ASCENSION NE WISCONSIN INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: ASCENSION NE WISCONSIN INC (EIN 39-0816818)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-16
IRS object ID: 201621379349309537
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 I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-16T16:53:29-05:00	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 Street 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	390816818	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Elizabeth Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STEL	BusinessNameControlTxt
Phone	9207382000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1506 South Oneida Street	AddressLine1Txt
City	Appleton	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	549151397	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

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	Monica Hilt	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1506 South Oneida Street	AddressLine1Txt
City	Appleton	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	549151397	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$201,247,042	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.affinityhealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1899	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	To further the healing ministry of Jesus by improving the health and well-being of all people.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1359	TotalEmployeeCnt
Total Volunteers	356	TotalVolunteersCnt
Total Gross UBI	$201,867	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$8,657	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,469,503	PYContributionsGrantsAmt
CY Contributions Grants	$1,196,319	CYContributionsGrantsAmt
PY Program Service Revenue	$184,284,906	PYProgramServiceRevenueAmt
CY Program Service Revenue	$195,612,809	CYProgramServiceRevenueAmt
PY Investment Income	$235,141	PYInvestmentIncomeAmt
CY Investment Income	$142,556	CYInvestmentIncomeAmt
PY Other Revenue	$4,584,388	PYOtherRevenueAmt
CY Other Revenue	$2,968,979	CYOtherRevenueAmt
PY Total Revenue	$190,573,938	PYTotalRevenueAmt
CY Total Revenue	$199,920,663	CYTotalRevenueAmt
PY Grants And Similar Paid	$613,381	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$70,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$78,437,985	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$85,704,460	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$74,601,315	PYOtherExpensesAmt
CY Other Expenses	$76,994,919	CYOtherExpensesAmt
PY Total Expenses	$153,652,681	PYTotalExpensesAmt
CY Total Expenses	$162,769,379	CYTotalExpensesAmt
PY Revenues Less Expenses	$36,921,257	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$37,151,284	CYRevenuesLessExpensesAmt
Total Assets BOY	$195,528,987	TotalAssetsBOYAmt
Total Assets EOY	$232,239,054	TotalAssetsEOYAmt
Total Liabilities BOY	$126,076,497	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$126,799,006	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$69,452,490	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$105,440,048	NetAssetsOrFundBalancesEOYAmt
Mission	The mission of St. Elizabeth Hospital, Inc. 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 Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$126,839,417	ExpenseAmt
Grant	$70,000	GrantAmt
Revenue	$195,962,950	RevenueAmt
Desc	ST. ELIZABETH HOSPITAL, INC. PROVIDES INPATIENT, OUTPATIENT, EMERGENCY ROOM, AND ANCILLARY SERVICES REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. THE HOSPITAL ALSO PROVIDES EDUCATIONAL PROGRAMS AND SERVICES ON HEALTH CARE ISSUES TO THE COMMUNITY IT SERVES. SEE SCHEDULE H FOR FURTHER DETAILS.	Desc
Total Program Service Expenses	$126,839,417	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	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	84	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1359	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	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	9	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 (29 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
WILLIAM J CALHOUN
HOSPITAL PRES-STE APP (END 9/14)	10.00	45.30	Yes (X)	Yes (X)	$0	$431,695	$14,940
MONICA ANN HILT
PRESIDENT STE HOSPITAL (START 1/15)	17.00	27.90	Yes (X)	Yes (X)	$0	$572,461	$19,954
STEPHEN C MORTON
CHAIRMAN	0.30	1.20	Yes (X)	Yes (X)	$0	$0	$0
DANIEL NEUFELDER
SR. VP HOSP OPS/VICE CHAIR	10.00	53.30	Yes (X)	Yes (X)	$0	$1,071,649	$17,365
KATHRYN SIEMAN
TREASURER	0.30	1.20	Yes (X)	Yes (X)	$0	$0	$0
WAYNE TREMBLY
SECRETARY	0.30	1.20	Yes (X)	Yes (X)	$0	$0	$0
LANE EARNS
BOARD MEMBER	0.30	1.20	Yes (X)		$0	$0	$0
MARK W FAUSTICH MD
BOARD MEMBER	0.30	40.80	Yes (X)		$0	$465,056	$3,699
MARY HARP-JIRSCHELE
BOARD MEMBER	0.30	1.20	Yes (X)		$0	$0	$0
FREDERICK KLEIN MD
BOARD MEMBER	0.30	1.20	Yes (X)		$0	$0	$0
JOSEPH MCCORMICK MD
BOARD MEMBER	0.30	1.20	Yes (X)		$0	$456,058	$21,532
KEVIN RAFLOFSKY
BOARD MEMBER	0.30	1.10	Yes (X)		$0	$0	$0
JAY SAUTER
BOARD MEMBER (END 9/14)	0.30	0.40	Yes (X)		$0	$0	$0
STACEY SENSOR DO
BOARD MEMBER	0.30	41.10	Yes (X)		$0	$526,309	$23,275
SUDEEP SODHI MD
BOARD MEMBER	0.30	40.80	Yes (X)		$0	$829,590	$21,095
BARBARA J STRAND MD
BOARD MEMBER	0.30	40.80	Yes (X)		$0	$369,312	$7,343
MONICA VOMASTIC
BOARD MEMBER	0.30	1.20	Yes (X)		$0	$0	$0
MARLIN GREENFIELD
BOARD MEMBER (START 10/14)	0.30	1.20	Yes (X)		$0	$0	$0
TRAVIS ANDERSON
HOSPITAL PRES-STE-APP (END 8/2014)	25.60	1.90		Yes (X)	$0	$344,821	$13,716
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
LAWRENCE DONATELLE
VICE PRESIDENT OF MEDICAL AFFAIRS	40.00	0			$0	$376,131	$17,613	Yes (X)
MARK KEHRBERG MD
CHIEF MEDICAL OFFICER	10.00	30.60			$0	$487,342	$16,019	Yes (X)
JENNIE REBECCA GAURKEE
PHARMACY DIRECTOR	40.00	0			$176,334	$0	$19,377		Yes (X)
BRIAN G HUMPHREY
SENIOR ULTRASOUND TECHNOLOGIST	40.00	0			$153,658	$0	$7,655		Yes (X)
DEBRA LASTOFKA
PHARMACIST	35.00	0			$180,691	$0	$15,783		Yes (X)
NANETTE KRIZENESKY
REGISTERED NURSE LEAD-ICU	36.00	0			$170,532	$0	$18,729		Yes (X)
ERIC LOBB
MEDICAL PHYSICIST	40.00	0			$149,291	$0	$7,925		Yes (X)
JEFF BADGER
FORMER OFFICER	0.00	0.00			$0	$659,840	$13,832			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$830,507	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,746,446	TotReportableCompRltdOrgAmt
Total Other Compensation	$298,458	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	42	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	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
THE BOLDT COMPANY
2525 N ROEMER RD	PO BOX 419	APPLETON	WI	54912	CONSTRUCTION SERVICES	$34,133,061
BOLDT PROCUREMENT LLC
2525 N ROEMER RD	PO BOX 419	APPLETON	WI	54912	CONSTRUCTION SERVICES	$14,677,748
SHARED MEDICAL SERVICES
209 LIMESTONE PASS		COTTAGE GROVE	WI	53527	MRI/CT SERVICES	$1,155,662
HAMEL GREEN & ABRAHAMSON INC
333 EAST ERIE STREET		MILWAUKEE	WI	53202	CONSULTING & DESIGN SERVICES	$1,066,995
GUNDERSON INC
41 MAIN ST		MENASHA	WI	549523198	DRY CLEANING SERVICES	$574,704

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	25	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$1,157,882	RelatedOrganizationsAmt
Government Grants	$38,437	GovernmentGrantsAmt
Total Contributions	$1,196,319	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Revenue	622110	$195,118,517	$195,118,517
Misc. Hospital Revenue	622000	$1,309,865	$1,309,865
Outpatient Lab Revenue	621500	$197,017		$197,017
Genetic Services	900099	$4,850		$4,850
Equity Int. in Catalpa	621500	-$1,127,508	-$1,127,508

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$110,068	TotalRevenueColumnAmt
Related Or Exempt Func Income	$110,068	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$195,612,809	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$98,664	TotalRevenueColumnAmt
Exclusion	$98,664	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,702,282	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,326,379	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,375,903	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,375,903	TotalRevenueColumnAmt
Exclusion	$1,375,903	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$43,892	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$43,892	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$43,892	TotalRevenueColumnAmt
Exclusion	$43,892	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
EHR Incentive Payment	900099	$333,004	$333,004
Cafeteria Income	722210	$1,041,068		$1,041,068
Other Non-Op. Revenue	900099	$219,004	$219,004

Miscellaneous Revenue MiscellaneousRevenueGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$1,593,076	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$199,920,663	TotalRevenueColumnAmt
Related Or Exempt Func Income	$195,962,950	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$201,867	UnrelatedBusinessRevenueAmt
Exclusion	$2,559,527	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$70,000	TotalAmt
Program Services	$70,000	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$66,621,247	TotalAmt
Program Services	$54,576,510	ProgramServicesAmt
Management And General	$12,044,737	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,115,577	TotalAmt
Program Services	$1,734,773	ProgramServicesAmt
Management And General	$380,804	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,920,335	TotalAmt
Program Services	$9,896,379	ProgramServicesAmt
Management And General	$3,023,956	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,047,301	TotalAmt
Program Services	$3,318,787	ProgramServicesAmt
Management And General	$728,514	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,767,919	TotalAmt
Program Services	$865,900	ProgramServicesAmt
Management And General	$2,902,019	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$26,477,175	TotalAmt
Program Services	$25,793,703	ProgramServicesAmt
Management And General	$683,472	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,440	TotalAmt
Program Services	$2,440	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,215,230	TotalAmt
Program Services	$3,411,173	ProgramServicesAmt
Management And General	$804,057	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$459,471	TotalAmt
Program Services	$115,209	ProgramServicesAmt
Management And General	$344,262	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,191	TotalAmt
Program Services	$1,191	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,662,041	TotalAmt
Program Services	$2,662,041	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,714,939	TotalAmt
Program Services	$8,787,339	ProgramServicesAmt
Management And General	$927,600	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$445,139	TotalAmt
Program Services	$437,411	ProgramServicesAmt
Management And General	$7,728	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Purchased Services	$13,182,398	$6,877,786	$6,304,612
Pharmaceuticals	$7,347,092	$7,327,616	$19,476
Food	$808,217	$723,457	$84,760
Dues	$246,682	$23,864	$222,818

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,664,985	TotalAmt
Program Services	$213,838	ProgramServicesAmt
Management And General	$7,451,147	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$162,769,379	TotalAmt
Program Services	$126,839,417	ProgramServicesAmt
Management And General	$35,929,962	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,280,970	BOYAmt
EOY	$14,415,110	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$660,107	BOYAmt
EOY	$660,107	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$27,070,582	BOYAmt
EOY	$28,358,025	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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,145,705	BOYAmt
EOY	$3,226,965	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$169,831	BOYAmt
EOY	$206,896	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$196,581,597	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$16,611,618	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$153,657,110	BOYAmt
EOY	$179,969,979	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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$7,544,682	BOYAmt
EOY	$5,401,972	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$195,528,987	BOYAmt
EOY	$232,239,054	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$36,770,693	BOYAmt
EOY	$41,090,959	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$79,236,726	BOYAmt
EOY	$78,839,410	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,069,078	BOYAmt
EOY	$6,868,637	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$126,076,497	BOYAmt
EOY	$126,799,006	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$68,434,029	BOYAmt
EOY	$105,239,709	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,018,461	BOYAmt
EOY	$200,339	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$69,452,490	BOYAmt
EOY	$105,440,048	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$195,528,987	BOYAmt
EOY	$232,239,054	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$37,151,284	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$212,666	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$951,060	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	$9,356	OtherActivitiesAmt
Total Lobbying Expenditures	$9,356	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. St. Elizabeth Hospital, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,137,024	OtherCostOrOtherBasisAmt
Book Value	$4,137,024	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$139,636,153	OtherCostOrOtherBasisAmt
Depreciation	$7,416,558	DepreciationAmt
Book Value	$132,219,595	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,256,064	OtherCostOrOtherBasisAmt
Depreciation	$155,168	DepreciationAmt
Book Value	$2,100,896	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$48,871,007	OtherCostOrOtherBasisAmt
Depreciation	$8,977,996	DepreciationAmt
Book Value	$39,893,011	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,681,349	OtherCostOrOtherBasisAmt
Depreciation	$61,896	DepreciationAmt
Book Value	$1,619,453	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$179,969,979	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Pension Liability	$5,446,130
Due to third party payors	$262,899
457(b) Plan	$639,608
Unspecified revenue	$520,000
Deferred tax liability

Field	Value	IRS element (for citing)
Total Liability	$6,868,637	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 St. Elizabeth Hospital, 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 or expected to be taken in a tax returns.	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
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$698,208	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$698,208	NetCommunityBenefitExpnsAmt
Total Expense	0.0043	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,501,393	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,501,393	NetCommunityBenefitExpnsAmt
Total Expense	0.0092	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,537	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,537	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	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	$2,207,138	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,207,138	NetCommunityBenefitExpnsAmt
Total Expense	0.0136	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	2267	PersonsServedCnt
Total Community Benefit Expns	$663,473	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,702	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$661,771	NetCommunityBenefitExpnsAmt
Total Expense	0.0041	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	2	PersonsServedCnt
Total Community Benefit Expns	$1,383,808	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$162,575	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,221,233	NetCommunityBenefitExpnsAmt
Total Expense	0.0075	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	15	PersonsServedCnt
Total Community Benefit Expns	$5,418,514	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,151,226	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,267,288	NetCommunityBenefitExpnsAmt
Total Expense	0.0078	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
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	$473,252	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$473,252	NetCommunityBenefitExpnsAmt
Total Expense	0.0029	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	25	ActivitiesOrProgramsCnt
Persons Served	2284	PersonsServedCnt
Total Community Benefit Expns	$7,939,047	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,315,503	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,623,544	NetCommunityBenefitExpnsAmt
Total Expense	0.0223	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	25	ActivitiesOrProgramsCnt
Persons Served	2284	PersonsServedCnt
Total Community Benefit Expns	$10,146,185	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,315,503	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,830,682	NetCommunityBenefitExpnsAmt
Total Expense	0.0358	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)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	15	PersonsServedCnt
Total Community Benefit Expns	$349	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$349	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	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)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	17	PersonsServedCnt
Total Community Benefit Expns	$158	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$158	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$30,722	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,722	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	78	PersonsServedCnt
Total Community Benefit Expns	$1,499	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,499	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	64	PersonsServedCnt
Total Community Benefit Expns	$3,396	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,396	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	11	ActivitiesOrProgramsCnt
Persons Served	174	PersonsServedCnt
Total Community Benefit Expns	$36,124	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,124	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$8,605,839	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$75,202,005	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$71,275,595	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,926,410	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Elizabeth Hospital Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1506 South Oneida Street	AddressLine1Txt
City	Appleton	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54915	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.affinityhealth.org	WebsiteAddressTxt
State License	88	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	St Elizabeth Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	http://www.affinityhealth.org/Affinity-Files/Community-Health-Needs-Assessments/FY2013-STE-CHNA_FINA	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	12	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	http://www.affinityhealth.org/Affinity-Files/Community-Health-Needs-Assessments/FY2013_STE_Implement	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	2.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	3.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	http://ministryhealth.org/Ministry_Health_Care/Financial_Assistance_Program_RC08.pdf	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	http://ministryhealth.org/Ministry_Health_Care/MHC_FinancialAid_Application_REV4.pdf	FAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - St. Elizabeth Hospital, Inc.. St. Elizabeth Hospital, Inc. participated in the assessment processes that gathered input from both private and public Outagamie, Calumet, and Winnebago County organization members including: medical staff, nurses and administrators, clinic personnel, public health nurses and educators, behavioral health staff and leaders, health insurance-health management staff, 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 community members interested in the health needs assessment process. Several Affinity representatives participated as a member of the Fox Valley L.I.F.E. Study and/or Fox Valley Regional Community Health Coalition throughout the assessment process. Ernesto Gonzalez, CASA Hispana, was consulted about the Latino community health needs. As part of the Fox Cities L.I.F.E. Study, Kristene Stacker, Fox Cities Community Health Clinic, was consulted about the medically under-served community health needs. Outagamie County Public Health Experts include: - Mary Dorn, Public Health Manager of Outagamie County, Department of Health and Human Services, Division of Public Health BSN and Master's in Public Health (MPH). Fifteen years of public health experience in tribal and local health department settings focusing on population based health. - Sue Kamien, Health Officer/Maternal Child Health Supervisor of Outagamie County Health and Human Services. More than 30 years of public health experience with a focus on nutrition, maternal and child health. - Ellen Koski, Community Health Educator of Outagamie County, Department of Health and Human Services, Division of Public Health, Master's in Public Health (MPH). Nine years of academic and community programming through the University of Minnesota School of Public Health. - City of Appleton Health Experts include: Kurt Eggebrecht, Public Health Officer, Appleton Health Department, Master's in Education (M.Ed). Thirteen years of experience as City of Appleton Health Officer conducting and overseeing community health needs assessments; has more than 34 years health promotion/disease prevention experience. City of Menasha Health Experts, include: - Sue Nett, Public Health Director, City of Menasha Health Department BSN and Master in Public Administration. About 28 years of experience as City of Menasha Public Health Director overseeing the health of the community with 10 years of experience conducting and overseeing community needs assessments (as part of the Fox Cities L.I.F.E. Study).
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - St. Elizabeth Hospital, Inc.. The CHNA was conducted with Calumet Medical Center, Mercy Medical Center, Thedacare, and Aurora Health.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - St. Elizabeth Hospital, Inc.. The CHNA was conducted with the Health Departments of Appleton, Neenah, Menasha, Calumet County, Outagamie County and Winnebago County.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - St. Elizabeth Hospital Inc. Using the CHNA conducted in 2012, the hospital developed, adopted, and worked on executing a 2014-2016 Implementation Strategy to address priority community health needs. In 2014, the hospital implemented the following plan to address the priority needs: 1. Access to healthcare: Continue to support services that improve community residents' and patients' access to health care. Provide funding to community clinics. Expand health services to Spanish speaking farming population. 2. Mental Health: Decrease rate of suicide in the Fox Valley - Create QPR Portal to promote QPR training and resources - Expand QPR trainings to Spanish speaking population in the area. - Create a community-wide suicide prevention collaboration 3. Obesity: Reduce obesity in Fox Valley residents. - Organize a kick-off event for Weight of the Fox Valley action teams. - Expand Weight of the Fox Valley's web and social media presence. - Establish a process to share BMI information between Weight of the Fox Valley partners. Three other broad health categories were identified by the Community Health Needs Assessment process. While individual segments within our system are addressing specific health needs within these broad categories (i.e. COPD, hypertension, palliative care, etc.), the following will not be a priority of St. Elizabeth Hospital: Chronic Disease Management- already being addressed by others in the community and system (with the exception of obesity, which is a priority need for St. Elizabeth Hospital) ; Sexual Activity, Pregnancy and Parenting - already being addressed by others in the community; Preventive Care Services - already being addressed by others in the community.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c Other Factors other than FPG	It is the policy of St. Elizabeth Hospital, Inc. to provide medically necessary health care services to people in the communities it serves, regardless of their ability to pay. Affinity Care financial assistance is granted based upon the patient's inability to pay and to individuals who are uninsured, underinsured or medically indigent. Affinity Care works in collaboration with other financial (both public and private) assistance programs. This is to ensure holistic wellness of patients by facilitating knowledge of abailable services and programs for health while practicing good stewardship of funds. Key criteria utilized to determine eligibility for Affinity Care financial assistance includes family size, federal poverty income guidelines and available assets. The available asset test includes consideration of the amount of equity in a home, automobiles, and savings accounts which are considered part of total allowable income when assessing against the federal poverty income guidelines.
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	ST. ELIZABETH HOSPITAL, 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. Prior year cost report settlements are excluded from the shortfall calculation in order to get a true fiscal year shortfall amount.
Schedule H, Part II Community Building Activities	Community-building activities include programs that, while not directly related to health care, provide opportunities to address the root causes of health problems, such as poverty, homelessness, and environmental problems. These activities support community assets by offering the expertise and resources of the organization. Costs for these activities include, cash, in-kind donations, and expenditures for the development of a variety of community health programs and partnerships. Some examples include: Rebuilding Together in which managers from St. Elizabeth Hospital went out to help low-income elderly members of the community with remodeling projects to improve safety or condition of their homes. Another example is the Health Career Experience Day in which professionals from St. Elizabeth Hospital, Inc. highlighted a variety of healthcare careers and talk about their professions (i.e. nursing, surgery, laboratory, and radiology).
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	St. Elizabeth Hospital, 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 St. Elizabeth Hospital, Inc.): The provision for doubtful accounts is based upon management's assessment of expected net collections considering historical experience, economic conditions, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts. 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. The Health Ministry has not experienced material changes in write-off trends and has not materially changed its charity care policy in the current 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	St. Elizabeth Hospital, Inc. 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. Elizabeth Hospital, Inc.: 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. Elizabeth Hospital, Inc.: Line 16b URL: http://ministryhealth.org/Ministry_Health_Care/MHC_FinancialAid_Application_REV4.pdf;
Schedule H, Part VI, Line 2 Needs assessment	St. Elizabeth Hospital, Inc. performs community health needs assessments as needed. Planning workgroups consisting of community partners are formed to define the community and its health needs through review of United Way Life Study results, Healthy 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 insubsequent community health needs assessments. The leadership at Affinity takes their commitment to the health and well-bring of the community it serves very seriously. In fact, it is core to the Organization's mission, "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." Senior leaders and management are also highly encouraged to provide direct service to the poor in their communities. St. Elizabeth and the leadership also subscribe to publications like the Advisory Board to compare national trends to local trends to ensure the hospital is resourcing areas to meet patient needs.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	St. Elizabeth Hospital, Inc. 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 organizations Affinity Care Policy. The Affinity Care Policy and application is posted on the Organization's website. Admissions and other key areas contain summary information of the Affinity 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 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 organizations Affinity Care Program. Patients may be identified as needing financial assistance at any time during the course of an encounter. A referral for consideration of Affinity 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 Affinity Care financial assistance. The Affinity Care brochure 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 guidelines to follow when interacting with patients. As part of the Affinity 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. St. Elizabeth Hospital, Inc. 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. St. Elizabeth Hospital, Inc., like most community 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: I/P adult behavioral health services, I/P adolescent behavioral health services and neonatal intensive care services. The City of Appleton is located in Outagamie, Calumet, and Winnebago counties. According to the 2008-2012 American Community Survey 5-Year Estimates, there were 72,575 people living in Appleton, consisting of 28,428 households and 18,074 families. The population density of Appleton was 2,984.9 people per square mile. The population consisted of 86.0% White, 4.7% Hispanic, 1.6% African American, 0.5% Native American, 5.3% Asian, and 1.9% Other. Of the 28,428 households in Appleton, 32.8% of those had children under the age of 18, living at home. The 28,428 households are categorized as 49% married couples living together, 4.1% had a male head of household with no wife present, 10.5% had a female head of household with no husband present, and 47% were non-families. 29.6% of the households consisted of individuals and 10.1% had someone 65 and older living alone. The age population is widely spread. 28.9% were under 18, 6.5% were 19-24, 26.8% were 25-44, 26.3% were 45-64, and 11.5% were 65+. The median income for a household was $52,605 and the median income for a family was $66,781. The per capita income for the city was $27,106. The largest industry in Appleton is educational, health and social services (21.5%). Manufacturing (20.4%) and retail trade (11.4%) are the next largest industries in Appleton. Roughly 8% of families and 10.5% of the population were below the poverty line. That includes 13.5% of those under 18 years old and 7.4% of those 65 and older. The unadjusted seasonal unemployment rate for Outagamie, Calumet, and Winnebago Counties was 4.0%, 3.7%, and 4.3%, respectively, compared to a state unemployment rate of 5.1% and a national unemployment rate of 7.9%.
Schedule H, Part VI, Line 5 Promotion of community health	The Organization strives to further its exempt purposes by the following: (1) The Organization's governing board consists primarily of persons who reside within the primary service area who are not employees of the Organization. (2) As mentioned, the Organization provides several services which are not otherwise available being in a rural setting. (3) Based on the Organization's mission, emergency rooms are made available to all patients regardless of the ability to pay. (4) The Organization also participates in the education and training of healthcare professionals through internship programs. Certain specialized services available include: dental services to primarily the indigent, fertility clinic services and WIC home visits to new mothers and infants.
Schedule H, Part VI, Line 6 Affiliated health care system	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 (SEE NOTE 3). 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): CALUMET MEDICAL CENTER, INC. (CMC): AFFINITY MEDICAL GROUP (AMG) TWIN MED, LLC MERCY MEDICAL CENTER, INC. MERCY HEALTH FOUNDATION ST. ELIZABETH HOSPITAL CATALPA HEALTH: ST. ELIZABETH FOUNDATION AGAPE COMMUNITY CENTER OF MILWAUKEE, INC. DOOR COUNTY MEMORIAL HOSPITAL (DOOR COUNTY) GOOD SAMARITAN HEALTH CENTER OF MERRILL GOOD SAMARITAN HEALTH CENTER FOUNDATION HOWARD YOUNG HEALTH CARE, INC. (HOWARD YOUNG): DR. KATE NEWCOMB CONVALESCENT CENTER HOWARD YOUNG MEDICAL CENTER, INC. DR. HOWARD YOUNG FOUNDATION EAGLE RIVER MEMORIAL HOSPITAL, INC. MINISTRY MEDICAL GROUP, INC. MINISTRY HOLDINGS, INC. (THROUGH NOVEMBER 1, 2014): NETWORK HEALTH (NH) (THROUGH NOVEMBER 1, 2014) NETWORK HEALTH INSURANCE CORPORATION (NHIC) (THRU NOVEMBER 1, 2014) OUR LADY OF VICTORY HOSPITAL SACRED HEART HOSPITAL-ST. MARY'S HOSPITAL, INC. ST. CLARE'S HOSPITAL OF WESTON, INC. FOUNDATION OF ST. CLARE'S HOSPITAL OF WESTON, INC. ST. ELIZABETH'S HOSPITAL OF WABASHA, INC. ST. JOSEPH'S HOSPITAL OF MARSHFIELD, INC. FOUNDATION OF ST. JOSEPH'S HOSPITAL OF MARSHFIELD, INC. ST. MICHAEL'S HOSPITAL OF STEVENS POINT, INC. ST. MICHAEL'S FOUNDATION OF STEVENS POINT, INC. 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: 1. 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. 2. 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. 3. 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. 4. 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 I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PARTNERSHIP COMMUNITY HEALTH CENTER INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5337 GRANDE MARKET DRIVE	AddressLine1Txt
City	APPLETON	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54913	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	202090446	RecipientEIN
IRC Section	SECTION 501(C)(3)	IRCSectionDesc
Cash Grant	$70,000	CashGrantAmt
Purpose Of Grant	Provide medical care for the uninsured in our community.	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds	Each year St. Elizabeth Hospital provides a grant based on an integration agreement. The integration agreement substantiates the amount and the recipient of the grant.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	Each year St. Elizabeth Hospital provides a grant based on an integration agreement. The integration agreement substantiates the amount and the recipient of the grant.

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 (19 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
WILLIAM J CALHOUN
HOSPITAL PRES-STE APP (END 9/14)	$0	$287,898	$0	$120,923	$0	$22,874	$0	$0	$0	$14,940	$0	$446,636	$0	$0
MONICA ANN HILT
PRESIDENT STE HOSPITAL (START 1/15)	$0	$331,953	$0	$118,639	$0	$121,869	$0	$0	$0	$19,954	$0	$592,415	$0	$0
DANIEL NEUFELDER
SR. VP HOSP OPS/VICE CHAIR	$0	$791,344	$0	$259,379	$0	$20,926	$0	$0	$0	$17,365	$0	$1,089,014	$0	$0
MARK W FAUSTICH MD
BOARD MEMBER	$0	$440,913	$0	$0	$0	$24,143	$0	$0	$0	$3,699	$0	$468,754	$0	$0
JOSEPH MCCORMICK MD
BOARD MEMBER	$0	$424,443	$0	$1,000	$0	$30,615	$0	$0	$0	$21,532	$0	$477,590	$0	$0
STACEY SENSOR DO
BOARD MEMBER	$0	$526,309	$0	$0	$0	$0	$0	$0	$0	$23,275	$0	$549,584	$0	$0
SUDEEP SODHI MD
BOARD MEMBER	$0	$817,681	$0	$0	$0	$11,909	$0	$0	$0	$21,095	$0	$850,685	$0	$0
BARBARA J STRAND MD
BOARD MEMBER	$0	$258,827	$0	$84,720	$0	$25,765	$0	$0	$0	$7,343	$0	$376,654	$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
TRAVIS ANDERSON
HOSPITAL PRES-STE-APP (END 8/2014)	$0	$176,807	$0	$136,945	$0	$31,068	$0	$0	$0	$13,716	$0	$358,537	$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
LAWRENCE DONATELLE
VICE PRESIDENT OF MEDICAL AFFAIRS	$0	$279,755	$0	$70,341	$0	$26,035	$0	$0	$0	$17,613	$0	$393,744	$0	$0
MARK KEHRBERG MD
CHIEF MEDICAL OFFICER	$0	$113,129	$0	$344,147	$0	$30,066	$0	$0	$0	$16,019	$0	$503,361	$0	$0
JENNIE REBECCA GAURKEE
PHARMACY DIRECTOR	$161,138	$0	$2,800	$0	$12,396	$0	$0	$0	$19,377	$0	$195,711	$0	$0	$0
BRIAN G HUMPHREY
SENIOR ULTRASOUND TECHNOLOGIST	$137,815	$0	$0	$0	$15,843	$0	$0	$0	$7,655	$0	$161,313	$0	$0	$0
DEBRA LASTOFKA
PHARMACIST	$151,395	$0	$8,000	$0	$21,296	$0	$0	$0	$15,783	$0	$196,474	$0	$0	$0
NANETTE KRIZENESKY
REGISTERED NURSE LEAD-ICU	$149,593	$0	$3,538	$0	$17,402	$0	$0	$0	$18,729	$0	$189,261	$0	$0	$0
ERIC LOBB
MEDICAL PHYSICIST	$132,449	$0	$0	$0	$16,842	$0	$0	$0	$7,925	$0	$157,216	$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 St. Elizabeth Hospital, Inc., uses the following to establish the compensation of the organization's CEO: - Compensation Committee, - Independent Compensation Consultant, - Compensation Survey or Study, and - Approval by the Board or Compensation Committee.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

THESE 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 NON-QUALIFIED RETIREMENT PLAN IN THE AMOUNT AS NOTED: JEFF FRANCIS - $260,079 MONICA HILT - $52,618

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS	MANY OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF EMPLOYMENT BY MINISTRY HEALTHCARE, 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 ST. ELIZABETH HOSPITAL, 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 ST. ELIZABETH HOSPITAL, 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	St. Elizabeth Hospital, Inc. has two corporate members, Ministry Healthcare, Inc. and Affinity Health System.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	St. Elizabeth Hospital, Inc. has two corporate members, Ministry Healthcare, Inc. and Affinity Health System, who have the ability to elect members to the governing body of St. Elizabeth Hospital Inc.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	All decisions that have a material impact to St. Elizabeth Hospital, Inc. financial information or corporation as a whole are subject to approval by its two corporate members, Ministry Healthcare, Inc. and Affinity Health System.
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 whom Ministry Health Care is and the entities included along with our mission. The Articles of Incorporation, Bylaws, Conflicts of Interest Policy, and financial statements are not included on any web page. However, if an inquiry is made for any documents, they are shared as appropriate.
Form 990, Part VII, Section B, Line 1 Independent Contractors	The payments reported on Form 990, Part VII, Section B for The Boldt Company and Boldt Procurement represent amounts for both services and materials. These amounts cannot be separated.
Form 990, Part VIII, Line 2f Other Program Service Revenue	340 B Pharmacy - Total Revenue: 110068, Related or Exempt Function Revenue: 110068, 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	FASB 136 ENTRIES - -818122; CATALPA ELIMINATING - -132938;

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	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ASCENSION HEALTH ALLIANCE
PO BOX 45998	STLOUIS	MO	63145	453358926	NATIONAL HEALTH SYSTEM	MO	501(c)(3	Type I	N/A	false
ASCENSION HEALTH
PO BOX 45998	STLOUIS	MO	63145	311662309	NATIONAL HEALTH SYSTEM	MO	501(c)(3	Type I		false	ASCENSION HEALTH ALLIANCE
MINISTRY HEALTH CARE INC
10925 W LAKE PARK DR STE 100	MILWAUKEE	WI	53224	391490371	PARENT CORPORATION	WI	501(c)(3	Type II		false	ASCENSION HEALTH
AFFINITY HEALTH SYSTEM
1570 MIDWAY PLACE	MENASHA	WI	54952	391568866	SUPPORT RELATED HEALTHCARE ORGANZIATIONS	IL	501(c)(3	3		false	MINISTRY HEALTH CARE INC
AGAPE COMMUNITY CENTER OF MILWAUKEE INC
6100 NORTH 42ND STREET	MILWAUKEE	WI	53209	391461846	COMMUNITY CENTER	WI	501(c)(3	7		Yes (true)	MINISTRY HEALTH CARE INC
CALUMET MEDICAL CENTER INC
614 MEMORIAL DRIVE	CHILTON	WI	53014	390905385	HOSPITAL	WI	501(c)(3	3		Yes (true)	AFFINITY HEALTH SYSTEM
CATALPA HEALTH INC
N4642 COUNTY N	APPLETON	WI	54914	454681563	MENTAL HEALTH FACILITY	WI	501(c)(3	3		Yes (true)	ST ELIZABETH HOSPITAL INC
SAINT MICHAEL'S FOUNDATION OF STEVENS POINT INC
900 ILLINOIS AVENUE	STEVENS POINT	WI	54481	391657410	CHARITABLE FOUNDATION	WI	501(c)(3	Type I		Yes (true)	SAINT MICHAEL'S HOSPITAL OF STEVENS POINT
DOOR COUNTY MEMORIAL HOSPITAL
323 SOUTH 18TH AVENUE	STURGEON BAY	WI	54235	390806324	HOSPITAL	WI	501(c)(3	3		Yes (true)	MINISTRY HEALTH CAREINC
DR KATE NEWCOMB CONVALESCENT CENTER INC
PO BOX 829	WOODRUFF	WI	54568	391357365	NURSING/ASSISTED LIVING SERVICES	WI	501(c)(3	3		Yes (true)	HOWARD YOUNG HEALTH CARE INC
EAGLE RIVER MEMORIAL HOSPITAL INC
201 HOSPITAL ROAD	EAGLE RIVER	WI	54521	390985690	HOSPITAL	WI	501(c)(3	3		Yes (true)	THE HOWARD YOUNG MEDICAL CENTER INC
FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC
3400 MINISTRY PARKWAY	WESTON	WI	54476	753193633	CHARITABLE FOUNDATION	WI	501(c)(3	Type I		Yes (true)	ST CLARE'S HOSPITAL OF WESTON INC
FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD
611 SAINT JOSEPH AVENUE	MARSHFIELD	WI	54449	391684957	CHARITABLE FOUNDATION	WI	501(c)(3	Type I		Yes (true)	SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC
GOOD SAMARITAN HEALTH CENTER OF MERRILL WISCONSIN INC
601 SOUTH CENTER AVENUE	MERRILL	WI	54452	390808503	HOSPITAL	WI	501(c)(3	3		Yes (true)	MINISTRY HEALTH CARE INC
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		Yes (true)	MINISTRY HEALTH CARE INC
HOWARD YOUNG FOUNDATION INC
240 MAPLE STREET	WOODRUFF	WI	54568	391521169	CHARITABLE FOUNDATION	WI	501(c)(3	7		Yes (true)	MINISTRY HEALTH CARE INC
HOWARD YOUNG HEALTH CARE INC
240 MAPLE STREET	WOODRUFF	WI	54568	391499115	HOME OFFICE	WI	501(c)(3	Type II		Yes (true)	MINISTRY HEALTH CARE INC
THE HOWARD YOUNG MEDICAL CENTER INC
240 MAPLE STREET	WOODRUFF	WI	54568	390873606	HOSPITAL	WI	501(c)(3	3		Yes (true)	HOWARD YOUNG HEALTH CARE INC
MERCY HEALTH FOUNDATION INC
PO BOX 3370	OSHKOSH	WI	54903	237140261	CHARITABLE FOUNDATION	WI	501(c)(3	9		Yes (true)	AFFINITY HEALTH SYSTEM
MERCY MEDICAL CENTER OF OSHKOSH INC
500 S OAKWOOD ROAD	OSHKOSH	WI	54904	390806268	HOSPITAL	WI	501(c)(3	3		Yes (true)	MINISTRY HEALTH CARE INC
MINISTRY HOMECARE INC
611 STJOSEPH AVENUE 4S	MARSHFIELD	WI	54449	391936201	HOME CARE/ HOSPICE	WI	501(c)(3	3		Yes (true)	MINISTRY HEALTH CARE INC
MINISTRY MEDICAL GROUP INC
824 ILLINOIS AVENUE	STEVENS POINT	WI	54481	391965593	CLINICS	WI	501(c)(3	Type III-FI		Yes (true)	MINISTRY HEALTH CARE INC
MINISTRY WEIGHT MANAGEMENT
2251 NORTH SHORE DRIVE	RHINELANDER	WI	54501	391829015	HEALTH SERVICES	WI	501(c)(3	3		Yes (true)	SACRED HEART-ST MARY'S HOSPITAL
NETWORK HEALTH SYSTEM INC
1570 APPLETON RD	MENASHA	WI	54952	391127163	CLINICAL HEALTHCARE SERVICES	WI	501(c)(3	3		Yes (true)	AFFINITY HEALTH SYSTEM
OUR LADY OF VICTORY HOSPITAL
1120 PINE STREET	STANLEY	WI	54768	390807065	HOSPITAL	WI	501(c)(3	3		Yes (true)	MINISTRY HEALTH CARE INC
SACRED HEART-STMARY'S HOSPITAL INC
PO BOX 347	STEVENS POINT	WI	54481	391390638	HOSPITAL	WI	501(c)(3	3		Yes (true)	MINISTRY HEALTH CARE INC
SAINT CLARE'S HOSPITAL OF WESTON INC
3400 MINISTRY PARKWAY	WESTON	WI	54476	721531917	HOSPITAL	WI	501(c)(3	3		Yes (true)	MINISTRY HEALTH CARE INC
SAINT ELIZABETH'S HOSPITAL OF WABASHA INC
1200 GRANT BLVD WEST	WABASHA	MN	55981	410693877	HOSPITAL	MN	501(c)(3	3		Yes (true)	MINISTRY HEALTH CARE INC
SAINT ELIZABETH'S HOSPITAL FOUNDATION INC
1506 S ONEIDA STREET	APPLETON	WI	54915	391256677	CHARITABLE FOUNDATION	WI	501(c)(3	7		Yes (true)	AFFINITY HEALTH SYSTEM
SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC
611 SAINT JOSEPH AVENUE	MARSHFIELD	WI	54449	391847631	HOSPITAL	WI	501(c)(3	3		Yes (true)	MINISTRY HEALTH CARE INC
SAINT MICHAEL'S HOSPITAL OF STEVENS POINT INC
900 ILLINOIS AVENUE	STEVENS POINT	WI	54481	390808443	HOSPITAL	WI	501(c)(3	3		Yes (true)	MINISTRY HEALTH CARE INC

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
MINISTRY HOLDINGS INC
1570 MIDWAY PLACE	MENASHA	WI	54952	422966177	INSURANCE HOLDING COMPANY	WI	NA	C Corporation	false
NETWORK HEALTH INSURANCE CORPORATION
1570 MIDWAY PLACE	MENASHA	WI	54952	392020474	INSURANCE	WI	NA	C Corporation	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	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	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	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 (14 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
NETWORK HEALTH SYSTEM INC
A	$2,736,097	FMV
ST ELIZABETH HOSPITAL FOUNDATION INC
C	$1,157,882	FMV
MINISTRY HEALTH CARE INC
E	$90,629,192	FMV
MERCY MEDICAL CENTER OF OSHKOSH INC
L	$470,680	FMV
MERCY MEDICAL CENTER OF OSHKOSH INC
M	$319,332	FMV
NETWORK HEALTH SYSTEM INC
O	$183,179	FMV
AFFINITY HEALTH SYSTEM INC
O	$93,383	FMV
MINISTRY HEALTH CARE INC
O	$983,571	FMV
CALUMET MEDICAL CENTER INC
O	$109,676	FMV
MERCY MEDICAL CENTER OF OSHKOSH INC
O	$1,210,845	FMV
MINISTRY HEALTH CARE INC
P	$24,175,035	FMV
MINISTRY HEALTH CARE INC
R	$4,019,339	FMV
NETWORK HEALTH SYSTEM INC
S	$165,338	FMV
NETWORK HEALTH SYSTEM INC
Q	$1,053,724	FMV