2024-11-14T15:38:59-06:00 2023-12-31 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2023-01-01 390819992 Edgerton Hospital and Health Services Inc EDGE 6088843441 11101 North Sherman Road Edgerton WI 53534 Marc Augsburger CEO 6088843441 2024-11-13 1 1 Lisa Chaffee CPA P00193453 7012551091 2024-11-13 2023 2024-10-15 13:58:12Z Marc Augsburger 11101 North Sherman Road Edgerton WI 53534 29900842 0 X www.edgertonhospital.com X 1968 WI Serve area communities with exceptional quality and innovative health services 12 12 300 35 0 0 2343120 1864972 23657523 27695433 74121 251404 14100 77585 26088864 29889394 11023 11237 0 0 14506741 16839226 0 0 165608 10364536 13769191 24882300 30619654 1206564 -730260 26545711 28571179 21882204 24637097 4663507 3934082 X To provide exceptional healthcare for our communities 1 0 25634471 11237 27695433 Edgerton Hospital and Health Services, Inc. is a 16-bed acute care hospital located in Edgerton, Wisconsin.There were 307 total adult admissions in 2023. Total patient days were 2,537 with an average daily census of 7.0 patients. Emergency room and urgent care visits were 5,524.Preventive Care Services:Edgerton Hospital and Health Services (Edgerton Hospital) provides several types of free health screenings during the year. These include: blood pressure, dietary counseling and education, diabetes, and cancer screenings.Emergency Room:Edgerton Hospital's Emergency Room is fully staffed 24 hours a day, seven days a week. Edgerton Hospital is affiliated with "Life Flight," a helicopter service that delivers patients to area tertiary care centers. Edgerton Hospital's Urgent Care Center provides another level of walk-in care when appropriate.Community Outreach:Edgerton Hospital works closely with the community to provide hospital and hospital-related services responsive to the specific needs of Edgerton and surrounding farming communities. Edgerton Hospital partners with other city services (such as the police and fire departments) to provide emergency equipment and training necessary to enhance area emergency services. Edgerton Hospital also participates in cooperative emergency response training (with the county and other community services) in preparation for local or area disasters. Community Education:Events are held at the Hospital or conducted by Hospital staff several times a year. In addition, Edgerton Hospital provides targeted outreach to the transient recreational communities within the service area. Charity Care:The Hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. The amount of charges foregone for services provided under the Hospital's charity care policy was approximately $12,000 for the year ended December 31, 2023. Total direct and indirect costs related to these foregone charges were approximately $6,000 at December 31, 2023, based on average ratios of cost to gross charges. 25634471 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 80 0 1 300 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 0 1 1 WI X Marc Augsburger 6088841656 11101 North Sherman Road Edgerton WI 53534 Cynthia Swanson Chair 0.30 0.00 X X 0 0 0 Terry Johnson DVM Vice Chair 0.30 0.00 X X 0 0 0 Paul Shoemaker Treasurer 0.30 0.00 X X 0 0 0 Connie Goede Secretary 0.30 0.00 X X 0 0 0 Dr Bhanu Sankineini Chief of Staff 0.30 0.00 X 0 0 0 Karen Greene Foundation Chair & Director 0.30 0.30 X 0 0 0 Eric Thornton Trustee - SSM Health 0.30 0.00 X 0 0 0 Norm Fjestad Trustee 0.30 0.00 X 0 0 0 Margo Francisco Trustee - SSM Health 0.30 0.00 X 0 0 0 Chip Knilans Trustee 0.30 0.00 X 0 0 0 Barry Irmen Trustee 0.30 0.00 X 0 0 0 Andrew Walker Trustee 0.30 0.00 X 0 0 0 Charles Roeder CFO 40.00 0.00 X 179889 0 15662 Marc Augsburger CEO 40.00 0.30 X 251370 0 39691 Heather Prestil Emergency/Urgent Care 40.00 0.00 X 172043 0 16531 Rajvinder Bindra MD Emergency/Urgent Care 40.00 0.00 X 366687 0 29143 Matthew Nerland MD Emergency/Urgent Care 40.00 0.00 X 307893 0 30986 John Hoopes CRNA 40.00 0.00 X 269889 0 39980 Jappan Bhatt MD Emergency/Urgent Care 40.00 0.00 X 324783 0 29075 1872554 0 201068 24 0 1 0 Wil Hospitalists LLC PO Box 4071 Barrington IL 60011 Hospitalists 931640 Miller Medical LLC 4617 Maryland Ave St Louis MO 63108 ED Doctor 322945 Living the Life Medical Solutions PLLC 1008 Sarandon Dr Stallings NC 28104 ED Doctor 312734 Zenith Developers SC 6121 Green Bay Rd Ste 150 Kenosha WI 53142 Cardiac Doctor 290128 Eide Bailly 3999 Pennsylvania Ave Suite 100 Dubuque IA 52002 Auditors/Consulting 160127 9 523751 1341221 1864972 Patient Service Revenue 622110 27192295 27192295 503138 503138 27695433 256712 256712 83725 6140 77585 77585 77585 5308 -5308 -5308 -5308 29889394 27695433 0 328989 X 11237 11237 489603 489603 11986064 10388556 1468803 128705 248782 224049 20255 4478 3226163 2647455 568545 10163 888614 734233 144807 9574 233059 52148 180911 51950 8000 43950 6583964 5861060 722904 145888 1209 144387 292 1262114 890338 371776 64699 63593 1106 446003 411135 34868 24361 17259 7102 88363 48929 38359 1075 918467 918467 1531269 1447750 83519 336172 9312 326860 Medical Supplies 1718797 1717549 1248 Dues & Licenses 148524 58015 90509 Food 123706 121288 2418 Medicaid Provider Tax 70219 70219 21636 2889 7426 11321 30619654 25634471 4819575 165608 3672088 2523511 3562767 4953589 316139 442568 359496 405977 33024814 17808855 13357897 15215959 4092380 4050172 1184944 979403 26545711 28571179 2739457 4317227 14931 18612861 17653709 529886 2651230 21882204 24637097 X 4637315 3907055 26192 27027 4663507 3934082 26545711 28571179 X -730260 835 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 491231 491231 22911812 12323801 10588011 116246 97583 18663 7627317 4169496 3457821 1878208 1217975 660233 15215959 Operating Lease Liability 1616996 Estimated Third Party Payor Settlement 650000 ROU Liability 384234 2651230 X Part X, Line 2: The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Organization 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 175.000000000000 1 X 275.000000000000 1 1 0 1 1 6000 6000 0.00020 6000 6000 0.00020 1200 1200 0.00000 60512 60512 0.00200 8252052 515450 7736602 0.25270 8313764 515450 7798314 0.25470 8319764 515450 7804314 0.25490 1 502361 0 7317114 7357567 -40453 X 1 1 1 1 Edgerton Hospital and Health Services 11101 North Sherman Road Edgerton WI 53534 www.edgertonhospital.com 1022 X X X X X Provider based clinic Milton Clinic Edgerton Hospital and Health Services 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X See Section C X 1 21 1 See Section C 0 1 X 175.000000000000 275.000000000000 X X X X 1 1 X X X X 1 X www.edgertonhospital.com/patients-visitors/medical-billing-information/ X www.edgertonhospital.com/patients-visitors/medical-billing-information/ X www.edgertonhospital.com/patients-visitors/medical-billing-information/ X X X X X 1 X 0 X X X X X 1 X 0 0 Edgerton Hospital and Health Services Part V, Section B, Line 5: Representatives interviewed from the following sectors: local businesses, schools and higher learning institutions, hospitals and clinics, elected leaders, law enforcement, fire and EMS, faith organizations, social services, and community members to ensure this assessment reflected the community. These contributions occurred through completion of online surveys, mailed surveys, participation in Community Conversations, and/or participation in key informant interviews. Collaboration with over 100 individuals representing diverse sectors of the community, led to the identification of three health priorities. In addition, a Community Health Survey - mailed/online - focused on social determinants of health, income, financial status, education, employment, and access to health care. Edgerton Hospital and Health Services Part V, Section B, Line 6a: Beloit Health System Beloit, WISSM Health St. Mary's Hospital Janesville, WIMercyhealth Hospital and Trauma Center Janesville, W Edgerton Hospital and Health Services Part V, Section B, Line 6b: Rock County HEAR Group Edgerton Hospital and Health Services Part V, Section B, Line 11: These prioritized needs are being used by Edgerton Hospital and Health Services to guide intervention and outreach efforts with the goal of improving the health of our community. 1. Access to Mental Health Services 2. Access to Substance Abuse (Drugs/Alcohol) Services3. Obesity/OverweightSignificant Need #1: Mental HealthEdgerton Hospital hired several additional new mental health providers. These included two mental health psychiatric nurse practitioners and one mental health counsellor for the Fulton Square Clinic and one mental health psychiatric nurse practitioner for the Whitewater Clinic.Edgerton Hospital participated in local community events (i.e. Rock Co. Fair, Milton Senior Fair) as a volunteer, promoting mental health wellness.Worked with the Edgerton and Milton School Districts on the potential to hire a school based mental health counsellor.Mental Health NP presented to the Edgerton School full day teacher in-service day.Marketed mental health services via multimodal efforts including print, digital and social media.Significant Need #2: Access to Substance Abuse (Drug/Alcohol) ServicesEdgerton Hospital held community Narcan training at the hospital in March, April and May which included parents, grandparents, foster parents and teachersEdgerton Hospital received a grant to place 11 Narcan boxes in four Edgerton schools (elementary, middle, high and Yahara)Staff education was held on "Overcoming the Stigma of Addiction"Edgerton Hospital had a Pain Awareness display set up in the front lobby of the hospital for awareness of pain that included alternatives to narcotic use in conjunction with our Pain Center.Edgerton Hospital Board of Trustees received Narcan use training on November 28.Significant Need #3: Obesity/OverweightEdgerton Hospital held Fit 4 Life classes for the community weeklyEdgerton Hospital held Zumba classes weeklyEdgerton Hospital held a weight loss competitionEnhanced healthy options were made available in the EHHS caf Edgerton Hospital and Health Services Part V, Section B, Line 13h: In addition to providing free or discounted care based on Federal Poverty Guidelines, Edgerton Hospital provides certain accommodations to patients who have trouble paying their bills. These practices include offering uninsured patients a cash discount for prompt payment of the estimated or final charges for services provided. Edgerton Hospital provides interest-bearing loans through Care Credit. Payment arrangements are also available for accounts to be paid within 6 months at no interest. Edgerton Hospital and Health Services Part V, Section B, Line 20e: All accounts were reviewed for possible financial assistance prior to sending to a collection agency. Schedule H, Part V, Line 7a: www.edgertonhospital.com/about-us/community-health-needs-assessment/ Schedule H, Part V, Line 10: www.edgertonhospital.com/about-us/community-health-needs-assessment/ Part I, Line 3c: In addition to providing free or discounted care based on Federal Poverty Guidelines, Edgerton Hospital provides certain accommodations to patients who have trouble paying their bills. These practices include offering uninsured patients a cash discount for prompt payment of the estimated or final charges for services provided. Edgerton Hospital provides interest-bearing loans through Care Credit. Payment arrangements are also available for accounts to be paid within 6 months at no interest. Part I, Line 6a: Edgerton Hospital and Health Services makes its community benefit report available to the public by providing it upon request. Part I, Line 7: Charity care expense was converted to cost based on an overall cost-to-charge ratio addressing all patient segments. The amounts for community health improvement services and cash for community benefits were determined using the amounts recorded in the general ledger. The cost for subsidized health services reported was determined using the Medicare Cost Report. Part I, Line 7g: The subsidized health services reported on Line 7g includes $1,086,273 of expenses related to provider based clinics. Part III, Line 2: The amount reported on line 2 represents implicit price concessions. The organization determines its estimate of implicit price concessions based on its historical collection experience with the respective class of patients. Part III, Line 4: The footnote to the organization's financial statements addressing implicit price concessions may be found on page 19 of the attached audited financial statements. Part III, Line 8: 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.Hospital services reimbursed on a fee schedule are not included in the Medicare calculation per the 990 instructions. Had this been reported the total loss from Medicare services would have been $190,354.Medicare fee schedule revenue $236,379Medicare estimated costs of care relating to payments <426,733>Net (Shortage) <190,354> Part III, Line 9b: Edgerton Hospital and Health Services provides a charitable program consisting of partial or total discounts for those patients who are uninsured, underinsured, and/or unable to pay for necessary healthcare services and are determined eligible to receive such care. As part of the Billing and Collection Policy patients are given written notices up to 90 days. A final notice is sent to the patient indicating the account will be sent to a collection agency giving the patient an additional 30 days to respond and complete the Community Care paperwork. After a total of 120 days of notices to the patient, the account is sent to an outside collection agency. For patients known to qualify for charity care or financial assistance, this process is followed for the portion they are responsible for. On accounts which have been assigned to outside collection agencies and are later approved for Community Care, the hospital will request such agencies to cancel and return accounts to the hospital, and to reverse any applicable detrimental credit information created against the patient/guarantor. Part VI, Line 2: We use the following tools to assess health care needs of the communities we serve: (1) Patient exit questionnaires; (2) Involvement in community groups such as the Edgerton Coalition for a Healthy Community where we assess health needs based upon discussions and topics brought up by the Coalition members; (3) Analysis of data received from the Wisconsin Hospital Association and the Rock County Department of Health; and (4) Utilization of the Intellimed software program which allows us to analyze data from facilities comparable to ours.The Community Health Needs Assessment (CHNA) and implementation strategy is complete and posted to our website at www.edgertonhospital.com. Part VI, Line 3: A summary of our community care program is listed on our Hospital website and is contained in a brochure that is available to all patients at all registration areas, emergency room, and waiting rooms in the Hospital. The policy is also provided upon admission and upon request. The complete packet of information, along with an application, is given to any patient upon request. Posters which explain our community care program are located in the Emergency Department and inform patients to contact the Business Office for more information. Billing staff discuss the availability of various government benefits, state programs, and assist the patient on how to qualify for such programs where applicable. Part VI, Line 4: Edgerton Hospital and Health Services is a 16-bed acute care hospital located in Edgerton, Wisconsin. The Hospital is located 30 miles south of Madison and 12 Miles north of Janesville on the northern edge of Rock County. Edgerton is in a rural, agricultural area. The population of Edgerton and Rock County was 5,579 and 163,129. Rock County is dominated by health care, social assistance and production occupations. The percentage of residents living in poverty was 12.1%. The median household income for the county is $53,410 and the population aged 65+ is 16.6%.There are multiple hospitals within 30 miles of Edgerton including three facilities in Madison, one in Janesville, one in Stoughton and one in Fort Atkinson.Madison Hospitals (30 miles distant)* St.Mary's - 440 bed acute care hospital * Meriter - 448 bed acute care hospital* University of Wisconsin Hospital - 536 bed acute care hospitalOther Hospitals (20 or less miles distant)* Mercy Hospital - Located 12 miles south - 240 bed acute care hospital* Stoughton Hospital - located 12 miles northwest - 35 bed acute care, critical access hospital* Fort Atkinson - Located 17 miles northeast - 82 bed acute care hospital Part VI, Line 5: Our Board of Trustees is comprised of persons who reside in our primary service area and none are employees of our Organization. The Hospital extends medical staff privileges to all qualified physicians in the community and all surplus funds are reinvested in patient care and plant upgrades. We hold an annual health fair for the community and offer many health related community education classes at little or no cost to the attendees. We provide and staff a First Aid tent at our local community summer festival. Part VI, Line 7, Reports Filed With States WI 1 Edgerton Hospital Capital Foundation 11101 N Sherman Rd Edgerton WI 53534 203161048 501(c)(3) 0 10207 Cost Supplies General Support 1 0 Part I, Line 2: The Organization gives noncash support to the Edgerton Hospital Capital Foundation, Inc., a related organization, for the Foundation's general operations. X X 0 0 0 0 0 0 0 0 0 Rajvinder Bindra MD Emergency/Urgent Care 366687 0 0 0 0 0 251 0 30388 0 397326 0 0 0 Jappan Bhatt MD Emergency/Urgent Care 324783 0 0 0 0 0 183 0 30388 0 355354 0 0 0 Matthew Nerland MD Emergency/Urgent Care 307893 0 0 0 0 0 6920 0 25562 0 340375 0 0 0 John Hoopes CRNA 269889 0 0 0 0 0 10609 0 30868 0 311366 0 0 0 Marc Augsburger CEO 251370 0 0 0 0 0 10319 0 30868 0 292557 0 0 0 Charles Roeder CFO 179889 0 0 0 0 0 6034 0 11124 0 197047 0 0 0 Heather Prestil Emergency/Urgent Care 172043 0 0 0 0 0 6904 0 11124 0 190071 0 0 0 Form 990, Part III, line 2 Senior Life Solutions, an outpatient group therapy program, started in December 2023. Form 990, Part VI, Section A, line 1a The Executive Committee consists of the Board Chair, Vice Chair, Secretary, and Treasurer of the Corporation. The Executive Committee has power to transact all regular business of the Corporation during the interim between meetings of the Board of Trustees, except the power to: elect officers of the Corporation, fill vacancies in the Board of Trustees or in the Executive Committee, amend or repeal any provisions of these Bylaws, appropriate funds of the Corporation not included in the budget or exceeding an amount for any one purpose in any one fiscal year fixed or authorized by the Board from time to time, or adopt programs which would involve continuing activity or support by the Corporation for more than one fiscal year. Minutes of the Executive Committee summarizing its actions must be submitted to the Board at its next regularly scheduled meeting. Form 990, Part VI, Section A, line 7a The Board of Trustees consists of two classes: Class E Trustees and Class S Trustees. SSM Health has the right to appoint and remove the Class S Trustees. SSM Health also has the right to appoint an alternate who will serve instead of a Class S Trustee with voting rights if the Class S Trustee is unable to attend a meeting of the Board of Trustees. Class E Trustees are appointed by the Board of Trustees. Class E and Class S Trustees have the same voting rights. Form 990, Part VI, Section B, line 11b The Form 990 is provided to the Trustees of the Board before it is filed. The return is reviewed by the Accounting Manager and CFO. Form 990, Part VI, Section B, line 12c Board members, officers, and employees complete and sign a conflict of interest policy annually. The employee handbook contains a conflict of interest policy. The Board Chair and CEO review the potential conflicts of Board members and the HR department reviews the potential conflicts of employees. Potential conflicts may include but are not limited to ownership or control of an entity that contracts with Edgerton Hospital. Board members with conflicts are restricted from voting on such matters and the conflict is made a matter of record in the minutes. Form 990, Part VI, Section B, line 15a The Board reviews and determines compensation for the CEO on an annual basis. Compensation adjustments are based on an annual performance review and comparability data. The Board provides substantiation of the deliberation and decision for the compensation process. The CEO determines compensation for the CFO based on comparability data. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request. The financial statements are also attached to the Form 990. Form 990, Part VI, Section B, Line 16b: Edgerton Hospital's Corporate Compliance Policy confirms the hospital's adherence to applicable state and federal law and specifically prohibits joint ventures or alliances with other providers which could result in unfair pricing, unfair profit margins, prohibited or unethical credit practices, and/or prohibited billing practices. Form 990, Part IX, line 11g Physician and Consulting Fees: Program service expenses 3,463,416. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,463,416. Contract fees: Program service expenses 15,331. Management and general expenses 0. Fundraising expenses 0. Total expenses 15,331. Professional Fees: Program service expenses 421,297. Management and general expenses 680. Fundraising expenses 0. Total expenses 421,977. Purchased services: Program service expenses 1,516,703. Management and general expenses 417,292. Fundraising expenses 0. Total expenses 1,933,995. Repairs & Maintenance: Program service expenses 444,313. Management and general expenses 136,668. Fundraising expenses 0. Total expenses 580,981. Consulting Fees: Program service expenses 0. Management and general expenses 168,264. Fundraising expenses 0. Total expenses 168,264. Form 990, Part XI, line 9: Change in net assets of Edgerton Memorial Community Hospital Auxiliary 835. Edgerton Hospital Capital Foundation Inc 11101 North Sherman Road Edgerton WI 53534 203161048 Provide financial support for Edgerton Hospital and Health Services, Inc. WI 501(c)(3) Line 12a, I Edgerton Hospital and Health Services Inc 1 Edgerton Hospital Pain Management LLC 11101 North Sherman Road Edgerton WI 53534 873418372 To provide pain relief for patients with acute pain. WI Edgerton Hospital and Health Services Inc Related 1377117 680116 0 1 0.51000 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 Edgerton Hospital Capital Foundation Inc O 152920 General Ledger Edgerton Hospital Capital Foundation Inc C 197127 General Ledger Pain Management LLC C 326624 General Ledger