4A (Expenses $ 64760599 including grants of $ 0) (Revenue $ 97210869)
HOSPITAL INPATIENT AND OUTPATIENT SERVICES - WAR MEMORIAL HOSPITAL PROVIDED INPATIENT CARE TO 2,361 PATIENTS AND THERE WERE OVER 245,796 PATIENT REGISTRATIONS FOR THE HOSPITAL'S MULTIPLE OUTPATIENT SERVICE DEPARTMENTS (LAB, RADIOLOGY, CARDIOPULMONARY, REHABILITATION, NUCLEAR MEDICINE, SURGICAL SERVICES).OUR OBSTETRICS/NURSERY UNIT REPORTED 292 BIRTHS AND OUR SURGICAL SERVICES DEPARTMENT PROVIDED SURGICAL CARE FOR 5,003 PATIENTS.THE REHABILITATION DEPARTMENT CONTINUED ITS EXPANSION OF SERVICES IN CONTRACTING TO PROVIDE REHABILITATION SERVICES WITH MULTIPLE ORGANIZATIONS IN THE REGION; INCLUDING, BUT NOT LIMITED TO, AREA SCHOOLS, HOSPITALS, AND HOME HEALTH AGENCIES. NEARLY 380,650 REHABILITATION TREATMENTS WERE REPORTED IN THE DISCIPLINES OF PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY AND AUDIOLOGY SERVICES.

4B (Expenses $ 18299526 including grants of $ 0) (Revenue $ 13818268)
PROFESSIONAL SERVICES - THE HOSPITAL'S TWENTY FOUR HOUR EMERGENCY DEPARTMENT AND THE COMMUNITY CARE CLINIC (WALK-IN URGENT CARE CENTER) RECORDED 15,753 VISITS AND 7,401 VISITS RESPECTIVELY FOR A TOTAL CARE PROVIDED TO 23,154 PATIENTS.VISITS BY PHYSICIAN CLINIC:WMH DRUMMOND ISLAND MEDICAL 1,514WMH FAMILY MEDICINE CEDARVILLE 2,735WMH FAST CARE - MEIJER 2,966WMH INTERNAL & FAMILY MEDICINE 7,031WMH PRIMARY CARE SSM CMC 3,376WMH KINROSS COMMUNITY CARE 1,254WMH OCCUPATIONAL HEALTH 398WMH PRIMARY CARE SSM HERITAGE 3,457WMH PEDIATRICS 174WMH PRIMARY CARE SSM MAGAZINE 7,825WMH MAT COMMUNITY CARE CLINIC 1,472WMH SSM COMMUNITY CARE CLINIC 7,401WMH WOMENS HEALTH 7,181WMH WOMENS NEWBERRY OUTPT CLIN 221WMH OUTPATIENT PSYCHIATRY 2,586WMH CARDIOLOGY CLINIC 513WMH DERMATOLOGY 1,328WMH EAR, NOSE & THROAT 1,746WMH ENDOCRINOLOGY 2,314WMH FOOT & ANKLE 1,874WMH GENERAL SURGICAL CARE 4,298WMH NEPHROLOGY 1,812WMH NEUROLOGY 362WMH ORTHO NEWBERRY OUTPT CLINI 275WMH ORTHOPEDICS 6,378WMH ORTHOPEDICS & SPINE 175WMH PAIN MANAGEMENT SSM 862WMH PAIN MANAGEMENT KIN 2,683WMH PULMONOLOGY 1,313WMH SLEEP DISORDERS CENTER 2,570WMH UROLOGY 3,552

4C (Expenses $ 4565750 including grants of $ 0) (Revenue $ 4087757)
INPATIENT/ OUTPATIENT PSYCH WITH 535 ADMISSIONS AND 3,785 PATIENT DAYS.

4D (Expenses $ 3689126 including grants of $ 0) (Revenue $ 2685904)
OTHER PROGRAM SERVICES - WHICH INCLUDES, BUT IS NOT LIMITED TO, OBSTETRICS WITH 28 ADMISSIONS AND 632 PATIENT DAYS.

CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL
"PART V, SECTION B, LINE 5: A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITALS WEBSITE LOCATED AT HTTP://WWW.WARMEMORIALHOSPITAL.ORG/ABOUT-WMH-7/THE WESTERN UPPER PENINSULA HEALTH DEPARTMENT, WITH FUNDING FROM THE MICHIGAN HEALTH ENDOWMENT FUND, SPEARHEADED A COMMUNITY HEALTH NEEDS ASSESSMENT THROUGHOUT THE UPPER PENINSULA. ONCE AGAIN, WAR MEMORIAL HOSPITAL AND THE CHIPPEWA COUNTY HEALTH DEPARTMENT PARTNERED TO BRING THE OUTCOMES OF THE ASSESSMENT TO THE RESIDENTS OF CHIPPEWA COUNTY. THE COMMUNITY HEALTH NEEDS ASSESSMENT REFLECTED DATA DERIVED DIRECTLY FROM QUESTIONNAIRES THAT WERE COMPLETED BY RANDOMLY SELECTED COUNTY RESIDENTS, AS WELL AS DATA COLLECTED THROUGH SECONDARY SURVEYS AND SOURCES.THE TOP FOUR PRIORITY ISSUES IDENTIFIED FROM AMONG 16LISTED CONCERNS WERE:-SUBSTANCE ABUSE-BEHAVIORAL HEALTH-GENERAL HEALTH - HEART DISEASE, CANCER, UNINTENTIONAL INJURIES, CHRONIC LOWER RESPIRATORY DISEASE, AND STROKE.ACHIEVING ""HEALTHY PEOPLE IN HEALTHY COMMUNITIES"", A GOAL ARTICULATED BY THE CDC, WILL REQUIRE U.P. COMMUNITIES TO EMBRACE THE IDEA THAT HEALTH IS ABOUT MORE THAN PERSONAL BEHAVIORS, IT IS ABOUT THE HOMES WE GROW UP IN, THE FAMILIES WE ARE PART OF, THE SCHOOLS WE ATTEND AND THE NEIGHBORHOODS IN WHICH WE LIVE. HEALTH IS NOT SOMETHING WE ACHIEVE IN ISOLATION, HEALTH IS SOMETHING WE CAN AND MUST HELP EACH OTHER ATTAIN."

CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL
PART V, SECTION B, LINE 6B: CHIPPEWA COUNTY HEALTH DEPARTMENT AND WESTERN UPPER PENINSULA HEALTH DEPARTMENT (WUPHD)

CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL
PART V, SECTION B, LINE 11: BEHAVIORAL HEALTH - GOALS AND OBJECTIVESINCREASE ACCESS TO CARE FOR BEHAVIORAL HEALTH ISSUES AMONG ADULTS AND YOUTH WITHIN CHIPPEWA COUNTY BY:(1) PROVIDING MEDICAL AND BEHAVIORAL HEALTH PROVIDERS WITH INFORMATION REGARDING AVAILABLE SERVICES;(2) PROVIDING COUNTY RESIDENTS WITH INFORMATION REGARDING THE BENEFITS OF EARLY TREATMENT AND RESOURCES FOR TREATMENT;(3) INCREASING THE PERCENTAGE OF CHIPPEWA COUNTY RESIDENTS ACCESSING CARE FOR BEHAVIORAL HEALTH.SUBSTANCE ABUSE - GOALS AND OBJECTIVESINCREASE KNOWLEDGE AND UNDERSTANDING SURROUNDING THE EFFECTS OF TREATMENT OPPORTUNITIES FOR SUBSTANCE MISUSE THROUGHOUT CHIPPEWA COUNTY THROUGH PREVENTION BY:(1) INCREASING EDUCATION AND AWARENESS OF SUD TO YOUTH AND GENERAL COMMUNITY MEMBERS;(2) INCREASING PRO-SOCIAL ACTIVITIES/OPPORTUNITIES FOR YOUTH; THROUGH SUPPORT BY:(A) INCREASING AWARENESS OF ADDICTION AND KNOWLEDGE OF SUPPORT RESOURCES FOR PERSONS WITH ADDICTION, THEIR FAMILY MEMBERS AND AREA EMPLOYERS; THROUGH RECOVERY BY:(B) INCREASING THE NUMBER OF REGISTERED WAIVERED MEDICATION-ASSISTED TREATMENT PROVIDERS IN CHIPPEWA COUNTY(C) INCREASING THE AWARENESS OF AVAILABLE TREATMENT OPTIONS WITHIN THE REGIONHEALTH - GOALS AND OBJECTIVESCREATE A HEALTHIER COMMUNITY THROUGH EDUCATION AND OPPORTUNITIES BY:(1) DECREASING TOBACCO USE AMONG PREGNANT WOMEN(2) INCREASING AWARENESS OF THE BENEFITS OF PHYSICAL ACTIVITY AS A PREVENTATIVE MEASURE OF CHRONIC DISEASEWHILE THE CHNA IDENTIFIED OTHER HEALTH NEEDS, THEY WERE SEEN TO BE BEYOND THE SCOPE OF OUR SERVICES OR WE COULD NOT MAKE A SIGNIFICANT IMPACT UPON THEM DUE TO LIMITED PERSONNEL AND/OR FINANCIAL RESOURCES.THE FULL COPY OF THE IMPLEMENTATION PLAN CAN BE FOUND AT A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITALS WEBSITE LOCATED AT HTTP://WWW.WARMEMORIALHOSPITAL.ORG/ABOUT-WMH-7/

CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL
PART V, SECTION B, LINE 16J: PART V, SECTION B, LINE 16I - THE HOSPITAL FACILITY HAS REVIEWED THE POPULATION OF ITS COMMUNITY AND CONCLUDED THAT ENGLISH IS THE ONLY PRIMARY LANGUAGE AS DEFINTED BY THE REGULATIONS OF MORE THAN 5% OR 1,000 PERSONS. THEREFORE, THE FAP, FAP APPLICATION FORM, OR PLAIN LANGUAGE SUMMARY HAVE NOT BEEN TRANSLATED INTO ANOTHER LANGUAGE. THE HOSPITAL FACILITY WILL CONTINUE TO MONITOR THIS GOING FORWARD AS NEW CENSUS DATA BECOMES AVAILABLE.

CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL
PART V, SECTION B, LINE 20E: THE HOSPITAL FACILITY MAILS A FINANCIAL ASSISTANCE POLICY APPLICATION WHEN SETTING UP A PAYMENT PLAN FOR A PATIENT AND WHEN SENDING PAST DUE LETTERS.

PART I, LINE 3C:
THE HOSPITAL, THROUGH ITS PARTNERSHIP WITH COMMUNITY HEALTH ACCESS COALITION (CHAC), UTILIZES 200% OF POVERTY GUIDELINES FOR INITIAL ACCESS AND APPLICATION FOR MEDICAID. FOR THOSE COMMUNITY MEMBERS THAT DO NOT QUALIFY, 250% OF POVERTY GUIDELINES ARE UTILIZED FOR ADDITIONAL OPTIONS FOR IMMEDIATE DISCOUNTS. ALL PATIENTS ARE ABLE TO REQUEST ADDITIONAL DISCOUNTS OR FREE CARE ON REMAINING BALANCES AND NON-COVERED SERVICES THROUGH THE HOSPITAL FINANCIAL ASSITANCE PROGRAM (FAP).

PART I, LINE 7:
A COST-TO-CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THIS SCHEDULE. THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (LINE 7E) AND HEALTH PROFESSIONS EDUCATION (LINE 7F).A DIRECT COST AND STEP-DOWN APPROACH WAS USED TO COMPLETE THE SUBSIDIZED HEALTH SERVICES PROGRAMS (LINE 7G).

PART I, LINE 7G:
INCLUDED IN SUBSIDIZED HEALTH SERVICES ARE: HOSPITAL AND TRAUMA BASED PROFESSIONAL SERVICES, SURGICAL ASSISTANT, BEHAVIORAL HEALTH, OB PROFESSIONAL, OB PROGRAM, AND DIALYSIS.

PART I, LN 7 COL(F):
THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24B - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $2,052,075.

SCHEDULE H, PART I, LINE 7B:
THE HOSPITAL PARTICIPATES IN THE MICHIGAN DISPROPORTIONATE SHARE PROGRAM (DSH) AS WELL AS THE MICHIGAN QUALITY ASSURANCE ASSESSMENT PROGRAMS (QAAP). THE DSH PROGRAM IS SET UP TO SUPPLEMENT FOR SHORTFALLS INCURRED DUE TO SERVING INDIGENT POPULATIONS IN THE COMMUNITY (SELF-PAY, MEDICAID, MEDICAID ADVANTAGE). THE QAAP PROGRAM IS SET UP TO SUPPLEMENT FOR SHORTFALLS INCURRED DUE TO SERVING MEDICAID PATIENTS. THE HOSPITAL PAID IN AMOUNTS TO FUND THE PROGRAM AND IN RETURN RECEIVED THEIR RESPECTIVE SHARE OF THE STATE DSH AND QAAP FUNDS. THE RESULT WAS A GAIN TO THE HOSPITAL, AS DETAILED BELOW: DSH PROGRAM QAAP PROGRAMREVENUE $809,707 $7,504,465EXPENSE - $2,948,645 --------- -----------GAIN $809,707 $4,555,820 IF THESE PROGRAMS DID NOT EXIST, THE HOSPITAL WOULD HAVE REPORTED A SHORTFALL FROM PROVIDING SERVICES TO MEDICAID PATIENTS.

PART II, COMMUNITY BUILDING ACTIVITIES:
WAR MEMORIAL HOSPITAL IS ACTIVE IN BOTH THE PROMOTION OF HEALTHY LIFESTYLES FOR BOTH ITS EMPLOYEES AND COMMUNITY MEMBERS. WAR MEMORIAL HOSPITAL WILL TAKE A LEAD ROLE IN MANY OF THESE ENDEAVORS, BUT ALSO IS WILLING TO BE A SUPPORTIVE PARTNER AND TEAM MEMBER AS WELL.

PART III, LINE 4:
ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE:ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES AND HISTORICAL EXPERIENCE ADJUSTED FOR CURRENT ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. WAR MEMORIAL HOSPITAL PROVIDES CARE TO PATIENTS COVERED BY GOVERNMENTAL PROGRAMS AT REIMBURSEMENT LESS THAN WHAT IS NEEDED IN ORDER TO PROVIDE STABILITY OF OPERATIONS. AS THE NUMBER OF UNINSURED OR UNDERINSURED CITIZENS CONTINUES TO INCREASE, THE HOSPITAL'S ABILITY TO COLLECT REIMBURSEMENTS FOR SERVICES PROVIDED CONTINUES TO BE A CHALLENGE. THEREFORE, HOSPITAL LEADERS HAVE SERVED IN LEADERSHIP CAPACITIES IN THE DEVELOPMENT OF A COMMUNITY HEALTH ACCESS COALITION WHICH HAS A MISSION TO PROVIDE ACCESS TO QUALITY HEALTH CARE FOR THE UNINSURED OR UNDER INSURED RESIDENTS OF CHIPPEWA, LUCE, AND MACKINAC COUNTIES BY COORDINATING SERVICES OF VARIOUS HEALTH CARE PROVIDERS TO OFFER AN AFFORDABLE, DIGNIFIED AND ENHANCE CONTINUUM OF CARE. THE HOSPITAL AS WELL AS LOCAL PHYSICIANS AGREE TO PROVIDE CARE THAT IS UNCOMPENSATED OR AT A REDUCED FEE. OVER THE PAST YEAR, THE HOSPITAL HAS EITHER BEEN ACTIVE OR SUPPORTED THE ACTIVITIES TO DEVELOP COMMUNITY AWARENESS FOR BOTH THE HEALTH EXCHANGES AND MEDICAID EXPANSION.

PART III, LINE 8:
"THE MEDICARE SURPLUS (SHORTFALL) WAS CALCULATED BY UTILIZING COST ACCOUNTING WHEN APPROPRIATE AND AVAILABLE. IN SOME AREAS A COST TO CHARGE METHODOLOGY WAS REQUIRED. THE SURPLUS SHOULD BE CONSIDERED AND INCLUDED IN THE COMMUNITY BENEFIT AS THE REIMBURSEMENT DID NOT MEET THE ""COST"" OF THE EXPENSE BASED ON REASONABLE COSTING METHODOLOGIES."

SCHEDULE H, PART III, LINES 5 AND 6:
OTHER INFORMATION: AS PER THE INSTRUCTIONS, SCHEDULE H, PART III, LINES 5 AND 6 ARE DERIVED DIRECTLY FROM THE MEDICARE COST REPORT. THOSE MEDICARE COSTS NOT INCLUDED IN THE MEDICARE COST REPORT (MEDICARE ADVANTAGE AND FEE FOR SERVICE PHYSICIANS) ARE SUMMARIZED AS FOLLOWS:TOTAL COST: 19,843,260TOTAL REIMBURSEMENT 20,651,869COST IN EXCESS OF REIMBURSEMENT -808,608

PART VI, LINE 2:
"WAR MEMORIAL HOSPITAL WORKS IN CONJUNCTION WITH MANY OF THE HOSPITALS IN THE NORTHERN MICHIGAN AND THE UPPER PENINSULA. IN THESE EFFORTS ""NEEDS"" OF THE COMMUNITIES ARE ASSESSED THROUGH WORK WITH OTHER HOSPITALS, HEALTH RELATED ORGANIZATIONS, AND IN COMMUNITY FORUMS. IN ADDITION, WAR MEMORIAL HOSPITAL HAS ENGAGED OUTSIDE ASSISTANCE IN THE PLANNING FOR ""NEEDS"" OF BOTH SERVICES AND PHYSICIANS TO BEST PLAN FOR CAPITAL AND RECRUITMENT APPROPRIATIONS."

PART VI, LINE 3:
"WAR MEMORIAL HOSPITAL PRIDES ITSELF ON PROVIDING NEEDED CARE TO THE INDIGENT OF THE EASTERN UPPER PENINSULA IN A DIGNIFIED MANNER. THIS EDUCATION AND ASSISTANCE IS DONE THROUGH PARTNERSHIPS WITH OTHER ""ACCESS"" POINTS. SPECIFICALLY, WAR MEMORIAL HOSPITAL HAS PROVIDED RESOURCES TO THE CHAC (COMMUNITY HEALTH ACCESS COALTION) AND WAR MEMORIAL HOSPITAL HAS ENTERED INTO AN AGREEMENT WITH THE STATE OF MICHIGAN TO PROVIDE A DHS (DEPARTMENT OF HEALTH SERVICES) WORKER ON-SITE FOR READY ACCESS FOR OUR PATIENTS. THROUGH THE COLLABORATION OF THESE RELATIONSHIPS OUR PATIENTS ARE FIRST NOTIFIED AND REFERRED TO THE APPROPRIATE RESOURCE FROM THE ON-SET OF RECEIVING HEALTH CARE SERVICES."

PART VI, LINE 6:
NOT AFFILIATED.

PART VI, LINE 7, REPORTS FILED WITH STATES
MI

PART III, LINE 9B:
WAR MEMORIAL HOSPITAL UTILIZES AN ON-LINE INSURANCE VERIFICATION PROCESS TO INITIATE THE EDUCATION AND ELIGIBILITY FROM THE ON-SET OF SERVICES. UPFRONT COLLECTIONS ARE AN ACTIVE PART OF THE PROCESS TO BOTH EDUCATE THE PATIENT AND TO REDUCE BACK-END COSTS OF COLLECTIONS. AT ANY TIME DURING THE PROCESS STAFF ARE TRAINED TO ADDRESS THE PERCEIVED FINANCIAL ASSISTANT NEEDS AND PROVIDE ACCESS TO THE IN-HOUSE PATIENT FINANCIAL COUNSELOR, COMMUNITY HEALTH ACCESS COALITION, OR THE DEPARTMENT OF HEALTH SERVICES REPRESENTATIVE. IN THE BILLING PROCESS, PATIENTS ARE STILL OFFERED ANY EDUCATION NECESSARY TO OBTAIN ASSISTANCE. ONCE SERVICES ARE RECEIVED AND THE PATIENT CHARGES HAVE ACCUMULATED PRIMARY SOURCES OF COVEAGE ARE BILLED. AFTER ALL EFFORTS OF COLLECTION FROM PRIMARY PAYOR (INSURANCE) THE PATIENT IS BALANCED BILL AND PROVIDED THE OPPORTUNITY FOR PAYMENT IN FULL OR OTHER PAYMENT OPTIONS.

PART VI, LINE 4:
WAR MEMORIAL HOSPITAL'S PRIMARY SERVICE AREA IS THE EASTERN UPPER PENINSULA OF MICHIGAN. IN THIS AREA THERE ARE THREE COUNTIES WHICH CONSIST OF CHIPPEWA, MACKINAC, AND LUCE. WAR MEMORIAL HOSPITAL PRIDES ITSELF ON THE QUALITY OF SERVICES IT PROVIDES AS A RURAL SOLE COMMUNITY HOSPITAL. THE CLOSEST HOSPITAL IS 50 MILES AWAY AND IS A CRITICAL CARE HOSPITAL. THE CLOSEST TERTIARY FACILITY IS OVER 90 MILES AWAY. WAR MEMORIAL HOSPITAL STRIVES FOR PROVIDING SERVICES TO THE COMMUNITY FOR WHICH OTHERWISE THE COMMUNITY MEMBER WOULD MOST LIKELY HAVE TO TRAVEL TO A TERTIARY FACILITY. THROUGH ITS OWN EFFORTS AND JOINT VENTURES AREAS OF CARE SUCH AS OBSTETRICS AND DELIVERY, DIALYSIS, ONCOLOGY, CARDIOLOGY, PULMONOLOGY, INFECTIOUS DISEASE, AND I/P PSYCHIATRIC SERVICES WOULD NOT BE AVAILABLE.WAR MEMORIAL HOSPITAL IS ONE OF THE TOP THREE LARGEST EMPLOYERS IN OUR REGION. WE EMPLOY MORE THAN 1093 PEOPLE AND HAVE AN ANNUAL PAYROLL OF APPROXIMATELY $50 MILLION; PROVIDING A POSITIVE ECONOMIC IMPACT IN THE COMMUNITY.

PART VI, LINE 5:
WAR MEMORIAL HOSPITAL PROVIDES MANY POINTS OF ACCESS THAT ARE NOT PROFITABLE, BUT OTHERWISE WOULD REQUIRE OUR COMMUNITY MEMBERS TO TRAVEL GREAT DISTANCES. THE HOSPITAL MANAGEMENT AND STAFF PARTICIPATE ACTIVELY IN MANY HEALTH AND EDUCATIONAL ENDEAVORS. AN EXAMPLE IS PROVIDING CLINICAL STAFF TO THE LOCAL STATE UNIVERSITY TO ASSIST IN THE EDUCATION OF REGISTERED NURSES. OTHER EXAMPLES INCLUDE INFORMAL PARTNERSHIPS WITH TWO LOCALLY RECOGNIZED NATIVE AMERICAN TRIBES AND FULL SUPPORT OF COUNTY HEALTH INITIATIVES. PROGRAM EXAMPLES WOULD INCLUDE INDIGENT HEALTH ACCESS, FLU-CLINIC, DIALYSIS, DIABETIC EDUCATION, COUNTY HEALTH DEPARTMENT COLON SCREENING, PHYSICALS FOR STUDENT ATHLETES, AND REGIONAL CHARITY CARE INITIATIVES.WAR MEMORIAL HOSPITAL CONTINUES TO PARTNER WITH TERTIARY FACILITIES TO PROVIDE CONSISTENT ACCESS TO PROVIDERS OF CARDIOLOGY. DUE TO THE HOSPITAL'S GEOGRAPHIC LOCATION AND COMMUNITY SIZE, THE HOSPITAL HAS CONTINUED TO INDEPENDENTLY RECRUIT OTHER SPECIALISTS TO ENSURE THAT COMMUNITY ACCESS TO SERVICES AND PROVIDERS IS ACCOMPLISHED THROUGH PROVIDER BASED CLINICS. THE HOSPITAL CONTINUES ITS EFFORTS IN PROVIDING PRIMARY CARE IN OUTREACH AREAS OF THE EASTERN UPPER PENINSULA. WITH THESE EFFORTS AND PARTNERSHIPS THE HOSPITAL HAS BEEN SUCCESSFUL IN MAINTAINING ALL OTHER SERVICES.WAR MEMORIAL HOSPITAL CONTINUED ITS LEADERSHIP AND INVOLVEMENT WITHIN THE COMMUNITY AND THE HEALTHCARE PROVIDER COMMUNITY BY PROVIDING EDUCATION AND TRAINING. EXAMPLES OF COMMUNITY EDUCATION AND/OR HEALTH SCREENINGS INCLUDED A SENIOR HEALTH FAIR, EARLY PRE-NATAL EDUCATION AND CHILDBIRTH CLASSES. THE HOSPITAL'S INVOLVEMENT IN HEALTHCARE PROVIDER EDUCATION AND TRAINING INCLUDED NURSE AIDE TRAINING PROGRAMS AND SERVING AS CLINICAL INTERNSHIP SITE FOR MANY COLLEGE AND UNIVERSITY TRAINING PROGRAMS FOR STUDENTS IN REGISTERED NURSING, PHARMACY, MEDICAL TECHNOLOGY, HEALTH INFORMATION MANAGEMENT, AND PHYSICIAN ASSISTANT PROGRAMS. THE HOSPITAL IS ALSO DESIGNATED AS A COMMUNITY TRAINING CENTER OFFERING TRAINING TO AREA PHYSICIANS AND STAFF ON PEDIATRIC ADVANCED LIFE SUPPORT, ADVANCED CARDIAC LIFE SUPPORT AND BASIC LIFE SUPPORT. THE HOSPITAL IS ALSO CERTIFIED TO PROVIDE CONTINUING MEDICAL EDUCATION TO AREA PHYSICIANS AND STAFF AND CONDUCTS MORE THAN 25 ON-SITE PROGRAMS PER YEAR. VIDEO CONFERENCING CAPABILITIES ALSO PROVIDE ACCESS TO COMMUNITY AND HEALTHCARE PROVIDER TRAINING THROUGHOUT THE YEAR.WAR MEMORIAL HOSPITAL EMPLOYEES HAVE EMPLOYMENT BENEFITS WHICH INCLUDE PAYMENT FOR EXPENSES FOR THE COMPLETION OF A BACHELOR OF SCIENCE IN NURSING FOR CURRENT REGISTERED NURSES. ADDITIONALLY, OTHER EMPLOYEES HAVE ANNUAL EDUCATION BENEFITS FOR CONTINUING OR ADVANCING THEIR EDUCATION IN A HEALTHCARE FIELD. THE HOSPITAL ALSO OFFERS AN EDUCATIONAL LOAN PROGRAM WITH A PERIOD OF NO-INTEREST LOANS WHILE ENROLLED IN AN EDUCATIONAL PROGRAM. FOR NEWLY HIRED EMPLOYEES IN JOB SHORTAGE CLASSIFICATIONS, EMPLOYEES CAN RECEIVE FUNDS FOR STUDENT LOAN REPAYMENT FOR A COMMITMENT TO SERVE WAR MEMORIAL HOSPITAL FOR A SPECIFIED NUMBER OF YEARS.