1. Presented to Wisconsin Economic Association 2009 Conference November 7, 2009 Andrew W. Weier Director, Quality and Strategic Analysis Saint Joseph’s Hospital Ministry Health Care Marshfield, Wisconsin Current Issues in Health Care for Wisconsin: A Providers Perspective

2. Older Persons Use More Services

3. Projected Change in Wisconsin Population by County

4. Central & Northern Region Area Population Age 65+ The 65+ population will increase significantly by 2030 and at a much higher rate than the state of WI average.

5. Larger concentration of older population in Northern WI counties – 2005 vs 2025

6. Central & Northern Region Counties are poorer than average The bulk of lower-income Wisconsinites reside in rural counties that are typically either dominated by farming or by tourism, forests, and lakes. While the Wisconsin median stands at 26.6%, these rural counties are experiencing poverty rates in the mid to upper 30s%. Forest 35.6% Langlade 32.9% Lincoln 25.2% Oneida 26.6% Price 30.0% Vilas 30.1% Clark 35.2% Marathon 21.1% Portage 24.7% Taylor 27.7% Wood 22.6% MHC Northern Region MHC Central Region

7. WI Discharges by Top Hospitals FY 2008 Top 10 yield 33% of All WI discharges (excludes normal newborn) Source Data Bay, WHA, Oct, 2007 - Sep, 2008

8. Payer Mix, Top WI Hospitals Source Data Bay, WHA, Oct, 2007 - Sep, 2008

9. Commercial Payer Trend Select WI Hospitals, FY’04 – FY’08 Source Data Bay, WHA, Oct, 2007 - Sep, 2008

10. Saint Joseph’s Hospital Payer Discounts, FY ‘08 Source: Internal data, do not cite or quote

11. SJH Specific Discharge MS-DRG 470 Major Joint Replacement or Reattachment of Lower Extremity without Major Complication or Mortality Source: Internal data, do not cite or quote