﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2024v5.5">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2026-06-03T07:12:15-05:00</ReturnTs>
    <TaxPeriodEndDt>2025-09-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>393647910</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>WIPFLI ADVISORY LLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>1502 LONDON ROAD SUITE 200</AddressLine1Txt>
        <CityNm>DULUTH</CityNm>
        <StateAbbreviationCd>MN</StateAbbreviationCd>
        <ZIPCd>55812</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-10-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>390808526</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>BALDWIN AREA MEDICAL CENTER INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>BALD</BusinessNameControlTxt>
      <PhoneNum>7156841111</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1100 BERGSLIEN STREET</AddressLine1Txt>
        <CityNm>BALDWIN</CityNm>
        <StateAbbreviationCd>WI</StateAbbreviationCd>
        <ZIPCd>540020300</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>EILIDH PEDERSON</PersonNm>
      <PersonTitleTxt>CEO</PersonTitleTxt>
      <PhoneNum>7156841111</PhoneNum>
      <SignatureDt>2026-05-29</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>0</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>MICHAEL J PETERSON CPA</PreparerPersonNm>
      <PTIN>P01833529</PTIN>
      <PhoneNum>2187224705</PhoneNum>
      <PreparationDt>2026-05-29</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="11">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <DoingBusinessAsName>
        <BusinessNameLine1Txt>WESTERN WISCONSIN HEALTH</BusinessNameLine1Txt>
      </DoingBusinessAsName>
      <PrincipalOfficerNm>EILIDH PEDERSON</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>1100 BERGSLIEN STREET</AddressLine1Txt>
        <CityNm>BALDWIN</CityNm>
        <StateAbbreviationCd>WI</StateAbbreviationCd>
        <ZIPCd>540020300</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>90510670</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.WWHEALTH.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1936</FormationYr>
      <LegalDomicileStateCd>WI</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO BUILD A HEALTHIER TOMORROW TOGETHER.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>9</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>9</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>543</TotalEmployeeCnt>
      <TotalVolunteersCnt>53</TotalVolunteersCnt>
      <TotalGrossUBIAmt>827847</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>1968928</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>1998576</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>78069129</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>86826554</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>1264623</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>1601044</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>1264</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>-10191</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>81303944</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>90415983</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>3000</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>2000</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>39328576</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>46270960</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>34114635</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>40510248</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>73446211</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>86783208</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>7857733</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>3632775</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>90519570</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>96149989</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>39418812</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>40616767</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>51100758</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>55533222</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO BUILD A HEALTHIER TOMORROW TOGETHER.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>54277730</ExpenseAmt>
      <GrantAmt>2000</GrantAmt>
      <RevenueAmt>55019377</RevenueAmt>
      <Desc>THE MEDICAL CENTER OPERATES A CRITICAL ACCESS HOSPITAL, INCLUDING A PROVIDER-BASED, RURAL HEALTH CLINIC, A RURAL HEALTH CLINIC IN A NEIGHBORING COMMUNITY, AND A FITNESS CENTER WITH A CLEAR AND CONSISTENT CHARITABLE PURPOSE WHICH IS TO PROVIDE HEALTH AND WELLNESS SERVICES TO ALL RESIDENTS OF THE COMMUNITIES SERVED WITHOUT REGARD TO AGE, RACE, GENDER, CREED, NATIONAL ORIGIN, ABILITY TO PAY, AND PHYSICAL OR MENTAL HANDICAP. THE DEDICATION OF THE MEDICAL CENTER'S WORKFORCE PROVIDES A STRONG FOUNDATION FOR PROGRAM DEVELOPMENT THAT IS BASED UPON COMMUNITY NEED AND IN ALIGNMENT WITH ORGANIZATIONAL VALUES OF CARING, INNOVATION AND SUSTAINABILITY.DURING FISCAL YEAR 2025, THERE WERE 1,118 MEDICAL/SURGICAL (ACUTE AND OBSERVATIONS) ADMISSIONS, 208 SWING BED DAYS, AND 417 NEWBORN DELIVERIES. THE EXPANSION OF THE MEDICAL/SURGICAL AND OBSTETRICS WING HAS INCREASED THE FACILITY'S CAPACITY TO PROVIDE CARE. THE MEDICAL CENTER ALSO HAD 5756 EMERGENCY ROOM VISITS IN FISCAL YEAR 2025. THE MEDICAL CENTER FOCUSSES ON HEALTH AND WELLNESS AND INTEGRATIVE HEALTH SERVICES THAT INCLUDE HOLISTIC SERVICES PROVIDED BY TRADITIONAL MEDICAL PRACTITIONERS, SPECIALISTS, INTEGRATIVE HEALTH CARE PROVIDERS, HEALTH COACHES, DIETICIANS, BEHAVIORAL HEALTH SPECIALISTS, THERAPISTS AND FITNESS EXPERTS. THE MEDICAL CENTER HAS DEVELOPED SPECIFIC SERVICES AROUND EMOTIONAL RESILIENCY TRAINING (I.E. A COLLECTION OF SERVICES AIMED AT TEACHING PEOPLE TO MANAGE THEIR OWN PHYSICAL AND EMOTIONAL WELLBEING). IN ADDITION, THE MEDICAL CENTER PROVIDES A FULL SPECTRUM OF GERIATRIC SERVICES ON SITE AND WITHIN AREA NURSING HOMES AND ASSISTED LIVING FACILITIES. THIS INCLUDES 24/7 CALL AND THE REGULAR PROVISION OF ON-SITE CARE TO OVER 200 PATIENTS. THIS SERVICE IS NOT WELL REIMBURSED AND THUS, REQUIRES A SIGNIFICANT IN-KIND INVESTMENT FROM THE MEDICAL CENTER.IN ADDITION, THE MEDICAL CENTER OPERATES A SIMPLE HEALTH AND A FUNCTIONAL MEDICINE PROGRAM. THESE PROGRAMS ARE AIMED AT IMPROVING PATIENTS' HEALTH AND WELLNESS, AT THE PREVENTIVE LEVEL. THIS TYPE OF PROGRAM KEEPS PATIENT HEALTHCARE COSTS LOW, BY STARTING AT A FOUNDATIONAL LEVEL OF DIET AND EXERCISE. BOTH PROGRAMS HAVE DOCUMENTED OUTCOMES OF LOWERING UNNECESSARY EMERGENCY DEPARTMENT VISITS AND REDUCING HOSPITAL RE-ADMISSIONS. THE CHALLENGE IS IN A FEE FOR SERVICE ENVIRONMENT, THERE IS NO COMPREHENSIVE REIMBURSEMENT FOR INNOVATIVE PROGRAMMING, SUCH AS OFFERED THROUGH THESE SERVICES. AS A RESULT, WWH MAKES SIGNIFICANT INVESTMENT TO ENSURE THESE SERVICES CONTINUE TO BE AVAILABLE TO WWH PATIENTS AND OUR COMMUNITY.MEDICAL CENTER REPRESENTATIVES PROVIDE A VARIETY OF VOLUNTEER SERVICES TO ENHANCE THE COMMUNITY BY PARTICIPATING IN COLLABORATIVE EFFORTS RELATED TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, RELAY FOR LIFE, LOCAL SCHOOL EDUCATION PROGRAMS FOR STUDENTS REGARDING CAREER CHOICES AND MENTAL HEALTH SUPPORT, AND MANY OTHER INITIATIVES. THE MEDICAL CENTER OFFERS SCHOLARSHIP FUNDS TO SELECT AREA HIGH SCHOOL SENIORS LOOKING TO PURSUE A CAREER IN HEALTHCARE AND GRANT PROGRAM DOLLARS TO EMPLOYEES LOOKING TO ENHANCE THEIR PROFESSIONAL SKILLS IN A HEALTH-RELATED EDUCATION FIELD. THE MEDICAL CENTER FURTHER SERVES THE COMMUNITY BY PROVIDING OUTREACH PROGRAMS AND SERVICES THAT ARE INTENDED TO ENHANCE THE HEALTH AND WELL-BEING OF THE PEOPLE IN THE COMMUNITY. SOME OF THESE SERVICES AND/OR SUPPORT GROUPS INCLUDE THE FOLLOWING: COMMUNITY-WIDE HEALTH AND WELLNESS PROGRAMS; SCHOOL BASED MENTAL HEALTH SERVICES AND SCHOOL ATHLETIC TRAINING; CARDIAC, DIABETES, MENTAL HEALTH AND DEPRESSION SUPPORT GROUPS; DIABETES SELF-MANAGEMENT CLASSES; NUTRITION AND LIFESTYLE CONSULTATION AND PROGRAMS; EXPECTANT PARENT CLASSES AND BREASTFEEDING EDUCATION.UNCOMPENSATED CARE:THE MOST SIGNIFICANT EXPRESSION OF CHARITABLE SERVICE IS THE PROVISION OF UNCOMPENSATED HEALTHCARE SERVICES.A. CHARITY CARETHE MEDICAL CENTER PROVIDES HEALTHCARE SERVICES TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY. FOR THOSE INDIVIDUALS WITH VERIFIED INCOME THAT ARE AT OR BELOW 100% OF THE FEDERAL POVERTY GUIDELINES, SERVICES ARE PROVIDED WITHOUT ANY EXPECTATION OF PAYMENT. FOR INDIVIDUALS THAT HAVE VERIFIED INCOME AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINE, CARE IS AVAILABLE ON A DISCOUNTED SLIDING SCALE. THE MEDICAL CENTER SCREENS POTENTIAL CHARITY CARE PARTICIPANTS AND MAKES PATIENT INFORMATION READILY AVAILABLE ON THE CHARITY CARE PROGRAM. PROCEDURES ARE IN PLACE THAT ACTIVELY SEEK TO IDENTIFY PATIENTS WHO MAY QUALIFY FOR CHARITY CARE. SEE ADDITIONAL INFORMATION ON THE COST OF THIS COMMUNITY BENEFIT IN SCHEDULE H OF THE FORM 990.B. PROVISION FOR BAD DEBT - UNCOLLECTABLE ACCOUNTSTHE MEDICAL CENTER ESTABLISHED A PROVISION FOR BAD DEBT EXPENSE (VALUED AT THE USUAL AND CUSTOMARY CHARGE) THAT REPRESENTS THOSE HEALTHCARE SERVICES WHICH WERE PROVIDED TO PATIENTS THAT WERE UNABLE OR UNWILLING TO PAY. SEE ADDITIONAL INFORMATION ON THE COST OF THIS COMMUNITY BENEFIT IN SCHEDULE H OF THE FORM 990.GOVERNMENT PROGRAMS SUCH AS MEDICARE AND MEDICAID PROVIDE PAYMENT FOR SERVICES OFTEN AT RATES THAT ARE SUBSTANTIALLY BELOW THE USUAL AND CUSTOMARY CHARGE. SEE ADDITIONAL INFORMATION ON THE COST OF THESE COMMUNITY BENEFITS PROVIDED IN SCHEDULE H OF FORM 990.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>22039438</ExpenseAmt>
        <GrantAmt>0</GrantAmt>
        <RevenueAmt>30395398</RevenueAmt>
        <Desc>WESTERN WISCONSIN HEALTH ALSO PROVIDES OUTPATIENT HEALTHCARE SERVICES AT THREE CLINICS THAT IT OPERATES. DURING FISCAL YEAR 2025, TOTAL OUTPATIENT ENCOUNTERS AT THESE CLINICS WERE 71,361. TWO OF THE CLINICS ARE DESIGNATED AS RURAL HEALTH CLINICS.IN ADDITION, THE THREE CLINICS PROVIDED CHARITY CARE AND BAD DEBT EXPENSE FOR FISCAL YEAR 2025 IN THE AMOUNT OF $690,317.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>757001</ExpenseAmt>
        <GrantAmt>0</GrantAmt>
        <RevenueAmt>257480</RevenueAmt>
        <Desc>WESTERN WISCONSIN HEALTH HAS A FITNESS CENTER THAT IS OPEN TO ALL EMPLOYEES, PATIENTS, AND THE PUBLIC. THE CENTER HAS AN AVERAGE OF APPROXIMATELY 1,380 MEMBERS WITH OVER 46,000 ANNUAL VISITS.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <Desc>WESTERN WISCONSIN HEALTH IS EXPANDING SERVICES TO BUSINESSES IN THE COMMUNITIES SERVED. THESE SERVICES INCLUDED HEALTH SCREENING, EDUCATION, OCCUPATIONAL HEALTH SERVICES, PRE-EMPLOYMENT SCREENING AND WORKPLACE EVALUATION. THE MEDICAL CENTER IS DEVELOPING SPECIALTY SERVICES IN MANY AREAS, INCLUDING EXPANSION OF BEHAVIORAL HEALTH SERVICES, IN PARTICULAR TELEHEALTH BEHAVIORAL AND SUBSTANCE USE DISORDER SERVICES IN 2025.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalProgramServiceExpensesAmt>77074169</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc1039700001">0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc1039700001">1</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc1039700001">0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>0</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">0</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc1041300001">0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc1041300001">1</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc1041300001">0</GamingActivitiesInd>
      <OperateHospitalInd referenceDocumentId="RetDoc1041500001">1</OperateHospitalInd>
      <AuditedFinancialStmtAttInd referenceDocumentId="RetDoc2317200001">1</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd referenceDocumentId="RetDoc1053100001">1</TaxExemptBondsInd>
      <InvestTaxExemptBondsInd>0</InvestTaxExemptBondsInd>
      <EscrowAccountInd>0</EscrowAccountInd>
      <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>1</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc1043400001">1</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>73</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>543</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>1</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>1</Form990TFiledInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>1</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>1</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>9</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>9</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>WI</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>LEA KAISER</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>7156841111</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1100 BERGSLIEN STREET</AddressLine1Txt>
          <CityNm>BALDWIN</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>540020300</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHUKWUNONSO CHIME</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>661765</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49637</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JESS BREHMER</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>606068</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31777</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SIWEN LIU</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>501701</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23797</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EILIDH PEDERSON</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>443605</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53717</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL BOEDER</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>392939</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23797</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENNIS HARTUNG</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>403235</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10350</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEA KAISER</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>235554</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50857</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALISON PAGE</PersonNm>
        <TitleTxt>CEO (FORMER)</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>147987</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN BUELOW</PersonNm>
        <TitleTxt>BOARD CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINE PENFIELD</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRANDON GRABER</PersonNm>
        <TitleTxt>SECRETARY/TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHANE BAUER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHAD BRAKKE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR CHRISTOPER BABBITT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR DAN CONNORS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTIAN GAUSMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINE RASMUSSEN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC RUSSELL</PersonNm>
        <TitleTxt>DIRECTOR (THRU 04/25)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROB SCHILE</PersonNm>
        <TitleTxt>DIRECTOR (THRU 08/25)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3392854</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>243932</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>83</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EMERGENCY CARE CONSULTANTS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2829 UNIVERSITY AVE SE STE 730</AddressLine1Txt>
            <CityNm>MINNEAPOLIS</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55407</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ER PHYSICIANS</ServicesDesc>
        <CompensationAmt>3063801</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RIVER VALLEY ANESTHESIA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 118</AddressLine1Txt>
            <CityNm>NEW RICHMOND</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>54017</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CRNA SERVICES</ServicesDesc>
        <CompensationAmt>1636810</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALLINA HEALTH SYSTEM</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>NW 7710 PO BOX 9383</AddressLine1Txt>
            <CityNm>MINNEAPOLIS</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>554409383</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INFORMATION SYSTEM, PHARMACY, EKG</ServicesDesc>
        <CompensationAmt>1235557</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CENTRAL MINNESOTA DIAGNOSTICS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 64756</AddressLine1Txt>
            <CityNm>ST PAUL</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>56353</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RADIOLOGY SERVICES</ServicesDesc>
        <CompensationAmt>1011369</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HUDSON PHYSICIANS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2651 HILLCREST DR SUITE 303</AddressLine1Txt>
            <CityNm>HUDSON</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>54016</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SURGEON SERVICES</ServicesDesc>
        <CompensationAmt>381431</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>15</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>53598</FundraisingAmt>
      <GovernmentGrantsAmt>1915484</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>29494</AllOtherContributionsAmt>
      <TotalContributionsAmt>1998576</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>81229227</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>81229227</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY 340(B) REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>4676345</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3849256</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>827089</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER HOSPITAL SERVICES/CAFETERIA</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>663502</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>331759</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>758</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>330985</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>WELLNESS CENTER REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>257480</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>257480</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>86826554</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1461906</TotalRevenueColumnAmt>
        <ExclusionAmt>1461906</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>144154</SecuritiesAmt>
        <OtherAmt>38950</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>43966</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>144154</SecuritiesAmt>
        <OtherAmt>-5016</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>139138</TotalRevenueColumnAmt>
        <ExclusionAmt>139138</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>35997</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>53598</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>50721</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-14724</TotalRevenueColumnAmt>
        <ExclusionAmt>-14724</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>AUXILIARY REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4533</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4533</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>4533</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>90415983</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>85672255</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>827847</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1917305</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>2000</TotalAmt>
        <ProgramServicesAmt>2000</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>828601</TotalAmt>
        <ManagementAndGeneralAmt>828601</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>34755420</TotalAmt>
        <ProgramServicesAmt>29913943</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4841477</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>966635</TotalAmt>
        <ProgramServicesAmt>966635</ProgramServicesAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>7367504</TotalAmt>
        <ProgramServicesAmt>7316566</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50938</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2352800</TotalAmt>
        <ProgramServicesAmt>2308310</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44490</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>122768</TotalAmt>
        <ManagementAndGeneralAmt>122768</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>8105</TotalAmt>
        <ManagementAndGeneralAmt>8105</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>11686173</TotalAmt>
        <ProgramServicesAmt>10974310</ProgramServicesAmt>
        <ManagementAndGeneralAmt>711863</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>359604</TotalAmt>
        <ProgramServicesAmt>28947</ProgramServicesAmt>
        <ManagementAndGeneralAmt>330657</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>203551</TotalAmt>
        <ProgramServicesAmt>123731</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79820</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>995827</TotalAmt>
        <ProgramServicesAmt>94350</ProgramServicesAmt>
        <ManagementAndGeneralAmt>901477</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>805786</TotalAmt>
        <ProgramServicesAmt>798841</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6945</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>334149</TotalAmt>
        <ProgramServicesAmt>273920</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60229</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>1037190</TotalAmt>
        <ProgramServicesAmt>908682</ProgramServicesAmt>
        <ManagementAndGeneralAmt>128508</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>4002008</TotalAmt>
        <ProgramServicesAmt>3506159</ProgramServicesAmt>
        <ManagementAndGeneralAmt>495849</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>396106</TotalAmt>
        <ManagementAndGeneralAmt>396106</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES AND PH</Desc>
        <TotalAmt>14354295</TotalAmt>
        <ProgramServicesAmt>14345629</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8666</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>3424216</TotalAmt>
        <ProgramServicesAmt>3424216</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>961106</TotalAmt>
        <ProgramServicesAmt>907720</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53386</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>NONMEDICAL SUPPLIES</Desc>
        <TotalAmt>538443</TotalAmt>
        <ProgramServicesAmt>464495</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73948</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1280921</TotalAmt>
        <ProgramServicesAmt>715715</ProgramServicesAmt>
        <ManagementAndGeneralAmt>565206</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>86783208</TotalAmt>
        <ProgramServicesAmt>77074169</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9709039</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>586602</BOYAmt>
        <EOYAmt>1255343</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>20139443</BOYAmt>
        <EOYAmt>20459515</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>13397335</BOYAmt>
        <EOYAmt>15346217</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>1903790</BOYAmt>
        <EOYAmt>2203772</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>388482</BOYAmt>
        <EOYAmt>329225</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>66136582</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>29584672</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>37587256</BOYAmt>
        <EOYAmt>36551910</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>13766170</BOYAmt>
        <EOYAmt>15636288</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>493181</BOYAmt>
        <EOYAmt>693411</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>2257311</BOYAmt>
        <EOYAmt>3674308</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>90519570</BOYAmt>
        <EOYAmt>96149989</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>6221220</BOYAmt>
        <EOYAmt>6779448</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>75159</BOYAmt>
        <EOYAmt>455457</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>4282312</BOYAmt>
        <EOYAmt>4282311</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>27233610</BOYAmt>
        <EOYAmt>26100326</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1606511</BOYAmt>
        <EOYAmt>2999225</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>39418812</BOYAmt>
        <EOYAmt>40616767</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>51097010</BOYAmt>
        <EOYAmt>55529474</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>3748</BOYAmt>
        <EOYAmt>3748</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>51100758</BOYAmt>
        <EOYAmt>55533222</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>90519570</BOYAmt>
        <EOYAmt>96149989</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>3632775</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>799689</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>8105</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>8105</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>BALDWIN AREA MEDICAL CENTER, INC. (THE "MEDICAL CENTER") PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE WISCONSIN HOSPITAL ASSOCIATION (WHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). THESE DUES ARE PRIMARILY FOR ACCESS TO EDUCATIONAL MATERIALS AND STAFF TRAINING AND DEVELOPMENT. WHA AND AHA HAVE NOTIFIED THE MEDICAL CENTER THAT A PORTION OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT. THE MEDICAL CENTER IS ALSO A MEMBER OF THE RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). EACH YEAR, BAMC PAYS MEMBERSHIP FEES TO 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 ON CURRENT HEALTHCARE ISSUES IN AN EFFORT TO PROMOTE BETTER HEALTHCARE OPERATIONS FOR HOSPITALS IN RURAL COMMUNITIES THROUGHOUT WISCONSIN. ONE OF THESE EFFORTS ALSO INCLUDES SOME LOBBYING ON THE PART OF THE MEMBER ORGANIZATIONS. RWHC DETERMINED THAT A PORTION OF THE FEES PAID BY THE MEDICAL CENTER RELATED TO LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE HEALTHCARE ENVIRONMENT IN THE STATE OF WISCONSIN.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>2481033</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2481033</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>45955086</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>20167477</DepreciationAmt>
        <BookValueAmt>25787609</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>17625108</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>9417195</DepreciationAmt>
        <BookValueAmt>8207913</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>75355</OtherCostOrOtherBasisAmt>
        <BookValueAmt>75355</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>36551910</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>457(B) PLAN LIABILITY</Desc>
        <Amt>1565106</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>162982</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE LIABILITY</Desc>
        <Amt>1271137</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2999225</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>GOLF OUTING</Event1Nm>
        <GrossReceiptsEvent1Amt>45633</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>30033</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>15600</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>1150</NonCashPrizesEvent1Amt>
        <FoodAndBeverageEvent1Amt>8480</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>3386</OtherDirectExpensesEvent1Amt>
        <Event2Nm>GALA</Event2Nm>
        <GrossReceiptsEvent2Amt>43962</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>23565</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>20397</GrossRevenueEvent2Amt>
        <NonCashPrizesEvent2Amt>21185</NonCashPrizesEvent2Amt>
        <FoodAndBeverageEvent2Amt>7942</FoodAndBeverageEvent2Amt>
        <EntertainmentEvent2Amt>500</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>8078</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>89595</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>53598</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>35997</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>22335</NonCashPrizesTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>16422</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>500</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>11464</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>50721</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-14724</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent300Ind>X</Percent300Ind>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>0</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>195941</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>195941</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00240</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>10889366</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>10867620</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>21746</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>11085307</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>10867620</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>217687</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00270</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>812160</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>93634</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>718526</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00860</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>15057470</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>6318399</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>8739071</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.10480</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>25300</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>25300</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>15894930</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>6412033</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>9482897</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.11370</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>26980237</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>17279653</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>9700584</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.11640</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>0</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>1931526</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>965763</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>19831407</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>20040075</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-208668</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <OtherInd>X</OtherInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>BALDWIN AREA MEDICAL CENTER INC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1100 BERGSLIEN STREET</AddressLine1Txt>
          <CityNm>BALDWIN</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54002</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.WWHEALTH.ORG</WebsiteAddressTxt>
        <StateLicenseNum>1052</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <OtherDesc>RURAL HEALTH CLINIC</OtherDesc>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>BALDWIN AREA MEDICAL CENTER INC</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>0</CHNAConductedInd>
        <OrganizationIncurExciseTaxInd>1</OrganizationIncurExciseTaxInd>
        <Form4720FiledInd>0</Form4720FiledInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.WWHEALTH.ORG/YOUR-VISIT/FINANCIAL-ASSISTANCE/</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.WWHEALTH.ORG/YOUR-VISIT/FINANCIAL-ASSISTANCE/</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.WWHEALTH.ORG/YOUR-VISIT/FINANCIAL-ASSISTANCE/</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BALDWIN AREA MEDICAL CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: WWH TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY SERVED BY ENGAGING COMMUNITY MEMBERS AND SECTOR REPRESENTATIVES THROUGH SURVEYS, FOCUS GROUPS, KEY INFORMANT INTERVIEWS, AND A FORMAL STAKEHOLDER PRIORITIZATION PROCESS. THIS INPUT DIRECTLY INFORMED THE IDENTIFICATION OF COMMUNITY HEALTH NEEDS, THE SELECTION OF PRIORITY AREAS, AND THE DEVELOPMENT OF GOALS AND STRATEGIES IN THE 2026-2027 COMMUNITY HEALTH IMPROVEMENT PLAN.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BALDWIN AREA MEDICAL CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: CONDUCTED WITH: HUDSON HOSPITAL AND CLINICS; HUDSON, WISCONSINRIVER FALLS AREA HOSPITAL; RIVER FALLS, WISCONSIN WESTFIELDS HOSPITAL; NEW RICHMOND, WISCONSIN</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BALDWIN AREA MEDICAL CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: CONDUCTED WITH: PIERCE COUNTY PUBLIC HEALTH DEPARTMENT ST. CROIX COUNTY PUBLIC HEALTH DEPARTMENT UNITED WAY OF ST. CROIX &amp; RED CEDAR VALLEY</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BALDWIN AREA MEDICAL CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7D: SCHEDULE H, PART V, LINE 7B:HTTPS://WWW.HEALTHIERTOGETHERPIERCESTCROIX.ORG/ASSESSMENTS</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BALDWIN AREA MEDICAL CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: WESTERN WISCONSIN HEALTH (WWH) IS ADDRESSING THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), COMPLETED IN DECEMBER 2025 AND THE 2026-2027 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) THAT IS INTEGRATED INTO THE HOSPITAL'S STRATEGIC PLAN AND IMPLEMENTED IN COLLABORATION WITH COMMUNITY PARTNERS. THE CHNA IDENTIFIED TWO PRIORITY HEALTH NEEDS: (1) MENTAL HEALTH AND WELLBEING AND (2) ACCESS TO CARE, AND WWH HAS DEVELOPED SPECIFIC GOALS, STRATEGIES, AND ACTION PLANS TO ADDRESS EACH. 1. MENTAL HEALTH AND WELLBEING (ADDRESSED)WWH IDENTIFIED MENTAL HEALTH AS THE MOST SIGNIFICANT COMMUNITY HEALTH NEED ACROSS ALL DATA SOURCES, INCLUDING COMMUNITY SURVEYS, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. IN RESPONSE, WWH IS ADDRESSING THIS NEED THROUGH THE FOLLOWING ACTIONS:- EXPANDING ACCESS TO MENTAL HEALTH SERVICES, INCLUDING ENSURING ADEQUATE THERAPIST STAFFING TO MAINTAIN NEW PATIENT WAIT TIMES OF SIX WEEKS OR LESS, INCREASING THE VISIBILITY OF MENTAL HEALTH PROVIDERS, AND DEVELOPING CARE PATHWAYS FROM EMERGENCY DEPARTMENT MENTAL HEALTH CRISES TO OUTPATIENT SERVICES.- PROVIDING COMMUNITY BASED MENTAL HEALTH EDUCATION AND STIGMA REDUCTION PROGRAMS, WITH A FOCUS ON YOUTH AND OLDER ADULTS, INCLUDING PREVENTION EDUCATION, COGNITIVE HEALTH EDUCATION, AND SCHOOL BASED BEHAVIORAL HEALTH SERVICES IN THREE LOCAL SCHOOL DISTRICTS. - SUPPORTING SUBSTANCE USE DISORDER TREATMENT, INCLUDING EXPANSION OF OUTPATIENT SUBSTANCE USE DISORDER PROGRAMS, MEDICATION ASSISTED TREATMENT (MAT), AND CONTINUOUS ENROLLMENT GROUP BASED SERVICES. - ADDRESSING MENTAL HEALTH ACROSS THE LIFESPAN, INCLUDING PSYCHIATRIC SERVICES FOR NURSING HOME RESIDENTS, PRENATAL AND MATERNAL MENTAL HEALTH SUPPORTS, AND WORKPLACE MENTAL HEALTH PROGRAMS FOR EMPLOYEES. 2. ACCESS TO CARE (ADDRESSED)LIMITED ACCESS TO TIMELY, AFFORDABLE, AND LOCAL HEALTHCARE WAS IDENTIFIED AS A SECOND MAJOR COMMUNITY NEED. WWH IS ADDRESSING ACCESS TO CARE THROUGH THE FOLLOWING STRATEGIES:- IMPROVING ACCESS TO TIMELY PRIMARY AND PREVENTIVE CARE, INCLUDING REDUCING WAIT TIMES FOR PRIMARY CARE APPOINTMENTS, EXPANDING SAME DAY APPOINTMENT AVAILABILITY, LEVERAGING TECHNOLOGY TO INCREASE CLINIC CAPACITY, AND IMPLEMENTING TEAM BASED CARE MODELS. - ADDRESSING SOCIAL DRIVERS OF HEALTH (SDOH) BY SCREENING MORE THAN 50% OF PATIENTS DURING ANNUAL WELL VISITS, STRENGTHENING REFERRAL PATHWAYS TO COMMUNITY RESOURCES, AND COLLABORATING WITH COMMUNITY PARTNERS TO ADDRESS GAPS IN SERVICES SUCH AS FOOD INSECURITY, TRANSPORTATION, AND FINANCIAL BARRIERS. - ENHANCING HEALTH LITERACY AND CARE NAVIGATION, INCLUDING PROVIDING EDUCATION ON HOW TO ACCESS APPROPRIATE LEVELS OF CARE, USE INSURANCE BENEFITS EFFECTIVELY, AND CONNECT WITH FINANCIAL ASSISTANCE AND MEDICAID ENROLLMENT RESOURCES. - STRENGTHENING THE HEALTHCARE WORKFORCE, INCLUDING ASSESSING ANTICIPATED WORKFORCE SHORTAGES, DEVELOPING TRAINING AND RECRUITMENT PIPELINES, AND COLLABORATING WITH REGIONAL ACADEMIC INSTITUTIONS TO RECRUIT AND RETAIN HEALTHCARE PROFESSIONALS. - EXPANDING CULTURALLY COMPETENT PRENATAL AND MATERNAL CARE, PARTICULARLY FOR UNDERSERVED AND SPANISH SPEAKING POPULATIONS, THROUGH TARGETED OUTREACH AND CONTINUED MATERNAL HEALTH SERVICE EXPANSION. ________________________________________SIGNIFICANT NEEDS IDENTIFIED THAT ARE NOT DIRECTLY ADDRESSED AND REASONS WHY:THE CHNA IDENTIFIED ADDITIONAL COMMUNITY NEEDS INCLUDING HOUSING AFFORDABILITY AND HOMELESSNESS, CHILDCARE ACCESS, TRANSPORTATION INFRASTRUCTURE, AGING AND DISABILITY SERVICES, AND BROADER ECONOMIC STABILITY THAT ARE NOT SELECTED AS PRIMARY CHIP FOCUS AREAS FOR 20262027.THESE NEEDS WERE NOT ADDRESSED AS STANDALONE PRIORITY AREAS IN THE CHIP FOR THE FOLLOWING REASONS:- SCOPE AND MISSION ALIGNMENT: WWH PRIORITIZED NEEDS WHERE THE HOSPITAL HAS THE GREATEST ABILITY TO DIRECTLY IMPACT OUTCOMES THROUGH HEALTHCARE DELIVERY, CARE COORDINATION, AND COMMUNITY HEALTH PROGRAMMING. - RESOURCE AND FEASIBILITY CONSIDERATIONS: STRUCTURAL ISSUES SUCH AS HOUSING SUPPLY, ZONING, CHILDCARE INFRASTRUCTURE, AND WAGE POLICY WERE IDENTIFIED AS CRITICAL BUT ARE LARGELY OUTSIDE THE HOSPITAL'S OPERATIONAL CONTROL AND ARE BETTER LED BY PUBLIC SECTOR AGENCIES AND COMMUNITY ORGANIZATIONS. - COMMUNITY PARTNERSHIP APPROACH: ALTHOUGH NOT SELECTED AS PRIMARY CHIP PRIORITIES, THESE NEEDS ARE ADDRESSED INDIRECTLY THROUGH SCREENING, REFERRALS, TRANSPORTATION SERVICES, COMMUNITY PARAMEDICINE, AND COLLABORATION WITH PUBLIC HEALTH DEPARTMENTS, NONPROFITS, AND SOCIAL SERVICE AGENCIES. - ALIGNMENT WITH COALITION EFFORTS: MANY OF THESE NEEDS ARE BEING ADDRESSED THROUGH THE BROADER HEALTHIER TOGETHER PIERCE-ST. CROIX COUNTY COALITION, ALLOWING WWH TO SUPPORT SYSTEM LEVEL SOLUTIONS WITHOUT DUPLICATING EFFORTS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BALDWIN AREA MEDICAL CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13H: CATASTROPHIC FINANCIAL ASSISTANCE: IN THE EVENT THE PATIENT OR FAMILY EXPERIENCES A CATASTROPHIC MEDICAL EVENT RESULTING IN MEDICAL BILLS THAT ARE LARGE IN COMPARISON TO THE UNINSURED ASSETS OR FINANCIAL MEANS, AN APPLICANT MAY REQUEST SPECIAL CONSIDERATION OF THE CATASTROPHIC NEED. THE MEDICAL CENTER WILL TAKE INTO CONSIDERATION THE FOLLOWING FACTORS IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE AS A RESULT OF A CATASTROPHIC EVENT: 1. THE AMOUNT OWED BY THE PATIENT IN RELATIONSHIP TO HIS/HER TOTAL FINANCIAL MEANS. 2. THE MEDICAL STATUS OF THE PATIENT OR OF HIS/HER FAMILY MEMBER. 3. WHETHER THE PATIENT LIVES ON A FIXED INCOME</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BALDWIN AREA MEDICAL CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 16J: AVAILABILITY OF THE FAP IS ALSO PRINTED ON PATIENT BILLING STATEMENTS WHICH ARE MAILED MONTHLY TO ANY PATIENT HAVING A SELF PATIENT ACCOUNT BALANCE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 3-12A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DID NOT COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING THE CURRENT TAX YEAR OR THE TWO IMMEDIATELY PRECEDING TAX YEARS. THIS DELAY WAS NOT THE RESULT OF NEGLIGENCE, DISREGARD OF STATUTORY REQUIREMENTS, OR A LACK OF UNDERSTANDING OF THE OBLIGATIONS IMPOSED UNDER INTERNAL REVENUE CODE SECTION 501(R).DURING THIS PERIOD, THE ORGANIZATION WAS UNDERGOING A TRANSITION FROM A FISCAL YEAR TO A CALENDAR YEAR REPORTING STRUCTURE. THIS TRANSITION, COMBINED WITH STAFFING CONSTRAINTS AND COMPETING OPERATIONAL DEMANDS ASSOCIATED WITH YEAR END REALIGNMENT, MATERIALLY LIMITED THE ORGANIZATION'S ABILITY TO DEVOTE SUFFICIENT PERSONNEL RESOURCES TO COMPLETE THE CHNA PROCESS WITHIN THE PRESCRIBED TIMEFRAME.AS A RESULT, THE ORGANIZATION WAS UNABLE TO FINALIZE THE CHNA BY THE REQUIRED COMPLETION DATE OF SEPTEMBER 30, 2025. NOTWITHSTANDING THIS DELAY IN FORMAL DOCUMENTATION, THE ORGANIZATION DID NOT LOSE SIGHT OF THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. THE ORGANIZATION CONTINUED TO ACTIVELY ASSESS, PRIORITIZE, AND ADDRESS KNOWN AND ONGOING COMMUNITY HEALTH NEEDS BASED ON INFORMATION OBTAINED THROUGH PRIOR CHNAS, INTERNAL DATA, COMMUNITY PARTNERSHIPS, AND ONGOING ENGAGEMENT WITH LOCAL STAKEHOLDERS.THE ORGANIZATION'S COMMITMENT TO THE COMMUNITY DID NOT LAPSE DURING THIS PERIOD, AND COMMUNITY BENEFIT ACTIVITIES ADDRESSING IDENTIFIED NEEDS CONTINUED TO BE IMPLEMENTED WITHOUT INTERRUPTION. THE DESCRIPTIONS PROVIDED IN PART V, PAGE 8, REFLECT HOW THE ORGANIZATION ADDRESSED THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY COMPLETED CHNA DURING THE YEARS IN QUESTION, DEMONSTRATING CONTINUITY OF MISSION AND COMMUNITY RESPONSIVENESS NOTWITHSTANDING THE DELAYED COMPLETION OF THE FORMAL CHNA REPORT.THE ORGANIZATION HAS NOT FILED FORM 4720 OR REMITTED ANY EXCISE TAX WITH RESPECT TO THIS MATTER. BASED ON THE RELEVANT FACTS AND CIRCUMSTANCESINCLUDING THE ADMINISTRATIVE TRANSITION, STAFFING LIMITATIONS, CONTINUED DELIVERY OF COMMUNITY BENEFIT SERVICES, AND THE ABSENCE OF WILLFUL NEGLECTTHE ORGANIZATION BELIEVES THAT THE DELAY SHOULD BE VIEWED AS INADVERTENT AND NON EGREGIOUS. FURTHER, THE ORGANIZATION BELIEVES THAT THE ASSESSMENT OF ANY EXCISE TAX WOULD IMPOSE A FINANCIAL BURDEN THAT WOULD DIVERT RESOURCES AWAY FROM ITS CHARITABLE MISSION AND REDUCE ITS ABILITY TO EFFECTIVELY IMPLEMENT STRATEGIES TO ADDRESS THE IDENTIFIED NEEDS OF THE COMMUNITY.THE ORGANIZATION HAS TAKEN CORRECTIVE STEPS TO RESUME AND COMPLETE THE CHNA PROCESS AND REMAINS COMMITTED TO FULL COMPLIANCE WITH 501(R) REQUIREMENTS ON A PROSPECTIVE BASIS.SECTION B CHECKLIST, LINES 3-11 BELOW: LINE 3A-3I: YESLINE 4: 2021; 2025LINE 5: YESLINE 6A: YESLINE 6B: YESLINE 7: YESLINE 8: YESLINE 9: 2022; 2026LINE 10: YES</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>2</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - ROBERTS MEDICAL CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>503 CHERRY LANE</AddressLine1Txt>
            <CityNm>ROBERTS</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>54023</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - WESTERN WISCONSIN HEALTH SPRING VALLEY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>E114 AKERS STREET</AddressLine1Txt>
            <CityNm>SPRING VALLEY</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>54767</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHOD USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO WHICH IS DEVELOPED BASED ON THE MEDICAL CENTER'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR THE FORM 990. (THE COSTING METHODOLOGY FOR SUBSIDIZED HEALTH SERVICES FOR LINE 7G ON THE FIRST PAGE OF SCHEDULE H OF THE FORM 990 IS BASED ON COST ALLOCATIONS FROM THE MEDICARE COST REPORT. THIS ALLOCATION METHOD AND PRINCIPLES OF ALLOCATION WERE USED TO DERIVE A SPECIFIC AMOUNT OF COST ALLOCATION TO THE VARIOUS PROGRAMS AND COST CENTERS OPERATED BY BALDWIN AREA MEDICAL CENTER, INC.)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7G:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST OF SUBSIDIZED HEALTH SERVICES IS BASED ON COST ALLOCATIONS FROM THE MEDICARE COST REPORT. ALLOWABLE COSTS ARE ASSIGNED DIRECTLY TO DEPARTMENTS THROUGHOUT THE YEAR AND THEN THE COST REPORT USES THE ALLOCATION METHODOLOGY TO ASSIGN ALL OTHER COSTS TO CALCULATE SERVICE LINE COSTS. SUBSIDIZED HEALTH SERVICES INCLUDE THE OPERATION OF THE ADULTS AND PEDIATRICS HOSPITAL INPATIENT UNIT AND THE EMERGENCY DEPARTMENT. THESE SERVICES ARE UNAVAILABLE TO MEMBERS OF THE COMMUNITY OTHER THAN THROUGH BALDWIN AREA MEDICAL CENTER, INC. IT IS THE GOAL OF BALDWIN AREA MEDICAL CENTER, INC. TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENT'S ABILITY TO PAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7, COLUMN (F):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3,424,216.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>BALDWIN AREA MEDICAL CENTER, INC. PROVIDES SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS AND IN ADDITION, THE MEDICAL CENTER BELIEVES THAT IT PROVIDES A CRITICALLY IMPORTANT BENEFIT WHICH IS NOT QUANTIFIED. BALDWIN AREA MEDICAL CENTER, INC., LIKE MOST COMMUNITY HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY WHICH WITHOUT THE HOSPITAL, WOULD NOT BE AVAILABLE LOCALLY. BEYOND INPATIENT HOSPITALIZATIONS, THE MEDICAL CENTER PROVIDES LOCAL ACCESS TO MANY SERVICES INCLUDING: BIRTHING CENTER, DIAGNOSTICS, EMERGENCY SERVICES, INFUSION SERVICES, SWING-BED SERVICES, CLINICAL SERVICES, LABORATORY SERVICES, OCCUPATIONAL HEALTH, REHABILITATION SERVICES, SPECIALTY MEDICINE, SLEEP CENTER, SPEECH PATHOLOGY, SURGICAL SERVICES, WOUND CARE, BEHAVIORAL HEALTH, AND WOMEN'S SERVICES, TO NAME SOME OF THE MAJOR SERVICES PROVIDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHOD AND CALCULATIONS USED ON FORM 990 ARE BASED ON TOTAL OPERATING EXPENSES EXCLUDING BAD DEBT EXPENSE. THE COMMUNITY BENEFIT EXPENSE PERCENTAGES ARE CALCULATED BY DIVIDING THE COMMUNITY BENEFIT EXPENSE FOR EACH CATEGORY OF COMMUNITY SERVICES PROVIDED BY BALDWIN AREA MEDICAL CENTER, INC. REPORTED IN THE TABLE ON LINE 7 PART I OF THE SCHEDULE H BY THE TOTAL OPERATING EXPENSES OF THE MEDICAL CENTER LESS THE PROVISION FOR BAD DEBTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 MEDICAL CENTER 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 APPLICATION AND ARE TRANSFERRED TO COLLECTION SERVICES EVEN THOUGH THE MEDICAL CENTER PROVIDES THIS INFORMATION TO ALL PATIENTS AND PROVIDES ASSISTANCE WITH THE APPLICATION. DUE TO NO RESPONSES FROM SOME PATIENTS A PORTION AMOUNT OF BAD DEBTS COULD BE CONSIDERED AS CHARITY CARE AND THE MEDICAL CENTER HAS REFLECTED AN AMOUNT OF THESE ADDITIONAL BAD DEBTS IN PART III OF SCHEDULE H OF THE 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, BALDWIN AREA MEDICAL CENTER, 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, BALDWIN AREA MEDICAL CENTER, 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), BALDWIN AREA MEDICAL CENTER, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H TO THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE MEDICAL CENTER, 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 MEDICAL CENTER AS WELL AS HOSPITAL INPATIENT PHYSICIAN PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, 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 AND 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 BALDWIN AREA MEDICAL CENTER, 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 REVENUE (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, THIS POPULATION, WHICH IS TYPICALLY ELDERLY OR DISABLED MEMBERS OF THE COMMUNITY, IS 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNDER THE MEDICAL CENTER'S COLLECTION AND CHARITY CARE POLICIES, BALDWIN AREA MEDICAL CENTER, INC. MAKES EVERY ATTEMPT TO IDENTIFY AND PROMOTE CHARITY CARE TO PATIENTS. INCLUDED IN THE MEDICAL CENTER'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 MEDICAL CENTER'S PATIENT FINANCIAL COUNSELOR OR SOCIAL WORKERS TO ALLOW THESE PATIENTS THE ABILITY TO COMPLETE THEIR APPLICATION DURING THEIR STAY AT THE MEDICAL CENTER, DEPENDING UPON THE PATIENT'S CONDITION, 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 MEDICAL CENTER'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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>WESTERN WISCONSIN HEALTH (WW HEALTH) ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES BY REVIEWING LOCAL DEMOGRAPHIC AND TRENDS TO DETERMINE WHICH SERVICES COULD AND SHOULD BE MADE AVAILABLE TO THE COMMUNITY. WESTERN WISCONSIN HEALTH IS ALSO A PARTICIPATING MEMBER IN HEALTHIER TOGETHER-PIERCE AND ST. CROIX COUNTIES, A GROUP IN WHICH LOCAL HOSPITALS, PUBLIC HEALTH, AND OTHER HEALTH RELATED AND GOVERNMENT ENTITIES, AND COMMUNITY MEMBERS IN PIERCE AND ST. CROIX COUNTIES WORK TOGETHER TO BETTER UNDERSTAND THE CURRENT AND FUTURE HEALTH NEEDS OF THE REGION. HEALTHIER TOGETHER-PIERCE AND ST. CROIX COUNTIES TEAM FOLLOW THE CENTERS FOR DISEASE CONTROL (CDC) COMMUNITY HEALTH ASSESSMENT AND GROUP EVALUATION (CHANGE) TOOL, WHICH WAS DESIGNED TO HELP COMMUNITIES DEVELOP AN ACTION PLAN THROUGH ASSESSMENT AND PRIORITIZATION. WW HEALTH PARTICIPATES IN MULTIPLE COMMUNITY GROUPS AND COLLABORATIONS WITH LOCAL AND STATE ORGANIZATIONS TO STAY ABREAST OF CURRENT TRENDS IN COMMUNITY HEALTH NEEDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNINSURED AND UNDERINSURED PATIENTS ARE ENCOURAGED TO MEET WITH A WESTERN WISCONSIN HEALTH FINANCIAL COUNSELOR EITHER AT THE TIME OF SERVICE OR WHEN THE PATIENT'S BILL IS GENERATED. THE FINANCIAL COUNSELOR EXPLAINS AVAILABLE PAYMENT OPTIONS, REVIEWS THE CHARITY CARE PROGRAM, AND PROVIDES AN APPLICATION WHEN APPROPRIATE. IF ADDITIONAL PROGRAMS ARE AVAILABLE, SUCH AS MEDICAID OR BADGERCARE, PATIENTS ARE REFERRED TO THE APPROPRIATE GOVERNMENT AGENCY FOR FURTHER ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>WESTERN WISCONSIN HEALTH IS LOCATED IN WESTERN WISCONSIN RIGHT OFF OF I-94 IN BALDWIN, WI. THE PRIMARY SERVICE AREA INCLUDES COMMUNITIES IN A 25 MILE RADIUS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>WESTERN WISCONSIN HEALTH IS ENGAGED IN MANY ASPECTS OF PROMOTING HEALTH AND WELLNESS IN THE COMMUNITY. WW HEALTH OFFERS EDUCATIONAL SESSIONS THAT ARE OPEN THE COMMUNITY MEMBERS ON A BROAD RANGE OF HEALTH AND WELLNESS TOPICS SUCH AS HEART HEATH, PAIN MANAGEMENT, BEHAVIORAL HEALTH AND RESILIENCY, HEALTHY COOKING, CANCER PREVENTION, JOINT PAIN, AND MUCH MORE. WW HEALTH PROVIDES A BROAD VARIETY OF WELLNESS PROGRAMS AND CLASSES ON-SITE IN ADDITION TO PROVIDING HEALTH AND WELLNESS CLASSES, PRESENTATIONS, AND HEALTH SCREENINGS AT LOCAL SCHOOLS AND BUSINESSES. WW HEALTH ALSO HAS A COMMUNITY FITNESS CENTER OPEN TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>WI</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHUKWUNONSO CHIME</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <BaseCompensationFilingOrgAmt>629247</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>32518</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10350</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>39287</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>711402</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JESS BREHMER</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <BaseCompensationFilingOrgAmt>591326</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>14742</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9624</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22153</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>637845</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SIWEN LIU</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <BaseCompensationFilingOrgAmt>494808</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>6893</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10350</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13447</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>525498</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EILIDH PEDERSON</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>380480</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>60092</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3033</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10350</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>43367</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>497322</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL BOEDER</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <BaseCompensationFilingOrgAmt>387105</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>5834</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10350</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13447</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>416736</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DENNIS HARTUNG</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <BaseCompensationFilingOrgAmt>388602</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>14633</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10350</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>413585</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEA KAISER</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>231175</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3379</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7490</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>43367</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>286411</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALISON PAGE</PersonNm>
        <TitleTxt>CEO (FORMER)</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>147987</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>147987</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>147987</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>BALDWIN VILLAGE OF</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>396006200</BondIssuerEIN>
        <BondIssuedDt>2014-11-14</BondIssuedDt>
        <IssuePriceAmt>6000000</IssuePriceAmt>
        <PurposeDesc>HOSPITAL CONSTRUCTION</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>1406406</RetiredAmt>
        <TotalProceedsAmt>6000000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>161527</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>5838473</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2017</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY BALDWIN AREA MEDICAL CENTER, INC.'S MANAGEMENT. THE FORM 990 IS ALSO PROVIDED TO THE BOARD MEMBERS FOR REVIEW AND FINAL APPROVAL PRIOR TO FILING THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS DISCUSSED AT THE ANNUAL MEETING, AND BOARD MEMBERS ARE REQUIRED TO REVIEW, UPDATE, AND SIGN ANNUAL DISCLOSURE STATEMENTS. THE BOARD CHAIR MONITORS FOR CONFLICTS AND ANY BOARD MEMBERS WITH KNOWN CONFLICTS ARE ASKED TO REFRAIN FROM VOTING ON THOSE CONFLICTED ITEMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR ALL POSITIONS, SALARY SURVEYS ARE COMPLETED BY BALDWIN AREA MEDICAL CENTER, INC. AND THE DATA IS COLLECTED BY A THIRD-PARTY. THE REVIEW OF THE DATA IS CONDUCTED BY BALDWIN AREA MEDICAL CENTER, INC. IN THE CASE OF THE CEO, THE DATA IS REVIEWED BY THE BOARD CHAIR AND EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS WHO DETERMINE WHAT THE CEO RECEIVES FOR A SALARY INCREASE. SENIOR MANAGER POSITIONS ARE REVIEWED BY THE CEO WHO MAKES THE FINAL DECISION AS TO THE INCREASE AMOUNT OR WAGE ADJUSTMENT. HOWEVER, IN THE MAJORITY OF INSTANCES IT HAS BEEN BASED UPON WHAT THE MEDICAL CENTER CAN AFFORD, WHICH HAS BEEN HELD LOWER THAN SUGGESTED MARKET OR MERIT INCREASES. FOR ALL OTHER POSITIONS, THE HUMAN RESOURCES DIRECTOR MAKES THE RECOMMENDATION AND THE SENIOR MANAGER REVIEWS THE RECOMMENDATION AND FINALLY THE ENTIRE PLAN IS REVIEWED BY THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>EMERGENCY ROOM SERVICES: PROGRAM SERVICE EXPENSES 3,128,191. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,128,191. LAB SERVICES: PROGRAM SERVICE EXPENSES 940,163. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 940,163. RADIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 1,347,322. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,347,322. ANESTHESIA SERVICES: PROGRAM SERVICE EXPENSES 1,957,379. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,957,379. CLINIC SERVICES: PROGRAM SERVICE EXPENSES 129,933. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 129,933. PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 337,691. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 337,691. HOUSEKEEPING SERVICES: PROGRAM SERVICE EXPENSES 192,738. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 192,738. OTHER SERVICES: PROGRAM SERVICE EXPENSES 2,940,893. MANAGEMENT AND GENERAL EXPENSES 711,863. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,652,756.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST CROIX VALLEY SHARED SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>990 MAIN STREET</AddressLine1Txt>
          <CityNm>BALDWIN</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>540029248</ZIPCd>
        </USAddress>
        <EIN>391791601</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH AND HOSPICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BALDWIN AREA MEDICAL CENTER INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ST CROIX VALLEY SHARED SERVICES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>117792</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>