UPLAND HILLS HEALTH INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- UPLAND HILLS HEALTH INC (EIN 42-1017512)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-15
- IRS object ID
- 201632299349300923
- 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 K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-15T00:00:00-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3703 OAKWOOD HILLS PKWY | AddressLine1Txt |
| City | EAU CLAIRE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421017512 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UPLAND HILLS HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UPLA | BusinessNameControlTxt |
| Phone | 6089308000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 COMPASSION WAY | AddressLine1Txt |
| City | DODGEVILLE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53533 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ARTHUR K PUSTINA | PersonNm |
| Person Title | VICE PRESIDENT OF FINANCE | PersonTitleTxt |
| Phone | 6089308000 | PhoneNum |
| Signature | 2016-08-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAUL M TRACZEK CPA | PreparerPersonNm |
| PTIN | P01368830 | PTIN |
| Phone | 7158323407 | PhoneNum |
| Preparation | 2016-08-16 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LISA SCHNEDLER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 COMPASSION WAY | AddressLine1Txt |
| City | DODGEVILLE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53533 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $56,949,513 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UPLANDHILLSHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1974 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | AS A HEALTH CARE ORGANIZATION, UPLAND HILLS HEALTH, INC.'S MISSION IS TO CONSISTENTLY MEET OR EXCEED THE EXPECTATIONS OF THOSE WE SERVE, AND OF THOSE WE HOPE TO SERVE, IN A COST-EFFECTIVE MANNER. TO LEAD A PARTNERSHIP WITH THE COMMUNITIES AND OUR MEDICAL STAFF, REFLECTING ADDITIONAL EMPHASIS ON HEALTH EDUCATION, CONTINUING MEDICAL EDUCATION, REHABILITATION, AND THE PREVENTION OF ILLNESS OR INJURY. TO APPROACH THE PATIENT AS A WHOLE PERSON RATHER THAN A SET OF SYMPTOMS OR A DISEASE STATE, FOCUSING ON THE CLINICAL AND EMOTIONAL WELL-BEING OF PATIENTS AND THEIR FAMILIES, AND PROVIDING CARE IN AN ENVIRONMENT COMMITTED TO IMPROVING PATIENT SAFETY. TO PARTICIPATE IN THE PROVISION OF HEALTH SERVICES TO THE POOR, MINORITIES, DISABLED, AND OTHER UNDER SERVED PERSONS IN OUR COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 507 | TotalEmployeeCnt |
| Total Volunteers | 80 | TotalVolunteersCnt |
| Total Gross UBI | $17,355 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $41,810 | PYContributionsGrantsAmt |
| CY Contributions Grants | $262,238 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $47,073,919 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $54,175,445 | CYProgramServiceRevenueAmt |
| PY Investment Income | $507,075 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,153,254 | CYInvestmentIncomeAmt |
| PY Other Revenue | $251,838 | PYOtherRevenueAmt |
| CY Other Revenue | $197,425 | CYOtherRevenueAmt |
| PY Total Revenue | $47,874,642 | PYTotalRevenueAmt |
| CY Total Revenue | $55,788,362 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $98,415 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $61,445 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $25,809,191 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $28,248,380 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $19,147,754 | PYOtherExpensesAmt |
| CY Other Expenses | $21,025,523 | CYOtherExpensesAmt |
| PY Total Expenses | $45,055,360 | PYTotalExpensesAmt |
| CY Total Expenses | $49,335,348 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,819,282 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,453,014 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $86,116,219 | TotalAssetsBOYAmt |
| Total Assets EOY | $92,279,699 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $32,325,371 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $32,077,369 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $53,790,848 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $60,202,330 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | UPLAND HILLS HEALTH, INC.'S MISSION IS TO PROVIDE THE IDEAL PATIENT EXPERIENCE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $37,165,389 | ExpenseAmt |
| Grant | $61,445 | GrantAmt |
| Revenue | $47,523,855 | RevenueAmt |
| Desc | UPLAND HILLS HEALTH, INC. PROVIDES HIGH QUALITY, COST EFFECTIVE, PRIMARY HOSPITAL CARE TO ALL PEOPLE IN NEED OF CARE. AMONG THE HOSPITAL INPATIENT AND OUTPATIENT SERVICES PROVIDED ARE DIAGNOSTIC IMAGING, REHABILITATION SERVICES, RESPIRATORY CARE, SURGICAL SERVICES, CARDIAC MONITORED CARE, LAB SERVICES, PHARMACY SERVICES, 24 HOUR EMERGENCY ROOM, OBSTETRICAL SERVICES, REGIONAL CLINIC SERVICES, AND MANY OTHERS. UPLAND HILLS ALSO PROVIDES ADDITIONAL SERVICES TO THE COMMUNITY BY PROVIDING OUTREACH PROGRAMS AND SERVICES THAT MEET IDENTIFIED NEEDS IN AN EFFORT TO ENHANCE THE HEALTH AND WELFARE OF THE PEOPLE IN ITS AREA.DURING FISCAL YEAR 2015, UPLAND HILLS HEALTH HOSPITAL PROVIDED 3,423 DAYS OF INPATIENT CARE, 361 DAYS OF SWING BED CARE, OVER 10,600 EMERGENCY ROOM AND URGENT CARE PATIENT VISITS, OVER 1,900 CLINIC PATIENT VISITS, AND PERFORMED OVER 33,000 OTHER OUTPATIENT PROCEDURES AND SERVICES FOR PATIENTS IN NEED OF MEDICAL CARE.IN ITS EFFORT TO ATTAIN THIS MISSION AND GOAL, AND TO BE A PARTNER IN THE COMMUNITY, UPLAND HILLS PROVIDES:- HEALTH EDUCATION AND OUTREACH PROGRAMS TO ALL MEMBERS OF THE COMMUNITY AT LITTLE OR NO COST TO THE PARTICIPANTS.- DIABETES SELF-MANAGEMENT CLASSES - CLASSES ARE RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION AS QUALITY SELF-MANAGEMENT CLASSES AND ARE TAUGHT BY A REGISTERED DIETICIAN WHO IS SPECIALLY TRAINED IN DIABETES EDUCATION.- PROGRAMS FOR NEW AND EXPECTANT PARENTS - CHILDBIRTH EDUCATION, PRE-DELIVERY CONFERENCE, SIBLING CLASS, BREASTFEEDING SUPPORT AND BREASTFEEDING SUPPLIES.- INDOOR FITNESS WALKING IS AVAILABLE AT THE HOSPITAL FACILITY FOR COMMUNITY MEMBERS DURING COLD OR INCLEMENT WEATHER.- SAFE SITTER BABYSITTING TRAINING - MEDICALLY ACCURATE BABYSITTING PREPARATION CLASS DESIGNED FOR BOYS AND GIRLS AGES 11 TO 13. THE PROGRAM TEACHES SITTERS HOW TO HAVE FUN WITH CHILDREN AS WELL AS HOW TO RECOGNIZE A MEDICAL EMERGENCY AND KNOW THE APPROPRIATE ACTION TO TAKE. STUDENTS ALSO LEARN INFANT AND CHILD CPR.THE COST OF PROVIDING CHARITY CARE TO PERSONS UTILIZING OUR HOSPITAL AMOUNTED TO APPROXIMATELY $212,000 IN 2015. IN ADDITION, UPLAND HILLS HEALTH FURNISHES CARE TO PERSONS COVERED UNDER GOVERNMENT ENTITLEMENT PROGRAMS WHICH PAY AT RATES LESS THAN CHARGES. DISCOUNTS TO THESE PROGRAMS FOR HOSPITAL SERVICES AMOUNT TO $33,160,570. UPLAND HILLS HEALTH ALSO PROVIDES ASSISTANCE TO THE FREE CLINIC LOCATED IN DODGEVILLE, WISCONSIN ON AN ANNUAL BASIS.UPLAND HILLS ALSO OPERATES A THERAPY AND WELLNESS CENTER TO PROVIDE FITNESS AND WELLNESS OPPORTUNITIES TO EMPLOYEES AND THE PUBLIC. THE THERAPY AND WELLNESS CENTER HOUSES MODERN EQUIPMENT, INCLUDING CARDIO WORKOUT MACHINES, CIRCUIT TRAINING, AND FREE WEIGHTS. WELLNESS CLASSES AND MASSAGE THERAPY ARE OFFERED TO COMPLEMENT YOUR WELLNESS GOALS. CLASSES INCLUDE YOGA, ABS AND TONE, SENIOR STRENGTH BUILDING, MORNING CARDIO MIX, CIRCUIT TRAINING, PILATES, AND ZUMBA(R). | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,277,526 | ExpenseAmt |
| Revenue | $3,718,652 | RevenueAmt |
| Desc | UPLAND HILLS HEALTH, INC. (UPLAND HILLS) ALSO SERVES THE COMMUNITY BY OPERATING A 44-BED SKILLED NURSING FACILITY KNOWN AS THE "NURSING AND REHABILITATION CENTER". THE PRIMARY ACTIVITY OF THE NURSING AND REHABILITATION CENTER IS TO PROVIDE SKILLED AND INTERMEDIATE CARE FOR THE AGED AND DISABLED OF THE SURROUNDING AREA. THE CENTER PROVIDED 14,329 DAYS OF RESIDENT CARE IN FISCAL YEAR 2015. THE CENTER OFFERS SKILLED NURSING CARE IN BOTH SHORT TERM REHABILITATION PROGRAMS AND LONG-TERM CARE RESIDENT PROGRAMS. SOME OF THE SPECIALIZED CARE SERVICES OFFERED INCLUDING IV THERAPY CARE, WOUND CARE, PAIN MANAGEMENT, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY. THE CENTER OPERATES IN CONJUNCTION WITH UPLAND HILLS HOSPITAL TO PROVIDE A SMOOTH TRANSITION FOR PATIENTS NEEDING EXTENDED REHABILITATION OR LONG-TERM CARE SERVICES. THE COMBINATION AND COORDINATION OF FACILITIES ALSO ALLOWS THE ORGANIZATION TO SHARE MANY DEPARTMENTS AND SERVICES IN UPLAND HILLS HEALTH'S CONSTITUTED EFFORT TO PROVIDE HIGH QUALITY AND LOW COST CARE TO THE COMMUNITY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,696,271 | ExpenseAmt |
| Revenue | $1,770,511 | RevenueAmt |
| Desc | UPLAND HILLS HEALTH, INC.'S HOSPICE PROGRAM GIVES THOSE PATIENTS WITH LIFE-LIMITING OR TERMINAL ILLNESSES THE OPPORTUNITY TO LIVE PAIN-FREE AND WITH DIGNITY DURING THE LAST STAGE OF THEIR LIFE. TOTAL HOSPICE DAYS OF SERVICE PROVIDED TO PATIENTS IN FISCAL YEAR 2015 WERE 5,601.UPLAND HILLS HEALTH, INC.'S HOMECARE PROGRAM PROVIDES COMPREHENSIVE HEALTHCARE SERVICES IN THE MOST COMFORTABLE SETTING-THE PATIENT'S HOME. IN FISCAL YEAR 2015, THERE WERE 6,825 TOTAL HOMECARE VISITS PROVIDED TO PATIENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $41,139,186 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 58 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 507 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ARTHUR K PUSTINA | PersonNm |
| Phone | 6089308000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 COMPASSION WAY | AddressLine1Txt |
| City | DODGEVILLE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53533 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| PEG KOEHLER | ||||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | |||
| KATHRYN DALSING MD | ||||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | |||
| JOHN THRONSON | ||||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | |||
| DAMOND BOATWRIGHT | ||||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | |||
| JOAN BACHLEITNER | ||||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | |||
| JODY VANDERLOO | ||||||||
| CHAIRPERSON | 2.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| BRAD LAUFENBERG | ||||||||
| VICE CHAIRPERSON | 2.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | 1.00 | |
| JIM MASSEY | ||||||||
| SECRETARY | 2.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| TED GREENHECK | ||||||||
| TREASURER | 2.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| LISA SCHNEDLER | ||||||||
| PRESIDENT AND CEO | 47.04 | $254,586 | $0 | $17,536 | Yes (X) | 1.00 | ||
| ARTHUR K PUSTINA | ||||||||
| VP OF FINANCE | 54.09 | $142,243 | $0 | $23,869 | Yes (X) | 1.00 | ||
| BARBARA HOSTETLER | ||||||||
| PHYSICIAN | 40.58 | $430,651 | $0 | $13,955 | Yes (X) | |||
| ADAM DACHMAN | ||||||||
| PHYSICIAN | 36.25 | $387,641 | $0 | $2,400 | Yes (X) | |||
| JEFF PIERCE | ||||||||
| CRNA | 44.34 | $273,363 | $0 | $28,595 | Yes (X) | |||
| BRENTON JENKINS | ||||||||
| PHYSICIAN | 31.89 | $293,617 | $0 | $14,626 | Yes (X) | |||
| ROBERT SCHMUS | ||||||||
| PHYSICIAN | 31.10 | $284,534 | $0 | $22,411 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,066,635 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $123,392 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 17 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MADISON EMERGENCY PHYSICIANS SC INC | |||||
| 1221 JOHN Q HAMMONS DRIVE | MADISON | WI | 537444966 | EMERGENCY ROOM COVERAGE | $1,888,637 |
| SHARED IMAGING SERVICES INC | |||||
| PO BOX 45686 | MADISON | WI | 537445686 | X-RAY SCAN SERVICES | $833,214 |
| RURAL WISCONSIN HEALTH COOPERATIVE ITN | |||||
| 880 INDEPENDENCE LANE PO BOX 490 | SAUK CITY | WI | 535830490 | COMPUTER SUPPORT | $593,764 |
| RURAL WISCONSIN HEALTH COOPERATIVE | |||||
| 880 INDEPENDENCE LANE PO BOX 490 | SAUK CITY | WI | 535830490 | AUDIOLOGY HOURS & SUPPLIES, EDUCATION, A | $431,833 |
| SHARED MEDICAL SERVICES | |||||
| 209 LIMESTONE PASS | COTTAGE GROVE | WI | 53527 | MRI SERVICES | $387,795 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $3,563 | FederatedCampaignsAmt |
| Related Organizations | $59,008 | RelatedOrganizationsAmt |
| Government Grants | $191,071 | GovernmentGrantsAmt |
| All Other Contributions | $8,596 | AllOtherContributionsAmt |
| Total Contributions | $262,238 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621990 | $53,030,373 | $53,013,018 | $17,355 | |
| CAFETERIA & NUTRITION | 722210 | $175,313 | $175,313 | ||
| MASSAGE/ACUPUNCTURE | 621990 | $87,277 | $87,277 | ||
| FITNESS CENTER | 624100 | $67,995 | $67,995 | ||
| LIFELINE | 621990 | $49,315 | $49,315 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $765,172 | TotalRevenueColumnAmt |
| Exclusion | $765,172 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $54,175,445 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $397,453 | TotalRevenueColumnAmt |
| Exclusion | $397,453 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $49 | TotalRevenueColumnAmt |
| Exclusion | $49 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $749,058 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $600,560 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $148,498 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $148,498 | TotalRevenueColumnAmt |
| Exclusion | $148,498 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $583,911 | SecuritiesAmt |
| Other | $732,432 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $448,188 | SecuritiesAmt |
| Other | $112,403 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $135,723 | SecuritiesAmt |
| Other | $620,029 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $755,752 | TotalRevenueColumnAmt |
| Exclusion | $755,752 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $48,927 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,927 | TotalRevenueColumnAmt |
| Exclusion | $48,927 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $55,788,362 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $53,013,018 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $17,355 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,495,751 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,445 | TotalAmt |
| Program Services | $61,445 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $471,215 | TotalAmt |
| Management And General | $471,215 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,291,201 | TotalAmt |
| Program Services | $18,088,513 | ProgramServicesAmt |
| Management And General | $3,202,688 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $534,728 | TotalAmt |
| Program Services | $454,293 | ProgramServicesAmt |
| Management And General | $80,435 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,532,378 | TotalAmt |
| Program Services | $3,850,604 | ProgramServicesAmt |
| Management And General | $681,774 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,418,858 | TotalAmt |
| Program Services | $1,183,027 | ProgramServicesAmt |
| Management And General | $235,831 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,375 | TotalAmt |
| Management And General | $133,375 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,285 | TotalAmt |
| Management And General | $31,285 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,152 | TotalAmt |
| Management And General | $28,152 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,074,625 | TotalAmt |
| Program Services | $4,507,027 | ProgramServicesAmt |
| Management And General | $567,598 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,471 | TotalAmt |
| Program Services | $13,535 | ProgramServicesAmt |
| Management And General | $279,936 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,023,367 | TotalAmt |
| Program Services | $586,114 | ProgramServicesAmt |
| Management And General | $437,253 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,478 | TotalAmt |
| Program Services | $69 | ProgramServicesAmt |
| Management And General | $234,409 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,315,235 | TotalAmt |
| Program Services | $1,315,235 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $261,334 | TotalAmt |
| Program Services | $225,548 | ProgramServicesAmt |
| Management And General | $35,786 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,654 | TotalAmt |
| Program Services | $54,654 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,673,326 | TotalAmt |
| Program Services | $3,673,326 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $278,042 | TotalAmt |
| Program Services | $95,556 | ProgramServicesAmt |
| Management And General | $182,486 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $3,852,237 | $3,852,237 | |
| PROVISION FOR BAD DEBTS | $1,783,720 | $1,783,720 | |
| REPAIRS & MAINTENANCE | $1,687,658 | $677,619 | $1,010,039 |
| EQUIPMENT RENTAL & LEAS | $666,296 | $612,755 | $53,541 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $634,268 | TotalAmt |
| Program Services | $103,909 | ProgramServicesAmt |
| Management And General | $530,359 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,335,348 | TotalAmt |
| Program Services | $41,139,186 | ProgramServicesAmt |
| Management And General | $8,196,162 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,254,386 | BOYAmt |
| EOY | $2,995,404 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,526,947 | BOYAmt |
| EOY | $8,098,991 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,097,895 | BOYAmt |
| EOY | $92,680 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,016,813 | BOYAmt |
| EOY | $1,094,679 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $552,394 | BOYAmt |
| EOY | $612,455 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $73,310,761 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $37,679,653 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,789,696 | BOYAmt |
| EOY | $35,631,108 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,083 | BOYAmt |
| EOY | $18,447 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,115,001 | BOYAmt |
| EOY | $41,759,708 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,600 | BOYAmt |
| EOY | $72,600 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,672,404 | BOYAmt |
| EOY | $1,903,627 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,116,219 | BOYAmt |
| EOY | $92,279,699 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,788,605 | BOYAmt |
| EOY | $4,018,053 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $282,321 | BOYAmt |
| EOY | $107,500 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,780,000 | BOYAmt |
| EOY | $26,235,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $243,575 | BOYAmt |
| EOY | $182,647 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,398 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,228,472 | BOYAmt |
| EOY | $1,534,169 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,325,371 | BOYAmt |
| EOY | $32,077,369 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,790,848 | BOYAmt |
| EOY | $60,202,330 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,790,848 | BOYAmt |
| EOY | $60,202,330 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,116,219 | BOYAmt |
| EOY | $92,279,699 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,453,014 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$353,106 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $311,574 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $6,405 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $6,405 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | UPLAND HILLS HEALTH, INC. PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE WISCONSIN HOSPITAL ASSOCIATION (WHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING AND MATERIALS, HOWEVER A PORTION OF THE ANNUAL DUES WERE USED IN CONJUCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT. UPLAND HILLS HEALTH, INC. IS ALSO A MEMBER OF THE RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). EACH YEAR, UPLAND HILLS HEALTH, INC. PAYS MEMBERSHIP FEES TO THE RWHC. RWHC PROVIDES SUPPORT SERVICES FOR A NUMBER OF ITS MEMBER HOSPITALS THROUGHOUT THE STATE OF WISCONSIN. SOME OF THE MANY SERVICES PROVIDED TO MEMBER HOSPITALS INCLUDE PROVIDING ASSISTANCE TO ORGANIZATIONS IN FINDING GRANT FUNDING FOR NEW PROGRAMS, LEGAL SERVICES, REIMBURSEMENT REVIEW SERVICES, ACCOUNTING ASSISTANCE, CONTRACTING FOR THERAPIST AND EMERGENCY ROOM PATIENT CARE COVERAGE, AND ADMINISTRATIVE CONSULTING SERVICES. AS A PART OF THESE SERVICES, THE RWHC ALSO PROVIDES AN ANALYSIS OF CURRENT HEALTHCARE ISSUES IN AN EFFORT TO PROMOTE AND BETTER HEALTHCARE FOR HOSPITALS IN RURAL COMMUNITIES THROUGHOUT WISCONSIN. ONE OF THESE EFFORTS ALSO INCLUDES SOME LOBBYING ON THE PART OF THE MEMBER ORGANIZATIONS. THE WHA, AHA, AND RWHC DETERMINED THAT APPROXIMATELY $6,405 OF THE FEES PAID BY UPLAND HILLS HEALTH, INC. IN 2015 RELATED TO LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE HEALTHCARE ENVIRONMENT IN THE STATE OF WISCONSIN. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $214,947 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,093 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $216,040 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $213,859 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,088 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $214,947 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $213,277 | BeginningYearBalanceAmt |
| Contributions | $1,000 | ContributionsAmt |
| Investment Earnings Or Losses | $1,504 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,922 | OtherExpendituresAmt |
| End Year Balance | $213,859 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $210,220 | BeginningYearBalanceAmt |
| Contributions | $2,000 | ContributionsAmt |
| Investment Earnings Or Losses | $1,057 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $213,277 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $208,412 | BeginningYearBalanceAmt |
| Contributions | $1,016 | ContributionsAmt |
| Investment Earnings Or Losses | $792 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $210,220 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.97380 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.02620 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $257,766 | OtherCostOrOtherBasisAmt |
| Book Value | $257,766 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $47,625,374 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,734,923 | DepreciationAmt |
| Book Value | $26,890,451 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,838,381 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,194,603 | DepreciationAmt |
| Book Value | $7,643,778 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,589,240 | OtherCostOrOtherBasisAmt |
| Depreciation | $750,127 | DepreciationAmt |
| Book Value | $839,113 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $35,631,108 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| BOARD-DESIGNATED FOR CAPITAL IMPROVEMENTS | $39,674,969 | F |
| UNDER BOND INDENTURE AGREEMENTS | $1,847,308 | F |
| STATE OF WI UNEMPLOYMENT FUNDING | $237,431 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $41,759,708 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| SECURITY DEPOSITS | $38,940 |
| DEFERRED COMPENSATION PLAN LIABILITY | $627,729 |
| AMOUNTS PAYABLE TO THIRD-PARTY REIMBURSEMENT PROGRAMS | $867,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,534,169 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | UPLAND HILLS HEALTH, INC.'S ENDOWMENT CONSISTS OF TWO FUNDS HELD BY UPLAND HILLS HEALTH FOUNDATION, INC. THESE FUNDS WERE ESTABLISHED TO PROVIDE INCOME FOR THE FOUNDATION TO HELP SUPPORT SPECIFIC PROGRAMS OF UPLAND HILLS HEALTH, INC. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $209,930 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $209,930 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,612,185 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,271,875 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,340,310 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02720 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,822,115 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,271,875 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,550,240 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03150 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $41,185 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $41,185 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $186,651 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $186,651 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $704,006 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $656,938 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $47,068 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $149,076 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $149,076 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,080,918 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $656,938 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $423,980 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00860 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,903,033 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,928,813 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,974,220 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04010 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,369 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,369 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,369 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,369 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $750,933 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $375,467 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $14,851,858 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $15,621,317 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$769,459 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 CRESTRIDGE ASSISTED LIVING LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | ASSISTED LIVING FACILITY | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.49000 | OrgProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | UPLAND HILLS HEALTH INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 COMPASSION WAY | AddressLine1Txt |
| City | DODGEVILLE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53533 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.UPLANDHILLSHEALTH.ORG | WebsiteAddressTxt |
| State License | 1056 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UPLAND HILLS HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SCHEDULE H, PART V, SECTION B, LINE 5D: | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.UPLANDHILLSHEALTH.ORG/SPECIAL-REPORTS-AND-BLOGS | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| 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 (1) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| UPLAND HILLS HEALTH, INC. | PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONSIDERED INFORMATION OBTAINED FROM INTERVIEWS WITH STAKEHOLDERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. SEVENTEEN KEY STAKEHOLDERS PARTICIPATED IN THE INTERVIEW PROCESS. THE SEVENTEEN STAKEHOLDERS REPRESENT PUBLIC HEALTH EXPERTS; INDIVIDUALS FROM HEALTH OR OTHER DEPARTMENTS AND AGENICES; LEADERS OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS; AND OTHER COMMUNITY MEMBERS. THE CHNA ALSO CONSIDERED MULTIPLE OTHER DATA SOURCES, INCLUDING SECONDARY DATA SOURCES REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTHCARE ACCESS. |
| UPLAND HILLS HEALTH, INC. | PART V, SECTION B, LINE 7D: A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ON THE HOSPITAL'S WEBSITE AT: HTTP://WWW.UPLANDHILLSHEALTH.ORG/SPECIAL-REPORTS-AND-BLOGS |
| UPLAND HILLS HEALTH, INC. | PART V, SECTION B, LINE 11: WE HAVE NOT ADDRESSED ALL OF THE NEEDS IN THE PRESENT PLAN. IT BECAME EVIDENT TO US THAT THE PLAN WAS OVERLY AMBITIOUS AND SO WE HELD A SERIES OF TOWN HALL MEETINGS IN EACH OF THE COMMUNITIES WE SERVE TO BETTER DEFINE OUR FOCUS TO THREE ITEMS. WE WILL USE THE INPUT FROM THESE MEETINGS IN FORMULATING OUR NEXT PLAN, WHICH WILL BEGIN IN THE FALL OF 2015. |
| UPLAND HILLS HEALTH, INC. | PART V, SECTION B, LINE 16I: THE POLICY WAS OFFERED TO ALL PRIVATE PAY PATIENTS IN THE EMERGENCY DEPARTMENT. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| UPLAND HILLS NURSING AND REHAB CENTER | ||||
| 800 COMPASSION WAY | DODGEVILLE | WI | 53533 | SKILLED NURSING FACILITY |
| UPLAND HILLS HEALTH CENTER | ||||
| 800 COMPASSION WAY | DODGEVILLE | WI | 53533 | OUTPATIENT CLINIC |
| UPLAND HILLS HEALTH CLINIC - SPRING GREE | ||||
| 156 W JEFFERSON ST | SPRING GREEN | WI | 53588 | OUTPATIENT CLINIC |
| UPLAND HILLS HEALTH CLINIC - MONTFORT | ||||
| 202 W US HIGHWAY 18 | MONTFORT | WI | 53569 | OUTPATIENT CLINIC |
| UPLAND HILLS HEALTH CLINIC - HIGHLAND | ||||
| 551 N MAIN STREET | HIGHLAND | WI | 53543 | OUTPATIENT CLINIC |
| UPLAND HILLS HEALTH CLINIC - MOUNT HOREB | ||||
| 1809 SPRINGDALE STREET | MOUNT HOREB | WI | 53572 | OUTPATIENT CLINIC |
| UHH THERAPY CLINIC - BARNEVELD | ||||
| 103 QUAIL RIDGE DRIVE | BARNEVELD | WI | 53507 | OUTPATIENT PHYSICAL THERAPY CLINIC |
| UHH THERAPY CLINIC - LANDS' END | ||||
| 1 LANDS END LANE | DODGEVILLE | WI | 53533 | LANDS END EMPLOYEE OUTPATIENT PHYSICAL THERAPY CLINIC |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE COSTING METHOD USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR THE FORM 990. |
| PART I, LINE 7G: | SUBSIDIZED HEALTH SERVICES AT UPLAND HILLS HEALTH, INC. INCLUDE THE OPERATION OF THE DIALYSIS CENTER. IT WAS THE GOAL OF UPLAND HILLS HEALTH, INC. TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF A PATIENT'S ABILITY TO PAY. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | WHILE THERE IS GROWING AGREEMENT IN THE UNITED STATES ABOUT WHAT CONSTITUTES A NON-PROFIT HOSPITAL'S "COMMUNITY BENEFIT," THESE EFFORTS CONTINUE TO BE A WORK IN PROGRESS. UPLAND HILLS HEALTH, INC. PROVIDES SIGNIFICANT AMOUNTS OF CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS AND IN ADDITION, THE HOSPITAL BELIEVES THAT IT PROVIDES A CRITICALLY IMPORTANT BENEFIT WHICH IS NOT QUANTIFIED. UPLAND HILLS HEALTH, INC., LIKE MOST COMMUNITY HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY WHICH WITHOUT THE HOSPITAL, WOULD NOT BE AVAILABLE. BEYOND INPATIENT HOSPITALIZATIONS, THE HOSPITAL PROVIDES LOCAL ACCESS TO MANY SERVICES INCLUDING: BIRTHING CENTER, DIAGNOSTICS, EMERGENCY SERVICES, HOSPICE, HOME CARE, INFUSION SERVICES, SWING BED SERVICES, NURSING HOME SERVICES, CLINICAL SERVICES, LABORATORY SERVICES, OCCUPATIONAL HEALTH, REHABILITATION SERVICES, SPECIALTY MEDICINE, SLEEP CENTER, SPEECH PATHOLOGY, SURGICAL SERVICES, AND WOMENS' SERVICES, AND MANY OTHERS. |
| PART III, LINE 2: | THE COSTING METHOD AND CALCULATIONS USED ON FORM 990 ARE BASED ON TOTAL OPERATING EXPENSES EXCLUDING BAD DEBT EXPENSE. THE COMMUNITY BENEFIT EXPENSE PERCENTAGES ARE CALCULATED BY DIVIDING THE COMMUNITY BENEFIT EXPENSE FOR EACH CATEGORY OF COMMUNITY SERVICES PROVIDED BY UPLAND HILLS HEALTH INC. REPORTED IN THE TABLE ON LINE 7 PART I OF THE SCHEDULE H BY THE TOTAL OPERATING EXPENSES OF THE HOSPITAL LESS THE PROVISION FOR BAD DEBTS. |
| PART III, LINE 3: | MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER THE HOSPITAL HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE.MANY TIMES PATIENTS DO NOT COMPLETE REQUIRED CHARITY CARE APPLICATION AND ARE TRANSFERRED TO COLLECTION SERVICES EVEN THOUGH THE HOSPITAL PROVIDES THIS INFORMATION TO ALL PATIENTS AND PROVIDES ASSISTANCE WITH THE APPLICATION. DUE TO NO RESPONSES FROM SOME PATIENTS A SIGNIFICANT AMOUNT OF BAD DEBTS COULD BE CONSIDERED AS CHARITY CARE AND THE HOSPITAL HAS REFLECTED AN AMOUNT OF THESE ADDITIONAL BAD DEBTS IN PART III OF SCHEDULE H OF THE 990. |
| PART III, LINE 4: | IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE UPLAND HILLS HEALTH, INC. ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF PATIENT REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, UPLAND HILLS HEALH, INC. ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), UPLAND HILLS HEALTH, INC. RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES, IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE. |
| PART III, LINE 8: | THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H OF THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE HOSPITAL, AND ALSO DOES NOT CONSIDER ALL CONTRACTUAL ADJUSTMENTS FOR SERVICES REIMBURSED BY THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT AT THE HOSPITAL AS WELL AS ANESTHESIA PROFESSIONAL SERVICES, CLINICAL PHYSICIAN PROFESSIONAL SERVICES, SURGEON PROFESSIONAL SERVICES, OUTPATIENT PHYSICAL THERAPY SERVICES PROVIDED TO NURSING HOME RESIDENTS, AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN PROFESSIONAL SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULE REIMBURSEMENTS AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY, SURGERY, AND CLINICAL PHYSICIAN SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT UPLAND HILLS HEALTH, INC. PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD USED ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED SEPTEMBER 30, 2015, AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES, AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE).WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHICH ARE TYPICALLY ELDERLY OR DISABLED MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. |
| PART III, LINE 9B: | UNDER THE HOSPITAL'S COLLECTION AND CHARITY CARE POLICIES, UPLAND HILLS HEALTH, INC. MAKES EVERY ATTEMPT TO IDENTIFY AND PROMOTE CHARITY CARE TO PATIENTS. INCLUDED IN THE HOSPITAL'S CHARITY CARE POLICY IT IS NOTED THAT PATIENTS MAY QUALIFY FOR CHARITY CARE EITHER PRIOR TO ADMISSION OR FOLLOWING DISCHARGE. ALL INPATIENT SELF-PAY ADMISSIONS ARE SCREENED BY THE HOSPITAL'S PATIENT FINANCIAL COUNSELOR OR SOCIAL WORKERS TO ALLOW THESE PATIENTS THE ABILITY TO COMPLETE THEIR APPLICATION DURING THEIR STAY AT THE HOSPITAL, DEPENDING UPON THE PATIENT'S CONDITION, OR THE PATIENT'S RESPONSIBLE PARTY MAY BE CONTACTED TO COMPLETE AND RETURN THE FORMS AT A LATER TIME WHEN THEIR CARE ALLOWS THIS COMPLETION. DURING THE PATIENT ACCOUNT COLLECTION PROCESS, SELF-PAY PATIENTS ARE ALSO INFORMED OF THE HOSPITAL'S COLLECTION POLICIES AS WELL AS THE CHARITY CARE PROGRAM TO ALLOW PATIENTS THE OPPORTUNITY TO COMPLETE THE APPROPRIATE FORMS AND QUALIFY UNDER THE PROGRAM. |
| PART VI, LINE 2: | UPLAND HILLS HEALTH, INC. ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITIES AND AREAS IT SERVES BY REVIEWING LOCAL DEMOGRAPHICS AND TRENDS IN PATIENT SERVICE UTILIZATION TO DETERMINE WHICH SERVICES COULD AND SHOULD BE MADE AVAILABLE TO THE COMMUNITY IN A COST-EFFECTIVE MANNER TO BE CONSISTENT WITH THE HOSPITAL'S MISSION IN THE COMMUNITY. UPLAND HILLS HEALTH, INC. ALSO REVIEWS STATISTICS IN THE HOSPITAL, NURSING HOME, CLINIC, HOME HEALTH, AND OTHER ORGANIZATIONAL DEPARTMENTS TO REVIEW THE CURRENT SERVICES BEING OFFERED AND ENSURE THAT RESOURCES ARE BEING APPROPRIATELY ALLOCATED TO AREAS IN NEED BY COMMUNITY MEMBERS AND PATIENTS. THE HOSPITAL ALSO MEETS WITH LOCAL COMMUNITY MEMBERS AND IT'S PHYSICIAN GROUP TO DETERMINE WHICH SERVICES MAY BENEFIT THE COMMUNITY.DURING FISCAL YEAR 2013 UPLAND HILLS HEALTH, INC. COMPLETED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO BETTER UNDERSTAND THE HEALTH NEEDS OF THE COMMUNITY AND TO DEVELOP AN EFFECTIVE IMPLEMENTATION STRATEGY TO ADDRESS PRIORITY NEEDS. DURING THE CURRENT FISCAL YEAR, EFFORTS HAVE BEEN MADE TO FOCUS ON THE ISSUES THAT WERE IDENTIFIED IN THE CHNA. |
| PART VI, LINE 3: | UNINSURED AND UNDER INSURED PATIENTS ARE ASKED TO MEET WITH ONE OF THE HOSPITAL'S FINANCIAL COUNSELORS EITHER AT THE TIME SERVICE IS PROVIDED OR WHEN THE PATIENT'S BILL IS GENERATED. THE FINANCIAL COUNSELOR EXPLAINS THE VARIOUS PAYMENT OPTIONS AVAILABLE TO THE PATIENT AS WELL AS THE HOSPITAL'S CHARITY CARE PROGRAM AND OFFERS THE CHARITY CARE APPLICATION WHEN APPROPRIATE. IF OTHER PROGRAMS ARE AVAILABLE TO THE PATIENT, SUCH AS THE WISCONSIN MEDICAID OR BADGERCARE PROGRAMS, THESE PATIENTS ARE REFERRED TO THE APPROPRIATE GOVERNMENT AGENCY FOR FURTHER ASSISTANCE. |
| PART VI, LINE 4: | THE PRIMARY SERVICE AREA FOR UPLAND HILLS HEALTH, INC. ENCOMPASSES ALL PERSONS LIVING WITHIN A 20 TO 30 MILE RADIUS OF THE HOSPITAL. SOME OF THE COMMUNITIES INCLUDED IN THIS AREA ARE DODGEVILLE, MONTFORT, HIGHLAND, COBB, EDMUND, RIDGEWAY, LINDEN, AND MINERAL POINT, WISCONSIN, AMONG MANY OTHERS. UPLAND HILLS HEALTH, INC. IS THE ONLY HOSPITAL LOCATED IN IOWA COUNTY, WISCONSIN. THE HOSPITAL PROVIDES A SIGNFICANT PORTION OF ITS PATIENT SERVICES TO BENEFICIARIES OF THE MEDICARE AND MEDICAID PROGRAMS, ESPECIALLY THOSE BENEFICIARIES WHO RESIDE IN THE HOSPITAL'S LONG-TERM CARE FACILITY, OR PATIENTS WHO RECEIVE HOME HEALTH, OR HOSPICE SERVICES FROM UPLAND HILLS HEALTH, INC. IN 2015, THESE MEDICARE AND MEDICAID PATIENTS ACCOUNTED FOR APPROXIMATELY 38 PERCENT OF THE GROSS PATIENT SERVICE REVENUE PROVIDED BY THE HOSPITAL DURING THE YEAR. |
| PART VI, LINE 5: | UPLAND HILLS HEALTH, INC. FURTHERS ITS EXEMPT PURPOSE OF PROMOTING THE HEALTH OF THE COMMUNITY IN MANY WAYS, EXAMPLES OF WHICH INCLUDE THE OVERSIGHT BY A COMMUNITY BOARD, THE SPONSORSHIP OF HEALTH EVENTS, THE ESTABLISHMENT OF A SCHOLARSHIP PROGRAM FOR LOCAL STUDENTS SEEKING DEGREES IN HEALTH-RELATED PROFESSIONS, AND PROVISION OF SERVICES FREE OF CHARGE FOR PATIENTS OF THE FREE CLINIC. |
| PART VI, LINE 6: | UPLAND HILLS HEALTH, INC. MAINTAINS AN AFFILIATION AGREEMENT WITH SSM HEALTHCARE OF WISCONSIN, INC. SSM HEALTHCARE OF WISCONSIN, INC. OPERATES ST. MARY'S HOSPITAL IN MADISON, WISCONSIN AS WELL BEING AFFILIATED WITH OTHER AREA COMMUNITY HOSPITALS LOCATED NEAR MADISON, WISCONSIN. ST. MARY'S AND THE SSM HEALTHCARE SYSTEM IS A MULTI-SPECIALTY HEALTH SYSTEM. UPLAND HILLS HEALTH, INC. COLLABORATES WITH SSM HEALTHCARE TO PROMOTE HEALTH AND WELLNESS INITIATIVES IN THE COMMUNITIES SERVED AND THE REGION. AS NOTED PREVIOUSLY IN THE FORM 990, TWO REPRESENTATIVES FROM SSM HEALTHCARE HAVE ROLES ON THE BOARD OF DIRECTORS OF UPLAND HILLS HEALTH, INC. THE AFFILIATION HELPS ENHANCE ACCESSIBILITY OF HEALTH CARE SERVICES OFFERED AT UPLAND HILLS HEALTH, INC. AND MAKES AVAILABLE ADDITIONAL EXPERTISE AND SERVICES WHEN NEEDED TO PROVIDE ACCESS TO EXPANDED SERVICES FOR AREA RESIDENTS. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | WI |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt | Cash GrantCashGrantAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY CONNECTIONS FREE CLINIC INC | ||||||||||
| 201 S IOWA STREET | DODGEVILLE | WI | 53533 | 721619112 | 501(C)(3) | $54,230 | COST | MEDICAL SERVICES & SUPPLIES | TO PROVIDE ACCESS TO ADDITIONAL HEALTHCARE SERVICES TO THOSE IN NEED IN THE COMMUNITY. | |
| UPLAND HILLS HEALTH FOUNDATION INC | ||||||||||
| 800 COMPASSION WAY | DODGEVILLE | WI | 53533 | 260596045 | 501(C)(3) | FMV | MONETARY SUPPORT | $7,215 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | UPLAND HILLS HEALTH, INC. HAS A BOARD APPROVED POLICY ON CHARITABLE GIVING FROM UPLAND HILLS TO THE COMMUNITY FOR PURPOSES THAT FURTHER THE MISSION OF THE ORGANIZATION. GRANTS TO THE COMMUNITY CONNECTIONS FREE CLINIC ARE IN SUPPORT OF THIS MISSION TO PROVIDE ACCESS TO HEALTHCARE SERVICES TO THOSE IN NEED IN THE COMMUNITY AND SURROUNDING AREAS. EACH YEAR, UPLAND HILLS PROVIDES AN AMOUNT THAT IS APPROVED IN THE ANNUAL OPERATING BUDGET BY THE BOARD OF DIRECTORS AND THIS ALLOTTED AMOUNT IS GIVEN TO THE FREE CLINIC TO REFER PATIENTS IN NEED OF ADDITIONAL SERVICES TO UPLAND HILLS TO BE PROVIDED FREE OF CHARGE. THE ORGANIZATION MONITORS THE AMOUNTS PROVIDED DURING THE YEAR. FOR THE FREE CLINIC TO RECEIVE ADDITIONAL SERVICES BEYOND THE BUDGETED AMOUNT, THIS WOULD BE APPROVED BY THE BOARD OF DIRECTORS. PATIENTS OF THE FREE CLINIC MAY ALSO QUALIFY FOR ADDITIONAL SERVICES UNDER THE HOSPITAL'S CHARITY CARE POLICY AT FREE OR REDUCED RATES DEPENDING ON INDIVIDUAL NEEDS. THESE TWO POLICIES ALLOW UPLAND HILLS THE ABILITY TO PROVIDE A CONTINUUM OF CARE TO THOSE IN NEED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LISA SCHNEDLER | ||||||||||||||
| PRESIDENT AND CEO | $227,757 | $0 | $25,013 | $0 | $1,816 | $0 | $0 | $0 | $17,536 | $0 | $272,122 | $0 | $0 | $0 |
| ARTHUR K PUSTINA | ||||||||||||||
| VP OF FINANCE | $139,453 | $0 | $1,565 | $0 | $1,225 | $0 | $5,758 | $0 | $18,111 | $0 | $166,112 | $0 | $0 | $0 |
| BARBARA HOSTETLER | ||||||||||||||
| PHYSICIAN | $411,226 | $0 | $17,619 | $0 | $1,806 | $0 | $10,200 | $0 | $3,755 | $0 | $444,606 | $0 | $0 | $0 |
| ADAM DACHMAN | ||||||||||||||
| PHYSICIAN | $346,636 | $0 | $40,039 | $0 | $966 | $0 | $0 | $0 | $2,400 | $0 | $390,041 | $0 | $0 | $0 |
| JEFF PIERCE | ||||||||||||||
| CRNA | $261,438 | $0 | $10,119 | $0 | $1,806 | $0 | $10,200 | $0 | $18,395 | $0 | $301,958 | $0 | $0 | $0 |
| BRENTON JENKINS | ||||||||||||||
| PHYSICIAN | $283,465 | $0 | $9,816 | $0 | $336 | $0 | $8,750 | $0 | $5,876 | $0 | $308,243 | $0 | $0 | $0 |
| ROBERT SCHMUS | ||||||||||||||
| PHYSICIAN | $255,256 | $0 | $26,506 | $0 | $2,772 | $0 | $10,200 | $0 | $12,211 | $0 | $306,945 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | ||||||||
| A | 391337855 | 977104K98 | 2006-10-03 | $20,825,012 | CONSTRUCTION & RENOVATION OF HOSPITAL FACILITIES | 0 | 0 | 0 |
| WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | ||||||||
| B | 391337855 | 97710VN93 | 2006-10-03 | $10,300,000 | CONSTRUCTION & RENOVATION OF HOSPITAL FACILITIES | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $3,750,000 | $20,825,012 | $1,351,698 | $9,340,920 | $414,461 | $9,717,934 | 2009 | 0 | Yes (1) | Yes (1) | Yes (1) |
| B | $850,000 | $10,300,000 | $225,810 | $10,074,190 | 2009 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 |
| B | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | DATE REBATE COMPUTATION PERFORMED | FormAndLineReferenceDesc |
| Explanation | ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/15/2010 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | THROUGH JUNE 30, 2015, THE HOSPITAL PROVIDED DIALYSIS SERVICES IN A DIALYSIS CENTER LOCATED WITHIN THE HOSPITAL'S MAIN CAMPUS. ON JULY 1, 2015, THE DIALYSIS OPERATIONS WERE SOLD TO AN UNRELATED PARTY WHO BEGAN OPERATING THE DIALYSIS CENTER. |
| FORM 990, PART VI, SECTION A, LINE 2 | DAMOND BOATWRIGHT AND JOAN BACHLEITNER ARE MEMBERS OF THE BOARD OF DIRECTORS AND REPRESENT SSM HEALTHCARE OF WISCONSIN. THESE INDIVIDUALS ARE EMPLOYEES OF SSM HEALTHCARE OF WISCONSIN AND SERVE ON THE BOARD AT UPLAND HILLS HEALTH, INC. AS A PART OF THE AFFILIATION AGREEMENT BETWEEN UPLAND HILLS HEALTH, INC. AND SSM WISCONSIN, INC. (A NON-PROFIT CORPORATION WHICH OPERATES ST. MARY'S HOSPITAL IN MADISON, WISCONSIN.) |
| FORM 990, PART VI, SECTION A, LINE 6 | SSM HEALTHCARE OF WISCONSIN, INC., UNDER THE TERMS OF THE AFFILIATION AGREEMENT DATED SEPTEMBER 21, 2011, HOLDS A 17.39% EQUITY INTEREST IN UPLAND HILLS HEALTH, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | SSM HEALTHCARE OF WISCONSIN, INC. CAN APPOINT TWO MEMBERS TO THE UPLAND HILLS HEALTH, INC. BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING DECISIONS BY THE BOARD SHALL REQUIRE BOTH THE APPROVING VOTE OF A MAJORITY OF THE ENTIRE BOARD AND THE APPROVAL OF SSM HEALTHCARE OF WISCONSIN, INC.: (I) APPROVAL OF ANY AMENDMENT OR RESTATEMENT AFFECTING ARTICLE TWELVE OF THE ARTICLES OF INCORPORATION. (II) APPROVAL OF ANY AMENDMENT OR RESTATEMENT AFFECTING SECTION 1.4, SECTION 2.2, SECTION 2.6, SECTION 3.7, SECTION 5.2, OR ARTICLE X OF THE CORPORATE BYLAWS OF UPLAND HILLS HEALTH, INC. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS REVIEWED BY THE VICE PRESIDENT OF FINANCE AND THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | UPLAND HILLS HEALTH, INC. REQUIRES ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TO COMPLETE AN ANNUAL DISCLOSURE STATEMENT. THESE STATEMENTS ARE THEN REVIEWED BY THE BOARD OF DIRECTORS, NOTING ANY RELATIONSHIPS THAT COULD POTENTIALLY CREATE A CONFLICT OF INTEREST. IF BOARD MEMBERS HAVE CONFLICTS THAT ARE NOTED, THESE MEMBERS ARE ASKED TO ABSTAIN FROM VOTING ON THOSE MATTERS. CONFLICTS NOTED BY EMPLOYEES ARE REVIEWED BY THE BOARD OF DIRECTORS TO ENSURE THAT ALL TRANSACTIONS ARE CONDUCTED AT ARMS LENGTH. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS HAS AN ESTABLISHED PROCESS TO REVIEW THE COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES AND TO DEFINE COMPENSATION PRACTICES. COMPARATIVE DATA FROM WAGE SURVEYS, AREA LABOR ADJUSTMENTS, AND MARKET RATES IN OTHER AREA FACILITIES ARE USED IN DETERMINING COMPENSATION. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS AND APPROVES ANY EXCEPTIONS TO ACROSS-THE-BOARD RAISES AND STANDARD NEW HIRE WAGES. DURING THE REVIEW PROCESS, DECISIONS AFFECTING COMPENSATION AND CONTRACTS ARE ONLY REVIEWED AND APPROVED BY INDIVIDUALS WHO DO NOT HAVE NOTED CONFLICTS. THE DECISIONS AND DELIBERATION ARE ALSO DOCUMENTED FOR KEY EMPLOYEES AND EXECUTIVES (WHICH MAINLY INCLUDE THE HIGHLY COMPENSATED EMPLOYEES OF THE ORGANIZATION) IN THE MINUTES OF THE BOARD OF DIRECTORS UPON APPROVAL BY THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPLAND HILLS HEALTH, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT ITS BUSINESS LOCATION DURING NORMAL BUSINESS HOURS. |
| FORM 990, PART IX, LINE 11G | EMERGENCY ROOM PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,180,502. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,180,502. IMAGING SERVICES PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,218,445. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,218,445. LAB PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 284,663. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 284,663. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 823,417. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 823,417. ADMINISTRATIVE PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 567,598. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 567,598. |
| FORM 990, PART XI, LINE 9: | INCREASE IN EQUITY OF INVESTMENTS IN UNCONSOLIDATED AFFILIATES 311,574. |
| FORM 990, PART XII, LINE 2C, SELECTION OF INDEPENDENT ACCOUNTANT: | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS BY AN INDEPENDENT ACCOUNTANT. THE BOARD OF DIRECTORS OF UPLAND HILLS HEALTH, INC. ALSO APPROVES THE SELECTION OF THE INDEPENDENT AUDITORS AND HISTORICALLY HAS USED A PROCESS OF SOLICITATION OF SEALED BIDS FROM INDEPENDENT AUDIT FIRMS WITH HEALTHCARE AUDIT EXPERIENCE EVERY FIVE YEARS SO THAT THE AUDIT FIRM REVIEW IS DONE ON A REGULAR BASIS. THIS PROCESS AND PROCEDURES HAVE NOT CHANGED IN THE CURRENT YEAR EXCEPT AN EXTENSION BEYOND FIVE YEARS WAS GIVEN TO THE CURRENT AUDIT FIRM. |
| FORM 990, PART VI, SECTION B, LINE 16B: | UPLAND HILLS HEALTH, INC. DOES NOT HAVE A WRITTEN POLICY REGARDING THE EVALUATION OF PARTICIPATION IN JOINT VENTURE ARRANGEMENTS; HOWEVER, ALL POTENTIAL JOINT VENTURE ARRANGEMENTS ARE REVIEWED BY UPLAND HILLS HEALTH, INC.'S LEGAL COUNSEL PRIOR TO PARTICIPATION. THE LEGAL COUNSEL REVIEWS POTENTIAL JOINT VENTURE ARRANGEMENTS FOR COMPLIANCE WITH THE UPLAND HILLS HEALTH, INC. CORPORATE BY-LAWS AND ALSO REVIEWS FOR COMPLIANCE WITH APPLICABLE FEDERAL TAX LAW TO ENSURE THE SAFEGUARDING OF THE ORGANIZATION'S TAX EXEMPT STATUS. UPON LEGAL COUNSEL CONSENT, UPLAND HILLS HEALTH, INC. WILL PROCEED WITH A FORMAL WRITTEN AGREEMENT FOR ALL JOINT VENTURE ARRANGEMENTS. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UPLAND HILLS HEALTH HOLDINGS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 COMPASSION WAY | AddressLine1Txt |
| City | DODGEVILLE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53533 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800809494 | EIN |
| Primary Activities | PARTNERSHIP FOR DURABLE MEDICAL EQUIPMENT PROVIDED TO PATIENTS | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Total Income | $219,345 | TotalIncomeAmt |
| End Of Year Assets | $341,684 | EndOfYearAssetsAmt |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UPLAND HILLS HEALTH FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 COMPASSION WAY | AddressLine1Txt |
| City | DODGEVILLE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53533 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 260596045 | EIN |
| Primary Activities | FOUNDATION TO PROVIDE CONTRIBUTIONS & SUPPORT FOR UPLAND HILLS HEALTH, INC. | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 7 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UPLAND HILLS HOMETOWN MEDICAL EQUIPMENT LLC | |||||||||||||
| 305 E BUSINESS HWY 151 SUITE C | PLATTEVILLE | WI | 53818 | 680656862 | PARTNERSHIP FOR DURABLE MEDICAL EQUIPMENT PROVIDED TO PATIENTS | WI | N/A | RELATED | $219,345 | $341,684 | 0 | 0 | 0.30000 |
| CRESTRIDGE ASSISTED LIVING LLC | |||||||||||||
| 1402 PANKRANTZ STREET SUITE 110 | MADISON | WI | 53704 | 391913656 | ASSISTED LIVING | WI | N/A | RELATED | $92,229 | $114,682 | 0 | 0 | 0.49000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CRESTRIDGE ASSISTED LIVING LLC | ||
| D | $2,561,992 | CASH PAID |
| UPLAND HILLS HEALTH FOUNDATION INC | ||
| B | $166,500 | CASH PAID |