2024-08-15T14:17:40-05:00 2023-09-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2022-10-01 390992883 Mile Bluff Medical Center Inc MILE 6088476161 1050 Division Street Mauston WI 539481997 Dara Bartels President & CEO 6088476161 2024-08-15 1 1 Kim Hunwardsen CPA P00484560 6122536500 2024-08-15 2022 2024-08-08 14:25:15Z Dara Bartels 1050 Division Street Mauston WI 539481997 136277528 0 X www.milebluff.com X 1923 WI Improve health and quality of life in the community 12 6 918 220 5867734 0 2590086 515437 101466602 114513996 1094963 639560 1833747 987662 106985398 116656655 0 0 0 0 63737555 68350829 0 0 0 42751588 48963079 106489143 117313908 496255 -657253 110582653 114325269 67278067 70016748 43304586 44308521 X Mile Bluff Medical Center, as a community health resource center, will serve in a leadership capacity to facilitate the delivery of health care and medical services, including care for the elderly and home care to the residents of and visitors to Juneau County and surrounding counties. As part of this mission, the Mile Bluff Medical Center intends to facilitate confidential delivery of quality health care in a professional and timely manner by maintaining dedicated, compassionate and well trained medical staff and employees; progressive, professional management; and modern equipment and facilities consistent with fiscally sound business practices. 0 0 93578807 101166318 Mile Bluff Medical Center leads delivery of healthcare to its region through over 700 associates who coordinate care to deliver patient care as an integrated unit. Mile Bluff Medical Center and its affiliates also work seamlessly to meet the needs of the communities they serve.Mile Bluff Medical Center also makes medical care accessible to the entire community it serves. Mile Bluff Medical Center operates a full-time emergency room and provides emergency care regardless of ability to pay. Mile Bluff Medical Center provides clinical services needed to operate the Emergency Room and provides on-site emergency medical care and medical transportation services through an area ambulance service, and an onsite helipad.The Medical Center provides health care services to patients and residents who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since the Medical Center does not pursue collection of these amounts, they are not reported as patient and resident service revenue. The estimated cost of providing these services was $633,000 for the year ended September 30, 2023, calculated by multiplying the ratio of cost to gross charges for the Medical Center by the gross uncompensated charges associated with providing charity care to its patients and residents.Mile Bluff Medical Center operates two long-term care facilities, Fair View Nursing & Rehabilitation in Mauston, WI and Crest View Nursing and Rehabilitation in New Lisbon, WI. These two skilled-nursing facilities are 50 beds and 60 beds respectively. Crest View also operates a 12-bed community-based residential facility. 7904261 8104805 MBMC Mauston Phillips, LLC is a division of Mile Bluff Medical Center. In addition to the full-service pharmacy, the store also offers home medical equipment and supplies, over-the-counter medications, digital photo processing, health and wellness screenings, immunizations, cards, gifts and a coffee bar. The convenience of drive-through prescription pick-up is also available. Phillips Prescription Dispensing Services are available in Mile Bluff's Mauston, Necedah, and Elroy locations. With an order from a provider, many prescriptions can be filled on-site or delivered at a later time for a more convenient pick-up option for patients. 101483068 1 1 0 0 0 0 0 0 1 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 92 0 1 918 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 6 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 WI X Dara B Bartels 6088476161 1050 Division Street Mauston WI 53948 Daniel Kattenbraker MD Chair 20.50 0.00 X X 180039 0 8969 Randy Scott Vice Chair 0.50 0.00 X X 0 0 0 Larry Willer Treasurer 0.50 0.00 X X 0 0 0 Lori Murphy Secretary as of Jan 2023 0.50 0.00 X X 0 0 0 Sandy Linsmeyer Secretary until Dec 2022 0.50 0.00 X X 0 0 0 Jenna Sebranek MD - Family Medicine, Chief of Staff 40.50 0.00 X 247886 0 47124 Cassondra Kovach MD Family Practice, Director 40.50 0.00 X 331033 0 49330 Denny Loging Director 0.50 0.00 X 0 0 0 James Grannell DO FAOAO Orthopedics/Director 40.50 0.00 X 653402 0 46988 Michelle Herek Director 0.50 0.00 X 0 0 0 Rebecca Richards-Bria Director 0.50 0.00 X 0 0 0 Michael Pech MD OB/GYN, Director 40.50 0.00 X 395088 0 49737 Dara Bartels President, CEO 40.50 0.30 X X 428090 0 49838 Rebecca Oetzman CFO until Feb 2023 40.50 0.30 X 184227 0 30490 Barbara Jo Wolff CFO as of May 2023 40.50 0.30 X 0 0 0 Rhonda Larson Chief Nursing Officer 40.00 0.00 X 183300 0 33163 Scott Kniprath Chief Operations Officer 40.00 0.00 X 192815 0 30634 Brian Schultz MD Surgeon 40.00 0.00 X 551005 0 46988 Timothy Napier MD Surgeon 40.00 0.00 X 783108 0 45620 Florin Penciu MD Hospital Medicine 40.00 0.00 X 361684 0 10310 Brian Myers MD Family Medicine 40.00 0.00 X 429228 0 46988 John Murphy MD Family Medicine 40.00 0.00 X 391422 0 46988 James O'Keefe Former President, CEO 0.00 0.00 X 163930 0 22050 Tim Bjelland MD Former Key Employee 40.00 0.00 X 300755 0 41305 5777012 0 606522 93 1 1 0 3rt Network 103 Lenard St S West Salem WI 54669 IT Support 1675296 Marshfield Labs 1000 North Oak Ave Marshfield WI 54669 Lab Services 787772 John Watring 15813 Palmira Ave Corpus Christi TX 78418 Professional services 210560 Dr Christopher Peck 417 22nd St North Lacrosse WI 54601 Professional services 205860 4 115349 300459 99629 515437 Patient Revenue 621110 73680552 73680552 Clinic Revenue 621110 15153509 15153509 Retail pharmacies 456110 13442977 7575243 5867734 Skilled/LTC revenue 623000 10579314 10579314 1657644 1657644 114513996 235120 235120 890431 432331 458100 458100 95299 362801 16981194 47389 16576877 47266 404317 123 404440 404440 3093961 2564399 529562 529562 116656655 109271123 5867734 1002361 2929322 2289894 639428 278403 278403 53242981 48057328 5185653 1486291 1323158 163133 7243632 6055496 1188136 3170200 2795003 375197 107129 107129 115057 115057 5914622 3601514 2313108 476887 31477 445410 4774098 4634137 139961 2624187 1651 2622536 3033769 1916394 1117375 108641 95871 12770 254611 254611 2414839 2105360 309479 3276134 2856859 419275 1221413 1221413 Medical supplies 22500457 22500457 Repairs and Maintenance 882927 510846 372081 Food 641537 619965 21572 Dues & subscriptions 406376 198004 208372 210395 135227 75168 117313908 101483068 15830840 0 17935672 22206324 20103387 17141483 4353067 4162153 1286182 246280 103955009 69449153 27032525 34505856 35482018 27647874 1929000 1929000 2460802 6486299 110582653 114325269 8375794 11593391 9477055 10367642 48452080 47724715 29000 31000 333228 300000 610910 0 67278067 70016748 X 43204657 44271785 99929 36736 43304586 44308521 110582653 114325269 -657253 1667514 -6326 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1632974 1632974 55746933 41820867 13926066 34234339 26414570 7819769 12340763 1213716 11127047 34505856 Estimated 3rd Party Collectible 5545052 Prepaid service contract 941247 6486299 X Part IV, Line 2b: Patient security deposits are for tenants at Terrace Heights. This is a security deposit when they sign the lease and returned to them when they move out, unless there is damage to the apartment. Part X, Line 2: The Medical Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, do not have any uncertain tax positions that are material to the consolidated financial statements. The Medical Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 633000 633000 0.00540 633000 633000 0.00540 21412221 8633987 12778234 0.10890 21412221 8633987 12778234 0.10890 22045221 8633987 13411234 0.11430 1 1694805 394890 12049213 15291377 -3242164 X 1 1 1 1 Mile Bluff Medical Center Inc 1050 Division Street Mauston WI 53948 www.milebluff.com 134 X X X 4 provider based rural health clinics Mile Bluff Medical Center Inc 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X See Part V, Page 8 X 1 21 1 See Part V, Page 8 0 1 X 300.000000000000 300.000000000000 X X X X 1 1 X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X X 1 X 0 X X X X 1 X 0 1 Mile Bluff Medical Center, Inc. Part V, Section B, Line 5: A Community Health Needs Assessment Forum was held with input from: Juneau County Public Health, UW Extension, Juneau County Human Services, medical providers, local public schools, local business leaders, and the Juneau County Economic Development Corp. Family Health La Clinica was consulted representing medically underserved, especially those needing dental services, behavioral health assessment and substance abuse treatment. The Juneau County Aging and Disability Resource Center was consulted representing medically underserved and low income that are affected by aging, disability, mental health or substance abuse issues. Also consulted were S.E.A. of Change, Juneau County Suicide Prevention Coalition, and South Central Alliance for Tobacco Prevention. Mile Bluff Medical Center, Inc. Part V, Section B, Line 6b: Juneau County Public Health Department Mile Bluff Medical Center, Inc. Part V, Section B, Line 11: The Community Health Needs Assessment was completed in fiscal year 2022. The needs identified were housing, access to care and daycare offerings. In response to the needs identified last year, including housing, access to care, and daycare, we have focused on supporting community efforts through collaboration and advocacy. Specifically, to improve access to care, we have enhanced our services and partnerships to ensure more residents can receive the care they need. Mile Bluff Medical Center, Inc. Part V, Section B, Line 13h: In addition to providing free or discounted care based on Federal Poverty Guidelines, we review monthly income and expenses, held assets and liabilities, bank statements, taxes, etc. Being below, or at the 300% poverty guideline does not always accurately tell us a patient's ability to pay. A patient could be below 300%, but have substantial assets (real estate, vehicles, retirement fund). Conversely, a patient could be slightly over the 300%, but after reviewing all financial information, their ability to pay may be very limited. Offering discounts in these types of scenarios offers the patient a realistic payment and reduces bad debt expense for Mile Bluff Medical Center. Mile Bluff Medical Center, Inc. Part V, Section B, Line 16j: Our Admissions staff identifies self-pay patients at registration and patients who may qualify for financial assistance. Our business office staff then reviews our charity care policy with these patients, as well as any government programs we feel the patient may qualify for. All self-pay patients are directed to staff who provide our charity care policy/forms and assistance to fill out if needed. Contact information for our financial advisors is also available on our website. Mile Bluff Medical Center, Inc. Part V, Section B, Line 24: Some services are considered ineligible for financial assistance such as:1. Services which are cosmetic or elective in nature2. Services provided in a clinic setting which are not medically necessary3. Services related to a pending settlement from a liability claim4. Services provided by professionals which are not billed through MBMCFinancial assistance eligible patients obtaining the above services may have been billed gross charges. Part V, Section B, Line 7a: Community health needs assessment websitehttps://www.milebluff.com/about-us/health-needs-assessment/ Part V, Section B, Line 10: Implementation strategy websitehttps://www.milebluff.com/about-us/health-needs-assessment/ Part V, Section B, Line 16a-c: Financial assistance policy, financial assistance application, and plain language summary websitehttps://www.milebluff.com/patient-visitors/billing-information/financial-assistance/ 7 1 - Crest View Nursing Home 612 View Street New Lisbon WI 53950 Skilled care nursing facility 2 - Fair View Nursing Home 1050 Division Street Mauston WI 53948 Skilled care nursing facility 3 - Mile Bluff Dialysis Center 1040 Division Street Mauston WI 53948 Dialysis clinic 4 - Lake Delton Family Medical Center 28 Commerce Street Wisconsin Dells WI 53965 Family practice clinic 5 - Terrace Heights Retirement Community 1030 Division Street Mauston WI 53948 Independent living 6 - WI Dells Dialysis Center 28 Commerce Street Wisconsin Dells WI 53965 Dialysis clinic 7 - MBMC Mauston Phillips 123 E State St Mauston WI 53948 Retail pharmacy Part I, Line 3c: In addition to providing free or discounted care based on Federal Poverty Guidelines, we review monthly income and expenses, held assets and liabilities, bank statements, taxes, etc. Being below, or at the 300% poverty guideline does not always accurately tell us a patient's ability to pay. A patient could be below 300%, but have substantial assets (real estate, vehicles, retirement fund). Conversely, a patient could be slightly over the 300%, but after reviewing all financial information, their ability to pay may be very limited. Offering discounts in these types of scenarios offers the patient a realistic payment and reduces bad debt expense for Mile Bluff Medical Center. Part I, Line 6a: The Organization's community benefit report is available to the public upon request. Part I, Line 7: Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. The cost for subsidized health services reported on line 7g was determined using the Medicare cost report. Part III, Line 2: The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concession based on its historical collection experience with this class of patients. Part III, Line 3: The estimated amount of the Organization's implicit price concessions attributable to patients eligible under the Organization's charity care policy is calculated based on an approximate 23.3% of individuals living below the poverty level in the service area. Part III, Line 4: The footnote to the Organization's financial statements can be found on pages 15-16 of the attached audited financial statements. Part III, Line 8: Mile Bluff Medical Center provides services to patients under the Medicare program knowing they will not recover all the costs associated with providing these services. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, the Medicare shortfall is considered a community benefit.Total revenue received from Medicare is the gross reimbursement plus settlement. Both total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report. The Medicare cost report is completed based on the rules and regulations set forth by the Centers for Medicare and Medicaid Services. Part III, Line 9b: To fulfill its mission of community service, the Medical Center provides care to patients and residents who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. The Medical Center does not pursue any collection efforts of accounts for patients who are known to qualify or have qualified for charity care or financial assistance. If a patient requests financial assistance after an account has been referred for collection action and it has been less than 240 days from the first billing statement for that service, extraordinary collection action will be suspended until the application has been processed, as long as the patient follows the requirements of the program.Following a write-off, any personal portion due follows the same collection procedures as other accounts. If a payment plan is set up and the patient stops making the payments as agreed upon, the patient is responsible for the entire amount and normal collection efforts will begin. Part VI, Line 2: We use the following tools to assess health care needs of the communities we serve: (1) Patient exit questionnaires are distributed and reviewed; (2) Analysis of data received from the WHA; and (3) Utilization of the Intelimed software program which allows us to analyze data from facilities comparable to ours.We have completed another Community Health Needs Assessment (CHNA) and posted it in its entirety to our website. An implementation strategy was also prepared, approved by the board, and posted to our website. Part VI, Line 3: Our Admissions staff identifies self-pay patients at registration and patients who may qualify for financial assistance. Our business office staff then reviews our charity care policy with these patients, as well as any government programs we feel the patient may qualify for. Our charity care application is available to anyone who requests it. All self-pay patients are directed to staff who provide our charity care policy/forms and assistance to complete if needed. Part VI, Line 4: Mile Bluff Medical Center operates a 40-bed acute care general Medical Center providing services to Mauston, Wisconsin, and the surrounding communities. Mile Bluff Medical Center is the only hospital in Juneau County. We serve a population of more than 55,000 residents in a five-county rural region. The nearest large hospitals are 60-70 miles away (LaCrosse and Madison). The Medical Center is the largest employer in the area. Farmers and small business owners make up the bulk of the work force. Between 2021 and 2022, the percent of uninsured citizens in Mauston, WI grew by 9.08% from 13.8% to 15%. Medicaid recipients account for 19.8% of the total payor mix. Medicare patients account for 48.6% of the total payor mix. The estimated median household income in 2022 was $57,083. The percentage of residents living in poverty in 2022 was 23.3%. Part VI, Line 5: Mile Bluff Medical Center offers 40 beds in an acute care setting with state-of-the-art technology and professional services. The Medical Center operates the following:1. Fair View Nursing & Rehabilitation Center - A 50-bed nursing home2. Terrace Heights - A 34-apartment complex retirement home3. Rural Health Clinics - Clinics located in Elroy, Necedah, New Lisbon, and Mauston, Wisconsin4. Lake Delton Family Medical Center5. Mile Bluff Dialysis Center6. Wisconsin Dells Dialysis Center7. Crest View Nursing & Rehabilitation Center- A 60-bed nursing home with a 12-bed community-based residential facility8. Phillips PharmacyMile Bluff Medical Center's governing board includes community leaders, consumer representatives, business experts and clinical healthcare experts. Most work at, or operate, local businesses. The Board has a history of commitment to acting with the highest integrity and has been proactively evaluating opportunities to voluntarily adopt governance best practices to ensure the organization continues to operate with the highest of integrity for the benefit of the community.To meet the needs of the community, the hospital extends medical staff privileges to all qualified, licensed physicians in the community. Surplus funds are reinvested in patient care and facility upgrades.We offer several education opportunities and health care services across our county throughout the course of the year at little to no cost. Some of the services provided are cholesterol and blood pressure screenings, diabetic education, smoking cessation, grief and depression counseling, hearing loss screening, nutritional education, CPR classes, sibling and babysitting classes, exercise and well-being, skin checks, and classes dealing with cancer. Contributing to Community Education: Mile Bluff Medical Center's Nursing staff participate in county wide community health fairs. These events provide information and guidelines to those in need of medical information.Preventive Care a Priority: Mile Bluff Medical Center has taken steps to enhance preventive care for people of all ages by ensuring that those who come here for preventive care receive the screenings and recommendations appropriate to their personal and family history.We strongly encourage and recruit volunteers to help at our hospital. Tasks vary from patient centered activities to simple clerical work. Part VI, Line 7, Reports Filed With States WI X X 0 0 0 0 0 0 0 1 0 Timothy Napier MD Surgeon 300894 0 458693 0 23521 0 15250 0 30370 0 828728 0 0 0 James Grannell DO FAOAO Orthopedics/Director 627402 0 26000 0 0 0 15250 0 31738 0 700390 0 0 0 Brian Schultz MD Surgeon 530005 0 21000 0 0 0 15250 0 31738 0 597993 0 0 0 Dara Bartels President, CEO 419463 0 7150 0 1477 0 15250 0 34588 0 477928 0 0 0 Brian Myers MD Family Medicine 290689 0 138446 0 93 0 15250 0 31738 0 476216 0 0 0 Michael Pech MD OB/GYN, Director 367157 0 21000 0 6931 0 15250 0 34487 0 444825 0 0 0 John Murphy MD Family Medicine 381048 0 1000 0 9374 0 15250 0 31738 0 438410 0 0 0 Cassondra Kovach MD Family Practice, Director 147400 0 152675 0 30958 0 14855 0 34475 0 380363 0 0 0 Florin Penciu MD Hospital Medicine 331684 0 30000 0 0 0 0 0 10310 0 371994 0 0 0 Tim Bjelland MD Former Key Employee 233071 0 40056 0 27628 0 14510 0 26795 0 342060 0 0 0 Jenna Sebranek MD - Family Medicine, Chief of Staff 201880 0 22356 0 23650 0 12537 0 34588 0 295011 0 0 0 Scott Kniprath Chief Operations Officer 189089 0 3375 0 351 0 0 0 30634 0 223449 0 0 0 Rhonda Larson Chief Nursing Officer 177865 0 3735 0 1700 0 9217 0 23946 0 216463 0 0 0 Rebecca Oetzman CFO until Feb 2023 180136 0 3735 0 356 0 9269 0 21221 0 214717 0 0 0 Daniel Kattenbraker MD Chair 0 0 164635 0 15404 0 8969 0 0 0 189008 0 0 0 James O'Keefe Former President, CEO 152740 0 0 0 11190 0 8140 0 13910 0 185980 0 0 0 Part I, Line 7 Mile Bluff Medical Center provided incentives to the following individuals. Provider incentives are volume driven. Gross charges for certain physician procedures are added up quarterly, and a percentage of those gross charges are paid out as an incentive. A series of 3 to 5 goals must also be met beyond financial indicators. Some of the provider's incentives are based on an wRVU module. They must reach a certain wRVU threshold in order to receive an incentive. Timothy Napier, MD 457,693 James Grannell, DO 25,000 Brian Schultz, MD 20,000 Brian Myers, MD 137,446 Michael Pech, MD 20,000 Cassondra Kovach, MD 151,675 Jenna Sebranek, MD 21,356 Scott Kniprath 3,375 Rhonda Larson 2,735 Dan Kattenbraker, MD 164,135 Tim Bjelland, MD 39,056 Part II: Providers that are on the Board of Directors do not receive compensation for being on the board. The compensation listed reflects the providers' practice. Provider incentive reflects pay based upon care provided to patients. A Wisconsin Health and Educational Facilities Authority 391337855 97712DDM5 2014-05-01 27870296 Refund bonds issued 9/21/2000, 1/18/2001 and 5/23/2007 0 0 0 B Wisconsin Health and Educational Facilities Authority 391337855 000000000 2022-09-01 24750000 Hospital renovation and new clinic in Mauston, Wisconsin 0 0 0 A 4040296 27870296 2324888 553833 9860000 15131575 2015 1 0 1 1 B 150000 24750000 323298 24426702 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 0 1 0 0 0 1 A 1 B 1 Date Rebate Computation Performed Issuer Name: Wisconsin Health and Educational Facilities Authority Date the Rebate Computation was Performed: 12/04/2020 Schedule K, Part II, Line 11: The other spent proceeds were used to currently refund bonds on 9/21/2000, 1/18/2001 and 5/23/2007. Nancy Pech Spouse to Board Member of organization 33787 Salary and benefits as an employee 0 Form 990, Part VI, Section A, line 1a The Executive Committee consists of the Chair, Vice Chair, Secretary, Treasurer and two other members of the Board of Directors. The Executive Committee has power to transact all regular business of the Corporation during the interim between the meetings of the Board of Directors, except for policies and expressed wishes of the Board of Directors. Duties include submitting a budget and monthly financial reports. Form 990, Part VI, Section B, line 11b A copy of the Form 990 was not provided to the governing body before it was filed. The Form 990 is reviewed by the Organization's CEO and CFO. Form 990, Part VI, Section B, line 12c Each Director must disclose to the Board of Directors any duality of interest or possible conflict of interest whenever the duality or conflict pertains to a matter being considered by the Board. Any Director having duality of interest or conflict of interest on any matter must abstain from voting on the matter and is not counted in determining the quorum for the vote on the matter. In addition, the Director will not use his or her personal influence on the matter, but may briefly state his or her position on the matter and may answer pertinent questions from other Directors since his or her knowledge may be of great assistance. The minutes of the meeting involving any such situation must reflect that a disclosure was made, the abstention from voting, and the quorum situation. If a Director is uncertain as to whether he or she has a duality or conflict of interest which requires abstention, or if a Director asserts that another Director has such a duality or conflict, the Board, by majority vote of those present other than the Director having the possible conflict, will decide whether abstention is required. If so, the Director will be deemed to have abstained. Form 990, Part VI, Section B, line 15 The Executive Compensation Committee reviews the compensation for the Officers annually. The Committee makes recommendations to the Board of Directors. The Board of Directors has final approval of compensation. Both the Executive Compensation Committee and the Board of Directors have greater than 50% independence as required by the Bylaws. The annual review includes a performance evaluation, fair market value data, and documentation by the Board of Directors. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy, and financial statements are not available to the public. However, financial information is available through the public disclosure copy of the 990. MBMC Mauston Phillips LLC dba Phillips Pharmacy 123 E State St Mauston WI 53948 813570512 Retail Pharmacy WI 13442977 1836844 Mile Bluff Medical Center Inc Mile Bluff Medical Center Foundation Inc 1050 Division Street Mauston WI 53948 271865510 Support Mile Bluff Medical Center, Inc. WI 501(c)(3) Line 12a, I Mile Bluff Medical Center Inc 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 Mile Bluff Medical Center Foundation Inc C 115349 Accrual Schedule R, Part I, Identification of Disregarded Entities: Raabe Pharmacy, LLC's operations were combined into MBMC Mauston Phillips, LLC d/b/a Phillips Pharmacy during the year ended Spetember 30, 2023.