SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Mile Bluff Medical Center Inc
 
Employer identification number

39-0992883
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    1,279,000   1,279,000 1.490 %
b Medicaid (from Worksheet 3, column a) . . . . .     6,247,341 5,348,855 898,486 1.040 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     7,526,341 5,348,855 2,177,486 2.530 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).            
f Health professions education (from Worksheet 5) . . .            
g Subsidized health services (from Worksheet 6) . . . .     25,365,180 16,042,214 9,322,966 10.830 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .            
j Total. Other Benefits . .     25,365,180 16,042,214 9,322,966 10.830 %
k Total. Add lines 7d and 7j .     32,891,521 21,391,069 11,500,452 13.360 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
2,759,682
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
419,472
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
9,504,039
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
10,179,320
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-675,281
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 Mile Bluff Medical Center Inc
1050 Division Street
Mauston,WI53948
www.milebluff.com
134
X X         X   4 provider based rural health clinics  
Schedule H (Form 990) 2018
Page 4
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
Mile Bluff Medical Center Inc
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): See Part V, Page 7
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Page 5
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Mile Bluff Medical Center Inc
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
www.milebluff.com/patient-visitors/online-bill-pay/financial-assistance/
b
www.milebluff.com/patient-visitors/online-bill-pay/financial-assistance/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Page 6
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
Mile Bluff Medical Center Inc
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Page 7
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Mile Bluff Medical Center Inc
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24 Yes  
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Page 8
Schedule H (Form 990) 2018
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Mile Bluff Medical Center, Inc. Part V, Section B, Line 5: Monthly meetings were held with the Juneau County Public Health Department (representing medically underserved, low-income and minority populations in Juneau County including those individuals participating in the Nurse Partnership Program, Fit Families, Wisconsin Well Women, WIC, Health Check and other programs). Roundtables were held with Wisconsin Office of Rural Health (representing medically underserved), Juneau County Public Health, UW Extension, Juneau County Human Services, medical providers, and the Juneau County Aging and Disability Resource Center. 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, and the Juneau County Aging and Disability Resource Center, representing medically underserved and low income that are affected by aging, disability, mental health or substance abuse issues, S.E.A. of Change, Juneau County Suicide Prevention Coalition, South Central Wisconsin Tobacco Free Coalition, and SAFE Coalition.
Mile Bluff Medical Center, Inc. Part V, Section B, Line 11: In the most recent CHNA conducted the following needs were identified: 1. Health Equity (emphasis on capacity building); 2. decrease in alcohol, tobacco and other drug (ATOD) abuse; 3. increase in physical activity, good nutrition and decrease in obesity; 4. mental health care; and 5. healthy aging.The organization will not address mental health directly because it is outside Mile Bluff Medical Center's scope of practice. However, Mile Bluff will contribute to better mental health through our involvement and membership in community groups such as The Juneau County Suicide Prevention Coalition and through referrals.In the current year the facility has taken the following actions to address needs identified: 1. Capacity building: development of career ladder for nursing (a sustainable action) and establishing more partnerships with colleges and universities for employees wishing to increase their skills and education. 2. ATOD: partnered with the Substance Abuse Free Environment Coalition to obtain Drug Free Communities Funding; updated opioid prescribing policies to match CDC recommendations; continued to play a leading role in the South Central Wisconsin Tobacco Free Coalition in providing the community with education about drug trends, paraphernalia, how to talk to youth about alcohol & drugs, and what to do if a problem is suspected.; continues to offer tobacco cessation classes. 3. Physical activity, nutrition and obesity: Mile Bluff's athletic trainers continue to support all Juneau County school system athletics as well as conduct community fitness programs; continues to promote breast-feeding and skin-to-skin contact for new mothers; offers diabetes and nutrition classes, a pulmonary rehab program and weight management counseling. 4. Healthy Aging: Mile Bluff continues to emphasize prevention and access to services to its elderly population. This includes diabetes screening, medication management and post-discharge coordination and follow-up. Mile Bluff also played a key role in the development of the Juneau County Dementia Coalition. It is active in increasing understanding and reducing the stigmas associated with dementia and improving and expanding support and education for family caregivers of people with dementia.
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: https://www.milebluff.com/about-us/health-needs-assessment/
Part V, Section B, Line 10: https://www.milebluff.com/about-us/health-needs-assessment/
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2018
Page 9
Schedule H (Form 990) 2018
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?8
Name and address Type of Facility (describe)
1 1 - Crest View Nursing Home
612 View Street
New Lisbon,WI53950
Skilled care nursing facility
2 2 - Fair View Nursing Home
1050 Division Street
Mauston,WI53948
Skilled care nursing facility
3 3 - Mile Bluff Dialysis Center
1040 Division Street
Mauston,WI53948
Dialysis clinic
4 4 - Delton Family Medical Center
28 Commerce Street
Wisconsin Dells,WI53965
Family practice clinic
5 5 - Terrace Heights Retirement Community
1030 Division Street
Mauston,WI53948
Independent living
6 6 - WI Dells Dialysis Center
28 Commerce Street
Wisconsin Dells,WI53965
Dialysis clinic
7 7 - MBMC Mauston Phillips LLC
123 E State St
Mauston,WI53948
Retail pharmacy
8 8 - MBMC Raabe Pharmacy LLC
112 S Adams Street
Lew Lisbon,WI53950
Retail pharmacy
9
10
Schedule H (Form 990) 2018
Page 10
Schedule H (Form 990) 2018
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
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. Unreimbursed Medicaid on line 7b was calculated using the costing methods to prepare the cost reports. The cost for subsidized health services reported on line 7g was determined using the Medicare cost report.
Part I, Ln 7 Col(f): The amount of bad debt removed from total expenses to determine the percentage was $2,759,682.
Part III, Line 2: Before an account is classified as bad debt, all payments including self-pay, insurance, contractual allowances, and discounts are applied to the account. Accounts qualifying for financial assistance or charity care are not written off to bad debt. Payments on accounts that were written off to bad debt are listed as bad debt recoveries and reduce bad debt expense. Bad debt expense on line 2 is reported at charges as presented on the financial statements.
Part III, Line 3: The estimated amount of the Organization's bad debt expense attributable to patients eligible under the Organization's charity care policy is calculated based on an approximate 15.2% 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 18 & 19 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 our second 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. Medicaid recipients account for 19% of the total payor mix. Medicare patients account for 45.6% of the total payor mix. The estimated median household income in 2018 was $45,833. The percentage of residents living in poverty in 2018 was 15.2%. Unemployment in 2018 was 3.7%.
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. Delton Family Medical Center5. Mile Bluff Dialysis Center6. WI Dells Dialysis Center7. Crest View Nursing & Rehabilitation Center- A 60-bed nursing home with a 12-bed community-based residential facility8. Phillips Pharmacy9. Raabe's Pharmacy10. Independent physician clinics for approximately 30 providersMile 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 out at our hospital. Tasks vary from patient centered activities to simple clerical work.
Part VI, Line 7, Reports Filed With States WI
Schedule H (Form 990) 2018
Additional Data


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