4A (Expenses $ 68052890 including grants of $ 46263) (Revenue $ 87379213)
"SOUTHWEST HEALTH CENTER, INC. (THE ORGANIZATION"") PROVIDES INPATIENT, OUTPATIENT, EMERGENCY, OUTPATIENT BEHAVIORAL HEALTH, AND CLINICAL HEALTH CARE SERVICES AND OTHER FINANCIAL SUPPORT THROUGH VARIOUS PROGRAMS THAT ARE DESIGNED, AMONG OTHER MATTERS, TO ENHANCE THE HEALTH OF THE COMMUNITY INCLUDING THE HEALTH OF LOW INCOME PATIENTS. CONSISTENT WITH THE MISSION OF THE ORGANIZATION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, INCLUDING PROVIDING SERVICES TO THOSE PERSONS WHO ARE EITHER UNDERINSURED OR WHO CANNOT AFFORD HEALTH INSURANCE BECAUSE OF INADEQUATE RESOURCES. HEALTH CARE SERVICES TO PATIENTS UNDER GOVERNMENT PROGRAMS, SUCH AS MEDICAID HOSPITAL SERVICES, ARE ALSO CONSIDERED PART OF THE ORGANIZATION'S BENEFIT PROVIDED TO THE COMMUNITY, SINCE A SUBSTANTIAL PORTION OF SUCH SERVICES ARE REIMBURSED AT AMOUNTS LESS THAN THE COSTS OF PROVIDING CARE. PATIENTS WHO MEET CERTAIN CRITERIA FOR CHARITY CARE, GENERALLY BASED ON FEDERAL POVERTY GUIDELINES, ARE PROVIDED CARE AT A SIGNIFICANTLY REDUCED RATE, DETERMINED BASED ON QUALIFYING CRITERIA AS DEFINED IN THE ORGANIZATION'S CHARITY CARE POLICY AND FROM APPLICATIONS COMPLETED BY PATIENTS AND THEIR FAMILIES. THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THIS POLICY FOR 2021 TOTALED $196,764. IN ADDITION, DISCOUNTS TO THE MEDICAID PROGRAM FOR HOSPITAL AND CLINIC SERVICES AMOUNTED TO $20,055,708. (SEE ADDITIONAL INFORMATION ON THE COST TO THE HOSPITAL OF PROVIDING SERVICES TO MEDICAID AND CHARITY CARE RECIPIENTS IN SCHEDULE H OF THE FORM 990.)BENEFITS FOR SERVING THE COMMUNITY ALSO INCLUDE:- A COMMUNITY HEALTH INFORMATION NEWSLETTER THAT CONTAINS A BROAD RANGE OF PRACTICAL INFORMATION TO IMPROVE HEALTH AND WELLNESS AND IS MAILED TO 15,000+ LOCAL HOUSEHOLDS- OFFERING HEALTH SCREENINGS AND INFORMATION TO HUNDREDS OF AREA CONSUMERS OVER 65 YEARS OLD AT LOCAL SENIOR HEALTH FAIRS- A DIABETES HEALTH FAIR THAT EDUCATES THE COMMUNITY ON THIS DISEASE- A DIABETES MONTHLY SUPPORT GROUP- PROVIDING OF SPACE FOR AN AEROBICS CLASS THAT IS HELD TWICE PER WEEK- A WEEKLY HEALTH INFORMATION COLUMN IN A LOCAL NEWSPAPER- SPONSOR OF A PUBLIC WOMEN'S DAY THAT PROVIDED HEALTH INFORMATION- HOSTING OF A WEBSITE WITH IMPORTANT HEALTH INFORMATION- PROMOTION OF A HEALTH RESOURCE CENTER THAT PROVIDES PATIENTS, FAMILY MEMBERS, AND COMMUNITY MEMBERS ANSWERS TO HEALTH QUESTIONS AND OTHER RESOURCES TO HELP THEM LEARN ABOUT ANY HEALTH TOPIC- SPONSORING OF SEGMENTS ON THE LOCAL RADIO THAT PROVIDE WELLNESS FACTS AND INFORMATION TO THE COMMUNITYFOR TAX YEAR 2021, TOTAL HOSPITAL PATIENT DAYS WERE 4,071 AND TOTAL OUTPATIENT PROCEDURES WERE 173,005. SOME KEY STATISTICS INCLUDED IN THESE TOTALS WERE 2,714 ACUTE INPATIENT AND NURSERY DAYS, 126 SWING BED INPATIENT DAYS, AND 12,136 EMERGENCY ROOM/URGENT CARE VISITS. THE ORGANIZATION ALSO PROVIDES CLINICAL SERVICES AT TWO PRIMARY CARE CLINICS LOCATED IN PLATTEVILLE AND CUBA CITY, WISCONSIN AS WELL AS SPECIALTY PHYSICIAN SERVICES IN THE AREAS OF GENERAL SURGERY, ORTHOPEDICS, WOMEN'S HEALTH, PAIN MANAGEMENT AND EYECARE SERVICES."

4B (Expenses $ 1411630 including grants of $ 0) (Revenue $ 6796758)
"THE ORGANIZATION PROVIDES INPATIENT BEHAVIORAL HEALTH SERVICES WITH A FOCUS ON SENIOR BEHAVIORAL SCIENCES AT THE ""SENIOR BEHAVIORAL SCIENCES"" (SBS) CENTER. THE PRIMARY PATIENTS SERVED BY THIS CENTER ARE PATIENTS OVER THE AGE OF 55 AND ARE PRIMARILY MEDICARE AND MEDICAID PROGRAM BENEFICIARIES WHICH OFTEN REIMBURSE THE ORGANIZATION AT RATES BELOW THE COST OF TREATING THESE PATIENTS. HOWEVER, THE ORGANIZATION FEELS THAT IT IS THEIR MISSION IN THE COMMUNITY TO PROVIDE THESE SERVICES TO PATIENTS IN NEED. THE SBS IS PROUD TO OFFER THESE SERVICES IN A MODERN FACILITY AT A TIME WHEN MANY DISTINCT PART PSYCHIATRIC UNITS ARE CLOSING DUE TO POOR REIMBURSEMENT FROM THIRD-PARTY PAYORS. THE SBS CENTER IS STAFFED BY A FULL-TIME PSYCHIATRIST, A NURSE PRACTITIONER, AND PROFESSIONAL NURSING AND SOCIAL SERVICES STAFF. PATIENTS OF THE SBS ALSO HAVE FULL ACCESS TO ALL OF THE DIAGNOSTIC, THERAPY, AND EMERGENCY SERVICES OF THE SOUTHWEST HEALTH CENTER HOSPITAL.THE TOTAL SBS CENTER PATIENT DAYS WERE 1,735 IN TAX YEAR 2021."

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 1: SOUTHWEST HEALTH CENTER, INC., - FACILITY 2: SOUTHWEST HEALTH CENTER, INC. - SBS

SOUTHWEST HEALTH CENTER, INC. PART V, SECTION B, LINE 3J:
ACTION PLAN TO ADDRESS COMMUNITY HEALTH NEEDS.

SOUTHWEST HEALTH CENTER, INC. PART V, SECTION B, LINE 5:
SOUTHWEST HEALTH ALREADY DOES A GREAT DEAL TO ADDRESS THESE NEEDS, ADDITIONAL ACTIONS HAVE BEEN PUT IN PLACE WITH THE GOALS OF EMPOWERING PEOPLE, CONNECTING PEOPLE WITH SERVICES, AND CREATING HEALTHY PHYSICAL AND SOCIAL ENVIRONMENTS AND PROMOTING A CULTURE OF WELLNESS. IN ORDER TO DO THAT SOUTHWEST HEALTH HAS IMPROVED ITS COMMUNITY OUTREACH PROGRAMS, BOLSTERED ACCESS TO SPECIFIC SERVICES, FORMULATED NEW STAFF EDUCATION, INCREASED RECREATION ALTERNATIVES, ENCOURAGED INCREASED COMMUNITY ADVOCACY WHENEVER POSSIBLE, AND INCREASED COMMUNITY COLLABORATION AMONG OTHER THINGS.SOUTHWEST HEALTH CENTER, INC.PART V, SECTION B, LINE 7A:HTTPS://WWW.SOUTHWESTHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/PART V, SECTION B, LINE 10A:HTTPS://WWW.SOUTHWESTHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

SOUTHWEST HEALTH CENTER, INC. PART V, SECTION B, LINE 11:
SOUTHWEST HEALTH'S SOCIAL DETERMINANTS OF HEALTH TASKFORCE CONTINUES TO EXAMINE AND IDENTIFY WAYS TO IMPACT THE VARIOUS FACTORS THAT INFLUENCE A PERSON'S HEALTH AND WELL-BEING. THE TASKFORCE'S MISSION IS TO IDENTIFY, EDUCATE, ADVOCATE, AND SERVE AS A RESOURCE REGARDING THE NON-MEDICAL FACTORS CONTRIBUTING TO HEALTH OUTCOMES DISPARITIES. THESE FACTORS ARE THE CONDITIONS IN THE ENVIRONMENT WHERE INDIVIDUALS ARE BORN, LIVE, LEARN, WORK, WORSHIP, PLAY, AND AGE THAT ARE SHAPED BY THE DISTRIBUTION OF MONEY, POWER, AND RESOURCES. THESE ATTRIBUTES ARE SEEN AS PRIMARILY RESPONSIBLE FOR COMMUNITY HEALTH NEEDS AND INEQUITIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT HELPED THE TASKFORCE IDENTIFY FOCUS AREAS THAT AFFECT SURROUNDING COMMUNITIES, SUCH AS OUTREACH AND EDUCATION, CONNECTION TO SUPPORT AND RESOURCES, IMPRESS ACCESSIBILITY, AND PROMOTING LIFESTYLE CHANGES THAT PROMOTE A CULTURE OF WELL-BEING. BEYOND THE ORGANIZATION'S EXPANSION OF CLINICAL CARE TO RURAL COMMUNITIES IN KIELER AND CUBA CITY, SOUTHWEST HEALTH'S SDOH TASKFORCE HAS SPENT TIME FOCUSING ON THE FOLLOWING AREA THAT IMPACTS OUR PATIENTS, THEIR FAMILIES, AND OUR COMMUNITIES' ABILITY TO FLOURISH:-EDUCATING STAFF, PROVIDERS, AND COMMUNITY MEMBERS ON ISSUES SUCH AS IMPROVING CHILDCARE INFRASTRUCTURE, MENTAL HEALTH STIGMA, IMMUNIZATIONS, OPIOID MISUSE DISORDER, AND OTHER AREAS -AUDITING AND UPDATING CLINIC EXAM ROOM EQUIPMENT TO ENSURE ACCESSIBILITY AND SAFETY FOR SOME OF OUR MOST VULNERABLE POPULATIONS. -REVIEWING AND UNDERSTANDING HOW THE ELECTRONIC HEALTH RECORD (HER) CAN EMPOWER AND SUPPORT OUR INPATIENT STAFF AND SOCIAL WORKERS TO FIND DISPARITIES IN CARE, TREATMENT, AND SERVICES. -MEETING MONTHLY TO ASSESS COMMUNITY DATA AND REVIEW SHORT AND LONG-TERM ACTION PLANS. -INVITING SOUTHWEST HEALTH'S PATIENT AND FAMILY ADVISORY COUNCIL MEMBERS TO TASKFORCE MEETINGS AS AN ONGOING OPPORTUNITY TO CONVERSE WITH COMMUNITY MEMBERS. -PARTNERING WITH OTHER COMMUNITY ORGANIZATIONS SUCH AS SWCAP, FAMILY ADVOCATES, AND CESA 3 TO STAY CONNECTED TO NON-MEDICAL FACTORS THAT IMPACT OUR PATIENTS AND COMMUNITIES. -PROVIDING RESOURCES AT COMMUNITY EVENTS LIKE BERRY FEST THAT REFRAME HEALTH OUTCOMES AS A COMBINATION OF INDIVIDUAL LIFESTYLE & CHOICES AND ENVIRONMENTAL & SOCIAL FACTORS.

SOUTHWEST HEALTH CENTER, INC. PART V, SECTION B, LINE 13H:
DETERMINATIONS FOR FINANCIAL ASSISTANCE ELIGIBILITY WILL REQUIRE PATIENTS TO OBTAIN MEDICAID APPROVAL/DENIAL LETTER ALONG WITH SUBMITTING A COMPLETED FINANCIAL ASSISTANCE APPLICATION.

PART I, LINE 7:
THE COSTING METHOD USED ON FORM 990 IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE ORGANIZATION'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.

PART I, LINE 7G:
THE COST OF SUBSIDIZED SERVICES IS BASED ON THE 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 HOSPITAL'S INPATIENT MEDICAL/SURGICAL NURSING UNIT. THESE SERVICES ARE UNAVAILABLE TO MEMBERS OF THE COMMUNITY OTHER THAN THROUGH SOUTHWEST HEALTH CENTER, INC. IT HAS BEEN THE GOAL OF SOUTHWEST HEALTH CENTER, INC. TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENT'S ABILITY TO PAY.

PART I, LINE 7, COLUMN (F):
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 $ 1,512,484.

PART II, COMMUNITY BUILDING ACTIVITIES:
SOUTHWEST HEALTH CENTER PROVIDES CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS. IN ADDITION, THE ORGANIZATION BELIEVES IT ALLOWS FOR A CRITICALLY IMPORTANT BENEFIT, WHICH IS NOT QUANTIFIED. LIKE MOST COMMUNITY HOSPITALS, SOUTHWEST HEALTH CENTER WAS CREATED AND IS MAINTAINED TO PROVIDE HIGH-QUALITY CARE LOCALLY, WITHOUT WHICH AREA RESIDENTS WOULD BE REQUIRED TO TRAVEL GREAT DISTANCES AT A HIGH PERSONAL COST AND OFTEN IN POOR WEATHER. OUR ORGANIZATION'S VISION (CREATING A HEALTHIER SOUTHWEST WISCONSIN? PROPELS OR ORGANIZATION FORWARD, EXPANDING ACCESS TO EVER-HIGH QUALITY CARE, MORE SERVICES, MORE PROFESSIONALS AND PRACTITIONERS, AND GREATER CONTRIBUTIONS TO THE COMMUNITY FOR OUTREACH AND EDUCATION. BEYOND INPATIENT HOSPITALIZATION, SOUTHWEST HEALTH PROVIDES LOCAL ACCESS TO MANY SERVICES, INCLUDING PRIMARY MEDICAL CARE, WIDE-RANGING DIAGNOSTIC SERVICES, EMERGENCY, AND URGENT CARE SERVICES, INFUSION SERVICES SWING BED SERVICES, CLINICAL, LABORATORY, OCCUPATIONAL HEALTH, REHABILITATION, SPECIALTY, SLEEP MEDICINE, SPEECH THERAPY, GENERAL SURGERY SERVICES INCLUDING (ENT, OB/GYN, UROLOGY, ORTHOPEDICS, ETC.) INPATIENT AND OUTPATIENT PSYCHIATRIC SERVICES, OB/GYN, NUTRITION AND DIABETES EDUCATION/COUNSELING, EMERGENCY MEDICAL AND AMBULANCE SERVICES, OPTOMETRY AND ADVANCED OPHTHALMOLOGY CARE, EXERCISE PHYSIOLOGY AND SPORTS MEDICINE, ORTHOPEDICS. WE ARE STEWARDS OF HEALTH CARE FOR OUR REGION, AND PEOPLE TURN TO SOUTHWEST HEALTH FOR A TRUSTED PERSON IN THEIR HEALTHCARE.

PART III, LINE 4:
PATIENT ACCOUNTS RECEIVABLE AND CREDIT POLICY: PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH SOUTHWEST HEALTH EXPECTS TO BE ENTITLED, IN EXCHANGE FOR PROVIDING PATIENT CARE SERVICES. PATIENT ACCOUNTS RECEIVABLE ARE RECORDED IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF FINANCIAL POSITION NET OF CONTRACTUAL ADJUSTMENTS AND IMPLICIT PRICE CONCESSIONS WHICH REFLECTS MANAGEMENT'S ESTIMATE OF THE TRANSACTION PRICES. SOUTHWEST HEALTH ESTIMATES THAT TRANSACTION PRICE BASED ON NEGOTIATED CONTRACTUAL AGREEMENTS, HISTORICAL EXPERIENCE, AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS AND IS RECORDED THROUGH A REDUCTION OF GROSS REVENUE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE.

PART III, LINE 8:
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 ORGANIZATION, AND ALSO DOES NOT CONSIDER ALL CONTRACTUAL ADJUSTMENTS FOR SERVICES REIMBURSED BY THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT AT THE HOSPITAL AS WELL AS AMBULANCE SERVICES, ANESTHESIA PROFESSIONAL SERVICES, PSYCHIATRIC INPATIENT PHYSICIAN PROFESSIONAL SERVICES, SURGICAL PROFESSIONAL SERVICES, REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS, OR PHYSICAL THERAPY SERVICES PROVIDED TO NURSING HOME RESIDENTS. THESE PHYSICIAN PROFESSIONAL SERVICES, AMBULANCE SERVICES, AND NURSING HOME THERAPY SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULE REIMBURSEMENTS AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY PHYSICIAN, PHYSICAL THERAPY, AND AMBULANCE 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 SOUTHWEST HEALTH CENTER PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD USED ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED JUNE 30, 2022, AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES, AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE). ADDITIONALLY, THE AMOUNTS ABOVE DO NOT INCLUDE AMOUNTS PAID FOR INPATIENT MEDICAL/SURGICAL NURSING UNIT SERVICES AS THESE ARE INCLUDED IN THE SUBSIDIZED HEALTH SERVICES ON PAGE 1 OF SCHEDULE H. WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHO ARE TYPICALLY ELDERLY OR DISABLED MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTH CARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY.

PART VI, LINE 2:
SOUTHWEST HEALTH REVIEWS HEALTH NEEDS ASSESSMENTS FROM THE COUNTY AND STATE HEALTH DEPARTMENTS IN OUR SERVICE AREA: GRANT, IOWA, AND LAFAYETTE. AS A NON-PROFIT HEALTHCARE SYSTEM SERVING LARGE PORTIONS OF ALL THREE COUNTIES, PRIORITIES, STAFF, AND ACTIVITIES DIRECTED TOWARD MEETING THE COMMUNITY HEALTH NEEDS MAY NATURALLY DIFFER IN SOME WAYS FROM THOSE OF THE COUNTY HEALTH DEPARTMENTS. OVER THE PAST TWO YEARS, SOUTHWEST HEALTH HAS OPENED CLINICS IN CUBA CITY AND KIELER, WISCONSIN. THESE SATELLITE CLINICS ARE HELPING TO BRIDGE THE GAP BETWEEN RURAL COMMUNITIES AND ACCESSIBLE HEALTHCARE. SOUTHWEST HEALTH HAS ADDED NUMEROUS SAME-DAY AND PRIMARY CARE FAMILY MEDICINE PROVIDERS TO HELP INCREASE ACCESS TO CARE IN ALL THREE FAMILY MEDICINE CLINICS.

PART VI, LINE 3:
UNINSURED AND UNDER INSURED PATIENTS ARE OFFERED TO MEET WITH ONE OF THE ORGANIZATION'S PATIENT FINANCIAL COUNSELOR'S ANYTIME THEY PRESENT CONCERN WITH ABILITY TO PAY A BILL. THIS CAN BE AT THE TIME SERVICE IS PROVIDED, OR AFTER THE PATIENT'S BILL IS GENERATED. THE REPRESENTATIVES ARE AVAILABLE IN PERSON OR OVER THE PHONE, DEPENDING ON THE PATIENT'S PREFERENCE. THE REPRESENTATIVE EXPLAINS THE OPTIONS AVAILABLE TO THE PATIENT INCLUDING PAYMENT OVER TIME AS WELL AS THE HOSPITAL'S CHARITY CARE PROGRAM AND OFFERS ASSISTANCE IN COMPLETING CHARITY CARE APPLICATION WHEN APPROPRIATE. IF OTHER PROGRAMS ARE AVAILABLE TO THE PATIENT, SUCH AS THE WISCONSIN MEDICAL ASSISTANCE OR BADGERCARE PROGRAMS, THESE PATIENTS ARE REFERRED TO THE APPROPRIATE GOVERNMENT AGENCY FOR FURTHER ASSISTANCE.

PART III, LINE 9B:
UNDER THE ORGANIZATION'S COLLECTION AND CHARITY CARE POLICIES, SOUTHWEST HEALTH CENTER, INC. MAKES EVERY ATTEMPT TO IDENTIFY AND PROMOTE CHARITY CARE TO PATIENTS. INCLUDED IN THE ORGANIZATION'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 ORGANIZATION'S PATIENT FINANCIAL COUNSELORS OR SOCIAL WORKERS TO ALLOW THESE PATIENTS THE ABILITY TO COMPLETE THEIR APPLICATION DURING THEIR STAY AT THE HOSPITAL. DEPENDING UPON THE PATIENT'S CONDITION, 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 ORGANIZATION'S COLLECTION POLICIES AS WELL AS THE CHARITY CARE PROGRAM TO ALLOW PATIENTS THE OPPORTUNITY TO COMPLETE THE APPROPRIATE FORMS AND QUALIFY UNDER THE PROGRAM.

PART VI, LINE 4:
SOUTHWEST HEALTH OPERATES FACILITIES IN PLATTEVILLE, CUBA CITY, DARLINGTON, LANCASTER, AND KIELER AND WILL BREAK GROUND IN A NEW CLINIC IN DARLINGTON, WISCONSIN. THE PRIMARY SERVICES AREA FOR SOUTHWEST HEALTH ENCOMPASSES ALL PEOPLE LIVING WITHIN A 35-MILE RADIUS OF PLATTEVILLE, WISCONSIN, INCLUDING PLATTEVILLE, CUBA CITY, DICKEYVILLE, BELMONT, ELLENBORO, REWEY, LIVINGSTON, KIELER, PARTS OF DUBUQUE, EAST DUBUQUE, AND GALENA.

PART VI, LINE 5:
MOST OF THE ORGANIZATION'S GOVERNING BODY COMPRISES PEOPLE WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR CONTRACTORS. SURPLUS FUNDS OF THE ORGANIZATION ARE INVESTED BACK INTO THE FACILITY AND ITS EQUIPMENT TO ENSURE THE NEEDED SERVICES ARE CONTINUED TO BE PROVIDED IN THE COMMUNITY. STAFF MEMBERS ARE OFTEN MEMBERS OF SOUTHWEST HEALTH COMMITTEES THAT GOVERN MONEY TO FUND THE PROJECT. SOUTHWEST HEALTH'S EMPLOYEES THAT CARE (ETC) FUND IS EMPLOYEE-FUNDED FOR EMPLOYEE-DRIVEN PROJECTS THAT BENEFIT EMPLOYEE HEALTH.

PART VI, LINE 6:
N/A

PART VI, LINE 7, REPORTS FILED WITH STATES
WI