ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC (EIN 39-0808443)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-14
- IRS object ID
- 201941349349309134
- 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 I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-14T17:35:59-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390808443 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ascension St Michael's Hospital 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 | 900 Illinois Avenue | 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 |
| 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 | Debra Standridge | 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 | $190,845,358 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://healthcare.ascension.org/Locations/Wisconsin/WIAPM/Stevens-Point-Saint-Michaels-Hospital | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1955 | 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 | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1198 | TotalEmployeeCnt |
| Total Volunteers | 200 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $239,855 | PYContributionsGrantsAmt |
| CY Contributions Grants | $246,897 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $184,656,053 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $189,325,843 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$8,086 | PYInvestmentIncomeAmt |
| CY Investment Income | -$4,777 | CYInvestmentIncomeAmt |
| PY Other Revenue | $965,743 | PYOtherRevenueAmt |
| CY Other Revenue | $1,065,180 | CYOtherRevenueAmt |
| PY Total Revenue | $185,853,565 | PYTotalRevenueAmt |
| CY Total Revenue | $190,633,143 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $356,074 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $92,762,925 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $82,095,432 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $84,677,916 | PYOtherExpensesAmt |
| CY Other Expenses | $103,018,708 | CYOtherExpensesAmt |
| PY Total Expenses | $177,440,841 | PYTotalExpensesAmt |
| CY Total Expenses | $185,470,214 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,412,724 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,162,929 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $116,346,533 | TotalAssetsBOYAmt |
| Total Assets EOY | $121,137,970 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $39,053,957 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $36,473,427 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $77,292,576 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $84,664,543 | 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 | $123,656,969 | ExpenseAmt |
| Grant | $356,074 | GrantAmt |
| Revenue | $189,325,843 | RevenueAmt |
| Desc | Ascension St. Michael's Hospital, Inc. is a 50-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, Ascension St. Michael's Hospital, Inc. treated 4,180 adults and children for a total of 12,516 patient days of service. The hospital also provided services for 474,449 outpatient visits, which included 3,084 outpatient surgeries and 19,007 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. | Desc |
| Total Program Service Expenses | $123,656,969 | 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 | Yes (true) | 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 | Yes (true) | 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 | false | 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 | 160 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1198 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 (27 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| RICK RETTLER | ||||||||||
| CHAIR | 1.0 | 4.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JAMIE SCHAEFER | ||||||||||
| VICE CHAIR | 1.0 | 4.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| BRENDA DILLENBURG | ||||||||||
| SECRETARY/TREASURER | 1.0 | 4.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| KEVIN NOEL | ||||||||||
| BOARD MEMBER | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| BILL ARCISZEWSKI | ||||||||||
| BOARD MEMBER | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| DAN BURNS | ||||||||||
| BOARD MEMBER | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID EISENREICH | ||||||||||
| BOARD MEMBER | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| SHERYL JONES | ||||||||||
| BOARD MEMBER | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES WEISHAN | ||||||||||
| BOARD MEMBER | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| ANGELA BAILEY | ||||||||||
| BOARD MEMBER | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| CLYDE NELSON | ||||||||||
| BOARD MEMBER | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| PATRICIA WESENBERG | ||||||||||
| BOARD MEMBER | 1.0 | 5.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOSEPH KINSELLA | ||||||||||
| BOARD MEMBER | 1.0 | 5.0 | Yes (X) | $0 | $0 | $0 | ||||
| JEREMY NORMINGTON-SLAY | ||||||||||
| PRESIDENT-NORTH CENTRAL REGION | 5.0 | 45.0 | Yes (X) | $0 | $386,774 | $43,762 | ||||
| JONATHAN SOHN | ||||||||||
| CFO - ASCENSION, WI | 2.0 | 48.0 | Yes (X) | $0 | $903,904 | $48,367 | ||||
| DEBRA STANDRIDGE | ||||||||||
| INTERIM PRESIDENT | 8.0 | 42.0 | Yes (X) | $0 | $825,914 | $36,007 | ||||
| ROBYN SCHERTZ | ||||||||||
| VP MEDICAL AFFAIRS | 50.0 | 0.0 | $0 | $390,293 | $49,970 | Yes (X) | ||||
| CRYSTAL J KIRSCHLING | ||||||||||
| CHIEF ADMIN OFFICER/VP PATIENT CARE | 49.0 | 1.0 | $0 | $225,849 | $47,890 | Yes (X) | ||||
| CHERYL ANN PAVELEC-MARTI | ||||||||||
| CHIEF OPERATING OFFICER | 25.0 | 25.0 | $0 | $224,982 | $34,491 | Yes (X) | ||||
| JOSEPH P KIM MD | ||||||||||
| PHYSICIAN | 50.0 | 0 | $973,643 | $0 | $48,171 | Yes (X) | ||||
| PATRICK K SAFO MD | ||||||||||
| PHYSICIAN | 50.0 | 0 | $848,462 | $0 | $41,765 | Yes (X) | ||||
| TODD M WILLIAMS MD | ||||||||||
| PHYSICIAN | 50.0 | 0 | $819,346 | $0 | $53,723 | Yes (X) | ||||
| SHILOH A SIMONS MD | ||||||||||
| PHYSICIAN | 50.0 | 0 | $801,914 | $0 | $52,018 | Yes (X) | ||||
| STEVEN J SLEZAK MD | ||||||||||
| PHYSICIAN | 50.0 | 0 | $799,740 | $0 | $42,184 | Yes (X) | ||||
| DANIEL E NEUFELDER | ||||||||||
| FORMER OFFICER (END 9/2016) | 0.0 | 0.0 | $0 | $996,775 | $0 | Yes (X) | ||||
| BRIAN J KIEF | ||||||||||
| FORMER OFFICER (END 3/2017) | 0.0 | 0.0 | $0 | $500,718 | $14,977 | Yes (X) | ||||
| JEFFREY L MARTIN | ||||||||||
| FORMER OFFICER (END 12/2016) | 0.0 | 0.0 | $0 | $587,495 | $4,471 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,243,105 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,042,704 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $517,796 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 96 | 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 |
|---|---|---|---|---|---|
| MARSHFIELD CLINIC | |||||
| 1000 N OAK AVE | MARSHFIELD | WI | 54499 | PHYSICIAN SERVICES | $771,070 |
| ELLIS STONE ODP LLC | |||||
| 3201 STANLEY STREET | STEVENS POINT | WI | 544811349 | CONSTRUCTION SERVICES | $760,804 |
| HAYES LOCUMS LLC | |||||
| 5100 N FEDERAL HWY 203 | FORT LAUDERDALE | FL | 33308 | STAFFING SERVICES | $659,466 |
| DELTA HEALTHCARE PLACEMENT LLC | |||||
| PO BOX 202940 | DALLAS | TX | 75320 | HEALTHCARE STAFFING | $347,341 |
| RADIATION ONCOLOGY SPECIALISTS SC | |||||
| 1843 MICHIGAN STREET | STURGEON BAY | WI | 542351007 | ONCOLOGY SERVICES | $338,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $46,431 | RelatedOrganizationsAmt |
| Government Grants | $91,722 | GovernmentGrantsAmt |
| All Other Contributions | $108,744 | AllOtherContributionsAmt |
| Total Contributions | $246,897 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621990 | $187,181,970 | $187,181,970 | |
| SERVICES TO AFFILIATES | 900099 | $1,272,800 | $1,272,800 | |
| INTEGRATED LAB | 621500 | $840,058 | $792,062 | $47,996 |
| PHARMACY REVENUE | 446110 | $26,648 | $26,648 | |
| MANAGEMENT FEES | 561000 | $4,367 | $4,367 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $189,325,843 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,747 | TotalRevenueColumnAmt |
| Exclusion | $20,747 | 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 | $44,027 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $45,291 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$1,264 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,264 | TotalRevenueColumnAmt |
| Exclusion | -$1,264 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $141,400 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $166,924 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | -$25,524 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$25,524 | TotalRevenueColumnAmt |
| Exclusion | -$25,524 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | 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 | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA/VENDING REVENUE | 722514 | $707,328 | $707,328 |
| EMPLOYEE ASSISTANCE PROGRAM | 624100 | $227,845 | $227,845 |
| FOCUS ON ENERGY REBATE | 900099 | $30,000 | $30,000 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $101,271 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $101,271 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,066,444 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $190,633,143 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $189,277,847 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,108,399 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $356,074 | TotalAmt |
| Program Services | $356,074 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,129,541 | TotalAmt |
| Program Services | $64,057,073 | ProgramServicesAmt |
| Management And General | $3,072,468 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,932,155 | TotalAmt |
| Program Services | $10,431,799 | ProgramServicesAmt |
| Management And General | $500,356 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,033,736 | TotalAmt |
| Program Services | $3,849,115 | ProgramServicesAmt |
| Management And General | $184,621 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,559 | TotalAmt |
| Management And General | $7,559 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,527,941 | TotalAmt |
| Program Services | $3,218,285 | ProgramServicesAmt |
| Management And General | $309,656 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,379 | TotalAmt |
| Program Services | $18,547 | ProgramServicesAmt |
| Management And General | -$3,168 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $344,697 | TotalAmt |
| Program Services | $269,482 | ProgramServicesAmt |
| Management And General | $75,215 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,335 | TotalAmt |
| Program Services | $13,069 | ProgramServicesAmt |
| Management And General | $7,266 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,387,287 | TotalAmt |
| Program Services | $354,428 | ProgramServicesAmt |
| Management And General | $2,032,859 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $350,891 | TotalAmt |
| Program Services | $327,614 | ProgramServicesAmt |
| Management And General | $23,277 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,675 | TotalAmt |
| Program Services | $110,202 | ProgramServicesAmt |
| Management And General | $473 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $304 | TotalAmt |
| Program Services | $304 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,392,739 | TotalAmt |
| Program Services | $2,983,682 | ProgramServicesAmt |
| Management And General | $5,409,057 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,340 | TotalAmt |
| Management And General | $2,340 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $24,124,337 | $23,976,283 | $148,054 |
| MANAGEMENT FEE TO AFFILIATE | $19,279,068 | $19,279,068 | |
| CORPORATE ALLOCATIONS | $16,005,243 | $16,005,243 | |
| PURCHASED SERVICES | $11,932,147 | $3,522,368 | $8,409,779 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,517,766 | TotalAmt |
| Program Services | $10,168,644 | ProgramServicesAmt |
| Management And General | $6,349,122 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,470,214 | TotalAmt |
| Program Services | $123,656,969 | ProgramServicesAmt |
| Management And General | $61,813,245 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $251,397 | BOYAmt |
| EOY | $6,270 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,508,034 | BOYAmt |
| EOY | $108,706 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,959,033 | BOYAmt |
| EOY | $27,884,200 | 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 | $2,409,696 | BOYAmt |
| EOY | $2,734,115 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,914 | BOYAmt |
| EOY | $30,707 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $116,238,672 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $41,065,222 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,647,812 | BOYAmt |
| EOY | $75,173,450 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | 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 | $0 | BOYAmt |
| EOY | $57,278 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,551,647 | BOYAmt |
| EOY | $15,143,244 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,346,533 | BOYAmt |
| EOY | $121,137,970 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,859,500 | BOYAmt |
| EOY | $10,156,786 | 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 | $140,096 | BOYAmt |
| EOY | $162,579 | 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 | $29,054,361 | BOYAmt |
| EOY | $26,154,062 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,053,957 | BOYAmt |
| EOY | $36,473,427 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,794,661 | BOYAmt |
| EOY | $79,696,307 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,457,227 | BOYAmt |
| EOY | $2,927,398 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,040,688 | BOYAmt |
| EOY | $2,040,838 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,292,576 | BOYAmt |
| EOY | $84,664,543 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,346,533 | BOYAmt |
| EOY | $121,137,970 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $5,162,929 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$36,080 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $2,245,118 | 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 | $7,559 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,559 | 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 are specifically allocated to lobbying. Ascension St Michael's Hospital Inc does not participate in or intervene in (including the publishing or distributing 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 are specifically allocated to lobbying. Ascension St Michael's Hospital Inc does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,282,906 | BeginningYearBalanceAmt |
| Contributions | $150 | ContributionsAmt |
| Investment Earnings Or Losses | $73,922 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $23,570 | AdministrativeExpensesAmt |
| End Year Balance | $2,333,408 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,190,300 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $115,666 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $23,060 | AdministrativeExpensesAmt |
| End Year Balance | $2,282,906 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,205,348 | BeginningYearBalanceAmt |
| Contributions | $278 | ContributionsAmt |
| Investment Earnings Or Losses | $6,798 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $22,124 | AdministrativeExpensesAmt |
| End Year Balance | $2,190,300 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,242,492 | BeginningYearBalanceAmt |
| Contributions | $147 | ContributionsAmt |
| Investment Earnings Or Losses | $74,840 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $112,131 | AdministrativeExpensesAmt |
| End Year Balance | $2,205,348 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,192,062 | BeginningYearBalanceAmt |
| Contributions | $38,158 | ContributionsAmt |
| Investment Earnings Or Losses | $86,289 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $51,366 | OtherExpendituresAmt |
| Administrative Expenses | $22,651 | AdministrativeExpensesAmt |
| End Year Balance | $2,242,492 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.87 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.13 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,297,402 | OtherCostOrOtherBasisAmt |
| Book Value | $3,297,402 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $65,607,082 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,702,087 | DepreciationAmt |
| Book Value | $48,904,995 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,910 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,769 | DepreciationAmt |
| Book Value | $25,141 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $37,233,732 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,825,668 | DepreciationAmt |
| Book Value | $13,408,064 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,057,546 | OtherCostOrOtherBasisAmt |
| Depreciation | $519,698 | DepreciationAmt |
| Book Value | $9,537,848 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $75,173,450 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $7,217,248 |
| OTHER CURRENT ASSETS | $83,343 |
| ESTIMATED 3RD PARTY PAYOR SETTLEMENTS | $1,193,539 |
| ASSETS HELD FOR SALE | $336,161 |
| OTHER RECEIVABLES | $1,340,380 |
| SECURITY DEPOSIT | $6,535 |
| INTEREST IN SAINT MICHAELS FOUNDATION OF STEVENS POINT | $4,966,038 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $15,143,244 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)
| DescDesc | AmtAmt |
|---|---|
| Intercompany debt with Ministry Health Care Inc. | |
| PROPERTY TAX LIABILITY | |
| ESTIMATED 3RD PARTY PAYOR SETTLEMENT | $1,190,905 |
| DUE TO AFFILIATES | $23,994,932 |
| OTHER LIABILITIES | |
| ASSET RETIREMENT OBLIGATION | $186,168 |
| RECOVERY TAIL LIABILITY | $230,385 |
| AH SAVINGS LIABILITY | |
| ACCRUED TAX LIABILITY | $551,672 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $26,154,062 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 Intended uses of endowment funds | INCOME FROM THE MINISTRY DENTAL CENTER ENDOWMENT IS AVAILABLE TO COVER OPERATION DEFICITS. THIS ENSURES DENTAL CARE CAN BE PROVIDED TO THOSE WHO COULD NOT OTHERWISE AFFORD TO PAY. THIS ENDOWMENT IS ADMINISTERED BY SAINT MICHAEL'S FOUNDATION OF STEVENS POINT, INC. (39-1657410). |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | 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. |
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 | $3,019,981 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,019,981 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0163 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,139,168 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,190,587 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,948,581 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0806 | 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 | $30,159,149 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,190,587 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,968,562 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0969 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $106,593 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $106,593 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0006 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $145,730 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $145,730 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0008 | 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 | $51,470 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $51,470 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0003 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $303,793 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $303,793 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0016 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $30,462,942 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,190,587 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,272,355 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0985 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | 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) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | 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) |
|---|---|---|
| Total Community Benefit Expns | $2,602 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,602 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | 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 | $2,602 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,602 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,494,861 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $48,945 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $53,263,094 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $72,903,512 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$19,640,418 | 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 | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASCENSION ST MICHAEL'S HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 ILLINOIS AVENUE | AddressLine1Txt |
| City | STEVENS POINT | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54481 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https://healthcare.ascension.org/Locations/Wisconsin/WIAPM/Stevens-Point-Saint-Michaels-Hospital | WebsiteAddressTxt |
| State License | 0146 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASCENSION ST MICHAEL'S HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://healthcare.ascension.org/Locations/Wisconsin/WIAPM/Stevens-Point-Saint-Michaels-Hospital/Com | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://healthcare.ascension.org/Locations/Wisconsin/WIAPM/Stevens-Point-Saint-Michaels-Hospital/Com | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://healthcare.ascension.org/Financial-Assistance/wisconsin | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://healthcare.ascension.org/Financial-Assistance/wisconsin | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://healthcare.ascension.org/Financial-Assistance/wisconsin | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E | 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 - ASCENSION ST. MICHAEL'S HOSPITAL, INC.. ASCENSION ST. MICHAEL'S HOSPITAL, INC.'S CHNA PROCESS INCLUDED A NUMBER OF 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 SURVEY WAS SENT TO OVER 4000 RANDOMLY-IDENTIFIED RESIDENTS OF PORTAGE COUNTY. SECOND, IN SUMMER 2015, 100 COPIES OF THE SURVEY WERE DISTRIBUTED TO AGENCIES FOCUSED ON SERVING MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS IN PORTAGE COUNTY, INCLUDING THE MINISTRY DENTAL CENTER, PORTAGE COUNTY MEALS ON WHEELS, PORTAGE COUNTY HEALTH & HUMAN SERVICES WIC PROGRAM, AND PORTAGE COUNTY DEPARTMENT OF AGING. FINALLY, KEY STAKEHOLDERS MET IN FALL 2015 TO IDENTIFY PRIORITIES. THE LIST OF ORGANIZATIONS PARTICIPATING IN THE FALL 2015 KEY STAKEHOLDER MEETINGS ARE LISTED BELOW. * PORTAGE COUNTY PUBLIC HEALTH (PUBLIC HEALTH OFFICER) * UNITED WAY OF PORTAGE COUNTY (SERVES POOR, DISPARATE AND VULNERABLE COMMUNITY MEMBERS) * MINISTRY SAINT MICHAEL'S HOSPITAL * MINISTRY MEDICAL GROUP (MMG) * MINISTRY DENTAL CENTER (SERVES THE POOR, DISPARATE AND VULNERABLE POPULATION) * EMPLOYER SOLUTIONS |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - ASCENSION ST. MICHAEL'S HOSPITAL, INC.. THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITY(S): PORTAGE COUNTY HEALTH DEPARTMENT, UNITED WAY OF PORTAGE COUNTY |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - ASCENSION ST. MICHAEL'S HOSPITAL, INC.. USING THE CHNA COMPLETED IN JUNE 2016, 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: ORAL HEALTH: IMPROVE ORAL HEALTH IN THE COMMUNITY. -- PROVIDED DENTAL CARE TO THOUSANDS OF PATIENTS WITH MEDICAID THROUGH A DENTAL CLINIC. -- PROVIDED EARLY ORAL HEALTH EDUCATION MATERIALS AND SUPPLIES TO NEW MOMS/FAMILIES WHO DELIVERED AT THE HOSPITAL -- INCORPORATED EARLY ORAL HEALTH EDUCATION MATERIALS INTO MULTIPLE EVENTS AND GROUPS (E.G., PREGNANCY FAIR, NEW MOMS GROUP) -- INCREASED REFERRALS OF PREGNANT WOMEN FOR DENTAL CARE OBESITY: DECREASE OBESITY FOR ADULTS AND CHILDREN IN PORTAGE COUNTY. -- PROVIDED THE BOYS AND GIRLS CLUB WITH FUNDING TO IMPLEMENT 'TRIPLE PLAY' WHICH FOCUSES ON STUDENTS' MENTAL, PHYSICAL AND INTERPERSONAL HEALTH. -- PROVIDED THE YMCA WITH FUNDING TO IMPLEMENT 'FOOD AND FUN', A PROGRAM TO INCREASE PHYSICAL ACTIVITY AND KNOWLEDGE ABOUT HEALTHY EATING IN SCHOOL AGE CHILDREN -- ACHIEVED 'BABY FRIENDLY HOSPITAL' STATUS (WHICH ACTIVELY PROMOTES BREASTFEEDING) -- WORKED WITH TWO AREA BUSINESSES AND MULTIPLE DAYCARES TO BECOME MORE BREASTFEEDING-FRIENDLY ---------------------------------------------------------------------------------------------------------------------------------------- THE DESCRIPTION BELOW INCLUDES THE NEEDS NOT BEING ADDRESSED AS WELL AS THE REASON WHY THE NEEDS ARE NOT BEING ADDRESSED. THE FOLLOWING NEEDS WILL NOT BE ADDRESSED: ALCOHOL AND DRUG USE AND MISUSE; VANDALISM; DOMESTIC VIOLENCE. ST. MICHAEL'S WILL NOT BE INCLUDING THESE PRIORITIES IN OUR IMPLEMENTATION PLAN BECAUSE OTHER COMMUNITY ORGANIZATIONS ARE ADDRESSING THE NEEDS AND THE HOSPITAL LACKS THE RELATIVE EXPERTISE TO EFFECTIVELY ADDRESS THE NEEDS. OTHER COMMUNITY ORGANIZATIONS WITHIN OUR PORTAGE COUNTY ARE BETTER EQUIPPED TO ADDRESS THESE IDENTIFIED PRIORITIES. IN ADDITION, THERE ARE FINANCIAL CONSTRAINTS TO BEING ABLE TO EFFECTIVELY LEAD EACH OF THESE PRIORITIES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 21 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| MINISTRY MEDICAL GROUP | ||||
| 824 Illinois Avenue | Stevens Point | WI | 54481 | OP CLINIC |
| MINISTRY MEDICAL GROUP-PLOVER | ||||
| 2401 Plover Road | Plover | WI | 54467 | OP CLINIC |
| MINISTRY MEDICAL GROUP-POINT | ||||
| 3398 E Maria Drive | Stevens Point | WI | 54481 | PSYCHIATRIC SERVICES |
| MINISTRY MEDICAL GROUP EMPLOYER SOLUTIONS | ||||
| 5412 Highway 10 East | Stevens Point | WI | 54481 | OCCUPATIONAL HEALTH SERVICES |
| MINISTRY ST MICHAEL'S HOSPITAL REHAB | ||||
| 2401 Plover Rd | Plover | WI | 54467 | CARDIAC REHAB AND PHYSICAL THERAPY |
| MINISTRY MEDICAL GROUP - HOOVER | ||||
| 3500 Hoover Road | Stevens Point | WI | 54481 | OP CLINIC |
| MINISTRY ST MICHAEL'S HOSPITAL REHAB | ||||
| 3500 Hoover Road | Stevens Point | WI | 54481 | PHYSICAL AND OCCUPATIONAL THERAPY SERVICES |
| MINISTRY DENTAL CLINIC | ||||
| 3504 E Maria Drive | Stevens Point | WI | 54481 | DENTAL CLINIC |
| MINISTRY MEDICAL GROUP - PFP | ||||
| 3301 Stanley Street | Stevens Point | WI | 54481 | OP CLINIC |
| MINISTRY BEHAVIORAL HEALTH | ||||
| 209 Prentice Street N | Stevens Point | WI | 54481 | OP ALCOHOL AND CHEMICAL DEPENDENCY TREATMENT CENTER |
| MINISTRY MEDICAL GROUP - COL | ||||
| 190 Grand Seasons Drive | Waupaca | WI | 54981 | OP CLINIC AND PSYCHIATRIC SERVICES |
| MINISTRY BEHAVIORAL HEALTH | ||||
| 201 Prentice Street N | Stevens Point | WI | 54481 | RESIDENTIAL ALCOHOL AND CHEMICAL DEPENDENCY TREATMENT CENTER |
| MINISTRY MEDICAL GROUP - IOLA | ||||
| 205 S Main Street | Iola | WI | 54945 | OP CLINIC AND PHYSICAL THERAPY |
| MINISTRY BEHAVIORAL HEALTH | ||||
| 190 Grand Seasons Drive | Waupaca | WI | 54981 | ALCOHOL AND CHEMICAL DEPENDENCY TREATMENT CENTER |
| MINISTRY MEDICAL GROUP-AMHERST | ||||
| 272 Christy Street | Amherst | WI | 54406 | OP CLINIC |
| MINISTRY MEDICAL GROUP EMPLOYER SOLUTIONS | ||||
| 1020 Kabel Avenue | Rhinelander | WI | 54501 | OCCUPATIONAL HEALTH SERVICES |
| MINISTRY MEDICAL GROUP EMPLOYER SOLUTIONS | ||||
| 3301 Cranberry Blvd | Weston | WI | 54476 | OCCUPATIONAL HEALTH SERVICES |
| MINISTRY MEDICAL GROUP EMPLOYER SOLUTIONS | ||||
| 601 S Center Avenue | Merrill | WI | 54452 | OCCUPATIONAL HEALTH SERVICES |
| MINISTRY MEDICAL GROUP | ||||
| 1000 Riverview Expressway | Wisconsin Rapids | WI | 54494 | ENT AND OPTHAMALOGY SERVICES |
| AEAS | ||||
| 2811 8th Street S Suite 80 | Wisconsin Rapids | WI | 54494 | EMPLOYEE ASSISTANCE AND COUNSELING PROGRAMS |
| AEAS | ||||
| 1820 Post Road Suite 5 | Plover | WI | 54467 | EMPLOYEE ASSISTANCE AND COUNSELING PROGRAMS |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. MICHAEL'S HOSPITAL PROVIDED HOSPITAL TOURS TO AREA YOUTH. ASSURING THAT RURAL COMMUNITIES HAVE A VIBRANT HEALTH CARE WORKFORCE IN THE FUTURE WILL HELP INCREASE ACCESS TO QUALITY OF CARE IN THE FUTURE. |
| 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 $5,077,673 AT CHARGES, ($2,494,861 AT COST). |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL EXPERIENCE, ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY, INCLUDING THOSE AMOUNTS NOT COVERED BY INSURANCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| 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 | - ASCENSION ST. MICHAEL'S HOSPITAL, INC.: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance/wisconsin; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - ASCENSION ST. MICHAEL'S HOSPITAL, INC.: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance/wisconsin; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - ASCENSION ST. MICHAEL'S HOSPITAL, INC.: 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 ST. MICHAEL'S HOSPITAL 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 ST. MICHAEL'S HOSPITAL UTILIZES THIS INFORMATION TO DETERMINE 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 | MINISTRY HEALTH CARE, INC. ("MHC") HAS FINANCIAL COUNSELORS LOCATED AT EVERY HOSPITAL. 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 PROGRAM. |
| Schedule H, Part VI, Line 4 Community information | ASCENSION ST. MICHAEL'S HOSPITAL, INC. SERVES STEVENS POINT, WI AND THE SURROUNDING VILLAGES AND TOWNS, INCLUDING PLOVER, WHITING, CUSTER, PARK RIDGE, STOCKTON, AND THE TOWN OF HULL. IT IS LOCATED IN THE CENTER OF THE STATE IN PORTAGE COUNTY. ACCORDING TO 2010 CENSUS INFORMATION, THE CITY OF STEVENS POINT HAS A POPULATION OF OVER 26,000 WHILE PORTAGE COUNTY'S POPULATION EXCEEDS 70,000. THE RACIAL MAKEUP OF THE CITY IS 91.7% WHITE, 4.68% ASIAN, 0.92% AFRICAN AMERICAN, 0.43% NATIVE AMERICAN AND 2.27% FROM OTHER RACES. THE POPULATION AGE IS WIDESPREAD, WITH 16% UNDER THE AGE OF 18, 31.2% FROM AGES 18 TO 24, 27.3% FROM AGES 25 TO 49, 13.5% FROM AGES 50 TO 64, AND 12% WHO WERE 65 YEARS OF AGE AND ABOVE. BASED ON 2010 ESTIMATES, THE PER CAPITA INCOME OF THE CITY WAS $21,653. ABOUT 17.3% OF THE POPULATION HAD INCOMES BELOW THE POVERTY LINE. LIKE MUCH OF THE COUNTRY, THE AREA CONTINUES TO FEEL THE EFFECTS OF THE ECONOMIC DOWNTURN AND HAS EXPERIENCED A VERY SLOW RECOVERY AFTER THE SIGNIFICANT LOSS OF JOBS SINCE 2009. STEVENS POINT IS HOME TO THE UNIVERSITY OF WISCONSIN - STEVENS POINT, WHICH ENROLLS ALMOST 10,000 STUDENTS IN BOTH UNDERGRADUATE AND GRADUATE DEGREE PROGRAMS. MID-STATE TECHNICAL COLLEGE ("MSTC"), A TECHNICAL COLLEGE, IS ALSO LOCATED IN THE CITY. MAJOR EMPLOYERS INCLUDE SENTRY INSURANCE, THE UNIVERSITY OF WISCONSIN - STEVENS POINT, MINISTRY HEALTH CARE, INC., ASSOCIATED BANC-CORP AND TRAVEL GUARD. |
| 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. CERTAIN SPECIALIZED SERVICES AVAILABLE INCLUDE: DENTAL SERVICES TO PRIMARILY THE INDIGENT, FERTILITY CLINIC SERVICES AND WIC HOME VISITS TO NEW MOTHERS AND INFANTS. |
| Schedule H, Part VI, Line 6 Affiliated health care system | ASCENSION ST. MICHAEL'S HOSPITAL, INC. IS AN AFFILIATE OF MINISTRY HEALTH, INC. AND ASCENSION HEALTH. ASCENSION ST. MICHAEL'S HOSPITAL, INC.'S AFFILIATES 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 23 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING 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 I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT MICHAEL'S FOUNDATION OF STEVENS POINT INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 ILLINOIS AVENUE | AddressLine1Txt |
| City | STEVENS POINT | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54481 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 391657410 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $356,074 | CashGrantAmt |
| Purpose Of Grant | OPERATING SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | THE FINANCE COMMITTEE ENSURES THAT FUNDS ARE DISTRIBUTED APPROPRIATELY ACCORDING TO ASCENSION HEALTH'S STRATEGIC BUSINESS PLAN AND CONSISTENT WITH CORPORATE POLICIES AND PROCEDURES. | ExplanationTxt |
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 (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL E NEUFELDER | ||||||||||||||
| FORMER OFFICER (END 9/2016) | $0 | $0 | $0 | $0 | $0 | $996,775 | $0 | $0 | $0 | $0 | $0 | $996,775 | $0 | $0 |
| BRIAN J KIEF | ||||||||||||||
| FORMER OFFICER (END 3/2017) | $0 | $133,012 | $0 | $0 | $0 | $367,706 | $0 | $3,926 | $0 | $11,051 | $0 | $515,695 | $0 | $0 |
| JEFFREY L MARTIN | ||||||||||||||
| FORMER OFFICER (END 12/2016) | $0 | $20,411 | $0 | $0 | $0 | $567,084 | $0 | $541 | $0 | $3,930 | $0 | $591,966 | $0 | $0 |
| JEREMY NORMINGTON-SLAY | ||||||||||||||
| PRESIDENT-NORTH CENTRAL REGION | $0 | $301,660 | $0 | $76,438 | $0 | $8,676 | $0 | $13,500 | $0 | $30,262 | $0 | $430,536 | $0 | $0 |
| JONATHAN SOHN | ||||||||||||||
| CFO - ASCENSION, WI | $0 | $505,898 | $0 | $270,732 | $0 | $127,274 | $0 | $14,885 | $0 | $33,482 | $0 | $952,271 | $0 | $0 |
| DEBRA STANDRIDGE | ||||||||||||||
| INTERIM PRESIDENT | $0 | $493,219 | $0 | $207,295 | $0 | $125,400 | $0 | $9,931 | $0 | $26,076 | $0 | $861,921 | $0 | $0 |
| ROBYN SCHERTZ | ||||||||||||||
| VP MEDICAL AFFAIRS | $0 | $387,250 | $0 | $1,476 | $0 | $1,567 | $0 | $16,200 | $0 | $33,770 | $0 | $440,263 | $0 | $0 |
| CRYSTAL J KIRSCHLING | ||||||||||||||
| CHIEF ADMIN OFFICER/VP PATIENT CARE | $0 | $179,124 | $0 | $41,495 | $0 | $5,230 | $0 | $14,828 | $0 | $33,062 | $0 | $273,739 | $0 | $0 |
| CHERYL ANN PAVELEC-MARTI | ||||||||||||||
| CHIEF OPERATING OFFICER | $0 | $179,009 | $0 | $41,495 | $0 | $4,478 | $0 | $14,068 | $0 | $20,423 | $0 | $259,473 | $0 | $0 |
| JOSEPH P KIM MD | ||||||||||||||
| PHYSICIAN | $741,929 | $0 | $229,954 | $0 | $1,760 | $0 | $13,245 | $0 | $34,926 | $0 | $1,021,814 | $0 | $0 | $0 |
| PATRICK K SAFO MD | ||||||||||||||
| PHYSICIAN | $356,867 | $0 | $478,231 | $0 | $13,364 | $0 | $14,237 | $0 | $27,528 | $0 | $890,227 | $0 | $0 | $0 |
| TODD M WILLIAMS MD | ||||||||||||||
| PHYSICIAN | $518,214 | $0 | $298,030 | $0 | $3,102 | $0 | $17,550 | $0 | $36,173 | $0 | $873,069 | $0 | $0 | $0 |
| SHILOH A SIMONS MD | ||||||||||||||
| PHYSICIAN | $526,154 | $0 | $273,570 | $0 | $2,190 | $0 | $16,200 | $0 | $35,818 | $0 | $853,932 | $0 | $0 | $0 |
| STEVEN J SLEZAK MD | ||||||||||||||
| PHYSICIAN | $498,208 | $0 | $293,378 | $0 | $8,154 | $0 | $15,702 | $0 | $26,482 | $0 | $841,924 | $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 | MINISTRY HEALTH CARE, INC., A RELATED ORGANIZATION OF ASCENSION ST MICHAEL'S HOSPITAL, 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: DANIEL NEUFELDER - $994,500 JEFFREY L MARTIN - $541,385 BRIAN KIEF - $325,725 |
| 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 (12 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 MINISTRY HEALTH CARE, INC. AND ITS SUBSIDIARY ORGANIZATIONS. MINISTRY HEALTH CARE, INC. IS THE SOLE CORPORATE MEMBER OF ASCENSION ST. MICHAEL'S HOSPITAL, 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 ST. MICHAEL'S HOSPITAL, 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' 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 ST MICHAEL'S HOSPITAL 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 ST MICHAEL'S HOSPITAL INC. HAS A SINGLE CORPORATE MEMBER, MINISTRY HEALTH CARE, INC. WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF ST. MICHAEL'S HOSPITAL OF STEVENS POINT, INC.. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | ALL DECISIONS THAT HAVE A MATERIAL IMPACT TO THE ASCENSION ST MICHAEL'S HOSPITAL INC 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 11d Other Miscellaneous Revenue | OTHER MISCELLANEOUS REVENUE - Total Revenue: 101271, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 101271; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | CHANGE IN VALUE OF BENEFICIAL INTEREST IN SAINT MICHAEL'S FOUNDATION OF STEVENS POINT, INC. - 468124; TRANSFERS WITH ALPHA FUND - 3470937; TRANSFER WITH AFFILIATE - -1693943; |
| Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTS | THE ACTIVITY OF ASCENSION ST. MICHAEL'S HOSPITAL, INC. IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF ASCENSION ST. MICHAEL'S HOSPITAL, INC. IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF ASCENSION ST. MICHAEL'S HOSPITAL, INC. |
| Form 990, Part XII, Line 2c AUDIT COMMITTEE | ASCENSION ST. MICHAEL'S HOSPITAL, 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 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 SACRED HEART-STMARY'S HOSPITALS INC | |||||||||||||
| PO BOX 347 | STEVENS POINT | WI | 54481 | 391390638 | 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 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 DER | 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 | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | 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 | false | 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 (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt | Business Name Line2OtherOrganizationName/BusinessNameLine2Txt |
|---|---|---|---|
| ASCENSION GOOD SAMARITAN HOSPITAL INC | |||
| M | $82,248 | FAIR MARKET VALUE | |
| ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC (FKA NETWORK HEALTH SYSTEM | |||
| M | $50,306 | FAIR MARKET VALUE | INC) |
| ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC (FKA NETWORK HEALTH SYSTEM | |||
| Q | $164,924 | FAIR MARKET VALUE | INC) |
| ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC (FKA MINISTRY MEDICAL GROUP | |||
| L | $6,884,302 | FAIR MARKET VALUE | INC) |
| ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC (FKA MINISTRY MEDICAL GROUP | |||
| Q | $912,010 | FAIR MARKET VALUE | INC) |
| ASCENSION SACRED HEART-ST MARY'S HOSPITALS INC | |||
| L | $967,254 | FAIR MARKET VALUE | |
| ASCENSION SACRED HEART-ST MARY'S HOSPITALS INC | |||
| M | $504,268 | FAIR MARKET VALUE | |
| ASCENSION SACRED HEART-ST MARY'S HOSPITALS INC | |||
| Q | $700,272 | FAIR MARKET VALUE | |
| THE HOWARD YOUNG MEDICAL CENTER INC | |||
| L | $207,098 | FAIR MARKET VALUE | |
| THE HOWARD YOUNG MEDICAL CENTER INC | |||
| M | $155,373 | FAIR MARKET VALUE | |
| SAINT MICHAEL'S FOUNDATION OF STEVENS POINT INC | |||
| B | $356,074 | FAIR MARKET VALUE | |