HOLY FAMILY MEMORIAL INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: HOLY FAMILY MEMORIAL INC (EIN 39-0806395)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-14
IRS object ID: 201723189349305797
Schema version: 2016v3.0
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 G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-14T13:20:51-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	391173131	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	100 MARITIME DRIVE SUITE 2B	AddressLine1Txt
City	MANITOWOC	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54220	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	390806395	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOLY FAMILY MEMORIAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HOLY	BusinessNameControlTxt
Phone	9203202011	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2300 WESTERN AVE PO BOX 1450	AddressLine1Txt
City	MANITOWOC	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	542211450	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARK HERZOG	PersonNm
Person Title	PRESIDENT / CEO	PersonTitleTxt
Phone	9203203470	PhoneNum
Signature	2017-11-09	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	LACEY SILBERNAGEL	PreparerPersonNm
PTIN	P01245590	PTIN
Phone	9206845500	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	74.142.163.66	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-11-09	IPDt
IP Tm	15:23:21	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	9475B8F64D5A719E781C043AAC9DC26B2B2E8E16	AtSubmissionCreationDeviceId
At Submission Filing Device Id	A1E3CE75D951098F5CF37418E507036188929F4F	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MARK HERZOG	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2300 WESTERN AVE PO BOX 1450	AddressLine1Txt
City	MANITOWOC	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	542211450	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$133,071,196	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HFMHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1899	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	HEALTH CARE SERVICESHOLY FAMILY MEMORIAL (HFM) IS A NETWORK OF HEALTH PROFESSIONALS WHO, ROOTED IN THE HEALING MINISTRY OF JESUS CHRIST, PROVIDE SERVICES TO HELP INDIVIDUALS AND OUR COMMUNITIES ACHIEVE HEALTHIER LIVES. HFM PROVIDES ACUTE, OUTPATIENT, CLINIC, HOME CARE AND HOSPICE SERVICES FOR MANITOWOC COUNTY, STRIVING FOR MEDICAL EXCELLENCE AND VALUED OUTCOMES WITHIN A COMPASSIONATE, VALUES BASED, CHRISTIAN ENVIRONMENT.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	1243	TotalEmployeeCnt
Total Volunteers	307	TotalVolunteersCnt
Total Gross UBI	$21,691	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$20,084	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$617,349	PYContributionsGrantsAmt
CY Contributions Grants	$137,664	CYContributionsGrantsAmt
PY Program Service Revenue	$128,414,355	PYProgramServiceRevenueAmt
CY Program Service Revenue	$129,294,093	CYProgramServiceRevenueAmt
PY Investment Income	$5,065,322	PYInvestmentIncomeAmt
CY Investment Income	$3,217,820	CYInvestmentIncomeAmt
PY Other Revenue	$133,626	PYOtherRevenueAmt
CY Other Revenue	$56,377	CYOtherRevenueAmt
PY Total Revenue	$134,230,652	PYTotalRevenueAmt
CY Total Revenue	$132,705,954	CYTotalRevenueAmt
PY Grants And Similar Paid	$51,491	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$49,029	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$76,975,899	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$76,516,477	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$132,029	CYTotalFundraisingExpenseAmt
PY Other Expenses	$51,627,055	PYOtherExpensesAmt
CY Other Expenses	$49,499,713	CYOtherExpensesAmt
PY Total Expenses	$128,654,445	PYTotalExpensesAmt
CY Total Expenses	$126,065,219	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,576,207	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$6,640,735	CYRevenuesLessExpensesAmt
Total Assets BOY	$172,821,455	TotalAssetsBOYAmt
Total Assets EOY	$190,102,873	TotalAssetsEOYAmt
Total Liabilities BOY	$56,848,948	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$66,217,533	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$115,972,507	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$123,885,340	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	HOLY FAMILY MEMORIAL IS A NETWORK OF HEALTH PROFESSIONALS WHO, ROOTED IN THE HEALING MINISTRY OF JESUS CHRIST, PROVIDE SERVICES TO HELP INDIVIDUALS AND OUR COMMUNITIES ACHIEVE HEALTHIER LIVES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$105,629,321	ExpenseAmt
Grant	$49,029	GrantAmt
Revenue	$132,486,714	RevenueAmt
Desc	HOLY FAMILY MEMORIAL IS AN INTEGRATED NETWORK PROVIDING HEALTH CARE SERVICES INTENDED TO BENEFIT THE HEALTH AND WELLBEING OF THE COMMUNITIES IT SERVES. THESE SERVICES INCLUDE PRIMARY AND SPECIALTY CLINIC CARE, PREVENTIVE CARE SUCH AS HEALTH SCREENINGS, VACCINATION CLINICS AND HEALTH EDUCATION CLASSES, 24/7 EMERGENCY CARE, WALK-IN, INPATIENT ACUTE CARE, OUTPATIENT CARE, HOME CARE AND HOSPICE, HOME MEDICAL EQUIPMENT, PRESCRIPTIONS, OCCUPATIONAL HEALTH SERVICES, AND MEDICALLY BASED FITNESS AND WELLNESS. HOLY FAMILY MEMORIAL HAS BEEN ABLE TO ACHIEVE A GREATER IMPACT IN THE COMMUNITY BY PARTNERING FINANCIAL, HUMAN AND PROGRAMMATIC RESOURCES WITH OTHER ORGANIZATIONS. (CONTINUED ON SCHEDULE O)THESE PARTNERSHIPS INCLUDE A COMMITMENT TO COLLABORATE WITH OTHER HEALTH AND SOCIAL SERVICE AGENCIES TO IMPROVE ACCESS TO CARE, FOCUS ON PREVENTIVE SERVICES, REDUCE COMMUNITY HEALTH RISKS, AND CONTRIBUTE TO A HEALTHIER, VIBRANT COMMUNITY. HOLY FAMILY MEMORIAL PROVIDES MEDICALLY NECESSARY SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICIES. IN ASSESSING A PATIENT'S ABILITY TO PAY, HFM UTILIZES GENERALLY RECOGNIZED POVERTY INCOME LEVELS OF THE COMMUNITIES IT SERVES, AND CONSIDERS SITUATIONS WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO THE PATIENT'S FINANCIAL RESOURCES. BECAUSE HFM DOES NOT EXPECT TO RECEIVE PAYMENT OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUES. HOLY FAMILY MEMORIAL'S TOTAL COMMUNITY BENEFIT INCLUDES THE COST OF CHARITY CARE AND UNPAID COST OF PUBLIC PROGRAMS (MEDICARE AND MEDICAID) AS WELL AS THOSE DISCUSSED ABOVE. HOLY FAMILY MEMORIAL'S COMMUNITY BENEFIT WAS APPROXIMATELY $22,468,000 FOR THE YEAR ENDED DECEMBER 31, 2016. THIS AMOUNT INCLUDES THE NET COST OF CHARITY CARE OF APPROXIMATELY $244,000. MORE INFORMATION IS AVAILABLE FROM OUR COMMUNITY BENEFIT REPORT WHICH IS LOCATED ON OUR WEBSITE AT WWW.HFMHEALTH.ORG.	Desc
Total Program Service Expenses	$105,629,321	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	115	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1243	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	0	Form8899Filedind
Form1098 C Filed	0	Form1098CFiledInd
DAF Excess Business Holdings	0	DAFExcessBusinessHoldingsInd
Taxable Distributions	0	TaxableDistributionsInd
Distribution To Donor	0	DistributionToDonorInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BRETT NORELL CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9203203486	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2300 WESTERN AVENUE	AddressLine1Txt
City	MANITOWOC	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	542211450	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHELLE L BIRSCHBACH
DIRECTOR	2.00	Yes (X)	$0	$0	$0
DEREK R BOWN DC
DIRECTOR	40.00	Yes (X)	$138,173	$0	$30,699
DONALD R BRISCH
CHAIR	2.00	Yes (X)	$0	$0	$0	Yes (X)
MATTHEW L CAMPBELL MD
DIRECTOR	40.00	Yes (X)	$301,491	$0	$32,968
WILLIAM R CASEY
DIRECTOR	2.00	Yes (X)	$0	$0	$0
LAURIE CRAWFORD
DIRECTOR, FORMER SECRETARY	2.00	Yes (X)	$0	$0	$0	Yes (X)
JEFFREY S DUNN
VICE CHAIR	2.00	Yes (X)	$0	$0	$0	Yes (X)
SISTER LORITA M GAFFNEY
DIRECTOR	2.00	Yes (X)	$0	$0	$0
SISTER MARLITA HENSELER
DIRECTOR	2.00	Yes (X)	$0	$0	$0
MARK P HERZOG
DIRECTOR, PRESIDENT, CEO	40.00	Yes (X)	$645,669	$0	$127,503	Yes (X)
ERICK M KAHLENBERG
DIRECTOR	2.00	Yes (X)	$0	$0	$0
MARILYN KAUFMANN PHD RN
DIRECTOR	2.00	Yes (X)	$0	$0	$0
DENISE A KITZEROW
TREASURER	2.00	Yes (X)	$0	$0	$0	Yes (X)
WILLIAM C LEACH JR DO
DIRECTOR	40.00	Yes (X)	$379,223	$0	$30,681
DANIEL B MCGINTY
DIRECTOR	2.00	Yes (X)	$0	$0	$0
JANE L PFEFFER
DIRECTOR	2.00	Yes (X)	$0	$0	$0
SISTER ELAINE TURBA
DIRECTOR	2.00	Yes (X)	$0	$0	$0
SISTER JAN VILLEMURE
DIRECTOR	2.00	Yes (X)	$0	$0	$0
SISTER LAURA WOLF
DIRECTOR	2.00	Yes (X)	$0	$0	$0
XA XIONG MD
DIRECTOR	40.00	Yes (X)	$183,507	$0	$33,655
KATHLEEN A ZUCCHI
SECRETARY	2.00	Yes (X)	$0	$0	$0
JANE CURRAN-MEULI
EXECUTIVE VP, COO	40.00		$257,480	$0	$71,210	Yes (X)
STEVEN D DRIGGERS MD
EXECUTIVE VP, CMO	40.00		$388,116	$0	$65,697	Yes (X)
LAURA FIELDING
VP ORG ENGAGEMENT, CAO	40.00		$126,979	$0	$10,138	Yes (X)
MARY MAURER
VP COMMUNITY ENGAGEMENT, CIO	40.00		$270,854	$0	$45,982	Yes (X)
BRETT NORELL
VP FINANCE, CFO	40.00		$231,702	$0	$59,636	Yes (X)
DEAN POLLNOW MD
EXECUTIVE VP, CMO	40.00		$142,932	$0	$25,095	Yes (X)
JEREMY R ANCLAM MD
PHYSICIAN PROVIDER	40.00		$614,637	$0	$22,731		Yes (X)
KIRK DIMITRIS MD
PHYSICIAN PROVIDER	40.00		$1,366,336	$0	$27,805		Yes (X)
RYAN M DOPIRAK MD
PHYSICIAN PROVIDER	40.00		$1,113,429	$0	$27,868		Yes (X)
DAVID MIKOLYZK MD
PHYSICIAN PROVIDER	40.00		$839,230	$0	$25,878		Yes (X)
THOMAS SYLVESTER MD
PHYSICIAN PROVIDER	40.00		$647,923	$0	$8,340		Yes (X)
WILLIAM D HAMPTON DO
FORMER DIRECTOR	40.00		$372,924	$0	$25,030			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,020,605	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$670,916	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	70	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CARETECH SOLUTIONS
901 WILSHIRE DRIVE STE 250	TROY	MI	48084	IT SERVICES	$2,023,784
COMPLETERX LTD
3100 S GESSNER STE 640	HOUSTON	TX	77063	PHARMACY SERVICES	$1,327,890
SODEXO CTM INCMSC - 410672
PO BOX 415000	NASHVILLE	TN	372415000	BIO-MED SERVICES	$996,243
NTT DATA INC
PO BOX 4201	BOSTON	MA	02211	IMPLEMENTATION SERVICES	$475,000
COMPHEALTH
PO BOX 972651	DALLAS	TX	753972651	LOCUM PROVIDER STAFFING	$421,211

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	23	CntrctRcvdGreaterThan100KCnt
Fundraising	$49,671	FundraisingAmt
All Other Contributions	$87,993	AllOtherContributionsAmt
Total Contributions	$137,664	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
INTEGRATED HEALTH CARE	900099	$116,912,671	$116,912,671
LAB	621500	$11,317,051	$11,290,078	$26,973
PHARMACY	446110	$1,064,371	$1,064,371

Field	Value	IRS element (for citing)
Total Program Service Revenue	$129,294,093	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,219,594	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,219,594	RelatedOrExemptFuncIncomeAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$144,661	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$158,779	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$14,118	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$14,118	TotalRevenueColumnAmt
Exclusion	-$14,118	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$43,108	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$44,882	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$1,774	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,774	TotalRevenueColumnAmt
Exclusion	-$1,774	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$103,229	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$49,671	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$27,452	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$75,777	TotalRevenueColumnAmt
Exclusion	$75,777	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$167,528	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$134,129	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$33,399	TotalRevenueColumnAmt
Unrelated Business Revenue	$33,399	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENT HFHS & DME	Desc
Business	900003	BusinessCd
Total Revenue Column	-$38,681	TotalRevenueColumnAmt
Unrelated Business Revenue	-$38,681	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	-$38,681	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$132,705,954	TotalRevenueColumnAmt
Related Or Exempt Func Income	$132,486,714	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$21,691	UnrelatedBusinessRevenueAmt
Exclusion	$59,885	ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$49,029	TotalAmt
Program Services	$49,029	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,872,749	TotalAmt
Program Services	$1,230,134	ProgramServicesAmt
Management And General	$2,642,615	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$58,966,259	TotalAmt
Program Services	$51,867,989	ProgramServicesAmt
Management And General	$7,015,949	ManagementAndGeneralAmt
Fundraising	$82,321	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,373,577	TotalAmt
Program Services	$1,208,970	ProgramServicesAmt
Management And General	$162,519	ManagementAndGeneralAmt
Fundraising	$2,088	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,669,766	TotalAmt
Program Services	$7,874,651	ProgramServicesAmt
Management And General	$771,002	ManagementAndGeneralAmt
Fundraising	$24,113	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,634,126	TotalAmt
Program Services	$3,150,529	ProgramServicesAmt
Management And General	$478,339	ManagementAndGeneralAmt
Fundraising	$5,258	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$410,851	TotalAmt
Program Services	$72,753	ProgramServicesAmt
Management And General	$338,098	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$111,013	TotalAmt
Management And General	$111,013	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$142,786	TotalAmt
Management And General	$142,786	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,088,020	TotalAmt
Program Services	$2,088,020	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$353,056	TotalAmt
Program Services	$25,175	ProgramServicesAmt
Management And General	$327,881	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$509,451	TotalAmt
Program Services	$379,148	ProgramServicesAmt
Management And General	$125,950	ManagementAndGeneralAmt
Fundraising	$4,353	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,470,744	TotalAmt
Program Services	$2,448,452	ProgramServicesAmt
Management And General	$2,019,164	ManagementAndGeneralAmt
Fundraising	$3,128	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,365,967	TotalAmt
Program Services	$1,469,958	ProgramServicesAmt
Management And General	$894,135	ManagementAndGeneralAmt
Fundraising	$1,874	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$313,171	TotalAmt
Program Services	$173,725	ProgramServicesAmt
Management And General	$139,160	ManagementAndGeneralAmt
Fundraising	$286	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$272,737	TotalAmt
Program Services	$172,697	ProgramServicesAmt
Management And General	$100,040	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,903,544	TotalAmt
Program Services	$1,183,171	ProgramServicesAmt
Management And General	$718,862	ManagementAndGeneralAmt
Fundraising	$1,511	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,295,407	TotalAmt
Program Services	$3,541,726	ProgramServicesAmt
Management And General	$752,068	ManagementAndGeneralAmt
Fundraising	$1,613	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$907,302	TotalAmt
Program Services	$650,038	ProgramServicesAmt
Management And General	$256,761	ManagementAndGeneralAmt
Fundraising	$503	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SUPPLIES	$19,291,827	$19,071,649	$220,025	$153
PURCHASED SERVICES	$5,030,366	$2,734,423	$2,294,347	$1,596
WISCONSIN PROVIDER ASSE	$2,749,377	$2,749,377
MAINTENANCE	$2,675,150	$2,628,791	$46,359

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,608,944	TotalAmt
Program Services	$858,916	ProgramServicesAmt
Management And General	$746,796	ManagementAndGeneralAmt
Fundraising	$3,232	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$126,065,219	TotalAmt
Program Services	$105,629,321	ProgramServicesAmt
Management And General	$20,303,869	ManagementAndGeneralAmt
Fundraising	$132,029	FundraisingAmt

Field	Value	IRS element (for citing)
Joint Costs	Yes (X)	JointCostsInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,447,100	BOYAmt
EOY	$14,483,066	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,025,140	BOYAmt
EOY	$4,871,286	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$26,325	BOYAmt
EOY	$18,358	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$15,505,623	BOYAmt
EOY	$17,916,992	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$300,000	BOYAmt
EOY	$300,000	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,424,879	BOYAmt
EOY	$2,364,803	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,060,564	BOYAmt
EOY	$5,845,509	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$195,918,875	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$120,088,475	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$68,609,273	BOYAmt
EOY	$75,830,400	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$58,555,081	BOYAmt
EOY	$63,721,785	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$4,420,610	BOYAmt
EOY	$3,302,262	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,376,683	BOYAmt
EOY	$1,264,649	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$70,177	BOYAmt
EOY	$183,763	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$172,821,455	BOYAmt
EOY	$190,102,873	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$12,769,002	BOYAmt
EOY	$14,492,087	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$43,786	BOYAmt
EOY	$39,006	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$44,035,960	BOYAmt
EOY	$51,686,240	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$200	BOYAmt
EOY	$200	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$56,848,948	BOYAmt
EOY	$66,217,533	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$113,405,938	BOYAmt
EOY	$121,073,605	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$546,491	BOYAmt
EOY	$565,001	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,020,078	BOYAmt
EOY	$2,246,734	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$115,972,507	BOYAmt
EOY	$123,885,340	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$172,821,455	BOYAmt
EOY	$190,102,873	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$6,640,735	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,026,933	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$245,165	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$943	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$10,601	OtherActivitiesAmt
Total Lobbying Expenditures	$11,544	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	EXPLANATION: PART II-B, LINES 1B & 1G: HOLY FAMILY MEMORIAL SENT A REPRESENTATIVE TO WASHINGTON, D.C. IN 2016, IN PART, TO DISCUSS LEGISLATIVE MATTERS WITH FEDERAL LEGISLATORS. HOLY FAMILY MEMORIAL ALSO SENT TWO HFM STAFF AND ONE HFM BOARD MEMBER TO THE WISCONSIN STATE CAPITAL (WHA ADVOCACY DAY) TO DISCUSS HEALTH RELATED LEGISLATIVE ISSUES ON VARIOUS HEALTH CARE TOPICS WITH STATE LEGISLATORS. EXPLANATION: PART II-B, LINE 1I, OTHER ACTIVITIES: HOLY FAMILY MEMORIAL BELONGS TO THE WISCONSIN HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION, WHICH USE A PERCENTAGE OF DUES FOR LOBBYING PURPOSES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	0	InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,566,566	BeginningYearBalanceAmt
Contributions	$314,437	ContributionsAmt
Investment Earnings Or Losses	$105,388	InvestmentEarningsOrLossesAmt
Other Expenditures	$174,659	OtherExpendituresAmt
End Year Balance	$2,811,732	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,530,941	BeginningYearBalanceAmt
Contributions	$382,393	ContributionsAmt
Investment Earnings Or Losses	-$19,926	InvestmentEarningsOrLossesAmt
Other Expenditures	$326,842	OtherExpendituresAmt
End Year Balance	$2,566,566	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,276,763	BeginningYearBalanceAmt
Contributions	$428,510	ContributionsAmt
Investment Earnings Or Losses	$61,207	InvestmentEarningsOrLossesAmt
Other Expenditures	$235,539	OtherExpendituresAmt
End Year Balance	$2,530,941	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,915,567	BeginningYearBalanceAmt
Contributions	$374,287	ContributionsAmt
Investment Earnings Or Losses	$179,201	InvestmentEarningsOrLossesAmt
Other Expenditures	$192,292	OtherExpendituresAmt
End Year Balance	$2,276,763	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,637,918	BeginningYearBalanceAmt
Contributions	$514,026	ContributionsAmt
Other Expenditures	$236,377	OtherExpendituresAmt
End Year Balance	$1,915,567	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.86000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.10000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.04000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,434,579	OtherCostOrOtherBasisAmt
Book Value	$5,434,579	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$121,290,892	OtherCostOrOtherBasisAmt
Depreciation	$62,717,323	DepreciationAmt
Book Value	$58,573,569	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,247,537	OtherCostOrOtherBasisAmt
Depreciation	$5,019,789	DepreciationAmt
Book Value	$227,748	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$61,963,355	OtherCostOrOtherBasisAmt
Depreciation	$51,329,340	DepreciationAmt
Book Value	$10,634,015	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,982,512	OtherCostOrOtherBasisAmt
Depreciation	$1,022,023	DepreciationAmt
Book Value	$960,489	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$75,830,400	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	SECURITY DEPOSIT	Desc
Amt	$200	Amt

Field	Value	IRS element (for citing)
Total Liability	$200	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$133,732,887	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$1,026,933	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$1,026,933	RevenueNotReportedAmt
Revenue Subtotal	$132,705,954	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$132,705,954	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$126,065,219	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$126,065,219	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$126,065,219	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	HOLY FAMILY MEMORIAL'S ENDOWMENT FUNDS WERE ESTABLISHED TO PROVIDE FINANCIAL SUPPORT ON AN ONGOING BASIS TO MEET THE CURRENT AND FUTURE NEEDS OF HOLY FAMILY MEMORIAL AND THE PEOPLE IT SERVES. FUNDS ARE USED FOR CAPITAL EQUIPMENT, MAJOR BUILDING IMPROVEMENTS, PROGRAM DEVELOPMENT, AND OPERATIONS.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	SAMARITAN DAY	Event1Nm
Gross Receipts Event1	$77,400	GrossReceiptsEvent1Amt
Charitable Contri Event1	$26,191	CharitableContriEvent1Amt
Gross Revenue Event1	$51,209	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$5,214	NonCashPrizesEvent1Amt
Other Direct Expenses Event1	$16,546	OtherDirectExpensesEvent1Amt
Event2	SIP SAVOR	Event2Nm
Gross Receipts Event2	$50,296	GrossReceiptsEvent2Amt
Charitable Contri Event2	$20,730	CharitableContriEvent2Amt
Gross Revenue Event2	$29,566	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$3,574	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$25,204	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$2,750	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$22,454	GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events	$2,118	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$152,900	GrossReceiptsTotalAmt
Charitable Contributions Tot	$49,671	CharitableContributionsTotAmt
Gross Revenue Total Events	$103,229	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$5,214	NonCashPrizesTotalEventsAmt
Oth Direct Expnss Total Events	$22,238	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$27,452	DirectExpenseSummaryEventsAmt
Net Income Summary	$75,777	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	673	PersonsServedCnt
Total Community Benefit Expns	$243,587	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$243,587	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	32482	PersonsServedCnt
Total Community Benefit Expns	$12,891,427	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,794,470	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,096,957	NetCommunityBenefitExpnsAmt
Total Expense	0.07220	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	33155	PersonsServedCnt
Total Community Benefit Expns	$13,135,014	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,794,470	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,340,544	NetCommunityBenefitExpnsAmt
Total Expense	0.07410	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	11196	PersonsServedCnt
Total Community Benefit Expns	$197,137	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$197,137	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	466	PersonsServedCnt
Total Community Benefit Expns	$177,228	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$177,228	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	290	PersonsServedCnt
Total Community Benefit Expns	$111,307	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$111,307	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	11952	PersonsServedCnt
Total Community Benefit Expns	$485,672	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$485,672	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	45107	PersonsServedCnt
Total Community Benefit Expns	$13,620,686	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,794,470	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,826,216	NetCommunityBenefitExpnsAmt
Total Expense	0.07800	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	3200	PersonsServedCnt
Total Community Benefit Expns	$34,522	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$34,522	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$228	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$228	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Persons Served	68	PersonsServedCnt
Total Community Benefit Expns	$3,582	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,582	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,216	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,216	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	796	PersonsServedCnt
Total Community Benefit Expns	$7,018	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,018	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	4064	PersonsServedCnt
Total Community Benefit Expns	$46,566	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$46,566	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,196,987	BadDebtExpenseAmt
Bad Debt Expense Attributable	$252,564	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$47,957,565	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$60,554,075	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$12,596,510	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 (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	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	HOLY FAMILY MEMORIAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2300 WESTERN AVE PO BOX 1450	AddressLine1Txt
City	MANITOWOC	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	542211450	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.HFMHEALTH.ORG	WebsiteAddressTxt
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	HOLY FAMILY MEMORIAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	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	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.HFMHEALTH.ORG	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V PAGE 8	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V PAGE 8	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	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 (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.HFMHEALTH.ORG/COMMUNITY-CARE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.HFMHEALTH.ORG/UPLOAD/DOCS/PATIENTS%20AND%20VISITORS/COMMCAREWEB.PDF	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.HFMHEALTH.ORG/UPLOAD/DOCS/PLAIN-LANGUAGE-SUMMARY-UPDATED-.PDF	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 (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
HOLY FAMILY MEMORIAL, INC	PART V, SECTION B, LINE 5: ADHERING TO THE TAKE ACTION CYCLE FROM COUNTYHEALTHRANKINGS.ORG, HOLY FAMILY MEMORIAL PARTNERED WITH COMMUNITY LEADERS AND OTHER ORGANIZATIONS TO COLLABORATIVELY PLAN, ASSESS, AND ANALYZE COMMUNITY HEALTH NEEDS. THE PARTNERSHIP GROUP AGREED TO POOL THEIR PERSONNEL RESOURCES AND SHARE THE COSTS OF SURVEY ANALYSIS AND RESULTS TO ACCOMPLISH A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MANITOWOC COUNTY.THE COMMUNITY HEALTH NEEDS ASSESSMENT TEAM CONDUCTED 30 PERSONAL ONE ON ONE INPUT SESSIONS WITH THE PUBLIC HEALTH OFFICER AND PUBLIC HEALTH MANAGER FROM THE MANITOWOC COUNTY HEALTH DEPARTMENT, AS WELL AS THE DIRECTOR OF NORTHEAST WISCONSIN AREA HEALTH AND EDUCATION CENTER, AND THE EXECUTIVE DIRECTOR OF THE UNITED WAY - MANITOWOC COUNTY. ALSO INVOLVED WERE 26 OTHER BUSINESS, COMMUNITY, LEGISLATIVE, AND SOCIAL SERVICE LEADERS, INCLUDING LEADERS FROM THE HMONG AND HISPANIC COMMUNITIES. WE CONDUCTED A COMMUNITY HEALTH TELEPHONE SURVEY WITH 419 RESPONSES FROM COMMUNITY MEMBERS AND A YOUTH RISK BEHAVIOR SURVEY TAKEN BY 1,826 LOCAL HIGH SCHOOL STUDENTS.
HOLY FAMILY MEMORIAL, INC	PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED COLLABORATIVELY WITH AURORA MEDICAL CENTER - MANITOWOC COUNTY.
HOLY FAMILY MEMORIAL, INC	PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED COLLABORATIVELY WITH COMMUNITY LEADERS FROM MANITOWOC COUNTY COMING FROM: HOLY FAMILY MEMORIAL, AURORA MEDICAL CENTER - MANITOWOC COUNTY, MANITOWOC COUNTY PUBLIC HEALTH DEPARTMENT, UNITED WAY MANITOWOC COUNTY, LAKESHORE COMMUNITY ACTION PROGRAM, AND LAKESHORE COMMUNITY HEALTH.
HOLY FAMILY MEMORIAL, INC	PART V, SECTION B, LINE 11: HFM IDENTIFIED THREE SIGNIFICANT NEEDS IN THE CHNA AND HAS CREATED TEAMS WITH AN ASSIGNED LEADER AND OTHER MULTI-DISCIPLINARY PERSONNEL TO OWN, LEAD, AND MONITOR PROGRESS ON THE THREE MAIN GOALS. THE GOALS ARE: 1) IMPROVE SUBSTANCE ABUSE CARE AND SERVICES FOR OUR COMMUNITY; 2) IMPROVE MENTAL HEALTH CARE ACCESS AND SERVICES AT HOLY FAMILY MEMORIAL; AND 3) BE AN ORGANIZATIONAL ROLE MODEL AND COMMUNITY CHAMPION TO IMPROVE NUTRITION AND EXERCISE OPPORTUNITIES. ACTIVITIES AND PROGRESS ARE MONITORED ON A QUARTERLY BASIS. OTHER HEALTH NEEDS WHICH SURFACED IN THE CHNA ARE BEING ADDRESSED BY PARTNERSHIPS WITH OTHER COMMUNITY GROUPS SUCH AS HEALTHIEST MANITOWOC COUNTY AND OTHERS. IDENTIFIED NEEDS INCLUDE: 1) CHRONIC DISEASE MANAGEMENT; 2) TOBACCO CONTROL; 3) SOCIO-ECONOMIC IMPROVEMENTS; 4) INJURY AND FALLS PREVENTION; AND 5) INVESTING EARLY- PARENTAL TRAINING AND HEALTHY BABIES . COMMUNITY COALITIONS AS WELL AS HFM STAFF AND LEADERS ARE WORKING HARD ON COMMUNITY HEALTH ISSUES. OUR MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY. WE ARE ACTIVELY WORKING TOWARDS HEALTHY SOLUTIONS TO IDENTIFIED HEALTH NEEDS.
HOLY FAMILY MEMORIAL, INC	PART V, SECTION B, LINE 20E: PAYMENT GUIDELINES AND THE FINANCIAL ASSISTANCE POLICY ARE POSTED IN PATIENT ROOMS AND LOBBIES, ADMISSION AND REGISTRATION AREAS, AND ARE GIVEN TO ALL SURGERY PATIENTS. IN ADDITION, INFORMATION IS PUBLISHED ON THE BACK OFALL PATIENT STATEMENTS.
SCHEDULE H, PART V SECTION B, LINE 22D	HOLY FAMILY MEMORIAL USED THE AVERAGE OF ITS FIVE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED.
SCHEDULE H, PART V SECTION B, LINE 7B	HEALTHIESTMC.ORG;CO.MANITOWOC.WI.US/DEPARTMENTS/D-H/HEALTH-DEPT/
SCHEDULE H, PART V SECTION B, LINE 10A	HFMHEALTH.ORG;HEALTHIESTMC.ORG;CO.MANITOWOC.WI.US/DEPARTMENTS/D-H/HEALTH-DEPT/

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - HOLY FAMILY HEALTH SERVICES INC
3310 CALUMET AVENUE	MANITOWOC	WI	54220	RETAIL PHARMACY
2 - NORTH END HOME MEDICAL SERVICES LLC
3310 CALUMET AVENUE	MANITOWOC	WI	54220	DURABLE MEDICAL EQUIPMENT

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	HOLY FAMILY MEMORIAL (HFM) PREPARED A COMMUNITY BENEFIT REPORT FOR THE CURRENT YEAR AND MADE IT AVAILABLE TO LOCAL CHURCH, POLITICAL, AND BUSINESS LEADERS, AS WELL AS OTHERS IN THE COMMUNITY IN EARLY SPRING 2016. IT WAS ALSO POSTED ON OUR WEBSITE.
PART I, LINE 7:	COMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE CARE AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. HFM'S COMMUNITY BENEFIT PROGRAMS INCLUDE SERVICES FOR THOSE WHO CAN NOT AFFORD HEALTH CARE AND INITIATIVES FOR IMPROVING HEALTH IN THE BROADER COMMUNITY. PROVIDING COMMUNITY BENEFITS DEMONSTRATES THAT HOLY FAMILY MEMORIAL IS FULFILLING ITS CHARITABLE MISSION AND DEMONSTRATES THAT ITS PREFERENTIAL TAX STATUS IS DESERVED.
SCHEDULE H, PART I, LINE 7, COLUMN F	THE PERCENTAGE OF COMMUNITY BENEFIT EXPENSE TO OVERALL EXPENSES REPORTED ON FORM 990 FOR HFM.
PART II, COMMUNITY BUILDING ACTIVITIES:	HFM LEADS AND PARTICIPATES IN NUMEROUS INITIATIVES ALL AIMED AT IMPROVING THE OVERALL HEALTH OF THE COMMUNITY. WE BELIEVE THERE ARE FOUR MAJOR AREAS THAT CONTRIBUTE TO TRUE COMMUNITY HEALTH. HFM DEDICATES RESOURCES TO ENHANCE THE OVERALL VIBRANCY OF OUR COMMUNITY, MAKING IT AN OVERALL IMPROVED COMMUNITY IN WHICH TO LIVE, LEARN, WORK, AND PLAY. INITIATIVES INCLUDE: 1) HEALTH BEHAVIORS - PROVIDING SMOKING CESSATION CLASSES, COMMUNITY EXERCISE CHALLENGES, A MEDICALLY BASED WELLNESS CENTER, AND PROVIDING FRUIT AND VEGETABLE COUPONS TO ENCOURAGE HEALTHY EATING; 2) SOCIAL AND ECONOMIC FACTORS - PROVIDING LEADERSHIP ON LOCAL ECONOMIC DEVELOPMENT, CHAMBER OF COMMERCE, UNITED WAY, AND STABLE WAGES AND BENEFITS TO OUR EMPLOYEES SINCE HFM IS THE LARGEST EMPLOYER IN THE COUNTY; 3) HOLISTIC HEALTH CARE SERVICES - PROVIDING THE RIGHT CARE IN THE RIGHT SETTING TO ACHIEVE THE RIGHT OUTCOMES AND TO ENCOURAGE PREVENTIVE CARE; 4) ENVIRONMENTAL FACTORS - REDUCING ENERGY USAGE, PROMOTING AN ACTIVE RECYCLING PROGRAM, AND BEAUTIFICATION OF GROUNDS.
PART III, LINE 2:	AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF FACTORS TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING HFM'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE.
PART III, LINE 3:	ANY PERSON APPROVED FOR COMMUNITY CARE UNDER HFM'S COMMUNITY CARE PROGRAM HAS UP TO 10 MONTHS (FROM THE FIRST STATEMENT) TO PAY THE REMAINING BALANCE IN FULL. IF THERE IS A BALANCE AT THE END OF THE 10 MONTHS, THE PATIENT WILL RECEIVE A FINAL NOTICE. IF THE BALANCE IS NOT PAID WITHIN 30 DAYS, THE BALANCE WILL BE SENT TO BAD DEBT COLLECTIONS. A HINDSIGHT ANALYSIS IS USED TO ESTIMATE THE PERCENT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER HFM'S FINANCIAL ASSISTANCE POLICY.
PART III, LINE 4:	AUDIT STATEMENT NOTE 2, SIGNIFICANT ACCOUNTING POLICIES HAS A SECTION LABELED "ACCOUNTS RECEIVABLE" THAT DESCRIBES BAD DEBT AND ITS EVALUATION.
PART III, LINE 8:	HOLY FAMILY MEMORIAL IS A LICENSED MEDICARE PROVIDER WITH 50.7% OF ITS PATIENT BASE QUALIFYING FOR THIS PROGRAM. AT PRESENT, THE REIMBURSEMENT RATE FOR THE MEDICARE PROGRAM DOES NOT FULLY COVER THE COST OF CARE TO THESE PATIENTS. THIS REPRESENTS THE ESTIMATED SHORTFALL CREATED WHEN HFM RECEIVES PAYMENTS BELOW THE COSTS OF TREATING MEDICARE AND OTHER PUBLIC PROGRAM BENEFICIARIES. THE COST METHODOLOGY USED TO DETERMINE THE ALLOWABLE COSTS OF CARE WAS THE COST TO CHARGE RATIO.
PART III, LINE 9B:	PAYMENT OPTIONS AS WELL AS COMMUNITY CARE ASSISTANCE IS NOTED ON ALL COLLECTION LETTERS, AS WELL AS INSURANCE BENEFIT PAPERWORK THAT IS SENT TO PATIENTS FOR INPATIENT, SAME DAY SURGERY, MRI, CT SCAN, AND EMERGENCY SERVICES. A PATIENT FINANCIAL ADVISOR AND/OR ELIGIBILITY SPECIALIST SEES SELF-PAY INPATIENTS TO INTERVIEW AND ADVISE PATIENTS OF ANY PROGRAMS THEY MAY QUALIFY FOR, INCLUDING, BUT NOT LIMITED TO, MEDICAID, VETERANS ADMINISTRATION, OR OUR OWN CHARITY CARE PROGRAM. IF THEY MAY QUALIFY FOR MEDICAID OR VETERANS ADMINISTRATION, THE ELIGIBILITY SPECIALIST WILL HELP THEM COMPLETE THE APPLICATION PROCESS, AND FOLLOW UP ON THEIR APPLICATION THROUGH TO APPROVAL OR DISAPPROVAL. FOR THE NETWORK CHARITY PROGRAM, AN APPLICATION IS PROVIDED AND THE PATIENT IS INSTRUCTED ON WHOM TO CONTACT FOR ASSISTANCE IN APPLYING. WHEN CONTACTING PATIENTS BY PHONE, THE PATIENT FINANCIAL ADVISOR IS TRAINED TO IDENTIFY PATIENTS WHO MAY QUALIFY FOR OUTSIDE STATE OR FEDERAL ASSISTANCE AND WILL DIRECT THOSE PATIENTS ON HOW TO APPLY FOR THOSE PROGRAMS. THE ELIGIBILITY SPECIALIST WILL ALSO PROVIDE SUCH ASSISTANCE.
PART VI, LINE 2:	HFM UTILIZES VARIOUS PROCESSES TO ASSESS THE HEALTH CARE NEEDS OF MANITOWOC COUNTY. AS PART OF OUR STRATEGIC PLANNING PROCESS, WE OBTAIN INPUT FROM HUNDREDS OF PEOPLE REGARDING THEIR OPINIONS AND PERCEPTIONS OF THE GREATEST HEALTH CARE NEEDS. THIS DATA IS COLLECTED AND CONSIDERED AS WE EVALUATE ANNUAL TACTICS TO ADDRESS OUR STRATEGIES. ON A TRI-ANNUAL BASIS, HFM IS A KEY PARTICIPANT IN A VERY BROAD CHNA WHICH INCLUDES PRIMARY INPUT FROM THE COMMUNITY MEMBERS, LEADERS AND THOUGHT LEADERS IN ADDITION TO SECONDARY DATA FROM THE URBAN INSTITUTE FOR POPULATION HEALTH AND COUNTY HEALTH RANKINGS AND ROADMAPS. HFM CONDUCTS REGULAR FACE TO FACE AND GROUP SESSIONS WITH AREA EMPLOYERS TO ASCERTAIN HEALTH NEEDS WITHIN INDUSTRY AND BUSINESS. HFM REGULARLY ANALYZES AND REVIEWS DIRECT CUSTOMER INPUT FROM INPATIENT, OUTPATIENT AND RETAIL SURVEYS TO DETERMINE UNMET NEEDS. HFM HOSTS A PATIENT AND FAMILY ADVISORY COUNCIL WHICH MEETS REGULARLY AND PROVIDES INPUT ON CURRENT SERVICES, IDEAS FOR NEW SERVICES, AND HAS OPEN DIALOGUE AND INPUT ON MEMBERS IDEAS FOR COMMUNITY HEALTH NEEDS. HFM ANNUALLY EVALUATES AND ANALYZES THE COUNTY RANKING AND ROADMAP INFORMATION WHICH RATES OUR COUNTY ON MANY DIFFERENT HEALTH FACTORS. THIS INFORMATION IS UTILIZED TO DETERMINE POTENTIAL PROJECTS AND NEW HEALTH SERVICES. HFM CONDUCTS A COMMUNITY-WIDE RESEARCH STUDY TRI-ANNUALLY TO OBTAIN INPUT FROM COMMUNITY MEMBERS ON SATISFACTION WITH CURRENT SERVICES AS WELL AS IDENTIFICATION OF THE GREATEST HEALTH NEEDS OF OUR COUNTY.
PART VI, LINE 3:	INFORMATION ON ELIGIBILITY FOR ASSISTANCE IS AVAILABLE FROM HFM'S WEBSITE, BROCHURES, ADMISSIONS STAFF, COLLECTION CORRESPONDENTS, AS WELL AS INSURANCE BENEFIT PAPERWORK THAT IS SENT TO PATIENTS FOR INPATIENT, SAME DAY SURGERY, MRI, AND CT SCANS. A PATIENT FINANCIAL ADVISOR AND/OR ELIGIBILITY SPECIALIST COMMUNICATES TO SELF PAY INPATIENTS TO INTERVIEW AND ADVISE PATIENTS OF ANY PROGRAMS THEY MAY QUALIFY FOR, INCLUDING, BUT NOT LIMITED TO, MEDICAID, VETERANS ADMINISTRATION, OR OUR OWN CHARITY PROGRAM. IF THEY QUALIFY FOR MEDICAID OR VETERANS ADMINISTRATION, WE ASSIST THEM IN COMPLETING THE APPLICATION AND FOLLOW UP ON THE APPLICATION THROUGH APPROVAL. FOR THE NETWORK CHARITY PROGRAM, AN APPLICATION IS PROVIDED AND THE PATIENT IS INSTRUCTED ON WHOM TO CONTACT FOR ASSISTANCE FOR APPLYING. WHEN CONTACTING PATIENTS BY PHONE, THE PATIENT FINANCIAL ADVISOR OR ELIGIBILITY SPECIALIST IS TRAINED TO IDENTIFY PATIENTS WHO MAY QUALIFY FOR OUTSIDE STATE OR FEDERAL ASSISTANCE AND WILL ASSIST THOSE PATIENTS TO APPLY FOR THOSE PROGRAMS.
PART VI, LINE 4:	HOLY FAMILY MEMORIAL SERVES MANITOWOC COUNTY, A COUNTY LOCATED IN NORTHEAST WISCONSIN ALONG BEAUTIFUL LAKE MICHIGAN, WITH A POPULATION OF APPROXIMATELY 80,000 AS OF 2016. OF THESE, ROUGHLY 34% ARE 25 OR UNDER, 47% ARE 26-60, AND 19% ARE OVER AGE 60. 50.2% OF THE POPULATION IS MALE WHILE 49.8% IS FEMALE. ROUGHLY 93% IDENTIFY AS WHITE, 3% ASIAN, 1+% EACH OF NATIVE AMERICAN, OTHER RACE, AND TWO OR MORE RACES. ROUGHLY 51% HAVE HOUSEHOLD INCOME $50,000 OR BELOW PER YEAR, 20% HAVE FROM $50,000 TO $75,000; 14% HAVE FROM $75,000 TO $100,000, AND 15% HAVE OVER $100,000. APPROXIMATELY 70% DO NOT HAVE A COLLEGE DEGREE, 10% HAVE AN ASSOCIATES DEGREE, 14% HAVE A BACHELORS DEGREE, AND 6% HOLD A GRADUATE, PROFESSIONAL, OR DOCTORATE DEGREE. THE PREDOMINANT INDUSTRY IN MANITOWOC COUNTY IS MANUFACTURING, COMPRISING ROUGHLY 30% OF OCCUPATIONS FOR INDIVIDUALS OVER AGE 16. HEALTH CARE AND SALES/OFFICE ARE ALSO PROMINENT, MAKING UP ROUGHLY 14% AND 12%, RESPECTIVELY. SMALLER SECTORS MAKING UP APPROXIMATELY 4-6% EACH INCLUDE FOOD SERVICE, AGRICULTURE, CONSTRUCTION, EDUCATION, FINANCE, TRANSPORTATION, AND OTHER.
PART VI, LINE 5:	HOLY FAMILY MEMORIAL PROMOTES THE HEALTH OF THE COMMUNITY BY ENGAGING COMMUNITY MEMBERS INTO THE INPUT AND DECISION MAKING PROCESS. HFM'S BOARD OF DIRECTORS IS COMPRISED OF 100% LOCAL PEOPLE WHO HAVE A VESTED INTEREST IN ASSURING THAT HFM DOES ITS PART IN CREATING A HEALTHIER COMMUNITY. OUR MEDICAL AND DENTAL STAFF IS OPEN TO ANY PROVIDER WHO MEETS ESTABLISHED CRITERIA AND COMMITS TO PROVIDE CARE FOR ALL WHO SEEK HELP. HFM HOSTS VARIOUS COMMUNITY GROUPS IN OUR FACILITIES AND PROVIDES THEM WITH MEETING SPACE AND RELATED MEETING SUPPLIES. HFM REGULARLY PARTICIPATES IN THE LOCAL FARMERS MARKET AND A HOST OF COMMUNITY SPONSORED HEALTH AND WELLNESS EVENTS, PROVIDING COMPLIMENTARY SCREENS, AND INFORMATION ON HOW TO ACHIEVE BETTER HEALTH.
PART VI, LINE 6:	THE HEALTH CARE NETWORK IS SPONSORED BY THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY, LOCATED AT HOLY FAMILY CONVENT, MANITOWOC, WISCONSIN. THE CONVENT, SITUATED ON SILVER LAKE, THREE MILES WEST OF LAKE MICHIGAN, IS HOME FOR OVER 350 CONGREGATION MEMBERS WHO SERVE THROUGHOUT THE UNITED STATES AND ARE PRIMARILY ENGAGED IN EDUCATION, PARISH, AND HEALTH MINISTRIES. THE HEALTHCARE MINISTRY SPANS THREE STATES -- WISCONSIN, NEBRASKA, AND OHIO -- AND HAS EXISTED FOR OVER 125 YEARS. THE MISSION OF THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY HEALTHCARE MINISTRY IS TO CARRY OUT THE COMMITMENT OF THE SPONSOR IN THE HEALING MISSION OF THE CATHOLIC CHURCH THROUGH THE PROVISION OF QUALITY HEALTHCARE SERVICES TO THE PEOPLE OF GOD IN OUR COMMUNITIES.
PART VI, LINE 7, REPORTS FILED WITH STATES	WI,NE,OH

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc
SCHOLARSHIPS	10	$12,500	ACTUAL TUITION COSTS
SCHOLARSHIPS - EDUCATION	8	$23,800	ACTUAL TUITION COSTS

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART III:	FormAndLineReferenceDesc
Explanation	HOLY FAMILY MEMORIAL'S SCHOLARSHIP PROGRAM IS DESIGNED AS A RECRUITMENT TOOL FOR EMPLOYMENT OF CANDIDATES IN SPECIFIED POSITIONS CONSIDERED DIFFICULT TO FILL. THE SCHOLARSHIP PROGRAM ASSISTS STUDENTS IN THEIR PURSUIT OF A HEALTHCARE RELATED DEGREE. AREAS OF STUDY INCLUDE NURSING, PHARMACY, PHYSICAL THERAPY, AND OTHERS. IN RETURN FOR THE SCHOLARSHIP, AN EMPLOYMENT SERVICE COMMITMENT IS MADE. IN ORDER TO BE ELIGIBLE, STUDENTS MUST: 1)BE ACCEPTED INTO AN ACCREDITED PROGRAM; 2)BE ATTENDING SCHOOL AS A FULL OR PART TIME STUDENT AND REMAIN IN THAT STATUS; 3)HAVE AND MAINTAIN A 3.0 CUMULATIVE GRADE POINT AVERAGE (GPA). SCHOLARSHIPS ARE AWARDED ON THE BASIS OF GPA, VERIFIED WITH AN OFFICIAL TRANSCRIPT OF GRADES, COMPLETION OF AN EMPLOYMENT APPLICATION, AND PERSONAL INTERVIEW. THE SCHOLARSHIP IS USED FOR TUITION COST. THE SCHOLARSHIPS ARE DISBURSED EACH SEMESTER AND ARE PAID DIRECTLY TO THE SCHOOL THE STUDENT ATTENDS. APPLICANTS WHO ARE AWARDED THE SCHOLARSHIP MUST MAKE A SIX MONTH COMMITMENT TO WORK AT HOLY FAMILY MEMORIAL FOR EACH SEMESTER THE SCHOLARSHIP IS AWARDED. THE SCHOLARSHIP RECIPIENT MUST REPAY THE FULL AMOUNT OF THE SCHOLARSHIP IF HE/SHE: 1)DROPS OUT OF SCHOOL; 2)FAILS TO MAINTAIN AT LEAST A 3.0 CUMULATIVE GPA; 3)DOES NOT ACCEPT EMPLOYMENT AT HOLY FAMILY MEMORIAL; 4)DOES NOT COMPLETE THE FULL LENGTH OF EMPLOYMENT COMMITMENT; OR 5)DOES NOT OBTAIN WISCONSIN LICENSURE, AS REQUIRED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 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
DEREK R BOWN DC
DIRECTOR	$113,151	$0	$24,492	$0	$530	$0	$4,381	$0	$27,325	$0	$169,879	$0	$0	$0
MATTHEW L CAMPBELL MD
DIRECTOR	$295,393	$0	$5,558	$0	$540	$0	$7,950	$0	$26,595	$0	$336,036	$0	$0	$0
MARK P HERZOG
DIRECTOR, PRESIDENT, CEO	$515,495	$0	$97,585	$0	$32,589	$0	$100,535	$0	$28,545	$0	$774,749	$0	$0	$0
WILLIAM C LEACH JR DO
DIRECTOR	$365,991	$0	$0	$0	$13,232	$0	$7,950	$0	$24,308	$0	$411,481	$0	$0	$0
XA XIONG MD
DIRECTOR	$170,929	$0	$12,020	$0	$558	$0	$5,788	$0	$29,312	$0	$218,607	$0	$0	$0
JANE CURRAN-MEULI
EXECUTIVE VP, COO	$245,685	$0	$5,231	$0	$6,564	$0	$47,179	$0	$25,608	$0	$330,267	$0	$0	$0
STEVEN D DRIGGERS MD
EXECUTIVE VP, CMO	$322,210	$0	$61,274	$0	$4,632	$0	$64,224	$0	$3,050	$0	$455,390	$0	$0	$0
MARY MAURER
VP COMMUNITY ENGAGEMENT, CIO	$223,556	$0	$41,472	$0	$5,826	$0	$44,422	$0	$2,902	$0	$318,178	$0	$0	$0
BRETT NORELL
VP FINANCE, CFO	$225,115	$0	$5,100	$0	$1,487	$0	$38,518	$0	$22,656	$0	$292,876	$0	$0	$0
DEAN POLLNOW MD
EXECUTIVE VP, CMO	$105,960	$0	$36,542	$0	$430	$0	$19,831	$0	$6,841	$0	$169,604	$0	$0	$0
JEREMY R ANCLAM MD
PHYSICIAN PROVIDER	$407,185	$0	$199,701	$0	$7,751	$0	$0	$0	$22,731	$0	$637,368	$0	$0	$0
KIRK DIMITRIS MD
PHYSICIAN PROVIDER	$690,621	$0	$661,768	$0	$13,947	$0	$0	$0	$27,805	$0	$1,394,141	$0	$0	$0
RYAN M DOPIRAK MD
PHYSICIAN PROVIDER	$752,474	$0	$333,492	$0	$27,463	$0	$0	$0	$27,868	$0	$1,141,297	$0	$0	$0
DAVID MIKOLYZK MD
PHYSICIAN PROVIDER	$690,807	$0	$141,206	$0	$7,217	$0	$0	$0	$25,878	$0	$865,108	$0	$0	$0
THOMAS SYLVESTER MD
PHYSICIAN PROVIDER	$601,078	$0	$40,536	$0	$6,309	$0	$0	$0	$8,340	$0	$656,263	$0	$0	$0
WILLIAM D HAMPTON DO
FORMER DIRECTOR	$355,914	$0	$16,470	$0	$540	$0	$0	$0	$25,030	$0	$397,954	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	THE FILING ORGANIZATION PROVIDED CIVIC PAY FOR FIVE OFFICERS (CEO, COO, CMO, CIO, AND CFO) TOTALING $11,500. THIS BENEFIT WAS TREATED AS TAXABLE INCOME.
PART I, LINE 6	DURING THE CURRENT YEAR, A BONUS APPRECIATION PROGRAM WAS APPROVED BY THE COMPENSATION AND EVALUATION SUBCOMMITTEE OF THE BOARD OF DIRECTORS. THE BONUS WAS PAID OUT TO EMPLOYEES, INCLUDING OFFICERS, FOR FINANCIAL ACCOMPLISHMENTS THAT WERE MET BY THE ORGANIZATION.
PART I, LINE 7	A PORTION OF PHYSICIAN SALARY IS BASED ON INDIVIDUAL PRODUCTION OF PERSONALLY RENDERED SERVICES.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
WISCONSIN HEALTH AND EDUCATION FACILITIES
A	391337855	97710V2S6	2007-04-26	$45,170,000	SEE SCHEDULE K, PART VI	0	0	0
WISCONSIN HEALTH AND EDUCATION FACILITIES
B	391337855		2014-12-19	$7,830,000	SEE SCHEDULE K, PART VI	0	0	0
WISCONSIN HEALTH AND EDUCATION FACILITIES
C	391337855		2016-10-19	$10,000,000	SEE SCHEDULE K, PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$10,248,600	$45,170,000	$3,555,000	$485,000	$4,990,000	2009	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	$627,200	$7,830,000		$18,000		2006	Yes (1)	0	Yes (1)	Yes (1)
C	$250,000	$10,000,000		$39,050	$9,960,950		0	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	Yes (1)
C	0	0	0	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	Yes (1)
B	Yes (1)	0	Yes (1)	Yes (1)
C	Yes (1)	0	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: WISCONSIN HEALTH AND EDUCATION FACILITIES DATE THE REBATE COMPUTATION WAS PERFORMED: 06/01/2017
PART I, ROW B, COLUMN F:	THE PURPOSE OF THE 2014 BOND ISSUE WAS TO REFUND SERIES 2003B, ISSUED ON 09/09/2003.
PART I, ROW A, COLUMN F:	THE PURPOSE OF THE 2007 BOND ISSUE WAS TO 1) ACQUIRE, CONSTRUCT, RENOVATE, REMODEL, AND EQUIP CERTAIN HOSPITAL AND OTHER HEALTHCARE FACILITIES AS IDENTIFIED IN A NOTICE OF PUBLIC HEARING PUBLISHED IN CONNECTION WITH THE ISSUANCE OF THE BONDS, INCLUDING THE ACQUISITION OF TELEMETRY MONITORS AND AN MRI SYSTEM; 2) REFUND ALL THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE (WHEFA) BONDS, SERIES 1995; 3) ADVANCE REFUND ALL OF THE WHEFA BONDS, SERIES 1998A; AND 4) ADVANCE REFUND A PORTION OF THE WHEFA BONDS, SERIES 2003A.
PART I, ROW C, COLUMN F:	THE PURPOSE OF THE 2016 BOND ISSUE WAS TO 1) REPLACE THE ELECTRONIC HEALTH RECORD SYSTEM, INCLUDING THE ACQUISITION OF HARDWARE AND SOFTWARE; AND 2)FINANCE ELIGIBLE FINANCING-RELATED EXPENSES.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
NORTH END HOME MEDICAL SERVICE LLC
HFM DIRECTORS SERVE BOTH ORGANIZATIONS	-$103,784	INCOME FROM CONTINUOUS OPERATIONS - 100% OWNED	0
HOLY FAMILY HEALTH SERVICES
HFM DIRECTORS SERVE BOTH ORGANIZATIONS	$95,972	INCOME FROM CONTINUOUS OPERATIONS - 100% OWNED	0
LINDSAY FROELICH
DAUGHTER OF CHAIR, DONALD BRISCH	$40,437	EMPLOYMENT BY ORGANIZATION	0
KATHARINE CASEY
DAUGHTER OF DIRECTOR, WILLIAM CASEY	$39,101	EMPLOYMENT BY ORGANIZATION	0
SUSAN BOWN
SPOUSE OF DIRECTOR, DEREK BOWN	$49,161	EMPLOYMENT BY ORGANIZATION	0
LISA SCHUELER
SISTER OF OFFICER, LAURA FIELDING	$33,181	EMPLOYMENT BY ORGANIZATION	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	HOLY FAMILY MEMORIAL IS SPONSORED BY FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC. WHICH IS THE SOLE CORPORATE MEMBER OF HFM.
FORM 990, PART VI, SECTION A, LINE 7A	HOLY FAMILY MEMORIAL OPERATES AN INTEGRATED HEALTHCARE DELIVERY SYSTEM, PRIMARILY TO THE RESIDENTS OF MANITOWOC COUNTY, WISCONSIN. HOLY FAMILY MEMORIAL IS OPERATED BY FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC. WHICH IS THE SOLE CORPORATE MEMBER OF HFM. FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC. IS A NOT-FOR-PROFIT HEALTHCARE HOLDING COMPANY INCORPORATED TO MONITOR AND MANAGE HEALTHCARE OPERATIONS. HOLY FAMILY MEMORIAL'S BOARD OF DIRECTORS SHALL CONSIST OF NO MORE THAN EIGHTEEN INDIVIDUALS. THE PRESIDENT OF THE CORPORATION AND CHAIR OF THE PHYSICIAN COUNCIL SHALL BE EX-OFFICIO MEMBERS WITH FULL VOTING PRIVILEGES. IN ADDITION TO THE EX-OFFICIO BOARD POSITIONS, THE BOARD OF DIRECTORS SHALL INCLUDE FOUR MEMBERS OF FRANCISCAN SISTERS OF CHRISTIAN CHARITY AND AT LEAST FOUR PROVIDERS.
FORM 990, PART VI, SECTION A, LINE 7B	SOME DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE MEMBER AS OUTLINED IN THE CORPORATE BYLAWS. FOR EXAMPLE, THE GOVERNING BOARD SUBMITS NAMES OF NEW BOARD MEMBERS TO THE MEMBER AND THE MEMBER APPOINTS THEM. APPROVAL OF THE BUDGET, MORTGAGE, PHILOSOPHY, MISSION AND VISION, LEASE OR SALE OF REAL ESTATE MUST BE APPROVED BY THE MEMBER. A CERTIFIED AUDIT OF CORPORATE FUNDS OR THE ANNUAL FISCAL AUDIT MUST BE APPROVED BY THE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11B	THE CHAIR OF THE GOVERNING BOARD REVIEWS FORM 990 PRIOR TO ITS FILING. AN OVERVIEW OF FORM 990 ALONG WITH SPECIFIC SECTIONS ON GOVERNANCE, COMMUNITY BENEFITS, AND CONFLICT OF INTEREST IS PRESENTED TO THE BOARD OR BOARD COMMITTEE. THE COMPENSATION AND EVALUATION SUB-COMMITTEE REVIEWS FORM 990 SECTIONS RELATED TO COMPENSATION PRIOR TO FILING. COPIES OF FORM 990 ARE AVAILABLE TO ALL BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY, GOVERNING BOARD MEMBERS ARE PROVIDED A COPY OF THE CONFLICT OF INTEREST POLICY TO REVIEW AND SIGN THE CERTIFICATION ON WHICH THEY DISCLOSE ANY CONFLICTS. AT EACH BOARD OR COMMITTEE MEETING WHERE THERE WILL BE A VOTE, THE CHAIRPERSON ASKS IF THERE ARE ANY CONFLICTS TO THE PARTICULAR ISSUE. IF THERE IS A CONFLICT, THAT PERSON ABSTAINS FROM DISCUSSION AND VOTING. ALL PHYSICIANS, LEADERS, AND KEY EMPLOYEES SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. CONFLICT OF INTEREST IS MONITORED THROUGH HFM'S COMPLIANCE DEPARTMENT.
FORM 990, PART VI, SECTION B, LINE 15	LINES 15 A & B - HOLY FAMILY MEMORIAL HAS A SENIOR LEADER COMPENSATION POLICY. THE PROCESS OF DETERMINING THESE SALARIES IS GOVERNED BY THE COMPENSATION AND EVALUATION SUB-COMMITTEE OF THE BOARD. THE POLICY COVERS THE FOLLOWING POSITIONS: PRESIDENT AND CEO, CHIEF FINANCIAL OFFICER, CHIEF OPERATING OFFICER, CHIEF MEDICAL OFFICER, AND CHIEF INNOVATION OFFICER. SENIOR LEADER SALARY DATA IS EVALUATED ANNUALLY BY AN EXTERNAL EXECUTIVE COMPENSATION FIRM. TOTAL COMPENSATION FOR SENIOR LEADERS (SALARY, BENEFITS, AND INCENTIVE) IS EVALUATED EVERY THREE YEARS BY AN EXTERNAL EXECUTIVE COMPENSATION FIRM (LAST DONE IN OCTOBER 2014). ALSO CONSIDERED ARE CURRENT MARKET CONDITIONS AND MARKET COMPETITIVENESS. THE POLICY REFLECTS HFM'S MISSION AND VALUES AND THE LOCAL COMMUNITY EXPERIENCE BY EMPHASIZING REWARDS BASED ON WELL-ROUNDED ACCOMPLISHMENTS IN THE AREAS OF MISSION AND RELATIONSHIPS, KEY STRATEGIES, AND OPERATIONS, INCLUDING FINANCE.
FORM 990, PART VI, SECTION C, LINE 19	HOLY FAMILY MEMORIAL'S ARTICLES OF INCORPORATION IS PUBLICLY AVAILABLE FROM THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTIONS. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. HOLY FAMILY MEMORIAL'S FINANCIAL STATEMENTS ARE AVAILABLE ON THE DACBOND.COM WEBSITE. IN ADDITION, HFM SUBMITS ITS FINANCIAL INFORMATION TO THE STATE OF WISCONSIN ANNUALLY. FORM 990 IS AVAILABLE UPON REQUEST AND CAN BE OBTAINED FROM THE GUIDESTAR WEBSITE.
FORM 990, PART VII, SECTION A, PART 1A LINES 1 THROUGH 5:	HOLY FAMILY MEMORIAL'S BOARD OF DIRECTORS INCLUDES FIVE EMPLOYED PROVIDERS. THE COMPENSATION REPORTED FOR THESE DIRECTORS IS FOR THEIR SERVICES AS A PROVIDER.
FORM 990, PART XI, LINE 9:	RESTRICTED CONTRIBUTIONS NET OF ASSETS RELEASED 245,165.
FORM 990, PART XII, LINE 2C:	THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE FISCAL YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH END HOME MED SCS LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3310 CALUMET AVENUE	AddressLine1Txt
City	MANITOWOC	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54220	ZIPCd

Field	Value	IRS element (for citing)
EIN	391868808	EIN
Primary Activities	MEDICAL EQUIPMENT	PrimaryActivitiesTxt
Legal Domicile State	WI	LegalDomicileStateCd
Total Income	-$127,034	TotalIncomeAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
FRANCISCAN SISTERS OF CHRISTIAN CHARITY
1415 SOUTH RAPIDS ROAD	MANITOWOC	WI	54220	391530622	HOLDING CO.	WI	501(C)(3)	LINE 1	N/A	0
ST PAUL ELDER SERVICES INC
316 EAST 14TH STREET	KAUKAUNA	WI	54130	391029149	ELDER CARE	WI	501(C)(3)	LINE 1	N/A	0
GOOD SAMARITAN MEDICAL CENTER
800 FOREST AVENUE	ZANESVILLE	OH	43701	314379479	HEALTHCARE	OH	501(C)(3)	LINE 3	N/A	0
FRANCISCAN CARE SERVICES INC
430 N MONITOR ST	WEST POINT	NE	68788	470486026	HEALTHCARE	NE	501(C)(3)	LINE 3	N/A	0
SILVER LAKE COLLEGE OF THE HOLY FAMILY INC
2406 SOUTH ALVERNO ROAD	MANITOWOC	WI	54220	390980974	HIGHER EDUCATION	WI	501(C)(3)	LINE 2	N/A	0
FSCC HOLY FAMILY CONVENT
2409 SOUTH ALVERNO ROAD	MANITOWOC	WI	54220	390808523	RELIGIOUS	WI	501(C)(3)	LINE 1	N/A	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HOLY FAMILY HEALTH SERVICES	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3310 CALUMET AVENUE	AddressLine1Txt
City	MANITOWOC	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54220	ZIPCd

Field	Value	IRS element (for citing)
EIN	391572253	EIN
Primary Activities	PHARMACY	PrimaryActivitiesTxt
Legal Domicile State	WI	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	$88,353	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,346,651	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HOLY FAMILY HEALTH SERVICES
B	$500,000	TRANSFER FUNDS
NORTH END HOME MEDICAL SERVICES LLC
B	$1,573,356	TRANSFER REMAINING NET ASSETS
FRANCISCAN SISTERS OF CHRISTIAN CHARITY - BUILDING RENT
J	$56,100	ACTUAL REVENUE
FRANCISCAN SISTERS OF CHRISTIAN CHARITY - AUDIT FEES
P	$98,936	ACTUAL EXPENSE
FRANCISCAN SISTERS OF CHRISTIAN CHARITY - ADMINISTRATIVE SERVICES
P	$743,640	ACTUAL EXPENSE
FRANCISCAN SISTERS OF CHRISTIAN CHARITY-LIABBUILDINGWORKERS COMP INSURANC
P	$1,182,800	ACTUAL EXPENSE
FRANCISCAN SISTERS OF CHRISTIAN CHARITY - HEALTH INSURANCE PREMIUMS
P	$9,943,757	ACTUAL EXPENSE
HOLY FAMILY HEALTH SERVICES - REIMBURSEMENT OF SALARYBENEFITSSUPPLIES
Q	$981,004	ACTUAL REVENUE