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      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>1</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>REEDSBURG AREA MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2000 N DEWEY</AddressLine1Txt>
            <CityNm>REEDSBURG</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>53959</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PAYROLL SERVICES &amp; OTHER EXPENSES</ServicesDesc>
        <CompensationAmt>4545000</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>33982</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1387766</AllOtherContributionsAmt>
      <TotalContributionsAmt>1421748</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENT SERVICE REVEN</Desc>
        <BusinessCd>623110</BusinessCd>
        <TotalRevenueColumnAmt>5358742</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5358742</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>5358742</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <ExclusionAmt>263</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>300</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>300</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>300</TotalRevenueColumnAmt>
        <ExclusionAmt>300</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA REVENUE</Desc>
        <BusinessCd>623110</BusinessCd>
        <TotalRevenueColumnAmt>12701</TotalRevenueColumnAmt>
        <ExclusionAmt>12701</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>BEAUTY SHOP</Desc>
        <BusinessCd>621311</BusinessCd>
        <TotalRevenueColumnAmt>12327</TotalRevenueColumnAmt>
        <ExclusionAmt>12327</ExclusionAmt>
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      <OtherRevenueTotalAmt>25028</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>6806081</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5358742</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>25591</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>3600</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>700</TotalAmt>
        <ManagementAndGeneralAmt>700</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3375418</ProgramServicesAmt>
        <ManagementAndGeneralAmt>264747</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>122078</TotalAmt>
        <ProgramServicesAmt>113178</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8900</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>721205</TotalAmt>
        <ProgramServicesAmt>668624</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52581</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ManagementAndGeneralAmt>179</ManagementAndGeneralAmt>
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        <TotalAmt>95441</TotalAmt>
        <ProgramServicesAmt>92641</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2800</ManagementAndGeneralAmt>
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        <TotalAmt>165590</TotalAmt>
        <ProgramServicesAmt>165590</ProgramServicesAmt>
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        <ProgramServicesAmt>10674</ProgramServicesAmt>
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        <TotalAmt>194303</TotalAmt>
        <ProgramServicesAmt>194303</ProgramServicesAmt>
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        <ProgramServicesAmt>368296</ProgramServicesAmt>
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        <ProgramServicesAmt>50995</ProgramServicesAmt>
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        <Desc>MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>215450</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>DUES AND LICENSES</Desc>
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      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
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        <ProgramServicesAmt>14916</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
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        <ProgramServicesAmt>7453</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5991</ManagementAndGeneralAmt>
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        <EOYAmt>91270</EOYAmt>
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        <EOYAmt>6253187</EOYAmt>
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        <EOYAmt>7856574</EOYAmt>
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        <EOYAmt>370293</EOYAmt>
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        <EOYAmt>6208396</EOYAmt>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>20301</EOYAmt>
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        <EOYAmt>6598990</EOYAmt>
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        <EOYAmt>910</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1067977</BOYAmt>
        <EOYAmt>1256674</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>925402</BOYAmt>
        <EOYAmt>1257584</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>8047453</BOYAmt>
        <EOYAmt>7856574</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>143485</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>188697</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>1852457</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2791129</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1173558</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1421748</CurrentTaxYearAmt>
        <TotalAmt>9504423</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>3189694</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3847365</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4899368</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5358742</CurrentTaxYearAmt>
        <TotalAmt>20532145</TotalAmt>
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      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>5502507</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5042151</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6638494</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6072926</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6780490</CurrentTaxYearAmt>
        <TotalAmt>30036568</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>30036568</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>245</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>313</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>216</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>263</CurrentTaxYearAmt>
        <TotalAmt>1141</TotalAmt>
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      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>104</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>245</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>313</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>216</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>263</CurrentTaxYearAmt>
        <TotalAmt>1141</TotalAmt>
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      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>17745</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5036</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8255</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14876</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>25028</CurrentTaxYearAmt>
        <TotalAmt>70940</TotalAmt>
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      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>5520356</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5047432</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6647062</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6088018</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6805781</CurrentTaxYearAmt>
        <TotalAmt>30108649</TotalAmt>
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      <PublicSupportCY509Pct>0.99760</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99690</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>CAFETERIA AND MEALS - 2019 AMOUNT: $ 3,369. 2020 AMOUNT: $ 459. 2021 AMOUNT: $ 538. 2022 AMOUNT: $ 6,414. 2023 AMOUNT: $ 12,701. OTHER REVENUE - 2019 AMOUNT: $ 3,446. 2020 AMOUNT: $ 341. 2021 AMOUNT: $ 1,152. 2023 AMOUNT: $ 0. BEAUTY SHOP - 2019 AMOUNT: $ 10,930. 2020 AMOUNT: $ 4,236. 2021 AMOUNT: $ 6,565. 2022 AMOUNT: $ 8,462. 2023 AMOUNT: $ 12,327.</ExplanationTxt>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>230000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>230000</BookValueAmt>
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      <BuildingsGrp>
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        <DepreciationAmt>4944446</DepreciationAmt>
        <BookValueAmt>5817505</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>559097</DepreciationAmt>
        <BookValueAmt>131805</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>944295</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>870418</DepreciationAmt>
        <BookValueAmt>73877</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>6253187</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>INTEREST NET ASSETS OF FOUNDATION</Desc>
        <BookValueAmt>1256674</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>1256674</TotalBookValueOtherAssetsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RESIDENT DEPOSITS REPRESENT SECURITY DEPOSITS FROM THE ASSISTED LIVING RESIDENTS. THE RESIDENTS PUT DOWN A $1,000 DEPOSIT WHEN THEY ENTER THE APARTMENT AND IT WILL BE RETURNED WHEN THEY LEAVE AFTER INSPECTION OF THE APARTMENT OR ANY PAYMENTS DUE TO THE SLC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE CORPORATION IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE CORPORATION ASSESS WHETHER IT ISMORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OFTHE TAX POSITION IS NOT RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS. THE CORPORATION RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED BENEFITS IN 2024 AND 2023.</ExplanationTxt>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHY KINSMAN</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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        <FormAndLineReferenceDesc>FROM 990, PART VII, SECTION A, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>REEDSBURG AREA MEDICAL CENTER, AN UNRELATED ORGANIZATION, PAID COMPENSATION TO SEVERAL EMPLOYEES FOR SERVICES TO REEDSBURG AREA SENIOR LIFE, INC. THE FOLLOWING WAS PAID BY REEDSBURG AREA MEDICAL CENTER. HEATHER FRANK COMPENSATION: $129,737 DEFERRED COMPENSATION: $15,913 NON TAXABLE BENEFITS: $23,318 KATHY KINSMAN COMPENSATION: $120,690 DEFERRED COMPENSATION: $25,422 NON TAXABLE BENEFITS: $22,167 KATHY BORUD COMPENSATION: $119,432 DEFERRED COMPENSATION: $22,892 NON TAXABLE BENEFITS: $2,832 TINA LYONS COMPENSATION: $117,281 DEFERRED COMPENSATION: $0 NON TAXABLE BENEFITS: $10,072</ExplanationTxt>
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>WISCONSIN HEALTH &amp; EDUCATIONAL FACILITIES AUTHORITY</BusinessNameLine1Txt>
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        <OtherSpentProceedsAmt>7500000</OtherSpentProceedsAmt>
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        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
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        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
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        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
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        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
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        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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        <FormAndLineReferenceDesc>DATE REBATE COMPUTATION PERFORMED</FormAndLineReferenceDesc>
        <ExplanationTxt>ISSUER NAME: WISCONSIN HEALTH &amp; EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 02/08/2019</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT SERVICES, INCLUDING THOSE OF THE CEO AND CFO, ARE PROVIDED BY REEDSBURG AREA MEDICAL CENTER.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ARTICLES OF INCORPORATION OF RASLC, INC. PROVIDES FOR ONE MEMBER. THE SOLE CORPORATE MEMBER OF RASLC, INC, IS RASLC, LLC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON COMPLETION OF THE FORM 990, MANAGEMENT REVIEWED FOR ACCURACY AND COMPLETENESS. UPON APPROVAL, IT WAS PRESENTED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANUALLY, THE PRESIDENT OF THE BOARD OF DIRECTORS OF THE ORGANIZATION SHALL SEND TO ALL BOARD MEMBERS A COPY OF THE CONFLICT OF INTEREST POLICY STATEMENT, TOGETHER WITH AN EXPLANATION AND A QUESTIONAIRE WHICH IS TO BE COMPLETED AND RETURNED TO HIM. THE PRESIDENT IS IN CHARGE OF TAKING APPROPRIATE ACTION WITH RESPECT TO SUCH REPORTED CONFLICTS. IT IS THE RESPONSIBILITY OF THE BOARD MEMBERS TO MAKE FULL DISCLOSURE OF ANY INTEREST WHICH MIGHT RESULT IN A CONFLICT ON THEIR PART. IN ANY DEALING WHICH MIGHT AFFECT THE ORGANIZATION, BOARD MEMBERS SHALL DISCLOSE POSSIBLE CONFLICT, AND SHALL NOT PARTICIPATE IN THE DISCUSSION OF THE BOARD OR THE ORGANIZATION ACTION RELATED TO SUCH DEALING. BOARD MEMBERS MAY PARTICIPATE TO THE EXTENT OF RESPONDING TO RELATED CONCERNS AND QUESTIONS RAISED.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>INDEPENDENT WAGE AND SALARY SURVEYS ARE USED FOR ALL KEY EMPLOYEES, INCLUDING PRESIDENT/CEO. VENDORS USED ARE THE RURAL WISCONSIN HEALTH COOPERATIVE AND WISCONSIN HOSPITAL ASSOCIATION. THE BOARD OF DIRECTORS REVIEWS AND APPROVED THE COMPENSATION OF THE CEO. EXECUTIVE COMMITTEE DOES THE EVALUATION AND CHAIR MEETS WITH THE CEO; MINUTES ARE KEPT IN THE RAMC BOARD MINUTE JOURNAL. THE CEO REVIEW AND APPROVES THE COMPENSATION OF OTHER KEY EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 15B: INDEPENDENT WAGE AND SALARY SURVEYS FROM THE RURAL WISCONSIN HEALTH COOPERATIVE AND WISCONSIN HOSPITAL ASSOCIATION ARE USED TO DETERMINE APPROPRIATE WAGE RATES. THE CEO REVIEWS AND APPROVES THE COMPENSATION OF THE OTHER KEY EMPLOYEES. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 522,742. MANAGEMENT AND GENERAL EXPENSES 14,664. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 537,406. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 164,212. MANAGEMENT AND GENERAL EXPENSES 21,411. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 185,623.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>NET CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 188,697.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR SELECTION AND OVERSIGHT OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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