Tomah Health

Tomah Health has provided for the health and well-being of the residents of Tomah and the surrounding communities for nearly sixty-five years. The Hospital provides a broad spectrum of health and wellness services to the community, including general medical/surgical and swing bed inpatient care, diagnostic laboratory, and radiology services, general and specialty surgical services, 24-hour emergency care services, obstetric services, rehabilitative services, occupational health and wellness programs, and a community outreach program. Key volume indicators for the fiscal year ended September 30, 2023 are as follows:(Continued on Schedule O)* 1,056 inpatient discharges* 3,200 inpatient days* 21,610 emergency room and urgent care visits* 1,978 surgical and endoscopic procedures* 18,733 radiology procedures (including CT and MRI)* 96,673 laboratory tests* 53,270 rehabilitative services proceduresIn furtherance of its charitable mission, the Hospital provided approximately $564,989 of free and discounted care to area residents (cost of care approximately $250,000) and wrote off $2.86 million of uncollectible accounts (cost equal to approximately $1.26 million). Additionally, based on its most recently completed community benefits survey, the Hospital incurred approximately $3.81 million in net losses related to providing care for individuals with health insurance provided by either the Medicaid program or other governmental insurance programs. The Hospital subsidizes several programs that are deemed vital services for the community, including in-home hospice and palliative care services, a hospice residence, a walk-in clinic located in the rural community of Warrens, WI, and a dedicated community outreach department that provides health and wellness services to area employers and the Tomah community. Subsidies for these programs for fiscal 2023 approximated $2.66 million. Additional details regarding the hospice program and the Warrens Walk-In Clinic can be found below in 4b and 4c. In addition to providing high quality healthcare services, the Hospital encourages employees to become actively involved in community organizations and projects that provide other benefits to local communities. The Hospital provides many free services to the community, including health and wellness presentations to area school children, CPR and AED training to various organizations, wellness fairs devoted to women and senior citizens, and meeting space to various non-profit and civic organizations.

Warrens Walk-In ClinicThe Hospital began operating an off-site walk-in care clinic several years ago to better serve the needs of the residents of Warrens, Wisconsin. For the fiscal year ended September 30, 2023, the clinic accommodated 2,968 patient visits. The clinic provides residents with a close-to-home, low-cost option for healthcare services (including basic laboratory tests and x-ray capabilities) related to minor injuries and illnesses, and all services provided are supported by the Hospital's Emergency Department. Despite incurring a negative gross contribution margin during 2023, the Hospital's Board of Directors believes the clinic is an important asset to the residents of Warrens and remains committed to supporting it until it achieves a sustainable level of financial performance.

Hospice ProgramThe Hospital provides in-home, inpatient, and residential hospice care to residents of Tomah and the surrounding communities. Residential care is provided via the operation of an eight-bed hospice house located off campus. Despite subsidizing the financial losses incurred by the program, the services are deemed vital to the community and represent a necessary component of patient care. For the year ended September 30, 2023, the Hospice program experienced 8,382 program days and 1,657 hospice residence days.