2026-08-17T08:34:33-05:00 2025-09-30 393647910 WIPFLI ADVISORY LLC 1502 LONDON ROAD SUITE 220 DULUTH MN 55812 990 2024-10-01 421017512 UPLAND HILLS HEALTH INC UPLA 6089308000 800 COMPASSION WAY DODGEVILLE WI 53533 DANIELLE MOYER VP OF FINANCE 6089308000 2026-08-13 1 1 MICHAEL J PETERSON CPA P01833529 7158323407 2026-08-07 2024 2025-03-06 01:10:19Z MARK THOMPSON MD 800 COMPASSION WAY DODGEVILLE WI 53533 123613703 0 X WWW.UPLANDHILLSHEALTH.ORG X 1974 WI PROVIDE INNOVATIVE, INDIVIDUALIZED AND COMPASSIONATE CARE FOR EVERY STAGE IN LIFE. 11 11 805 90 36045 0 330116 1246632 107535885 116275997 4183346 3727754 495489 513625 112544836 121764008 0 0 0 0 53260229 59658969 0 0 0 41709228 48875859 94969457 108534828 17575379 13229180 179763329 190946414 38283527 36268266 141479802 154678148 X OUR MISSION: WE ARE A COMMUNITY-MINDED HEALTHCARE SYSTEM PROVIDING INNOVATIVE, INDIVIDUALIZED AND COMPASSIONATE CARE FOR EVERY STAGE IN LIFE. OUR VISION: TO EXEMPLIFY THE HIGHEST STANDARD OF COMMUNITY HEALTHCARE AND INSPIRE PATIENTS TO TAKE AN ACTIVE ROLE IN THEIR HEALTH THROUGH WELLNESS-ORIENTED CARE. 0 0 81756846 0 107495883 UPLAND HILLS HEALTH, INC. PROVIDES HIGH QUALITY, COST-EFFECTIVE, PRIMARY HOSPITAL CARE TO ALL PEOPLE IN NEED OF CARE. AMONG THE HOSPITAL INPATIENT AND OUTPATIENT SERVICES PROVIDED ARE DIAGNOSTIC IMAGING, REHABILITATION SERVICES, RESPIRATORY CARE, SURGICAL SERVICES, CARDIAC MONITORED CARE, LAB SERVICES, PHARMACY SERVICES, 24-HOUR EMERGENCY ROOM, OBSTETRICAL SERVICES, REGIONAL CLINIC SERVICES, AND MANY OTHERS. UPLAND HILLS ALSO PROVIDES ADDITIONAL SERVICES TO THE COMMUNITY BY PROVIDING OUTREACH PROGRAMS AND SERVICES THAT MEET IDENTIFIED NEEDS IN AN EFFORT TO ENHANCE THE HEALTH AND WELFARE OF THE PEOPLE IN ITS AREA. DURING FISCAL YEAR 2025, UPLAND HILLS HEALTH'S HOSPITAL AND CLINICS PROVIDED 3,283 DAYS OF INPATIENT CARE, 459 DAYS OF SWING BED CARE, OVER 17,890 EMERGENCY ROOM AND URGENT CARE PATIENT VISITS, 77,000 CLINIC PATIENT VISITS, AND OVER 195,000 OTHER OUTPATIENT PROCEDURES AND SERVICES FOR PATIENTS IN NEED OF MEDICAL CARE.IN ITS EFFORT TO ATTAIN THIS MISSION AND GOAL, AND TO BE A PARTNER IN THE COMMUNITY, UPLAND HILLS PROVIDES:- HEALTH EDUCATION AND OUTREACH PROGRAMS TO MEMBERS OF THE COMMUNITY AT LITTLE OR NO COST TO THE PARTICIPANTS.- PROGRAMS FOR NEW AND EXPECTANT PARENTS - CHILDBIRTH EDUCATION, PRE-DELIVERY CONFERENCE, SIBLING CLASS, BREASTFEEDING SUPPORT AND BREASTFEEDING SUPPLIES.- INDOOR FITNESS WALKING IS AVAILABLE AT THE HOSPITAL FACILITY FOR COMMUNITY MEMBERS DURING COLD OR INCLEMENT WEATHER.- SAFE SITTER BABYSITTING TRAINING - MEDICALLY ACCURATE BABYSITTING PREPARATION CLASS DESIGNED FOR BOYS AND GIRLS AGES 11 TO 13. THE PROGRAM TEACHES SITTERS HOW TO HAVE FUN WITH CHILDREN AS WELL AS HOW TO RECOGNIZE A MEDICAL EMERGENCY AND KNOW THE APPROPRIATE ACTION TO TAKE. STUDENTS ALSO LEARN INFANT AND CHILD CPR.THE COST OF PROVIDING CHARITY CARE TO PERSONS UTILIZING OUR HOSPITAL AMOUNTED TO APPROXIMATELY $616,000 IN 2025. IN ADDITION, UPLAND HILLS HEALTH FURNISHES CARE TO PERSONS COVERED UNDER GOVERNMENT ENTITLEMENT PROGRAMS WHICH PAY AT RATES LESS THAN CHARGES. DISCOUNTS TO THESE PROGRAMS FOR HOSPITAL SERVICES AMOUNT TO $102,791,000. UPLAND HILLS HEALTH ALSO PROVIDES ASSISTANCE TO THE FREE CLINIC LOCATED IN DODGEVILLE, WISCONSIN ON AN ANNUAL BASIS.UPLAND HILLS ALSO OPERATES A THERAPY AND WELLNESS CENTER TO PROVIDE FITNESS AND WELLNESS OPPORTUNITIES TO EMPLOYEES AND THE PUBLIC. UPLAND HILLS HAS TWO THERAPY AND WELLNESS CENTERS AVAILABLE FOR PATIENTS, EMPLOYEES, VOLUNTEERS AND THE GENERAL PUBLIC AT LOW-COST MEMBERSHIP RATES. THESE CENTERS HOUSE MODERN EQUIPMENT, INCLUDING CARDIO WORKOUT MACHINES, CIRCUIT TRAINING, AND FREE WEIGHTS. PERSONAL TRAINING, MASSAGE THERAPY AND ACUPUNCTURE SERVICES ARE OFFERED TO COMPLEMENT YOUR WELLNESS GOALS. 6600831 0 3426458 THE FOCUS OF UPLAND HILLS HOSPICE IS MAINTAINING QUALITY OF LIFE BY RELIEVING PAIN AND ADDRESSING THE PHYSICAL, EMOTIONAL AND SPIRITUAL FEELINGS THAT THE PATIENT AND FAMILY MEMBERS FEEL WHEN FACED WITH A TERMINAL ILLNESS. HOSPICE CARE IS AVAILABLE FOR TERMINALLY ILL PEOPLE WHO ARE NO LONGER SEEKING CURATIVE TREATMENT AND WHOSE LIFE EXPECTANCY IS MEASURED IN MONTHS RATHER THAN YEARS. HOSPICE SERVICES CAN BE PROVIDED AT HOME OR IN A HOSPITAL, NURSING HOME OR FREESTANDING FACILITY FOR PATIENTS WITH ANY TERMINAL ILLNESS SUCH AS CANCER, HEART DISEASE, COPD, RENAL FAILURE, ALZHEIMER'S, STROKE OR AIDS. IN FISCAL YEAR 2025, THERE WERE 11,234 TOTAL HOSPICE VISITS PROVIDED TO PATIENTS.UPLAND HILLS HEALTH, INC.'S HOMECARE PROGRAM PROVIDES COMPREHENSIVE HEALTHCARE SERVICES IN THE MOST COMFORTABLE SETTING-THE PATIENT'S HOME. IN FISCAL YEAR 2025, THERE WERE 6,340 TOTAL HOMECARE VISITS PROVIDED TO PATIENTS. 4162986 0 4849525 UPLAND HILLS HEALTH, INC. (UPLAND HILLS) ALSO SERVES THE COMMUNITY BY OPERATING A 33-BED SKILLED NURSING FACILITY. THE PRIMARY ACTIVITY IS TO PROVIDE SKILLED AND INTERMEDIATE CARE FOR THE AGED AND DISABLED OF THE SURROUNDING AREA. THE CENTER PROVIDED 10,515 DAYS OF RESIDENT CARE IN FISCAL YEAR 2025. THE CENTER OFFERS SKILLED NURSING CARE FOR LONG-TERM RESIDENT PROGRAMS. SOME OF THE SPECIALIZED CARE SERVICES OFFERED INCLUDE IV THERAPY CARE, WOUND CARE, PAIN MANAGEMENT, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY AMONG MANY OTHER CARE PROGRAMS PROVIDED. THE CENTER OPERATES IN CONJUNCTION WITH UPLAND HILLS HOSPITAL TO PROVIDE A SMOOTH TRANSITION FOR LONG-TERM CARE SERVICES. THE COMBINATION AND COORDINATION OF FACILITIES ALSO ALLOWS THE ORGANIZATION TO SHARE MANY DEPARTMENTS AND SERVICES IN UPLAND HILLS HEALTH'S CONSTITUTED EFFORT TO PROVIDE HIGH QUALITY AND LOW-COST CARE TO THE COMMUNITY. 92520663 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 94 0 805 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 WI X DANIELLE MOYER 6089308000 800 COMPASSION WAY DODGEVILLE WI 53533 JIM MASSEY CHAIR 2.50 X X 0 0 0 SANDY FISCHER VICE CHAIR 2.50 X X 0 0 0 JOHN THRONSON TREASURER 2.50 X X 0 0 0 ALAN HOLTER DVM SECRETARY 2.50 X X 0 0 0 JAY GONINEN TRUSTEE 2.50 X 0 0 0 CHRISTOPHER KINONEN MD TRUSTEE 2.50 X 0 0 0 BRAD LAUFENBERG TRUSTEE 2.50 X 0 0 0 JAMES MEACHAM TRUSTEE 2.50 X 0 0 0 KYLE NONDORF TRUSTEE (THRU JULY) 2.50 X 0 0 0 ANDREA POTTERTON TRUSTEE 2.50 X 0 0 0 ALLISON STROUD TRUSTEE 2.50 X 0 0 0 JOLYNN SUKO TRUSTEE 2.50 X 0 0 0 LISA SCHNEDLER PRESIDENT AND CEO (THRU SEP) 44.00 1.00 X 455995 0 29913 MARK THOMPSON MD PRESIDENT AND CEO (BEG SEP) 44.00 1.00 X 0 0 0 ARTHUR KARL PUSTINA VP OF OPERATIONS 45.00 X 280609 0 37964 DANIELLE MOYER VP OF FINANCE 48.00 1.00 X 158749 0 44091 LYNN HEBGEN VP OF NURSING 40.00 X 235242 0 34370 KRISANN KARLS VP OF ANCILLARY 40.00 X 179022 0 34194 SCOTT WYSOCKI VP OF CLINICS 40.00 X 109939 0 15153 ANTHONY VILLARE PHYSICIAN 40.00 X 637742 0 46278 PATRICK RYBERG PHYSICIAN 40.00 X 475531 0 43378 JARED LINEBARGER PHYSICIAN 40.00 X 466431 0 46428 TIMOTHY RAICHLE PHYSICIAN 40.00 X 434650 0 45678 JENIFER DANKYI PHYSICIAN 40.00 X 435865 0 44245 3869775 0 421692 105 0 1 0 J H FINDORFF AND SON INC 300 S BEDFORD ST MADISON WI 53703 CONSTRUCTION 16132454 S & D BUILDERS LLC 279 E BOSSARD ST SPRING GREEN WI 53588 CONSTRUCTION 7428410 MADISON EMERGENCY PHYSICIANS SC INC 1221 JOHN Q HAMMONS DR MADISON WI 53744 24HOUR EMERGENCY ROOM 6359129 SHARED IMAGING SERVICE LLC 944 WATER STREET SAUK CITY WI 53583 MEDICAL IMAGING SERVICES 4311456 MQ3 LLC 57 ARBOREDGE WAY FITCHBURG WI 53711 IT SUPPORT SERVICES 3251813 31 270344 975265 1023 1246632 PATIENT SERVICE REVENUE 621990 100354868 100318823 36045 PHARMACY 456110 14039153 14039153 340B/PHARMACY REVENUE 456110 1060430 1060430 DIETARY 722513 215693 215693 FITNESS CENTER 624100 93283 93283 512570 44484 468086 116275997 3202243 3202243 1117272 631238 486034 486034 486034 1733273 10695 1153276 65181 579997 -54486 525511 525511 27591 0 27591 27591 121764008 115771866 36045 4709465 X 1852656 1852656 44624610 39791201 4833409 1264695 1144369 120326 8873634 7809345 1064289 3043374 2630524 412850 271216 144461 126755 57236 57236 5612 5612 63404 63404 15762911 14499350 1263561 413760 395031 18729 1889747 1110658 779089 389987 19946 370041 1218857 1218857 394501 368297 26204 1130528 742704 387824 7299134 4632738 2666396 628675 413010 215665 MEDICAL SUPPLIES 11888741 11862498 26243 REPAIRS & MAINTENANCE 2479297 1885274 594023 EQUIPMENT RENTAL & LEAS 2436394 2332868 103526 LICENSES & SUBSCRIPTION 1572319 565014 1007305 973540 954518 19022 108534828 92520663 16014165 0 3284252 586492 2471370 7329766 16066048 13114413 608814 705737 2615421 3020523 1889301 2292832 150759197 74486103 69720908 76273094 20403 20526 505145 404116 82581667 87198915 179763329 190946414 8801335 8594729 91447 65319 11213325 9987415 73900 88000 15513393 14942975 2590127 2589828 38283527 36268266 X 141816556 154678148 -336754 0 141479802 154678148 179763329 190946414 X 13229180 239511 -270345 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5612 5612 0 PART II-B, LINE 1: UPLAND HILLS HEALTH, INC. PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE WISCONSIN HOSPITAL ASSOCIATION (WHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING AND MATERIALS, HOWEVER A PORTION OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT. UPLAND HILLS HEALTH, INC. IS ALSO A MEMBER OF THE RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). EACH YEAR, UPLAND HILLS HEALTH, INC. PAYS MEMBERSHIP FEES TO THE RWHC. RWHC PROVIDES SUPPORT SERVICES FOR A NUMBER OF ITS MEMBER HOSPITALS THROUGHOUT THE STATE OF WISCONSIN. SOME OF THE MANY SERVICES PROVIDED TO MEMBER HOSPITALS INCLUDE PROVIDING ASSISTANCE TO ORGANIZATIONS IN FINDING GRANT FUNDING FOR NEW PROGRAMS, LEGAL SERVICES, REIMBURSEMENT REVIEW SERVICES, ACCOUNTING ASSISTANCE, CONTRACTING FOR THERAPIST AND EMERGENCY ROOM PATIENT CARE COVERAGE, AND ADMINISTRATIVE CONSULTING SERVICES. AS A PART OF THESE SERVICES, THE RWHC ALSO PROVIDES AN ANALYSIS OF CURRENT HEALTHCARE ISSUES IN AN EFFORT TO PROMOTE AND BETTER HEALTHCARE FOR HOSPITALS IN RURAL COMMUNITIES THROUGHOUT WISCONSIN. ONE OF THESE EFFORTS ALSO INCLUDES SOME LOBBYING ON THE PART OF THE MEMBER ORGANIZATIONS. THE WHA, AHA, AND RWHC DETERMINED THAT APPROXIMATELY $5,612 OF THE FEES PAID BY UPLAND HILLS HEALTH, INC. IN FY 2025 RELATED TO LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE HEALTHCARE ENVIRONMENT IN THE STATE OF WISCONSIN. 0 0 207444 13181 13181 207444 207444 25284 25284 207444 253649 9164 55369 207444 268756 -15107 253649 269943 1751 -2938 268756 0.00000 1.00000 0.00000 0 1 1 2697753 2697753 103140891 47685275 55455616 40536079 26800828 13735251 4384474 4384474 76273094 DEFERRED COMPENSATION PLAN ASSETS 2334071 BOARD-DESIGNATED FOR CAPITAL IMPROVEMENTS 83204772 STATE OF WI UNEMPLOYMENT FUNDING 448000 AMOUNTS RECEIVABLE FROM THIRD PARTY REIMBURSEMENT PROGRAMS 1212072 87198915 DEFERRED COMPENSATION PLAN LIABILITY 2334071 OPERATING LEASE LIABILITY 255757 2589828 PART V, LINE 4: UPLAND HILLS HEALTH, INC.'S ENDOWMENT CONSISTS OF TWO FUNDS HELD BY UPLAND HILLS HEALTH FOUNDATION, INC. THESE FUNDS WERE ESTABLISHED TO PROVIDE INCOME FOR THE FOUNDATION TO HELP SUPPORT SPECIFIC PROGRAMS OF UPLAND HILLS HEALTH, INC. 1 1 X 1 X 1 X 1 1 1 0 1 1 653294 653294 0.00600 9052745 6354108 2698637 0.02490 9706039 6354108 3351931 0.03090 15129 15129 0.00010 223582 223582 0.00210 8667664 6345001 2322663 0.02140 124826 124826 0.00120 9031201 6345001 2686200 0.02480 18737240 12699109 6038131 0.05570 405 405 0.00000 405 405 0.00000 0 337608 168804 38528823 38332197 196626 X 1 1 1 1 UPLAND HILLS HEALTH INC 800 COMPASSION WAY DODGEVILLE WI 53533 WWW.UPLANDHILLSHEALTH.ORG 1056 X X X X UPLAND HILLS HEALTH INC 1 0 0 1 X X X X X X X X X 24 1 0 1 1 X SEE SUPPLEMENTAL INFORMATION X 1 24 1 SEE SUPPLEMENTAL INFORMATION 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X X 1 X 0 X X X X 1 X 0 0 UPLAND HILLS HEALTH, INC. PART V, SECTION B, LINE 5: UPLAND HILLS HEALTH, INC. WORKED COLLABORATIVELY WITH COMMUNITY SERVICE PROVIDERS TO EVALUATE PROGRESS ON PREVIOUSLY IDENTIFIED HEALTH NEEDS AND TO IDENTIFY NEW AND ONGOING PRIORITIES WITHIN ITS SERVICE AREA. AS PART OF THIS ASSESSMENT PROCESS, UHH ENGAGED RESIDENTS, LOCAL COMMUNITIES, AND MUNICIPALITIES THROUGH OPEN FORUMS AND BROAD COMMUNITY OUTREACH. UHH ALSO DISTRIBUTED A QR CODE LINKING TO A COMMUNITY SURVEY THROUGH FLYERS, NEWSPAPER ADVERTISEMENTS, AND DIRECT MAIL MATERIALS SENT TO RESIDENTS THROUGHOUT THE SERVICE AREA. AFTER COMPLETING COMMUNITY DISCUSSIONS AND REVIEWING THE PERCEIVED NEEDS IDENTIFIED THROUGH THE ASSESSMENT PROCESS, UHH JOINED COMMUNITY PARTNERS TO COMPARE FINDINGS, COORDINATE PRIORITIES, AND MAXIMIZE ALIGNMENT AND SYNERGY IN ADDRESSING COMMUNITY HEALTH NEEDS. UPLAND HILLS HEALTH, INC. PART V, SECTION B, LINE 6B: COMMUNITY CONNECTIONS FREE CLNIC, SOUTHWESTERN WISCONSIN COMMUNITY ACTION PROGRAM, THE IOWA CO. HEALTH DEPARTMENT, AND AGING & DISABILITY RESOURCE CENTER (ADRC) OF SOUTHWEST WISCONSIN. UPLAND HILLS HEALTH, INC. PART V, SECTION B, LINE 7D: PART V, LINE 7A:HTTPS://WWW.UPLANDHILLSHEALTH.ORG/ABOUT-US/PART V, LINE 10A:HTTPS://WWW.UPLANDHILLSHEALTH.ORG/ABOUT-US/ UPLAND HILLS HEALTH, INC. PART V, SECTION B, LINE 11: COLLABORATION WITH KEY COMMUNITY PARTNERS WAS INTEGRAL TO THE CHNA PROCESS. UPLAND HILLS HEALTH, INC. WORKED WITH THE IOWA COUNTY HEALTH DEPARTMENT, THE AGING AND DISABILITY RESOURCE CENTER OF SOUTHWEST WISCONSIN, SOUTHWESTERN WISCONSIN COMMUNITY ACTION PROGRAM, AND COMMUNITY CONNECTIONS FREE CLINIC TO REVIEW COMMUNITY HEALTH DATA, IDENTIFY PRIORITIES, AND COORDINATE STRATEGIES FOR ADDRESSING IDENTIFIED NEEDS. BASED ON THE CHNA AND RELATED IMPLEMENTATION STRATEGY, UHH WILL FOCUS ON THE FOLLOWING PRIORITIES OVER THE THREE-YEAR IMPLEMENTATION PERIOD: (1) MENTAL HEALTH AND ALCOHOL/DRUG ABUSE OR MISUSE; (2) LACK OF EXERCISE FACILITIES THROUGHOUT THE SERVICE AREA; AND (3) ACCESS TO PRIMARY CARE PROVIDERS.CERTAIN IDENTIFIED NEEDS ARE NOT BEING DIRECTLY ADDRESSED BY UHH AT THIS TIME BECAUSE OTHER COMMUNITY ORGANIZATIONS OR LOCAL INITIATIVES ARE CURRENTLY WORKING TO ADDRESS THEM. THESE NEEDS INCLUDE ACCESS TO CHILDCARE, AS LOCAL SCHOOL DISTRICTS ARE EXPANDING PROGRAMMING FOR YOUNGER CHILDREN; ACCESS TO TRANSPORTATION, AS THE IOWA COUNTY PUBLIC HEALTH DEPARTMENT HAS FORMED A COMMITTEE OF COUNTY AGENCIES AND PARTNERS TO ADDRESS TRANSPORTATION GAPS; ADDICTION MEDICINE, AS UHH HAS EXPANDED ITS BEHAVIORAL HEALTH CLINIC AND A NEW INDEPENDENT INPATIENT/RESIDENTIAL PROVIDER BEGAN PROVIDING SERVICES IN THE COMMUNITY IN 2025; AND AFFORDABLE HOUSING OPTIONS, AS NEW INITIATIVES LED BY THE CITY OF DODGEVILLE ARE BEING COMPLETED. UPLAND HILLS HEALTH, INC. PART V, SECTION B, LINE 13B: PROPENSITY TO PAY UPLAND HILLS HEALTH, INC. PART V, SECTION B, LINE 16J: EACH APPLICABLE ADMISSION AREA HAS A POLICY AVAILABLE FOR THE PATIENT AS NEEDED AND UPON REQUEST. PART V, SECTION B, LINES 16A - 16C: PART V, LINE 16A, FAP: HTTPS://WWW.UPLANDHILLSHEALTH.ORG/PATIENT-VISITORS/PATIENT-RESOURCES/BILLING-QUESTIONS/PART V, LINE 16B FAP APPLICATION:HTTPS://WWW.UPLANDHILLSHEALTH.ORG/PATIENT-VISITORS/PATIENT-RESOURCES/BILLING-QUESTIONS/PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY:HTTPS://WWW.UPLANDHILLSHEALTH.ORG/PATIENT-VISITORS/PATIENT-RESOURCES/BILLING-QUESTIONS/ 13 1 - UPLAND HILLS HEALTH SPECIALTY CLINIC 800 COMPASSION WAY DODGEVILLE WI 53533 OUTPATIENT CLINIC 2 - UPLAND HILLS HEALTH INC 109 W FOUNTAIN ST DODGEVILLE WI 53533 HOME HEALTH AND HOSPICE 3 - UPLAND HILLS NURSING AND REHAB CENTER 800 COMPASSION WAY DODGEVILLE WI 53533 SKILLED NURSING FACILITY 4 - MINERAL POINT MEDICAL CENTER OF UHH 1050 BRANGER DRIVE MINERAL POINT WI 53565 OUTPATIENT CLINIC 5 - DODGEVILLE MEDICAL CENTER OF UHH 1204 JOSEPH STREET DODGEVILLE WI 53533 OUTPATIENT CLINIC 6 - CRESTRIDGE ASSISTED LIVING 219 E GRACE STREET DODGEVILLE WI 53533 ASSISTED LIVING/MEMORY CARE FACILITY 7 - UPLAND HILLS HEALTH - BARNEVELD 103 QUAIL RIDGE DRIVE BARNEVELD WI 53507 OUTPATIENT CLINIC 8 - UPLAND HILLS HEALTH - MINERAL POINT THER 1050 BRANGER DRIVE MINERAL POINT WI 53565 OUTPATIENT CLINIC 9 - UPLAND HILLS HEALTH - MOUNT HOREB 1809 SPRINGDALE STREET MOUNT HOREB WI 53572 OUTPATIENT CLINIC 10 - UPLAND HILLS HEALTH - MONTFORT 202 W US HIGHWAY 18 MONTFORT WI 53569 OUTPATIENT CLINIC 11 - MOUNT HOREB THERAPY & WELLNESS CENTER 1883 SPRINGDALE STREET MOUNT HOREB WI 53572 OUTPATIENT CLINIC 12 - UPLAND HILLS HEALTH - SPRING GREEN 156 W JEFFERSON ST SPRING GREEN WI 53588 OUTPATIENT CLINIC 13 - UPLAND HILLS HEALTH - HIGHLAND 723 N MAIN STREET HIGHLAND WI 53543 OUTPATIENT CLINIC PART I, LINE 7: THE COSTING METHOD USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR THE FORM 990. PART I, LINE 7G: WOMEN'S AND CHILDREN'S SERVICES (EXP. $2,566,198 WITH OFFSETTING REVENUE OF $1,463,961) AND CONTINUING CARE (EXP. $6,101,466 WITH OFFSETTING REVENUE OF $4,881,040). PART II, COMMUNITY BUILDING ACTIVITIES: LIKE MANY RURAL HOSPITALS, UPLAND HILLS HEALTH, INC. WAS ESTABLISHED AND IS MAINTAINED TO ENSURE LOCAL ACCESS TO A BROAD RANGE OF ESSENTIAL HEALTH CARE SERVICES. UHH PROVIDES SERVICES THAT INCLUDE BIRTHING CARE, DIAGNOSTIC SERVICES, EMERGENCY AND URGENT CARE, HOME CARE, HOSPICE, INFUSION SERVICES, INPATIENT CARE, SWING-BED CARE, LABORATORY SERVICES, OCCUPATIONAL HEALTH, THERAPY AND REHABILITATION, SPECIALTY MEDICINE, SPEECH AND AUDIOLOGY, SURGICAL SERVICES, BEHAVIORAL HEALTH, WOMEN'S HEALTH, AND DURABLE MEDICAL EQUIPMENT. UHH STRIVES TO MEET COMMUNITY NEEDS BY MAINTAINING THIS CONTINUUM OF SERVICES AND BY INVESTING IN THE EXPANSION OF PROVIDERS IN FAMILY PRACTICE AND SPECIALTY CARE AREAS. IN RECENT YEARS, UHH HAS ALSO MADE SIGNIFICANT INVESTMENTS IN SURGICAL TECHNOLOGY TO KEEP PACE WITH CHANGES IN HEALTH CARE DELIVERY AND PRESERVE ACCESS TO SURGICAL SERVICES FOR RESIDENTS OF ITS RURAL SERVICE AREA. PART III, LINE 2: THE AMOUNT IS CALCULATED BY MULTIPLYING THE TOTAL CHARGES FOR SERVICES WRITTEN OFF AS BAD DEBT BY THE COST-TO-CHARGE RATIO. PART III, LINE 3: MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER THE HOSPITAL HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE. MANY TIMES, PATIENTS DO NOT COMPLETE REQUIRED CHARITY CARE APPLICATIONS AND ARE TRANSFERRED TO COLLECTION SERVICES EVEN THOUGH THE HOSPITAL PROVIDES THIS INFORMATION TO ALL PATIENTS AND AIDS WITH THE APPLICATION. DUE TO NO RESPONSES FROM SOME PATIENTS A SIGNIFICANT AMOUNT OF BAD DEBTS COULD BE CONSIDERED AS CHARITY CARE AND THE HOSPITAL HAS REFLECTED AN AMOUNT OF THESE ADDITIONAL BAD DEBTS IN PART III OF SCHEDULE H OF THE 990. PART III, LINE 4: IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE UPLAND HILLS HEALTH, INC. ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF PATIENT REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, UPLAND HILLS HEALTH, INC. ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS 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 COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), UPLAND HILLS HEALTH, INC. RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES, IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE. PART III, LINE 8: THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H OF FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE HOSPITAL, AND ALSO DOES NOT CONSIDER ALL CONTRACTUAL ADJUSTMENTS FOR SERVICES REIMBURSED BY THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT AT THE HOSPITAL AS WELL AS ANESTHESIA PROFESSIONAL SERVICES, CLINICAL PHYSICIAN PROFESSIONAL SERVICES, SURGEON PROFESSIONAL SERVICES, OUTPATIENT PHYSICAL THERAPY SERVICES PROVIDED TO NURSING HOME RESIDENTS, AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN PROFESSIONAL SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULE REIMBURSEMENTS AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY, SURGERY, AND CLINICAL PHYSICIAN SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT UPLAND HILLS HEALTH, INC. PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD USED ABOVE FOR IRS FORM 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED SEPTEMBER 30, 2025, AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES, AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE).WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHICH ARE TYPICALLY ELDERLY OR DISABLED MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. PART III, LINE 9B: UNDER THE HOSPITAL'S COLLECTION AND CHARITY CARE POLICIES, UPLAND HILLS HEALTH, INC. MAKES EVERY ATTEMPT TO IDENTIFY AND PROMOTE CHARITY CARE TO PATIENTS. INCLUDED IN THE HOSPITAL'S CHARITY CARE POLICY IT IS NOTED THAT PATIENTS MAY QUALIFY FOR CHARITY CARE EITHER PRIOR TO ADMISSION OR FOLLOWING DISCHARGE. ALL INPATIENT SELF-PAY ADMISSIONS ARE SCREENED BY THE HOSPITAL'S PATIENT FINANCIAL COUNSELOR OR SOCIAL WORKERS TO ALLOW THESE PATIENTS THE ABILITY TO COMPLETE THEIR APPLICATION DURING THEIR STAY AT THE HOSPITAL, DEPENDING UPON THE PATIENT'S CONDITION, OR THE PATIENT'S RESPONSIBLE PARTY MAY BE CONTACTED TO COMPLETE AND RETURN THE FORMS AT A LATER TIME WHEN THEIR CARE ALLOWS THIS COMPLETION. DURING THE PATIENT ACCOUNT COLLECTION PROCESS, SELF-PAY PATIENTS ARE ALSO INFORMED OF THE HOSPITAL'S COLLECTION POLICIES AS WELL AS THE CHARITY CARE PROGRAM TO ALLOW PATIENTS THE OPPORTUNITY TO COMPLETE THE APPROPRIATE FORMS AND QUALIFY UNDER THE PROGRAM. PART VI, LINE 2: UPLAND HILLS HEALTH, INC. REGULARLY REVIEWS OPERATIONAL AND SERVICE UTILIZATION DATA FROM THE HOSPITAL, NURSING HOME, CLINICS, HOME HEALTH, HOSPICE, AND OTHER ORGANIZATIONAL DEPARTMENTS TO EVALUATE THE SERVICES CURRENTLY OFFERED AND IDENTIFY OPPORTUNITIES TO BETTER MEET COMMUNITY NEEDS. THE ORGANIZATION ALSO ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY REVIEWING LOCAL DEMOGRAPHIC INFORMATION, COMMUNITY TRENDS, AND PATIENT SERVICE UTILIZATION PATTERNS TO DETERMINE WHICH SERVICES MAY BE NEEDED OR EXPANDED FOR THE BENEFIT OF THE COMMUNITY.TO SUPPORT THIS PROCESS, UHH USES ORGANIZATIONAL COUNCILS, INCLUDING COUNCILS FOCUSED ON WELLNESS, ETHICS, PATIENT CARE, AND COMPLIANCE, TO GATHER INPUT AND EVALUATE SERVICE NEEDS AND POTENTIAL ENHANCEMENTS IN A COST-EFFECTIVE MANNER CONSISTENT WITH THE ORGANIZATION'S MISSION. IN CERTAIN INSTANCES, COUNCIL PARTICIPATION EXTENDS BEYOND UHH STAFF TO INCLUDE REPRESENTATIVES FROM PATIENT POPULATIONS. UHH ALSO ENGAGES LOCAL COMMUNITY MEMBERS AND ITS PHYSICIAN GROUP TO IDENTIFY SERVICES THAT MAY BENEFIT THE POPULATION. THROUGH THESE COMBINED NEEDS ASSESSMENTS AND SERVICE RECOMMENDATIONS, UHH CONSIDERS BROAD COMMUNITY PERSPECTIVES AND WORKS TO ENSURE THAT RESOURCES ARE APPROPRIATELY ALLOCATED TO BENEFIT COMMUNITY MEMBERS, PROVIDERS, AND PATIENTS.DURING FISCAL YEAR 2025 UPLAND HILLS HEALTH, INC. COMPLETED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO RECONSTITUTE A CURRENT UNDERSTANDING OF THE HEALTH NEEDS OF THE COMMUNITY AND TO DEVELOP STRATEGIES TO EFFECTIVELY ADDRESS PRIORITIES, WHILE WORKING IN TANDEM WITH OTHER COMMUNITY ORGANIZATIONS AS AN OPPORTUNITY TO BENEFIT FROM CONSOLIDATED STRENGTHS. PART VI, LINE 3: UNINSURED AND UNDER INSURED PATIENTS ARE ASKED TO MEET WITH ONE OF THE HOSPITAL'S FINANCIAL COUNSELORS EITHER AT THE TIME SERVICE IS PROVIDED OR WHEN THE PATIENT'S BILL IS GENERATED. THE FINANCIAL COUNSELOR EXPLAINS THE VARIOUS PAYMENT OPTIONS AVAILABLE TO THE PATIENT AS WELL AS THE HOSPITAL'S CHARITY CARE PROGRAM AND OFFERS THE CHARITY CARE APPLICATION WHEN APPROPRIATE. IF OTHER PROGRAMS ARE AVAILABLE TO THE PATIENT, SUCH AS THE WISCONSIN MEDICAID OR BADGER CARE PROGRAMS, THESE PATIENTS ARE REFERRED TO THE APPROPRIATE GOVERNMENT AGENCY FOR FURTHER ASSISTANCE. PART VI, LINE 4: UPLAND HILLS HEALTH, INC.'S PRIMARY SERVICE AREA INCLUDES INDIVIDUALS RESIDING WITHIN APPROXIMATELY A 20- TO 30-MILE RADIUS OF THE HOSPITAL. COMMUNITIES WITHIN THIS SERVICE AREA INCLUDE DODGEVILLE, BARNEVELD, COBB, EDMUND, HIGHLAND, LINDEN, LIVINGSTON, MINERAL POINT, MONTFORT, RIDGEWAY, AND SPRING GREEN, WISCONSIN, AMONG OTHERS. UHH IS THE ONLY HOSPITAL LOCATED IN IOWA COUNTY, WISCONSIN, AND PLAYS AN IMPORTANT ROLE IN MAINTAINING LOCAL ACCESS TO HEALTH CARE SERVICES FOR RESIDENTS OF THE COUNTY AND SURROUNDING RURAL COMMUNITIES.UHH PROVIDES A SIGNIFICANT PORTION OF ITS PATIENT SERVICES TO BENEFICIARIES OF THE MEDICARE AND MEDICAID PROGRAMS, INCLUDING INDIVIDUALS RESIDING IN THE ORGANIZATION'S LONG-TERM CARE FACILITY AND PATIENTS RECEIVING HOME HEALTH OR HOSPICE SERVICES FROM UHH. IN 2025, MEDICARE AND MEDICAID PATIENTS ACCOUNTED FOR APPROXIMATELY 66 PERCENT OF THE HOSPITAL'S NET PATIENT SERVICE REVENUE, REFLECTING THE ORGANIZATION'S ROLE IN SERVING OLDER ADULTS, LOW-INCOME INDIVIDUALS, AND OTHER PUBLICLY INSURED PATIENTS WITHIN ITS SERVICE AREA. PART VI, LINE 5: UPLAND HILLS HEALTH, INC. FURTHERS ITS EXEMPT PURPOSE OF PROMOTING THE HEALTH OF THE COMMUNITY THROUGH A VARIETY OF ACTIVITIES AND COMMUNITY-FOCUSED INITIATIVES. THE ORGANIZATION IS GOVERNED BY A BOARD OF TRUSTEES COMPOSED OF COMMUNITY MEMBERS, HELPING ENSURE THAT OVERSIGHT AND DECISION-MAKING REFLECT LOCAL NEEDS AND PERSPECTIVES. UHH ALSO SUPPORTS THE COMMUNITY THROUGH FREE COMMUNITY HEALTH EVENTS, A SCHOLARSHIP PROGRAM FOR LOCAL STUDENTS PURSUING DEGREES IN HEALTH-RELATED PROFESSIONS, AND THE PROVISION OF SERVICES AT NO CHARGE FOR PATIENTS SERVED BY COMMUNITY CONNECTIONS FREE CLINIC. IN 2025, UHH PROVIDED FREE LABORATORY AND IMAGING SERVICES FOR PATIENTS OF COMMUNITY CONNECTIONS FREE CLINIC, RESULTING IN INTERNAL EXPENSES TOTALING $60,802. UHH ALSO PARTNERS WITH PUBLIC SCHOOLS THROUGHOUT ITS SERVICE AREA TO PROMOTE CAREERS IN HEALTH CARE AND ENCOURAGE HEALTHY LIVING AMONG STUDENTS AND FAMILIES. THROUGH THESE ACTIVITIES, UHH ADVANCES ITS CHARITABLE MISSION AND SUPPORTS IMPROVED HEALTH, ACCESS TO CARE, AND HEALTH EDUCATION WITHIN THE COMMUNITIES IT SERVES. PART VI, LINE 6: UPLAND HILLS HEALTH, INC. MAINTAINS AN AFFILIATION AGREEMENT WITH SSM HEALTHCARE OF WISCONSIN, INC. SSM HEALTHCARE OF WISCONSIN, INC. OPERATES ST. MARY'S HOSPITAL IN MADISON, WISCONSIN AS WELL AS BEING AFFILIATED WITH OTHER AREA COMMUNITY HOSPITALS LOCATED NEAR MADISON, WISCONSIN. ST. MARY'S AND THE SSM HEALTHCARE SYSTEM ARE A MULTI-SPECIALTY HEALTH SYSTEM. UPLAND HILLS HEALTH INC. COLLABORATES WITH SSM HEALTHCARE TO PROMOTE HEALTH AND WELLNESS INITIATIVES IN THE COMMUNITIES SERVED AND THE REGION. AS NOTED PREVIOUSLY IN THE FORM 990, TWO REPRESENTATIVES FROM THE SSM HEALTHCARE ORGANIZATION HOLD SEATS ON THE BOARD OF TRUSTEES OF UPLAND HILLS HEALTH, INC. THE AFFILIATION HELPS ENHANCE ACCESSIBILITY OF HEALTH CARE SERVICES OFFERED AT UPLAND HILLS HEALTH, INC. AND MAKES AVAILABLE ADDITIONAL EXPERTISE AND SERVICES, WHEN NEEDED, TO PROVIDE ACCESS TO EXPANDED SERVICES FOR AREA RESIDENTS. PART VI, LINE 7, REPORTS FILED WITH STATES WI X X X 0 0 0 0 0 0 0 0 0 ANTHONY VILLARE PHYSICIAN 635936 0 0 0 1806 0 13800 0 32478 0 684020 0 0 0 PATRICK RYBERG PHYSICIAN 475111 0 0 0 420 0 11500 0 31878 0 518909 0 0 0 JARED LINEBARGER PHYSICIAN 465801 0 0 0 630 0 11500 0 34928 0 512859 0 0 0 LISA SCHNEDLER PRESIDENT AND CEO (THRU SEP) 453223 0 0 0 2772 0 13445 0 16468 0 485908 0 0 0 TIMOTHY RAICHLE PHYSICIAN 432844 0 0 0 1806 0 13800 0 31878 0 480328 0 0 0 JENIFER DANKYI PHYSICIAN 435445 0 0 0 420 0 11500 0 32745 0 480110 0 0 0 ARTHUR KARL PUSTINA VP OF OPERATIONS 275275 0 0 0 5334 0 10574 0 27390 0 318573 0 0 0 LYNN HEBGEN VP OF NURSING 232478 0 0 0 2764 0 9580 0 24790 0 269612 0 0 0 KRISANN KARLS VP OF ANCILLARY 177539 0 0 0 1483 0 7629 0 26565 0 213216 0 0 0 DANIELLE MOYER VP OF FINANCE 158520 0 0 0 229 0 6973 0 37118 0 202840 0 0 0 A WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 2017-12-22 18781216 REFUNDING OF 2006 BONDS 0 0 0 A 8682301 18781216 236471 18544445 300 2018 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2022 FORM 990, PART I, LINE 1 (CONTINUATION): QUALITY CARE YOU CAN TRUST - FOR OVER 100 YEARS, UPLAND HILLS HEALTH HAS BEEN DEDICATED TO THE PROMISE OF OFFERING THE HIGHEST STANDARD OF HEALTHCARE. OUR COMMUNITY-MINDED STAFF PLACES EMPHASIS ON PROVIDING QUALITY, COMPREHENSIVE HEALTHCARE, WHILE OFFERING A COMFORTABLE, NEIGHBORLY WELCOME TO EVERYONE WHO WALKS THROUGH OUR DOORS. HERE, NEIGHBORS CARE FOR NEIGHBORS AND FAMILY IS THE CENTER OF LIFE. PATIENT-FIRST CARE - EVERY PATIENT. EVERY TIME. THIS IS OUR COMMITMENT. WE ARE COMMITTED TO PROVIDING THE SAFEST AND BEST POSSIBLE EXPERIENCE FOR EVERY PATIENT THAT ENTERS OUR CLINICS, OUR HOSPITAL, OUR NURSING AND REHAB CENTER, OUR MEDICAL EQUIPMENT STORE, OR WHO INVITES US INTO THEIR HOME THROUGH HOME CARE OR HOSPICE SERVICES. OUR ORGANIZATIONAL VALUES REFLECT THIS COMMITMENT: SENSIBLE APPROACH DECISIONS IN A PRACTICAL WAY, GUIDED BY COMMON SENSE. HOLISTIC FOCUS ON THE PATIENT AS A WHOLE PERSON AND NOT A SET OF SYMPTOMS. AFFORDABLE BRING CARE TO ALL WHO NEED IT. RESPECTFUL TREAT ALL AS WE'D WANT TO BE TREATED. INSPIRATIONAL BE THE STANDARD OF COMMUNITY HEALTH AND WELLNESS. NURTURING PROVIDE MEDICAL CARE WITH SUPPORT AND ENCOURAGEMENT. GENUINE SHOW HONEST CONCERN FOR THOSE WE SERVE AND PASSION FOR WHAT WE DO. HEALTHCARE THAT EXCEEDS EXPECTATIONS FORM 990, PART VI, SECTION A, LINE 6 SSM HEALTHCARE OF WISCONSIN, INC., UNDER THE TERMS OF THE AFFILIATION AGREEMENT DATED SEPTEMBER 21, 2011, HOLDS A 17.39% EQUITY INTEREST IN UPLAND HILLS HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7A AS PART OF THE AFFILIATION AGREEMENT REFERENCED IN LINE 6, SSM HEALTHCARE OF WISCONSIN, INC. CAN APPOINT TWO MEMBERS TO THE UPLAND HILLS HEALTH, INC. BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING DECISIONS BY THE BOARD SHALL REQUIRE BOTH THE APPROVING VOTE OF A MAJORITY OF THE ENTIRE BOARD AND THE APPROVAL OF SSM HEALTHCARE OF WISCONSIN, INC.: (I) APPROVAL OF ANY AMENDMENT OR RESTATEMENT AFFECTING ARTICLE TWELVE OF THE ARTICLES OF INCORPORATION. (II) APPROVAL OF ANY AMENDMENT OR RESTATEMENT AFFECTING SECTION 1.5 SECTION 2.2, SECTION 2.6, SECTION 3.7, SECTION 5.2, OR ARTICLE X OF THE CORPORATE BYLAWS OF UPLAND HILLS HEALTH, INC. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CEO AND VICE PRESIDENT OF FINANCE PRIOR TO FILING. THE BOARD DOES RECEIVE A COPY OF THE FORM 990 AFTER FILING WITH AN OPPORTUNITY TO REVIEW AND ASK QUESTIONS. FORM 990, PART VI, SECTION B, LINE 12C UPLAND HILLS HEALTH INC. REQUIRES ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TO COMPLETE AN ANNUAL DISCLOSURE STATEMENT. THESE STATEMENTS ARE THEN REVIEWED BY THE BOARD OF DIRECTORS, NOTING ANY RELATIONSHIPS THAT COULD POTENTIALLY CREATE A CONFLICT OF INTEREST. IF BOARD MEMBERS HAVE CONFLICTS THAT ARE NOTED, THESE MEMBERS ARE ASKED TO ABSTAIN FROM VOTING ON THOSE MATTERS. CONFLICTS NOTED BY EMPLOYEES ARE REVIEWED BY THE BOARD OF DIRECTORS TO ENSURE THAT ALL TRANSACTIONS ARE CONDUCTED AT ARM'S LENGTH. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS HAS AN ESTABLISHED PROCESS TO REVIEW THE COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES AND TO DEFINE COMPENSATION PRACTICES. COMPARATIVE DATA FROM WAGE SURVEYS, AREA LABOR ADJUSTMENTS, AND MARKET RATES IN OTHER AREA FACILITIES ARE USED IN DETERMINING COMPENSATION. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS AND APPROVES ANY EXCEPTIONS TO ACROSS-THE-BOARD RAISES AND STANDARD NEW HIRE WAGES. DURING THE REVIEW PROCESS, DECISIONS AFFECTING COMPENSATION AND CONTRACTS ARE ONLY REVIEWED AND APPROVED BY INDIVIDUALS WHO DO NOT HAVE NOTED CONFLICTS. THE DECISIONS AND DELIBERATION ARE ALSO DOCUMENTED FOR KEY EMPLOYEES AND EXECUTIVES (WHICH MAINLY INCLUDE THE HIGHLY COMPENSATED EMPLOYEES OF THE ORGANIZATION) IN THE MINUTES OF THE BOARD OF DIRECTORS UPON APPROVAL BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 UPLAND HILLS HEALTH, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT ITS BUSINESS LOCATION DURING NORMAL BUSINESS HOURS. FORM 990, PART IX, LINE 11G IMAGING SERVICES: PROGRAM SERVICE EXPENSES 3,057,810. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,057,810. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 7,168,287. MANAGEMENT AND GENERAL EXPENSES 1,263,561. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,431,848. ER SERVICES: PROGRAM SERVICE EXPENSES 3,410,404. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,410,404. LAB SERVICES: PROGRAM SERVICE EXPENSES 862,849. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 862,849. FORM 990, PART XI, LINE 9: CHANGE IN FOUNDATION RECEIVABLE -270,345. UPLAND HILLS HEALTH HOLDINGS LLC 800 COMPASSION WAY DODGEVILLE WI 53533 800809494 PATNERSHIP FOR DURABLE MEDICAL EQUIPMENT PROVIDED TO PATIENTS WI 5029831 1781501 UPLAND HILLS HEALTH INC CRESTRIDGE ASSISTED LIVING LLC 1402 PANKRANTZ STREET SUITE 110 MADISON WI 53704 391913656 ASSISTED LIVING WI 3294108 4882554 UPLAND HILLS HEALTH INC UPLAND HILLS HEALTH FOUNDATION INC 800 COMPASSION WAY DODGEVILLE WI 53533 260596045 FOUNDATION TO PROVIDE CONTRIBUTIONS & SUPPORT FOR UPLAND HILLS HEALTH, INC. WI 501(C)(3) LINE 7 UPLAND HILLS HEALTH INC 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 UPLAND HILLS HEALTH FOUNDATION INC C 270344 CASH