ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS INC (EIN 39-1390638)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-16
- IRS object ID
- 201601379349310510
- Schema version
- 2014v6.0
- 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 H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-16T18:05:22-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 East Wells St Suite 1400 | AddressLine1Txt |
| City | Milwaukee | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391390638 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sacred Heart-St Mary's Hospitals Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SACR | BusinessNameControlTxt |
| Phone | 7153612009 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 347 | AddressLine1Txt |
| City | Stevens Point | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54481 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Brian Regan | PersonNm |
| Person Title | Interim CFO | PersonTitleTxt |
| Signature | 2016-05-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Rachel Becker | PreparerPersonNm |
| PTIN | P00966076 | PTIN |
| Phone | 4142713000 | PhoneNum |
| Preparation | 2016-04-25 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sandra L Anderson | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 347 | AddressLine1Txt |
| City | Stevens Point | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54481 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $146,182,785 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.ministryhealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | To further the healing ministry of Jesus by improving the health/well-being of all people. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 705 | TotalEmployeeCnt |
| Total Volunteers | 205 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $490,471 | PYContributionsGrantsAmt |
| CY Contributions Grants | $865,331 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $146,008,263 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $144,474,938 | CYProgramServiceRevenueAmt |
| PY Investment Income | $340,429 | PYInvestmentIncomeAmt |
| CY Investment Income | $314,675 | CYInvestmentIncomeAmt |
| PY Other Revenue | $431,192 | PYOtherRevenueAmt |
| CY Other Revenue | $426,506 | CYOtherRevenueAmt |
| PY Total Revenue | $147,270,355 | PYTotalRevenueAmt |
| CY Total Revenue | $146,081,450 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,576 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $9,918 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $93,242,224 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $87,811,157 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $47,539,916 | PYOtherExpensesAmt |
| CY Other Expenses | $51,929,358 | CYOtherExpensesAmt |
| PY Total Expenses | $140,785,716 | PYTotalExpensesAmt |
| CY Total Expenses | $139,750,433 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,484,639 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,331,017 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $111,344,343 | TotalAssetsBOYAmt |
| Total Assets EOY | $112,572,348 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $41,696,273 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $37,654,033 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $69,648,070 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $74,918,315 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Sacred Heart-St Mary's Hospitals, Inc.'s mission as a Catholic hospital 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 | $97,298,018 | ExpenseAmt |
| Grant | $9,918 | GrantAmt |
| Revenue | $144,590,099 | RevenueAmt |
| Desc | SACRED HEART-ST. MARY'S HOSPITALS, INC. PROVIDE INPATIENT, OUTPATIENT, EMERGENCY ROOM, AND ANCILLARY SERVICES TO ANY INDIVIDUAL REGARDLESS OF THEIR ABILITY TO PAY OR THEIR METHOD OF PAYMENT. THE HOSPITAL ALSO PROVIDES EDUCATIONAL PROGRAMS AND SERVICES TO THE COMMUNITY ON VARIOUS HEALTH CARE ISSUES. SEE SCHEDULE H FOR FURTHER DETAILS REGARDING THE COMMUNITY BENEFITS THAT SACRED HEART-ST. MARY'S HOSPITALS, INC. PROVIDES. | Desc |
| Total Program Service Expenses | $97,298,018 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | 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 | 75 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 705 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | 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 | Yes (true) | 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 | Craig Aittama | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7153465161 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5700 Lands End Way 2nd Floor | AddressLine1Txt |
| City | Stevens Point | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54482 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| STEVE AGNOLI | ||||||||||
| CHAIRMAN | 1.00 | 1.20 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| BILL ARVOLD | ||||||||||
| VICE CHAIRMAN | 1.00 | 1.20 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| NANCY M SCHULLER | ||||||||||
| SECRETARY | 1.00 | 1.20 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| GREGG ALBERT | ||||||||||
| TREASURER | 1.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MONICA ANN HILT | ||||||||||
| REGIONAL CEO/PRESIDENT | 10.00 | 34.90 | Yes (X) | Yes (X) | $0 | $572,461 | $19,954 | |||
| ANN ZENK | ||||||||||
| INTERIM HOSPITAL PRESIDENT (2/1/15 - 6/30/15) & VP PATIENT CARE | 30.00 | 22.30 | Yes (X) | Yes (X) | $0 | $269,855 | $14,257 | |||
| BART LAMERS | ||||||||||
| DIRECTOR | 1.00 | 1.20 | Yes (X) | $0 | $0 | $0 | ||||
| RANDY PLANTENBERG | ||||||||||
| DIRECTOR | 1.00 | 1.20 | Yes (X) | $0 | $0 | $0 | ||||
| NANCY FRAISER | ||||||||||
| DIRECTOR | 1.00 | 1.20 | Yes (X) | $0 | $0 | $0 | ||||
| ARTHUR C HELGERSON DDS | ||||||||||
| DIRECTOR | 1.00 | 1.20 | Yes (X) | $0 | $0 | $0 | ||||
| MARGARET S JOHNSON | ||||||||||
| DIRECTOR | 1.00 | 1.20 | Yes (X) | $0 | $0 | $0 | ||||
| BRIAN E ELIASON | ||||||||||
| DIRECTOR | 1.00 | 1.20 | Yes (X) | $0 | $0 | $0 | ||||
| JUDY SMOLAREK RN MSN FP | ||||||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| RAY BURGAN | ||||||||||
| DIRECTOR | 1.00 | 1.20 | Yes (X) | $0 | $0 | $0 | ||||
| DEAN POLLNOW MD | ||||||||||
| EX-OFFICIO | 1.00 | 41.20 | Yes (X) | $0 | $381,778 | $40,188 | ||||
| MARK RASSIER MD | ||||||||||
| EX-OFFICIO MEMBER | 1.00 | 1.20 | Yes (X) | $0 | $0 | $0 | ||||
| RICK BRODHEAD MD | ||||||||||
| EX-OFFICIO MEMBER | 1.00 | 41.20 | Yes (X) | $0 | $485,236 | $41,228 | ||||
| RUSS SUDBURY MD | ||||||||||
| EX-OFFICIO MEMBER | 1.00 | 41.20 | Yes (X) | $0 | $488,356 | $41,173 | ||||
| NICHOLAS DESIEN | ||||||||||
| MINISTRY HEALTH CARE CEO | 1.00 | 54.60 | Yes (X) | $0 | $2,134,343 | $18,803 | ||||
| JEFFREY FRANCIS | ||||||||||
| MINISTRY HEALTH CARE CAFO | 1.00 | 53.80 | Yes (X) | $0 | $1,021,840 | $19,803 | ||||
| DANIEL NEUFELDER | ||||||||||
| SVP, HOSPITAL OPERATIONS & PRESIDENT, AHS | 1.00 | 62.30 | Yes (X) | $0 | $1,071,649 | $17,365 | ||||
| LAURIE OUNGST | ||||||||||
| REGIONAL VP OPERATIONS- NR HOSPITALS | 20.00 | 20.30 | $0 | $252,929 | $1,443 | Yes (X) | ||||
| TERESA THEILER | ||||||||||
| REGIONAL VP QUALITY & PATIENT SAFETY | 20.00 | 20.00 | $0 | $164,855 | $1,311 | Yes (X) | ||||
| MICHAEL BUSHKO | ||||||||||
| CLINICAL STAFF PHARMACIST | 40.00 | 0 | $135,368 | $0 | $18,657 | Yes (X) | ||||
| PATRICIA CHRISTOPHERSON | ||||||||||
| CLINICAL LEAD PHARMACIST | 0.00 | 0 | $125,395 | $0 | $19,257 | Yes (X) | ||||
| PETER THOMAS HEIBERGER | ||||||||||
| MEDICAL PHYSICIST | 0.00 | 0 | $139,229 | $0 | $10,558 | Yes (X) | ||||
| BRADLEY M JAMISON | ||||||||||
| MANAGER PHARMACY | 40.00 | 0 | $136,287 | $0 | $21,811 | Yes (X) | ||||
| GINA KOEPPL | ||||||||||
| DIRECTOR BEHAVIORAL HEALTH SVCS | 40.00 | 0 | $119,013 | $0 | $2,975 | Yes (X) | ||||
| JEFF BADGER | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $659,840 | $13,832 | Yes (X) | ||||
| CATHERINE BUKOWSKI | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $269,802 | $8,066 | Yes (X) | ||||
| BRIAN KIEF | ||||||||||
| FORMER OFFICER | 0.00 | 41.60 | $0 | $858,022 | $19,288 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $655,293 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,630,965 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $329,969 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| WEATHERBY LOCUMS INC | ||||||
| PO BOX 972633 | DALLAS | TX | 75397 | STAFFING | $1,704,541 | |
| COMP HEALTH | ||||||
| PO BOX 972651 | DALLAS | TX | 75397 | STAFFING | $699,884 | |
| MARSHFIELD LABORATORIES | ||||||
| 1000 NORTH OAK AVE | MARSHFIELD | WI | 54449 | LAB TESTING | $633,512 | |
| SAMUELS GROUP INC | ||||||
| 311 FINANCIAL WAY SUITE 300 | WAUSAU | WI | 54401 | CONSTRUCTION (SCH O) | $327,064 | |
| HAMMEL GREEN ABRAHAMSON INC | ||||||
| SDA 12-1861 | MINNEAPOLIS | MN | 554861861 | ARCHITECTURAL SERVICES | $207,964 | PO BOX 86 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Government Grants | $329,500 | GovernmentGrantsAmt |
| All Other Contributions | $535,831 | AllOtherContributionsAmt |
| Total Contributions | $865,331 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net patient rev-Hosp | 624100 | $108,012,352 | $108,012,352 |
| Net patient rev-Clinic | 621110 | $30,461,608 | $30,461,608 |
| 340B Pharmacy program | 446110 | $3,806,252 | $3,806,252 |
| Medicaid/Medicare | 900099 | $761,034 | $761,034 |
| Ambulance Revenue | 621910 | $1,109,752 | $1,109,752 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $323,940 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $323,940 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $144,474,938 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $351,591 | TotalRevenueColumnAmt |
| Exclusion | $351,591 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $64,419 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $101,335 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | -$36,916 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$36,916 | TotalRevenueColumnAmt |
| Exclusion | -$36,916 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafeteria | 722210 | $311,345 | $311,345 | |
| Purchase discount | 900099 | $80,518 | $80,518 | |
| Unclaimed property | 900099 | $22,074 | $22,074 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,569 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,569 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $426,506 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $146,081,450 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $144,590,099 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $626,020 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,918 | TotalAmt |
| Program Services | $9,918 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,823,385 | TotalAmt |
| Program Services | $55,136,506 | ProgramServicesAmt |
| Management And General | $14,686,879 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,415,538 | TotalAmt |
| Program Services | $1,917,527 | ProgramServicesAmt |
| Management And General | $498,011 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,271,897 | TotalAmt |
| Program Services | $6,579,841 | ProgramServicesAmt |
| Management And General | $5,692,056 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,300,337 | TotalAmt |
| Program Services | $2,627,444 | ProgramServicesAmt |
| Management And General | $672,893 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $960 | TotalAmt |
| Management And General | $960 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,037 | TotalAmt |
| Management And General | $8,037 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,422,815 | TotalAmt |
| Program Services | $2,628,981 | ProgramServicesAmt |
| Management And General | $1,793,834 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,546 | TotalAmt |
| Management And General | $8,546 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,079,020 | TotalAmt |
| Program Services | $8,712,412 | ProgramServicesAmt |
| Management And General | $1,366,608 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,249 | TotalAmt |
| Program Services | $143,486 | ProgramServicesAmt |
| Management And General | $2,763 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,230,392 | TotalAmt |
| Program Services | $2,138,801 | ProgramServicesAmt |
| Management And General | $1,091,591 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $316,154 | TotalAmt |
| Program Services | $260,360 | ProgramServicesAmt |
| Management And General | $55,794 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $743,185 | TotalAmt |
| Program Services | $305,335 | ProgramServicesAmt |
| Management And General | $437,850 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,318,787 | TotalAmt |
| Management And General | $1,318,787 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,411,262 | TotalAmt |
| Program Services | $4,049,952 | ProgramServicesAmt |
| Management And General | $5,361,310 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $626,337 | TotalAmt |
| Program Services | $131,522 | ProgramServicesAmt |
| Management And General | $494,815 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Purchased services | $10,323,985 | $3,272,238 | $7,051,747 |
| Pharmaceuticals | $5,545,680 | $5,510,564 | $35,116 |
| State assessment | $2,365,912 | $2,365,912 | |
| Anesthesia services | $1,008,751 | $1,008,751 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,373,286 | TotalAmt |
| Program Services | $498,468 | ProgramServicesAmt |
| Management And General | $1,874,818 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,750,433 | TotalAmt |
| Program Services | $97,298,018 | ProgramServicesAmt |
| Management And General | $42,452,415 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,219,534 | BOYAmt |
| EOY | $16,886,357 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,374,534 | BOYAmt |
| EOY | $2,451,901 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,148,155 | BOYAmt |
| EOY | $17,597,694 | 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 |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,758 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,791,782 | BOYAmt |
| EOY | $1,897,729 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,840 | BOYAmt |
| EOY | $205,907 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $79,395,411 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,139,458 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,588,694 | BOYAmt |
| EOY | $64,255,953 | 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 | $3,293,208 | BOYAmt |
| EOY | $1,863,654 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,736,838 | BOYAmt |
| EOY | $7,413,153 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,344,343 | BOYAmt |
| EOY | $112,572,348 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,081,020 | BOYAmt |
| EOY | $12,555,624 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,003 | BOYAmt |
| EOY | -$1,369 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,509,250 | BOYAmt |
| EOY | $25,099,778 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,696,273 | BOYAmt |
| EOY | $37,654,033 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,465,612 | BOYAmt |
| EOY | $74,224,461 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,182,458 | BOYAmt |
| EOY | $693,854 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,648,070 | BOYAmt |
| EOY | $74,918,315 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,344,343 | BOYAmt |
| EOY | $112,572,348 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,331,017 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$139,448 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$921,324 | 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
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 | 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 | $8,037 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $8,037 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. Sacred Heart-St Mary's Hospitals, Inc. does not participate in or intervene in (including the publishing or distribution of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,187,593 | OtherCostOrOtherBasisAmt |
| Book Value | $4,187,593 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $44,015,042 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,174,939 | DepreciationAmt |
| Book Value | $39,840,103 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,077,188 | OtherCostOrOtherBasisAmt |
| Depreciation | $600,721 | DepreciationAmt |
| Book Value | $1,476,467 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,899,041 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,333,339 | DepreciationAmt |
| Book Value | $17,565,702 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,216,547 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,459 | DepreciationAmt |
| Book Value | $1,186,088 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $64,255,953 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Interest in investments held by Ascension Health Alliance | $5,413,300 |
| Other accounts receivable | $1,771,269 |
| Due from third party payors | $228,584 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,413,153 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| Intercompany debt with Ministry Health Care, Inc. | $17,927,800 |
| Due to third party payors | $2,436,373 |
| Pension - DB | $2,593,886 |
| Other liabilities | $1,550,000 |
| Pension - DC | $455,084 |
| Provider Related Clinic Liab | $136,635 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $25,099,778 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | From the consolidated audited financial statements of Ministry Health Care, Inc. which include the activity of Sacred Heart-St. Mary's Hospitals, Inc.: The Health Ministry 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. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| 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 | $545,478 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $545,478 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0039 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,990,596 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,793,653 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,196,943 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0873 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| 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 |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $23,536,074 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,793,653 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,742,421 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0912 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 28 | ActivitiesOrProgramsCnt |
| Persons Served | 533 | PersonsServedCnt |
| Total Community Benefit Expns | $403,278 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $403,278 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0029 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $498,145 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $498,145 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0036 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $64,742 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,936 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $46,806 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0003 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| 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) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $592,437 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $307,137 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $285,300 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 40 | ActivitiesOrProgramsCnt |
| Persons Served | 533 | PersonsServedCnt |
| Total Community Benefit Expns | $1,558,602 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $325,073 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,233,529 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0088 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 40 | ActivitiesOrProgramsCnt |
| Persons Served | 533 | PersonsServedCnt |
| Total Community Benefit Expns | $25,094,676 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,118,726 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,975,950 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1000 | 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) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $16,502 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,502 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | 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) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $572 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $572 | 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 | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $17,074 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,074 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,201,217 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $52,445,317 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $61,993,279 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$9,547,962 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|
| St Mary's Hospital | ||||||||||
| 1 | 2251 North Shore Drive | Rhinelander | WI | 54501 | WWW.MINISTRYHEALTH.ORG | 138 | Yes (X) | Yes (X) | Yes (X) | |
| Sacred Heart Hospital | ||||||||||
| 2 | 401 West Mohawk Drive | Tomahawk | WI | 54487 | www.ministryhealth.org | 1016 | Yes (X) | Yes (X) | Yes (X) | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | FAP Notice DisplayedFAPNoticeDisplayedInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Medicare RatesMedicareRatesInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| St Mary's Hospital | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | http://ministryhealth.org/SaintMarys/Ministry_Saint_Marys_Hospital_CHNA_2013_5_22_2013_FINAL.pdf | Yes (X) | Yes (true) | 12 | Yes (true) | http://ministryhealth.org/SaintMarys/MSMaryH_Implementation_Plan_2013_3_20_2013.pdf | false | false | Yes (true) | Yes (X) | 2.0 | 4.0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | http://ministryhealth.org/Ministry_Health_Care/Financial_Assistance_Program_RC08.pdf | Yes (X) | http://ministryhealth.org/Ministry_Health_Care/MHC_FinancialAid_Application_REV4.pdf | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| Sacred Heart Hospital | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | http://ministryhealth.org/Sacred_Heart_Hospital/Ministry_Sacred_Heart_Hospital_CHNA_2013_FINAL.pdf | Yes (X) | Yes (true) | 12 | Yes (true) | http://ministryhealth.org/Sacred_Heart_Hospital/MSHH_Implementation_Template_2013_3_19_2013_FINAL.pd | false | false | Yes (true) | Yes (X) | 2.0 | 4.0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | http://ministryhealth.org/Ministry_Health_Care/Financial_Assistance_Program_RC08.pdf | Yes (X) | http://ministryhealth.org/Ministry_Health_Care/MHC_FinancialAid_Application_REV4.pdf | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - St. Mary's Hospital. Facilitated by Oneida and Vilas County Health Department leaders, Ministry St. Mary's Hospital staff participated in the assessment team comprised of private and public Oneida and Vilas organization members, including hospital therapists, medical staff and administrators; clinic personnel; public health nurses and educators; behavioral health therapists and leaders; elementary, high school and post high school educators, nurses and administrators; police and emergency personnel; child, women's, family and senior social services; as well as interested community members in the health needs assessment process. Community members received an invitation by mail and follow-up email. Angela and Jim directly participated in the assessment process and guided the team for the "Data in A Day" review. Technical Assistance was provided by Angela Nimsgern, regional director and Jim Lawrence, public health educator from the Division of Public Health, Northern Region Office. Both serve as Northern Region Consultants for 15 northern Wisconsin Health Departments. Secondary data about Forest County population and health needs was provided by Jill Krueger, director and health officer for the Forest Health Department. A Ministry Health Care representative participated as a member of the Forest County Community Health Improvement Steering Committee throughout the assessment process. Linda Kortbein, Sokaogon Chippewa Health Clinic, was also consulted about the tribal community health needs. Public Health Experts : - Linda Conlon, Director and Health Officer - Oneida County Health Department - BAN, Master in Public Health - Ten years of experience as Oneida County Health Officer conducting and overseeing community needs assessments. - Regina Egan, Health Officer - Vilas County Health Department - RN, BSN - Sixteen years of experience as Vilas County Health Officer conducting and overseeing community needs assessments. - Jill Krueger, Director and Health Officer - Forest Health Department - BSN - Four years of experience as Forest County Health Officer. - Jim Lawrence, Health Educator Consultant - Wisconsin Division of Public Health - Northern Regional office - More than 20 years of experience in public health consulting. - Angela Nimsgern, Regional Director - Wisconsin Division of Public Health - Northern Regional Office - Master in Public Health Administration, CHP - More than 12 years of experience with community health assessments. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - St. Mary's Hospital. The CHNA was conducted with Eagle River Memorial Hospital and Howard Young Medical Center. |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - St. Mary's Hospital. Health Departments of Oneida and Vilas Counties |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - St Mary's Hospital. Using the CHNA completed in Fiscal Year 2013, the hospital developed, adopted, and worked on executing an implementation strategy to address priority community health needs. In 2014, the hospital implemented the following plan to address the priority needs: 1 - CHRONIC DISEASE - Ministry Saint Mary's Hospital will address the issues of chronic disease through a new initiative called the Medical Home Model of care, which is being implemented at Ministry Medical Group in Rhinelander (a department of the hospital). Eagle River and Woodruff clinics in Vilas County, and the Crandon clinic in Forest County, will also be implementing the Medical Home Model. They are hiring case managers and behavioral health specialists who will work directly with patients to improve care needs of patients with chronic disease. There are four health issues that will be the focus of their work: diabetes, coronary artery disease (CAD), and Ministry Health Care 6 smoking cessation. The fourth area is follow up with high risk patients for CHF, COPD, diabetes and CAD to improve transitional care for patients discharged from hospital and for those patients having frequent urgent care and emergency visits. In addition, the Palliative Care Program is expanding in identifying ways to provide best practice within the clinic site. This initiative will build on the existing Palliative Care Program in providing additional support to patients facing chronic health issues. 2 - MENTAL HEALTH and AODA Mental Health and AODA - priority areas have been identified as key issues since Ministry Saint Mary's Hospital has existing services in these areas. They will continue to offer education about behavioral health issues through: A: Outreach at health fairs, speaker forum, participation in the local chapter of National Alliance for the Mentally Ill (NAMI), local AODA conference, and other formal conferences held in the tri-county area. B. Facilitation of regular multidisciplinary meetings that bring together law enforcement, human and social service agencies, emergency services, and psychiatry to assure seamless services for residents. C. Hospital staff will continue to offer key leadership in facilitating the mental health community team working in collaboration toward improvement efforts in the mental health area by pulling together community stakeholders with identified goals as stated in the county's implementation plans. 3 - SPECIFIC FOCUS ON THE LOW INCOME/UNDERSERVED RESIDENTS - The Health Access and Community Link Program offer assistance to patients without health coverage to connect them with needed resources. A current team has been identified to identify roles and enhance communication and coordination between the new developing medical home model staff with existing outreach efforts in the Health Access/Community Link and Patient Financial Counseling. This can offer maximum support to low income patients in need of services and ensure these services work effectively in connecting patients in need of assistance. In addition, the hospital will continue its commitment to serving the community needs of the poor and under-served by providing charity care through its community care program. St. Mary's Hospital will not address directly the oral health issue because this is currently being met within the community and Ministry St. Mary's Hospital currently offers a dental sealant educational outreach program for children in second grade in Oneida County. We also do not staff dentists in our facility and there is a new dental clinic in Rhinelander that opened which accepts both medical assistance and patients on a sliding scale basis. If this service was not offered, however, there would continue to be gaps for dental health so we will continue to monitor. |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - Sacred Heart Hospital. The assessment team was comprised of private and public Lincoln County organization members including: hospital nurses and administrators; clinic personnel; public health nurses and educators; behavioral health therapists and leaders; elementary, high school and post high school educators, nurses and administrators; police and emergency personnel; child, women's, family and senior social services; as well as interested community members in the health needs assessment process. Community members received an invitation by mail and follow-up email. Jim Lawrence, health educator consultant, and Angela Nimsgern, regional director, from the Division of Public Health Northern Region Office, and Art Lersch, community resource development educator at UW Extension Lincoln County, were consultants. A representative from Ministry Sacred Heart Hospital joined the Lincoln County Community Health Improvement Plan Steering Team as a community partner to obtain further data for each of the priorities. This team created the community health survey and assisted with data collection and analysis. Public Health Experts : - Shelley Hersil, Director and Health Officer - Lincoln County Health Department - Master in Public Health Administration, UW- Lacrosse - Certified Health Education Specialist (CHES) - Lincoln County Health Officer for seven years and more than - Ten years experience with Tobacco Control and Prevention. - Jim Lawrence, Health Educator Consultant - Wisconsin Division of Public Health - Northern Regional office - More than 20 years of experience in public health consulting. - Art Lersch, Associate Professor, Community Resources Development Educator - UW Extension Lincoln County - Master in Public Health Administration, Kent State University - Focus area is organizational, leadership and business development. - Angela Nimsgern, Regional Director - Wisconsin Division of Public Health - Northern Regional Office - Master in Public Health Administration, CHP - More than 12 years of experience with community health assessments. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - Sacred Heart Hospital. The CHNA was conducted with Good Samaritan Health Center of Merrill, Wisconsin, Inc. |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - Sacred Heart Hospital. Lincoln County Public Health |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - Sacred Heart Hospital. Using the CHNA completed in fiscal year 2013, the hospital developed, adopted, and worked on executing an Implementation Strategy to address priority community health needs. In 2014, to address the identified community health priorities, Ministry Sacred Heart Hospital has elected to work primarily with the Lincoln County Health Department, who is also in the process of developing their Community Health Priorities Plan. Health priority teams have been established and Ministry Sacred Heart Hospital has designated representatives, based on area of expertise, to serve on these collations. The team members will be involved in assessment, action planning, implementation and eventually outcome measurement for each of the three health issues. Ministry Sacred Heart Hospital will also develop independent strategies to address each health issue, as well as continue any current strategies. 1 - Nutrition and Healthy Foods - Increase access to healthy foods and nutrition education a) Ministry Sacred Heart Hospital will establish a healthy foods and nutrition class, conducted by a registered dietitian, which will be open and free to the public. b) At the annual Ministry Sacred Heart Hospital community health fair, a dietitian will be available to answer dietary questions and provide education on USDA approved practices for health eating. c) Investigate opportunities to sponsor patients, who meet established screening criteria, in the weight management classes offered at Ministry Sacred Heart Hospital. d) A Ministry Sacred Heart Hospital Registered Dietician will be assigned to the Lincoln County nutrition coalition. 2 - Oral Health - Increase oral health care practices and access to oral health services a) Explore expanding The Tooth Fairy Fund (local program to assist residents with oral health medical assistance) to Ministry Sacred Heart Hospital. b) At the annual Ministry Sacred Heart Hospital community health fair dental supplies and oral health hygiene education will be offered. c) A Ministry Sacred Heart Hospital registered nurse will be assigned to the oral health coalition in Lincoln County. d) Explore opportunities to provide dental supplies to the school district back pack program (local program that provides food to low income children over the weekend). 3 - Mental Health - Increase mental health awareness and education and access to mental health services a) A Ministry Sacred Heart Hospital Behavioral Health registered nurse will be assigned to the Lincoln County mental health coalition. b) Continue to work in collaboration with Ministry Medial Group Tomahawk's Medical Home Model to ensure access to behavioral health specialists. c) At the annual Ministry Sacred Heart Hospital community health fair a behavioral health specialist will be available to provide mental health education and resources. d) A Ministry Sacred Heart Hospital representative will be assigned to the Lincoln County Suicide and Child Death Team. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| MMG Rhinelander | ||||
| 2251 North SHore Drive | Rhinelander | WI | 54501 | Outpatient physician clinic |
| MMG Tomahawk | ||||
| 401 West Mohawk | Tomahawk | WI | 54487 | Outpatient physician clinic |
| MMG Riverside | ||||
| 1020 Kabel Avenue | Rhinelander | WI | 54501 | Outpatient physician clinic |
| MMG Eagle River | ||||
| 930 East Wall Street | Eagle River | WI | 54521 | Outpatient physician clinic |
| MMG Crandon | ||||
| 400 West Glen Street | Crandon | WI | 54520 | Outpatient physician clinic |
| MMG Woodruff | ||||
| 240 Maple Street | Woodruff | WI | 54568 | Outpatient physician clinic |
| MMG Laona | ||||
| 4876 Mill Street | Laona | WI | 54541 | Outpatient physician clinic |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 6a Community benefit report prepared by related organization | Sacred Heart-St. Mary's Hospitals, Inc. is included in the annual community benefit report which is published by Ministry Health Care, Inc. (EIN: 39-1490371) and available to the public on its website, www.ministryhealth.org. This report includes all of the related entities within the Ministry Health Care network of hospitals, clinics and other health-related organizations. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | Amounts calculated in Part I, Line 7 are determined both on a cost accounting system and a cost-to-charge ratio. Other benefits are determined based on the direct and indirect costs (where allocated) associated with a program net of earned revenue. Detail for each program/activity is maintained and determined at the department level. Charity care and means-tested programs are determined based on a cost-to-charge ratio consistent with Worksheet 2, Ratio of Patient Care Cost to Charges. |
| Schedule H, Part II Community Building Activities | Ministry St. Mary's Hospital participates in several community coalitions and other collaborative efforts with the community whose purpose is to improve the health of the community. These include Healthy Nutrition Coalition, Lac Du Flambeau Saving Lives Coalition, and Northwoods LEAN (Linking Education, Activity and Nutrition). Reported costs reflect St. Mary's associate time for leadership and/or participation in these coalitions. Ministry Sacred Heart Hospital participates in several community coalitions and other collaborative efforts with the community whose purpose is to improve the health of the community. These include Lincoln County Mental Health Coalition and Lincoln County Nutrition and Healthy Lifestyles Coalition. Reported costs reflect Sacred Heart associate time for participation in these coalitions. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | Accounts are written off to bad debt after all internal collection efforts have been exhausted. Attempts to resolve these outstanding balances can include, but are not limited to statements being sent, phone calls and letters being sent. Account follow up protocol is based on personal pay balance size owed. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | Sacred Heart-St. Mary's Hospitals, Inc. has a very robust financial assistance program; therefore, no estimate is made for bad debt attributed to financial assistance eligible patients. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | From the consolidated audited financial statements of Ministry Health Care, Inc. (which includes the activity of Sacred Heart-St. Mary's Hospitals, Inc.): The provision for doubtful accounts is based upon management's assessment of expected net collections considering historical experience, economic conditions, trends in health care 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. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Health Ministry follows established guidelines for placing certain past-due patient balances with 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 Health Ministry's policies. The methodology for determining the allowance for doubtful accounts and related write-offs on uninsured patient accounts has remained consistent with the prior year. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | Ascension Health and 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 has a debt collection policy which sets forth collection practices for patients who are known to qualify or may qualify for financial assistance under the charity care program. Sufficient financial counseling support is made available to patients so they can easily access patient financial service representatives and have their questions answered, and gain an understanding of the reasons why they owe a balance. Accounts are designated as charity care in the business offices so no additional time is spent on collection efforts. |
| Schedule H, Part V, Section B, Line 16a FAP website | - St. Mary's Hospital: Line 16a URL: http://ministryhealth.org/Ministry_Health_Care/Financial_Assistance_Program_RC08.pdf; - Sacred Heart Hospital: Line 16a URL: http://ministryhealth.org/Ministry_Health_Care/Financial_Assistance_Program_RC08.pdf; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - St. Mary's Hospital: Line 16b URL: http://ministryhealth.org/Ministry_Health_Care/MHC_FinancialAid_Application_REV4.pdf; - Sacred Heart Hospital: Line 16b URL: http://ministryhealth.org/Ministry_Health_Care/MHC_FinancialAid_Application_REV4.pdf; |
| Schedule H, Part VI, Line 2 Needs assessment | The Organization performs community health needs assessments as needed. Planning workgroups consisting of community partners are formed to define the community and its needs through review of Health People Initiatives, census documents, and local government health and welfare agencies. Considering other community resources/assets, data collection methods are used to identify particular problems or subgroups and areas known to have high poverty rates and to be underserved. The data is analyzed and priorities are set based on trending information which may target a specific need. When a need is identified, the Hospital develops a plan to implement a program either through community collaboration or individually. Outcomes from the programs are measured and considered in subsequent community health needs assessments. Community benefit plans are presented to senior leadership and board members to ensure the findings are incorporated into the organization's strategy and policy development. For example, senior leaders required to provide direct service to the poor in their communities, and hours are included as part of their performance goals. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | The Organization goes to great lengths in order to inform and educate patients/persons who may be billed for patient care about their eligibility for assistance under federal, state or local government programs and under the Organization's Charity Care Policy. The Charity Care Policy and application is posted on the organization's website. Admissions and other key areas contain summary information of the Charity Care Policy. As part of the intake/discharge process, patients are provided with a copy of the Policy and other information for financial assistance. If a patient indicates they are unable to pay their bill at any point during pre-service, admission, discharge or billing process, the financial counselors will assist the patient in either securing a funding source (grants, COBRA coverage, disability benefits, Medicaid, VA, etc.)if eligible or assist them in completing a financial assistance application. If during the course of the patient registration process, care encounter, treatment, or upon discharge it becomes evident that a patient may need financial assistance, the patient shall be referred to the Organization's community care program. Patients may be identified as needing financial assistance at any time during the course of an encounter. A referral for consideration of community care financial assistance can be initiated by any member of the Hospital's workforce, including medical staff members, who become aware of the patients potential need for community care financial assistance. The Charity Care Policy was also translated into dialects prevalent in the community in order to reach out to those that may speak another language (Spanish and Hmong). Patient registration staff and financial counselors are provided with scripts to follow when interacting with patients. As part of the charity care process, patients must register with the county public assistance to see if they may qualify under any other federal or state programs |
| Schedule H, Part VI, Line 4 Community information | While there is growing agreement in the United States about what constitutes a non-profit hospitals community benefit, this is a work in progress. The Organization provided significant charity care and other community benefits as defined by the IRS. But in addition, we believe that we provide a critically important community benefit, which is not quantified. Our Hospital, like most rural hospitals, was created and is maintained in order to provide care locally - care that without our Hospital, may not be available locally. Certain specialized services available include: Diabetes education and management, speech therapy, wound care and management, palliative care services, pain management services, and inpatient dialysis services. Sacred Heart Hospital is located in Tomahawk, WI and serves the surrounding communities. According to the 2011 census, Tomahawk has a population of 3,401 with a median age of 44.8. The median income for a household in the city was $44,677 in 2009. The percentage of residents living in poverty in 2009 was 12.2%. The unemployment rate in August 2012 was 9.4% versus the Wisconsin state average of 7.1%. The town covers a total area of 8.8 miles. Tomahawk is located in Lincoln County which has a population of 29,404 in July 2009. The median income for a household was $44,660 in 2009. The median age was 39 years. The unemployement rate was in March 2012 was 10.6%. St. Mary's Hospital is located in Rhinelander, WI and serves the surrounding communities. According to the 2011 census, Rhinelander has a population of 7,786. The median age was 40 years. The median income for a household in thre city was $32,623 in 2009. The unemployment rate in August 2012 was 7.8% versus the Wisconsin state average of 7.1%. The town covers a total area of 7.9 miles. Rhinelander is located in Oneida County which had a population of 35,801 in July 2011. The median income for a household was $42,946 in 2009. The unemployment rate in April 2010 was 7.8%. |
| Schedule H, Part VI, Line 5 Promotion of community health | The Organization strives to further its exempt purposes by the following: (1) The Organization's governing board consists primarily of persons who reside within the primary service area who are not employees of the Organization. (2) As mentioned, the Organization provides several services which are not otherwise available being in a rural setting. (3) Based on the Organization's mission, emergency rooms are made available to all patients regardless of the ability to pay. (4) The Organization also participates in the education and training of healthcare professionals through internship programs. Sacred Heart/St. Mary's participates in government sponsored health programs (Medicare, Medicaid, Champus, Tricare). Sacred Heart is a critical access hospital in Tomahawk, Wisconsin and St. Mary's is a sole community hospital in Rhinelander, Wisconsin. Both hospitals and hospital-based clinics serve poor rural communities. St. Mary's provides inpatient and outpatient mental health and AODA services at a financial loss to the organization which is somewhat unique to small rural communities. Persons in need of mental health or AODA services would otherwise have to travel several hundred miles to seek care. Sacred Heart-St. Mary's Hospitals serves four Native American Tribes in surrounding communities. Tribal services are paid under Medicare-like rate under Contract Health Services reimbursement program under the federal Indian Health Program. The Organization also participates in government sponsored health programs such as Medicare, Medicaid, Champus. The organization strives to be a low-cost provider by continually reducing internal costs through efficiency measures which in turn, is passed on to patients through market-basket prices. The uninsured memebers of the community access healthcare through the emergency department and medical clinics. All medically necessary medical services are provided in an inpatient, outpatient or clinic setting for persons in need of care regardless of their ability to pay. Sacred Heart-St. Mary's Hospitals fund a Community Link Coordinator who works in conjunction with our Patient Family Services Department in meeting the special needs of our community. This team helps our community members navigate the various governmental programs by helping our uninsured population apply for State Medicaid programs and the organization's own Community Care (charity care) Program. The Community Care Program provides financial assistance and sliding scale discounts to patients who meet certain income and asset criteria, up to 400% of the federal poverty guidelines |
| Schedule H, Part VI, Line 6 Affiliated health care system | Ministry Health Care, Inc.(Ministry or the Health Ministry) is a member of Ascension Health. In December 2011, Ascension Health Alliance, doing business as Ascension, became 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 health care facilities, or Health Ministries, located in 23 states and the District of Columbia. In addition to serving as the sole corporate member of Ascension Health, Ascension serves as the member or shareholder of various other subsidiaries. Ascension, its subsidiaries, and the Health Ministries are referred to collectively from time to time hereafter as the System. Ascension is sponsored by Ascension Sponsor, a Public Juridic Person. The Participating Entities of Ascension Sponsor are the Daughters of Charity of St. Vincent de Paul, St. Louise Province, the Congregation of St. Joseph, the Congregation of the Sisters of St. Joseph of Carondelet, the Congregation of Alexian Brothers of the Immaculate Conception Province, Inc. - American Province, and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi-US/Caribbean Province. The Health Ministry is a Wisconsin non-stock, tax-exempt corporation that manages, promotes, and supports health care and related ministries in Wisconsin and Minnesota. The Health Ministry provides inpatient, outpatient, and emergency care services for the residents of Wisconsin and Minnesota. Admitting physicians are primarily practitioners in the local area. The Health Ministry is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of the Health Ministry are related to providing health care services. Effective November 1, 2014, the Health Ministry sold 50% of its ownership in Network Health, Inc. to an unrelated health system. On February 1, 2015, the Health Ministry transferred its ownership in Ministry Home Care, Inc. to Ascension Health. The consolidated financial statements include the following affiliates located primarily in Wisconsin, in which Ministry has a controlling interest and/or is the sole sponsor: -Affinity Health System, Inc. (Affinity); -Affinity Medical Group (AMG); -Ministry Medical Group, Inc.; -Calumet Medical Center, Inc. (CMC); -Ministry Holdings, Inc. (through November 1, 2014); -Network Health (NH) (through November 1, 2014); -Twin Med, LLC; -Network Health Insurance Corporation (NHIC) (through November 1, 2014); -Mercy Medical Center, Inc.; -Mercy Health Foundation; -Our Lady of Victory Hospital; -St. Elizabeth Hospital; -St. Elizabeth Foundation; -Sacred Heart-St. Mary's Hospitals, Inc.; -Catalpa Health; -St. Clare's Hospital of Weston, Inc.; -Foundation of St. Clare's Hospital of Weston, Inc.; -Agape Community Center of Milwaukee, Inc.; -St. Elizabeth's Hospital of Wabasha, Inc.; -Door County Memorial Hospital (Door County); -St. Joseph's Hospital of Marshfield, Inc.; -Foundation of St. Joseph's Hospital of Marshfield, Inc.; -Good Samaritan Health Center of Merrill; -Good Samaritan Health Center Foundation; -St. Michael's Hospital of Stevens Point, Inc.; -St. Michael's Foundation of Stevens Point, Inc.; -Howard Young Health Care, Inc. (Howard Young); -Howard Young Medical Center, Inc.; -Howard Young Foundation; -Eagle River Memorial Hospital, Inc.; -Dr. Kate Newcomb Convalescent Center 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. The amount of traditional charity care provided, determined on the basis of cost, was approximately $12,600 and $18,400 for the years ended June 30, 2015 and 2014, respectively. The amount of unpaid cost of public programs, cost of other programs for persons living in poverty and for other vulnerable persons, and cost of community benefit programs are reported in the accompanying supplementary information. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | WI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | 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 (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MONICA ANN HILT | ||||||||||||||
| REGIONAL CEO/PRESIDENT | $0 | $331,953 | $0 | $118,639 | $0 | $121,869 | $0 | $0 | $0 | $19,954 | $0 | $592,415 | $0 | $0 |
| ANN ZENK | ||||||||||||||
| INTERIM HOSPITAL PRESIDENT (2/1/15 - 6/30/15) & VP PATIENT CARE | $0 | $174,239 | $0 | $43,889 | $0 | $51,727 | $0 | $0 | $0 | $14,257 | $0 | $284,112 | $0 | $0 |
| DEAN POLLNOW MD | ||||||||||||||
| EX-OFFICIO | $0 | $365,483 | $0 | $350 | $0 | $15,945 | $0 | $17,500 | $0 | $22,688 | $0 | $421,966 | $0 | $0 |
| RICK BRODHEAD MD | ||||||||||||||
| EX-OFFICIO MEMBER | $0 | $460,607 | $0 | $0 | $0 | $24,629 | $0 | $17,500 | $0 | $23,728 | $0 | $526,464 | $0 | $0 |
| RUSS SUDBURY MD | ||||||||||||||
| EX-OFFICIO MEMBER | $0 | $470,024 | $0 | $0 | $0 | $18,332 | $0 | $17,500 | $0 | $23,673 | $0 | $529,529 | $0 | $0 |
| JEFF BADGER | ||||||||||||||
| FORMER OFFICER | $0 | $264,031 | $0 | $374,899 | $0 | $20,910 | $0 | $0 | $0 | $13,832 | $0 | $673,672 | $0 | $0 |
| CATHERINE BUKOWSKI | ||||||||||||||
| FORMER OFFICER | $0 | $172,000 | $0 | $29,573 | $0 | $68,229 | $0 | $0 | $0 | $8,066 | $0 | $277,868 | $0 | $0 |
| BRIAN KIEF | ||||||||||||||
| FORMER OFFICER | $0 | $426,500 | $0 | $133,955 | $0 | $297,567 | $0 | $0 | $0 | $19,288 | $0 | $877,310 | $0 | $0 |
| NICHOLAS DESIEN | ||||||||||||||
| MINISTRY HEALTH CARE CEO | $0 | $1,009,502 | $0 | $1,079,643 | $0 | $45,198 | $0 | $0 | $0 | $18,803 | $0 | $2,153,146 | $0 | $0 |
| JEFFREY FRANCIS | ||||||||||||||
| MINISTRY HEALTH CARE CAFO | $0 | $438,327 | $0 | $141,768 | $0 | $441,745 | $0 | $0 | $0 | $19,803 | $0 | $1,041,644 | $0 | $0 |
| DANIEL NEUFELDER | ||||||||||||||
| SVP, HOSPITAL OPERATIONS & PRESIDENT, AHS | $0 | $791,344 | $0 | $259,379 | $0 | $20,926 | $0 | $0 | $0 | $17,365 | $0 | $1,089,014 | $0 | $0 |
| LAURIE OUNGST | ||||||||||||||
| REGIONAL VP OPERATIONS- NR HOSPITALS | $0 | $160,239 | $0 | $39,431 | $0 | $53,259 | $0 | $0 | $0 | $1,443 | $0 | $254,372 | $0 | $0 |
| TERESA THEILER | ||||||||||||||
| REGIONAL VP QUALITY & PATIENT SAFETY | $0 | $129,526 | $0 | $17,566 | $0 | $17,763 | $0 | $0 | $0 | $1,311 | $0 | $166,166 | $0 | $0 |
| MICHAEL BUSHKO | ||||||||||||||
| CLINICAL STAFF PHARMACIST | $114,627 | $0 | $0 | $0 | $20,741 | $0 | $2,340 | $0 | $16,317 | $0 | $154,024 | $0 | $0 | $0 |
| BRADLEY M JAMISON | ||||||||||||||
| MANAGER PHARMACY | $123,714 | $0 | $0 | $0 | $12,573 | $0 | $2,812 | $0 | $18,999 | $0 | $158,098 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 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 Sacred Heart-St. Mary's Hospitals, Inc., uses the following to establish the compensation of the organization's CEO: - Compensation Committee, - Independent Compensation Consultant, - Compensation Survey or Study, and - Approval by the Board or Compensation Committee. |
| Schedule J, Part I, Line 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. Jeffrey Francis $260,079 Monica Hilt $52,618 Laurie Oungst $19,424 Ann Zenk $24,007 Cathy Bukowski $11,111 Brian Kief $154,322 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 2 Family/Business Relationship | Many of the persons listed on Part VII have a "business relationship" with each other by virtue of employment by Ministry Health Care, Inc. related entities. |
| Form 990, Part VI, Line 15 Compensation of Officers | IN DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS PERFORMED BY MINISTRY HEALTH CARE, INC., A RELATED ORGANIZATION OF SACRED HEART-ST MARY'S HOSPITALS, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO 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 BOARD MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. IN DETERMINING COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION, THE PROCESS PERFORMED BY MINISTRY HEALTH CARE, INC., A RELATED ORGANIZATION OF SACRED HEART-ST MARY'S HOSPITALS, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION 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 BOARD MINUTES. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | Sacred Heart-St. Mary'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 | Sacred Heart-St. Mary's Hospital, Inc. has a single corporate member, Ministry Health Care, Inc., who has the ability to elect members to the governing body of Sacred Heart-St Mary's Hospital, Inc. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | All decisions that have a material impact to Sacred Heart-St. Mary'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 | Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members questions. |
| 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 Conflict 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 Ministry web page is available to the public for inspection with a good deal of information regarding who Ministry Health Care is and the entities included along with our mission. The Articles of Incorporation, Bylaws, Conflict of Interest Policy and financial statements are not included on any web page. However, if any inquiry is made for any documents they are shared as appropriate. |
| Form 990, Part VII, Section B, Line 1 Independent Contractors | Payments made to Samuel's Group, Inc. constitute payments for both materials and services. These amounts cannot be separated. |
| Form 990, Part VIII, Line 2f Other Program Service Revenue | Rent Income - Total Revenue: 323940, Related or Exempt Function Revenue: 323940, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Other - Total Revenue: 12569, Related or Exempt Function Revenue: 12569, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Inter-company Transfers - -1259532; Woodruff Loss - 826812; SHSM Fnd Donation distributions rec'd (non-related) - -518868; SHSM Fnd Donation Rec'd for the hospitals (non-related) - 22004; HYMC Fnd Restricted Fund Investment Adjustments (related) - 8260; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| ASCENSION HEALTH ALLIANCE | ||||||||||
| PO BOX 45998 | STLOUIS | MO | 63145 | 453358926 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3 | Type I | NA | false |
| ASCENSION HEALTH | ||||||||||
| PO BOX 45998 | STLOUIS | MO | 63145 | 311662309 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3 | Type I | ASCENSION HEALTH ALLIANCE | false |
| 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 |
| AFFINITY HEALTH SYSTEM | ||||||||||
| 1570 MIDWAY PLACE | MENASHA | WI | 54952 | 391568866 | SUPPORT RELATED HEALTHCARE ORGANZIATIONS | 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 | 391461846 | COMMUNITY CENTER | WI | 501(c)(3 | 7 | MINISTRY HEALTH CARE INC | Yes (true) |
| CALUMET MEDICAL CENTER INC | ||||||||||
| 614 MEMORIAL DRIVE | CHILTON | WI | 53014 | 390905385 | HOSPITAL | WI | 501(c)(3 | 3 | AFFINITY HEALTH SYSTEM | Yes (true) |
| CATALPA HEALTH INC | ||||||||||
| N4642 COUNTY N | APPLETON | WI | 54914 | 454681563 | MENTAL HEALTH FACILITY | WI | 501(c)(3 | 3 | STELIZABETH HOSPITAL INC | Yes (true) |
| SAINT MICHAEL'S FOUNDATION OF STEVENS POINT INC | ||||||||||
| 900 ILLINOIS AVENUE | STEVENS POINT | WI | 54481 | 391657410 | CHARITABLE FOUNDATION | WI | 501(c)(3 | Type I | SAINT MICHAEL'S HOSPITAL OF STEVENS POINT | Yes (true) |
| DOOR COUNTY MEMORIAL HOSPITAL | ||||||||||
| 323 SOUTH 18TH AVENUE | STURGEON BAY | WI | 54235 | 390806324 | HOSPITAL | WI | 501(c)(3 | 3 | MINISTRY HEALTH CAREINC | Yes (true) |
| DR KATE NEWCOMB CONVALESCENT CENTER INC | ||||||||||
| PO BOX 829 | WOODRUFF | WI | 54568 | 391357365 | NURSING / ASSISTED LIVING SERVICES | WI | 501(c)(3 | 9 | HOWARD YOUNG HEALTH CARE INC | Yes (true) |
| EAGLE RIVER MEMORIAL HOSPTIAL INCORPORATED | ||||||||||
| 201 HOSPITAL ROAD | EAGLE RIVER | WI | 54521 | 390985690 | HOSPITAL | WI | 501(c)(3 | 3 | THE HOWARD YOUNG MEDICAL CENTER INC | Yes (true) |
| FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC | ||||||||||
| 3400 MINISTRY PARKWAY | WESTON | WI | 54476 | 753193633 | CHARITABLE FOUNDATION | WI | 501(c)(3 | Type I | MINISTRY HEALTH CARE INC | Yes (true) |
| FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD | ||||||||||
| 611 SAINT JOSEPH AVENUE | MARSHFIELD | WI | 54449 | 391684957 | CHARITABLE FOUNDATION | WI | 501(c)(3 | Type I | SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC | Yes (true) |
| GOOD SAMARITAN HEALTH CENTER OF MERRILL WISCONSIN INC | ||||||||||
| 601 SOUTH CENTER AVENUE | MERRILL | WI | 54452 | 390808503 | HOSPITAL | WI | 501(c)(3 | 3 | MINISTRY HEALTH CARE INC | Yes (true) |
| GOOD SAMARITAN HEALTH CENTER FOUNDATION OF MERRILL WISCONSIN INC | ||||||||||
| 601 SOUTH CENTER AVENUE | MERRILL | WI | 54452 | 391627755 | CHARITABLE FOUNDATION | WI | 501(c)(3 | Type I | GOOD SAMARITAN HEALTH CENTER OF MERRILL | Yes (true) |
| HOWARD YOUNG FOUNDATION INC | ||||||||||
| 240 MAPLE STREET | WOODRUFF | WI | 54568 | 391521169 | CHARITABLE FOUNDATION | WI | 501(c)(3 | 7 | HOWARD YOUNG HEALTH CARE 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) |
| THE HOWARD YOUNG MEDICAL CENTER INC | ||||||||||
| 240 MAPLE STREET | WOODRUFF | WI | 54568 | 390873606 | HOSPITAL | WI | 501(c)(3 | 3 | HOWARD YOUNG HEALTH CARE INC | Yes (true) |
| MERCY HEALTH FOUNDATION INC | ||||||||||
| PO BOX 3370 | OSHKOSH | WI | 54903 | 237140261 | CHARITABLE FOUNDATION | WI | 501(c)(3 | 9 | 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) |
| MINISTRY HOMECARE INC | ||||||||||
| 611 STJOSEPH AVENUE 4S | MARSHFIELD | WI | 54449 | 391936201 | HOME CARE/ HOSPICE | WI | 501(c)(3 | 9 | MINISTRY HEALTH CARE INC | Yes (true) |
| MINISTRY MEDICAL GROUP INC | ||||||||||
| 824 ILLINOIS AVENUE | STEVENS POINT | WI | 54481 | 391965593 | CLINICS | WI | 501(c)(3 | Type III-FI | MINISTRY HEALTH CARE INC | Yes (true) |
| MINISTRY WEIGHT MANAGEMENT | ||||||||||
| 2251 NORTH SHORE DRIVE | RHINELANDER | WI | 54501 | 391829015 | HEALTH SERVICES | WI | 501(c)(3 | 3 | SACRED HEART-ST MARY'S HOSPITALS | Yes (true) |
| NETWORK HEALTH SYSTEM INC | ||||||||||
| 1570 APPLETON RD | MENASHA | WI | 54952 | 391127163 | CLINICAL HEALTHCARE SERVICES | WI | 501(c)(3 | 3 | AFFINITY HEALTH SYSTEM | Yes (true) |
| OUR LADY OF VICTORY HOSPITAL | ||||||||||
| 1120 PINE STREET | STANLEY | WI | 54768 | 390807065 | HOSPITAL | WI | 501(c)(3 | 3 | MINISTRY HEALTH CARE INC | Yes (true) |
| SAINT CLARE'S HOSPITAL OF WESTON INC | ||||||||||
| 3400 MINISTRY PARKWAY | WESTON | WI | 54476 | 721531917 | HOSPITAL | WI | 501(c)(3 | 3 | MINISTRY HEALTH CARE 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) |
| SAINT ELIZABETH'S HOSPITAL FOUNDATION INC | ||||||||||
| 1506 S ONEIDA STREET | APPLETON | WI | 54915 | 391256677 | CHARITABLE FOUNDATION | WI | 501(c)(3 | 7 | AFFINITY HEALTH SYSTEM | Yes (true) |
| ST ELIZABETH HOSPITAL INC | ||||||||||
| 1506 S ONEIDA STREET | APPLETON | WI | 54915 | 390816818 | HOSPITAL | WI | 501(c)(3 | 3 | MINISTRY HEALTH CARE INC | Yes (true) |
| SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC | ||||||||||
| 611 SAINT JOSEPH AVENUE | MARSHFIELD | WI | 54449 | 391847631 | HOSPITAL | WI | 501(c)(3 | 3 | MINISTRY HEALTH CARE INC | Yes (true) |
| SAINT MICHAEL'S HOSPTIAL OF STEVENS POINT INC | ||||||||||
| 900 ILLINOIS AVENUE | STEVENS POINT | WI | 54481 | 390808443 | HOSPITAL | WI | 501(c)(3 | 3 | MINISTRY HEALTH CARE INC | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TWIN MED LLP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8005 | AddressLine1Txt |
| City | MENASHA | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54952 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391180341 | EIN |
| Primary Activities | RENTAL PROPERTY | 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 (3 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 |
|---|---|---|---|---|---|---|---|---|---|
| NETWORK HEALTH PLAN INC | |||||||||
| 1570 MIDWAY PLACE | MENASHA | WI | 54952 | 391442058 | INSURANCE | WI | NA | C Corporation | false |
| NETWORK HEALTH INSURANCE CORPORATION | |||||||||
| 1570 MIDWAY PLACE | MENASHA | WI | 54952 | 392020474 | INSURANCE | WI | NA | C Corporation | false |
| MINISTRY HOLDINGS INC | |||||||||
| 1570 MIDWAY PLACE | MENASHA | WI | 54952 | 422966177 | INSURANCE HOLDING COMPANY | WI | NA | C Corporation | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | 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 | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (13 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HOWARD YOUNG MEDICAL CENTER INC | ||
| P | $132,000 | FMV |
| HOWARD YOUNG MEDICAL CENTER INC | ||
| K | $163,380 | FMV |
| MINISTRY HEALTH CARE INC | ||
| R | $1,318,787 | FMV |
| MINISTRY MEDICAL GROUP INC | ||
| M | $1,423,683 | FMV |
| SAINT MICHAEL'S HOSPITAL OF STEVENS POINT INC | ||
| M | $333,959 | FMV |
| MINISTRY HEALTH CARE INC | ||
| E | $17,927,799 | FMV |
| MINISTRY HEALTH CARE INC | ||
| S | $7,275,515 | FMV |
| MINISTRY HEALTH CARE INC | ||
| O | $754,571 | FMV |
| MINISTRY WEIGHT MANAGEMENT INC | ||
| O | $72,262 | FMV |
| HOWARD YOUNG MEDICAL CENTER INC | ||
| O | $350,719 | FMV |
| EAGLE RIVER MEMORIAL HOSPITAL INC | ||
| O | $165,246 | FMV |
| MINISTRY MEDICAL GROUP INC | ||
| O | $10,235,535 | FMV |
| MINISTRY HEALTH CARE INC | ||
| P | $23,276,998 | FMV |