4A (Expenses $ 1263629167 including grants of $ 266168) (Revenue $ 1471142460)
MCHS HOSPITALS, INC. (MCHSH), INCORPORATED IN DECEMBER 2015 AS A NONPROFIT, NONSTOCK CORPORATION WHICH OWNS AND OPERATES THE FOLLOWING ACUTE CARE FACILITIES IN WISCONSIN EITHER DIRECTLY OR THROUGH WHOLLY OWNED SUBSIDIARIES: MARSHFIELD MEDICAL CENTER (MMC) (ACQUIRED IN JULY 2017), MMC-RICE LAKE (THROUGH ITS SUBSIDIARY LAKEVIEW MEDICAL CENTER), MMC-EAU CLAIRE (OPENED IN JULY 2018), MMC-LADYSMITH (ACQUIRED IN SEPTEMBER 2018), MMC-NEILLSVILLE (ACQUIRED IN DECEMBER 2018 THROUGH ITS SUBSIDIARY MEMORIAL HOSPITAL, INC. (NEILLSVILLE)), MMC-BEAVER DAM (ACQUIRED IN MAY 2019 THROUGH ITS SUBSIDIARY BEAVER DAM COMMUNITY HOSPITALS, INC. (BDCH)), MMC-MINOCQUA (OPENED IN JUNE 2020), MMC-WESTON (ACQUIRED IN AUGUST 2020) AND MMC-PARK FALLS (ACQUIRED IN AUGUST 2020).

PART V, SECTION A:
ALL MARSHFIELD MEDICAL CENTER FACILITIES ASSESSED THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY CONDUCTING STANDARD CHNA PRACTICES, INCLUDING:- REVIEW OF COMMUNITY PARTNERS' REPORTS (I.E. UNITED WAY)- REVIEW OF PUBLICLY AVAILABLE COMMUNITY HEALTH DATA (I.E. COUNTY HEALTH RANKINGS)- COMPLETION OF KEY INFORMANT INTERVIEWS WITH COMMUNITY LEADERS ABOUT THE COMMUNITY'S HEALTH NEEDS- COMPLETION OF COMMUNITY CONVERSATIONS WITH COMMUNITY MEMBERS - PARTICIPATION IN COMMUNITY HEALTH COMMITTEES AND BOARDS (I.E. HEALTHY PEOPLE WOOD COUNTY STEERING COMMITTEE)

MARSHFIELD MEDICAL CENTER
PART V, SECTION B, LINE 5: WHILE MMC STRIVES TO WORK COLLABORATIVELY TOGETHER WITH DIVERSE SECTORS OF THE COMMUNITY THE COVID-19 PANDEMIC PREVENTED THE WOOD COUNTY HEALTH DEPARTMENT FROM BEING AN ACTIVE PARTNER THIS YEAR. THE WOOD COUNTY HEALTH DEPARTMENT WAS EXEMPT FROM CONDUCTING A COMMUNITY HEALTH ASSESSMENT IN ORDER TO FOCUS EFFORTS AND CAPACITY ON ADDRESSING COVID-19. THEREFORE, MMC PARTNERED WITH ASPIRUS INC. TO CONDUCT A COMMUNITY HEALTH SURVEY, KEY INFORMANT INTERVIEWS AND A FOCUS GROUP ENGAGING DIVERSE STAKEHOLDERS AND INDIVIDUALS ACROSS WOOD COUNTY.COMMUNITY HEALTH ASSESSMENT SURVEY:PRIMARY DATA COLLECTION BEGAN WITH A COMMUNITY HEALTH SURVEY IN MARCH 2021. AN ELECTRONIC SURVEY WAS WIDELY DISTRIBUTED TO WOOD COUNTY RESIDENTS. AN ABBREVIATED HARDCOPY VERSION OF THE ELECTRONIC COMMUNITY HEALTH SURVEY WAS CREATED FOR RESIDENTS WITH LIMITED ACCESS TO INTERNET AND LIMITED HEALTH LITERACY.A TOTAL OF 922 RESPONDENTS QUALIFIED AND COMPLETED THE HEALTH SURVEY. AN ELECTRONIC HEALTH SURVEY WAS DISTRIBUTED TO VARIOUS INDIVIDUALS AND ORGANIZATIONS, WHICH INCLUDED UNITED WAY, YMCA, WOOD COUNTY HEALTH DEPARTMENT, AGING AND DISABILITY RESOURCE CENTER, CHAMBERS OF COMMERCE, SCHOOL DISTRICTS, COMMUNITY FOUNDATIONS, COALITIONS AND MORE. HARD COPY SURVEYS WERE DISTRIBUTED TO FOOD PANTRIES, COMMUNITY HEALTH WORKERS WORKING WITH COMMUNITIES OF COLOR AND AT MASS VACCINATION CLINICS.FOCUS GROUPS:FOCUS GROUPS AND KEY INFORMANT INTERVIEWS SERVED THE PURPOSE OF DIVING DEEPER INTO HEALTH ISSUES AND WERE METHODS USED TO ENGAGE MARGINALIZED POPULATIONS WHO WERE LESS REPRESENTED IN THE COMMUNITY HEALTH SURVEY. ONE FOCUS GROUP WAS CONDUCTED IN APRIL 2019 WITH INDIVIDUALS FROM AN UNDERREPRESENTED POPULATION. THE INDIVIDUALS ALSO REPRESENTED VARIOUS PROFESSIONAL BACKGROUNDS SUCH AS PUBLIC HEALTH, EDUCATION, BUSINESS AND INJURY AND VIOLENCE PREVENTION.KEY INFORMANT INTERVIEWS:NINE KEY INFORMANT INTERVIEWS WERE COMPLETED WITH PROFESSIONALS AND RESIDENTS OF DIVERSE BACKGROUNDS REPRESENTATIVE OF THOSE FROM THE AGING POPULATION, POPULATIONS WITH DISABILITIES, COMMUNITIES OF COLOR, GOVERNMENT, PUBLIC HEALTH, EDUCATION, BUSINESS, BEHAVIORAL HEALTH AND ALCOHOL AND SUBSTANCE USE RECOVERY.

MARSHFIELD MEDICAL CENTER-EAU CLAIRE
PART V, SECTION B, LINE 5: PRIMARY DATA COLLECTION:WHEN MARSHFIELD MEDICAL CENTER-EAU CLAIRE (MMC-EAU CLAIRE) CONDUCTED ITS MOST RECENT CHNA, THE HOSPITAL ENGAGED A DIVERSE GROUP OF PEOPLE AND ORGANIZATIONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITIES IT SERVED.MARSHFIELD MEDICAL CENTER-EAU CLAIRE (MMC-EAU CLAIRE), IN PARTNERSHIP WITH THE EAU CLAIRE CITY COUNTY HEALTH DEPARTMENT, CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH, UNITED WAY OF THE GREATER CHIPPEWA VALLEY, HSHS SACRED HEART AND ST. JOSEPH'S HOSPITAL, AND MAYO CLINIC HEALTH SYSTEM, COMPLETED ITS SECOND CHNA PROCESS SINCE OPENING ITS DOORS IN JULY 2018. THE EAU CLAIRE COUNTY AND CHIPPEWA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT PROCESSES WERE CONDUCTED SIMULTANEOUSLY BY A SINGLE PROJECT MANAGER. THE MMC-EAU CLAIRE CHNA REPORT HIGHLIGHTS ONLY DATA COLLECTION/ANALYSIS ACTIVITIES AND COMMUNITY PARTICIPATION AS IT RELATES TO EAU CLAIRE COUNTY. IN ADDITION TO ANALYZING DEMOGRAPHIC INFORMATION, THE GROUP COLLECTED SECONDARY DATA THROUGH BOTH AN ONLINE AND PAPER SURVEY CONCERNING DISEASE, DEATH, DISABILITY, INJURY, AND COMMUNITY OPINIONS. AN ABBREVIATED HARDCOPY OF THE SURVEY WAS CREATED TO AID THOSE WITH LIMITED HEALTH LITERACY. A TRANSLATOR WAS PROVIDED FOR THOSE WHO DO NOT SPEAK ENGLISH AS A PRIMARY LANGUAGE.AN ELECTRONIC SURVEY WAS WIDELY DISTRIBUTED BY THE CHA PARTNERSHIP TO EAU CLAIRE COUNTY RESIDENTS VIA PARTNER DISTRIBUTION LISTS, WEBSITES AND SOCIAL MEDIA. ADS WERE PURCHASED THROUGH VOLUME ONE AND FACEBOOK, AND FLYERS DISTRIBUTED THROUGH COMMUNITY ORGANIZATIONS SUCH AS FEED MY PEOPLE FOOD BANK. THE CHA PARTNERSHIP FOCUSED EFFORTS TO REACH VULNERABLE POPULATIONS THROUGH GROUPS SUCH AS JONAH (JOINING OUR NEIGHBORS ADVANCING HOPE), EL CENTRO AND THE EAU CLAIRE AREA HMONG MUTUAL ASSISTANCE ASSOCIATION; AND DISTRIBUTED PAPER SURVEYS THROUGH THE AGING AND DISABILITY RESOURCE CENTER (VIA MEALS ON WHEELS) AND EAU CLAIRE COUNTY JAIL. A PRESS RELEASE TO LOCAL MEDIA OUTLETS ALSO ACCOMPANIED THE RELEASE OF THE SURVEY. PRECAUTIONS AROUND THE COVID-19 PANDEMIC PREVENTED MORE TARGETED, IN-PERSON OUTREACH EFFORTS AND REQUIRED HEAVY RELIANCE ON VIRTUAL COMMUNICATION. THIS POSED A SIGNIFICANT OBSTACLE TO MORE COMPREHENSIVE COMMUNITY OUTREACH AND SURVEY COMPLETION. SEVERAL VERSIONS OF THE SURVEY WERE DEVELOPED, INCLUDING FULL-LENGTH, ONLINE VERSIONS IN BOTH ENGLISH AND SPANISH AND BOTH FULL-LENGTH AND SHORTENED, PAPER VERSIONS IN ENGLISH AND SPANISH. DESCRIPTIONS OF THE HEALTH NEEDS WERE SIMPLIFIED PER THE RECOMMENDATIONS OF WISCONSIN HEALTH LITERACY TO AID IN READING COMPREHENSION.

MARSHFIELD MEDICAL CENTER-LADYSMITH
PART V, SECTION B, LINE 5: PRIMARY DATA COLLECTION BEGAN WITH A COMMUNITY HEALTH SURVEY IN MARCH 2021. AN ELECTRONIC SURVEY WAS WIDELY DISTRIBUTED BY THE CBW-LADYSMITH TO RUSK COUNTY RESIDENTS. AN ABBREVIATED HARDCOPY VERSION OF THE ELECTRONIC COMMUNITY HEALTH SURVEY WAS CREATED FOR RESIDENTS WITH LIMITED ACCESS TO THE INTERNET AND LIMITED HEALTH LITERACY. THE SURVEY ASKED RESIDENTS TO EVALUATE FOURTEEN HEALTH NEEDS BASED ON THE WISCONSIN DEPARTMENT OF HEALTH SERVICES HEALTH PLAN, HEALTHY PEOPLE, HEALTHIEST WISCONSIN 2020, AND INCLUDE: MENTAL HEALTH, SUBSTANCE USE, ALCOHOL MISUSE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, OBESITY, PHYSICAL ACTIVITY, INJURY AND VIOLENCE PREVENTION, HEALTHY NUTRITION, HEALTHY GROWTH AND DEVELOPMENT, COMMUNICABLE DISEASE PREVENTION AND CONTROL, TOBACCO USE AND EXPOSURE, ORAL HEALTH, REPRODUCTIVE AND SEXUAL HEALTH, AND ENVIRONMENTAL AND OCCUPATIONAL HEALTH. ADDITIONALLY, THE CBW-LADYSMITH UTILIZED A BEST PRACTICE SURVEY TEMPLATE CREATED BY CHA PLANNING PARTNERS IN EAU CLAIRE AND CHIPPEWA COUNTIES. THE CBW-LADYSMITH RECOGNIZES THAT HEALTH IS DETERMINED BY MORE THAN HEALTH CARE. IN AN EFFORT TO FURTHER UNDERSTAND THE CONDITIONS THAT AFFECT A WIDE RANGE OF HEALTH, FUNCTIONING, AND QUALITY-OF-LIFE OUTCOMES AND RISKS, A SERIES OF QUESTIONS RELATED TO SOCIAL DETERMINANTS OF HEALTH (SDOH) WERE INCLUDED AND FURTHER ANALYZED. THE SURVEY COLLECTED 364 RESPONSES BETWEEN MARCH THROUGH APRIL 2021 FROM RUSK COUNTY RESIDENTS. OVERALL, RESPONDENTS TENDED TO BE WHITE, FEMALE AND BETWEEN THE AGES OF 55-64. 18.18% OF SURVEY RESPONDENTS ARE RETIRED, AND LESS THAN 3% OF SURVEY RESPONDENTS SAID THEY WERE UNEMPLOYED, DISABLED. KEY INFORMANT INTERVIEWS:KEY INFORMANT INTERVIEWS ARE IN-DEPTH, QUALITATIVE INTERVIEWS WITH INDIVIDUALS WHO KNOW WHAT IS GOING ON IN A COMMUNITY OR SPECIFIC POPULATION GROUP. THE PURPOSE OF THESE INTERVIEWS IS TO COLLECT INFORMATION FROM A WIDE RANGE OF INDIVIDUALS WHO HAVE FIRST-HAND KNOWLEDGE ABOUT THE COMMUNITY AND/OR POPULATION GROUPS. THESE INDIVIDUALS CAN INCLUDE BUT ARE NOT LIMITED TO, RESIDENTS, PROFESSIONALS, ELECTED OFFICIALS AND FAITH LEADERS. FOR THIS ASSESSMENT KEY INFORMANT INTERVIEWS WERE CONDUCTED VIA WEBEX (VIDEO CONFERENCING PLATFORM) AND TELEPHONE TO OBSERVE COVID-19 PANDEMIC SAFETY PROTOCOLS. FOUR INDIVIDUALS COMPLETED AN INTERVIEW AND RESULTING INSIGHTS WERE COMPILED INTO A SUMMARY REPORT.SECONDARY DATA COLLECTION:LOCAL SECONDARY QUANTITATIVE HEALTH DATA WAS COMPILED FROM A VARIETY OF SOURCES BASED ON THE WISCONSIN ASSOCIATION OF LOCAL HEALTH DEPARTMENTS AND BOARDS (WALHDAB) RECOMMENDATIONS. THE CORE DATASET WAS MODIFIED SLIGHTLY BASED ON RUSK COUNTY AVAILABILITY AND TO IMPROVE REPRESENTATION OF UNDERREPRESENTED HEALTH PRIORITY MEASURES. DATA SOURCES INCLUDED US CENSUS, CENTERS FOR DISEASE CONTROL AND PREVENTION, UNITED WAY REPORTS, HEALTHY PEOPLE, HEALTHIEST WISCONSIN 2020 STATE HEALTH PLAN, AND MORE.

MARSHFIELD MEDICAL CENTER-MINOCQUA
PART V, SECTION B, LINE 5: MMC-MINOCQUA OPENED IN JUNE 2020, WITH NO PRIOR HOSPITAL CHNA AVAILABLE, SO A REVIEW OF THE EXISTING ONEIDA COUNTY CHA (2016) WAS COMPLETED. ONEIDA COUNTY, A PART OF THE TRI-COUNTY COLLABORATIVE HEALTH PLANNING COMMITTEE, WORKS CLOSELY WITH VILAS AND FOREST COUNTIES TO PLAN FOR COMMUNITY HEALTH IMPROVEMENT WORK REGIONALLY.THE CHNA INCLUDED PRIMARY AND SECONDARY DATA. PRIMARY DATA INCLUDED A COUNTY-WIDE SURVEY AND COMMUNITY CONVERSATIONS. SECONDARY DATA WAS COMPILED INTO A DATA PACKET, WHICH INCLUDED DATA FROM VARIOUS SOURCES.COMMUNITY HEALTH ASSESSMENT SURVEY:PRIMARY DATA COLLECTION BEGAN WITH A COMMUNITY HEALTH SURVEY IN MARCH 2021. AN ELECTRONIC SURVEY WAS WIDELY DISTRIBUTED BY THE CBW-MINOCQUA TO ONEIDA COUNTY RESIDENTS. AN ABBREVIATED HARDCOPY VERSION OF THE ELECTRONIC COMMUNITY HEALTH SURVEY WAS CREATED FOR RESIDENTS WITH LIMITED ACCESS TO INTERNET AND LIMITED HEALTH LITERACY.THE SURVEY ASKED RESIDENTS TO EVALUATE FOURTEEN HEALTH NEEDS BASED ON THE WISCONSIN DEPARTMENT OF HEALTH SERVICES HEALTH PLAN, HEALTHY PEOPLE, HEALTHIEST WISCONSIN 2020, AND INCLUDE: MENTAL HEALTH, SUBSTANCE USE, ALCOHOL MISUSE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, OBESITY, PHYSICAL ACTIVITY, INJURY AND VIOLENCE PREVENTION, HEALTHY NUTRITION, HEALTHY GROWTH AND DEVELOPMENT, COMMUNICABLE DISEASE PREVENTION AND CONTROL, TOBACCO USE AND EXPOSURE, ORAL HEALTH, REPRODUCTIVE AND SEXUAL HEALTH, AND ENVIRONMENTAL AND OCCUPATIONAL HEALTH. ADDITIONALLY, THE CBW-MINOCQUA UTILIZED A BEST PRACTICE SURVEY TEMPLATE CREATED BY CHA PLANNING PARTNERS IN EAU CLAIRE AND CHIPPEWA COUNTIES. THE CBW-MINOCQUA RECOGNIZES THAT HEALTH IS DETERMINED BY MORE THAN HEALTH CARE. IN AN EFFORT TO FURTHER UNDERSTAND THE CONDITIONS THAT AFFECT A WIDE RANGE OF HEALTH, FUNCTIONING, AND QUALITY-OF-LIFE OUTCOMES AND RISKS, A SERIES OF QUESTIONS RELATED TO SOCIAL DETERMINANTS OF HEALTH (SDOH) WERE INCLUDED AND FURTHER ANALYZED. THE SURVEY COLLECTED 351 RESPONSES BETWEEN MARCH AND APRIL 2021 FROM ONEIDA COUNTY RESIDENTS. OVERALL, RESPONDENTS TENDED TO BE WHITE, FEMALE AND BETWEEN THE AGES OF 55-64. OF SURVEY RESPONDENTS 12.75% ARE RETIRED, AND LESS THAN 2% OF SURVEY RESPONDENTS SAID THEY WERE UNEMPLOYED AND/OR DISABLED. KEY INFORMANT INTERVIEWS:KEY INFORMANT INTERVIEWS ARE IN-DEPTH, QUALITATIVE INTERVIEWS WITH INDIVIDUALS WHO KNOW WHAT IS GOING ON IN A COMMUNITY OR SPECIFIC POPULATION GROUP. THE PURPOSE OF THESE INTERVIEWS WAS TO COLLECT INFORMATION FROM A WIDE RANGE OF INDIVIDUALS WHO HAVE FIRST-HAND KNOWLEDGE ABOUT THE COMMUNITY AND/OR POPULATION GROUPS. THESE INDIVIDUALS CAN INCLUDE BUT ARE NOT LIMITED TO, RESIDENTS, PROFESSIONALS, ELECTED OFFICIALS AND FAITH LEADERS.FOR THIS ASSESSMENT KEY INFORMANT INTERVIEWS WERE CONDUCTED VIA WEBEX VIDEO CONFERENCING PLATFORM TO OBSERVE COVID-19 PANDEMIC SAFETY PROTOCOLS. CBW-MINOCQUA IDENTIFIED A LIST OF 20 POTENTIAL KEY INFORMANTS ACROSS ONEIDA COUNTY TO INVITE TO COMPLETE AN INTERVIEW. TWELVE INDIVIDUALS COMPLETED AN INTERVIEW AND RESULTING INSIGHTS WERE COMPILED INTO A SUMMARY REPORT. SEE APPENDIX D FOR A LIST OF COMMUNITY SECTORS REPRESENTED AND SUMMARY REPORT.

MARSHFIELD MEDICAL CENTER-WESTON
PART V, SECTION B, LINE 5: THE ASSESSMENT PROCESS BEGAN WITH A THOROUGH REVIEW OF THE 2019-2021 MARATHON COUNTY LIFE REPORT, WHICH SERVES AS THE COUNTY'S COMMUNITY HEALTH ASSESSMENT (CHA). THE LIFE REPORT WAS COMPLETED BY UNITED WAY OF MARATHON COUNTY AND LIFE REPORT STEERING COMMITTEE, WHICH INCLUDED MARSHFIELD CLINIC HEALTH SYSTEM REPRESENTATION. THE UNIVERSITY OF WISCONSIN-RIVER FALLS SURVEY RESEARCH CENTER ASSISTED IN SURVEY DISTRIBUTION AND COLLECTION. BOTH PRIMARY AND SECONDARY DATA COLLECTION METHODS WERE UTILIZED TO CONNECT WITH SEVERAL DIFFERENT DEMOGRAPHIC GROUPS IN THE COMMUNITY AND TO DEVELOP A THOROUGH UNDERSTANDING OF HEALTH ISSUES FACING MEMBERS OF MARATHON COUNTY COMMUNITIES.MARATHON COUNTY LIFE SURVEY:PRIMARY DATA COLLECTION BEGAN WITH A COMMUNITY HEALTH SURVEY IN MARCH AND APRIL 2019 (NOTE PRIOR TO THE COVID-19 PANDEMIC), IN PARTNERSHIP WITH UNIVERSITY OF WISCONSIN- RIVER FALLS SURVEY RESEARCH CENTER (SRC).- A SIX-PAGE SURVEY WAS SENT TO 1,434 HOUSEHOLDS IN MARATHON COUNTY. SEVENTY-FIVE PERCENT OF THE SURVEYS WERE MAILED TO A RANDOM SAMPLE OF COUNTY RESIDENTS AND 25% TO THE POPULATIONS UNDER AGE 35, HOUSEHOLDS WITH INCOMES UNDER $25,000, AND PEOPLE OF COLOR IN ORDER TO ENSURE REPRESENTATION IN THE SAMPLE FROM THREE POPULATIONS THAT ARE SOMETIMES CHALLENGING TO REACH WITH SURVEYS.- 100 SURVEYS WERE DISTRIBUTED TO SELECTED MARATHON COUNTY NON-PROFIT PARTNERS BY UNITED WAY OF MARATHON COUNTY. - EMAILED AN ON-LINE SURVEY INVITATION TO A PANEL OF APPROXIMATELY 2,000 MARATHON COUNTY RESIDENTSTHE SRC RECEIVED THE FOLLOWING NUMBER OF RESPONSES FROM THESE THREE SOURCES: 388 PAPER SURVEYS FROM THE MAIL OUT, 37 PAPER SURVEYS FROM NON-PROFIT PARTNERS AND 107 ONLINE SURVEYS. COMMUNITY PANEL DISCUSSION & SUBCOMMITTEES OF KEY STAKEHOLDERS:A PANEL DISCUSSION WITH COMMUNITY MEMBERS WAS HELD IN OCTOBER 2019. MARATHON COUNTY RESIDENTS FROM DIVERSE POPULATIONS PARTICIPATED IN THE PANEL DISCUSSION. PARTICIPANTS WERE PRESENTED WITH PRIMARY AND SECONDARY DATA POINTS AND WERE ASKED TO PROVIDE FEEDBACK ON THE TOP AREAS FROM THE MARATHON COUNTY LIFE SURVEY.SUBCOMMITTEES FROM KEY AREAS WERE FORMED TO REVIEW THE DATA AND PROVIDE FEEDBACK. SUBCOMMITTEES INCLUDED: ECONOMIC ENVIRONMENT, EDUCATION, BASIC NEEDS, HEALTH AND WELLNESS, ENERGY AND ENVIRONMENT, CONNECTED, SAFETY. LIFE STEERING COMMITTEE MEETING: IN OCTOBER 2019, PRIOR TO THE RELEASE OF THE LIFE REPORT, THE LIFE STEERING COMMITTEE GATHERED A FINAL TIME TO CONDUCT A LARGE PRIORITIZATION PROCESS TO REVIEW ALL DATA AND IDENTIFY THE TOP NEEDS/CALLS TO ACTION.MARATHON COUNTY BOARD OF HEALTH & HEALTHY MARATHON COUNTY ALLIANCE MEETING: FINALLY, THE MARATHON COUNTY BOARD OF HEALTH AND THE HEALTHY MARATHON COUNTY ALLIANCE MET JOINTLY IN MARCH 2020 TO PRIORITIZE THE TOP CALLS TO ACTION INTO THREE COUNTY HEALTH PRIORITIES.

MARSHFIELD MEDICAL CENTER
PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED JOINTLY WITH ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC.

MARSHFIELD MEDICAL CENTER-EAU CLAIRE
PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITY(S):- MAYO CLINIC HEALTH SYSTEM- HSHS SACRED HEART HOSPITAL- HSHS ST. JOSEPH'S HOSPITAL

MARSHFIELD MEDICAL CENTER-LADYSMITH
PART V, SECTION B, LINE 6A: MARSHFIELD MEDICAL CENTER-LADYSMITH IS THE ONLY HOSPITAL LOCATED IN RUSK COUNTY AND IS CONSIDERED A CRITICAL ACCESS HOSPITAL.

MARSHFIELD MEDICAL CENTER-MINOCQUA
PART V, SECTION B, LINE 6A: ASCENSION WISCONSIN WAS PART OF THE TRI-COUNTY COLLABORATIVE HEALTH PLANNING COMMITTEE.

MARSHFIELD MEDICAL CENTER-WESTON
PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH ASCENSION, ASPIRUS, INC. AND BRIDGE COMMUNITY CLINIC.

MARSHFIELD MEDICAL CENTER
PART V, SECTION B, LINE 6B: DUE TO THE COVID-19 PANDEMIC, THE WOOD COUNTY HEALTH DEPARTMENT WAS UNABLE TO PARTICIPATE.

MARSHFIELD MEDICAL CENTER-EAU CLAIRE
PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITY(S):- CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH- CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP- EAU CLAIRE CITY-COUNTY HEALTH DEPARTMENT- EAU CLAIRE HEALTHY COMMUNITIES- UNITED WAY OF THE GREATER CHIPPEWA VALLEY

MARSHFIELD MEDICAL CENTER-LADYSMITH
PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITY(S):- RUSK COUNTY PUBLIC HEALTH DEPARTMENT - RUSK COUNTY HEALTH AND HUMAN SERVICES - INDIANHEAD COMMUNITY ACTION AGENCY

MARSHFIELD MEDICAL CENTER-MINOCQUA
PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITY(S):- ONEIDA COUNTY HEALTH DEPARTMENT- VILAS COUNTY HEALTH DEPARTMENT- FOREST COUNTY HEALTH DEPARTMENT- ONEIDA COUNTY HUMAN SERVICES DEPARTMENT- ONEIDA COUNTY COALITION FOR NUTRITION AND ACTIVITY (CAN) - COMMUNITY OUTREACH PREVENTION AND EDUCATION COALITION (COPE) - UNIVERSITY OF WISCONSIN-DIVISION OF EXTENSION- MARSHFIELD CLINIC HEALTH SYSTEM

MARSHFIELD MEDICAL CENTER-WESTON
PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITY(S):- CITY OF WAUSAU- COMMUNITY FOUNDATION OF NORTH CENTRAL WISCONSIN- DUDLEY FOUNDATION- GREATER WAUSAU CHAMBER OF COMMERCE- GREENHECK FOUNDATION- JUDD S. ALEXANDER FOUNDATION- MARATHON COUNTY HEALTH DEPARTMENT- UNITED WAY OF MARATHON COUNT

MARSHFIELD MEDICAL CENTER
PART V, SECTION B, LINE 11: THE HEALTH PRIORITIES IDENTIFIED BY THE COMMUNITY HEALTH ASSESSMENT (CHA) WERE:- ALCOHOL AND SUBSTANCE USE- BEHAVIORAL HEALTH- CHRONIC DISEASE- SOCIAL DETERMINANTS OF HEALTHMMC IS ADDRESSING ALL HEALTH PRIORITIES IDENTIFIED THROUGH THE CHNA PROCESS.HEALTH PRIORITY 1: ALCOHOL AND SUBSTANCE USEGOAL 1: REDUCE YOUTH SUBSTANCE USE- STRATEGY 1: SUPPORT ALCOHOL AND OTHER DRUG (AOD) PREVENTION CURRICULUMS IN SCHOOL AND/OR AFTERSCHOOL SETTINGS.GOAL 2: REDUCE COMMUNITY IMPACT RELATED TO SUBSTANCE MISUSE - STRATEGY 2: SUPPORT WORKPLACE DRUG PREVENTION AND RECOVERY EFFORTS.GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO ALCOHOL AND SUBSTANCE USE PREVENTION EFFORTS. - STRATEGY 3: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.HEALTH PRIORITY 2: BEHAVIORAL HEALTHGOAL 1: DECREASE SUICIDE RATES FOR HIGH RISK POPULATIONS- STRATEGY 1: ENHANCE COMMUNITY MEMBER'S SKILLS TO SUPPORT MENTAL HEALTH PROMOTION AND SUICIDE PREVENTION.- STRATEGY 2: SUPPORT SUICIDE PREVENTION COMMUNITY AWARENESS EVENTS.GOAL 2: IMPROVE SOCIAL AND EMOTIONAL DEVELOPMENT OF CHILDREN AND ADOLESCENTS- STRATEGY 3: ENHANCE SCHOOL CAPACITY TO PROVIDE HIGH QUALITY SOCIAL, EMOTIONAL ASSESSMENT, SUPPORT AND LEARNING. GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO SUPPORTING BEHAVIORAL HEALTH EFFORTS.- STRATEGY 4: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS. HEALTH PRIORITY 3: CHRONIC DISEASEGOAL 1: IMPROVE ACCESS TO HEALTHY FOODS- STRATEGY 1: INCREASE COMMUNITY CAPACITY TO PROVIDE NUTRITIOUS, LOCALLY GROWN FOOD AND ADDRESS FOOD INSECURITY.GOAL 2: REDUCE RATES OF PREVENTABLE CHRONIC CONDITIONS WITH FOCUS ON OBESITY AND DIABETES.- STRATEGY 2: ENHANCE PROGRAMMING TO IMPACT CHRONIC DISEASE SELF-MANAGEMENT AND PREVENTION WITH A FOCUS ON OBESITY AND DIABETES.GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO CHRONIC DISEASE PREVENTION EFFORTS. - STRATEGY 3: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS. HEALTH PRIORITY 4: SOCIAL DETERMINANTS OF HEALTHGOAL 1: INCREASE KNOWLEDGE AND AWARENESS OF HEALTH EQUITY.- STRATEGY 1: CONDUCT AN ORGANIZATION AND COMMUNITY ASSESSMENT OF HEALTH DISPARITIES AND HEALTH EQUITY AND DEVELOP A WORKPLAN TO ADDRESS THOSE GAPS.GOAL 2: IMPROVE HEALTH OUTCOMES BY CONNECTING CLINICAL PRACTICE TO COMMUNITY EFFORTS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH BARRIERS. - STRATEGY 2: SUPPORT AND CONNECT PATIENTS AND COMMUNITY MEMBERS TO RESOURCES TO ADDRESS SOCIALLY DETERMINED NEEDS.GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO ADVANCING HEALTH EQUITY AND SOCIAL DETERMINANTS OF HEALTH. - STRATEGY 3: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.

MARSHFIELD MEDICAL CENTER-EAU CLAIRE
PART V, SECTION B, LINE 11: AFTER EXTENSIVE REVIEW OF THE EAU CLAIRE COUNTY CHA, UNITED WAY DATA, HEALTHIEST WISCONSIN 2020, COUNTY HEALTH RANKINGS AND OTHER QUANTITATIVE AND QUALITATIVE DATA, THE TOP COMMUNITY HEALTH PRIORITIES IDENTIFIED BY MARSHFIELD MEDICAL CENTER IN EAU CLAIRE ARE:- ALCOHOL AND SUBSTANCE ABUSE- BEHAVIORAL HEALTH- CHRONIC DISEASE- SOCIAL DETERMINANTS OF HEALTHTHROUGH THE ASSESSMENT PROCESS, THE CBW-EAU CLAIRE DETERMINED THAT THE HEALTH PRIORITIES BEING ADDRESSED THROUGH THE MMC-EAU CLAIRE CHNA ALIGN WITH THOSE OF THE EAU CLAIRE CHA. THEREFORE, ALL HEALTH NEEDS WILL BE ADDRESSED BY MMC-EAU CLAIRE.HEALTH PRIORITY 1: ALCOHOL AND SUBSTANCE USEGOAL 1: REDUCE YOUTH SUBSTANCE USE- SUPPORT ALCOHOL AND OTHER DRUG (AOD) PREVENTION CURRICULUMS IN SCHOOL AND/OR AFTERSCHOOL SETTINGS.- SUPPORT COMMUNITY WIDE ENVIRONMENTAL STRATEGIES, PREVENTION, AND/OR POLICY TO ADDRESS UNDERAGE ALCOHOL USE.GOAL 2: REDUCE COMMUNITY IMPACT RELATED TO SUBSTANCE MISUSE - SUPPORT WORKPLACE DRUG PREVENTION AND RECOVERY EFFORTS.GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO ALCOHOL AND SUBSTANCE USE PREVENTION EFFORTS. - PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.HEALTH PRIORITY 2: BEHAVIORAL HEALTHGOAL 1: DECREASE SUICIDE RATES FOR HIGH-RISK POPULATIONS- ENHANCE COMMUNITY MEMBER'S SKILLS TO SUPPORT MENTAL HEALTH PROMOTION AND SUICIDE PREVENTION.- SUPPORT SUICIDE PREVENTION COMMUNITY AWARENESS EVENTS.GOAL 2: IMPROVE SOCIAL AND EMOTIONAL DEVELOPMENT OF CHILDREN AND ADOLESCENTS- ENHANCE SCHOOL CAPACITY TO PROVIDE HIGH QUALITY SOCIAL, EMOTIONAL ASSESSMENT, SUPPORT AND LEARNING. GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO SUPPORTING BEHAVIORAL HEALTH EFFORTS.- PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.HEALTH PRIORITY 3: CHRONIC DISEASEGOAL 1: IMPROVE ACCESS TO HEALTHY FOODS- INCREASE COMMUNITY CAPACITY TO PROVIDE NUTRITIOUS, LOCALLY GROWN FOOD AND ADDRESS FOOD INSECURITY.GOAL 2: REDUCE RATES OF PREVENTABLE CHRONIC CONDITIONS WITH FOCUS ON OBESITY AND DIABETES.- ENHANCE PROGRAMMING TO IMPACT CHRONIC DISEASE SELF-MANAGEMENT AND PREVENTION WITH A FOCUS ON OBESITY AND DIABETES.GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO CHRONIC DISEASE PREVENTION EFFORTS. - PARTICIPATE IN COMMUNITY-BASED WORKGROUPS. HEALTH PRIORITY 4: SOCIAL DETERMINANTS OF HEALTHGOAL 1: INCREASE KNOWLEDGE AND AWARENESS OF HEALTH EQUITY.- CONDUCT AN ORGANIZATION AND COMMUNITY ASSESSMENT OF HEALTH DISPARITIES AND HEALTH EQUITY AND DEVELOP A WORKPLAN TO ADDRESS THOSE GAPS.GOAL 2: IMPROVE HEALTH OUTCOMES BY CONNECTING CLINICAL PRACTICE TO COMMUNITY EFFORTS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH BARRIERS. - SUPPORT AND CONNECT PATIENTS AND COMMUNITY MEMBERS TO RESOURCES TO ADDRESS SOCIALLY DETERMINED NEEDS.GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO ADVANCING HEALTH EQUITY AND SOCIAL DETERMINANTS OF HEALTH. - PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.

MARSHFIELD MEDICAL CENTER-LADYSMITH
PART V, SECTION B, LINE 11: AFTER REVIEW OF THE DATA AND STAKEHOLDER INPUT, THE TOP COMMUNITY HEALTH PRIORITIES IDENTIFIED BY MARSHFIELD MEDICAL CENTER IN LADYSMITH ARE:- ALCOHOL AND SUBSTANCE ABUSE- BEHAVIORAL HEALTH- CHRONIC DISEASE - SOCIAL DETERMINANTS OF HEALTHHEALTH PRIORITY 1: ALCOHOL AND SUBSTANCE USEGOAL 1: REDUCE YOUTH SUBSTANCE USE- STRATEGY 1: SUPPORT ALCOHOL AND OTHER DRUG (AOD) PREVENTION CURRICULUMS IN SCHOOL AND/OR AFTER-SCHOOL SETTINGS.GOAL 2: REDUCE COMMUNITY IMPACT RELATED TO SUBSTANCE MISUSE - STRATEGY 2: SUPPORT COMMUNITY LED RECOVERY EFFORTS TO REDUCE SUBSTANCE USE. GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO ALCOHOL AND SUBSTANCE USE PREVENTION EFFORTS. - STRATEGY 3: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.HEALTH PRIORITY 2: BEHAVIORAL HEALTHGOAL 1: DECREASE SUICIDE RATES FOR HIGH-RISK POPULATIONS- STRATEGY 1: ENHANCE COMMUNITY MEMBER'S SKILLS TO SUPPORT MENTAL HEALTH PROMOTION AND SUICIDE PREVENTION.- STRATEGY 2: SUPPORT SUICIDE PREVENTION COMMUNITY AWARENESS EVENTS.GOAL 2: IMPROVE SOCIAL AND EMOTIONAL DEVELOPMENT OF CHILDREN AND ADOLESCENTS- STRATEGY 3: ENHANCE SCHOOL CAPACITY TO PROVIDE HIGH QUALITY SOCIAL, EMOTIONAL ASSESSMENT, SUPPORT AND LEARNING. GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO SUPPORTING BEHAVIORAL HEALTH EFFORTS.- STRATEGY 4: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.HEALTH PRIORITY 3: CHRONIC DISEASEGOAL 1: IMPROVE ACCESS TO HEALTHY FOODS- STRATEGY 1: INCREASE COMMUNITY CAPACITY TO PROVIDE NUTRITIOUS, LOCALLY GROWN FOOD AND ADDRESS FOOD INSECURITY.GOAL 2: ENGAGE IN COMMUNITY EFFORTS RELATED TO CHRONIC DISEASE PREVENTION EFFORTS. - STRATEGY 2: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS. HEALTH PRIORITY 4: SOCIAL DETERMINANTS OF HEALTHGOAL 1: INCREASE KNOWLEDGE AND AWARENESS OF HEALTH EQUITY.- STRATEGY 1: CONDUCT AN ORGANIZATION AND COMMUNITY ASSESSMENT OF HEALTH DISPARITIES AND HEALTH EQUITY AND DEVELOP A WORKPLAN TO ADDRESS THOSE GAPS.GOAL 2: IMPROVE HEALTH OUTCOMES BY CONNECTING CLINICAL PRACTICE TO COMMUNITY EFFORTS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH BARRIERS. - STRATEGY 2: SUPPORT AND CONNECT PATIENTS AND COMMUNITY MEMBERS TO RESOURCES TO ADDRESS SOCIALLY DETERMINED NEEDS.GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO ADVANCING HEALTH EQUITY AND SOCIAL DETERMINANTS OF HEALTH. - STRATEGY 3: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.THE FOLLOWING HEALTH PRIORITIES WILL NOT BE ADDRESSED BY MMC-LADYSMITH FOR REASONS INDICATED: - INJURY & VIOLENCE PREVENTION: INJURY AND VIOLENCE PREVENTION ARE IMPORTANT AREAS OF FOCUS. INSTEAD OF LEADING THIS CHARGE, MMC-LADYSMITH STAFF PARTICIPATE IN A COALITION SUPPORTING THIS AREA CALLED THE RUSK COUNTY YOUTH COUNCIL (RCYC). THIS AREA IS ALSO SERVED BY EMBRACE INC. LOCATED IN RUSK COUNTY. - COMMUNICABLE DISEASE PREVENTION & CONTROL: THIS IS AN IMPORTANT AREA OF FOCUS, MMC-LADYSMITH HAS SYSTEMS AND PROCESSES IN PLACE TO PREVENT AND REDUCE THE SPREAD OF COMMUNICABLE DISEASES IN HOSPITALS AND CLINICS. INSTEAD OF LEADING THIS CHARGE COMMUNITY WIDE, STAFF PARTICIPATE IN THE NUMEROUS COVID-19 WORKGROUPS IN RUSK COUNTY AND SURROUNDING COMMUNITIES. - ORAL HEALTH: MARSHFIELD CLINIC LADYSMITH DENTAL CENTER ADDRESSES THE COMMUNITY NEED FOR ORAL HEALTH BY SERVING PATIENTS REGARDLESS OF ABILITY TO PAY OR INSURANCE STATUS. WHILE MCHS ADDRESSES ORAL HEALTH IT IS NOT LISTED AS ONE OF THE TOP HEALTH PRIORITIES.

MARSHFIELD MEDICAL CENTER-MINOCQUA
PART V, SECTION B, LINE 11: AFTER REVIEW OF THE DATA AND STAKEHOLDER INPUT, THE TOP COMMUNITY HEALTH PRIORITIES IDENTIFIED BY MARSHFIELD MEDICAL CENTER IN MINOCQUA ARE:- ALCOHOL AND SUBSTANCE ABUSE- BEHAVIORAL HEALTH- CHRONIC DISEASE - SOCIAL DETERMINANTS OF HEALTHHEALTH PRIORITY 1: ALCOHOL AND SUBSTANCE USEGOAL 1: REDUCE YOUTH SUBSTANCE USE- STRATEGY 1: SUPPORT ALCOHOL AND OTHER DRUG (AOD) PREVENTION CURRICULUMS IN SCHOOL AND/OR AFTERSCHOOL SETTINGS.- STRATEGY 2: SUPPORT COMMUNITY WIDE ENVIRONMENT STRATEGIES, PREVENTION AND/OR POLICY TO ADDRESS UNDERAGE ALCOHOL USE. GOAL 2: REDUCE COMMUNITY IMPACT RELATED TO SUBSTANCE MISUSE - STRATEGY 3: SUPPORT WORKPLACE DRUG PREVENTION AND RECOVERY EFFORTS.GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO ALCOHOL AND SUBSTANCE USE PREVENTION EFFORTS. - STRATEGY 4: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.HEALTH PRIORITY 2: BEHAVIORAL HEALTHGOAL 1: DECREASE SUICIDE RATES FOR HIGH RISK POPULATIONS- STRATEGY 1: ENHANCE COMMUNITY MEMBER'S SKILLS TO SUPPORT MENTAL HEALTH PROMOTION AND SUICIDE PREVENTION.- STRATEGY 2: SUPPORT SUICIDE PREVENTION COMMUNITY AWARENESS EVENTS.GOAL 2: IMPROVE SOCIAL AND EMOTIONAL DEVELOPMENT OF CHILDREN AND ADOLESCENTS- STRATEGY 3: ENHANCE COMMUNITY CAPACITY TO ADDRESS HIGH RISK YOUTH NEEDS THROUGH AFTERSCHOOL CARE OPTIONS.- STRATEGY 4: ENHANCE SCHOOL CAPACITY TO PROVIDE HIGH QUALITY SOCIAL, EMOTIONAL ASSESSMENT, SUPPORT AND LEARNING. GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO SUPPORTING BEHAVIORAL HEALTH EFFORTS.- STRATEGY 5: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.HEALTH PRIORITY 3: CHRONIC DISEASEGOAL 1: IMPROVE ACCESS TO HEALTHY FOODS- STRATEGY 1: INCREASE COMMUNITY CAPACITY TO PROVIDE NUTRITIOUS, LOCALLY GROWN FOOD AND ADDRESS FOOD INSECURITY.GOAL 2: REDUCE RATES OF PREVENTABLE CHRONIC CONDITIONS WITH FOCUS ON OBESITY AND DIABETES.- STRATEGY 2: ENHANCE PROGRAMMING TO IMPACT CHRONIC DISEASE SELF-MANAGEMENT AND PREVENTION WITH A FOCUS ON OBESITY AND DIABETES.GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO CHRONIC DISEASE PREVENTION EFFORTS. - STRATEGY 3: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS. HEALTH PRIORITY 4: SOCIAL DETERMINANTS OF HEALTHGOAL 1: INCREASE KNOWLEDGE AND AWARENESS OF HEALTH EQUITY.- STRATEGY 1: CONDUCT AN ORGANIZATION AND COMMUNITY ASSESSMENT OF HEALTH DISPARITIES AND HEALTH EQUITY AND DEVELOP A WORKPLAN TO ADDRESS THOSE GAPS.GOAL 2: IMPROVE HEALTH OUTCOMES BY CONNECTING CLINICAL PRACTICE TO COMMUNITY EFFORTS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH BARRIERS. - STRATEGY 2: SUPPORT AND CONNECT PATIENTS AND COMMUNITY MEMBERS TO RESOURCES TO ADDRESS SOCIALLY DETERMINED NEEDS.GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO ADVANCING HEALTH EQUITY AND SOCIAL DETERMINANTS OF HEALTH. - STRATEGY 3: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.AFTER CONSIDERATION, THE FOLLOWING HEALTH NEEDS WILL NOT BE ADDRESSED BY MMC-MINOCQUA FOR REASONS INDICATED: COMMUNICABLE DISEASE PREVENTION & CONTROL: INSTEAD OF LEADING THIS CHARGE, STAFF PARTICIPATE IN THE NORTHCENTRAL WISCONSIN HEALTHCARE EMERGENCY READINESS COALITION IN ADDITION TO NUMEROUS COVID-19 WORKGROUPS ACROSS REGIONAL COUNTY AREAS.ORAL HEALTH: STAFF FROM MMC-MINOCQUA DOES NOT PROVIDE RELATED SERVICES, HOWEVER THE FAMILY HEALTH CENTER OF MARSHFIELD DENTAL CENTER, DOES LEAD THESE EFFORTS LOCALLY, REGIONALLY AND NATIONALLY.

MARSHFIELD MEDICAL CENTER-WESTON
PART V, SECTION B, LINE 11: AFTER REVIEW OF THE DATA AND STAKEHOLDER INPUT, THE TOP COMMUNITY HEALTH PRIORITIES IDENTIFIED BY MARSHFIELD MEDICAL CENTER IN WESTON ARE:- ALCOHOL AND SUBSTANCE ABUSE- BEHAVIORAL HEALTH- SOCIAL DETERMINANTS OF HEALTHHEALTH PRIORITY 1: ALCOHOL AND SUBSTANCE USEGOAL 1: REDUCE YOUTH SUBSTANCE USE- STRATEGY 1: SUPPORT COMMUNITY WIDE ENVIRONMENT STRATEGIES, PREVENTION AND/OR POLICY TO ADDRESS UNDERAGE ALCOHOL USE. GOAL 2: REDUCE COMMUNITY IMPACT RELATED TO SUBSTANCE MISUSE - STRATEGY 2: SUPPORT WORKPLACE DRUG PREVENTION AND RECOVERY EFFORTS.GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO ALCOHOL AND SUBSTANCE USE PREVENTION EFFORTS. - STRATEGY 3: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.HEALTH PRIORITY 2: BEHAVIORAL HEALTHGOAL 1: DECREASE SUICIDE RATES FOR HIGH RISK POPULATIONS- STRATEGY 1: ENHANCE COMMUNITY MEMBER'S SKILLS TO SUPPORT MENTAL HEALTH PROMOTION AND SUICIDE PREVENTION.- STRATEGY 2: SUPPORT SUICIDE PREVENTION COMMUNITY AWARENESS EVENTS.GOAL 2: IMPROVE SOCIAL AND EMOTIONAL DEVELOPMENT OF CHILDREN AND ADOLESCENTS- STRATEGY 3: ENHANCE SCHOOL CAPACITY TO PROVIDE HIGH QUALITY SOCIAL, EMOTIONAL ASSESSMENT, SUPPORT AND LEARNING. GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO SUPPORTING BEHAVIORAL HEALTH EFFORTS.- STRATEGY 4: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.HEALTH PRIORITY 4: SOCIAL DETERMINANTS OF HEALTHGOAL 1: INCREASE KNOWLEDGE AND AWARENESS OF HEALTH EQUITY.- STRATEGY 1: CONDUCT AN ORGANIZATION AND COMMUNITY ASSESSMENT OF HEALTH DISPARITIES AND HEALTH EQUITY AND DEVELOP A WORKPLAN TO ADDRESS THOSE GAPS.GOAL 2: IMPROVE HEALTH OUTCOMES BY CONNECTING CLINICAL PRACTICE TO COMMUNITY EFFORTS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH BARRIERS. - STRATEGY 2: SUPPORT AND CONNECT PATIENTS AND COMMUNITY MEMBERS TO RESOURCES TO ADDRESS SOCIALLY DETERMINED NEEDS.GOAL 3: ENGAGE IN COMMUNITY EFFORTS RELATED TO ADVANCING HEALTH EQUITY AND SOCIAL DETERMINANTS OF HEALTH. - STRATEGY 3: PARTICIPATE IN COMMUNITY-BASED WORKGROUPS.IN PRIORITIZING COMMUNITY HEALTH NEEDS, THE COMMUNITY BENEFITS WORKGROUP-WESTON CONSIDERED OTHER ORGANIZATIONS ADDRESSING THE SPECIFIC NEED, THE ABILITY OF MMC-WESTON TO IMPACT CHANGE, AVAILABILITY OF RESOURCES, AS WELL AS READINESS OF THE COMMUNITY FOR INTERVENTIONS. AFTER CONSIDERATION, THE FOLLOWING HEALTH NEEDS WILL NOT BE ADDRESSED BY MMC-WESTON FOR REASONS INDICATED: - WORKFORCE DEVELOPMENT: AS A MAJOR EMPLOYER IN THE COMMUNITY, MMC-WESTON RECOGNIZES ITS ROLE IN ADVANCING QUALITY EMPLOYMENT OPPORTUNITIES ACROSS ALL EMPLOYMENT TRAINING TYPES (LOW HIGH SCHOOL OR LESS, MIDDLE LESS THAN 4-YEAR DEGREE, HIGH FOUR-YEAR DEGREE OR HIGHER). MCHS COLLABORATES WITH INSTITUTIONS OF HIGHER EDUCATION TO ADVANCE LEARNING OPPORTUNITIES ACROSS THE CONTINUUM OF CARE, PROVIDES CONTINUOUS ON-THE-JOB TRAINING TO STRENGTHEN THE CURRENT WORKFORCE AND OFFERS INTERNSHIP AND VOLUNTEER OPPORTUNITIES FOR THE COMMUNITY. - WATER QUALITY: THE MARATHON COUNTY BOARD OF SUPERVISORS HAS IDENTIFIED THE PROTECTION AND ENHANCEMENT OF SURFACE WATER AND GROUNDWATER QUALITY AND QUANTITY AS A PRIORITY OBJECTIVE IN THEIR 2018- 2022 STRATEGIC PLAN.

PART V, LINE 13A:
THE FINANCIAL ASSISTANCE POLICY LINK PROVIDED HAS BEEN UPDATED AFTER THE YEAR ENDED DECEMBER 31, 2021 AND NOW REFLECTS A FAMILY INCOME LIMIT FOR FREE CARE OF 100%. AS OF DECEMBER 31, 2021, THE FAMILY INCOME LIMIT FOR FREE CARE WAS 200%.

PART I, LINE 3C:
AN INDIVIDUAL'S ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON INCOME AS COMPARED WITH FEDERAL POVERTY GUIDELINES. OTHER ELIGIBILITY FACTORS INCLUDE: ASSET LIMITATIONS, INSURANCE STATUS AND RESIDENCY. ACCOUNT BALANCE IS CONSIDERED FOR MEDICAL INDIGENCE ELIGIBILITY.THE FINANCIAL ASSISTANCE POLICY LINK PROVIDED HAS BEEN UPDATED AFTER THE YEAR ENDED DECEMBER 31, 2021 AND NOW REFLECTS A FAMILY INCOME LIMIT FOR FREE CARE OF 100%. AS OF DECEMBER 31, 2021, THE FAMILY INCOME LIMIT FOR FREE CARE WAS 200%.

PART I, LINE 7:
EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE: AMOUNTS CALCULATED IN PART I, LINE 7 ARE DETERMINED BASED ON A COST-TO-CHARGE RATIO. OTHER BENEFITS ARE DETERMINED BASED ON THE DIRECT AND INDIRECT COSTS (WHERE ALLOCATED) ASSOCIATED WITH A PROGRAM NET OF EARNED REVENUE.

MARSHFIELD MEDICAL CENTER MINOCQUA:
MARSHFIELD MEDICAL CENTER-MINOCQUA (MMC-MINOCQUA) PARTICIPATED IN VARIOUS COMMUNITY BUILDING ACTIVITIES WITH THE PURPOSE TO IMPROVE THE HEALTH OF THE COMMUNITY, INCLUDING ADDRESSING SOCIAL DETERMINATES OF HEALTH AND HEALTH INEQUITIES. DUE TO COVID-19, MANY COMMUNITY BUILDING ACTIVITIES WERE LIMITED OR CANCELED DURING THIS REPORTING PERIOD, HOWEVER STAFF PARTICIPATED IN REGIONAL COMMUNITY GROUPS COORDINATING EFFORTS TO ADDRESS COVID-19. SOME EXAMPLES OF COMMUNITY BUILDING ACTIVITIES INCLUDED: COALITION BUILDING:MMC-MINOCQUA STAFF PARTICIPATED IN SIX DIFFERENT COMMUNITY COALITIONS AND COLLABORATIONS WITH THE PURPOSE OF IMPROVING THE HEALTH OF THE COMMUNITY. COALITIONS INCLUDE: NORTHWOODS TOBACCO FREE COALITION, COMMUNITY OUTREACH EDUCATION & PREVENTION COALITION, COALITION FOR ACTIVITY & NUTRITION, NORTHWOODS BREASTFEEDING COALITION, NATIVE BREASTFEEDING COALITION AND THE TRI COUNTY COLLABORATIVE HEALTH PLANNING COMMITTEE. COMMUNITY SUPPORT:MMC-MINOCQUA STAFF SERVE ON THE CHILD FATALITY REVIEW BOARD HELPING TO IDENTIFY AREAS FOR IMPROVEMENT TO PREVENT FUTURE CHILD DEATHS. STAFF ALSO PROVIDE ATV EDUCATION AND HELMET FITTING IN THE COMMUNITY.ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS AND SAFETY:MMC-MINOCQUA COLLABORATED WITH COMMUNITY ORGANIZATIONS AND GROUPS FOR COMMUNITY HEALTH IMPROVEMENTS AND SAFETY. EXAMPLES INCLUDED: - COMMUNITY OUTREACH, EDUCATION & PREVENTION (COPE) COALITION TO CONDUCT BI-ANNUAL PRESCRIPTION DRUG TAKE BACK EVENTS.- PROVIDED PERMANENT MEDICATION DISPOSAL BOX AT MMC-MINOCQUA PHARMACY LOCATION. MARSHFIELD MEDICAL CENTER - WESTON:MMC-WESTON PARTICIPATED IN VARIOUS COMMUNITY BUILDING ACTIVITIES WITH THE PURPOSE TO IMPROVE THE HEALTH OF THE COMMUNITY, INCLUDING ADDRESSING SOCIAL DETERMINATES OF HEALTH AND HEALTH INEQUITIES. DUE TO COVID-19, MANY COMMUNITY BUILDING ACTIVITIES WERE LIMITED OR CANCELED DURING THIS REPORTING PERIOD, HOWEVER STAFF PARTICIPATED IN REGIONAL COMMUNITY GROUPS COORDINATING EFFORTS TO ADDRESS COVID-19.SOME EXAMPLES OF COMMUNITY BUILDING ACTIVITIES INCLUDED: COALITION BUILDING:MMC-WESTON STAFF PARTICIPATED IN MULTIPLE COMMUNITY COALITIONS AND COLLABORATIONS WITH THE PURPOSE OF IMPROVING THE HEALTH OF THE COMMUNITY. SOME EXAMPLES INCLUDE: MARATHON COUNTY AOD BOARD, HEALTHY MARATHON COUNTY ALLIANCE, AND LIVABLE WAUSAU. MMC-WESTON STAFF ALSO PARTICIPATED IN REGIONAL COMMUNITY GROUPS COORDINATING EFFORTS TO ADDRESS COVID-19. COMMUNITY SUPPORT:MMC-WESTON STAFF PROVIDE THE SANE PROGRAM AND PARTICIPATE IN THE MARATHON COUNTY SEXUAL ASSAULT INTERVENTION TEAM, CHILDREN'S ADVOCACY CENTER MULTIDISCIPLINARY TEAM, AND MARATHON COUNTY DOMESTIC ASSAULT INTERVENTION TEAM. ENVIRONMENTAL IMPROVEMENTS:MMC-WESTON PROVIDES A MEDICATION DISPOSAL KIOSK IN THE HOSPITAL AND CLINIC PHARMACIES THAT IS OPENED TO THE PUBLIC TO ENCOURAGE SAFE DISPOSAL OF MEDICATION IN THE COMMUNITY. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS AND SAFETY:MMC-WESTON AND OTHER SYSTEM STAFF COLLABORATE TO PROVIDE INJURY PREVENTION PROGRAMMING INCLUDING OLDER ADULT FALL PREVENTION EDUCATION AND BIKE HELMET DISTRIBUTION.

PART III, LINE 2:
BAD DEBT EXPENSE IS REPORTED AT COST USING A COST-TO-CHARGE RATIO.

PART III, LINE 3:
NO BAD DEBT IS ESTIMATED TO RELATE TO CHARITY CARE.

PART III, LINE 4:
PATIENT ACCOUNTS RECEIVABLE ARE REDUCED FOR EXPLICIT PRICE CONCESSIONS AND BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AS AN IMPLICIT PRICE CONCESSION. IN EVALUATING THE COLLECTABILITY OF PATIENTS' ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND CONTRACTUAL TERMS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ADDITIONAL IMPLICIT DISCOUNT, IF NECESSARY (I.E., FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND CO-PAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIALDIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FORRECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS AN IMPLICIT DISCOUNT IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE. THE SYSTEM'S IMPLICIT ALLOWANCE FOR SELF-PAY PATIENTS WAS APPROXIMATELY 60% AND 55% OF SELF-PAY ACCOUNTS RECEIVABLE AS OF DECEMBER 31, 2021 AND DECEMBER 31,2020, RESPECTIVELY.

PART III, LINE 8:
THE ALLOWABLE MEDICARE COST ON PART III, LINE 6 IS DETERMINED USING THE CY 2021 MEDICARE COST REPORT. THE REIMBURSEMENT FROM MEDICARE IS DEDUCTED FROM THE ESTIMATED COST USING A COST-TO-CHARGE RATIO IN ORDER TO DETERMINE THE SHORTFALL FROM THE MEDICARE PROGRAM. THE SYSTEM TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE REASONS FOR THIS TREATMENT INCLUDES (1) NON-NEGOTIABLE MEDICARE RATES ARE SOMETIMES NOT ALIGNED WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS; (2) THE SYSTEM IS ALLEVIATING THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES; AND (3) IRS REV. RUL. 69-545 NOTES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THIS ACTION INDICATES THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.

PART VI, LINE 2:
ALL MARSHFIELD MEDICAL CENTER FACILITIES ASSESSED THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY CONDUCTING STANDARD CHNA PRACTICES, INCLUDING: - REVIEW OF COMMUNITY PARTNERS' REPORTS (I.E. UNITED WAY)- REVIEW OF PUBLICLY AVAILABLE COMMUNITY HEALTH DATA (I.E. COUNTY HEALTH RANKINGS)- COMPLETION OF KEY INFORMANT INTERVIEWS WITH COMMUNITY LEADERS ABOUT THE COMMUNITY'S HEALTH NEEDS- COMPLETION OF COMMUNITY CONVERSATIONS WITH COMMUNITY MEMBERS- PARTICIPATION IN COMMUNITY HEALTH COMMITTEES AND BOARDS (I.E. HEALTHY PEOPLE WOOD COUNTY STEERING COMMITTEE)

PART II, COMMUNITY BUILDING ACTIVITIES:
"MARSHFIELD MEDICAL CENTER:MARSHFIELD MEDICAL CENTER (MMC) LOCATED IN MARSHFIELD PARTICIPATED IN VARIOUS COMMUNITY BUILDING ACTIVITIES WITH THE PURPOSE TO IMPROVE THE HEALTH OF THE COMMUNITY, INCLUDING ADDRESSING SOCIAL DETERMINATES OF HEALTH AND HEALTH INEQUITIES. DUE TO COVID-19, MANY COMMUNITY BUILDING ACTIVITIES WERE LIMITED OR CANCELED DURING THIS REPORTING PERIOD, HOWEVER STAFF PARTICIPATED IN REGIONAL COMMUNITY GROUPS COORDINATING EFFORTS TO ADDRESS COVID-19.SOME EXAMPLES OF COMMUNITY BUILDING ACTIVITIES INCLUDED: COALITION BUILDING:MMC STAFF PARTICIPATED IN MULTIPLE COMMUNITY COALITIONS AND COLLABORATIONS WITH THE PURPOSE OF IMPROVING THE HEALTH OF THE COMMUNITY SUCH AS HEALTHY PEOPLE WOOD COUNTY, MENTAL HEALTH MATTERS COALITION, MARSHFIELD AREA UNITED WAY, AND WISCONSIN PUBLIC HEALTH ASSOCIATION. MMC STAFF ALSO PARTICIPATED IN REGIONAL COMMUNITY GROUPS COORDINATING EFFORTS TO ADDRESS COVID-19. ECONOMIC DEVELOPMENT:MMC EXECUTIVE LEADERSHIP PARTICIPATED IN MARSHFIELD AREA CHAMBER OF COMMERCE'S (MACCI) BOARD AND BUSINESS ROUNDTABLE TO ASSIST IN BUSINESS DEVELOPMENTS IN THE MARSHFIELD AREA. COMMUNITY SUPPORT:MMC STAFF SUPPORT DIFFERENT COMMUNITY EFFORTS AND POPULATIONS. FOR INSTANCE, STAFF HAVE PROVIDED A VARIETY OF EDUCATIONAL OPPORTUNITIES TO OLDER ADULTS TO PREVENT FALLS, PROVIDED EDUCATION AND SAFETY EQUIPMENT TO SUPPORT ATV USE AND HAVE SUPPORTED COMMUNITY HEALTH WORKERS FROM COMMUNITIES OF COLOR WORKING TO INCREASE COVID VACCINATION AND TESTING.ENVIRONMENTAL IMPROVEMENTS:MMC PROVIDED A SHARPS DISPOSAL KIOSK IN THE HOSPITAL THAT WAS OPENED TO THE PUBLIC TO ENCOURAGE SAFE DISPOSAL OF SHARPS IN THE COMMUNITY. LEADERSHIP DEVELOPMENT AND LEADERSHIP TRAINING FOR COMMUNITY MEMBERS:MMC PROVIDED IN-KIND SUPPORT FOR LEADERSHIP OPPORTUNITIES SUCH AS QPR TRAINING OF TRAINERS. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS AND SAFETY:MMC STAFF PARTICIPATED AS A BOARD MEMBER AND HEALTH PROMOTION SECTION CHAIR FOR THE WISCONSIN PUBLIC HEALTH ASSOCIATION (WPHA). WPHA'S ADVOCACY PRIORITIES INCLUDED EARLY CHILDHOOD EDUCATION, CRIMINAL JUSTICE REFORM, INCOME STABILITY AND EMPLOYMENT, AND HOUSING. DUES WERE PAID FOR MMC STAFF TO HAVE WPHA MEMBERSHIPS. WORKFORCE DEVELOPMENT:MMC COLLABORATED WITH AREA HIGH SCHOOLS TO OFFER PROGRAMS FOR HIGH SCHOOL STUDENTS INTERESTED IN MEDICAL CAREERS, AS OBSERVATIONAL JOB EXPERIENCES FOR HIGH SCHOOL GRADUATES, AND INTERNSHIPS FOR YOUNG ADULTS WITH DEVELOPMENTAL DISABILITIES. MMC FUNCTIONED AS A CLINICAL SITE FOR STUDENT NURSES, STUDENT NURSING ASSISTANTS, PRECEPTORS FOR HEALTHCARE JOBS, MEDICAL RESIDENTS AND INTERNS.MARSHFIELD MEDICAL CENTER-EAU CLAIRE:MARSHFIELD MEDICAL CENTER-EAU CLAIRE (MMC-EAU CLAIRE) PARTICIPATED IN VARIOUS COMMUNITY BUILDING ACTIVITIES WITH THE PURPOSE TO IMPROVE THE HEALTH OF THE COMMUNITY, INCLUDING ADDRESSING SOCIAL DETERMINATES OF HEALTH AND HEALTH INEQUITIES. DUE TO COVID-19, MANY COMMUNITY BUILDING ACTIVITIES WERE LIMITED OR CANCELED DURING THIS REPORTING PERIOD, HOWEVER STAFF PARTICIPATED IN REGIONAL COMMUNITY GROUPS COORDINATING EFFORTS TO ADDRESS COVID-19. SOME EXAMPLES OF COMMUNITY BUILDING ACTIVITIES INCLUDED:COALITION BUILDING:MMC-EAU CLAIRE STAFF PARTICIPATED IN MORE THAN 15 DIFFERENT COMMUNITY COALITIONS AND COLLABORATIONS WITH THE PURPOSE OF IMPROVING THE HEALTH OF THE COMMUNITY. A LIST OF COALITIONS AND COLLABORATIONS ARE LISTED IN MMC-EAU CLAIRE CHNA AND IS DOCUMENTS ON THEIR MAIN HOSPITAL WEBSITE. MMC-EAU CLAIRE STAFF ALSO PARTICIPATED IN REGIONAL COMMUNITY GROUPS COORDINATING EFFORTS TO ADDRESS COVID-19.ECONOMIC DEVELOPMENT:MMC-EAU CLAIRE STAFF PARTICIPATED IN THE EAU CLAIRE CHAMBER OF COMMERCE BUSINESS AND WORKFORCE DEVELOPMENT COMMITTEE TO ASSIST WITH LOCAL BUSINESS AND WORKFORCE DEVELOPMENT. COMMUNITY SUPPORT:MMC-EAU CLAIRE STAFF PARTICIPATED IN COMMUNITY PROGRAMS AND EVENTS. EXAMPLES INCLUDED: - CLIMB, (CHILDREN'S LIVES INCLUDE MOMENTS OF BRAVERY) SUPPORT GROUP PROGRAM- YANAS (YOU ARE NOT ALONE BREAST CANCER SUPPORT GROUP)- EDUCATION ON FALL PREVENTION AND EXERCISE WITH THE ADRC- PRENATAL CHILD BIRTHING AND BREASTFEEDING SUPPORT CLASSES ENVIRONMENTAL IMPROVEMENTS:MMC-EAU CLAIRE PROVIDED A MEDICATION DISPOSAL KIOSK IN THE HOSPITAL THAT WAS OPENED TO THE PUBLIC TO ENCOURAGE SAFE DISPOSAL OF MEDICATION IN THE COMMUNITY.ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS AND SAFETY:MMC-EAU CLAIRE COLLABORATED WITH COMMUNITY ORGANIZATIONS AND GROUPS FOR COMMUNITY HEALTH IMPROVEMENTS AND SAFETY. EXAMPLES INCLUDED:- EAU CLAIRE CITY COUNTY HEALTH DEPARTMENT, HEALTHY COMMUNITIES, AND THE ALLIANCE FOR SUBSTANCE ABUSE PREVENTION TO CONDUCT BI-ANNUAL PRESCRIPTION DRUG TAKE BACK EVENTS.- PROVIDED PERMANENT MEDICATION DISPOSAL BOXES AT EACH MMC-EAU CLAIRE PHARMACY LOCATION.- COORDINATES WOMEN'S HEALTH EVENT CALLED ""EMPOWER ME""- PARTICIPATES IN A WOMEN'S BREAST HEALTH, AND CANCER AWARENESS EVENT CALLED ""PAINT THE TOWN PINK""- PARTICIPATES IN THE UNITED WAY OF THE GREATER CHIPPEWA VALLEY ""DAY OF CARING""- PARTICIPATION IN VARIOUS HEALTH DEPARTMENT DRIVEN GROUPS FOCUSED ON ADDRESSING THE IMPACTS OF COVID-19. WORKFORCE DEVELOPMENT:MMC-EAU CLAIRE COLLABORATED WITH AREA HIGH SCHOOLS TO OFFER PROGRAMS FOR HIGH SCHOOL STUDENTS INTERESTED IN MEDICAL CAREERS AS WELL AS OBSERVATIONAL JOB EXPERIENCES FOR HIGH SCHOOL GRADUATES. MMC-EAU CLAIRE STAFF PARTICIPATED IN THE EAU CLAIRE CHAMBER OF COMMERCE LEADERSHIP PROGRAM.MARSHFIELD MEDICAL CENTER-LADYSMITH:MARSHFIELD MEDICAL CENTER-LADYSMITH (MMC-LADYSMITH) PARTICIPATED IN VARIOUS COMMUNITY BUILDING ACTIVITIES WITH THE PURPOSE TO IMPROVE THE HEALTH OF THE COMMUNITY, INCLUDING ADDRESSING SOCIAL DETERMINATES OF HEALTH AND HEALTH INEQUITIES. DUE TO COVID-19, MANY COMMUNITY BUILDING ACTIVITIES WERE LIMITED OR CANCELED DURING THIS REPORTING PERIOD, HOWEVER STAFF PARTICIPATED IN REGIONAL COMMUNITY GROUPS COORDINATING EFFORTS TO ADDRESS COVID-19. SOME EXAMPLES OF COMMUNITY BUILDING ACTIVITIES INCLUDED: COALITION BUILDING:MMC-LADYSMITH STAFF PARTICIPATED IN MORE THAN EIGHT DIFFERENT COMMUNITY COALITIONS AND COLLABORATIONS WITH THE PURPOSE OF IMPROVING THE HEALTH OF THE COMMUNITY. A LIST OF COALITIONS AND COLLABORATIONS ARE LISTED IN MMC-LADYSMITH CHNA AND IS DOCUMENTS ON THEIR MAIN HOSPITAL WEBSITE. ECONOMIC DEVELOPMENT:MMC-LADYSMITH STAFF PARTICIPATED IN THE CORNELL AREA BETTERMENT ASSOCIATION, A GROUP PROVIDING FINANCIAL AND OTHER SUPPORT TO LOCAL EVENTS AND ORGANIZATIONS. MMC-LADYSMITH STAFF ALSO PARTICIPATE IN THE GREATER LADYSMITH AREA CHAMBER OF COMMERCE. COMMUNITY SUPPORT:- MMC-LADYSMITH STAFF PARTICIPATED IN COMMUNITY PROGRAMS AND EVENTS. EXAMPLES INCLUDED: - RUSK COUNTY RECOVERY TASK FORCE- RUSK COUNTY YOUTH COUNCIL EVENTS- RUSK COUNTY MENTAL HEALTH SUBCOMMITTEE EVENTS- RUSK COUNTY COMMUNITY GARDENWORKFORCE DEVELOPMENT:MMC-LADYSMITH COLLABORATED WITH AREA HIGH SCHOOLS TO OFFER PROGRAMS FOR HIGH SCHOOL STUDENTS INTERESTED IN MEDICAL CAREERS AS WELL AS OBSERVATIONAL JOB EXPERIENCES FOR HIGH SCHOOL GRADUATES. MMC-LADYSMITH FUNCTIONED AS A CLINICAL SITE FOR STUDENT NURSES, STUDENT NURSING ASSISTANTS, PRECEPTORS FOR HEALTHCARE JOBS, AND MEDICAL RESIDENTS AND INTERNS. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS AND SAFETY:MMC-LADYSMITH COLLABORATED WITH COMMUNITY ORGANIZATIONS AND GROUPS FOR COMMUNITY HEALTH IMPROVEMENTS AND SAFETY. EXAMPLES INCLUDED:- PROVIDED PERMANENT MEDICATION DISPOSAL BOXES AT EACH MMC PHARMACY LOCATION. - PARTICIPATION IN VARIOUS HEALTH DEPARTMENT DRIVEN GROUPS FOCUSED ON ADDRESSING THE IMPACTS OF COVID-19."

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THE ORGANIZATION HAS A BILLING AND COLLECTION POLICY WHICH SETS FORTH COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO BE ELIGIBLE OR PRESUMED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. MULTIPLE MEASURES ARE TAKEN TO COMMUNICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE AND DETERMINE WHETHER A PATIENT IS FINANCIAL ASSISTANCE ELIGIBLE BEFORE PURSUING EXTRAORDINARY COLLECTION ACTIONS (ECAS). ECAS MAY INCLUDE: REPORTING TO CONSUMER CREDIT REPORTING AGENCIES, PURSUING LEGAL JUDGMENTS, FILING LIENS, GARNISHING WAGES, REQUIRING PREPAYMENT FOR NON-EMERGENCY SERVICES. ECAS WILL NOT BE INITIATED AND FURTHER ACTION WILL NOT BE TAKEN ON EXISTING ECAS ONCE A FINANCIAL ASSISTANCE APPLICATION IS IN PROCESS. IF THE PATIENT IS DETERMINED FINANCIAL ASSISTANCE ELIGIBLE, REASONABLE MEASURES WILL BE TAKEN TO REVERSE ANY ECA ALREADY IN PLACE.

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PATIENT ASSISTANCE CENTER COUNSELORS ASSIST INDIVIDUALS WITH IDENTIFYING, REFERRING AND/OR APPLYING FOR PUBLIC, PRIVATE OR CHARITABLE RESOURCES FOR, WHICH THE PATIENT MAY QUALIFY. COUNSELORS ARE AVAILABLE VIA PHONE AND IN PERSON TO ASSIST INDIVIDUALS WITH FINANCIAL ASSISTANCE.INFORMATION ON THE MARSHFIELD CLINIC HEALTH SYSTEM (MCHS) FINANCIAL ASSISTANCE POLICY IS POSTED IN HOSPITAL REGISTRATION AND ADMITTING LOCATIONS AND IN THE HOSPITAL EMERGENCY DEPARTMENT. FINANCIAL ASSISTANCE INFORMATION IS PRINTED ON MONTHLY BILLING STATEMENTS AND INCORPORATED INTO OTHER COMMUNICATIONS IN ORDER TO WIDELY PUBLICIZE THE AVAILABILITY OF FINANCIAL ASSISTANCE, AS DESCRIBED IN THE MCHS BILLING AND COLLECTION POLICY. THE MCHS FINANCIAL ASSISTANCE POLICY (INCLUDING THE PLAIN LANGUAGE SUMMARY), THE FINANCIAL ASSISTANCE APPLICATION AND THE BILLING AND COLLECTION POLICY ARE AVAILABLE IN ENGLISH, SPANISH, HMONG AND ANY OTHER LANGUAGE THAT IS THE PRIMARY LANGUAGE SPOKEN BY THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE POPULATION OF THE SERVICE AREA.THE MCHS FINANCIAL ASSISTANCE POLICY (INCLUDING THE PLAIN LANGUAGE SUMMARY), THE FINANCIAL ASSISTANCE APPLICATION AND THE BILLING AND COLLECTION POLICY MAY BE OBTAINED FREE OF CHARGE: ON THE HOSPITAL WEBSITE, IN PERSON, FROM FINANCIAL COUNSELORS, BY PHONE AND BY MAIL.

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MARSHFIELD MEDICAL CENTER:MMC INVESTED PERSONNEL TIME, FUNDING, AND RESOURCES IN ITS COMMUNITY. MMC STAFF ENGAGED IN DIVERSE SECTORS OF THE WOOD COUNTY COMMUNITY, WHICH INCLUDED SECTORS FOCUSED ON HEALTH AND HEALTH CARE PRIORITIES AS WELL AS SOCIAL DETERMINANTS OF HEALTH ISSUES. STAFF ALSO PARTICIPATED IN STATE-WIDE ORGANIZATIONS THAT IMPACT WOOD COUNTY. HOSPITAL STAFF HOST EDUCATION AND SUPPORT TO THE COMMUNITY THROUGH ACTIVITIES SUCH AS STROKE SUPPORT GROUPS AND END OF LIFE PLANNING. THE TRAUMA PROGRAM HAS AN ACTIVE AND ROBUST INJURY PREVENTION PROGRAM OFFERING A VARIETY OF SUPPORT TO THE COMMUNITY SUCH AS BIKE SAFETY EVENTS WITH HELMET DISTRIBUTION, OLDER-ADULT FALL PREVENTION CLASSES AND DISTRACTED DRIVING EDUCATIONAL PRESENTATIONS. MMC STAFF, INCLUDING MANAGEMENT AND EXECUTIVE POSITIONS, PARTICIPATED ACTIVELY ON SEVERAL LOCAL ORGANIZATIONS SUCH AS THE MARSHFIELD UNITED WAY BOARD, MARSHFIELD AREA CHAMBER OF COMMERCE BUSINESS ROUNDTABLE, MARSHFIELD YMCA BOARD, SHIRLEY'S HOUSE OF HOPE BOARD OF DIRECTORS, RONALD MCDONALD HOUSE EXECUTIVE BOARD AND NORTH CENTRAL WI HOSPITAL EMERGENCY READINESS COALITION BOARD OF DIRECTORS. FURTHERMORE, A HOSPITAL STAFF IS PART OF THE HEALTHY PEOPLE WOOD COUNTY STEERING COMMITTEE, WHICH IS THE COMMITTEE THAT LED THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PROCESS FOR WOOD COUNTY. MARSHFIELD MEDICAL CENTER-EAU CLAIRE:MARSHFIELD MEDICAL CENTER-EAU CLAIRE (MMC-EAU CLAIRE) FURTHERED ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY WITH THE FOLLOWING:- REPRESENTATION ON THE EAU CLAIRE CHAMBER OF COMMERCE-BUSINESS AND WORKFORCE DEVELOPMENT, AND GOVERNMENT AFFAIRS COMMITTEES. THESE COMMITTEES FOCUS ON IMPROVING BUSINESS OPPORTUNITIES AND EDUCATION, AND SUPPORT STATE AND FEDERAL ISSUES IMPACTING THE LOCAL BUSINESS COMMUNITY IN EAU CLAIRE.- REPRESENTATION ON THE FEED MY PEOPLE FOOD BANK-BOARD OF DIRECTORS. FEED MY PEOPLE FOOD BANK PROVIDES HUNGER-RELIEF PROGRAMS ACCESS TO MILLIONS OF POUNDS OF LOW-COST FOODS, HELPING THEM EFFICIENTLY MEET THE NEEDS OF THEIR COMMUNITY.- PARTICIPATED IN MULTIPLE GROUPS WITHIN THE COMMUNITY COALITION EAU CLAIRE HEALTHY COMMUNITIES. THE MISSION OF THE COALITION IS TO PROMOTE THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND COMMUNITIES OF EAU CLAIRE COUNTY THROUGH COLLABORATIVE AND FOCUSED ACTION. - REPRESENTATION ON MENTAL HEALTH MATTERS WHICH SEEKS TO PROMOTE RESILIENCE FOR CHIPPEWA VALLEY YOUTHMARSHFIELD MEDICAL CENTER-LADYSMITH:MMC-LADYSMITH FURTHERED ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY WITH THE FOLLOWING:- REPRESENTATION ON THE GREATER LADYSMITH AREA CHAMBER OF COMMERCE, FOCUSING ON IMPROVING BUSINESS OPPORTUNITIES AND EDUCATION, AND SUPPORT STATE AND FEDERAL ISSUES IMPACTING THE LOCAL BUSINESS COMMUNITY IN LADYSMITH.- REPRESENTATION ON THE HEALTHY LIFESTYLES, HEALTHY COMMUNITIES FOR RUSK COUNTY COMMITTEES: MENTAL HEALTH, SUBSTANCE, AND ALCOHOL.MARSHFIELD MEDICAL CENTER-MINOCQUA:MMC-MINOCQUA FURTHERED ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY WITH THE FOLLOWING:- REPRESENTATION ON THE TRI COUNTY- COLLABORATIVE HEALTH PLANNING COMMITTEE, WHICH CONDUCTS ANNUAL COMMUNITY HEALTH ASSESSMENTS AND DEVELOPS COLLABORATIVE PLANS TO ADDRESS CONCERNS IN ONEIDA, VILAS AND FOREST COUNTIES. - REPRESENTATION ON THE COMMUNITY OUTREACH EDUCATION & PREVENTION (COPE) COALITION, COALITION FOR NUTRITION AND ACTIVITY (CAN), NORTHWOODS BREAST FEEDING COALITION AND MANY SUBCOMMITTEES OR SPECIFIC FOCUS WORK GROUPS TO IMPROVE COMMUNITY HEALTH. IN ADDITION, HOSPITAL STAFF SERVE ON THE NORTH CENTRAL WI-HEALTHCARE EMERGENCY RESPONSE COALITION. THE NCW-HERC COLLABORATIVELY PLANS FOR AND MAINTAINS READINESS ACROSS THE HEALTHCARE SECTOR, PUBLIC AND PRIVATE, TO PREPARE FOR, PREVENT, RESPOND TO, AND RECOVER FROM EMERGENT, CATASTROPHIC EVENTS. THE COALITION IS MADE UP OF ANY ORGANIZATIONS THAT MAY COME TOGETHER TO RESPOND TO A HEALTH EMERGENCY.A STAFF MEMBER FROM MMC-MINOCQUA SERVES AS THE MEDICAL ADVISOR TO THE VILAS COUNTY PUBLIC HEALTH DEPARTMENT WHERE THEY PARTICIPATE IN MONTHLY MEETINGS THAT ARE ABOUT 2-3 HOURS IN DURATION. THEY ARE AVAILABLE TO THE VILAS COUNTY PUBLIC HEALTH DEPARTMENT FOR REQUESTS TO MEET WITH OTHER ENTITIES RELATED TO PUBLIC HEALTH ISSUES (SCHOOLS, LAW ENFORCEMENT, ETC).STAFF ARE INVOLVED IN PLANNING, COORDINATION, AND IMPLEMENTATION OF VARIOUS COLLABORATIVE EFFORTS AND EVENTS IN THE COMMUNITY SUCH AS ATV SAFETY CLASSES AND CHILD FATALITY REVIEW TEAMS.MARSHFIELD MEDICAL CENTER-WESTON:MMC-WESTON FURTHERED ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY WITH THE FOLLOWING REPRESENTATION:- MARATHON COUNTY ALCOHOL AND OTHER DRUG PARTNERSHIP BOARD.- MARATHON COUNTY SCHOOL-BASED COUNSELING CONSORTIUM - LIVABLE WAUSAU: CREATING AN AGING FRIENDLY COMMUNITY- H2N HMONG/HISPANIC COMMUNICATION NETWORK FOR INFLUENZA AND COVID-19- WAUSAU FREE CLINIC COMMUNITY ADVISORY COMMITTEE- HEALTHY MARATHON COUNTY- FATAL OVERDOSE REVIEW TEAM- WESTERN MARATHON COUNTY HEALTHY COMMUNITIES- NICOTINE PREVENTION ALLIANCEMMC-WESTON HAS A ROBUST SEXUAL ASSAULT NURSE EXAMINER PROGRAM WHICH SERVES AS A LEADER IN THE COMMUNITY TO ADDRESS SEXUAL AND DOMESTIC VIOLENCE. MEMBERS FROM THE TEAM SERVE ON THE MARATHON COUNTY SEXUAL ASSAULT INTERVENTION TEAM, CHILDREN'S ADVOCACY CENTER MULTIDISCIPLINARY TEAM AND MARATHON COUNTY DOMESTIC ASSAULT INTERVENTION TEAM. IN ADDITION, THEY PROVIDE EDUCATION TO A VARIETY OF PARTNERS INCLUDING LOCAL LAW ENFORCEMENT, TECHNICAL COLLEGES AND SEVERAL HIGH SCHOOLS. THEY PARTICIPATED IN SEVERAL COMMUNITY-WIDE TOWN HALLS TO HELP THE COMMUNITY BETTER UNDERSTAND AND ADDRESS SEXUAL AND DOMESTIC VIOLENCE.

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MARSHFIELD MEDICAL CENTER:MMC SERVES WOOD COUNTY IN WISCONSIN. WOOD COUNTY COVERS 809 SQUARE MILES AND IS LOCATED IN THE CENTER OF WISCONSIN. WOOD COUNTY SITS ON THE ANCESTRAL LANDS OF THE OJIBWE, DAKOTA AND HO-CHUNK NATIONS. THE COUNTY IS MORE RURAL THAN WISCONSIN OVERALL, WITH 37 PERCENT OF THE POPULATION IN RURAL AREAS AND THE MAJORITY IN URBAN CLUSTERS, 63 PERCENT IN 2010. WITH 793 SQUARE LAND AREA MILES, THERE WAS A POPULATION DENSITY OF 94 PEOPLE PER SQUARE MILE IN 2010. IN 2019, WOOD COUNTY HAD A POPULATION OF 72,999, A POPULATION PERCENT DECREASE OF -2.3% SINCE 2010. THERE WERE 21.6% OF RESIDENTS UNDER 18 YEARS, 21.1% WHO WERE 65 YEARS AND OVER, AND 50.8% WHO WERE FEMALE. THE RACIAL MAKE-UP OF WOOD COUNTY WAS 92% WHITE ALONE NOT HISPANIC OR LATINO, 3.2% HISPANIC OR LATINO, 2% ASIAN ALONE, 1% BLACK OR AFRICAN AMERICAN, 1.0% AMERICAN INDIAN AND ALASKA NATIVE ALONE, AND 1.3% TWO OR MORE RACES. THERE WERE 2.4% OF WOOD COUNTY RESIDENTS WHO WERE NOT BORN IN THE UNITED STATES. WOOD COUNTY HAS 9.5% OF INDIVIDUALS WITH A DISABILITY WHO ARE UNDER AGE 65 YEARS, WHICH IS A HIGHER PERCENTAGE THAN FOR WISCONSIN AND THE UNITED STATES. IN WOOD COUNTY THE HIGH SCHOOL GRADUATION RATE WAS 92.7%. RESIDENTS WHO HAVE A BACHELOR'S DEGREE OR HIGHER WAS AT 19.7%, WHICH IS LOWER THAN WISCONSIN AND THE UNITED STATES. IN 2017, THE MEDIUM HOUSEHOLD INCOME WAS $54,913 WITH 10.7% OF THE POPULATION BELOW THE POVERTY LINE.MARSHFIELD MEDICAL CENTER-EAU CLAIRE:EAU CLAIRE COUNTY COVERS 638 SQUARE MILES AND IS LOCATED IN THE CHIPPEWA VALLEY OF WEST-CENTRAL WISCONSIN AT THE CONFLUENCE OF THE EAU CLAIRE AND CHIPPEWA RIVERS. THE COUNTY IS COMPRISED OF THREE CITIES (ALTOONA, AUGUSTA, AND EAU CLAIRE), TWO VILLAGES (FAIRCHILD AND FALL CREEK) AND 13 TOWNSHIPS, WITH A TOTAL POPULATION OF 104,646 (U.S. CENSUS BUREAU, 2019); APPROXIMATELY 23% OF WHICH IS RURAL. THE CITY OF EAU CLAIRE (COUNTY SEAT) HAS A TOTAL POPULATION OF 68,802 (U.S. CENSUS BUREAU, 2019) AND IS LOCATED APPROXIMATELY 90 MILES EAST OF THE TWIN CITIES IN MINNESOTA AND 90 MILES NORTH OF LACROSSE, WISCONSIN.EAU CLAIRE COUNTY IS 91.7% NON-HISPANIC WHITE, 4.3% ASIAN, 2.7% HISPANIC, 1.2% NON-HISPANIC BLACK AND 0.6% AMERICAN INDIAN AND ALASKA NATIVE. THE MEDIAN HOUSEHOLD INCOME IN EAU CLAIRE COUNTY IS $59,476 COMPARED TO THE STATE AVERAGE OF $61,747. THE NUMBER OF ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED) HOUSEHOLDS IN EAU CLAIRE COUNTY IS LOWER THAN THE STATE AVERAGE AT 22% AND 23% COMPARATIVELY WITH THE POVERTY RATE OF 10.6% WHICH IS COMPARABLE TO THE STATE AVERAGE OF 10.4%.THE EDUCATION LEVEL OF EAU CLAIRE COUNTY RESIDENTS COMPARES WELL TO THE STATEWIDE AVERAGE. ACCORDING TO THE 2021 COUNTY HEALTH RANKINGS AND ROADMAPS ESTIMATES, 94% OF RESIDENTS HAVE A HIGH SCHOOL DIPLOMA, COMPARED TO 92% STATEWIDE. LIKEWISE, 75% OF ADULTS AGES 25-44 HAVE SOME POST-SECONDARY EDUCATION, COMPARED TO 70% STATEWIDE. MARSHFIELD MEDICAL CENTER-LADYSMITH:MMC-LADYSMITH IS A 25-BED FULL SERVICE HOSPITAL IN LADYSMITH, WISCONSIN. MMC-LADYSMITH IS THE ONLY HOSPITAL WITHIN A 45-MILE RADIUS AND OFFERS A VARIETY OF MEDICAL SERVICES TO CARE FOR RUSK COUNTY RESIDENTS AND SURROUNDING COMMUNITIES. RUSK COUNTY IS LOCATED IN THE NORTHERN REGION OF WISCONSIN. THE COUNTY IS COMPRISED OF ONE CITY (LADYSMITH), EIGHT VILLAGES, AND 24 TOWNSHIPS WITH A TOTAL POPULATION OF 14,178 IN 2019, APPROXIMATELY 76.6% OF THE COUNTY IS RURAL. THERE WERE 20.3% OF RESIDENTS UNDER 18 YEARS, 24.8% WHO WERE 65 YEARS AND OVER, AND 49.1% WHO WERE FEMALE. THE RACIAL MAKE-UP OF RUSK COUNTY IS 96.1% NON-HISPANIC WHITE, 0.3% ASIAN, 2% HISPANIC, 1.3% NON-HISPANIC BLACK, AND 0.7% AMERICAN INDIAN AND ALASKA NATIVE. THE MEDIAN HOUSEHOLD INCOME IN RUSK COUNTY IS $47,532 WITH 12.3% OF ADULT RESIDENTS LIVING IN POVERTY. THE EDUCATION LEVEL OF RUSK COUNTY RESIDENTS IS LOWER THAN THE STATEWIDE AND NATIONAL AVERAGES. ACCORDING TO THE LATEST CENSUS ESTIMATES, 88% OF RUSK RESIDENTS HAVE A HIGH SCHOOL DIPLOMA AND 16.6% OF RESIDENTS HAVE A BACHELOR'S DEGREE OR HIGHER. MARSHFIELD MEDICAL CENTER-MINOCQUA:MMC-MINOCQUA IS AN 18-BED FULL-SERVICE HOSPITAL IN MINOCQUA, WISCONSIN. IT IS A FULLY INTEGRATED MEDICAL CAMPUS THAT PROVIDES COMPREHENSIVE INPATIENT AND OUTPATIENT HEALTH CARE TO RESIDENTS IN MINOCQUA AND NORTHERN WISCONSIN. ONEIDA COUNTY IS LOCATED IN THE NORTHERN LAKES REGION OF WISCONSIN AND SITS ON THE ANCESTRAL LAND OF THE LAC DU FLAMBEAU AND SOKAOGON MOLE LAKE PEOPLE OF THE OJIBWE NATION. ONEIDA COUNTY IS COMPRISED OF ONE CITY (RHINELANDER) AND 21 TOWNS INCLUDING: MINOCQUA, WOODRUFF, LAKE TOMAHAWK, THREE LAKES, SUGAR CAMP AND HAZELHURST. ONEIDA COUNTY HAD A TOTAL POPULATION OF 35,381 IN 2019; APPROXIMATELY 75% OF WHICH IS RURAL. THERE WERE 17.1% OF RESIDENTS UNDER 18 YEARS, 26.7% WHO WERE 65 YEARS AND OVER, AND 49.8% WHO WERE FEMALE. THE RACIAL MAKE-UP OF ONEIDA COUNTY WAS 95.8% WHITE ALONE NOT HISPANIC OR LATINO, 1.7% HISPANIC OR LATINO, 0.6% ASIAN ALONE, 0.7% BLACK OR AFRICAN AMERICAN, 1.2% AMERICAN INDIAN AND ALASKA NATIVE ALONE, AND 1.7% TWO OR MORE RACES. THERE WERE 1.3% OF ONEIDA COUNTY RESIDENTS WHO WERE NOT BORN IN THE UNITED STATES. ONEIDA COUNTY HAS 9.0% OF INDIVIDUALS WITH A DISABILITY WHO ARE UNDER AGE 65 YEARS, WHICH IS A HIGHER PERCENTAGE THAN FOR WISCONSIN AND THE UNITED STATES. IN ONEIDA COUNTY THE HIGH SCHOOL GRADUATION RATE WAS 93.1%. RESIDENTS WHO HAVE A BACHELOR'S DEGREE OR HIGHER WAS AT 27.2%, WHICH IS LOWER THAN WISCONSIN AND THE UNITED STATES. IN 2019, THE MEDIUM HOUSEHOLD INCOME WAS $56,852 WITH 8.9% OF THE POPULATION WAS BELOW THE POVERTY LINE.MARSHFIELD MEDICAL CENTER-WESTON:MMC-WESTON SERVES MARATHON COUNTY IN WISCONSIN AND SITS ON THE ANCESTRAL LANDS OF THE STOCKBRIDGE MUNSEE OJIBWE AND THE MENOMINEE NATIONS. IN ADDITION TO PRIMARY CARE SERVICES, MMC-WESTON OFFERS SPECIALTY CARE FOR MORE COMPLICATED MEDICAL CONCERNS INCLUDING COMPREHENSIVE CANCER CARE. THE CENTER GIVES PATIENTS ACCESS TO NEW TREATMENTS, SUPPORT GROUPS AND FAMILY RESOURCES. MARATHON COUNTY IS LOCATED IN NORTH CENTRAL WISCONSIN SERVING AS A HUB FOR SURROUNDING COUNTIES. THE CONVERGENCE OF INTERSTATE 39 AND HIGHWAY 29 IS LOCATED IN THE HEART OF THE COUNTY AND THE WISCONSIN RIVER DIVIDES THE COUNTY INTO EAST AND WEST. MARATHON COUNTY IS COMPRISED OF THREE CITIES (MOSINEE, SCHOFIELD, AND WAUSAU), FIFTEEN VILLAGES AND 34 TOWNSHIPS WITH A TOTAL POPULATION OF 135,692 IN 2019; APPROXIMATELY 43% OF WHICH IS RURAL. THE RACIAL MAKE-UP OF MARATHON COUNTY IS 90.5% NON-HISPANIC WHITE, 65.8% ASIAN, 2.8% HISPANIC, 0.6% NON-HISPANIC BLACK, AND 0.3% AMERICAN INDIAN AND ALASKA NATIVE. THE MEDIAN HOUSEHOLD INCOME IN MARATHON COUNTY IS $62,633 COMPARED TO THE STATE AVERAGE OF $62,843. IN MARATHON COUNTY 8.2% OF THE POPULATION SPEAKS A LANGUAGE OTHER THAN ENGLISH AT HOME. THE POVERTY RATE OF THE COUNTY WAS RECORDED AT 9.2% AT THE TIME OF THE ASSESSMENT WHICH IS LOWER THAN THE STATE AVERAGE OF 13.4%. THE EDUCATION LEVEL OF MARATHON COUNTY RESIDENTS EXCEEDS THE STATEWIDE AVERAGE. ACCORDING TO THE LATEST CENSUS ESTIMATES, 92% OF MARATHON COUNTY RESIDENTS HAVE A HIGH SCHOOL DIPLOMA AND 88% STATEWIDE. CONVERSELY, 25.4% OF MARATHON COUNTY RESIDENTS HAVE A BACHELOR'S DEGREE OR HIGHER WHERE THE STATE RATE IS 32.1%.

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MARSHFIELD CLINIC WAS FOUNDED IN 1916 BY SIX PHYSICIANS PRACTICING IN MARSHFIELD, A RURAL CENTRAL WISCONSIN CITY. AT ITS INCEPTION, CLINIC FOUNDERS SAW RESEARCH AND EDUCATION AS CRITICAL TO THEIR PRACTICE OF HEALTH CARE AND THAT REMAINS SO TODAY. THE CLINIC BECAME A 501(C)(3) NONPROFIT ORGANIZATION IN 1992 AND IN 2014, MARSHFIELD CLINIC HEALTH SYSTEM, INC. WAS FORMED. THE HEALTH SYSTEM'S MISSION IS TO ENRICH LIVES AND CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, COMPASSIONATE HEALTH CARE. THE HEALTH SYSTEM TODAY IS AN INTEGRATED SYSTEM SERVING WISCONSIN AND BEYOND, WITH MORE THAN 12,000 EMPLOYEES INCLUDING OVER 1,400 PROVIDERS COMPRISING MORE THAN 170 SPECIALTIES AND SUBSPECIALTIES. ITS ENTITIES PROVIDE SERVICE AND HEALTH CARE TO MORE THAN TWO MILLION RESIDENTS THROUGH OVER 60 LOCATIONS IN 40 WISCONSIN COMMUNITIES IN NORTHERN, CENTRAL AND WESTERN WISCONSIN. PRIMARY OPERATIONS INCLUDE: MARSHFIELD CLINIC, MARSHFIELD MEDICAL CENTER HOSPITALS IN MARSHFIELD, EAU CLAIRE, BEAVER DAM, LADYSMITH, MINOCQUA, NEILLSVILLE, RICE LAKE, WESTON, PARK FALLS AND MARSHFIELD CHILDREN'S HOSPITAL; MARSHFIELD CLINIC RESEARCH INSTITUTE, SECURITY HEALTH PLAN AND MARSHFIELD CLINIC HEALTH SYSTEM FOUNDATION. THE HEALTH SYSTEM DEEPLY BELIEVES IN PROMOTING COMMUNITY HEALTH THROUGH BUILDING AND SUSTAINING STRONG INTERNAL AND EXTERNAL PARTNERSHIPS AND COLLABORATIONS. FOR THIS REASON, THE HEALTH SYSTEM AND ITS AFFILIATED ENTITIES WORK TOGETHER INTERNALLY AND EXTERNALLY WITH COMMUNITY PARTNERS, STAKEHOLDERS AND RESIDENTS TO IMPROVE COMMUNITY HEALTH. UNIQUE TO THE HEALTH SYSTEM IS ITS CENTER FOR COMMUNITY HEALTH ADVANCEMENT (CCHA), WHICH BUILD BRIDGES BETWEEN THE HEALTH SYSTEM AND THE PLACES IN THE COMMUNITY WHERE PEOPLE LIVE, WORK AND PLAY. THE CCHA WORKS WITH COALITIONS, BUSINESSES, EDUCATIONAL SYSTEMS, LAW ENFORCEMENT AGENCIES, TRIBAL NATIONS, LOCAL GOVERNMENTS, AND OTHER HEALTHCARE PROVIDERS, NONPROFIT ORGANIZATIONS AND OTHER ENTITIES TO IMPROVE COMMUNITY HEALTH. THE CCHA INCLUDES HOSPITAL STAFF WHO ARE CLOSELY INVOLVED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION STRATEGY (IS) IN THEIR RESPECTIVE COUNTIES. THIS HELPS TO ALIGN COMMUNITY HEALTH PRIORITIES IDENTIFIED IN THE CHNA WITH HEALTH SYSTEM PRIORITIES.