-DEPTH, QUALITATIVE INTERVIEWS WITH INDIVIDUALS WHO KNOW WHAT IS GOING ON IN A COMMUNITY OR SPECIFIC POPULATION GROUP. THE PURPOSE OF THESE INTERVIEWS IS TO COLLECT INFORMATION FROM A WIDE RANGE OF INDIVIDUALS WHO HAVE FIRST-HAND KNOWLEDGE ABOUT THE COMMUNITY AND/OR POPULATION GROUPS. THESE INDIVIDUALS CAN INCLUDE BUT ARE NOT LIMITED TO, RESIDENTS, PROFESSIONALS, ELECTED OFFICIALS AND FAITH LEADERS. FOR THIS ASSESSMENT KEY INFORMANT INTERVIEWS WERE CONDUCTED VIA WEBEX (VIDEO CONFERENCING PLATFORM) AND TELEPHONE TO OBSERVE COVID-19 PANDEMIC SAFETY PROTOCOLS. FOUR INDIVIDUALS COMPLETED AN INTERVIEW AND RESULTING INSIGHTS WERE COMPILED INTO A SUMMARY REPORT.SECONDARY DATA COLLECTION: LOCAL SECONDARY QUANTITATIVE HEALTH DATA WAS COMPILED FROM A VARIETY OF SOURCES BASED ON THE WISCONSIN ASSOCIATION OF LOCAL HEALTH DEPARTMENTS AND BOARDS (WALHDAB) RECOMMENDATIONS. THE CORE DATASET WAS MODIFIED SLIGHTLY BASED ON RUSK COUNTY AVAILABILITY AND TO IMPROVE REPRESENTATION OF UNDERREPRESENTED HEALTH PRIORITY MEASURES. DATA SOURCES INCLUDED US CENSUS, CENTERS FOR DISEASE CONTROL AND PREVENTION, UNITED WAY REPORTS, HEALTHY PEOPLE, HEALTHIEST WISCONSIN 2020 STATE HEALTH PLAN, AND MORE. MARSHFIELD MEDICAL CENTER-MINOCQUA PART V, SECTION B, LINE 5: MMC-MINOCQUA OPENED IN JUNE 2020, WITH NO PRIOR HOSPITAL CHNA AVAILABLE, SO A REVIEW OF THE EXISTING ONEIDA COUNTY CHA (2016) WAS COMPLETED. ONEIDA COUNTY, A PART OF THE TRI-COUNTY COLLABORATIVE HEALTH PLANNING COMMITTEE, WORKS CLOSELY WITH VILAS AND FOREST COUNTIES TO PLAN FOR COMMUNITY HEALTH IMPROVEMENT WORK REGIONALLY.THE CHNA INCLUDED PRIMARY AND SECONDARY DATA. PRIMARY DATA INCLUDED A COUNTY-WIDE SURVEY AND COMMUNITY CONVERSATIONS. SECONDARY DATA WAS COMPILED INTO A DATA PACKET, WHICH INCLUDED DATA FROM VARIOUS SOURCES.COMMUNITY HEALTH ASSESSMENT SURVEY: PRIMARY DATA COLLECTION BEGAN WITH A COMMUNITY HEALTH SURVEY IN MARCH 2021. AN ELECTRONIC SURVEY WAS WIDELY DISTRIBUTED BY THE CBW-MINOCQUA TO ONEIDA COUNTY RESIDENTS. AN ABBREVIATED HARDCOPY VERSION OF THE ELECTRONIC COMMUNITY HEALTH SURVEY WAS CREATED FOR RESIDENTS WITH LIMITED ACCESS TO INTERNET AND LIMITED HEALTH LITERACY.THE SURVEY ASKED RESIDENTS TO EVALUATE FOURTEEN HEALTH NEEDS BASED ON THE WISCONSIN DEPARTMENT OF HEALTH SERVICES HEALTH PLAN, HEALTHY PEOPLE, HEALTHIEST WISCONSIN 2020, AND INCLUDE: MENTAL HEALTH, SUBSTANCE USE, ALCOHOL MISUSE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, OBESITY, PHYSICAL ACTIVITY, INJURY AND VIOLENCE PREVENTION, HEALTHY NUTRITION, HEALTHY GROWTH AND DEVELOPMENT, COMMUNICABLE DISEASE PREVENTION AND CONTROL, TOBACCO USE AND EXPOSURE, ORAL HEALTH, REPRODUCTIVE AND SEXUAL HEALTH, AND ENVIRONMENTAL AND OCCUPATIONAL HEALTH. ADDITIONALLY, THE CBW-MINOCQUA UTILIZED A BEST PRACTICE SURVEY TEMPLATE CREATED BY CHA PLANNING PARTNERS IN EAU CLAIRE AND CHIPPEWA COUNTIES. THE CBW-MINOCQUA RECOGNIZES THAT HEALTH IS DETERMINED BY MORE THAN HEALTH CARE. IN AN EFFORT TO FURTHER UNDERSTAND THE CONDITIONS THAT AFFECT A WIDE RANGE OF HEALTH, FUNCTIONING, AND QUALITY-OF-LIFE OUTCOMES AND RISKS, A SERIES OF QUESTIONS RELATED TO SOCIAL DETERMINANTS OF HEALTH (SDOH) WERE INCLUDED AND FURTHER ANALYZED. THE SURVEY COLLECTED 351 RESPONSES BETWEEN MARCH AND APRIL, 2021 FROM ONEIDA COUNTY RESIDENTS. OVERALL, RESPONDENTS TENDED TO BE WHITE, FEMALE AND BETWEEN THE AGES OF 55-64. OF SURVEY RESPONDENTS 12.75% ARE RETIRED, AND LESS THAN 2% OF SURVEY RESPONDENTS SAID THEY WERE UNEMPLOYED AND/OR DISABLED. KEY INFORMANT INTERVIEWS: KEY INFORMANT INTERVIEWS ARE IN-DEPTH, QUALITATIVE INTERVIEWS WITH INDIVIDUALS WHO KNOW WHAT IS GOING ON IN A COMMUNITY OR SPECIFIC POPULATION GROUP. THE PURPOSE OF THESE INTERVIEWS WAS TO COLLECT INFORMATION FROM A WIDE RANGE OF INDIVIDUALS WHO HAVE FIRST-HAND KNOWLEDGE ABOUT THE COMMUNITY AND/OR POPULATION GROUPS. THESE INDIVIDUALS CAN INCLUDE BUT ARE NOT LIMITED TO, RESIDENTS, PROFESSIONALS, ELECTED OFFICIALS AND FAITH LEADERS.FOR THIS ASSESSMENT KEY INFORMANT INTERVIEWS WERE CONDUCTED VIA WEBEX VIDEO CONFERENCING PLATFORM TO OBSERVE COVID-19 PANDEMIC SAFETY PROTOCOLS. CBW-MINOCQUA IDENTIFIED A LIST OF 20 POTENTIAL KEY INFORMANTS ACROSS ONEIDA COUNTY TO INVITE TO COMPLETE AN INTERVIEW. TWELVE INDIVIDUALS COMPLETED AN INTERVIEW AND RESULTING INSIGHTS WERE COMPILED INTO A SUMMARY REPORT. SEE APPENDIX D FOR A LIST OF COMMUNITY SECTORS REPRESENTED AND SUMMARY REPORT. MARSHFIELD MEDICAL CENTER-WESTON PART V, SECTION B, LINE 5: THE ASSESSMENT PROCESS BEGAN WITH A THOROUGH REVIEW OF THE 2019-2021 MARATHON COUNTY LIFE REPORT, WHICH SERVES AS THE COUNTY'S COMMUNITY HEALTH ASSESSMENT (CHA). THE LIFE REPORT WAS COMPLETED BY UNITED WAY OF MARATHON COUNTY AND THE LIFE REPORT STEERING COMMITTEE, WHICH INCLUDED MARSHFIELD CLINIC HEALTH SYSTEM REPRESENTATION. THE UNIVERSITY OF WISCONSIN-RIVER FALLS SURVEY RESEARCH CENTER ASSISTED IN SURVEY DISTRIBUTION AND COLLECTION. BOTH PRIMARY AND SECONDARY DATA COLLECTION METHODS WERE UTILIZED TO CONNECT WITH SEVERAL DIFFERENT DEMOGRAPHIC GROUPS IN THE COMMUNITY AND TO DEVELOP A THOROUGH UNDERSTANDING OF HEALTH ISSUES FACING MEMBERS OF MARATHON COUNTY COMMUNITIES. MARATHON COUNTY LIFE SURVEY: PRIMARY DATA COLLECTION BEGAN WITH A COMMUNITY HEALTH SURVEY IN MARCH AND APRIL 2019 (NOTE PRIOR TO THE COVID-19 PANDEMIC), IN PARTNERSHIP WITH UNIVERSITY OF WISCONSIN- RIVER FALLS SURVEY RESEARCH CENTER (SRC). -A SIX-PAGE SURVEY WAS SENT TO 1,434 HOUSEHOLDS IN MARATHON COUNTY. SEVENTY-FIVE PERCENT OF THE SURVEYS WERE MAILED TO A RANDOM SAMPLE OF COUNTY RESIDENTS AND 25% TO THE POPULATIONS UNDER AGE 35, HOUSEHOLDS WITH INCOMES UNDER $25,000, AND PEOPLE OF COLOR IN ORDER TO ENSURE REPRESENTATION IN THE SAMPLE FROM THREE POPULATIONS THAT ARE SOMETIMES CHALLENGING TO REACH WITH SURVEYS. -100 SURVEYS WERE DISTRIBUTED TO SELECTED MARATHON COUNTY NON-PROFIT PARTNERS BY UNITED WAY OF MARATHON COUNTY. -AN ON-LINE SURVEY INVITATION WAS EMAILED TO A PANEL OF APPROXIMATELY 2,000 MARATHON COUNTY RESIDENTS THE SRC RECEIVED THE FOLLOWING NUMBER OF RESPONSES FROM THESE THREE SOURCES: 388 PAPER SURVEYS FROM THE MAIL OUT, 37 PAPER SURVEYS FROM NON-PROFIT PARTNERS AND 107 ONLINE SURVEYS. COMMUNITY PANEL DISCUSSION & SUBCOMMITTEES OF KEY STAKEHOLDERS: A PANEL DISCUSSION WITH COMMUNITY MEMBERS WAS HELD IN OCTOBER 2019. MARATHON COUNTY RESIDENTS FROM DIVERSE POPULATIONS PARTICIPATED IN THE PANEL DISCUSSION. PARTICIPANTS WERE PRESENTED WITH PRIMARY AND SECONDARY DATA POINTS AND WERE ASKED TO PROVIDE FEEDBACK ON THE TOP AREAS FROM THE MARATHON COUNTY LIFE SURVEY. SUBCOMMITTEES FROM KEY AREAS WERE FORMED TO REVIEW THE DATA AND PROVIDE FEEDBACK. SUBCOMMITTEES INCLUDED: ECONOMIC ENVIRONMENT, EDUCATION, BASIC NEEDS, HEALTH AND WELLNESS, ENERGY AND ENVIRONMENT, CONNECTED, SAFETY. LIFE STEERING COMMITTEE MEETING: IN OCTOBER 2019, PRIOR TO THE RELEASE OF THE LIFE REPORT, THE LIFE STEERING COMMITTEE GATHERED A FINAL TIME TO CONDUCT A LARGE PRIORITIZATION PROCESS TO REVIEW ALL DATA AND IDENTIFY THE TOP NEEDS/CALLS TO ACTION. FINALLY, THE MARATHON COUNTY BOARD OF HEALTH AND THE HEALTHY MARATHON COUNTY ALLIANCE MET JOINTLY IN MARCH 2020 TO PRIORITIZE THE TOP CALLS TO ACTION INTO THREE COUNTY HEALTH PRIORITIES. MARSHFIELD MEDICAL CENTER-RIVER REGION PART V, SECTION B, LINE 5: MARSHFIELD MEDICAL CENTER-RIVER REGION OPENED ITS DOORS ON MAY 1ST, 2022. THE FIRST CHNA IS UNDERWAY WITH COMMUNITY PARTNERS AND WILL BE PUBLISHED BY DECEMBER 31, 2023. MARSHFIELD MEDICAL CENTER PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED JOINTLY WITH ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. MARSHFIELD MEDICAL CENTER-EAU CLAIRE PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITY(S):- MAYO CLINIC HEALTH SYSTEM- HSHS SACRED HEART HOSPITAL- HSHS ST. JOSEPH'S HOSPITAL MARSHFIELD MEDICAL CENTER-LADYSMITH PART V, SECTION B, LINE 6A: MARSHFIELD MEDICAL CENTER-LADYSMITH IS THE ONLY HOSPITAL LOCATED IN RUSK COUNTY AND IS CONSIDERED A CRITICAL ACCESS HOSPITAL. MARSHFIELD MEDICAL CENTER-MINOCQUA PART V, SECTION B, LINE 6A: ASCENSION WISCONSIN WAS PART OF THE TRI-COUNTY COLLABORATIVE HEALTH PLANNING COMMITTEE. MARSHFIELD MEDICAL CENTER-WESTON PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH ASCENSION, ASPIRUS, INC. AND BRIDGE COMMUNITY CLINIC. MARSHFIELD MEDICAL CENTER-RIVER REGION PART V, SECTION B, LINE 6A: MMC-RIVER REGION OPENED ITS DOORS ON MAY 1ST, 2022. THE FIRST CHNA IS UNDERWAY WITH COMMUNITY PARTNERS, INCLUDING ASPIRUS HOSPITAL, AND WILL BE PUBLISHED BY DECEMBER 31, 2023. MARSHFIELD MEDICAL CENTER PART V, SECTION B, LINE 6B: DUE TO THE COVID-19 PANDEMIC, THE WOOD COUNTY HEALTH DEPARTMENT WAS UNABLE TO PARTICIPATE. MARSHFIELD MEDICAL CENTER-EAU CLAIRE PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITY(S):- CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH- CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP- EAU CLAIRE CITY-COUNTY HEALTH DEPARTMENT- EAU CLAIRE HEALTHY COMMUNITIES- UNITED WAY OF THE GREATER CHIPPEWA VALLEY MARSHFIELD MEDICAL CENTER-LADYSMITH PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITY(S):- RUSK COUNTY PUBLIC HEALTH DEPARTMENT - RUSK COUNTY HEALTH AND HUMAN SERVICES - INDIANHEAD COMMUNITY ACTION AGENCY MARSHFIELD MEDICAL CENTER-MINOCQUA PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITY(S):- ONEIDA COUNTY HEALTH DEPARTMENT- VILAS COUNTY HEALTH DEPARTMENT- FOREST COUNTY HEALTH DEPARTMENT- ONEIDA COUNTY HUMAN SERVICES DEPARTMENT- ONEIDA COUNTY COALITION FOR NUTRITION AND ACTIVITY (CAN) - COMMUNITY OUTREACH PREVENTION AND EDUCATION COALITION (COPE) - UNIVERSITY OF WISCONSIN-DIVISION OF EXTENSION- MARSHFIELD CLINIC HEALTH SYSTEM MARSHFIELD MEDICAL CENTER-WESTON PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITY(S):- CITY OF WAUSAU- COMMUNITY FOUNDATION OF NORTH CENTRAL WISCONSIN- DUDLEY FOUNDATION- GREATER WAUSAU CHAMBER OF COMMERCE- GREENHECK FOUNDATION- JUDD S. ALEXANDER FOUNDATION- MARATHON COUNTY HEALTH DEPARTMENT- UNITED WAY OF MARATHON COUNTY MARSHFIELD MEDICAL CENTER-RIVER REGION PART V, SECTION B, LINE 6B: MMC-RIVER REGION OPENED ITS DOORS ON MAY 1ST, 2022. THE FIRST CHNA IS UNDERWAY WITH COMMUNITY PARTNERS, INCLUDING ASPIRUS HOSPITAL, THE PORTAGE COUNTY PUBLIC HEALTH DEPARTMENT, THE UNITED WAY AND THE COMMUNITY FOUNDATION, AND WILL BE PUBLISHED BY DECEMBER 31, 2023. MARSHFIELD MEDICAL CENTER PART V, SECTION B, LINE 11: THE HEALTH PRIORITIES IDENTIFIED BY THE COMMUNITY HEALTH ASSESSMENT (CHA) WERE: -ALCOHOL AND SUBSTANCE USE -BEHAVIORAL HEALTH -CHRONIC DISEASE -SOCIAL DETERMINANTS OF HEALTH MMC IS ADDRESSING ALL HEALTH PRIORITIES IDENTIFIED THROUGH THE CHNA PROCESS. HEALTH PRIORITY 1: ALCOHOL AND SUBSTANCE USE: GOAL 1: REDUCE YOUTH SUBSTANCE USE -STRATEGY 1: SUPPORT ALCOHOL AND OTHER DRUG (AOD) PREVENTION CURRICULUMS IN SCHOOL AND/OR AFTERSCHOOL SETTINGS. GOAL 2: REDUCE COMMUNITY IMPACT RELATED TO SUBSTANCE MISUSE -STRATEGY 2: SUPPORT WORKPLACE DRUG PREVENTION AND RECOVERY EFFORTS. GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO ALCOHOL AND SUBSTANCE USE PREVENTION EFFORTS. -STRATEGY 3: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS. HEALTH PRIORITY 2: BEHAVIORAL HEALTH: GOAL 1: DECREASE SUICIDE RATES FOR HIGH RISK POPULATIONS -STRATEGY 1: ENHANCE COMMUNITY MEMBER'S SKILLS TO SUPPORT MENTAL HEALTH PROMOTION AND SUICIDE PREVENTION. -STRATEGY 2: SUPPORT SUICIDE PREVENTION COMMUNITY AWARENESS EVENTS. GOAL 2: IMPROVE SOCIAL AND EMOTIONAL DEVELOPMENT OF CHILDREN AND ADOLESCENTS -STRATEGY 3: ENHANCE SCHOOL CAPACITY TO PROVIDE HIGH QUALITY SOCIAL, EMOTIONAL ASSESSMENT, SUPPORT AND LEARNING. GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO SUPPORTING BEHAVIORAL HEALTH EFFORTS. -STRATEGY 4: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS. HEALTH PRIORITY 3: CHRONIC DISEASE: GOAL 1: IMPROVE ACCESS TO HEALTHY FOODS -STRATEGY 1: INCREASE COMMUNITY CAPACITY TO PROVIDE NUTRITIOUS, LOCALLY GROWN FOOD AND ADDRESS FOOD INSECURITY. GOAL 2: REDUCE RATES OF PREVENTABLE CHRONIC CONDITIONS WITH FOCUS ON OBESITY AND DIABETES. -STRATEGY 2: ENHANCE PROGRAMMING TO IMPACT CHRONIC DISEASE SELF-MANAGEMENT AND PREVENTION WITH A FOCUS ON OBESITY AND DIABETES. GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO CHRONIC DISEASE PREVENTION EFFORTS. -STRATEGY 3: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS. HEALTH PRIORITY 4: SOCIAL DETERMINANTS OF HEALTH:GOAL 1: INCREASE KNOWLEDGE AND AWARENESS OF HEALTH EQUITY. -STRATEGY 1: CONDUCT AN ORGANIZATION AND COMMUNITY ASSESSMENT OF HEALTH DISPARITIES AND HEALTH EQUITY AND DEVELOP A WORKPLAN TO ADDRESS THOSE GAPS. GOAL 2: IMPROVE HEALTH OUTCOMES BY CONNECTING CLINICAL PRACTICE TO COMMUNITY EFFORTS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH BARRIERS. -STRATEGY 2: SUPPORT AND CONNECT PATIENTS AND COMMUNITY MEMBERS TO RESOURCES TO ADDRESS SOCIALLY DETERMINED NEEDS. GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO ADVANCING HEALTH EQUITY AND SOCIAL DETERMINANTS OF HEALTH. -STRATEGY 3: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS. MARSHFIELD MEDICAL CENTER-EAU CLAIRE PART V, SECTION B, LINE 11: AFTER EXTENSIVE REVIEW OF THE EAU CLAIRE COUNTY CHA, UNITED WAY DATA, HEALTHIEST WISCONSIN 2020, COUNTY HEALTH RANKINGS AND OTHER QUANTITATIVE AND QUALITATIVE DATA, THE TOP COMMUNITY HEALTH PRIORITIES IDENTIFIED BY MARSHFIELD MEDICAL CENTER IN EAU CLAIRE ARE:-ALCOHOL AND SUBSTANCE ABUSE-BEHAVIORAL HEALTH-CHRONIC DISEASE-SOCIAL DETERMINANTS OF HEALTHTHROUGH THE ASSESSMENT PROCESS, THE CBW-EAU CLAIRE DETERMINED THAT THE HEALTH PRIORITIES BEING ADDRESSED THROUGH THE MMC-EAU CLAIRE CHNA ALIGN WITH THOSE OF THE EAU CLAIRE CHA. THEREFORE, ALL HEALTH NEEDS WILL BE ADDRESSED BY MMC-EAU CLAIRE.HEALTH PRIORITY 1: ALCOHOL AND SUBSTANCE USE:GOAL 1: REDUCE YOUTH SUBSTANCE USE-SUPPORT ALCOHOL AND OTHER DRUG (AOD) PREVENTION CURRICULUMS IN SCHOOL AND/OR AFTERSCHOOL SETTINGS.-SUPPORT COMMUNITY WIDE ENVIRONMENTAL STRATEGIES, PREVENTION, AND/OR POLICY TO ADDRESS UNDERAGE ALCOHOL USE.GOAL 2: REDUCE COMMUNITY IMPACT RELATED TO SUBSTANCE MISUSE -SUPPORT WORKPLACE DRUG PREVENTION AND RECOVERY EFFORTS.GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO ALCOHOL AND SUBSTANCE USE PREVENTION EFFORTS. -PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.HEALTH PRIORITY 2: BEHAVIORAL HEALTH:GOAL 1: DECREASE SUICIDE RATES FOR HIGH-RISK POPULATIONS-ENHANCE COMMUNITY MEMBER'S SKILLS TO SUPPORT MENTAL HEALTH PROMOTION AND SUICIDE PREVENTION.-SUPPORT SUICIDE PREVENTION COMMUNITY AWARENESS EVENTS.GOAL 2: IMPROVE SOCIAL AND EMOTIONAL DEVELOPMENT OF CHILDREN AND ADOLESCENTS-ENHANCE SCHOOL CAPACITY TO PROVIDE HIGH QUALITY SOCIAL, EMOTIONAL ASSESSMENT, SUPPORT AND LEARNING. GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO SUPPORTING BEHAVIORAL HEALTH EFFORTS.-PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.HEALTH PRIORITY 3: CHRONIC DISEASE:GOAL 1: IMPROVE ACCESS TO HEALTHY FOODS-INCREASE COMMUNITY CAPACITY TO PROVIDE NUTRITIOUS, LOCALLY GROWN FOOD AND ADDRESS FOOD INSECURITY.GOAL 2: REDUCE RATES OF PREVENTABLE CHRONIC CONDITIONS WITH FOCUS ON OBESITY AND DIABETES.-ENHANCE PROGRAMMING TO IMPACT CHRONIC DISEASE SELF-MANAGEMENT AND PREVENTION WITH A FOCUS ON OBESITY AND DIABETES.GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO CHRONIC DISEASE PREVENTION EFFORTS. -PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.HEALTH PRIORITY 4: SOCIAL DETERMINANTS OF HEALTH:GOAL 1: INCREASE KNOWLEDGE AND AWARENESS OF HEALTH EQUITY.-CONDUCT AN ORGANIZATION AND COMMUNITY ASSESSMENT OF HEALTH DISPARITIES AND HEALTH EQUITY AND DEVELOP A WORKPLAN TO ADDRESS THOSE GAPS.GOAL 2: IMPROVE HEALTH OUTCOMES BY CONNECTING CLINICAL PRACTICE TO COMMUNITY EFFORTS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH BARRIERS. -SUPPORT AND CONNECT PATIENTS AND COMMUNITY MEMBERS TO RESOURCES TO ADDRESS SOCIALLY DETERMINED NEEDS.GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO ADVANCING HEALTH EQUITY AND SOCIAL DETERMINANTS OF HEALTH. -PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.THROUGH THE ASSESSMENT PROCESS, THE CBW-EAU CLAIRE DETERMINED THAT THE HEALTH PRIORITIES BEING ADDRESSED THROUGH THE MMC-EAU CLAIRE CHNA ALIGN WITH THOSE OF THE EAU CLAIRE CHA. THEREFORE, ALL HEALTH NEEDS WILL BE ADDRESSED BY MMC-EAU CLAIRE. MARSHFIELD MEDICAL CENTER-LADYSMITH PART V, SECTION B, LINE 11: AFTER REVIEW OF THE DATA AND STAKEHOLDER INPUT, THE TOP COMMUNITY HEALTH PRIORITIES IDENTIFIED BY MARSHFIELD MEDICAL CENTER IN LADYSMITH ARE:-ALCOHOL AND SUBSTANCE ABUSE-BEHAVIORAL HEALTH-CHRONIC DISEASE -SOCIAL DETERMINANTS OF HEALTHHEALTH PRIORITY 1: ALCOHOL AND SUBSTANCE USE:GOAL 1: REDUCE YOUTH SUBSTANCE USE-STRATEGY 1: SUPPORT ALCOHOL AND OTHER DRUG (AOD) PREVENTION CURRICULUMS IN SCHOOL AND/OR AFTER-SCHOOL SETTINGS.GOAL 2: REDUCE COMMUNITY IMPACT RELATED TO SUBSTANCE MISUSE -STRATEGY 2: SUPPORT COMMUNITY LED RECOVERY EFFORTS TO REDUCE SUBSTANCE USE. GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO ALCOHOL AND SUBSTANCE USE PREVENTION EFFORTS. -STRATEGY 3: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.HEALTH PRIORITY 2: BEHAVIORAL HEALTH:GOAL 1: DECREASE SUICIDE RATES FOR HIGH-RISK POPULATIONS-STRATEGY 1: ENHANCE COMMUNITY MEMBER'S SKILLS TO SUPPORT MENTAL HEALTH PROMOTION AND SUICIDE PREVENTION.-STRATEGY 2: SUPPORT SUICIDE PREVENTION COMMUNITY AWARENESS EVENTS.GOAL 2: IMPROVE SOCIAL AND EMOTIONAL DEVELOPMENT OF CHILDREN AND ADOLESCENTS-STRATEGY 3: ENHANCE SCHOOL CAPACITY TO PROVIDE HIGH QUALITY SOCIAL, EMOTIONAL ASSESSMENT, SUPPORT AND LEARNING. GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO SUPPORTING BEHAVIORAL HEALTH EFFORTS.-STRATEGY 4: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.HEALTH PRIORITY 3: CHRONIC DISEASE:GOAL 1: IMPROVE ACCESS TO HEALTHY FOODS-STRATEGY 1: INCREASE COMMUNITY CAPACITY TO PROVIDE NUTRITIOUS, LOCALLY GROWN FOOD AND ADDRESS FOOD INSECURITY.GOAL 2: ENGAGE IN COMMUNITY EFFORTS RELATED TO CHRONIC DISEASE PREVENTION EFFORTS. -STRATEGY 2: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS. HEALTH PRIORITY 4: SOCIAL DETERMINANTS OF HEALTH:GOAL 1: INCREASE KNOWLEDGE AND AWARENESS OF HEALTH EQUITY.-STRATEGY 1: CONDUCT AN ORGANIZATION AND COMMUNITY ASSESSMENT OF HEALTH DISPARITIES AND HEALTH EQUITY AND DEVELOP A WORKPLAN TO ADDRESS THOSE GAPS.GOAL 2: IMPROVE HEALTH OUTCOMES BY CONNECTING CLINICAL PRACTICE TO COMMUNITY EFFORTS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH BARRIERS. -STRATEGY 2: SUPPORT AND CONNECT PATIENTS AND COMMUNITY MEMBERS TO RESOURCES TO ADDRESS SOCIALLY DETERMINED NEEDS.GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO ADVANCING HEALTH EQUITY AND SOCIAL DETERMINANTS OF HEALTH. -STRATEGY 3: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.THE FOLLOWING HEALTH PRIORITIES WILL NOT BE ADDRESSED BY MMC-LADYSMITH FOR REASONS INDICATED: -INJURY & VIOLENCE PREVENTION: INJURY AND VIOLENCE PREVENTION ARE IMPORTANT AREAS OF FOCUS. INSTEAD OF LEADING THIS CHARGE, MMC-LADYSMITH STAFF PARTICIPATE IN A COALITION SUPPORTING THIS AREA CALLED THE RUSK COUNTY YOUTH COUNCIL (RCYC). THIS AREA IS ALSO SERVED BY EMBRACE INC. LOCATED IN RUSK COUNTY. -COMMUNICABLE DISEASE PREVENTION & CONTROL: THIS IS AN IMPORTANT AREA OF FOCUS, MMC-LADYSMITH HAS SYSTEMS AND PROCESSES IN PLACE TO PREVENT AND REDUCE THE SPREAD OF COMMUNICABLE DISEASES IN HOSPITALS AND CLINICS. INSTEAD OF LEADING THIS CHARGE COMMUNITY WIDE, STAFF PARTICIPATE IN THE NUMEROUS COVID-19 WORKGROUPS IN RUSK COUNTY AND SURROUNDING COMMUNITIES. -ORAL HEALTH: MARSHFIELD CLINIC LADYSMITH DENTAL CENTER ADDRESSES THE COMMUNITY NEED FOR ORAL HEALTH BY SERVING PATIENTS REGARDLESS OF ABILITY TO PAY OR INSURANCE STATUS. WHILE MCHS ADDRESSES ORAL HEALTH IT IS NOT LISTED AS ONE OF THE TOP HEALTH PRIORITIES. MARSHFIELD MEDICAL CENTER-MINOCQUA PART V, SECTION B, LINE 11: AFTER REVIEW OF THE DATA AND STAKEHOLDER INPUT, THE TOP COMMUNITY HEALTH PRIORITIES IDENTIFIED BY MARSHFIELD MEDICAL CENTER IN MINOCQUA ARE:-ALCOHOL AND SUBSTANCE ABUSE-BEHAVIORAL HEALTH-CHRONIC DISEASE -SOCIAL DETERMINANTS OF HEALTHHEALTH PRIORITY 1: ALCOHOL AND SUBSTANCE USEGOAL 1: REDUCE YOUTH SUBSTANCE USE-STRATEGY 1: SUPPORT ALCOHOL AND OTHER DRUG (AOD) PREVENTION CURRICULUMS IN SCHOOL AND/OR AFTERSCHOOL SETTINGS.-STRATEGY 2: SUPPORT COMMUNITY WIDE ENVIRONMENT STRATEGIES, PREVENTION AND/OR POLICY TO ADDRESS UNDERAGE ALCOHOL USE. GOAL 2: REDUCE COMMUNITY IMPACT RELATED TO SUBSTANCE MISUSE -STRATEGY 3: SUPPORT WORKPLACE DRUG PREVENTION AND RECOVERY EFFORTS.GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO ALCOHOL AND SUBSTANCE USE PREVENTION EFFORTS. -STRATEGY 4: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.HEALTH PRIORITY 2: BEHAVIORAL HEALTHGOAL 1: DECREASE SUICIDE RATES FOR HIGH RISK POPULATIONS-STRATEGY 1: ENHANCE COMMUNITY MEMBER'S SKILLS TO SUPPORT MENTAL HEALTH PROMOTION AND SUICIDE PREVENTION.-STRATEGY 2: SUPPORT SUICIDE PREVENTION COMMUNITY AWARENESS EVENTS.GOAL 2: IMPROVE SOCIAL AND EMOTIONAL DEVELOPMENT OF CHILDREN AND ADOLESCENTS-STRATEGY 3: ENHANCE COMMUNITY CAPACITY TO ADDRESS HIGH RISK YOUTH NEEDS THROUGH AFTERSCHOOL CARE OPTIONS.-STRATEGY 4: ENHANCE SCHOOL CAPACITY TO PROVIDE HIGH QUALITY SOCIAL, EMOTIONAL ASSESSMENT, SUPPORT AND LEARNING. GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO SUPPORTING BEHAVIORAL HEALTH EFFORTS.-STRATEGY 5: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.HEALTH PRIORITY 3: CHRONIC DISEASEGOAL 1: IMPROVE ACCESS TO HEALTHY FOODS-STRATEGY 1: INCREASE COMMUNITY CAPACITY TO PROVIDE NUTRITIOUS, LOCALLY GROWN FOOD AND ADDRESS FOOD INSECURITY.GOAL 2: REDUCE RATES OF PREVENTABLE CHRONIC CONDITIONS WITH FOCUS ON OBESITY AND DIABETES.-STRATEGY 2: ENHANCE PROGRAMMING TO IMPACT CHRONIC DISEASE SELF-MANAGEMENT AND PREVENTION WITH A FOCUS ON OBESITY AND DIABETES.GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO CHRONIC DISEASE PREVENTION EFFORTS. -STRATEGY 3: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS. HEALTH PRIORITY 4: SOCIAL DETERMINANTS OF HEALTHGOAL 1: INCREASE KNOWLEDGE AND AWARENESS OF HEALTH EQUITY.-STRATEGY 1: CONDUCT AN ORGANIZATION AND COMMUNITY ASSESSMENT OF HEALTH DISPARITIES AND HEALTH EQUITY AND DEVELOP A WORKPLAN TO ADDRESS THOSE GAPS.GOAL 2: IMPROVE HEALTH OUTCOMES BY CONNECTING CLINICAL PRACTICE TO COMMUNITY EFFORTS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH BARRIERS. -STRATEGY 2: SUPPORT AND CONNECT PATIENTS AND COMMUNITY MEMBERS TO RESOURCES TO ADDRESS SOCIALLY DETERMINED NEEDS.GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO ADVANCING HEALTH EQUITY AND SOCIAL DETERMINANTS OF HEALTH. -STRATEGY 3: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.AFTER CONSIDERATION, THE FOLLOWING HEALTH NEEDS WILL NOT BE ADDRESSED BY MMC-MINOCQUA FOR REASONS INDICATED: COMMUNICABLE DISEASE PREVENTION & CONTROL: INSTEAD OF LEADING THIS CHARGE, STAFF PARTICIPATE IN THE NORTHCENTRAL WISCONSIN HEALTHCARE EMERGENCY READINESS COALITION IN ADDITION TO NUMEROUS COVID-19 WORKGROUPS ACROSS REGIONAL COUNTY AREAS.ORAL HEALTH: STAFF FROM MMC-MINOCQUA DOES NOT PROVIDE RELATED SERVICES, HOWEVER THE FAMILY HEALTH CENTER OF MARSHFIELD DENTAL CENTER, DOES LEAD THESE EFFORTS LOCALLY, REGIONALLY AND NATIONALLY. MARSHFIELD MEDICAL CENTER-WESTON PART V, SECTION B, LINE 11: AFTER REVIEW OF THE DATA AND STAKEHOLDER INPUT, THE TOP COMMUNITY HEALTH PRIORITIES IDENTIFIED BY MARSHFIELD MEDICAL CENTER IN WESTON ARE:-ALCOHOL AND SUBSTANCE ABUSE-BEHAVIORAL HEALTH-SOCIAL DETERMINANTS OF HEALTHHEALTH PRIORITY 1: ALCOHOL AND SUBSTANCE USE:GOAL 1: REDUCE YOUTH SUBSTANCE USE-STRATEGY 1: SUPPORT COMMUNITY WIDE ENVIRONMENT STRATEGIES, PREVENTION AND/OR POLICY TO ADDRESS UNDERAGE ALCOHOL USE. GOAL 2: REDUCE COMMUNITY IMPACT RELATED TO SUBSTANCE MISUSE -STRATEGY 2: SUPPORT WORKPLACE DRUG PREVENTION AND RECOVERY EFFORTS.GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO ALCOHOL AND SUBSTANCE USE PREVENTION EFFORTS. -STRATEGY 3: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.HEALTH PRIORITY 2: BEHAVIORAL HEALTH:GOAL 1: DECREASE SUICIDE RATES FOR HIGH RISK POPULATIONS-STRATEGY 1: ENHANCE COMMUNITY MEMBER'S SKILLS TO SUPPORT MENTAL HEALTH PROMOTION AND SUICIDE PREVENTION.-STRATEGY 2: SUPPORT SUICIDE PREVENTION COMMUNITY AWARENESS EVENTS.GOAL 2: IMPROVE SOCIAL AND EMOTIONAL DEVELOPMENT OF CHILDREN AND ADOLESCENTS-STRATEGY 3: ENHANCE SCHOOL CAPACITY TO PROVIDE HIGH QUALITY SOCIAL, EMOTIONAL ASSESSMENT, SUPPORT AND LEARNING. GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO SUPPORTING BEHAVIORAL HEALTH EFFORTS.-STRATEGY 4: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.HEALTH PRIORITY 4: SOCIAL DETERMINANTS OF HEALTH:GOAL 1: INCREASE KNOWLEDGE AND AWARENESS OF HEALTH EQUITY.-STRATEGY 1: CONDUCT AN ORGANIZATION AND COMMUNITY ASSESSMENT OF HEALTH DISPARITIES AND HEALTH EQUITY AND DEVELOP A WORKPLAN TO ADDRESS THOSE GAPS.GOAL 2: IMPROVE HEALTH OUTCOMES BY CONNECTING CLINICAL PRACTICE TO COMMUNITY EFFORTS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH BARRIERS. -STRATEGY 2: SUPPORT AND CONNECT PATIENTS AND COMMUNITY MEMBERS TO RESOURCES TO ADDRESS SOCIALLY DETERMINED NEEDS.GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO ADVANCING HEALTH EQUITY AND SOCIAL DETERMINANTS OF HEALTH. -STRATEGY 3: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.IN PRIORITIZING COMMUNITY HEALTH NEEDS, THE COMMUNITY BENEFITS WORKGROUP-WESTON CONSIDERED OTHER ORGANIZATIONS ADDRESSING THE SPECIFIC NEED, THE ABILITY OF MMC-WESTON TO IMPACT CHANGE, AVAILABILITY OF RESOURCES, AS WELL AS READINESS OF THE COMMUNITY FOR INTERVENTIONS. AFTER CONSIDERATION, THE FOLLOWING HEALTH NEEDS WILL NOT BE ADDRESSED BY MMC-WESTON FOR REASONS INDICATED: -WORKFORCE DEVELOPMENT: AS A MAJOR EMPLOYER IN THE COMMUNITY, MMC-WESTON RECOGNIZES ITS ROLE IN ADVANCING QUALITY EMPLOYMENT OPPORTUNITIES ACROSS ALL EMPLOYMENT TRAINING TYPES (LOW HIGH SCHOOL OR LESS, MIDDLE LESS THAN 4 YEAR DEGREE, HIGH FOUR-YEAR DEGREE OR HIGHER). MCHS COLLABORATES WITH INSTITUTIONS OF HIGHER EDUCATION TO ADVANCE LEARNING OPPORTUNITIES ACROSS THE CONTINUUM OF CARE, PROVIDES CONTINUOUS ON-THE-JOB TRAINING TO STRENGTHEN THE CURRENT WORKFORCE AND OFFERS INTERNSHIP AND VOLUNTEER OPPORTUNITIES FOR THE COMMUNITY. -WATER QUALITY: THE MARATHON COUNTY BOARD OF SUPERVISORS HAS IDENTIFIED THE PROTECTION AND ENHANCEMENT OF SURFACE WATER AND GROUNDWATER QUALITY AND QUANTITY AS A PRIORITY OBJECTIVE IN THEIR 2018-2022 STRATEGIC PLAN. MARSHFIELD MEDICAL CENTER-RIVER REGION PART V, SECTION B, LINE 11: MMC-RIVER REGION OPENED ITS DOORS ON MAY 1ST, 2022. THE FIRST CHNA IS UNDERWAY WITH COMMUNITY PARTNERS, AND WILL BE PUBLISHED BY DECEMBER 31, 2023. A PRIORITIZATION PROCESS WILL BE UTILIZED TO HELP IDENTIFY STRATEGIES FOR IMPROVEMENT. THE IMPLEMENTATION STRATEGY WILL BE PUBLISHED BEFORE MAY 2024. PART I, LINE 3C: AN INDIVIDUAL'S ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON INCOME AS COMPARED WITH FEDERAL POVERTY GUIDELINES. OTHER ELIGIBILITY FACTORS INCLUDE: ASSET LIMITATIONS, INSURANCE STATUS AND RESIDENCY. ACCOUNT BALANCE IS CONSIDERED FOR MEDICAL INDIGENCE ELIGIBILITY. PART I, LINE 7: EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE: AMOUNTS CALCULATED IN PART I, LINE 7 ARE DETERMINED BASED ON A COST-TO-CHARGE RATIO. OTHER BENEFITS ARE DETERMINED BASED ON THE DIRECT AND INDIRECT COSTS (WHERE ALLOCATED) ASSOCIATED WITH A PROGRAM NET OF EARNED REVENUE. PART II, COMMUNITY BUILDING ACTIVITIES: IN ALIGNMENT WITH THE MARSHFIELD CLINIC HEALTH SYSTEM MISSION STATEMENT, WE ENRICH LIVES, BY PARTICIPATING IN VARIOUS COMMUNITY-BUILDING ACTIVITIES TO IMPROVE THE HEALTH OF THE COMMUNITY, AND BY ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND HEALTH INEQUITIES. DUE TO LINGERING IMPACTS OF COVID-19, DECREASED STAFFING AND CAPACITY, MANY COMMUNITY-BUILDING ACTIVITIES REMAINED LIMITED DURING THIS REPORTING PERIOD. SOME EXAMPLES OF COMMUNITY BUILDING ACTIVITIES INCLUDED:MARSHFIELD MEDICAL CENTER:COALITION BUILDING: MARSHFIELD MEDICAL CENTER (MMC) STAFF PARTICIPATED IN MULTIPLE COMMUNITY COALITIONS AND COLLABORATIONS WITH THE PURPOSE OF IMPROVING THE HEALTH OF THE COMMUNITY SUCH AS HEALTHY PEOPLE WOOD COUNTY, MARSHFIELD AREA COALITION FOR YOUTH, IMPACT, OPIOID ABATEMENT WORKGROUP, MARSHFIELD AREA UNITED WAY COALITIONS, CITY OF MARSHFIELD PARTNERS MEETING AND SOUTH WOOD COUNTY POPULATION HEALTH STEERING COMMITTEE, AND CENTRAL WISCONSIN PARTNERSHIP FOR RECOVERY. MMC STAFF ALSO PARTICIPATED IN REGIONAL COMMUNITY GROUPS COORDINATING EFFORTS TO ADDRESS COVID-19 AND VACCINE ACCESS. ECONOMIC DEVELOPMENT: MMC EXECUTIVE LEADERSHIP PARTICIPATED IN MARSHFIELD AREA CHAMBER OF COMMERCE'S (MACCI) BOARD AND BUSINESS ROUNDTABLE TO ASSIST IN BUSINESS DEVELOPMENTS IN THE MARSHFIELD AREA. COMMUNITY SUPPORT:MMC STAFF SUPPORT DIFFERENT COMMUNITY EFFORTS AND POPULATIONS. FOR INSTANCE, STAFF HAVE PROVIDED A VARIETY OF EDUCATIONAL OPPORTUNITIES TO OLDER ADULTS TO PREVENT FALLS, PROVIDED EDUCATION AND SAFETY EQUIPMENT TO SUPPORT ATV USE AND HAVE SUPPORTED COMMUNITY HEALTH WORKERS FROM COMMUNITIES OF COLOR WORKING TO INCREASE COVID AND FLU VACCINATION AND TESTING. MMC PROVIDERS SERVE AS MEDICAL VOLUNTEERS AT THE ST. VINCENT DE PAUL FREE CLINIC. MMC PROVIDED FUNDS TO THE SOUTH WOOD CULTURAL COALITION TO CONDUCT CULTURAL CONVERSATIONS WITH COMMUNITY MEMBERS REPRESENTING DIVERSE POPULATIONS. RESULTS OF THESE CONVERSATIONS ARE BEING USED TO DEVELOP LEADERSHIP ROUNDTABLES AND BROAD COMMUNITY EFFORTS TO BUILD BELONGING AND CULTURAL AWARENESS THROUGHOUT THE COMMUNITY. ENVIRONMENTAL IMPROVEMENTS: MMC PROVIDED A SHARPS DISPOSAL KIOSK IN THE HOSPITAL THAT IS OPEN TO THE PUBLIC TO ENCOURAGE SAFE DISPOSAL OF SHARPS IN THE COMMUNITY. LEADERSHIP DEVELOPMENT AND LEADERSHIP TRAINING FOR COMMUNITY MEMBERS: MMC PROVIDED FUNDING TO SUPPORT MEMBERS OF MINORITY GROUPS TO BECOME LEADERS IN A VARIETY OF EVIDENCE-BASED HEALTH IMPROVEMENT PROGRAMS INCLUDING QPR FOR SUICIDE PREVENTION AND LIVING WELL WITH DIABETES. MEMBERS OF BOTH THE HMONG AND HISPANIC COMMUNITIES HAVE BEEN TRAINED AND HAVE STARTED OFFERING CULTURALLY APPROPRIATE CLASSES TO THEIR COMMUNITY. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS AND SAFETY: MMC STAFF PARTICIPATED IN LEADERSHIP ROLES IN SEVERAL STATE ADVOCACY AGENCIES ASSURING A VOICE ACROSS MULTIPLE POPULATIONS INCLUDING THE WISCONSIN PUBLIC HEALTH ASSOCIATION, THE WISCONSIN INSTITUTE FOR HEALTHY AGING AND THE CHILDREN'S HEALTH ALLIANCE OF WISCONSIN. MMC STAFF ALSO SERVE IN A LEADERSHIP CAPACITY WITH THE WOOD COUNTY MEDICAL SOCIETY, THE MID-STATE TECHNICAL COLLEGE NURSING ADVISORY COMMITTEE, THE UNIVERSITY OF WISCONSIN STEVENS POINT NURSING PROGRAM ADVISORY COMMITTEE AND PRESENT QUARTERLY AT THE MARSHFIELD CITY COUNCIL. MMC STAFF PARTICIPATE IN MARSHFIELD AREA COALITION FOR YOUTH (MACY) AND IMPACT, WHICH SUCCESSFULLY ADVOCATED FOR THE FIRST COUNTY ORDINANCE IN WISCONSIN TO MAKES THC/DELTA 8 SALES ILLEGAL TO ANYONE UNDER 21 YEARS OF AGE AND MAKES IT ILLEGAL TO SELL WITHIN 750 FEET OF "YOUTH FRIENDLY" LOCATIONS (SCHOOLS, PARKS, ETC.). SINCE ADOPTION, ADDITIONAL MUNICIPALITIES HAVE ADOPTED SIMILAR RESTRICTIONS. WORKFORCE DEVELOPMENT: MMC COLLABORATED WITH AREA HIGH SCHOOLS TO OFFER PROGRAMS FOR HIGH SCHOOL STUDENTS INTERESTED IN MEDICAL CAREERS, AS OBSERVATIONAL JOB EXPERIENCES FOR HIGH SCHOOL GRADUATES, AND INTERNSHIPS FOR YOUNG ADULTS WITH DEVELOPMENTAL DISABILITIES. MMC FUNCTIONED AS A CLINICAL SITE FOR STUDENT NURSES, STUDENT-NURSING ASSISTANTS, SERVES AS A PRECEPTOR SITE FOR PROVIDERS INCLUDING MEDICAL RESIDENTS AND INTERNS.MARSHFIELD MEDICAL CENTER-EAU CLAIRE:PHYSICAL IMPROVEMENTS AND HOUSING:STAFF HAVE BEEN PARTICIPATING IN A VARIETY OF COMMUNITY-BASED WORKGROUPS FOCUSED ON ADDRESSING THE UNHOUSED POPULATION WITHIN THE COMMUNITY.COALITION BUILDING:MARSHFIELD MEDICAL CENTER-EAU CLAIRE (MMC-EAU CLAIRE) STAFF PARTICIPATED IN MORE THAN 15 DIFFERENT COMMUNITY COALITIONS AND COLLABORATIONS WITH THE PURPOSE OF IMPROVING THE HEALTH OF THE COMMUNITY. A LIST OF COALITIONS AND COLLABORATIONS ARE LISTED IN MMC-EAU CLAIRE CHNA AND IS DOCUMENTS ON THE MAIN HOSPITAL WEBSITE. MMC-EAU CLAIRE STAFF ALSO PARTICIPATED IN REGIONAL COMMUNITY GROUPS COORDINATING EFFORTS TO ADDRESS COVID-19.ECONOMIC DEVELOPMENT:MMC-EAU CLAIRE STAFF PARTICIPATED IN THE EAU CLAIRE CHAMBER OF COMMERCE BUSINESS AND WORKFORCE DEVELOPMENT COMMITTEE TO ASSIST WITH LOCAL BUSINESS AND WORKFORCE DEVELOPMENT AND SERVE AS THE UPCOMING PRESIDENT OF THE EAU CLAIRE AREA ECONOMIC DEVELOPMENT CORPORATION. MMC-EAU CLAIRE STAFF INTRODUCE MIDDLE AND HIGH SCHOOL STUDENTS TO SURGICAL CAREERS AS SURGICAL TECHNOLOGISTS AND CENTRAL STERILIZATION TECHNICIANS THROUGH CAREER FAIRS.COMMUNITY SUPPORT:MMC-EAU CLAIRE STAFF PARTICIPATED IN COMMUNITY PROGRAMS AND EVENTS. EXAMPLES INCLUDED: -EMPOWER ME EVENT, YEARLY FREE WOMEN'S COMMUNITY EVENT WITH A FOCUS ON BREAST CANCER AWARENESS AND PREVENTION-PARTICIPATION IN A WOMEN'S BREAST HEALTH, AND CANCER AWARENESS EVENT CALLED "PAINT THE TOWN PINK" -PARTICIPATION IN THE UNITED WAY OF THE GREATER CHIPPEWA VALLEY "DAY OF CARING"-CLIMB, (CHILDREN'S LIVES INCLUDE MOMENTS OF BRAVERY) SUPPORT GROUP PROGRAM -YANAS (YOU ARE NOT ALONE BREAST CANCER SUPPORT GROUP)-EDUCATION ON FALL PREVENTION AND EXERCISE WITH THE ADRC-PRENATAL CHILD BIRTHING AND BREASTFEEDING SUPPORT CLASSES ENVIRONMENTAL IMPROVEMENTS:MMC-EAU CLAIRE PROVIDED A MEDICATION DISPOSAL KIOSK IN THE HOSPITAL THAT IS OPEN TO THE PUBLIC TO ENCOURAGE SAFE DISPOSAL OF MEDICATION IN THE COMMUNITY. MMC-EAU CLAIRE SUPPORTS HARM REDUCTION METHODS RELATED TO USED SHARPS, BY ACCEPTING USED SHARPS FROM ANYONE IN THE COMMUNITY REGARDLESS OF PATIENT STATUS. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS AND SAFETY:MMC-EAU CLAIRE COLLABORATED WITH COMMUNITY ORGANIZATIONS AND GROUPS FOR COMMUNITY HEALTH IMPROVEMENTS AND SAFETY. EXAMPLES INCLUDED: -HOSTING BI-ANNUAL PRESCRIPTION DRUG TAKE BACK EVENTS IN COLLABORATION WITH EAU CLAIRE CITY COUNTY HEALTH DEPARTMENT, HEALTHY COMMUNITIES, AND THE ALLIANCE FOR SUBSTANCE ABUSE PREVENTION TO CONDUCT -PARTICIPATION IN INITIAL PLANNING CONVERSATIONS WITH PARTNERS FROM THE EAU CLAIRE CITY COUNTY HEALTH DEPARTMENT, EAU CLAIRE FIRE AND POLICE DEPARTMENTS, EAU CLAIRE PARKS AND RECREATION, MAYO CLINIC HEALTH SYSTEM, HEALTH SISTERS HOSPITAL SYSTEM, VIVENT HEALTH AND MORE AROUND HARM REDUCTION METHODS RELATED TO SHARPS DISPOSAL. ADDITIONALLY, MMC-EC PHARMACY SUPPORTS ALL COMMUNITY MEMBERS WITH A SAFE SHARPS DISPOSAL PROGRAM, ACCEPTING USED SHARPS REGARDLESS OF PATIENT STATUS. -PROVIDE PERMANENT MEDICATION DISPOSAL BOXES AT EACH MMC-EAU CLAIRE PHARMACY LOCATION. -PARTICIPATION IN VARIOUS HEALTH DEPARTMENT DRIVEN GROUPS FOCUSED ON ADDRESSING THE IMPACTS OF COVID-19. WORKFORCE DEVELOPMENT:MMC-EAU CLAIRE COLLABORATES WITH AREA HIGH SCHOOLS TO OFFER PROGRAMS FOR HIGH SCHOOL STUDENTS INTERESTED IN MEDICAL CAREERS AS WELL AS OBSERVATIONAL JOB EXPERIENCES FOR HIGH SCHOOL GRADUATES. MMC-EAU CLAIRE STAFF PARTICIPATED IN THE EAU CLAIRE CHAMBER OF COMMERCE LEADERSHIP PROGRAM AND SERVE AS THE UPCOMING PRESIDENT OF THE EAU CLAIRE AREA ECONOMIC DEVELOPMENT CORPORATION.OTHER COMMUNITY BUILDING:MMC-EAU CLAIRE STAFF SERVE AS THE BOARD PRESIDENT OF THE UNITED WAY OF THE GREATER CHIPPEWA VALLEY, WHICH PROVIDES LEADERSHIP AND GUIDANCE IN SUPPORTING COMMUNITY BASED ORGANIZATIONS THAT SERVE ALL COMMUNITY MEMBERS IN AREAS OF HEALTH, BASIC NEEDS, EDUCATION, FINANCIAL STABILITY, HOUSING, AND DIGITAL EQUITY AND INCLUSION. MARSHFIELD MEDICAL CENTER-LADYSMITH: COALITION BUILDING:MARSHFIELD MEDICAL CENTER-LADYSMITH (MMC-LADYSMITH) STAFF PARTICIPATED IN FOUR DIFFERENT COMMUNITY COALITIONS AND COLLABORATIONS WITH THE PURPOSE OF IMPROVING THE HEALTH OF THE COMMUNITY. COALITIONS INCLUDE; RUSK COUNTY YOUTH COUNCIL, RUSK COUNTY TASK FORCE, AND RUSK COUNTY COMMUNITY GARDEN STEERING COMMITTEE.ENVIRONMENTAL IMPROVEMENTS: MMC-LADYSMITH PROVIDES A MEDICATION DISPOSAL KIOSK IN THE CLINIC PHARMACY THAT IS OPEN TO THE PUBLIC TO ENCOURAGE SAFE DISPOSAL OF MEDICATION IN THE COMMUNITY. MMC-LADYSMITH SUPPORTS HARM REDUCTION METHODS RELATED TO USED SHARPS, BY ACCEPTING USED SHARPS FROM ANYONE IN THE COMMUNITY REGARDLESS OF PATIENT STATUS. ECONOMIC DEVELOPMENT:MMC-LADYSMITH STAFF PARTICIPATED IN THE GREATER LADYSMITH AREA CHAMBER OF COMMERCE. COMMUNITY SUPPORT:MMC-LADYSMITH PROVIDED FUNDING TO SUPPORT COMMUNITY NEEDS, SOME ORGANIZATIONS INCLUDED: PURCHASING OF SEED BUNDLE FOR HYDROPONIC GARDEN UNIT, RUSK COUNTY YOUTH COUNCIL EVENTS FOR TEENS, AND RUSK COUNTY FAMER MARKET - DOUBLE VALUE COUPON.MMC-LADYSMITH STAFF PARTICIPATED IN COMMUNITY PROGRAMS AND EVENTS. EXAMPLES INCLUDED: -RUSK COUNTY RECOVERY TASK FORCE -RUSK COUNTY YOUTH COUNCIL -RUSK COUNTY MENTAL HEALTH SUBCOMMITTEE EVENTS -RUSK COUNTY COMMUNITY GARDEN -TEDDY BEAR CLINIC-NATIONAL NIGHT OUT -BACK TO SCHOOL SUPPLIES DRIVEWORKFORCE DEVELOPMENT: MMC-LADYSMITH COLLABORATED WITH AREA HIGH SCHOOLS TO OFFER PROGRAMS FOR HIGH SCHOOL STUDENTS INTERESTED IN MEDICAL CAREERS AS WELL AS OBSERVATIONAL JOB EXPERIENCES FOR HIGH SCHOOL GRADUATES. MMC-LADYSMITH FUNCTIONED AS A CLINICAL SITE FOR STUDENT NURSES, STUDENT NURSING ASSISTANTS, PRECEPTORS FOR HEALTHCARE JOBS, AND MEDICAL RESIDENTS AND INTERNS. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS AND SAFETY:MMC-LADYSMITH COLLABORATED WITH COMMUNITY ORGANIZATIONS AND GROUPS FOR COMMUNITY HEALTH IMPROVEMENTS AND SAFETY. EXAMPLES INCLUDED: -PARTICIPATION IN VARIOUS HEALTH DEPARTMENT DRIVEN COALITIONS, WORKGROUPS, & COMMITTEES FOCUSED ON ADDRESSING COMMUNITY HEALTH IMPROVEMENTS NEEDS IDENTIFIED WITHIN RUSK COUNTY. -PROVIDED PERMANENT MEDICATION DISPOSAL BOXES AT MMC-LADYSMITH PHARMACY LOCATION.-ASSISTED WITH PRESCRIPTION DRUG TAKE BACK EVENTS IN COLLABORATION WITH RUSK COUNTY HEALTH DEPARTMENTMARSHFIELD MEDICAL CENTER-MINOCQUA:ECONOMIC DEVELOPMENT:MARSHFIELD MEDICAL CENTER-MINOCQUA (MMC-MINOCQUA) EXECUTIVE LEADERSHIP PARTICIPATES IN THE FOLLOWING: ONEIDA COUNTY ECONOMIC DEVELOPMENT CORPORATION AND VILAS COUNTY ECONOMIC DEVELOPMENT CORPORATION BOARDS AND BUSINESS ROUNDTABLE TO ASSIST IN BUSINESS DEVELOPMENTS IN THE MINOCQUA AREA.COMMUNITY SUPPORT:MMC-MINOCQUA STAFF PARTICIPATED IN COMMUNITY PROGRAMS AND EVENTS. EXAMPLES INCLUDED: -PRENATAL CHILD BIRTHING AND BREASTFEEDING SUPPORT CLASSES-COMMUNITY-FOCUSED PRESENTATIONS AS IDENTIFIED ADDRESSING COMMUNITY HEALTH NEEDS/IMPROVEMENTS-SUPPORTED SUICIDE PREVENTION/MENTAL HEALTH COMMUNITY AWARENESS EVENTS-VIRTUAL DIABETES PREVENTION PROGRAM CLASS-FOOD COLLECTION OF DONATED ITEMS TO LOCAL FOOD PANTRIES IN ONEIDA AND VILAS COUNTIESENVIRONMENTAL IMPROVEMENTS:MMC-MINOCQUA PROVIDES A MEDICATION DISPOSAL KIOSK IN THE CLINIC PHARMACY THAT IS OPEN TO THE PUBLIC TO ENCOURAGE SAFE DISPOSAL OF MEDICATION IN THE COMMUNITY. MMC-MINOCQUA SUPPORTS HARM REDUCTION METHODS RELATED TO USED SHARPS, BY ACCEPTING USED SHARPS FROM ANYONE IN THE COMMUNITY REGARDLESS OF PATIENT STATUS.COALITION BUILDING:MMC-MINOCQUA STAFF PARTICIPATED IN FIVE DIFFERENT COMMUNITY COALITIONS AND COLLABORATIONS WITH THE PURPOSE OF IMPROVING THE HEALTH OF THE COMMUNITY. COALITIONS INCLUDE: NORTHWOODS TOBACCO FREE COALITION, COMMUNITY OUTREACH EDUCATION & PREVENTION COALITION MENTAL HEALTH SUBGROUP, VILAS COUNTY YOUTH COALITION, RHINELANDER PARTNERS IN EDUCATION (PIE), AND THE TRI COUNTY COLLABORATIVE HEALTH PLANNING COMMITTEE.ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS AND SAFETY:MMC-MINOCQUA COLLABORATED WITH COMMUNITY ORGANIZATIONS AND GROUPS FOR COMMUNITY HEALTH IMPROVEMENTS AND SAFETY. EXAMPLES INCLUDED: -COMMUNITY OUTREACH, EDUCATION & PREVENTION (COPE) COALITION TO CONDUCT BI-ANNUAL PRESCRIPTION DRUG TAKE BACK EVENTS.-PARTICIPATION IN VARIOUS HEALTH DEPARTMENT DRIVEN COALITIONS, WORKGROUPS, & COMMITTEES FOCUSED ON ADDRESSING COMMUNITY HEALTH IMPROVEMENTS NEEDS IDENTIFIED AT COUNTY LEVEL. -REPRESENTATION ON THE TRI COUNTY-CORE HEALTH PLANNING COMMITTEE, WHICH CONDUCTED THEIR ANNUAL COMMUNITY HEALTH ASSESSMENTS AND DEVELOPS COLLABORATIVE PLANS TO ADDRESS CONCERNS AT COUNTY LEVEL IN ONEIDA, VILAS, AND FOREST COUNTIES.WORKFORCE DEVELOPMENT: MMC-MINOCQUA PARTNERS WITH THE LOCAL TECHNICAL COLLEGE TO FUNCTION AS A CLINICAL SITE FOR STUDENT NURSES, STUDENT NURSING ASSISTANTS, PRECEPTORS FOR HEALTHCARE JOBS, AND MEDICAL RESIDENTS AND INTERNS. MMC-MINOCQUA STAFF PARTICIPATES ON RHINELANDER PARTNERS IN EDUCATION (PIE) COMMITTEE TO CREATE A BUSINESS, EDUCATION, AND COMMUNITY PARTNERSHIP THAT ENGAGES STUDENTS IN ENRICHED LEARNING OPPORTUNITIES, SO ALL STUDENTS ARE SUCCESSFUL WITH 21ST-CENTURY SKILLS. RHINELANDER PARTNERS IN EDUCATION IS AN ALL-VOLUNTEER, NON-PROFIT ORGANIZATION COMPRISED OF AREA BUSINESS, EDUCATION AND COMMUNITY LEADERS.OTHER COMMUNITY BUILDING:MMC-MINOCQUA SUPPORTS THE SECONDARY DATABASE PLATFORM WHICH ASSURES RELEVANT AND TIMELY COMMUNITY LEVEL DATA IS AVAILABLE IN AN EASY TO QUERY PLATFORM. THE PLATFORM IS USED TO CREATE AND MONITOR THE HOSPITAL CHNA AND IS BUT ALSO SUPPORTS THE ENTIRE COMMUNITY HEALTH ASSESSMENT AND EVALUATION FOR PLANNING PURPOSES AND IS UTILIZED BY A VARIETY OF PARTNERS TO HELP SECURE GRANT FUNDING.MMC-MINOCQUA STAFF SIT ON THE NORTHWOODS JUSTIC, EQUITY, DIVERSITY, AND INCLUSION (JEDI) COMMUNITY OF PRACTICE. THIS IS A GROUP OF REGIONAL COMMUNITY MEMBERS INTERESTED IN SUPPORTING A MORE INCLUSIVE CULTURE IN THE NORTHWOODS OF WISCONSIN. TO PROVIDE RESOURCES, INFORMATION AND EDUCATION TO INTERESTED INDIVIDUALS AND GROUPS IN ORDER TO INCREASE THE REGIONAL PREVALENCE OF JEDI CONCEPTS AND PRACTICES. MARSHFIELD MEDICAL CENTER-WESTON: PHYSICAL IMPROVEMENTS AND HOUSING: MARSHFIELD MEDICAL CENTER-WESTON (MMC-WESTON) LEADERSHIP MEETS MONTHLY WITH LEADERS FROM THE CITY OF WAUSAU, INCLUDING THE HOUSING DIRECTOR, ASSESSING THE ROLE THE HOSPITAL PLAYS ON SEVERAL AREAS OF SOCIAL AND ECONOMIC DEVELOPMENT IN THE COMMUNITY. WORKFORCE DEVELOPMENT:MMC-WESTON STAFF PARTICIPATED IN CAREER FAIRS AND HEALTH CAREER DISCUSSIONS AT LOCAL HIGH SCHOOLS AND YOUTH SERVING ORGANIZATIONS LIKE THE BOYS & GIRLS CLUB. MMC-WESTON SERVES AS A PRECEPTOR SITE FOR BOTH MEDICAL SCHOOLS IN WISCONSIN - MEDICAL COLLEGE OF WISCONSIN (MCW) AND THE UNIVERSITY OF WISCONSIN. COALITION BUILDING:MMC-WESTON STAFF PARTICIPATED IN MULTIPLE COMMUNITY COALITIONS AND COLLABORATIONS WITH THE PURPOSE OF IMPROVING THE HEALTH OF THE COMMUNITY. SOME EXAMPLES INCLUDE: MARATHON COUNTY AOD BOARD, HEALTHY MARATHON COUNTY ALLIANCE, CARING FOR COMMUNITY KIDS, NICOTINE PREVENTION ALLIANCE, AND THE HMONG AND HISPANIC COMMUNICATION NETWORK COLLABORATORS TEAM (H2N). MMC-WESTON STAFF ALSO PARTICIPATED IN REGIONAL COMMUNITY GROUPS COORDINATING EFFORTS TO ADDRESS COVID-19 AND ADVANCE VACCINE UPTAKE ACROSS ALL RECOMMENDED VACCINES. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS: MMC-WESTON PROVIDED FUNDING TO SUPPORT MEMBERS OF MINORITY GROUPS TO BECOME LEADERS IN A VARIETY OF EVIDENCE-BASED HEALTH IMPROVEMENT PROGRAMS INCLUDING QPR FOR SUICIDE PREVENTION AND LIVING WELL WITH DIABETES. MEMBERS OF BOTH THE HMONG AND HISPANIC COMMUNITIES HAVE BEEN TRAINED AND HAVE STARTED OFFERING CULTURALLY-APPROPRIATE CLASSES TO THEIR COMMUNITY. COMMUNITY SUPPORT:MMC-WESTON STAFF PROVIDE THE SANE PROGRAM AND PARTICIPATE IN THE MARATHON COUNTY SEXUAL ASSAULT INTERVENTION TEAM, CHILDREN'S ADVOCACY CENTER MULTIDISCIPLINARY TEAM, AND MARATHON COUNTY DOMESTIC ASSAULT INTERVENTION TEAM. MMC-WESTON LEADERSHIP AND STAFF PARTICIPATED IN COMMUNITY EVENTS SUCH AS THE HO-CHUNK NATION COMMUNITY HEALTH FAIR AND THE HO-CHUNK NATION SUICIDE PREVENTION CONFERENCE. MMC-WESTON AND OTHER SYSTEM STAFF COLLABORATE TO PROVIDE INJURY PREVENTION PROGRAMMING INCLUDING OLDER ADULT FALL PREVENTION EDUCATION AND BIKE HELMET DISTRIBUTION. MMC-WESTON HAS A STRONG PARTNERSHIP WITH THE WAUSAU FREE CLINIC. THE WAUSAU FREE CLINIC OFFERS SERVICES TO THOSE THAT ARE UNINSURED AND FACE OTHER BARRIERS TO ACCESSING THE TRADITIONAL HEALTH CARE SYSTEM. MMC-WESTON PROVIDES SUPPORTS FOR PROCESSING LABORATORY SAMPLES, PROVIDES ACCESS TO THE FLU VACCINE AND VACCINATING SUPPLIES, HAS SUPPLIED A PRINTER AND HELPS RECRUIT VOLUNTEERS. ENVIRONMENT IMPROVEMENTS: MMC-WESTON PROVIDES A MEDICATION DISPOSAL KIOSK IN THE HOSPITAL AND CLINIC PHARMACIES THAT IS OPEN TO THE PUBLIC TO ENCOURAGE SAFE DISPOSAL OF MEDICATION IN THE COMMUNITY. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS AND SAFETY: MMC-WESTON LEADERSHIP AND STAFF PRESENT TO AND PROVIDE PUBLIC COMMENT AT LOCAL BOARDS OF HEALTH MEETINGS TO ADVANCE BEST PRACTICE HEALTH INFORMATION. OTHER COMMUNITY BUILDING: MMC-WESTON SUPPORTS THE MARATHON COUNTY PULSE PLATFORM WHICH ASSURES RELEVANT AND TIMELY COMMUNITY LEVEL DATA IS AVAILABLE IN AN EASY TO QUERY PLATFORM. THE PLATFORM IS USED TO CREATE AND MONITOR THE HOSPITAL CHNA AND IS BUT ALSO SUPPORTS THE ENTIRE COMMUNITY IN ASSESSMENT AND EVALUATION FOR PLANNING PURPOSES AND IS UTILIZED BY A VARIETY OF PARTNERS TO HELP SECURE GRANT FUNDING AND EVALUATE EFFORTS.MARSHFIELD MEDICAL CENTER-RIVER REGION (STEVENS POINT):WORKFORCE DEVELOPMENT: MARSHFIELD MEDICAL CENTER-RIVER REGION (MMC-RIVER REGION) STAFF SERVE ON THE UNIVERSITY OF WISCONSIN STEVENS POINT (UWSP) AND THE MID-STATE TECHNICAL COLLEGE'S ADVISORY BOARDS FOR THEIR RESPECTIVE NURSING PROGRAMS. MMC-RIVER REGION SERVES AS THE PRACTICUM SITE FOR THE NEW PHYSICAL THERAPY PROGRAM AT UWSP. MMC-RIVER REGION STAFF ALSO PARTICIPATED IN CAREER FAIRS AND PRE-MED PANEL DISCUSSIONS AT LOCAL HIGH SCHOOLS AS WELL AS AT UWSP. PHYSICAL IMPROVEMENTS AND HOUSING: MMC-RIVER REGION LEADERSHIP SERVE ON THE 2023 PORTAGE COUNTY LIFE REPORT STEERING COMMITTEE. THE COMMITTEE TAKES A COMPREHENSIVE OVERVIEW OF THE QUALITY OF LIFE IN PORTAGE COUNTY. THE GOAL IS TO CREATE A REPORT TO DRIVE CHANGE AND IMPROVEMENT BY INFORMING, ENLIGHTENING AND EMPOWERING RESIDENTS AND LOCAL LEADERS TO WORK TOGETHER IN ADDRESSING THE CHALLENGES AND OPPORTUNITIES FACING OUR COMMUNITIES; HOUSING HAS BEEN A TOP THREE ACTION ITEM FOR BOTH THE 2017 AND 2023 REPORTS. THESE CALLS TO ACTION ARE INTENDED TO SERVE AS CATALYSTS TO PROPEL OUR COMMUNITY TO MOVE FORWARD IN ADDRESSING TOP ISSUES SUCH AS "HOUSING". COALITION BUILDING: MMC-RIVER REGION STAFF PARTICIPATED IN MULTIPLE COMMUNITY COALITIONS AND COLLABORATIONS WITH THE PURPOSE OF IMPROVING THE HEALTH OF THE COMMUNITY. SOME EXAMPLES INCLUDE: PORTAGE COUNTY AOD COALITION, NICOTINE PREVENTION ALLIANCE, PORTAGE COUNTY HEALTHY AGING COALITION, PORTAGE COUNTY DISABILITY COALITION, PREVENT SUICIDE PORTAGE COUNTY, AND THE HMONG AND HISPANIC COMMUNICATION NETWORK COLLABORATORS TEAM (H2N). MMC-RIVER REGION STAFF ALSO PARTICIPATED IN REGIONAL COMMUNITY GROUPS COORDINATING EFFORTS TO ADDRESS COVID-19 AND ADVANCE VACCINE UPTAKE ACROSS ALL RECOMMENDED VACCINES. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS: MMC-RIVER REGION PROVIDED FUNDING TO SUPPORT MEMBERS OF MINORITY GROUPS TO BECOME LEADERS IN A VARIETY OF EVIDENCE-BASED HEALTH IMPROVEMENT PROGRAMS INCLUDING QPR FOR SUICIDE PREVENTION AND LIVING WELL WITH DIABETES. MEMBERS OF BOTH THE HMONG AND HISPANIC COMMUNITIES HAVE BEEN TRAINED AND HAVE STARTED OFFERING CULTURALLY APPROPRIATE CLASSES TO THEIR COMMUNITY. COMMUNITY SUPPORT: MMC-RIVER REGION SUPPORTED SEVERAL EFFORTS TO ADVANCE NUTRITION SECURITY THROUGHOUT ITS SERVICE AREA INCLUDING FINANCIALLY SUPPORTING SEVERAL FOOD PANTRIES. MMC-RIVER REGION ALSO LAUNCHED A PILOT PROGRAM TO ADD FRESH LOCAL FRUITS AND VEGETABLES TO THE SENIOR STOCK BOX PROGRAM, SUPPORTING LOCAL FARMERS AND INCREASING ACCESS TO NUTRITIOUS FOODS FOR LOW-INCOME SENIORS. THE PROJECT CONTINUES WITH SUPPORT FROM MULTIPLE COMMUNITY ORGANIZATIONS. MMC-RIVER REGION STAFF PARTICIPATED IN COMMUNITY EVENTS SUCH AS THE FALL PREVENTION MONTH SCREENING AND HEALTH FAIR. MMC-RIVER REGION SUPPORTS COMMUNITY EFFORTS TO ADDRESS MENTAL HEALTH. STAFF TRACK AND REPORT QUARTERLY YOUTH SELF-HARM ADMISSIONS THAT ARE USED BY A COMPREHENSIVE COMMUNITY GROUP TO HELP IDENTIFY TRENDS AND ASSURE TIMELY RESPONSE. THE HOSPITAL PROVIDED SUPPORT TO BUILD AWARENESS ABOUT MENTAL HEALTH AND COMMUNITY RESOURCES DURING MAY MENTAL HEALTH MONTH AND SUPPORTED THE ANNUAL SUICIDE PREVENTION WALK FOR HOPE.MMC-RIVER REGION LEADERSHIP AND STAFF VOLUNTEER EXTENSIVELY IN THE COMMUNITY FROM FOOD PROGRAMS TO CHARITY EVENTS RAISING FUNDS FOR IMPORTANT COMMUNITY ORGANIZATIONS LIKE THE SALVATION ARMY AND BOYS & GIRLS CLUB. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS AND SAFETY: MMC-RIVER REGION PROVIDED LETTERS OF SUPPORT TO SEVERAL ORGANIZATIONS TO ADVANCE IMPORTANT COMMUNITY HEALTH PROJECTS INCLUDING HELPING THE COUNTY CHOOSE TO USE ARPA FUNDS TO BUILD A REAL TIME COMMUNITY HEALTH DATA PLATFORM. OTHER COMMUNITY BUILDING: MMC-RIVER REGION STAFF PARTICIPATED IN BOTH THE EXECUTIVE TEAM AND STEERING COMMITTEE OF THE LOCAL INDICATORS FOR EXCELLENCE (LIFE) REPORT. THIS COMMUNITY-DEVELOPED REPORT IDENTIFIES THE LARGEST COMMUNITY NEEDS AND IDENTIFIES A COLLECTIVE RESPONSE TO ADDRESS THE PRIORITIES. PART III, LINE 2: BAD DEBT EXPENSE IS REPORTED AT COST USING A COST-TO-CHARGE RATIO. PART III, LINE 3: NO BAD DEBT IS ESTIMATED TO RELATE TO CHARITY CARE. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE REDUCED FOR EXPLICIT PRICE CONCESSIONS AND BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AS AN IMPLICIT PRICE CONCESSION. IN EVALUATING THE COLLECTABILITY OF PATIENTS' ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND CONTRACTUAL TERMS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ADDITIONAL IMPLICIT DISCOUNT, IF NECESSARY (I.E., FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND CO-PAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS 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 CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS AN IMPLICIT DISCOUNT 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 OFF AGAINST THE ALLOWANCE. THE SYSTEM'S IMPLICIT ALLOWANCE FOR SELF-PAY PATIENTS WAS APPROXIMATELY 61% AND 60% OF SELF-PAY ACCOUNTS RECEIVABLE AS OF DECEMBER 31, 2022 AND DECEMBER 31,2021, RESPECTIVELY. PART III, LINE 8: THE ALLOWABLE MEDICARE COST ON PART III, LINE 6 IS DETERMINED USING THE CY 2022 MEDICARE COST REPORT. THE REIMBURSEMENT FROM MEDICARE IS DEDUCTED FROM THE ESTIMATED COST USING A COST-TO-CHARGE RATIO IN ORDER TO DETERMINE THE SHORTFALL FROM THE MEDICARE PROGRAM. THE SYSTEM TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE REASONS FOR THIS TREATMENT INCLUDES (1) NON-NEGOTIABLE MEDICARE RATES ARE SOMETIMES NOT ALIGNED WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS; (2) THE SYSTEM IS ALLEVIATING THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES; AND (3) IRS REV. RUL. 69-545 NOTES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THIS ACTION INDICATES THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. PART III, LINE 9B: THE ORGANIZATION HAS A BILLING AND COLLECTION POLICY WHICH SETS FORTH COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO BE ELIGIBLE OR PRESUMED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. MULTIPLE MEASURES ARE TAKEN TO COMMUNICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE AND DETERMINE WHETHER A PATIENT IS FINANCIAL ASSISTANCE ELIGIBLE BEFORE PURSUING EXTRAORDINARY COLLECTION ACTIONS (ECAS). ECAS MAY INCLUDE: REPORTING TO CONSUMER CREDIT REPORTING AGENCIES, PURSUING LEGAL JUDGMENTS, FILING LIENS, GARNISHING WAGES, REQUIRING PREPAYMENT FOR NON-EMERGENCY SERVICES. ECAS WILL NOT BE INITIATED AND FURTHER ACTION WILL NOT BE TAKEN ON EXISTING ECAS ONCE A FINANCIAL ASSISTANCE APPLICATION IS IN PROCESS. IF THE PATIENT IS DETERMINED FINANCIAL ASSISTANCE ELIGIBLE, REASONABLE MEASURES WILL BE TAKEN TO REVERSE ANY ECA ALREADY IN PLACE. PART VI, LINE 2: ALL MARSHFIELD MEDICAL CENTER FACILITIES ASSESSED THE HEALTH CARE NEEDS OF THE COMMUNITIES THEY SERVE BY CONDUCTING STANDARD CHNA PRACTICES, INCLUDING: -REVIEW OF COMMUNITY PARTNERS' REPORTS (I.E. UNITED WAY) -REVIEW OF PUBLICLY AVAILABLE COMMUNITY HEALTH DATA (I.E. COUNTY HEALTH RANKINGS) -COMPLETION OF KEY INFORMANT INTERVIEWS WITH COMMUNITY LEADERS ABOUT THE COMMUNITY'S HEALTH NEEDS -COMPLETION OF COMMUNITY CONVERSATIONS WITH COMMUNITY MEMBERS -PARTICIPATION IN COMMUNITY HEALTH COMMITTEES AND BOARDS PART VI, LINE 3: PATIENT ASSISTANCE CENTER COUNSELORS ASSIST INDIVIDUALS WITH IDENTIFYING, REFERRING AND/OR APPLYING FOR PUBLIC, PRIVATE OR CHARITABLE RESOURCES FOR, WHICH THE PATIENT MAY QUALIFY. COUNSELORS ARE AVAILABLE VIA PHONE AND IN PERSON TO ASSIST INDIVIDUALS WITH FINANCIAL ASSISTANCE.INFORMATION ON THE MARSHFIELD CLINIC HEALTH SYSTEM (MCHS) FINANCIAL ASSISTANCE POLICY IS POSTED IN HOSPITAL REGISTRATION AND ADMITTING LOCATIONS AND IN THE HOSPITAL EMERGENCY DEPARTMENT. FINANCIAL ASSISTANCE INFORMATION IS PRINTED ON MONTHLY BILLING STATEMENTS AND INCORPORATED INTO OTHER COMMUNICATIONS IN ORDER TO WIDELY PUBLICIZE THE AVAILABILITY OF FINANCIAL ASSISTANCE, AS DESCRIBED IN THE MCHS BILLING AND COLLECTION POLICY. THE MCHS FINANCIAL ASSISTANCE POLICY (INCLUDING THE PLAIN LANGUAGE SUMMARY), THE FINANCIAL ASSISTANCE APPLICATION AND THE BILLING AND COLLECTION POLICY ARE AVAILABLE IN ENGLISH, SPANISH, HMONG AND ANY OTHER LANGUAGE THAT IS THE PRIMARY LANGUAGE SPOKEN BY THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE POPULATION OF THE SERVICE AREA.THE MCHS FINANCIAL ASSISTANCE POLICY (INCLUDING THE PLAIN LANGUAGE SUMMARY), THE FINANCIAL ASSISTANCE APPLICATION AND THE BILLING AND COLLECTION POLICY MAY BE OBTAINED FREE OF CHARGE: ON THE HOSPITAL WEBSITE, IN PERSON, FROM FINANCIAL COUNSELORS, BY PHONE AND BY MAIL. PART VI, LINE 4: MARSHFIELD MEDICAL CENTER:MMC SERVES WOOD COUNTY IN WISCONSIN. WOOD COUNTY COVERS 809 SQUARE MILES AND IS LOCATED IN THE CENTER OF WISCONSIN. WOOD COUNTY SITS ON THE ANCESTRAL LANDS OF THE OJIBWE, DAKOTA AND HO-CHUNK NATIONS. THE COUNTY IS MORE RURAL THAN WISCONSIN OVERALL, WITH 37 PERCENT OF THE POPULATION IN RURAL AREAS AND THE MAJORITY IN URBAN CLUSTERS, 63 PERCENT IN 2010. WITH 793 SQUARE LAND AREA MILES, THERE WAS A POPULATION DENSITY OF 94 PEOPLE PER SQUARE MILE IN 2010. IN 2019, WOOD COUNTY HAD A POPULATION OF 72,999, A POPULATION PERCENT DECREASE OF -2.3% SINCE 2010. THERE WERE 21.6% OF RESIDENTS UNDER 18 YEARS, 21.1% WHO WERE 65 YEARS AND OVER, AND 50.8% WHO WERE FEMALE. THE RACIAL MAKE-UP OF WOOD COUNTY WAS 92% WHITE ALONE NOT HISPANIC OR LATINO, 3.2% HISPANIC OR LATINO, 2% ASIAN ALONE, 1% BLACK OR AFRICAN AMERICAN, 1.0% AMERICAN INDIAN AND ALASKA NATIVE ALONE, AND 1.3% TWO OR MORE RACES. THERE WERE 2.4% OF WOOD COUNTY RESIDENTS WHO WERE NOT BORN IN THE UNITED STATES. WOOD COUNTY HAS 9.5% OF INDIVIDUALS WITH A DISABILITY WHO ARE UNDER AGE 65 YEARS, WHICH IS A HIGHER PERCENTAGE THAN FOR WISCONSIN AND THE UNITED STATES. IN WOOD COUNTY THE HIGH SCHOOL GRADUATION RATE WAS 92.7%. RESIDENTS WHO HAVE A BACHELOR'S DEGREE OR HIGHER WAS AT 19.7%, WHICH IS LOWER THAN WISCONSIN AND THE UNITED STATES. IN 2017, THE MEDIUM HOUSEHOLD INCOME WAS $54,913 WITH 10.7% OF THE POPULATION BELOW THE POVERTY LINE.MARSHFIELD MEDICAL CENTER-EAU CLAIRE:EAU CLAIRE COUNTY COVERS 638 SQUARE MILES AND IS LOCATED IN THE CHIPPEWA VALLEY OF WEST-CENTRAL WISCONSIN AT THE CONFLUENCE OF THE EAU CLAIRE AND CHIPPEWA RIVERS. THE COUNTY IS COMPRISED OF THREE CITIES (ALTOONA, AUGUSTA, AND EAU CLAIRE), TWO VILLAGES (FAIRCHILD AND FALL CREEK) AND 13 TOWNSHIPS, WITH A TOTAL POPULATION OF 104,646 (U.S. CENSUS BUREAU, 2019); APPROXIMATELY 23% OF WHICH IS RURAL. THE CITY OF EAU CLAIRE (COUNTY SEAT) HAS A TOTAL POPULATION OF 68,802 (U.S. CENSUS BUREAU, 2019) AND IS LOCATED APPROXIMATELY 90 MILES EAST OF THE TWIN CITIES IN MINNESOTA AND 90 MILES NORTH OF LACROSSE, WISCONSIN.EAU CLAIRE COUNTY IS 91.7% NON-HISPANIC WHITE, 4.3% ASIAN, 2.7% HISPANIC, 1.2% NON-HISPANIC BLACK AND 0.6% AMERICAN INDIAN AND ALASKA NATIVE. THE MEDIAN HOUSEHOLD INCOME IN EAU CLAIRE COUNTY IS $59,476 COMPARED TO THE STATE AVERAGE OF $61,747. THE NUMBER OF ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED) HOUSEHOLDS IN EAU CLAIRE COUNTY IS LOWER THAN THE STATE AVERAGE AT 22% AND 23% COMPARATIVELY WITH THE POVERTY RATE OF 10.6% WHICH IS COMPARABLE TO THE STATE AVERAGE OF 10.4%.THE EDUCATION LEVEL OF EAU CLAIRE COUNTY RESIDENTS COMPARES WELL TO THE STATEWIDE AVERAGE. ACCORDING TO THE 2021 COUNTY HEALTH RANKINGS AND ROADMAPS ESTIMATES, 94% OF RESIDENTS HAVE A HIGH SCHOOL DIPLOMA, COMPARED TO 92% STATEWIDE. LIKEWISE, 75% OF ADULTS AGES 25-44 HAVE SOME POST-SECONDARY EDUCATION, COMPARED TO 70% STATEWIDE. MARSHFIELD MEDICAL CENTER-LADYSMITH:MMC-LADYSMITH IS AN 11-BED FULL-SERVICE HOSPITAL IN LADYSMITH, WISCONSIN. MMC-LADYSMITH IS THE ONLY HOSPITAL WITHIN A 45-MILE RADIUS AND OFFERS A VARIETY OF MEDICAL SERVICES TO CARE FOR RUSK COUNTY RESIDENTS AND SURROUNDING COMMUNITIES. RUSK COUNTY IS LOCATED IN THE NORTHWESTERN REGION OF WISCONSIN. THE COUNTY IS COMPRISED OF ONE CITY (LADYSMITH), EIGHT VILLAGES, AND 24 TOWNSHIPS WITH A TOTAL POPULATION OF 14,123 IN 2021, APPROXIMATELY 76.6% OF THE COUNTY IS RURAL. THERE WERE 20.3% OF RESIDENTS UNDER 18 YEARS, 25.7% WHO WERE 65 YEARS AND OVER, AND 48.9% WHO WERE FEMALE. THE RACIAL MAKE-UP OF RUSK COUNTY IS 94.4% WHITE ALONE, NON-HISPANIC OR LATINO, 0.4% ASIAN, 2.2% HISPANIC, 1.0% NON-HISPANIC BLACK, AND 0.8% AMERICAN INDIAN AND ALASKA NATIVE. THE MEDIAN HOUSEHOLD INCOME IN RUSK COUNTY IS $51,978 WITH 13.8% OF ADULT RESIDENTS LIVING IN POVERTY. THE EDUCATION LEVEL OF RUSK COUNTY RESIDENTS IS LOWER THAN THE STATEWIDE AND NATIONAL AVERAGES. ACCORDING TO THE LATEST CENSUS ESTIMATES, 89.3% OF RUSK RESIDENTS HAVE A HIGH SCHOOL DIPLOMA AND 16.5% OF RESIDENTS HAVE A BACHELOR'S DEGREE OR HIGHER. MARSHFIELD MEDICAL CENTER-MINOCQUA:MMC-MINOCQUA IS A 19-BED FULL-SERVICE HOSPITAL IN MINOCQUA, WISCONSIN. IT IS A FULLY INTEGRATED MEDICAL CAMPUS THAT PROVIDES COMPREHENSIVE INPATIENT AND OUTPATIENT HEALTH CARE TO RESIDENTS IN MINOCQUA AND NORTHERN WISCONSIN. ONEIDA COUNTY IS LOCATED IN THE NORTHERN LAKES REGION OF WISCONSIN AND SITS ON THE ANCESTRAL LAND OF THE LAC DU FLAMBEAU BAND FO LAKE SUPERIOR CHIPPEWA AND SOKAOGON MOLE LAKE PEOPLE OF THE OJIBWE NATION. ONEIDA COUNTY IS COMPRISED OF ONE CITY (RHINELANDER) AND 21 TOWNS INCLUDING: MINOCQUA, WOODRUFF, LAKE TOMAHAWK, THREE LAKES, SUGAR CAMP AND HAZELHURST. ONEIDA COUNTY HAD A TOTAL POPULATION OF 38, 529 IN 2021; APPROXIMATELY 75% OF WHICH IS RURAL. THERE WERE 17.1% OF RESIDENTS UNDER 18 YEARS, 27.3% WHO WERE 65 YEARS AND OVER, AND 49.2% WHO WERE FEMALE. THE RACIAL MAKE-UP OF ONEIDA COUNTY WAS 94.6% WHITE ALONE NOT HISPANIC OR LATINO, 1.8% HISPANIC OR LATINO, 0.5% ASIAN ALONE, 0.7% BLACK OR AFRICAN AMERICAN, 1.3% AMERICAN INDIAN AND ALASKA NATIVE ALONE, AND 1.6% TWO OR MORE RACES. THERE WERE 1.2% OF ONEIDA COUNTY RESIDENTS WHO WERE NOT BORN IN THE UNITED STATES. ONEIDA COUNTY HAS 9.9% OF INDIVIDUALS WITH A DISABILITY WHO ARE UNDER AGE 65 YEARS, WHICH IS A HIGHER PERCENTAGE THAN FOR WISCONSIN AND THE UNITED STATES. IN ONEIDA COUNTY THE HIGH SCHOOL GRADUATION RATE WAS 94%. RESIDENTS WHO HAVE A BACHELOR'S DEGREE OR HIGHER WAS AT 26.8%, WHICH IS LOWER THAN WISCONSIN AND THE UNITED STATES. IN 2021, THE MEDIUM HOUSEHOLD INCOME WAS $62,660 WITH 9.2% OF THE POPULATION WAS BELOW THE POVERTY LINE.MARSHFIELD MEDICAL CENTER - WESTON:MMC-WESTON SERVES MARATHON COUNTY IN WISCONSIN AND SITS ON THE ANCESTRAL LANDS OF THE STOCKBRIDGE MUNSEE OJIBWE AND THE MENOMINEE NATIONS. IN ADDITION TO PRIMARY CARE SERVICES, MMC-WESTON OFFERS SPECIALTY CARE FOR MORE COMPLICATED MEDICAL CONCERNS INCLUDING COMPREHENSIVE CANCER CARE. THE CENTER GIVES PATIENTS ACCESS TO NEW TREATMENTS, SUPPORT GROUPS AND FAMILY RESOURCES. MARATHON COUNTY IS LOCATED IN NORTH CENTRAL WISCONSIN SERVING AS A HUB FOR SURROUNDING COUNTIES. THE CONVERGENCE OF INTERSTATE 39 AND HIGHWAY 29 IS LOCATED IN THE HEART OF THE COUNTY AND THE WISCONSIN RIVER DIVIDES THE COUNTY INTO EAST AND WEST. MARATHON COUNTY IS COMPRISED OF THREE CITIES (MOSINEE, SCHOFIELD, AND WAUSAU), FIFTEEN VILLAGES AND 34 TOWNSHIPS WITH A TOTAL POPULATION OF 135,692 IN 2019; APPROXIMATELY 43% OF WHICH IS RURAL. THE RACIAL MAKE-UP OF MARATHON COUNTY IS 90.5% NON-HISPANIC WHITE, 6.4% ASIAN, 2.8% HISPANIC, 0.6% NON-HISPANIC BLACK, AND 0.3% AMERICAN INDIAN AND ALASKA NATIVE. THE MEDIAN HOUSEHOLD INCOME IN MARATHON COUNTY IS $62,633 COMPARED TO THE STATE AVERAGE OF $63,293 IN MARATHON COUNTY 8.2% OF THE POPULATION SPEAKS A LANGUAGE OTHER THAN ENGLISH AT HOME. THE POVERTY RATE OF THE COUNTY WAS RECORDED AT 9.2% AT THE TIME OF THE ASSESSMENT WHICH IS LOWER THAN THE STATE AVERAGE OF 13.4%. THE EDUCATION LEVEL OF MARATHON COUNTY RESIDENTS EXCEEDS THE STATEWIDE AVERAGE. ACCORDING TO THE LATEST CENSUS ESTIMATES, 92% OF MARATHON COUNTY RESIDENTS HAVE A HIGH SCHOOL DIPLOMA AND 88% STATEWIDE. CONVERSELY, 25.4% OF MARATHON COUNTY RESIDENTS HAVE A BACHELOR'S DEGREE OR HIGHER WHERE THE STATE RATE IS 32.1%. MARSHFIELD MEDICAL CENTER-RIVER REGION (STEVENS POINT):MMC - RIVER REGION IS A REGIONAL HOSPITAL LOCATED IN PORTAGE COUNTY IN CENTRAL WISCONSIN AND SITS ON THE ANCESTRAL LANDS OF THE HO CHUNK AND MENOMINEE PEOPLE. THE COUNTY IS COMPRISED OF ONE CITY (STEVENS POINT), NINE VILLAGES AND 17 TOWNSHIPS WITH A TOTAL POPULATION OF 71,032 (2022 US CENSUS ESTIMATES); APPROXIMATELY 36% OF WHICH IS RURAL. THE CITY OF STEVENS POINT (COUNTY SEAT) HAS A TOTAL POPULATION OF 25,692 AND IS KNOWN AS 'THE CITY OF WONDERFUL WATER' AS IT IS NESTLED ALONG THE WISCONSIN RIVER. THE RACIAL MAKE-UP OF PORTAGE COUNTY IS 93.5% NON-HISPANIC WHITE, 3.8% HISPANIC OR LATINO, 3.3% ASIAN, 1.0% BLACK, 0.5% AMERICAN INDIAN AND ALASKAN NATIVE AND 1.6% TWO OR MORE RACES. THE MEDIAN HOUSEHOLD INCOME IS $65,500 WITH 10.4% OF THE POPULATION LIVING BELOW THE POVERTY LINE. THE EDUCATION LEVEL OF PORTAGE COUNTY EXCEEDS BOTH STATE AND NATIONAL AVERAGES AT 94.8% OF THE POPULATION WITH A HIGH SCHOOL DIPLOMA OR HIGHER. MORE THAN 33% OF THE POPULATION HAS A BACHELOR'S DEGREE. PART VI, LINE 5: MARSHFIELD MEDICAL CENTER:MMC INVESTED PERSONNEL TIME, FUNDING AND RESOURCES IN ITS COMMUNITY. MMC STAFF ENGAGED IN DIVERSE SECTORS OF THE WOOD COUNTY COMMUNITY, WHICH INCLUDED SECTORS FOCUSED ON HEALTH AND HEALTH CARE PRIORITIES AS WELL AS SOCIAL DETERMINANTS OF HEALTH ISSUES. STAFF ALSO PARTICIPATED IN STATE-WIDE ORGANIZATIONS THAT IMPACT WOOD COUNTY. HOSPITAL STAFF HOST EDUCATION AND SUPPORT TO THE COMMUNITY THROUGH ACTIVITIES SUCH AS STROKE SUPPORT GROUPS AND END OF LIFE PLANNING. THE TRAUMA PROGRAM HAS AN ACTIVE AND ROBUST INJURY PREVENTION PROGRAM OFFERING A VARIETY OF SUPPORT TO THE COMMUNITY SUCH AS BIKE SAFETY EVENTS WITH HELMET DISTRIBUTION, OLDER-ADULT FALL PREVENTION CLASSES AND DISTRACTED DRIVING EDUCATIONAL PRESENTATIONS. THE BIRTHING CENTER OFFERS A VARIETY OF CLASSES, EDUCATION AND OUTREACH TO THE COMMUNITY.MMC STAFF, INCLUDING MANAGEMENT AND EXECUTIVE POSITIONS, PARTICIPATED ACTIVELY ON SEVERAL LOCAL ORGANIZATIONS SUCH AS:-MARSHFIELD UNITED WAY BOARD-THE MARSHFIELD AREA CHAMBER OF COMMERCE - BUSINESS ROUNDTABLE-MARSHFIELD YMCA BOARD CHAIR-CHILDREN'S HEALTH ALLIANCE OF WISCONSIN EXECUTIVE BOARD-SHIRLEY'S HOUSE OF HOPE BOARD OF DIRECTORS-RONALD MCDONALD HOUSE EXECUTIVE BOARD -NORTH CENTRAL WI HOSPITAL EMERGENCY READINESS COALITION BOARD OF DIRECTORS-HEALTHY PEOPLE WOOD COUNTY -SOUTH WOOD COUNTY CULTURAL COALITION-SOUTH WOOD COUNTY HUNGER COALITION-CENTRAL WI PARTNERSHIP FOR RECOVERY-MACCI - MARSHFIELD AREA CHAMBER OF COMMERCE'S-MACY - MARSHFIELD AREA COALITION FOR YOUTH-IMPACT - INSPIRING AND MOBILIZING PEOPLE TO ACTION FOR COMMUNITY TRANSFORMATION-CITY OF MARSHFIELD PARTNERS GROUP-SOUTH WOOD COUNTY POPULATION HEALTH STEERING COMMITTEEMARSHFIELD MEDICAL CENTER-EAU CLAIRE:MMC-EAU CLAIRE FURTHERED ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY WITH THE FOLLOWING:-REPRESENTATION ON THE EAU CLAIRE CHAMBER OF COMMERCE-BUSINESS AND WORKFORCE DEVELOPMENT, AND GOVERNMENT AFFAIRS COMMITTEES. THESE COMMITTEES FOCUS ON IMPROVING BUSINESS OPPORTUNITIES AND EDUCATION, AND SUPPORT STATE AND FEDERAL ISSUES IMPACTING THE LOCAL BUSINESS COMMUNITY IN EAU CLAIRE.-REPRESENTATION ON THE FEED MY PEOPLE FOOD BANK-BOARD OF DIRECTORS. FEED MY PEOPLE FOOD BANK PROVIDES HUNGER-RELIEF PROGRAMS ACCESS TO MILLIONS OF POUNDS OF LOW-COST FOODS, HELPING THEM EFFICIENTLY MEET THE NEEDS OF THEIR COMMUNITY.-PARTICIPATED IN MULTIPLE GROUPS WITHIN THE COMMUNITY COALITION EAU CLAIRE HEALTHY COMMUNITIES. THE MISSION OF THE COALITION IS TO PROMOTE THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND COMMUNITIES OF EAU CLAIRE COUNTY THROUGH COLLABORATIVE AND FOCUSED ACTION. -REPRESENTATION ON MENTAL HEALTH MATTERS WHICH SEEKS TO PROMOTE RESILIENCE FOR CHIPPEWA VALLEY YOUTHMARSHFIELD MEDICAL CENTER-LADYSMITH:MMC-LADYSMITH FURTHERED ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY WITH THE FOLLOWING:-REPRESENTATION AND PARTICIPATION FROM MMC-LADYSMITH STAFF ON THE RUSK COUNTY COALITIONS: RUSK COUNTY YOUTH COUNCIL, RUSK COUNTY TASK FORCE, RUSK COUNTY MENTAL HEALTH SUBCOMMITTEE, ALONG WITH A FEW OTHER COALITIONS/COMMITTEES. -HOSPITAL STAFF HOSTED EDUCATION AND SUPPORT TO THE COMMUNITY THROUGH ACTIVITIES SUCH AS NATIONAL NIGHT OUT; WHERE MMC-LADYSMITH STAFF PRESENTED ON THE IMPORTANCE OF BIKE HELMET SAFETY EVENTS WITH HELMET DISTRIBUTION AND PROVIDED STOP THE BLEED TRAINING TO FLAMBEAU SCHOOL DISTRICT TEACHERS AND STAFF MEMBERS. MARSHFIELD MEDICAL CENTER-MINOCQUA:MMC-MINOCQUA FURTHERED ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY WITH THE FOLLOWING:-REPRESENTATION ON THE TRI COUNTY-CORE HEALTH PLANNING COMMITTEE, WHICH CONDUCTS THEIR ANNUAL COMMUNITY HEALTH ASSESSMENTS AND DEVELOPS COLLABORATIVE PLANS TO ADDRESS CONCERNS IN ONEIDA, VILAS, AND FOREST COUNTIES. -REPRESENTATION ON THE COMMUNITY OUTREACH EDUCATION & PREVENTION (COPE) COALITION MENTAL HEALTH AND SUICIDE PREVENTION SUBGROUP, NORTHWOODS TOBACCO FREE COALITION AND MANY SUBCOMMITTEES OR SPECIFIC FOCUS WORK GROUPS TO IMPROVE COMMUNITY HEALTH. IN ADDITION, MMC-MINOCQUA STAFF SIT ON THE RHINELANDER ONE NATION ONE PROJECT COHORT. ONE NATION/ONE PROJECT IS A NATIONAL ARTS AND WELLNESS INITIATIVE DESIGNED TO ACTIVATE THE POWER OF THE ARTS TO REPAIR THE SOCIAL FABRIC OF OUR NATION AND HEAL OUR COMMUNITIES. WE ARE BRINGING TOGETHER ARTISTS, LOCAL GOVERNMENTS, AND COMMUNITY HEALTH PROVIDERS TO FOSTER EQUITABLE RECOVERY AND IMPROVED WELLBEING IN COMMUNITIES ACROSS AMERICA. ONE NATION/ONE PROJECT IS PARTNERING WITH THE NATIONAL LEAGUE OF CITIES TO LEAD THIS FIRST COHORT.A STAFF MEMBER FROM MMC-MINOCQUA SERVES AS THE MEDICAL ADVISOR TO THE VILAS COUNTY PUBLIC HEALTH DEPARTMENT WHERE THEY PARTICIPATE IN MONTHLY MEETINGS THAT ARE ABOUT 2-3 HOURS IN DURATION. THEY ARE AVAILABLE TO THE VILAS COUNTY PUBLIC HEALTH DEPARTMENT FOR REQUESTS TO MEET WITH OTHER ENTITIES RELATED TO PUBLIC HEALTH ISSUES (SCHOOLS, LAW ENFORCEMENT, ETC.).STAFF ARE INVOLVED IN PLANNING, COORDINATION, AND IMPLEMENTATION OF VARIOUS COLLABORATIVE EFFORTS AND EVENTS IN THE COMMUNITY SUCH AS CAREGIVER PRESENTATIONS, END OF LIFE PLANNING PRESENTATIONS, AND MENTAL HEALTH COMMUNITY-WIDE EVENTS.MARSHFIELD MEDICAL CENTER - WESTON:MMC-WESTON FURTHERED ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY WITH THE FOLLOWING REPRESENTATION: -MARATHON COUNTY ALCOHOL AND OTHER DRUG PARTNERSHIP BOARD OF DIRECTORS-H2N HMONG/HISPANIC COMMUNICATION NETWORK -HEALTHY MARATHON COUNTY EXECUTIVE TEAM -FATAL OVERDOSE REVIEW TEAM -WESTERN MARATHON COUNTY HEALTHY COMMUNITIES -NICOTINE PREVENTION ALLIANCE -CARING FOR COMMUNITY KIDS SUICIDE PREVENTION COALITION -FOOD EQUITY IN FARMERS MARKETS-UNITED WAY'S LIFE REPORT EXECUTIVE COMMITTEE-INDIAN SOCIETY OF CENTRAL WI-UNITED WAY WOMEN UNITED MMC-WESTON HAS A STRONG WORKING RELATIONSHIP WITH MANY ORGANIZATIONS WORKING TO ADDRESS HEALTHY EQUITY IN THE COMMUNITY. LEADERSHIP MEETS REGULARLY WITH THESE ORGANIZATIONS TO ASSURE OPEN COMMUNICATION AND TIMELY RESPONSE TO HEALTH NEEDS. ORGANIZATIONS INCLUDE; THE WAUSAU FREE CLINIC, THE HMONG AMERICAN CENTER, THE BOYS & GIRLS CLUB, THE HO CHUNK NATION AND THE ABBOTSFORD FOOD PANTRY. MMC-WESTON HAS A ROBUST SEXUAL ASSAULT NURSE EXAMINER PROGRAM WHICH SERVES AS A LEADER IN THE COMMUNITY TO ADDRESS SEXUAL AND DOMESTIC VIOLENCE. MEMBERS FROM THE TEAM SERVE ON THE MARATHON COUNTY SEXUAL ASSAULT INTERVENTION TEAM, CHILDREN'S ADVOCACY CENTER MULTIDISCIPLINARY TEAM AND MARATHON COUNTY DOMESTIC ASSAULT INTERVENTION TEAM. IN ADDITION, THEY PROVIDE EDUCATION TO A VARIETY OF PARTNERS INCLUDING LOCAL LAW ENFORCEMENT, TECHNICAL COLLEGES AND SEVERAL HIGH SCHOOLS. THEY PARTICIPATED IN SEVERAL COMMUNITY-WIDE TOWN HALLS TO HELP THE COMMUNITY BETTER UNDERSTAND AND ADDRESS SEXUAL AND DOMESTIC VIOLENCE.MARSHFIELD MEDICAL CENTER-RIVER REGION (STEVENS POINT):MMC-RIVER REGION FURTHERED ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY WITH THE FOLLOWING REPRESENTATION: -PORTAGE COUNTY AOD COALITION -PORTAGE COUNTY DISABILITY COALITION -PORTAGE COUNTY FATAL OVERDOSE REVIEW TEAM -FOOD EQUITY IN FARMERS MARKETS COALITION -PORTAGE COUNTY HEALTHY AGING COALITION -PREVENT SUICIDE PORTAGE COUNTY -HEALTHY PEOPLE PORTAGE COUNTY -UWSP NURSING PROGRAM ADVISORY BOARD-MID-STATE TECHNICAL COLLEGE NURSING PROGRAM ADVISORY BOARD-UNITED WAY'S LIFE REPORT EXECUTIVE COMMITTEE AS A NEW HOSPITAL, MMC-RIVER REGION LEADERSHIP AND STAFF WORK HARD TO BUILD RELATIONSHIPS WITH COMMUNITY ORGANIZATIONS AND MEMBERS TO BE GOOD STEWARDS TO THEIR NEW COMMUNITY. STAFF VOLUNTEER ACROSS THE COMMUNITY AND HAVE BUILT STRONG RELATIONSHIPS WITH THE LOCAL UNIVERSITY AND CITY GOVERNMENT. PART VI, LINE 6: MARSHFIELD CLINIC WAS FOUNDED IN 1916 BY SIX PHYSICIANS PRACTICING IN MARSHFIELD, A RURAL CENTRAL WISCONSIN CITY. AT ITS INCEPTION, CLINIC FOUNDERS SAW RESEARCH AND EDUCATION AS CRITICAL TO THEIR PRACTICE OF HEALTH CARE AND THAT REMAINS SO TODAY. THE CLINIC BECAME A 501(C)(3) NONPROFIT ORGANIZATION IN 1992 AND IN 2014, MARSHFIELD CLINIC HEALTH SYSTEM, INC. (MCHS), WAS FORMED. MCHS TODAY IS AN INTEGRATED HEALTH SYSTEM SERVING WISCONSIN AND MICHIGAN'S UPPER PENINSULA WITH MORE THAN 12,000 EMPLOYEES INCLUDING MORE THAN 1,600 PROVIDERS COMPRISING OVER 170 SPECIALTIES, A HEALTH PLAN, AND RESEARCH AND EDUCATION PROGRAMS. MCHS PRIMARY OPERATIONS INCLUDE: MARSHFIELD CLINIC; MARSHFIELD MEDICAL CENTER HOSPITALS IN MARSHFIELD, EAU CLAIRE, BEAVER DAM, LADYSMITH, MINOCQUA, NEILLSVILLE, RICE LAKE, STEVENS POINT, WESTON, IRON MOUNTAIN, PARK FALLS, AND MARSHFIELD CHILDREN'S HOSPITAL; MARSHFIELD CLINIC RESEARCH INSTITUTE, SECURITY HEALTH PLAN, AND MARSHFIELD CLINIC HEALTH SYSTEM FOUNDATION.UNIQUE TO MCHS IS ITS CENTER FOR COMMUNITY HEALTH ADVANCEMENT (CCHA), WHICH BUILDS BRIDGES BETWEEN THE HEALTHCARE SYSTEM AND THE PLACES IN THE COMMUNITY WHERE PEOPLE LIVE, WORK AND PLAY. THE CCHA WORKS WITH COALITIONS, BUSINESSES, EDUCATIONAL SYSTEMS, LAW ENFORCEMENT AGENCIES, TRIBAL NATIONS, LOCAL GOVERNMENTS, AND OTHER HEALTHCARE PROVIDERS, NONPROFIT ORGANIZATIONS AND OTHER ENTITIES TO IMPROVE COMMUNITY HEALTH. THE CCHA INCLUDES HOSPITAL STAFF WHO ARE CLOSELY INVOLVED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION STRATEGY (IS) IN THEIR RESPECTIVE COUNTIES. THIS HELPS TO ALIGN COMMUNITY HEALTH PRIORITIES IDENTIFIED IN THE CHNA WITH HEALTH SYSTEM PRIORITIES. 1 BEAVER DAM COMMUNITY HOSPITALS FOUNDATION INC 707 S UNIVERSITY AVENUE BEAVER DAM WI 53916 391499140 501(C)(3) 500000 0 N/A N/A COMMUNITY INITIATIVES RUSK COUNTY COMMUNITY FOUNDATION PO BOX 54 LADYSMITH WI 54848 260394674 501(C)(3) 241474 0 N/A N/A COMMUNITY INITIATIVES DICKINSON HOSPITALS FOUNDATION 220A E HUGHITT STREET IRON MOUNTAIN MI 49801 386093161 501(C)(3) 200000 0 N/A N/A COMMUNITY INITIATIVES MARSHFIELD YOUTH SOCCER ASSOCIATION PO BOX 636 MARSHFIELD WI 54449 391934771 501(C)(3) 15000 0 N/A N/A GENERAL SUPPORT CHIPPEWA VALLEY TECHNICAL COLLEGE 620 W CLAIREMONT AVE EAU CLAIRE WI 54701 391233557 501(C)(3) 7500 0 N/A N/A GENERAL SUPPORT 5 0 PART I, LINE 2: MCHS HOSPITALS, INC. PROVIDES ASSISTANCE (PRIMARILY CONTRIBUTIONS) TO A VARIETY OF ORGANIZATIONS, ALL OF WHICH ARE 501(C)(3). MCHS HOSPITALS MAKES DETERMINATIONS ON GRANTS AND OTHER ASSISTANCE BASED ON THE RECIPIENT ORGANIZATION'S MISSION, REPUTATION, AND THE ORGANIZATION'S INTENDED USE OF FUNDS. 0 1 0 0 0 0 0 0 0 SUSAN TURNEY MD BOARD MEMBER/MCHS CEO 0 1812322 0 910520 0 325650 0 287565 0 27779 0 3363836 0 258588 JERARD JENSEN MCHS GENERAL COUNSEL 0 801522 0 202859 0 54499 0 23031 0 42224 0 1124135 0 0 WILLIAM MELMS MD BOARD MEMBER/MCHS CMO 0 784186 0 5000 0 40227 0 23031 0 34024 0 886468 0 0 GORDON EDWARDS MCHS CFO/COO - PART YEAR 0 560115 0 166037 0 103493 0 9150 0 22602 0 861397 0 0 RUWAN DISSANAYAKE MD SECRETARY 0 398039 0 103133 0 27384 0 21612 0 32703 0 582871 0 0 PATRICK BOARD PRESIDENT MMC - PART YEAR 402286 0 5000 0 36167 0 9150 0 26817 0 479420 0 0 0 WILLIAM PRIEST PRESIDENT MMC-EAU CLAIRE 328332 0 0 0 38849 0 23031 0 32554 0 422766 0 0 0 RYAN NEVILLE PRESIDENT MMC-WESTON 343545 0 0 0 24485 0 23031 0 30640 0 421701 0 0 0 TY ERICKSON PRESIDENT MMC-MINOCQUA 338806 0 0 0 1164 0 23031 0 34024 0 397025 0 0 0 KATHY BRESSLER MCHS COO 0 285062 0 25000 0 60717 0 8769 0 8105 0 387653 0 0 WEB FRANCOIS PRESIDENT MMC-RIVER REGION 101083 0 20000 0 85515 0 1731 0 10824 0 219153 0 0 0 PART I, LINE 3 THE MARSHFIELD CLINIC HEALTH SYSTEM'S (MCHS) INDEPENDENT COMPENSATION COMMITTEE (THE COMMITTEE) HAS FINAL AUTHORITY FOR APPROVING COMPENSATION AND BENEFITS OF ALL DISQUALIFIED PERSONS EMPLOYED BY ANY OF THE ORGANIZATIONS IN THE SYSTEM. THE COMMITTEE USES COMBINATIONS OF THE FOLLOWING TO EVALUATE COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, AND WRITTEN EMPLOYMENT CONTRACTS. PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED A DISTRIBUTION FROM OR HAD AMOUNTS VEST IN THE PLAN: SUSAN TURNEY, MD - $219,744 THE FOLLOWING INDIVIDUALS PARTICATED IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN BUT DID NOT RECEIVE A DISTRIBUTION OR HAVE AN AMOUNT VEST IN THE PLAN. UNDER THE PLAN, AMOUNTS DO NOT VEST UNTIL TWO YEARS AFTER SEPARATION FROM THE ORGANIZATION: RUWAN DISSANAYAKE, MD JERARD JENSEN GORDON EDWARDS WILLIAM MELMS, MD PATRICK BOARD WILLIAM PRIEST RYAN NEVILLE FORM 990, PART IV, LINE 4: MARSHFIELD CLINIC HEALTH SYSTEM (INCLUDING MCHS HOSPITALS, INC.) IS A MEMBER OF VARIOUS HEALTHCARE ASSOCIATIONS (I.E. WISCONSIN HOSPITAL ASSOCIATION) THAT MAY PERFORM SOME LOBBYING ACTIVITY. ALL ASSOCIATED DUES ARE DISCLOSED ON THE FORM 990 OF MARSHFIELD CLINIC HEALTH SYSTEM, INC. FORM 990, PART V, LINE 2A: ALL PERSONNEL SERVICES FOR MCHS HOSPITALS, INC. ARE PERFORMED BY EMPLOYEES OF MARSHFIELD CLINIC HEALTH SYSTEM, INC. ALL PHYSICIAN SERVICES FOR MCHS HOSPITALS, INC. ARE PERFORMED BY EMPLOYEES OF MARSHFIELD CLINIC, INC. FORM 990, PART VI, SECTION A, LINE 6 MARSHFIELD CLINIC HEALTH SYSTEM, INC. (A WISCONSIN NONSTOCK, NONPROFIT ORGANIZATION DESCRIBED IN CODE SECTION 501(C)(3)) IS THE SOLE MEMBER OF MCHS HOSPITALS, INC. FORM 990, PART VI, SECTION A, LINE 7A MARSHFIELD CLINIC HEALTH SYSTEM, INC. (AS THE SOLE MEMBER) HAS THE RESERVE POWER TO APPOINT OR REMOVE MEMBERS OF THE BOARD OF DIRECTORS OF MCHS HOSPITALS, INC. FORM 990, PART VI, SECTION A, LINE 7B MARSHFIELD CLINIC HEALTH SYSTEM, INC. (THE SOLE MEMBER) HAS THE RIGHT TO APPROVE ANY CHANGES TO THE ARTICLES OF INCORPORATION AND BYLAWS OF MCHS HOSPITALS, INC. MARSHFIELD CLINIC HEALTH SYSTEM, INC. (THE SOLE MEMBER) HAS THE RIGHT TO INITIATE AND APPROVE LONG-TERM BORROWING AND OTHER FORMS OF LONG-TERM INDEBTEDNESS, INITIATE AND APPROVE THE PURCHASE, SALE OR ENCUMBRANCE OF REAL AND PERSONAL PROPERTY AND APPROVE OR DISAPPROVE ANNUAL OPERATING AND CAPITAL BUDGETS. MARSHFIELD CLINIC HEALTH SYSTEM, INC. (THE SOLE MEMBER) ALSO HAS THE RIGHT TO INITIATE AND APPROVE ANY OF THE FOLLOWING ACTIONS: MERGER, CONSOLIDATION, AFFILIATION OR JOINT VENTURE WITH ANY OTHER ENTITY OR ENTITIES; LIQUIDATION, REORGANIZATION OR DISSOLUTION OF THE ORGANIZATION; FILING OF A VOLUNTARY PETITION IN BANKRUPTCY; ANY CHANGE IN CONTROL OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B MARSHFIELD CLINIC HEALTH SYSTEM, INC. ENGAGES A PUBLIC ACCOUNTING FIRM TO PREPARE AND REVIEW THE FORM 990 IN ADDITION TO REVIEW BY THE SYSTEM CFO, VP OF FINANCE AND TAX DEPARTMENT. PRIOR TO FILING THE FORM WITH THE IRS, THE CFO AND HIS/HER DESIGNEE WILL PROVIDE TO EACH MEMBER OF THE SYSTEM'S AUDIT AND COMPLIANCE COMMITTEE (A SUBCOMMITTEE OF THE BOARD OF DIRECTORS) A COPY IN ELECTRONIC OR PAPER FORM OF THE COMPLETED FORM 990 (AND ALL REQUIRED SCHEDULES) FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, BOARD DIRECTORS, AND KEY EMPLOYEES OF EVERY MARSHFIELD CLINIC HEALTH SYSTEM (MCHS) ENTITY, AS WELL AS ANY OTHER PERSON DESIGNATED BY THE AUDIT AND COMPLIANCE COMMITTEE (ACC) TO BE A REQUIRED REPORTER BY VIRTUE OF HIS OR HER POSITION AT A SYSTEM ENTITY, SHALL ANNUALLY COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. SUCH FORMS SHALL BE DISTRIBUTED AND RECORDED BY THE SYSTEM'S DESIGNATED COMPLIANCE OFFICER. ALL FINANCIAL INTERESTS DISCLOSED AS PART OF THE ANNUAL DISCLOSURE PROCESS SHALL BE REVIEWED BY THE ACC. THE ACC SHALL INFORM THE BOARD OF DISCLOSED FINANCIAL INTERESTS WHICH MAY BEAR UPON OR RELATE TO A TRANSACTION UPON WHICH THE BOARD OR ANOTHER BOARD, COMMITTEE OR OTHER BODY OF A SYSTEM ENTITY, MAY DELIBERATE OR ACT. IN ADDITION TO THE ANNUAL DISCLOSURES, IF AT ANY TIME BETWEEN ANNUAL DISCLOSURES, A REQUIRED REPORTER BECOMES AWARE THAT THE BOARD, OR A BOARD, COMMITTEE OR OTHER BODY, OF ANY SYSTEM ENTITY MAY DELIBERATE OR ACT UPON ANY TRANSACTION THAT MAY HAVE ANY BEARING OF ANY KIND UPON, OR MAY RELATE IN ANY MANNER TO, AN EXISTING, INTENDED OR EXPECTED FINANCIAL INTEREST OF THE REQUIRED REPORTER, HE OR SHE SHALL DISCLOSE THE FINANCIAL INTEREST TO THE RELEVANT SYSTEM ENTITY BOARD, COMMITTEE OR BODY CHAIR, AS WELL AS TO THE SYSTEM'S COMPLIANCE OFFICER, IN ADVANCE OF ANY DELIBERATIONS OR ACTION, WRITTEN DISCLOSURE OF THE EXISTENCE, NATURE AND EXTENT OF HIS OR HER FINANCIAL INTEREST. ALL WRITTEN OR ORAL DISCLOSURES OF FINANCIAL INTERESTS SHALL BE RECORDED IN THE MINUTES OF THE BOARD AND BY THE OFFICE OF THE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER SHALL DISCLOSE THE COMPLETED FORMS AS NECESSARY TO THOSE MCHS EMPLOYEES RESPONSIBLE FOR COMPLETION OF THE IRS FORM 990. FORM 990, PART VI, SECTION B, LINE 15 THE SYSTEM'S INDEPENDENT COMPENSATION COMMITTEE (COMPENSATION COMMITTEE) SHALL HAVE FINAL AUTHORITY FOR APPROVING COMPENSATION AND BENEFITS OF ALL DISQUALIFIED PERSONS (AS THAT TERM IS DEFINED IN 4958 OF THE INTERNAL REVENUE CODE (THE CODE)) EMPLOYED BY THE CORPORATION, INCLUDING BUT NOT LIMITED TO THE CORPORATION'S CEO. THE TERM DISQUALIFIED PERSONS INCLUDES (BUT IS NOT LIMITED TO) ANY PERSON (OR THE PERSON'S FAMILY MEMBER) WHO WAS, AT ANY TIME DURING THE 5-YEAR PERIOD ENDING ON THE DATE OF THE TRANSACTION, IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION. IT SHALL BE THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE TO ENSURE THAT THE SYSTEM DOES NOT PAY AN AMOUNT THAT EXCEEDS REASONABLE COMPENSATION FOR ANY DISQUALIFIED PERSON. THE COMPENSATION COMMITTEE AND ITS OPERATING PROCEDURES SHALL BE DESIGNED TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS OF COMPENSATION OUTLINED IN TREASURY REG. SEC. 53.4958-6 WITH RESPECT TO EACH DISQUALIFIED PERSON. IN DETERMINING REASONABLENESS OF COMPENSATION, THE COMPENSATION COMMITTEE SHALL EVALUATE APPROPRIATE INFORMATION AS TO THE COMPARABILITY OF COMPENSATION, INCLUDING BUT NOT LIMITED TO: COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICES IN THE SYSTEM'S GEOGRAPHIC AREA; CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; AND ACTUAL WRITTEN JOB OFFERS FROM SIMILAR INSTITUTIONS. THE COMPENSATION COMMITTEE SHALL HAVE INDEPENDENT AUTHORITY TO OBTAIN OUTSIDE EXPERT OPINIONS ON THE REASONABLENESS AND FAIR MARKET VALUE OF COMPENSATION AND GATHER OTHER INFORMATION IT CONSIDERS NECESSARY OR APPROPRIATE TO MAKE ITS DECISIONS ON COMPENSATION. THE COMPENSATION COMMITTEE SHALL TIMELY DOCUMENT ITS DETERMINATION OF REASONABLENESS OF COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 MCHS HOSPITALS, INC. DOES NOT MAKE ITS CURRENT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UNLESS INCLUDED AS PART OF A FORM THAT IS REQUIRED TO BE PUBLICLY AVAILABLE. FORM 990, PART VII, SECTION A: COMPENSATION REPORTED FOR PATRICK BOARD, WILLIAM PRIEST, RYAN NEVILLE, WEB FRANCOIS, AND TY ERICKSON HAS BEEN PAID BY A RELATED ORGANIZATION AND COMMON PAYMASTER, MARSHFIELD CLINIC HEALTH SYSTEM, EIN 46-1495343. SINCE ALL SERVICES PERFORMED BY THESE INDIVIDUALS WERE FOR MCHS HOSPITALS, INC., THE COMPENSATION HAS BEEN REPORTED IN COLUMN D AS IF PAID BY THE ORGANIZATION. MARSHFIELD CLINIC HEALTH SYSTEM HAS COMPLIED WITH PAYROLL FILING REQUIREMENTS. FORM 990, PART X, LINE 20: MCHS HOSPITALS, INC. IS PART OF THE MARSHFIELD CLINIC HEALTH SYSTEM OBLIGATED GROUP. SINCE THE OBLIGATED GROUP IS RESPONSIBLE FOR ALL OUTSTANDING FINANCED DEBT OBLIGATIONS, ALL BOND RELATED REPORTING IS DISCLOSED ON THE FORM 990 OF MARSHFIELD CLINIC HEALTH SYSTEM INC. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS WITH RELATED ORGANIZATIONS 1,625,232,318. EQUITY INCOME FROM CONTROLLED ENTITIES 4,581,274. FLAMBEAU HOSPITAL INC 98 SHERRY AVE PARK FALLS WI 54552 390973724 HOSPITAL WI 501(C)(3) LINE 3 MCHS HOSP 1 LAKEVIEW MEDICAL CENTER INC 1700 W STOUT ST RICE LAKE WI 54868 390837206 HOSPITAL WI 501(C)(3) LINE 3 MCHS HOSP 1 VOLUNTEER PARTNERS OF LAKEVIEW MEDICAL 1700 W STOUT ST RICE LAKE WI 54868 391329084 SUPPORT ORG WI 501(C)(3) LINE 12D, III-O N/A 0 FAMILY HEALTH CENTER OF MARSHFIELD INC 1000 N OAK AVE MARSHFIELD WI 54449 391681547 COM HLTH CTR WI 501(C)(3) LINE 7 N/A 0 MARSHFIELD CLINIC INC 1000 N OAK AVE MARSHFIELD WI 54449 390452970 MEDICAL SVCS WI 501(C)(3) LINE 3 MCHS 0 SECURITY HEALTH PLAN OF WISCONSIN INC 1515 N ST JOSEPH AVE MARSHFIELD WI 54449 391572880 HMO WI 501(C)(4) N/A MCHS 0 MARSHFIELD CLINIC HEALTH SYSTEM INC 1000 N OAK AVE MARSHFIELD WI 54449 461495343 SUPPORT ORG WI 501(C)(3) LINE 12D, III-O N/A 0 MCHS FOUNDATION INC 1000 N OAK AVE MARSHFIELD WI 54449 812822823 PHILANTHROPY WI 501(C)(3) LINE 7 MCHS 0 BEAVER DAM COMMUNITY HOSPITALS INC 707 S UNIVERSITY AVE BEAVER DAM WI 53916 391157876 HOSPITAL WI 501(C)(3) LINE 3 MCHS HOSP 1 MEMORIAL HOSPITAL INC N3708 RIVER AVE NEILLSVILLE WI 54456 390806828 HOSPITAL WI 501(C)(3) LINE 3 MCHS HOSP 1 DICKINSON COUNTY HEALTHCARE SYSTEM 1721 S STEPHENSON AVE IRON MOUNTAIN MI 49801 382780429 HOSPITAL MI 501(C)(3) LINE 3 MCHS HOSP 1 THE DIAGNOSTIC & TREATMENT CENTER LLC 3401 CRANBERRY BLVD WESTON WI 54476 200691634 MEDICAL SVCS WI N/A RELATED -38287 134416 0 1 0.50000 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 DICKINSON COUNTY HEALTHCARE SYSTEM C 18251106 COST SCHEDULE R: MARSHFIELD CLINIC HEALTH SYSTEM, INC. (A 501(C)(3) ORGANIZATION), IS THE PARENT ORGANIZATION OF MCHS HOSPITALS, INC. THE FOLLOWING COMPANIES ARE RELATED TO MCHS HOSPITALS, INC. THROUGH BROTHER/SISTER RELATIONSHIPS DUE TO A COMMON PARENT ORGANIZATION: MARSHFIELD CLINIC, INC. SECURITY HEALTH PLAN OF WISCONSIN, INC. MARSHFIELD CLINIC HEALTH SYSTEM FOUNDATION, INC