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ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC (EIN 39-1127163)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-16
IRS object ID
201611379349310321
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-16T18:01:29-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1555 East Wells Street Suite 1400AddressLine1Txt
CityMilwaukeeCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391127163EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Network Health System IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNETWBusinessNameControlTxt
Phone9206289203PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8005 1570 Midway PlaceAddressLine1Txt
CityMenashaCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54952ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBrian ReganPersonNm
Person TitleInterim CFOPersonTitleTxt
Signature2016-05-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRachel BeckerPreparerPersonNm
PTINP00966076PTIN
Phone4142713000PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1AFFINITY MEDICAL GROUPBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Dan NeufelderBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8005 1570 Midway PlaceAddressLine1Txt
CityMenashaCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54952ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$136,530,267GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AFFINITYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1969FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTo further the healing ministry of Jesus by improving the health and well-being of all people.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1252TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$99,262TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$7,517NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$124,057PYContributionsGrantsAmt
CY Contributions Grants$46,272CYContributionsGrantsAmt
PY Program Service Revenue$147,869,518PYProgramServiceRevenueAmt
CY Program Service Revenue$135,819,850CYProgramServiceRevenueAmt
PY Investment Income$211,561PYInvestmentIncomeAmt
CY Investment Income$210,166CYInvestmentIncomeAmt
PY Other Revenue$221,125PYOtherRevenueAmt
CY Other Revenue$172,971CYOtherRevenueAmt
PY Total Revenue$148,426,261PYTotalRevenueAmt
CY Total Revenue$136,249,259CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$133,129,266PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$135,896,507CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$38,198,474PYOtherExpensesAmt
CY Other Expenses$37,131,651CYOtherExpensesAmt
PY Total Expenses$171,327,740PYTotalExpensesAmt
CY Total Expenses$173,028,158CYTotalExpensesAmt
PY Revenues Less Expenses-$22,901,479PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$36,778,899CYRevenuesLessExpensesAmt
Total Assets BOY$62,426,220TotalAssetsBOYAmt
Total Assets EOY$60,331,604TotalAssetsEOYAmt
Total Liabilities BOY$99,244,124TotalLiabilitiesBOYAmt
Total Liabilities EOY$133,928,407TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$36,817,904NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$73,596,803NetAssetsOrFundBalancesEOYAmt
MissionNetwork Health System, Inc. has adopted the mission statement of Affinity Health System. The mission of Affinity Health System is to live out the healing ministry of Christ by providing services that promote the health and well-being of the communities we serve, especially the poor.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$145,518,035ExpenseAmt
Revenue$135,819,850RevenueAmt
DescNETWORK HEALTH SYSTEM, INC. IS A REGIONAL HEALTH CARE ORGANIZATION FOCUSED ON COMMUNITY-BASED CARE INCLUDING OUTPATIENT, INPATIENT, ANCILLARY, AND LONG-TERM CARE AS WELL AS INSURANCE SERVICES. THE 23 CLINICS IN THE 12 COMMUNITIES AROUND THE FOX CITIES AND OSHKOSH AREA PROVIDE PRIMARY AND SPECIALTY CARE CLOSE TO HOME.Desc
Total Program Service Expenses$145,518,035TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document47IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1252EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Craig AittamaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7153465161PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15700 Lands End Way 2nd FloorAddressLine1Txt
CityStevens PointCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54482ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MONICA ANN HILT
VP EASTERN REGION, MHC (START 1/11/15)3.0038.90Yes (X)Yes (X)$0$572,461$19,954
STEPHEN C MORTON
CHAIRMAN0.401.10Yes (X)Yes (X)$0$0$0
DANIEL NEUFELDER
VICE CHAIRMAN5.0058.30Yes (X)Yes (X)$0$1,071,649$17,365
KATHRYN SIEMAN
TREASURER0.401.10Yes (X)Yes (X)$0$0$0
WAYNE TREMBLY
SECRETARY0.401.10Yes (X)Yes (X)$0$0$0
WILLIAM J CALHOUN
PRESIDENT (END 9/14)5.0050.30Yes (X)$0$431,695$14,940
LANE EARNS
BOARD MEMBER0.401.10Yes (X)$0$0$0
MARK W FAUSTICH MD
BOARD MEMBER40.001.10Yes (X)$465,056$0$3,699
MARY HARP-JIRSCHELE
BOARD MEMBER0.401.10Yes (X)$0$0$0
FREDERICK KLEIN MD
BOARD MEMBER0.401.10Yes (X)$0$0$0
JOSEPH MCCORMICK MD
BOARD MEMBER0.4040.70Yes (X)$456,058$0$21,532
KEVIN RALOFSKY
BOARD MEMBER0.400.80Yes (X)$0$0$0
JAY SAUTER
BOARD MEMBER0.400.30Yes (X)$0$0$0
STACEY SENSOR DO
BOARD MEMBER40.001.40Yes (X)$526,309$0$23,275
SUDEEP SODHI MD
BOARD MEMBER40.001.10Yes (X)$829,590$0$21,095
BARBARA J STRAND MD
BOARD MEMBER40.001.10Yes (X)$369,312$0$7,343
MONICA VOMASTIC
BOARD MEMBER0.401.10Yes (X)$0$0$0
MARLIN GREENFIELD
BOARD MEMBER0.401.10Yes (X)$0$0$0
NICHOLAS DESIEN
MINISTRY HEALTHCARE CEO0.3055.30Yes (X)$0$2,134,343$18,803
JEFFREY FRANCIS
MINISTRY HEALTHCARE CAFO0.3054.50Yes (X)$0$1,021,840$19,803
JANE CURRAN-MEULI
COO40.000.00$0$283,949$6,480Yes (X)
MICHAEL P HANSON
COO, MMG5.0035.30$0$481,232$16,344Yes (X)
MARK KEHRBERG MD
AHS CHIEF MEDICAL OFFICER10.0030.60$0$487,342$16,019Yes (X)
DAVID ROMOND
NHS VP SPECIALTY CARE40.000$462,403$0$15,531Yes (X)
ZENOUN O ABOUZELAM
PHYSICIAN40.000$1,526,018$0$23,214Yes (X)
KHALID ALAM
PHYSICIAN40.000$991,230$0$22,603Yes (X)
MICHELE A HOLDER
PHYSICIAN40.000$1,184,093$0$22,833Yes (X)
DOUGLAS B HORAN
PHYSICIAN40.000$1,436,312$0$20,325Yes (X)
TIMOTHY EDISON
PHYSICIAN40.000$855,717$0$22,382Yes (X)
JEFF BADGER
FORMER OFFICER0.000.00$0$659,840$13,832Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,102,098TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,144,351TotReportableCompRltdOrgAmt
Total Other Compensation$347,372TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K196IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
COMP HEALTH
PO BOX 972651DALLASTX75397LOCUMS$709,062
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX75397LOCUMS$532,025
GREENWOOD PROJECT MANAGEMENT LLC
W5163 NATURES WAY DRSHERWOODWI54169CONTRACTOR/PROJ MANGMNT$470,855
MARSHFIELD LABORATORIES
1000 N OAK AVENUEMARSHFIELDWI54449LAB SERVICE$391,215
MIDLAND HEALTH TESTING
12855 WEST LISBON ROADBROOKFIELDWI53005MEDICAL SERVICES$158,265SUITE 200
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$41,914RelatedOrganizationsAmt
All Other Contributions$4,358AllOtherContributionsAmt
Total Contributions$46,272TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE622110$129,502,201$129,502,201
MEDICARE MEANINGFUL US900099$603,452$603,452
MISC. OPERATING REVENUE900099$1,407,218$1,407,218
RENT FROM EXEMPT ORG.531190$335,061$335,061
INCOME FROM JV532000-$37,755-$37,755

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,009,673TotalRevenueColumnAmt
Related Or Exempt Func Income$4,009,673RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$135,819,850TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$197,684TotalRevenueColumnAmt
Exclusion$197,684ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$287,120RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$281,008RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$6,112RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,112TotalRevenueColumnAmt
Exclusion$6,112ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$12,482OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$12,482OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,482TotalRevenueColumnAmt
Exclusion$12,482ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
COSMETIC SALES621110$99,262$99,262
NON-OPERATING REV900099$39,483$39,483
DISCOUNTS900099$28,114$28,114

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$166,859OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$136,249,259TotalRevenueColumnAmt
Related Or Exempt Func Income$135,819,850RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$99,262UnrelatedBusinessRevenueAmt
Exclusion$283,875ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,201,202TotalAmt
Program Services$2,817,058ProgramServicesAmt
Management And General$384,144ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$108,798,059TotalAmt
Program Services$96,222,073ProgramServicesAmt
Management And General$12,575,986ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,225,585TotalAmt
Program Services$2,838,515ProgramServicesAmt
Management And General$387,070ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,590,890TotalAmt
Program Services$13,719,983ProgramServicesAmt
Management And General$1,870,907ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,080,771TotalAmt
Program Services$4,471,078ProgramServicesAmt
Management And General$609,693ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,292,660TotalAmt
Program Services$2,923,541ProgramServicesAmt
Management And General$1,369,119ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,122,228TotalAmt
Program Services$4,402,039ProgramServicesAmt
Management And General$720,189ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,094,231TotalAmt
Program Services$6,410,666ProgramServicesAmt
Management And General$683,565ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$794,651TotalAmt
Program Services$436,105ProgramServicesAmt
Management And General$358,546ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$484,421TotalAmt
Program Services$484,367ProgramServicesAmt
Management And General$54ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,598,225TotalAmt
Program Services$1,665,731ProgramServicesAmt
Management And General$932,494ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$987,897TotalAmt
Program Services$642,374ProgramServicesAmt
Management And General$345,523ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES$8,982,202$2,746,917$6,235,285
DRUGS$4,475,018$4,454,550$20,468
FOOD$93,415$49,435$43,980
DUES$59,356$18,629$40,727

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,147,347TotalAmt
Program Services$1,214,974ProgramServicesAmt
Management And General$932,373ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$173,028,158TotalAmt
Program Services$145,518,035ProgramServicesAmt
Management And General$27,510,123ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$14,013BOYAmt
EOY$10,592EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,696,929BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$15,633,822BOYAmt
EOY$21,198,795EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY-$688,724BOYAmt
EOY$420,132EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$27,320,134LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,549,082LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$24,861,936BOYAmt
EOY$23,771,052EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$879,184BOYAmt
EOY$743,338EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$16,029,060BOYAmt
EOY$14,187,695EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$62,426,220BOYAmt
EOY$60,331,604EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$67,148,574BOYAmt
EOY$104,867,731EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$32,095,550BOYAmt
EOY$29,060,676EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$99,244,124BOYAmt
EOY$133,928,407EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$36,817,904BOYAmt
EOY-$73,596,803EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$36,817,904BOYAmt
EOY-$73,596,803EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$62,426,220BOYAmt
EOY$60,331,604EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$36,778,899ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,309,832OtherCostOrOtherBasisAmt
Book Value$1,309,832BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,365,476OtherCostOrOtherBasisAmt
Depreciation$1,516,307DepreciationAmt
Book Value$17,849,169BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,336,028OtherCostOrOtherBasisAmt
Depreciation$2,011,382DepreciationAmt
Book Value$4,324,646BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$308,798OtherCostOrOtherBasisAmt
Depreciation$21,393DepreciationAmt
Book Value$287,405BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$23,771,052TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
457B PLAN$9,995,139
DUE FROM AFFILIATES$2,651,058
OTHER ACCOUNTS RECEIVABLE$1,298,951
PP&E HELD FOR SALE$200,000
DEPOSITS$42,547
FieldValueIRS element (for citing)
Total Book Value Other Assets$14,187,695TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
PENSION LIABILITY$10,337,254
RETIREMENT PLAN CONTRIBUTION$9,995,139
INTERCOMPANY DEBT WITH MINISTRY HEALTH CARE, INC$8,642,904
ASSET RETIREMENT OBLIGATION$85,379
FieldValueIRS element (for citing)
Total Liability$29,060,676TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationFrom the consolidated audited financial statements of Ministry Health Care, Inc. which include the activity of Network Health System, 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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MONICA ANN HILT
VP EASTERN REGION, MHC (START 1/11/15)$0$331,953$0$118,639$0$121,869$0$0$0$19,954$0$592,415$0$0
DANIEL NEUFELDER
VICE CHAIRMAN$0$791,344$0$259,379$0$20,926$0$0$0$17,365$0$1,089,014$0$0
WILLIAM J CALHOUN
PRESIDENT (END 9/14)$0$287,898$0$120,923$0$22,874$0$0$0$14,940$0$446,636$0$0
MARK W FAUSTICH MD
BOARD MEMBER$440,913$0$0$0$24,143$0$0$0$3,699$0$468,754$0$0$0
JOSEPH MCCORMICK MD
BOARD MEMBER$424,443$0$1,000$0$30,615$0$0$0$21,532$0$477,590$0$0$0
STACEY SENSOR DO
BOARD MEMBER$526,309$0$0$0$0$0$0$0$23,275$0$549,584$0$0$0
SUDEEP SODHI MD
BOARD MEMBER$817,681$0$0$0$11,909$0$0$0$21,095$0$850,685$0$0$0
BARBARA J STRAND MD
BOARD MEMBER$258,827$0$84,720$0$25,765$0$0$0$7,343$0$376,654$0$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
NICHOLAS DESIEN
MINISTRY HEALTHCARE 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 HEALTHCARE CAFO$0$438,327$0$141,768$0$441,745$0$0$0$19,803$0$1,041,644$0$0
JANE CURRAN-MEULI
COO$0$53,640$0$49,550$0$180,759$0$0$0$6,480$0$290,429$0$0
MICHAEL P HANSON
COO, MMG$0$312,831$0$106,037$0$62,364$0$0$0$16,344$0$497,576$0$0
MARK KEHRBERG MD
AHS CHIEF MEDICAL OFFICER$0$113,129$0$344,147$0$30,066$0$0$0$16,019$0$503,361$0$0
DAVID ROMOND
NHS VP SPECIALTY CARE$345,838$0$91,290$0$25,274$0$0$0$15,531$0$477,934$0$0$0
ZENOUN O ABOUZELAM
PHYSICIAN$1,496,478$0$1,000$0$28,540$0$0$0$23,214$0$1,549,232$0$0$0
KHALID ALAM
PHYSICIAN$952,290$0$0$0$38,940$0$0$0$22,603$0$1,013,833$0$0$0
MICHELE A HOLDER
PHYSICIAN$1,146,388$0$0$0$37,705$0$0$0$22,833$0$1,206,926$0$0$0
DOUGLAS B HORAN
PHYSICIAN$1,435,401$0$0$0$911$0$0$0$20,325$0$1,456,637$0$0$0
TIMOTHY EDISON
PHYSICIAN$842,705$0$0$0$13,012$0$0$0$22,382$0$878,099$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 PROCEDURES USED TO ESTABLISH CEO COMPENSATIONMINISTRY HEALTH CARE, INC., A RELATED ORGANIZATION OF NETWORK HEALTH SYSTEM, INC., USES THE FOLLOWING METHODS 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 planEligible 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. The following individuals received payout from Ministry Health Care's nonqualified retirement plan in the amount as noted: Jeffrey Francis - $260,079 Monica Hilt - $52,618

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 2 RELATED PERSONSMANY 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 CEO COMPENSATIONIN DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS, PERFORMED BY MINISTRY HEALTH CARE, INC., A RELATED ORGANIZATION OF NETWORK HEALTH SYSTEM, 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 NETWORK HEALTH SYSTEM, 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 stockholdersNetwork Health System, Inc. has a single corporate member, Affinity Health System.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyNetwork Health System, Inc. has a single corporate member, Affinity Health System, who has the ability to elect members to the governing body of Network Health System, Inc.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersAll decisions that have a material impact to the Network Health System, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, Affinity Health System.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyManagement, 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 policyThe 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 publicThe 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 A CompensationThe compensation paid to Mark Faustich, M.D., Joseph McCormick, M.D., Stacey Sensor, D.O., Sudeep Sodhi, M.D., and Barbara Strand, M.D. is for their services as physicians for Network Health System, Inc., and not for their role as board members for Network Health System, Inc.
Form 990, Part VIII, Line 2f Other Program Service Revenue- Total Revenue: 4009673, Related or Exempt Function Revenue: 4009673, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Schedule A, Part I, Line 3 Public Charity StatusNetwork Health System, Inc. is exempt as a hospital under Internal Revenue Code Section 170(b)(1)(A)(iii); however, it is not a hospital as defined by Form 990, Schedule H Instructions.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ASCENSION HEALTH ALLIANCE
PO BOX 45998ST LOUISMO63145453358926NATIONAL HEALTH SYSTEMMO501(c)(3Type INAfalse
ASCENSION HEALTH
PO BOX 45998ST LOUISMO63145311662309NATIONAL HEALTH SYSTEMMO501(c)(3Type IASCENSION HEALTH ALLIANCEfalse
MINISTRY HEALTH CARE INC
10925 W LAKE PARK DR STE 100MILWAUKEEWI53224391490371PARENT CORPORATIONWI501(c)(3Type IIASCENSION HEALTHfalse
AFFINITY HEALTH SYSTEM
1570 MIDWAY PLACEMENASHAWI54952391568866SUPPORT RELATED HEALTHCARE ORGANZIATIONSIL501(c)(3Type IIMINISTRY HEALTH CARE INCfalse
AGAPE COMMUNITY CENTER OF MILWAUKEE INC
6100 NORTH 42ND STREETMILWAUKEEWI53209391461846COMMUNITY CENTERWI501(c)(37MINISTRY HEALTH CARE INCfalse
CALUMET MEDICAL CENTER INC
614 MEMORIAL DRIVECHILTONWI53014390905385HOSPITALWI501(c)(33AFFINITY HEALTH SYSTEMYes (true)
CATALPA HEALTH INC
N4642 COUNTY NAPPLETONWI54914454681563MENTAL HEALTH FACILITYWI501(c)(33ST ELIZABETH HOSPITAL INCfalse
SAINT MICHAEL'S FOUNDATION OF STEVENS POINT INC
900 ILLINOIS AVENUESTEVENS POINTWI54481391657410CHARITABLE FOUNDATIONWI501(c)(3Type ISAINT MICHAEL'S HOSPITAL OF STEVENS POINTfalse
DOOR COUNTY MEMORIAL HOSPITAL
323 SOUTH 18TH AVENUESTURGEON BAYWI54235390806324HOSPITALWI501(c)(33MINISTRY HEALTH CARE INCfalse
DR KATE NEWCOMB CONVALESCENT CENTER INC
PO BOX 829WOODRUFFWI54568391357365LTC FACILITYWI501(c)(39HOWARD YOUNG HEALTH CARE INCfalse
EAGLE RIVER MEMORIAL HOSPTIAL INCORPORATED
201 HOSPITAL ROADEAGLE RIVERWI54521390985690HOSPITALWI501(c)(33THE HOWARD YOUNG MEDICAL CENTER INCfalse
FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC
3400 MINISTRY PARKWAYWESTONWI54476753193633CHARITABLE FOUNDATIONWI501(c)(3Type IMINISTRY HEALTH CARE INCfalse
FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD
611 SAINT JOSEPH AVENUEMARSHFIELDWI54449391684957CHARITABLE FOUNDATIONWI501(c)(3Type ISAINT JOSEPH'S HOSPITAL OF MARSHFIELD INCfalse
GOOD SAMARITAN HEALTH CENTER OF MERRILL WISCONSIN INC
601 SOUTH CENTER AVENUEMERRILLWI54452390808503HOSPITALWI501(c)(33MINISTRY HEALTH CARE INCfalse
GOOD SAMARITAN HEALTH CENTER FOUNDATION OF MERRILL WISCONSIN INC
601 SOUTH CENTER AVENUEMERRILLWI54452391627755CHARITABLE FOUNDATIONWI501(c)(3Type IGOOD SAMARITAN HEALTH CENTER OF MERRILLfalse
HOWARD YOUNG FOUNDATION INC
240 MAPLE STREETWOODRUFFWI54568391521169CHARITABLE FOUNDATIONWI501(c)(37HOWARD YOUNG HEALTH CARE INCfalse
HOWARD YOUNG HEALTH CARE INC
240 MAPLE STREETWOODRUFFWI54568391499115HOME OFFICEWI501(c)(3Type IIMINISTRY HEALTH CARE INCfalse
THE HOWARD YOUNG MEDICAL CENTER INC
240 MAPLE STREETWOODRUFFWI54568390873606HOSPITALWI501(c)(33HOWARD YOUNG HEALTH CARE INCfalse
MERCY HEALTH FOUNDATION INC
PO BOX 3370OSHKOSHWI54903237140261CHARITABLE FOUNDATIONWI501(c)(39AFFINITY HEALTH SYSTEMYes (true)
MERCY MEDICAL CENTER OF OSHKOSH INC
500 S OAKWOOD ROADOSHKOSHWI54904390806268HOSPITALWI501(c)(33MINISTRY HEALTH CARE INCfalse
MINISTRY HOME CARE INC
611 ST JOSEPH AVENUE 4SMARSHFIELDWI54449391936201HOME CARE/ HOSPICEWI501(c)(39MINISTRY HEALTH CARE INCfalse
MINISTRY MEDICAL GROUP INC
824 ILLINOIS AVENUESTEVENS POINTWI54481391965593CLINICSWI501(c)(3Type III-FIMINISTRY HEALTH CARE INCfalse
MINSTRY WEIGHT MANAGEMENT INC
2251 NORTH SHORE DRIVERHINELANDERWI54501391829015HEALTH SERVICESWI501(c)(33SACRED HEART-ST MARY'S HOSPITALS INCfalse
OUR LADY OF VICTORY HOSPITAL
1120 PINE STREETSTANLEYWI54768390807065HOSPITALWI501(c)(33MINISTRY HEALTH CARE INCfalse
SACRED HEART-STMARY'S HOSPITALS INC
PO BOX 347STEVENS POINTWI54481391390638HOSPITALWI501(c)(33MINISTRY HEALTH CARE INCfalse
SAINT CLARE'S HOSPITAL OF WESTON INC
3400 MINISTRY PARKWAYWESTONWI54476721531917HOSPITALWI501(c)(33MINISTRY HEALTH CARE INCfalse
SAINT ELIZABETH'S HOSPITAL OF WABASHA INC
1200 GRANT BLVD WESTWABASHAMN55981410693877HOSPITALMN501(c)(33MINISTRY HEALTH CARE INCfalse
SAINT ELIZABETH'S HOSPITAL FOUNDATION INC
1506 S ONEIDA STREETAPPLETONWI54915391256677CHARITABLE FOUNDATIONWI501(c)(37AFFINITY HEALTH SYSTEMYes (true)
ST ELIZABETH HOSPITAL INC
1506 S ONEIDA STREETAPPLETONWI54915390816818HOSPITALWI501(c)(33MINISTRY HEALTH CARE INCfalse
SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC
611 SAINT JOSEPH AVENUEMARSHFIELDWI54449391847631HOSPITALWI501(c)(33MINISTRY HEALTH CARE INCfalse
SAINT MICHAEL'S HOSPITAL OF STEVENS POINT INC
900 ILLINOIS AVENUESTEVENS POINTWI54481390808443HOSPITALWI501(c)(33MINISTRY HEALTH CARE INCfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1TWIN MED LLPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 8005AddressLine1Txt
CityMENASHACityNm
State AbbreviationWIStateAbbreviationCd
ZIP54952ZIPCd
FieldValueIRS element (for citing)
EIN391180341EIN
Primary ActivitiesRENTAL PROPERTYPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NETWORK HEALTH SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeExcludedPredominantIncomeTypeTxt
Share Of Total Income-$4,633ShareOfTotalIncomeAmt
Share Of EOY Assets$253,258ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
Ownership0.6405OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
NETWORK HEALTH PLAN INC
1570 MIDWAY PLACEMENASHAWI54952391442058INSURANCEWINetwork Health System IncC Corporation-$26,274$141,303,6430.50Yes (true)
MINISTRY HOLDINGS INC
1570 MIDWAY PLACEMENASHAWI54952422966177INSURANCE HOLDING COMPANYWINAC Corporationfalse
NETWORK HEALTH INSURANCE CORPORATION
1570 Midway PlaceMenashaWI54952392020474INSURANCEWINAC Corporationfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (23 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CALUMET MEDICAL CENTER INC
O$122,945FMV
MINISTRY HEALTH CARE INC
O$215,943FMV
MERCY MEDICAL CENTER OF OSHKOSH INC
O$119,433FMV
ST ELIZABETH HOSPITAL INC
O$183,179FMV
AFFINITY HEALTH SYSTEM
O$285,702FMV
MINISTRY HEALTH CARE INC
Q$73,583,842FMV
AFFINITY HEALTH SYSTEM
Q$7,111,836FMV
CALUMET MEDICAL CENTER INC
Q$81,467FMV
MERCY MEDICAL CENTER OF OSHKOSH INC
Q$1,555,960FMV
ST ELIZABETH HOSPITAL INC
Q$629,132FMV
MERCY MEDICAL CENTER OF OSHKOSH INC
L$146,605FMV
ST ELIZABETH HOSPITAL INC
L$1,638,352FMV
ST ELIZABETH HOSPITAL INC
J$199,589FMV
CALUMET MEDICAL CENTER INC
L$1,203,833FMV
CALUMET MEDICAL CENTER INC
A$137,391FMV
MINISTRY HEALTH CARE INC
L$149,152FMV
ST ELIZABETH HOSPITAL INC
M$163,938FMV
MERCY MEDICAL CENTER OF OSHKOSH INC
M$310,063FMV
MERCY MEDICAL CENTER OF OSHKOSH INC
K$1,734,390FMV
ST ELIZABETH HOSPITAL INC
K$2,536,508FMV
MINISTRY HEALTH CARE INC
P$25,545,043FMV
MINISTRY HEALTH CARE INC
S$484,367FMV
MINISTRY HEALTH CARE INC
E$8,326,166FMV