ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS INC (EIN 39-1390638)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-14
IRS object ID: 201931349349309133
Schema version: 2017v2.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-14T17:34:27-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	861065772	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE SUITE 4200	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	462045108	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	391390638	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Ascension Sacred Heart-St Mary's Hospitals Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ASCE	BusinessNameControlTxt
Phone	3147338000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 347	AddressLine1Txt
City	Stevens Point	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54481	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Tonya Mershon	PersonNm
Person Title	Tax Officer	PersonTitleTxt
Signature	2019-05-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SAMANTHA BOKORI	PreparerPersonNm
PTIN	P01057347	PTIN
Phone	3174648600	PhoneNum

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Bernard Sherry	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 W River Woods Parkway	AddressLine1Txt
City	Glendale	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53212	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$147,174,046	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://healthcare.ascension.org/Locations/Wisconsin/WIAPM/Tomahawk-Sacred-Heart-Hospital	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1981	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH AND WELL-BEING OF ALL PEOPLE IN THE COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	816	TotalEmployeeCnt
Total Volunteers	139	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$4,329	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$475,087	PYContributionsGrantsAmt
CY Contributions Grants	$465,645	CYContributionsGrantsAmt
PY Program Service Revenue	$148,702,968	PYProgramServiceRevenueAmt
CY Program Service Revenue	$145,886,119	CYProgramServiceRevenueAmt
PY Investment Income	$294,743	PYInvestmentIncomeAmt
CY Investment Income	-$111,001	CYInvestmentIncomeAmt
PY Other Revenue	$387,941	PYOtherRevenueAmt
CY Other Revenue	$528,864	CYOtherRevenueAmt
PY Total Revenue	$149,860,739	PYTotalRevenueAmt
CY Total Revenue	$146,769,627	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$69,269,133	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$60,981,184	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$117,217	CYTotalFundraisingExpenseAmt
PY Other Expenses	$72,079,988	PYOtherExpensesAmt
CY Other Expenses	$90,281,900	CYOtherExpensesAmt
PY Total Expenses	$141,349,121	PYTotalExpensesAmt
CY Total Expenses	$151,263,084	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,511,618	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$4,493,457	CYRevenuesLessExpensesAmt
Total Assets BOY	$94,684,836	TotalAssetsBOYAmt
Total Assets EOY	$85,273,835	TotalAssetsEOYAmt
Total Liabilities BOY	$45,600,704	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$28,583,376	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$49,084,132	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$56,690,459	NetAssetsOrFundBalancesEOYAmt
Mission	OUR MISSION AS PART OF A CATHOLIC HEALTH CARE SYSTEM IS TO FURTHER THE HEALING MINISTRY OF JESUS BY CONTINUALLY IMPROVING THE HEALTH AND WELL-BEING OF ALL PEOPLE, ESPECIALLY THE POOR, IN THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$94,110,491	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$145,992,468	RevenueAmt
Desc	Ascension Sacred Heart-St. Mary's Hospitals, Inc. is a 82-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, Ascension Sacred Heart-St. Mary's Hospitals, Inc. treated 2,956 adults and children for a total of 11,427 patient days of service. The hospital also provided services for 317,679 outpatient visits, which included 3,050 outpatient surgeries and 16,362 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.	Desc
Total Program Service Expenses	$94,110,491	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	89	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	816	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Sara O'Brien	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3147338070	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11775 BORMAN DRIVE	AddressLine1Txt
City	MARYLAND HEIGHTS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63146	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RAY BURGAN
VICE CHAIR	1.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
MARGARET S JOHNSON
SECRETARY/TREASURER	1.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
SANDRA L LATZEL-ANDERSON
BOARD MEMBER/HOSPITAL PRESIDENT (EX-OFFICIO)	8.0	42.0	Yes (X)	Yes (X)	$0	$473,504	$33,538
JUDY SMOLAREK RN MSN FP
CHAIR	1.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
SISTER ELIZABETH AMMAN OP
BOARD MEMBER	1.0	5.0	Yes (X)		$0	$0	$0
FR JIM FOSDICK
BOARD MEMBER	1.0	5.0	Yes (X)		$0	$0	$0
ARTHUR C HELGERSON DDS
BOARD MEMBER	1.0	5.0	Yes (X)		$0	$0	$0
JESICA WITTE
BOARD MEMBER	1.0	5.0	Yes (X)		$0	$0	$0
LORI J DARR
VP-FINANCE WISCONSIN	5.0	45.0		Yes (X)	$0	$402,935	$46,724
MARK BANAS MD
MEDICAL STAFF PRESIDENT-SACRED HEART	10.0	40.0			$0	$725,996	$54,222	Yes (X)
RUSSELL S SUDBURY MD
MEDICAL STAFF PRESIDENT-SAINT MARY'S	25.0	25.0			$0	$624,150	$57,034	Yes (X)
TERESA J THEILER
CAO - VP PATIENT CARE	50.0	0.0			$0	$190,470	$22,849	Yes (X)
CARMEN A VIEGUT
DIRECTOR OF NURSING	50.0	0			$104,666	$0	$30,872	Yes (X)
KAY E ANDERSON
REG DIR REHAB SERVICES	50.0	0			$129,007	$0	$24,869		Yes (X)
CHERYL ANN BASZYNSKI
CLINICAL PHARMACIST	50.0	0			$128,080	$0	$21,914		Yes (X)
BRADLEY M JAMISON
LEAD PHARMACIST	50.0	0			$134,873	$0	$34,488		Yes (X)
CHRISTOPHER J KOENIGS
MEDICAL PHYSICIST	50.0	0			$176,846	$0	$32,872		Yes (X)
LORI L MOTT
PHYSICIAL THERAPIST	50.0	0			$128,334	$0	$33,547		Yes (X)
MONICA A HILT
FORMER OFFICER (END 1/2015)	0.0	50.0			$0	$531,126	$44,932			Yes (X)
DANIEL E NEUFELDER
FORMER OFFICER (END 9/2016)	0.0	0.0			$0	$996,775	$0			Yes (X)
SHISHIR N SHETH MD
FORMER OFFICER (END 6/2017)	0.0	50.0			$310,998	$222,408	$38,707			Yes (X)
ANN M ZENK
FORMER OFFICER (END 6/2017)	0.0	0.0			$0	$90,398	$14,486			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,112,804	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,257,762	TotReportableCompRltdOrgAmt
Total Other Compensation	$491,054	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	83	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
DELTA LOCUM TENENS
PO BOX 202940	DALLAS	TX	753202940	STAFFING SERVICES	$425,547
SYNTHES USA SALES LLC
1101 SYNTHES AVE	MONUMENT	CO	80132	MEDICAL DEVICES	$254,728
SUPERIOR HEALTH LINENS
230006 MOMENTUM PL	CHICAGO	IL	606895325	LAUNDRY SERVICES	$176,445
ENCORE ONE LLC
124 N 121ST STREET	WAUWATOSA	WI	532263802	INVESTMENT SERVICES	$150,388
FUSION MEDICAL STAFFING LLC
11850 NICHOLAS STREET	OMAHA	NE	68154	STAFFING SERVICES	$145,589	100

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$455,273	GovernmentGrantsAmt
All Other Contributions	$10,372	AllOtherContributionsAmt
Noncash Contributions	$7,785	NoncashContributionsAmt
Total Contributions	$465,645	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621990	$134,805,275	$134,805,275
SERVICES TO AFFILIATES	561000	$4,952,174	$4,952,174
PHARMACY REVENUE	446110	$4,300,289	$4,300,289
AMBULANCE REVENUE	621910	$1,761,593	$1,761,593

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$66,788	TotalRevenueColumnAmt
Related Or Exempt Func Income	$66,788	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$145,886,119	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$254,424	TotalRevenueColumnAmt
Exclusion	$254,424	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$156,581	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$156,581	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$156,581	TotalRevenueColumnAmt
Exclusion	$156,581	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$6,600	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$372,025	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$365,425	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$365,425	TotalRevenueColumnAmt
Exclusion	-$365,425	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$6,107	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,107	TotalRevenueColumnAmt
Exclusion	$6,107	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$53,446	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$32,394	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,052	TotalRevenueColumnAmt
Exclusion	$21,052	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA/VENDING REVENUE	722514	$210,576	$210,576
FOCUS ON ENERGY REBATE	900099	$84,938		$84,938
MEDICAL DIRECTOR FEES	561000	$21,411		$21,411

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,199	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$28,199	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$345,124	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$146,769,627	TotalRevenueColumnAmt
Related Or Exempt Func Income	$145,992,468	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$311,514	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$135,538	TotalAmt
Program Services	$130,116	ProgramServicesAmt
Management And General	$5,422	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$49,359,879	TotalAmt
Program Services	$47,433,392	ProgramServicesAmt
Management And General	$1,835,098	ManagementAndGeneralAmt
Fundraising	$91,389	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,506,504	TotalAmt
Program Services	$8,174,513	ProgramServicesAmt
Management And General	$316,218	ManagementAndGeneralAmt
Fundraising	$15,773	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,979,263	TotalAmt
Program Services	$2,862,978	ProgramServicesAmt
Management And General	$110,781	ManagementAndGeneralAmt
Fundraising	$5,504	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$79	TotalAmt
Program Services	$79	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$46,770	TotalAmt
Management And General	$46,770	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$7,024	TotalAmt
Management And General	$7,024	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,079,928	TotalAmt
Program Services	$2,946,637	ProgramServicesAmt
Management And General	$133,291	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$8,108	TotalAmt
Program Services	$5,641	ProgramServicesAmt
Management And General	$2,192	ManagementAndGeneralAmt
Fundraising	$275	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$206,499	TotalAmt
Program Services	$131,080	ProgramServicesAmt
Management And General	$74,941	ManagementAndGeneralAmt
Fundraising	$478	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$38,446	TotalAmt
Program Services	$35,032	ProgramServicesAmt
Management And General	$3,414	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,856,176	TotalAmt
Program Services	$321,907	ProgramServicesAmt
Management And General	$1,534,269	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$224,870	TotalAmt
Program Services	$206,432	ProgramServicesAmt
Management And General	$17,308	ManagementAndGeneralAmt
Fundraising	$1,130	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$49,258	TotalAmt
Program Services	$44,780	ProgramServicesAmt
Management And General	$4,478	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,977,451	TotalAmt
Program Services	$2,809,564	ProgramServicesAmt
Management And General	$3,167,579	ManagementAndGeneralAmt
Fundraising	$308	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt
MANAGEMENT FEE TO AFFILIATE	$18,533,579	$18,533,579
MEDICAL SUPPLIES	$17,557,880	-$5,163	$17,561,979	$1,064
CORPORATE ALLOCATIONS	$15,553,517	$15,553,517
PHYSICIAN FEES TO AFFILIATE	$12,101,303	$7,517,297	$4,584,006

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,041,012	TotalAmt
Program Services	$6,862,355	ProgramServicesAmt
Management And General	$8,177,361	ManagementAndGeneralAmt
Fundraising	$1,296	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$151,263,084	TotalAmt
Program Services	$94,110,491	ProgramServicesAmt
Management And General	$57,035,376	ManagementAndGeneralAmt
Fundraising	$117,217	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$380,592	BOYAmt
EOY	$4,715	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$679,161	BOYAmt
EOY	$1,534,424	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$88,431	BOYAmt
EOY	$43,462	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$21,550,659	BOYAmt
EOY	$17,874,449	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,356,902	BOYAmt
EOY	$2,176,935	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$37,987	BOYAmt
EOY	$27,882	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$84,812,460	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$31,445,675	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$55,617,790	BOYAmt
EOY	$53,366,785	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,603,110	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$156,975	BOYAmt
EOY	$75,358	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$11,213,229	BOYAmt
EOY	$10,169,825	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$94,684,836	BOYAmt
EOY	$85,273,835	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,677,130	BOYAmt
EOY	$6,917,909	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$255,245	BOYAmt
EOY	$154,377	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$38,668,329	BOYAmt
EOY	$21,511,090	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$45,600,704	BOYAmt
EOY	$28,583,376	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$48,341,585	BOYAmt
EOY	$55,902,265	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$742,547	BOYAmt
EOY	$788,194	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$49,084,132	BOYAmt
EOY	$56,690,459	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$94,684,836	BOYAmt
EOY	$85,273,835	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$4,493,457	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,087,835	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$13,187,619	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$7,024	OtherActivitiesAmt
Total Lobbying Expenditures	$7,024	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. ASCENSION SACRED HEART-ST MARY'S HOSPITALS, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTION OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. ASCENSION SACRED HEART-ST MARY'S HOSPITALS, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTION OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,473,253	OtherCostOrOtherBasisAmt
Book Value	$4,473,253	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,473,165	OtherCostOrOtherBasisAmt
Depreciation	$10,872,918	DepreciationAmt
Book Value	$38,600,247	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$282,412	OtherCostOrOtherBasisAmt
Depreciation	$134,137	DepreciationAmt
Book Value	$148,275	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,407,916	OtherCostOrOtherBasisAmt
Depreciation	$19,119,014	DepreciationAmt
Book Value	$8,288,902	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,175,714	OtherCostOrOtherBasisAmt
Depreciation	$1,319,606	DepreciationAmt
Book Value	$1,856,108	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$53,366,785	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
Interest in investments held by Ascension Health Alliance
DUE FROM AFFILIATES	$6,821,519
ESTIMATED 3RD PARTY PAYOR SETTLEMENTS	$1,566,742
OTHER RECEIVABLES	$969,026
OTHER CURRENT ASSETS	$40,990
INTEREST IN FOUNDATIONS	$771,548

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$10,169,825	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Estimated Settlement to Third-Party Payor	$2,234,041
Intercompany debt with Ministry Health Care, Inc.
Due To Affiliates	$18,960,484
AH Savings Plan Liability
Recovery Tail Liability	$177,277
Accrued Taxes	$139,288
Other Liabilities

Field	Value	IRS element (for citing)
Total Liability	$21,511,090	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2018.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,763,077	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$116,138	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,646,939	NetCommunityBenefitExpnsAmt
Total Expense	0.0175	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,965,150	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,296,396	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,668,754	NetCommunityBenefitExpnsAmt
Total Expense	0.0771	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$26,728,227	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,412,534	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,315,693	NetCommunityBenefitExpnsAmt
Total Expense	0.0946	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$117,447	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,523	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$115,924	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$81,533	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$81,533	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$412,279	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$295,868	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$116,411	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$611,259	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$297,391	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$313,868	NetCommunityBenefitExpnsAmt
Total Expense	0.0021	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$27,339,486	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,709,925	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,629,561	NetCommunityBenefitExpnsAmt
Total Expense	0.0967	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,947	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,947	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,221	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,221	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$4,168	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,168	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$1,559,399	BadDebtExpenseAmt
Bad Debt Expense Attributable	$28,655	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$54,593,271	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$69,888,401	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$15,295,130	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Critical Access HospitalCriticalAccessHospitalInd
ST MARY'S HOSPITAL
1	2251 North Shore Drive	RHINELANDER	WI	54501	https://healthcare.ascension.org/Locations/Wisconsin/WIAPM/Rhinelander-Saint-Marys-Hospital	138	Yes (X)	Yes (X)	Yes (X)
SACRED HEART HOSPITAL
2	401 WEST MOHAWK DRIVE	TOMAHAUK	WI	54487	https://healthcare.ascension.org/Locations/Wisconsin/WIAPM/Tomahawk-Sacred-Heart-Hospital	1016	Yes (X)		Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
ST MARY'S HOSPITAL
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	https://healthcare.ascension.org/Locations/Wisconsin/WIAPM/Rhinelander-Saint-Marys-Hospital/Communit	Yes (X)	Yes (true)	15	Yes (true)	https://healthcare.ascension.org/Locations/Wisconsin/WIAPM/Rhinelander-Saint-Marys-Hospital/Communit	false	Yes (true)	Yes (X)	250.0	400.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://healthcare.ascension.org/Financial-Assistance/wisconsin	Yes (X)	https://healthcare.ascension.org/Financial-Assistance/wisconsin	Yes (X)	https://healthcare.ascension.org/Financial-Assistance/wisconsin	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
SACRED HEART HOSPITAL
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	https://healthcare.ascension.org/Locations/Wisconsin/WIAPM/Tomahawk-Sacred-Heart-Hospital/Community-	Yes (X)	Yes (true)	15	Yes (true)	https://healthcare.ascension.org/Locations/Wisconsin/WIAPM/Tomahawk-Sacred-Heart-Hospital/Community-	false	Yes (true)	Yes (X)	250.0	400.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://healthcare.ascension.org/Financial-Assistance/wisconsin	Yes (X)	https://healthcare.ascension.org/Financial-Assistance/wisconsin	Yes (X)	https://healthcare.ascension.org/Financial-Assistance/wisconsin	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	ST. MARY'S HOSPITAL TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - ST. MARY'S HOSPITAL. INPUT INTO THE CHNA FROM COMMUNITY MEMBERS, INCLUDING MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AND FROM ORGANIZATIONS THAT SERVE THOSE POPULATIONS, WAS SOUGHT IN MULTIPLE WAYS. (A) A COMMUNITY SURVEY WAS CONDUCTED IN SUMMER-FALL 2015 THAT ASKED PARTICIPANTS TO SHARE THEIR PERCEPTIONS ON THE HEALTH OF THE COMMUNITY AND TO IDENTITY HEALTH PRIORITY AREAS. THE SURVEY ALSO ASKED QUESTIONS ABOUT THE PARTICIPANTS' CURRENT HEALTH STATUS AND BARRIERS TO CARE. THE SURVEY WAS DISTRIBUTED ONLINE THROUGH THE HEALTH DEPARTMENTS' WEBSITES AND FACEBOOK. IN AN EFFORT TO INSURE REPRESENTATION FROM VULNERABLE GROUPS, SUCH AS LOW-INCOME, MINORITY AND MEDICALLY UNDERSERVED POPULATIONS PAPER COPIES OF THE SURVEY WERE DISTRIBUTED TO IDENTIFY COMMUNITY SITES THAT SERVE THESE POPULATIONS. (B) IN DECEMBER 2015, A COMMUNITY FORUM WAS HELD, AT WHICH INPUT WAS RECEIVED FROM BOTH THE GENERAL PUBLIC AND FROM REPRESENTATIVES OF ORGANIZATIONS THAT SERVE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. (C) MULTIPLE FOCUS GROUPS WERE HELD TO OFFER OPPORTUNITIES FOR THE VOICES OF SPECIFIC COMMUNITIES (E.G., COLLEGE STUDENTS, NATIVE AMERICAN TRIBES) TO BE HEARD. (D) KEY-INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS THAT WORK TO IMPROVE THE HEALTH OF THE COMMUNITY, ESPECIALLY WITHIN THE VULNERABLE POPULATIONS INCLUDING THE LOW-INCOME AND MEDICALLY UNDERSERVED. THE ORGANIZATIONS INVOLVED IN THE ABOVE EFFORTS ARE LISTED BELOW. COMMUNITY NEEDS ASSESSMENT TEAM / DECEMBER 2015 COMMUNITY FORUM * FOREST COUNTY HEALTH DEPARTMENT * ONEIDA COUNTY HEALTH DEPARTMENT * VILAS COUNTY HEALTH DEPARTMENT * MINISTRY ST. MARY'S HOSPITAL * MINISTRY HEALTH CARE * UW-EXTENSION - ONEIDA COUNTY * DIVISION OF PUBLIC HEALTH, NORTHERN REGION OFFICE * COMMISSION ON AGING * MARSHFIELD CLINIC * RHINELANDER SCHOOL DISTRICT * CRANDON PUBLIC LIBRARY * LAC DU FLAMBEAU SCHOOL DISTRICT * ONEIDA COUNTY SOCIAL SERVICES * TRI-COUNTY COUNCIL ON DOMESTIC VIOLENCE AND SEXUAL ASSAULT * VILAS COUNTY HEALTH DEPARTMENT BOARD OF HEALTH * HOLY FAMILY CHURCH * UW-EXTENSION-FOREST COUNTY * NICOLET COLLEGE * MINISTRY HEALTH - SACRED HEART * FOREST COUNTY OFFICE ON AGING * NORTHWOODS UNITED WAY, INC. * UW-EXTENSION-FOREST AND VILAS COUNTIES * SOKAOGON MOLE LAKE CLINIC * FAMILY & CHILD LEARNING CENTER * BLACKWELL JOB CORPS * FOREST COUNTY TRIBAL AMERICORPS * MINISTRY HEALTH-HOWARD YOUNG * FOREST COUNTY POTAWATOMI HEALTH & WELLNESS * CITY OF RHINELANDER POLICE DEPARTMENT * TRI-COUNTY COUNSEL * DEPARTMENT OF AGING * TRI COUNTY COUNCIL * ADRC * SUNSHINE FOR HUMANITY * VILAS COUNTY EMERGENCY MANAGEMENT * DEMMER LIBRARY * PETERSEN CHRISTIANSON HEALTHCARE * GREAT LAKES INTERTRIBAL COUNCIL * VILAS COUNTY SHERIFF'S DEPARTMENT * ONEIDA COUNTY SOCIAL SERVICES * NICOLET COLLEGE FOCUS GROUPS: AODA COALITION MENTAL HEALTH INTER-AGENCY COALITION LEAN COALITION NICOLET COLLEGE NURSING STUDENTS RHS CHANGE/FACT GROUP VILAS COUNTY FIRE CHIEF'S AND EMERGENCY SERVICES ASSOCIATION COMMUNITY COALITION OF FOREST COUNTY FOREST COUNTY SCHOOL ADMINISTRATORS OF CRANDON, LAONA AND WABENO KEY INFORMANT INTERVIEWS: NORTHWOODS ALLIANCE FOR TEMPORARY HOUSING POLICE / LAW ENFORCEMENT TRI-COUNTY COUNSEL ON DOMESTIC VIOLENCE UNIVERSITY OF WISCONSIN-EXTENSION SCHOOL DISTRICT TRIBAL SOCIAL SERVICES ECONOMIC DEVELOPMENT
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - ST. MARY'S HOSPITAL. The CHNA was conducted with the following hospital facilities: - Ascension Eagle River Hospital, Inc. - Howard Young Medical Center
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - ST. MARY'S HOSPITAL. The CHNA was conducted with the following non-hospital facilities: Forest County Health Department, Vilas County Health Department and Oneida County Health Department
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - ST. MARY'S HOSPITAL. HOW ADDRESSING THE SIGNIFICANT NEEDS .... USING THE CHNA COMPLETED IN FISCAL YEAR 2016 (TAX YEAR 2015), THE HOSPITAL DEVELOPED, ADOPTED, AND WORKED ON EXECUTING A THREE-YEAR IMPLEMENTATION STRATEGY TO ADDRESS PRIORITY COMMUNITY HEALTH NEEDS. IN FISCAL YEAR 2018 (TAX YEAR 2017), THE HOSPITAL IMPLEMENTED THE FOLLOWING PLAN TO ADDRESS THE PRIORITY NEEDS: MENTAL HEALTH -- INCREASE COMMUNITY MEMBERS' AWARENESS OF AND ABILITY TO ACCESS BEHAVIORAL HEALTH SERVICES. -- PARTICIPATED IN THE REGIONAL MENTAL HEALTH AND ALCOHOL AND OTHER DRUG ABUSE (AODA) COALITION. MENTAL HEALTH-RELATED COALITION ACTIVITIES INCLUDED PARTNERING WITH THE SCHOOLS FOR YOUTH RISK BEHAVIOR SURVEYS AND CONDUCTING 'QUESTION, PERSUADE, REFER (QPR)' SUICIDE PREVENTION TRAININGS. -- LED THE PLANNING FOR AND CONDUCTED A BIENNIAL MENTAL HEALTH SUMMIT -- CONTRIBUTED FINANCIALLY TO THE COUNTY PUBLIC HEALTH DEPARTMENT'S MENTAL HEALTH EFFORTS -- SUPPORTED A LOCAL MEMORY CAFE (WHICH PROVIDES SUPPORT AND RESOURCES FOR FAMILIES OF A LOVED ONE WITH DEMENTIA) CHRONIC DISEASE -- INCREASE THE PROPORTION OF RESIDENTS OF FOREST, ONEIDA AND VILAS COUNTIES WHO HAVE A HEALTHY DIET AND REGULAR PHYSICAL ACTIVITY. -- PARTICIPATED IN THE REGIONAL CHRONIC DISEASE PREVENTION COALITION -- CONDUCTED 'STRONG BONES' STRENGTHENING CLASSES -- INSTALLED AND REGULARLY ROTATED POINT-OF-DECISION PROMPTS FOR PHYSICAL ACTIVITY, HEALTHY EATING AND WATER CONSUMPTION -- CONTRIBUTED FINANCIALLY TO THE COUNTY PUBLIC HEALTH DEPARTMENT'S CHRONIC DISEASE EFFORTS ALCOHOL AND OTHER DRUG ABUSE (AODA) -- THERE WILL BE COORDINATED AND STRENGTHENED EFFORTS TO CONNECT PEOPLE WITH RESOURCES AND HEALTHY ALTERNATIVES FOR PREVENTION AND EARLY INTERVENTION OF ALCOHOL AND OTHER DRUG ABUSE IN NORTHERN REGION MINISTRY HOSPITALS AND CLINICS. -- PARTICIPATED IN THE REGIONAL MENTAL HEALTH AND AODA COALITION. AODA-RELATED COALITION ACTIVITIES INCLUDED: HOSTING VIEWINGS OF A DOCUMENTARY ABOUT A BOY WHO DIED OF A DRUG OVERDOSE; HOSTING DRUG TAKE-BACK EVENTS; PROMOTING 'PARENTS WHO HOST LOSE THE MOST' UNDERAGE DRINKING PREVENTION EFFORTS; PARTNERING WITH THE SCHOOLS FOR YOUTH RISK BEHAVIOR SURVEYS; CONDUCTING MULTIPLE TRAININGS (E.G., DRUG RECOGNITION FOR OFFICERS AND PARENTS AND NALOXONE USE). THE DESCRIPTION BELOW INCLUDES THE NEEDS NOT BEING ADDRESSED AS WELL AS THE REASON WHY THE NEEDS ARE NOT BEING ADDRESSED. IN ADDITION TO THE THREE HEALTH ISSUES SELECTED AS THE TOP PRIORITIES, STAKEHOLDERS IDENTIFIED TRANSPORTATION AS A CONCERN THAT COULD IMPACT ACCESS TO SERVICES IN FOREST, ONEIDA, AND VILAS COUNTIES. WHILE THIS ISSUE WILL NOT BE ADDRESSED BY OUR HOSPITALS AS A PRIORITY HEALTH NEED, WE WILL PROVIDE SUPPORT TO THOSE COMMUNITY EFFORTS WHENEVER POSSIBLE. TRANSPORTATION ISSUES HAVE BEEN RAISED AS A BARRIER FOR RESIDENTS LIVING IN THE THREE COUNTIES. TRANSPORTATION CAN IMPACT A PERSON'S ABILITY TO GET TO SERVICES TO MEET THEIR NEEDS. THERE IS A NEW TRANSPORTATION PROGRAM THAT HAS STARTED IN OUR AREA THAT SERVES ONEIDA AND VILAS COUNTIES. FOREST COUNTY HAD BEEN A PARTNER AT THE TABLE BUT IS NO LONGER PART OF THE PROGRAM. THE NEW TRANSPORTATION PROGRAM WILL BE ADDRESSING TRANSPORTATION ISSUES AND CONDUCTING A GAP ANALYSIS, THEREFORE, THE HOSPITALS WILL NOT BE ADDRESSING THIS ISSUE AT THIS TIME. HOWEVER, THE HOSPITALS' ADMINISTRATIONS ARE INTERESTED IN KNOWING MORE ABOUT HOW THE GAPS ARE BEING FILLED AND WILL BE OPEN TO HEARING MORE ABOUT THESE NEEDS WHEN THE GAP ANALYSIS IS COMPLETED.
Schedule H, Part V, Section B, Line 3E	SACRED HEART HOSPITAL TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - SACRED HEART HOSPITAL. SACRED HEART HOSPITAL'S CHNA PROCESS INCLUDED TWO SPECIFIC EFFORTS TO SEEK INPUT FROM COMMUNITY MEMBERS, INCLUDING MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AND FROM ORGANIZATIONS THAT SERVE THOSE POPULATIONS. FIRST, A PAPER SURVEY WAS MADE AVAILABLE AT COMMUNITY AGENCIES AND SITES THAT SERVE LOW-INCOME, MINORITY AND MEDICALLY-UNDERSERVED POPULATIONS. DISTRIBUTED IN SUMMER 2015, THE SURVEY ASKED PARTICIPANTS THEIR PERCEPTION OF THE TOP PRIORITY HEALTH NEEDS IN LINCOLN COUNTY AND ABOUT THEIR OWN PHYSICAL, MENTAL AND ORAL HEALTH. SECOND, A COMMUNITY HEALTH NEEDS ASSESSMENT MEETING WAS HELD IN OCTOBER 2015. PARTICIPANTS INCLUDED A REPRESENTATIVES FROM A VARIETY OF ORGANIZATIONS. AT THE MEETING, STAKEHOLDERS PARTICIPATED IN A FACILITATED DISCUSSION ABOUT THE COMMUNITY HEALTH DATA, PROGRESS ON THE PREVIOUS PRIORITY AREAS, AND ANY EMERGING NEEDS. THE LIST OF ORGANIZATIONS PARTICIPATING IN THE OCTOBER 2015 STAKEHOLDER MEETING IS BELOW. * LINCOLN COUNTY HEALTH DEPARTMENT * NORTHERN REGION MINISTRY MEDICAL GROUP * MINISTRY HEALTH CARE * MERRILL AREA UNITED WAY* * BRIDGE DENTAL CLINIC* * UW EXTENSION LINCOLN COUNTY * ST. VINCENT DEPAUL* * DHHS LINCOLN COUNTY * NORTH CENTRAL COMMUNITY ACTION PROGRAM* * UW EXTENSION LINCOLN COUNTY, NUTRITION EDUCATION PROGRAM* * MINISTRY GOOD SAMARITAN HEALTH CENTER * MINISTRY MEDICAL GROUP TOMAHAWK * MINISTRY SACRED HEART HOSPITAL * MINISTRY BEHAVIORAL HEALTH SERVICES * TOMAHAWK SCHOOL DISTRICT *DENOTES ORGANIZATIONS OR PROGRAMS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND/OR MINORITY POPULATIONS.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - SACRED HEART HOSPITAL. THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITY(S): - ASCENSION GOOD SAMARITAN HOSPITAL, INC.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - SACRED HEART HOSPITAL. THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITY(S): LINCOLN COUNTY HEALTH DEPARTMENT
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - SACRED HEART HOSPITAL. HOW ADDRESSED NEEDS IN FY18..... USING THE CHNA COMPLETED IN FISCAL YEAR 2016 (TAX YEAR 2015) THE HOSPITAL DEVELOPED, ADOPTED, AND WORKED ON EXECUTING A THREE-YEAR IMPLEMENTATION STRATEGY TO ADDRESS PRIORITY COMMUNITY HEALTH NEEDS. IN FISCAL YEAR 2018 (TAX YEAR 2017), THE HOSPITAL IMPLEMENTED THE FOLLOWING PLAN TO ADDRESS THE PRIORITY NEEDS: MENTAL HEALTH -- LED THE PLANNING FOR AND CONDUCTED A BIENNIAL MENTAL HEALTH SUMMIT -- DISTRIBUTED A MENTAL HEALTH RESOURCE GUIDE. -- DISTRIBUTED MENTAL HEALTH POSTERS, CRISIS INTERVENTION CARDS, AND HOPELINE (TEXT-BASED SUICIDE PREVENTION 'HOTLINE') MATERIALS. -- AS PART OF THE COUNTY MENTAL HEALTH COALITION, CONDUCTED MENTAL HEALTH FIRST AID FOR YOUTH CLASSES AND 'TAKING CARE OF YOU' (STRESS MANAGEMENT AND MINDFULNESS) -- PROVIDED FUNDING FOR THE LINCOLN COUNTY HEALTH DEPARTMENT TO SUPPORT MENTAL HEALTH PRIORITY -- PROVIDED FUNDING FOR THE SCHOOL DISTRICT OF TOMAHAWK TO PROMOTE AODA PREVENTION, EDUCATION AND MENTAL HEALTH ORAL HEALTH -- DISTRIBUTED ADULT ORAL HEALTH MESSAGES VIA BILLBOARDS AND DISPLAYS. -- DISTRIBUTED ORAL HEALTH KITS TO INDIVIDUALS WHO ARE VULNERABLE OR WITH LOW INCOME. -- DISTRIBUTED THE LINCOLN COUNTY ORAL HEALTH RESOURCE GUIDE. -- CONDUCTED "SUGAR OUT DAY" PRESENTATIONS IN A GRADE SCHOOL. -- PROVIDED FUNDING FOR LINCOLN COUNTY PUBIC HEALTH TO SUPPORT ORAL HEALTH PRIORITY NUTRITION -- PROVIDED FUNDING FOR APPLIANCES OFFERED AT COOKING CLASSES -- PROVIDED FUNDING FOR THE AVAILABILITY OF ELECTRONIC BENEFIT TRANSFER (EBT) AT THE LOCAL FARMERS MARKET. -- PROVIDED FUNDING FOR LINCOLN COUNTY PUBLIC HEALTH TO SUPPORT NUTRITION PRIORITY THE DESCRIPTION BELOW INCLUDES THE NEEDS NOT BEING ADDRESSED AS WELL AS THE REASON WHY THE NEEDS ARE NOT BEING ADDRESSED. IN ADDITION TO THE THREE HEALTH ISSUES SELECTED AS TOP PRIORITY, STAKEHOLDERS IDENTIFIED SEVERAL OTHER SIGNIFICANT HEALTH ISSUES IN LINCOLN COUNTY. THESE ISSUES WILL NOT BE ADDRESSED BY SACRED HEART AS PRIORITY HEALTH NEEDS BECAUSE THEY ARE BEING ADDRESSED BY OTHER ORGANIZATIONS IN THE COMMUNITY. HOWEVER, WE WILL PROVIDE SUPPORT TO THOSE COMMUNITY EFFORTS WHENEVER POSSIBLE. THOSE NEEDS, ALCOHOL AND DRUG USE AND DOMESTIC VIOLENCE AND TRAUMA, ARE DESCRIBED BELOW. ALCOHOL AND DRUG USE: THE STAKEHOLDERS IDENTIFIED ALCOHOL MISUSE AND DRUG USE, PARTICULARLY HEROIN AND OTHER OPIATES, AS EMERGING ISSUES TO BE ADDRESSED IN THE COMMUNITY. THE LINCOLN COUNTY AODA COALITION WILL BE ADDRESSING THESE ISSUES. A REPRESENTATIVE FROM EITHER SACRED HEART OR GOOD SAMARITAN HEALTH CENTER (A PARTNER WITH SACRED HEART IN THE CHNA PROCESS) OF THE HOSPITALS WILL ATTEND THE QUARTERLY MEETING. DOMESTIC VIOLENCE AND TRAUMA: THE STAKEHOLDERS ALSO IDENTIFIED TRAUMA AND DOMESTIC VIOLENCE AS EMERGING ISSUES. HAVEN, A DOMESTIC ABUSE SHELTER LOCATED IN SOUTHERN LINCOLN COUNTY, PROVIDES EMERGENCY SERVICES, SHELTER AND SUPPORT TO VICTIMS THROUGHOUT THE AREA.

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MMG RHINELANDER
2251 North SHore Drive	Rhinelander	WI	54501	OUTPATIENT PHYSICIAN CLINIC
MMG TOMAHAWK
401 West Mohawk	Tomahawk	WI	54487	OUTPATIENT PHYSICIAN CLINIC
MMG EAGLE RIVER
930 East Wall Street	Eagle River	WI	54521	OUTPATIENT PHYSICIAN CLINIC
MMG CRANDON
400 West Glen Street	Crandon	WI	54520	OUTPATIENT PHYSICIAN CLINIC
MMG RIVERSIDE
1020 Kabel Avenue	Rhinelander	WI	54501	OUTPATIENT PHYSICIAN CLINIC
MMG WOODRUFF
240 Maple Street	Woodruff	WI	54568	OUTPATIENT PHYSICIAN CLINIC
SACRED HEART-ST MARY'S HOSPITALS INC - HEAD 2 TOE PHYSICAL THERAPY
202 W Mohawk Dr	Tomahawk	WI	54487	OUTPATIENT REHABILITATION
MMG LAONA
4876 Mill Street	Laona	WI	54541	OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c FACTORS IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE	IN ADDITION TO USING FPG, ASCENSION SACRED HEART-ST. MARY'S HOSPITAL'S, INC. ALSO USES AN ASSET LEVEL TEST, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY AS FACTORS IN DETERMINING ELIGIBILITY FOR FREE AND DISCOUNTED CARE.
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	MINISTRY HEALTH CARE, INC. EIN: 39-1490371
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COST OF PROVIDING CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED.
Schedule H, Part II Community Building Activities	ASCENSION ST. MARY'S ASCENSION ST. MARY'S HOSPITAL PARTICIPATES IN SEVERAL COMMUNITY COALITIONS, COLLABORATIVE EFFORTS AND NON-PROFITS WITH THE COMMUNITY WHOSE PURPOSE IS TO IMPROVE THE HEALTH OF THE COMMUNITY, INCLUDING HABITAT FOR HUMANITY, LOCAL COALITIONS, AND COUNTY DEATH REVIEWS. BY WORKING TOGETHER WITH OTHER ORGANIZATIONS IN THE COMMUNITY, WE EXPECT TO HAVE A GREATER IMPACT ON HEALTH. ACCORDING TO THE COUNTY HEALTH RANKINGS SITE, WITH A SHARED VISION AND COMMITMENT TO IMPROVED HEALTH, WORKING TOGETHER CAN YIELD BETTER RESULTS THAN WORKING ALONE. ASCENSION SACRED HEART ASCENSION SACRED HEART HOSPITAL PARTICIPATES IN HEALTHY PEOPLE LINCOLN COUNTY, A COLLABORATIVE THAT FOCUSES ON IMPROVING THE HEALTH OF THE COMMUNITY. ASCENSION SACRED HEART ALSO ASSISTED IN A COMMUNITY POVERTY SIMULATION TRAINING. BY WORKING TOGETHER WITH OTHER ORGANIZATIONS IN THE COMMUNITY, WE EXPECT TO HAVE A GREATER IMPACT ON HEALTH. ACCORDING TO THE COUNTY HEALTH RANKINGS SITE, WITH A SHARED VISION AND COMMITMENT TO IMPROVED HEALTH, WORKING TOGETHER CAN YIELD BETTER RESULTS THAN WORKING ALONE.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. AFTER APPLYING THE COST-TO-CHARGE RATIO, THE SHARE OF THE BAD DEBT EXPENSE IN FISCAL YEAR 2018 WAS $3,338,699 AT CHARGES, ($1,559,399 AT COST).
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	ASCENSION SACRED HEART-ST. MARY'S HOSPITALS, INC. HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM; THEREFORE, WE DO NOT TYPICALLY HAVE MUCH TO REPORT AS BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. THEREFORE, WE DO NOT INCLUDE THIS PORTION OF BAD DEBT AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE ORGANIZATION IS PART OF THE ASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSES THE BAD DEBT EXPENSE IS LOCATED ON PAGE 21.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE EXPENSE TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	THE ORGANIZATION FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED.
Schedule H, Part V, Section B, Line 16a FAP website	- ST. MARY'S HOSPITAL: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance/wisconsin; - SACRED HEART HOSPITAL: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance/wisconsin;
Schedule H, Part V, Section B, Line 16b FAP Application website	- ST. MARY'S HOSPITAL: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance/wisconsin; - SACRED HEART HOSPITAL: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance/wisconsin;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- ST. MARY'S HOSPITAL: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance/wisconsin; - SACRED HEART HOSPITAL: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance/wisconsin;
Schedule H, Part VI, Line 2 Needs assessment	IN ADDITION TO THE CHNA REPORTED IN PART V, SECTION B, ASCENSION SACRED HEART-ST. MARY'S HOSPITALS USES BOTH HOSPITAL DATA AND RELIABLE, THIRD PARTY REPORTS, INCLUDING DATA FROM GOVERNMENT SOURCES, TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. THESE REPORTS PROVIDE INFORMATION ABOUT KEY HEALTH, SOCIOECONOMIC, AND DEMOGRAPHIC INDICATORS THAT POINT TO AREAS OF NEED. ASCENSION SACRED HEART-ST MARY'S HOSPITALS UTILIZES THIS INFORMATION TO DETERMINE AND DEVELOP PROGRAMS AND SERVICES TO BE PROVIDED FOR THE COMMUNITY. THESE NEEDS AND INITIATIVES ARE PRESENTED TO SENIOR LEADERSHIP AND BOARD MEMBERS TO ENSURE THE FINDINGS ARE CONSIDERED IN DEVELOPING THE ORGANIZATION'S STRATEGY, POLICY DEVELOPMENT, AND INTERNAL FINANCIAL AND OPERATIONAL DECISIONS
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE ORGANIZATION GOES TO GREAT LENGTHS IN ORDER TO INFORM AND EDUCATE PATIENTS/PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS AND UNDER THE ORGANIZATION'S CHARITY CARE POLICY. THE CHARITY CARE POLICY AND APPLICATION IS POSTED ON THE ORGANIZATION'S WEBSITE. ADMISSIONS AND OTHER KEY AREAS CONTAIN SUMMARY INFORMATION OF THE CHARITY CARE POLICY. AS PART OF THE INTAKE/DISCHARGE PROCESS, PATIENTS ARE PROVIDED WITH A COPY OF THE POLICY AND OTHER INFORMATION FOR FINANCIAL ASSISTANCE. IF A PATIENT INDICATES THEY ARE UNABLE TO PAY THEIR BILL AT ANY POINT DURING PRE-SERVICE, ADMISSION, DISCHARGE OR BILLING PROCESS, THE FINANCIAL COUNSELORS WILL ASSIST THE PATIENT IN EITHER SECURING A FUNDING SOURCE (GRANTS, COBRA COVERAGE, DISABILITY BENEFITS, MEDICAID, VA, ETC.)IF ELIGIBLE OR ASSIST THEM IN COMPLETING A FINANCIAL ASSISTANCE APPLICATION. IF DURING THE COURSE OF THE PATIENT REGISTRATION PROCESS, CARE ENCOUNTER, TREATMENT, OR UPON DISCHARGE IT BECOMES EVIDENT THAT A PATIENT MAY NEED FINANCIAL ASSISTANCE, THE PATIENT SHALL BE REFERRED TO THE ORGANIZATION'S COMMUNITY CARE PROGRAM. PATIENTS MAY BE IDENTIFIED AS NEEDING FINANCIAL ASSISTANCE AT ANY TIME DURING THE COURSE OF AN ENCOUNTER. A REFERRAL FOR CONSIDERATION OF COMMUNITY CARE FINANCIAL ASSISTANCE CAN BE INITIATED BY ANY MEMBER OF THE HOSPITAL'S WORKFORCE, INCLUDING MEDICAL STAFF MEMBERS, WHO BECOME AWARE OF THE PATIENTS POTENTIAL NEED FOR COMMUNITY CARE FINANCIAL ASSISTANCE. THE CHARITY CARE POLICY WAS ALSO TRANSLATED INTO DIALECTS PREVALENT IN THE COMMUNITY IN ORDER TO REACH OUT TO THOSE THAT MAY SPEAK ANOTHER LANGUAGE (SPANISH AND HMONG). PATIENT REGISTRATION STAFF AND FINANCIAL COUNSELORS ARE PROVIDED WITH SCRIPTS TO FOLLOW WHEN INTERACTING WITH PATIENTS. AS PART OF THE CHARITY CARE PROCESS, PATIENTS MUST REGISTER WITH THE COUNTY PUBLIC ASSISTANCE TO SEE IF THEY MAY QUALIFY UNDER ANY OTHER FEDERAL OR STATE PROGRAMS.
Schedule H, Part VI, Line 4 Community information	WHILE THERE IS GROWING AGREEMENT IN THE UNITED STATES ABOUT WHAT CONSTITUTES A NON-PROFIT HOSPITAL'S COMMUNITY BENEFIT, THIS IS A WORK IN PROGRESS. THE ORGANIZATION PROVIDED SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS. BUT IN ADDITION, WE BELIEVE THAT WE PROVIDE A CRITICALLY IMPORTANT COMMUNITY BENEFIT, WHICH IS NOT QUANTIFIED. OUR HOSPITAL, LIKE MOST RURAL HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY - CARE THAT WITHOUT OUR HOSPITAL, MAY NOT BE AVAILABLE LOCALLY. CERTAIN SPECIALIZED SERVICES AVAILABLE INCLUDE: DIABETES EDUCATION AND MANAGEMENT, SPEECH THERAPY, WOUND CARE AND MANAGEMENT, PALLIATIVE CARE SERVICES, PAIN MANAGEMENT SERVICES, AND INPATIENT DIALYSIS SERVICES. SACRED HEART HOSPITAL IS LOCATED IN TOMAHAWK, WI AND SERVES THE SURROUNDING COMMUNITIES. ACCORDING TO THE 2011 CENSUS, TOMAHAWK HAS A POPULATION OF 3,401 WITH A MEDIAN AGE OF 44.8. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE CITY WAS $44,677 IN 2009. THE PERCENTAGE OF RESIDENTS LIVING IN POVERTY IN 2009 WAS 12.2%. THE UNEMPLOYMENT RATE IN AUGUST 2012 WAS 9.4% VERSUS THE WISCONSIN STATE AVERAGE OF 7.1%. THE TOWN COVERS A TOTAL AREA OF 8.8 MILES. TOMAHAWK IS LOCATED IN LINCOLN COUNTY WHICH HAS A POPULATION OF 29,404 IN JULY 2009. THE MEDIAN INCOME FOR A HOUSEHOLD WAS $44,660 IN 2009. THE MEDIAN AGE WAS 39 YEARS. THE UNEMPLOYMENT RATE WAS IN MARCH 2012 WAS 10.6%. ST. MARY'S HOSPITAL IS LOCATED IN RHINELANDER, WI AND SERVES THE SURROUNDING COMMUNITIES. ACCORDING TO THE 2011 CENSUS, RHINELANDER HAS A POPULATION OF 7,786. THE MEDIAN AGE WAS 40 YEARS. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE CITY WAS $32,623 IN 2009. THE UNEMPLOYMENT RATE IN AUGUST 2012 WAS 7.8% VERSUS THE WISCONSIN STATE AVERAGE OF 7.1%. THE TOWN COVERS A TOTAL AREA OF 7.9 MILES. RHINELANDER IS LOCATED IN ONEIDA COUNTY WHICH HAD A POPULATION OF 35,801 IN JULY 2011. THE MEDIAN INCOME FOR A HOUSEHOLD WAS $42,946 IN 2009. THE UNEMPLOYMENT RATE IN APRIL 2010 WAS 7.8%.
Schedule H, Part VI, Line 5 Promotion of community health	THE ORGANIZATION STRIVES TO FURTHER ITS EXEMPT PURPOSES BY THE FOLLOWING: (1) THE ORGANIZATION'S GOVERNING BOARD CONSISTS PRIMARILY OF PERSONS WHO RESIDE WITHIN THE PRIMARY SERVICE AREA WHO ARE NOT EMPLOYEES OF THE ORGANIZATION. (2) AS MENTIONED, THE ORGANIZATION PROVIDES SEVERAL SERVICES WHICH ARE NOT OTHERWISE AVAILABLE BEING IN A RURAL SETTING. (3) BASED ON THE ORGANIZATION'S MISSION, EMERGENCY ROOMS ARE MADE AVAILABLE TO ALL PATIENTS REGARDLESS OF THE ABILITY TO PAY. (4) THE ORGANIZATION ALSO PARTICIPATES IN THE EDUCATION AND TRAINING OF HEALTHCARE PROFESSIONALS THROUGH INTERNSHIP PROGRAMS. ASCENSION SACRED HEART-ST. MARY'S HOSPITAL, INC. PARTICIPATES IN GOVERNMENT SPONSORED HEALTH PROGRAMS (MEDICARE, MEDICAID, CHAMPUS, TRICARE). SACRED HEART IS A CRITICAL ACCESS HOSPITAL IN TOMAHAWK, WISCONSIN AND ST. MARY'S IS A SOLE COMMUNITY HOSPITAL IN RHINELANDER, WISCONSIN. BOTH HOSPITALS AND HOSPITAL-BASED CLINICS SERVE POOR RURAL COMMUNITIES. ST. MARY'S PROVIDES INPATIENT AND OUTPATIENT MENTAL HEALTH AND AODA SERVICES AT A FINANCIAL LOSS TO THE ORGANIZATION WHICH IS SOMEWHAT UNIQUE TO SMALL RURAL COMMUNITIES. PERSONS IN NEED OF MENTAL HEALTH OR AODA SERVICES WOULD OTHERWISE HAVE TO TRAVEL SEVERAL HUNDRED MILES TO SEEK CARE. ASCENSION SACRED HEART-ST. MARY'S HOSPITALS, INC. SERVES FOUR NATIVE AMERICAN TRIBES IN SURROUNDING COMMUNITIES. TRIBAL SERVICES ARE PAID UNDER MEDICARE-LIKE RATE UNDER CONTRACT HEALTH SERVICES REIMBURSEMENT PROGRAM UNDER THE FEDERAL INDIAN HEALTH PROGRAM. THE ORGANIZATION ALSO PARTICIPATES IN GOVERNMENT SPONSORED HEALTH PROGRAMS SUCH AS MEDICARE, MEDICAID, CHAMPUS. THE ORGANIZATION STRIVES TO BE A LOW-COST PROVIDER BY CONTINUALLY REDUCING INTERNAL COSTS THROUGH EFFICIENCY MEASURES WHICH IN TURN, IS PASSED ON TO PATIENTS THROUGH MARKET-BASKET PRICES. THE UNINSURED MEMBERS OF THE COMMUNITY ACCESS HEALTHCARE THROUGH THE EMERGENCY DEPARTMENT AND MEDICAL CLINICS. ALL MEDICALLY NECESSARY MEDICAL SERVICES ARE PROVIDED IN AN INPATIENT, OUTPATIENT OR CLINIC SETTING FOR PERSONS IN NEED OF CARE REGARDLESS OF THEIR ABILITY TO PAY. ASCENSION SACRED HEART-ST. MARY'S HOSPITALS, INC. FUNDS A COMMUNITY LINK COORDINATOR WHO WORKS IN CONJUNCTION WITH OUR PATIENT FAMILY SERVICES DEPARTMENT IN MEETING THE SPECIAL NEEDS OF OUR COMMUNITY. THIS TEAM HELPS OUR COMMUNITY MEMBERS NAVIGATE THE VARIOUS GOVERNMENTAL PROGRAMS BY HELPING OUR UNINSURED POPULATION APPLY FOR STATE MEDICAID PROGRAMS AND THE ORGANIZATION'S OWN COMMUNITY CARE (CHARITY CARE) PROGRAM. THE COMMUNITY CARE PROGRAM PROVIDES FINANCIAL ASSISTANCE AND SLIDING SCALE DISCOUNTS TO PATIENTS WHO MEET CERTAIN INCOME AND ASSET CRITERIA, UP TO 400% OF THE FEDERAL POVERTY GUIDELINES.
Schedule H, Part VI, Line 6 Affiliated health care system	AS PART OF MINISTRY HEALTH, INC., ASCENSION SACRED HEART-ST. MARY'S HOSPITALS, INC. IS A MEMBER OF ASCENSION HEALTH ALLIANCE. THESE MEMBERS ARE LARGE MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT MINISTRIES INCLUDING HOSPITAL AND NON-HOSPITAL MINISTRIES (PHYSICIAN GROUP PRACTICES, HOSPITAL ORGANIZATIONS, RESEARCH, HOME HEALTH, DURABLE MEDICAL EQUIPMENT AND SENIOR FACILITIES). THESE MINISTRIES WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF SERVING AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS ESPECIALLY THOSE WHO ARE VULNERABLE. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION AND RESEARCH. THE ORGANIZATIONS WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, STATE AND NATIONAL LEVEL. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 22 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ORGANIZATIONS/ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. THE SYSTEM DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE THAT SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH THE SYSTEM'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND TO OTHER VULNERABLE PERSONS, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE SYSTEM USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND FOR COMMUNITY BENEFIT PROGRAMS: TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE, REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR PERSONS LIVING IN POVERTY AND FOR OTHER VULNERABLE PERSONS. COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND FOR OTHER VULNERABLE PERSONS INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE PERSONS LIVING IN POVERTY AND THE OTHER VULNERABLE PERSONS OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE PERSONS LIVING IN POVERTY, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESEARCH. DISCOUNTS ARE PROVIDED TO ALL UNINSURED PATIENTS, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALIFY FOR ASSISTANCE UNDER CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY OR IN THE COST OF OTHER COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY AND OF OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA AND IS ESTIMATED BY REDUCING CHARGES FORGONE BY A FACTOR DERIVED FROM THE RATIO OF TOTAL OPERATING EXPENSES TO BILLED CHARGES FOR PATIENT CARE.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SANDRA L LATZEL-ANDERSON
BOARD MEMBER/HOSPITAL PRESIDENT (EX-OFFICIO)	$0	$354,518	$0	$78,674	$0	$40,312	$0	$13,500	$0	$20,038	$0	$507,042	$0	$0
MONICA A HILT
FORMER OFFICER (END 1/2015)	$0	$398,789	$0	$89,542	$0	$42,795	$0	$17,550	$0	$27,382	$0	$576,058	$0	$0
DANIEL E NEUFELDER
FORMER OFFICER (END 9/2016)	$0	$0	$0	$0	$0	$996,775	$0	$0	$0	$0	$0	$996,775	$0	$0
SHISHIR N SHETH MD
FORMER OFFICER (END 6/2017)	$282,309	$194,157	$0	$10,000	$28,689	$18,251	$11,080	$6,470	$7,721	$13,436	$329,799	$242,314	$0	$0
ANN M ZENK
FORMER OFFICER (END 6/2017)	$0	$88,606	$0	$0	$0	$1,792	$0	$5,868	$0	$8,618	$0	$104,884	$0	$0
LORI J DARR
VP-FINANCE WISCONSIN	$0	$282,993	$0	$63,992	$0	$55,950	$0	$14,850	$0	$31,874	$0	$449,659	$0	$0
MARK BANAS MD
MEDICAL STAFF PRESIDENT-SACRED HEART	$0	$720,414	$0	$0	$0	$5,582	$0	$17,550	$0	$36,672	$0	$780,218	$0	$0
RUSSELL S SUDBURY MD
MEDICAL STAFF PRESIDENT-SAINT MARY'S	$0	$567,934	$0	$50,838	$0	$5,378	$0	$17,550	$0	$39,484	$0	$681,184	$0	$0
TERESA J THEILER
CAO - VP PATIENT CARE	$0	$170,435	$0	$15,321	$0	$4,714	$0	$6,917	$0	$15,932	$0	$213,319	$0	$0
KAY E ANDERSON
REG DIR REHAB SERVICES	$118,264	$0	$9,835	$0	$908	$0	$8,703	$0	$16,166	$0	$153,876	$0	$0	$0
BRADLEY M JAMISON
LEAD PHARMACIST	$134,406	$0	$0	$0	$467	$0	$8,034	$0	$26,454	$0	$169,361	$0	$0	$0
CHRISTOPHER J KOENIGS
MEDICAL PHYSICIST	$176,695	$0	$0	$0	$151	$0	$5,665	$0	$27,207	$0	$209,718	$0	$0	$0
LORI L MOTT
PHYSICIAL THERAPIST	$93,524	$0	$34,361	$0	$449	$0	$3,186	$0	$30,361	$0	$161,881	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	ASCENSION HEALTH, A RELATED ORGANIZATION OF ASCENSION SACRED HEART-ST. MARY'S HOSPITALS, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO: - COMPENSATION COMMITTEE, - INDEPENDENT COMPENSATION CONSULTANT, - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4a Severance or change-of-control payment	THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING THE CALENDAR YEAR 2017: DANIEL NEUFELDER - $994,500
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	THE PROCESS OF DETERMINING THE AMOUNT OF COMPENSATION PAID TO THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL IS PERFORMED BY ASCENSION HEALTH , A RELATED ORGANIZATION OF ASCENSION SACRED HEART-ST. MARY'S HOSPITALS, INC. THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL'S SALARY WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES	THE PROCESS OF DETERMINING THE AMOUNT OF COMPENSATION PAID TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES IS PERFORMED BY MINISTRY HEALTH CARE, INC. AND ITS SUBSIDIARY ORGANIZATIONS. MINISTRY HEALTH CARE, INC. IS THE SOLE CORPORATE MEMBER OF ASCENSION SACRED HEART-ST. MARY'S HOSPITALS, INC. THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' AND KEY EMPLOYEES' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 6 Classes of members or stockholders	ASCENSION SACRED HEART-ST. MARY'S HOSPITALS, INC. HAS A SINGLE CORPORATE MEMBER, MINISTRY HEALTH CARE, INC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	ASCENSION SACRED HEART-ST. MARY'S HOSPITALS, INC. HAS A SINGLE CORPORATE MEMBER, MINISTRY HEALTH CARE, INC., WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF ASCENSION SACRED HEART-ST MARY'S HOSPITALS, INC.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	ALL DECISIONS THAT HAVE A MATERIAL IMPACT TO ASCENSION SACRED HEART-ST. MARY'S HOSPITALS, INC.'S FINANCIAL INFORMATION OR CORPORATION AS A WHOLE ARE SUBJECT TO APPROVAL BY ITS SOLE CORPORATE MEMBER, MINISTRY HEALTH CARE, INC
Form 990, Part VI, Line 11b Review of form 990 by governing body	DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST.
Form 990, Part VIII, Line 2f Other Program Service Revenue	MANAGEMENT FEES - Total Revenue: 66788, Related or Exempt Function Revenue: 66788, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	MISCELLANEOUS REVENUE - Total Revenue: 27865, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 27865; ESCHEATMENT REVENUE - Total Revenue: 209, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 209; MEDICAL RECORDS FEE - Total Revenue: 125, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 125;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFER TO AFFILIATES - -22240007; TRANSFERS FROM ALPHA FUND - 35335239; CHANGE IN INTEREST IN FOUNDATIONS - 92387;
Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTS	THE ACTIVITY OF ASCENSION SACRED HEART-ST. MARY'S HOSPITALS, INC. IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF ASCENSION SACRED HEART-ST. MARY'S HOSPITALS, INC. IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF ASCENSION SACRED HEART-ST. MARY'S HOSPITALS, INC.
Form 990, Part XII, Line 2c AUDIT COMMITTEE	ASCENSION SACRED HEART-ST. MARY'S HOSPITALS, INC. IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. THE FINANCE AND AUDIT COMMITTEE OF ASCENSION HEALTH ALLIANCE'S BOARD ASSUMES RESPONSIBILITY FOR THE CONSOLIDATED ORGANIZATION AS A WHOLE.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	VOLUNTEERS OF SACRED HEART-SAINT MARY'S HOSPITALS LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2251 North Shore Drive	AddressLine1Txt
City	Rhinelander	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54501	ZIPCd

Field	Value	IRS element (for citing)
EIN	474417715	EIN
Primary Activities	FUNDRAISING	PrimaryActivitiesTxt
Legal Domicile State	WI	LegalDomicileStateCd
Total Income	$60,585	TotalIncomeAmt
End Of Year Assets	$53,677	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Ascension Sacred Heart-St Mary's Hospitals Inc	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (50 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Business Name Line2DisregardedEntityName/BusinessNameLine2Txt	Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt	Address Line2USAddress/AddressLine2Txt
AFFINITY HEALTH SYSTEM
1570 MIDWAY PLACE	MENASHA	WI	54952	391568866	HEALTH SYSTEM	IL	501(c)(3)	Type II	MINISTRY HEALTH CARE INC	Yes (true)
AGAPE COMMUNITY CENTER OF MILWAUKEE INC
6100 NORTH 42ND STREET	MILWAUKEE	WI	53209	391641846	COMMUNITY CENTER	WI	501(c)(3)	7	MINISTRY HEALTH CARE INC	Yes (true)
ASCENSION ALL SAINTS HOSPITAL INC (FKA WHEATON FRANCISCAN HEALTHCARE-ALL SA
3801 SPRING STREET	RACINE	WI	53405	391264986	HOSPITAL	WI	501(c)(3)	3	WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC	Yes (true)	INTS INC)
ASCENSION CALUMET HOSPITAL INC
614 MEMORIAL DRIVE	CHILTON	WI	53014	390905385	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes (true)
ASCENSION EAGLE RIVER HOSPITAL INC
201 HOSPITAL ROAD	EAGLE RIVER	WI	54521	390985690	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes (true)
ASCENSION GOOD SAMARITAN HOSPITAL INC
601 SOUTH CENTER AVENUE	MERRILL	WI	54452	390808503	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes (true)
ASCENSION HEALTH ALLIANCE
PO BOX 45998	ST LOUIS	MO	63145	453358926	NATIONAL HEALTH	MO	501(c)(3)	Type I	NA	false
ASCENSION HEALTH
PO BOX 45998	ST LOUIS	MO	63145	311662309	NATIONAL HEALTH	MO	501(c)(3)	Type I	ASCENSION HEALTH ALLIANCE	false
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC (FKA NETWORK HEALTH SYSTEM
1570 APPLETON RD	MENASHA	WI	54952	391127163	CLINICAL HEALTHCARE SERVICES	WI	501(c)(3)	3	AFFINITY HEALTH SYSTEM	Yes (true)	INC)
ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC (FKA MINISTRY MEDICAL GROUP
824 ILLINOIS AVENUE	STEVENS POINT	WI	54481	391965593	MEDICAL GROUP	WI	501(c)(3)	Type III-FI	MINISTRY HEALTH CARE INC	Yes (true)	INC)
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC (FKA WHEATON FRANCISCAN MED
400 WEST RIVER WOODS PARKWAY	GLENDALE	WI	53212	391791586	MEDICAL GROUP	WI	501(c)(3)	3	WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC	Yes (true)	ICAL GROUP INC)
ASCENSION NE WISCONSIN INC (FKA ST ELIZABETH HOSPITAL INC)
1506 S ONEIDA STREET	APPLETON	WI	54915	390816818	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes (true)
ASCENSION OUR LADY OF VICTORY HOSPITAL INC
1120 PINE STREET	STANLEY	WI	54768	390807065	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes (true)
ASCENSION SE WISCONSIN HOSPITAL INC (FKA WHEATON FRANCISCAN INC)
5000 WEST CHAMBERS STREET	MILWAUKEE	WI	53210	390816857	HOSPITAL	WI	501(c)(3)	3	WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC	Yes (true)
ASCENSION ST CLARE'S HOSPITAL INC
3400 MINISTRY PARKWAY	WESTON	WI	54476	721531917	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes (true)
ASCENSION ST FRANCIS HOSPITAL INC (FKA WHEATON FRANCISCAN HEALTHCARE-ST FRA
3237 SOUTH 16TH STREET	MILWAUKEE	WI	53215	390907740	HOSPITAL	WI	501(c)(3)	3	WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC	Yes (true)	NCIS INC)
ASCENSION ST MICHAEL'S HOSPITAL INC
900 ILLINOIS AVENUE	STEVENS POINT	WI	54481	390808443	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes (true)
ASCENSION WISCONSIN LABORATORIES INC (FKA WHEATON FRANCISCAN LABORATORIES I
3237 SOUTH 16TH STREET	MILWAUKEE	WI	53215	391701402	LABORATORY	WI	501(c)(3)	10	WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC	Yes (true)	NC)
ASCENSION WISCONSIN PHARMACYINC (FKA WHEATON FRANCISCAN HEALTHCARE-PHARMACY
19525 WEST NORTH AVENUE	BROOKFIELD	WI	53005	391613624	PHARMACY	WI	501(c)(3)	10	WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC	Yes (true)	ENTERPRISES AND FRANCISCAN WOODS INC)
CATALPA HEALTH INC
N4642 COUNTY N	APPLETON	WI	54914	454681563	BEHAVIORAL HEALTH SERVICES	WI	501(c)(3)	3	AFFINITY HEALTH SYSTEM	Yes (true)
COLUMBIA COLLEGE OF NURSING Inc
4425 NORTH PORT WASHINGTON ROAD	GLENDALE	WI	53212	391596986	COLLEGE	WI	501(c)(3)	2	COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC	Yes (true)
COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC
4425 NORTH PORT WASHINGTON ROAD	GLENDALE	WI	53212	390806315	HOSPITAL	WI	501(c)(3)	3	COLUMBIA ST MARY'S INC	Yes (true)
COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC
4425 NORTH PORT WASHINGTON ROAD	GLENDALE	WI	53212	390807063	HOSPITAL	WI	501(c)(3)	3	COLUMBIA ST MARY'S INC	Yes (true)
COLUMBIA ST MARY'S INC
4425 NORTH PORT WASHINGTON ROAD	GLENDALE	WI	53212	391834639	PARENT CORPORATION	WI	501(c)(3)	Type I	ASCENSION HEALTH	false
DR KATE NEWCOMB CONVALESCENT CENTER INC
PO BOX 829	WOODRUFF	WI	54568	391357365	NURSING/ASSISTED LIVING SERVICES	WI	501(c)(3)	10	HOWARD YOUNG HEALTH CARE INC	Yes (true)
FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD Inc
611 SAINT JOSEPH AVENUE	MARSHFIELD	WI	54449	391684957	FOUNDATION	WI	501(c)(3)	Type I	SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC	Yes (true)
FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC
3400 MINISTRY PARKWAY	WESTON	WI	54476	753193633	FOUNDATION	WI	501(c)(3)	Type I	ASCENSION ST CLARE'S HOSPITAL INC	Yes (true)
GOOD SAMARITAN HEALTH CENTER FOUNDATION OF MERRILL WISCONSIN INC
601 SOUTH CENTER AVENUE	MERRILL	WI	54452	391627755	FOUNDATION	WI	501(c)(3)	Type I	ASCENSION GOOD SAMARITAN HOSPITAL INC	Yes (true)
HOWARD YOUNG HEALTH CARE INC
240 MAPLE STREET	WOODRUFF	WI	54568	391499115	HOME OFFICE	WI	501(c)(3)	Type II	MINISTRY HEALTH CARE INC	Yes (true)
MERCY HEALTH FOUNDATION INC
PO BOX 3370	OSHKOSH	WI	54903	237140261	FOUNDATION	WI	501(c)(3)	10	AFFINITY HEALTH SYSTEM	Yes (true)
MERCY MEDICAL CENTER OF OSHKOSH INC
500 S OAKWOOD ROAD	OSHKOSH	WI	54904	390806268	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes (true)
METRO PHYSICIANS INC
400 WEST RIVER WOODS PARKWAY	GLENDALE	WI	53212	943436893	Medical Group	WI	501(c)(3)	3	ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC (FKA WHEATON FRANCISCAN MED	Yes (true)		ICAL GROUP INC)
MINISTRY HEALTH CARE INC
10925 W LAKE PARK DR STE 100	MILWAUKEE	WI	53224	391490371	PARENT CORPORATION	WI	501(c)(3)	Type II	ASCENSION HEALTH	false
MINISTRY WEIGHT MANAGEMENT INC
2251 NORTH SHORE DRIVE	RHINELANDER	WI	54501	391829015	SPECIALTY HEALTH SERVICES	WI	501(c)(3)	3	ASCENSION SACRED HEART-STMARY'S HOSPITALS INC	Yes (true)
SACRED HEART REHABILITATION INSTITUTE Inc
4425 NORTH PORT WASHINGTON ROAD	GLENDALE	WI	53212	390902199	REHAB SERVICES	WI	501(c)(3)	3	COLUMBIA ST MARY'S INC	Yes (true)
SAINT ELIZABETH'S HOSPITAL OF WABASHA INC
1200 GRANT BLVD WEST	WABASHA	MN	55981	410693877	HOSPITAL	MN	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes (true)
ST JOSEPH'S HOSPITAL OF MARSHFIELD INC
611 SAINT JOSEPH AVENUE	MARSHFIELD	WI	54449	390847631	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes (true)
SAINT MICHAEL'S FOUNDATION OF STEVENS POINT INC
900 ILLINOIS AVENUE	STEVENS POINT	WI	54481	391657410	FOUNDATION	WI	501(c)(3)	Type I	ASCENSION ST MICHAEL'S HOSPITAL INC	Yes (true)
ST ELIZABETH HOSPITAL FOUNDATION INC
1506 S ONEIDA STREET	APPLETON	WI	54915	391256677	FOUNDATION	WI	501(c)(3)	7	AFFINITY HEALTH SYSTEM	Yes (true)
THE HOWARD YOUNG MEDICAL CENTER INC
240 MAPLE STREET	WOODRUFF	WI	54568	390873606	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes (true)
VOLUNTEERS IN PARTNERSHIP WITH WHEATON FRANCISCAN HEALTHCARE-ALL SAINTS INC
3807 SPRING STREET	RACINE	WI	53405	930838390	FOUNDATION	WI	501(c)(3)	10	ASCENSION ALL SAINTS HOSPITAL INC (FKA WHEATON FRANCISCAN HEALTHCARE-ALL SA	Yes (true)		INTS INC)
WHEATON FRANCISCAN - ELMBROOK MEMORIAL FOUNDATION INC
3237 SOUTH 16TH STREET	MILWAUKEE	WI	53215	392028808	FOUNDATION	WI	501(c)(3)	Type I	ASCENSION SE WISCONSIN HOSPITAL INC (FKA WHEATON FRANCISCAN INC)	Yes (true)
WHEATON FRANCISCAN - ST JOSEPH FOUNDATION INC
5000 WEST CHAMBERS STREET	MILWAUKEE	WI	53210	391636804	FOUNDATION	WI	501(c)(3)	Type I	ASCENSION SE WISCONSIN HOSPITAL INC (FKA WHEATON FRANCISCAN INC)	Yes (true)
WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC
400 WEST RIVER WOODS PARKWAY	GLENDALE	WI	53212	391568865	PARENT CORPORATION	IL	501(c)(3)	Type III-FI	ASCENSION HEALTH	false
WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS FOUNDATION INC
3805B SPRING STREET	RACINE	WI	53405	391570877	FOUNDATION	WI	501(c)(3)	7	ASCENSION ALL SAINTS HOSPITAL INC (FKA WHEATON FRANCISCAN HEALTHCARE-ALL SA	Yes (true)		INTS INC)
WHEATON FRANCISCAN HEALTHCARE-CIRCLE OF LIFE FOUNDATION INC
4300 BROWN DEER ROAD	BROWN DEER	WI	53223	562426294	FOUNDATION	WI	501(c)(3)	Type I	ASCENSION WISCONSIN PHARMACY INC (FKA WHEATON FRANCISCAN HEALTHCARE-PHARMAC	Yes (true)		Y ENTERPRISES & FRANCISCAN WOODS INC)	SUITE 250
WHEATON FRANCISCAN HEALTHCARE - ELMBROOK MEMORIAL AUXILIARY
19333 WEST NORTH AVENUE	BROOKFIELD	WI	53045	396068950	AUXILIARY	WI	501(c)(3)	Type III-FI	ASCENSION SE WISCONSIN HOSPITAL INC (FKA WHEATON FRANCISCAN INC)	Yes (true)
WHEATON FRANCISCAN HEALTHCARE - FOUNDATION FOR ST FRANCIS AND FRANKLIN INC
3237 SOUTH 16TH STREET	MILWAUKEE	WI	53215	320135258	FOUNDATION	WI	501(c)(3)	Type I	ASCENSION ST FRANCIS HOSPITAL INC (FKA WHEATON FRANCISCAN HEALTHCARE-ST FRA	Yes (true)		NCIS INC)
WHEATON FRANCISCAN HEALTHCARE-FRANKLIN INC
10101 SOUTH 27TH STREET	FRANKLIN	WI	53132	562592868	HOSPITAL	WI	501(c)(3)	3	WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC	Yes (true)
WISCONSIN PSYCHOANALYTIC FOUNDATION INC
2323 NORTH LAKE DRIVE	MILWAUKEE	WI	53211	391377923	FOUNDATION	WI	501(c)(3)	7	COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC	Yes (true)			1ST FLOOR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	TWINMED LLP	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	222 W COLLEGE AVE SUITE 3B	AddressLine1Txt
City	APPLETON	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54911	ZIPCd

Field	Value	IRS element (for citing)
EIN	391180341	EIN
Primary Activities	REAL ESTATE	PrimaryActivitiesTxt
Legal Domicile State	WI	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	N/A	PredominantIncomeTypeTxt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
PROSPECT MEDICAL COMMONS CONDOMINIUM ASSOCIATION INC
4425 N PORT WASHINGTON RD	GLENDALE	WI	53212	208042108	CONDO ASSOCIATION	WI	NA	C Corporation	Yes (true)
FRANKLIN MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION INC
400 WEST RIVER WOODS PARKWAY	GLENDALE	WI	53212	341983857	CONDO ASSOCIATION	WI	NA	C Corporation	Yes (true)
WHEATON FRANCISCAN HOLDINGS INC
400 WEST RIVER WOODS PARKWAY	GLENDALE	WI	53212	391836357	HOLDING CO	WI	NA	C Corporation	Yes (true)
WHEATON FRANCISCAN PROVIDER NETWORK INC
400 WEST RIVER WOODS PARKWAY	GLENDALE	WI	53212	391952140	PROVIDER CONTRACT	WI	NA	C Corporation	Yes (true)
MADISON MEDICAL AFFILIATES INC
4425 N PORT WASHINGTON RD	GLENDALE	WI	53212	391855720	HEALTHCARE	WI	NA	C Corporation	Yes (true)
WHEATON WAY CONDOMINIUM OWNERS ASSOCIATION INC
10101 SOUTH 27TH STREET	FRANKLIN	WI	53123	300659830	CONDO ASSOCIATION	WI	NA	C Corporation	Yes (true)
WHEATON FRANCISCAN ENTERPRISES INC
400 WEST RIVER WOODS PARKWAY	GLENDALE	WI	53212	391985204	HOLDING CO	WI	NA	C Corporation	Yes (true)
WHEATON FRANCISCAN MEDICAL GROUP - SUSSEX INC
400 WEST RIVER WOODS PARKWAY	GLENDALE	WI	53212	391361100	HEALTHCARE	WI	NA	C Corporation	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt	Business Name Line2OtherOrganizationName/BusinessNameLine2Txt
ASCENSION CALUMET HOSPITAL INC
L	$154,883	FAIR MARKET VALUE
ASCENSION CALUMET HOSPITAL INC
Q	$956,022	FAIR MARKET VALUE
ASCENSION GOOD SAMARITAN HOSPITAL INC
Q	$50,354	FAIR MARKET VALUE
ASCENSION MEDICAL GROUP-FOX VALLEY INC (FKA NETWORK HEALTH SYSTEM INC)
L	$403,089	FAIR MARKET VALUE
ASCENSION MEDICAL GROUP-FOX VALLEY INC (FKA NETWORK HEALTH SYSTEM INC)
Q	$607,799	FAIR MARKET VALUE
ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC (FKA MINISTRY MEDICAL GROUP
L	$7,296,034	FAIR MARKET VALUE	INC)
ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC (FKA MINISTRY MEDICAL GROUP
Q	$796,741	FAIR MARKET VALUE	INC)
ASCENSION ST CLARES HOSPITAL INC
Q	$99,275	FAIR MARKET VALUE
ASCENSION ST MICHAEL'S HOSPITAL INC
L	$700,272	FAIR MARKET VALUE
ASCENSION ST MICHAEL'S HOSPITAL INC
P	$504,268	FAIR MARKET VALUE
ASCENSION ST MICHAEL'S HOSPITAL INC
Q	$967,254	FAIR MARKET VALUE
THE HOWARD YOUNG MEDICAL CENTER INC
K	$184,623	FAIR MARKET VALUE
THE HOWARD YOUNG MEDICAL CENTER INC
L	$345,594	FAIR MARKET VALUE
THE HOWARD YOUNG MEDICAL CENTER INC
P	$132,000	FAIR MARKET VALUE
THE HOWARD YOUNG MEDICAL CENTER INC
Q	$120,478	FAIR MARKET VALUE