ASPIRUS MERRILL HOSPITAL & CLINICS INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ASPIRUS MERRILL HOSPITAL & CLINICS INC (EIN 39-0808503)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-06-04
- IRS object ID
- 201501559349300430
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-06-04T15:00:07-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 East Wells Street Suite 1400 | AddressLine1 |
| City | Milwaukee | City |
| State | WI | State |
| ZIP Code | 53202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390808503 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Good Samaritan Health Center of | BusinessNameLine1 |
| Business Name Line2 | Merrill Wisconsin Inc | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOOD | BusinessNameControlTxt |
| Phone | 7155365511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 South Center Avenue | AddressLine1 |
| City | Merrill | City |
| State | WI | State |
| ZIP Code | 54452 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jeffrey Francis | PersonNm |
| Person Title | Ministry Health Care CAFO | PersonTitleTxt |
| Phone | 7155365511 | PhoneNum |
| Signature | 2015-06-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | 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 | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Mary T Krueger | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 South Center Avenue | AddressLine1 |
| City | Merrill | City |
| State | WI | State |
| ZIP Code | 54452 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,620,244 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.ministryhealth.org/gshc/home.nws | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1950 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | To improve the health and well-being of all people in the communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 182 | TotalEmployeeCnt |
| Total Volunteers | 114 | TotalVolunteersCnt |
| Total Gross UBI | $16,065 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$14,058 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,799,268 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $21,376,088 | CYProgramServiceRevenueAmt |
| PY Investment Income | $411,501 | PYInvestmentIncomeAmt |
| CY Investment Income | $987,223 | CYInvestmentIncomeAmt |
| PY Other Revenue | $141,563 | PYOtherRevenueAmt |
| CY Other Revenue | $190,951 | CYOtherRevenueAmt |
| PY Total Revenue | $17,352,332 | PYTotalRevenueAmt |
| CY Total Revenue | $22,554,262 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,303,412 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,343,249 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,750 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,405,619 | PYOtherExpensesAmt |
| CY Other Expenses | $8,358,878 | CYOtherExpensesAmt |
| PY Total Expenses | $17,709,031 | PYTotalExpensesAmt |
| CY Total Expenses | $22,702,127 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$356,699 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$147,865 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $37,520,954 | TotalAssetsBOYAmt |
| Total Assets EOY | $39,219,077 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,549,063 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,923,258 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $33,971,891 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $37,295,819 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Good Samaritan Health Center of Merrill, Wisconsin, Inc.'s mission as a Catholic hospital is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $17,860,171 | ExpenseAmt |
| Revenue | $21,458,732 | RevenueAmt |
| Desc | Good Samaritan Health Center of Merrill, Wisconsin, Inc. provides inpatient, outpatient, emergency room, and ancillary services regardless of an individual's ability to pay or method of payment. The Hospital also provides educational programs and services on health care issues to the community it serves.See Schedule H for further details regarding the community benefits that Good Samaritan Health Center of Merrill, Wisconsin, Inc. provides. | Desc |
| Total Program Service Expenses | $17,860,171 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | 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 | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| 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 | 0 | 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 | 40 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 182 | 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | 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 | Jeffrey Francis | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4143593145 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 222 W College Ave 3rd Floor | AddressLine1 |
| City | Appleton | City |
| State | WI | State |
| ZIP Code | 54911 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Michael Ravn | ||||||||||
| Chairperson | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Val Mindak | ||||||||||
| Vice Chairperson | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Shannon Murray | ||||||||||
| Secretary/Treasurer | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Jane Deau | ||||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Barb Haffemann | ||||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Karen Karow | ||||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Denis McCarthy | ||||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Susan Ryman | ||||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Robyn Schertz MD | ||||||||||
| Board Member | 1.00 | 40.00 | Yes (X) | $0 | $470,864 | $63,557 | ||||
| Sister Maria Vinton SSM | ||||||||||
| Board Member | 1.00 | 0.20 | Yes (X) | $0 | $0 | $0 | ||||
| Mary T Krueger | ||||||||||
| President | 13.00 | 27.80 | Yes (X) | Yes (X) | $0 | $308,415 | $60,217 | |||
| Nicholas Desien | ||||||||||
| Ministry Health Care CEO | 1.00 | 55.30 | Yes (X) | $0 | $2,061,606 | $41,974 | ||||
| Jeffrey Francis | ||||||||||
| Ministry Health Care CAFO | 1.00 | 64.90 | Yes (X) | $0 | $522,252 | $124,025 | ||||
| Larry T Hegland | ||||||||||
| Chief Medical Officer | 3.00 | 17.00 | $0 | $312,816 | $42,803 | Yes (X) | ||||
| Jeffrey Martin | ||||||||||
| President at SMH | 4.00 | 36.80 | $0 | $561,639 | $136,782 | Yes (X) | ||||
| Kristine McGarigle | ||||||||||
| VP - Patient Care | 13.00 | 27.10 | $0 | $205,206 | $29,210 | Yes (X) | ||||
| Kathryn S Horst | ||||||||||
| Clinical Staff Pharmacist | 40.00 | 0.00 | $130,974 | $0 | $37,453 | Yes (X) | ||||
| James L Mason | ||||||||||
| Manager, Pharmacy - E | 40.00 | 0.00 | $140,877 | $0 | $24,709 | Yes (X) | ||||
| Jeff Badger | ||||||||||
| Former Officer | 1.00 | 51.00 | $0 | $497,813 | $62,987 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $271,851 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,940,611 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $623,717 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Ellis Stone Contruction Co Inc | |||||
| PO Box 366 | Stevens Point | WI | 544810366 | Construction Services | $358,575 |
| Marshfield Clinic | |||||
| 1205 ODay Street | Merrill | WI | 544523416 | Medical Staff | $354,941 |
| Shared Medical Services Inc | |||||
| 209 Limestone Pass | Cottage Grove | WI | 53527 | MRI Services | $266,463 |
| Johnson Controls Inc | |||||
| PO Box 905240 | Charlotte | NC | 282905240 | Maintenance Services | $214,157 |
| Marshfield Laboratories | |||||
| 1000 North Oak Avenue | Marshfield | WI | 544495795 | Lab Services | $108,391 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Revenue | 622110 | $21,057,228 | $21,057,228 |
| Medicaid Stimulus | 525990 | $168,962 | $168,962 |
| Rent from Exempt Org. | 531190 | $98,861 | $98,861 |
| Intercompany Lab | 541380 | $29,018 | $29,018 |
| Physical Therapy | 900099 | $22,019 | $22,019 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $21,376,088 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $967,150 | TotalRevenueColumnAmt |
| Exclusion | $967,150 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,895 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,895 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,895 | TotalRevenueColumnAmt |
| Exclusion | $5,895 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $86,055 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $65,982 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $20,073 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,073 | TotalRevenueColumnAmt |
| Exclusion | $20,073 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|---|
| Cafeteria | 722210 | $90,656 | $4,309 | $86,347 | |
| Radiology | 900099 | $15,286 | $403 | $14,883 | |
| Housekeeping | 900099 | $11,353 | $11,353 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,761 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $67,761 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $185,056 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,554,262 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,458,732 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $16,065 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,079,465 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,401,450 | TotalAmt |
| Program Services | $9,139,703 | ProgramServicesAmt |
| Management And General | $2,261,747 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $366,045 | TotalAmt |
| Program Services | $365,377 | ProgramServicesAmt |
| Management And General | $668 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,026,823 | TotalAmt |
| Program Services | $1,517,779 | ProgramServicesAmt |
| Management And General | $509,044 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $548,931 | TotalAmt |
| Program Services | $539,813 | ProgramServicesAmt |
| Management And General | $9,118 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,114 | TotalAmt |
| Management And General | $3,114 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,907 | TotalAmt |
| Program Services | $4,907 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $747,222 | TotalAmt |
| Program Services | $331,793 | ProgramServicesAmt |
| Management And General | $415,429 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,311,739 | TotalAmt |
| Program Services | $1,090,271 | ProgramServicesAmt |
| Management And General | $221,468 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,419 | TotalAmt |
| Program Services | $70,419 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $761,689 | TotalAmt |
| Program Services | $645,594 | ProgramServicesAmt |
| Management And General | $116,095 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,478 | TotalAmt |
| Program Services | $23,813 | ProgramServicesAmt |
| Management And General | $6,665 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,852 | TotalAmt |
| Program Services | $26,683 | ProgramServicesAmt |
| Management And General | $70,169 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,349,344 | TotalAmt |
| Program Services | $1,177,194 | ProgramServicesAmt |
| Management And General | $172,150 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,226 | TotalAmt |
| Program Services | $72,777 | ProgramServicesAmt |
| Management And General | $2,449 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Purchased Services | $2,102,149 | $1,235,825 | $866,324 | $0 |
| Anesthesia Services | $739,396 | $739,396 | $0 | $0 |
| Pharmaceuticals | $595,438 | $592,281 | $3,157 | $0 |
| Food | $109,043 | $93,472 | $15,571 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $361,862 | TotalAmt |
| Program Services | $193,074 | ProgramServicesAmt |
| Management And General | $166,038 | ManagementAndGeneralAmt |
| Fundraising | $2,750 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,702,127 | TotalAmt |
| Program Services | $17,860,171 | ProgramServicesAmt |
| Management And General | $4,839,206 | ManagementAndGeneralAmt |
| Fundraising | $2,750 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $759 | BOYAmt |
| EOY | $685 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,848,028 | BOYAmt |
| EOY | $644,190 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,876,533 | BOYAmt |
| EOY | $3,368,028 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $451,309 | BOYAmt |
| EOY | $411,806 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,433 | BOYAmt |
| EOY | $47,030 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,857,099 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,407,859 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,259,286 | BOYAmt |
| EOY | $8,449,240 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $319,911 | BOYAmt |
| EOY | $982,709 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,692,695 | BOYAmt |
| EOY | $25,315,389 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,520,954 | BOYAmt |
| EOY | $39,219,077 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,645,065 | BOYAmt |
| EOY | $2,315,873 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $903,998 | BOYAmt |
| EOY | -$392,615 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,549,063 | BOYAmt |
| EOY | $1,923,258 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,971,891 | BOYAmt |
| EOY | $37,273,722 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $22,097 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,971,891 | BOYAmt |
| EOY | $37,295,819 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,520,954 | BOYAmt |
| EOY | $39,219,077 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$147,865 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,607,183 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,864,610 | OtherChangesInNetAssetsAmt |
| 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 | $3,114 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,114 | 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 | Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. Good Samaritan Health Center of Merrill, Wisconsin, 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 | $1,250,000 | OtherCostOrOtherBasisAmt |
| Book Value | $1,250,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,451,043 | OtherCostOrOtherBasisAmt |
| Depreciation | $820,824 | DepreciationAmt |
| Book Value | $4,630,219 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $201,112 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,615 | DepreciationAmt |
| Book Value | $167,497 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,842,029 | OtherCostOrOtherBasisAmt |
| Depreciation | $553,420 | DepreciationAmt |
| Book Value | $2,288,609 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $112,915 | OtherCostOrOtherBasisAmt |
| Book Value | $112,915 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,449,240 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Interest in Investments Held by Ascension Health Alliance | $25,163,453 |
| Other Assets | $151,936 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $25,315,389 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Accretion Amortization | $177,428 |
| Asset Retirement Obligation | $149,998 |
| Pension Reserve | -$1,067,041 |
| Unspecified Reserve | $347,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | -$392,615 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | From the consolidated audited financial statements of Ministry Health Care, Inc., which includes the activity of Good Samaritan Health Center of Merrill, Wisconsin, 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 tax position taken or expected to be taken in a tax return. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| 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 | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $272,838 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $272,838 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01200 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,228,348 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,290,524 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $937,824 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04130 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,501,186 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,290,524 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,210,662 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05330 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 20 | ActivitiesOrProgramsCnt |
| Persons Served | 5423 | PersonsServedCnt |
| Total Community Benefit Expns | $96,386 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $96,386 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00420 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 88 | PersonsServedCnt |
| Total Community Benefit Expns | $35,941 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,941 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 195 | PersonsServedCnt |
| Total Community Benefit Expns | $35,199 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,341 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,858 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 14 | ActivitiesOrProgramsCnt |
| Persons Served | 1387 | PersonsServedCnt |
| Total Community Benefit Expns | $85,225 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $85,225 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 47 | ActivitiesOrProgramsCnt |
| Persons Served | 7093 | PersonsServedCnt |
| Total Community Benefit Expns | $252,751 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,341 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $235,410 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01040 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 47 | ActivitiesOrProgramsCnt |
| Persons Served | 7093 | PersonsServedCnt |
| Total Community Benefit Expns | $3,753,937 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,307,865 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,446,072 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06370 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $38 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $38 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 19 | PersonsServedCnt |
| Total Community Benefit Expns | $14,144 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,144 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $599 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $599 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 233 | PersonsServedCnt |
| Total Community Benefit Expns | $5,264 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,264 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $3,102 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $700 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,402 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 47 | PersonsServedCnt |
| Total Community Benefit Expns | $2,388 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,388 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 299 | PersonsServedCnt |
| Total Community Benefit Expns | $25,535 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $700 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,835 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,568,961 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $9,785,421 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $11,291,608 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,506,187 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Good Samaritan Health Center | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 South Center | AddressLine1 |
| City | Merrill | City |
| State | WI | State |
| ZIP Code | 54452 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http://ministryhealth.org/gshc/home.nw | WebsiteAddressTxt |
| State License | 1043 | 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 | Good Samaritan Health Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Narrative | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | 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 (1) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Good Samaritan Health Center | Part V, Section B, Line 3: The assessment team comprised of private and public Lincoln County organization members include: hospital nurses and administrators; clinic personnel; public health nurses and educators; behavioral health therapists and leaders; elementary, high school and post high school educators, nurses and administrators; police and emergency personnel; child, women's, family and senior social services; as well as interested community members in the health needs assessment process. Community members received an invitation by mail and follow-up email.Jim Lawrence, Health Educator Consultant, and Angela Nimsgern, Regional Director from the Division of Public Health Northern Region Office, and Art Lersch, Community Resource Development Educator at UW Extension Lincoln County, were consultants.A representative from Ministry Good Samaritan Health of Merrill, Wisconsin, Inc. ("MGSHC") joined the Lincoln County Community Health Improvement Plan Steering Team as a community partner to obtain further data for each of the priorities. This team created the community health survey and MGSHC assisted with data compilation and analysis.Additionally, MGSHC conducted a focus group with physicians and case managers practicing in the facility. Those attending included: Dr. Robyn Schertz (Medical Director of Good Samaritan Emergency Department), Dr. Mark Gaulke (Internal Medicine/Pediatrics, Ministry Medical Group, Inc.), Dr. Robert Sedlacek (Family Practice, Ministry Medical Group, Inc.), Dr. Dionna Pendleton (Family Practice, Ministry Medical Group, Inc.), Dr. Ken Anuligo (Family Practice, Ministry Medical Group, Inc.) and Mark Moser (LSW Case Management, Ministry Good Samaritan Health Center of Merrill, Wisconsin, Inc.). Appendix 2 lists the individuals who participated in the community needs assessment process.Public Health Experts:- Shelley Hersil, Director and Health Officer Lincoln County Health Department Master in Public Health Administration, UW-Lacrosse Certified Health Education Specialist (CHES). Lincoln County Health Officer for seven years and more than 10 years experience with tobacco control and prevention.- Jim Lawrence, Health Educator Consultant Wisconsin Division of Public Health - Northern Regional office. More than 20 years of experience in public health consulting.- Art Lersch, Associate Professor, Community Resources Development Educator, UW Extension Lincoln County Master in Public Health Administration, Kent State University. Focus areas are organizational, leadership and business development.- Angela Nimsgern, Regional Director, Wisconsin Division of Public Health-Northern Regional Office Master in Public Health Administration, CHP more than 12 years of experience with community health assessments.- Angela Nimsgern, WI Division of Public Health Northern Region- Brenda Jones, Ministry Good Samaritan Health Center of Merrill, Wisconsin, Inc.- Susan Cronick, Ministry Sacred Heart-St. Mary's Hospitals, Inc.- Bill Zeitz, Lincoln County Board of Health- Bob Odegard, Merrill Fire Department- Bonnie Rudie, UW Extension - Lincoln County- Brigid Flood, Lincoln County Health Department- Carmen A. Viegut, Ministry Sacred Heart-St. Mary's Hospitals, Inc.- Cindy Lezotte, Ministry Good Samaritan Health Center of Merrill, Wisconsin, Inc.- Connie Kuczmarski, Community Care of Central Wisconsin- Dan Wendorf, City of Merrill - Parks & Recreation Department- Debbie Moellendorf, UW Extension - Lincoln County- Debi McGregor, Children's Service Society of Wisconsin- Dee Olsen, Merrill Area United Way- Erin Zastrow, Aging & Disability Resource Center- Evelyn Lee, Anderson Associates- Jane Deau, Merrill Area Community Enrichment- Jesse Borchardt, Community Care of Central Wisconsin- Jessica DeJong, Aspirus Clinics- Jim Lawrence, WI Division of Public Health Northern Region- John Sample, Merrill Area Public Schools- Julie Thompson, Tomahawk Senior Community Center- Kathy Graham, Citizen- Ken Neff, City of Merrill Police Department- Lori Decker, Ministry Medical Group, Inc. - Tomahawk- Pam Melander, Church Mutual Insurance Company- Paula Gebauer, Ministry Sacred Heart-St. Mary's Hospitals, Inc.- Peggy McDowell, Northern WI Tobacco Free Coalition- Robin Lane, Marshfield Clinic - Merrill Center- Sarah Jaeger, Bridge Community Health Clinic- Sharon Anderson, Citizen- Shelley Hersil, Lincoln County Health Department- Stacy Bolder, Tomahawk School District- Tammi Boers, Lincoln County Health Department- Tammy Hansen, UW Extension Lincoln County- William Erickson, COO Ministry Sacred Heart-St. Mary's Hospitals, Inc.- Amanda Kostman, UW Extension Lincoln County. |
| Good Samaritan Health Center | Part V, Section B, Line 4: The CHNA was conducted with Ministry Sacred Heart Hospital. |
| Good Samaritan Health Center | Part V, Section B, Line 7: Priority Needs Not Being Addressed and the Reasons:Sexual Health:Although sexual health has been identified, MGSHC, being a Catholic health organization, is guided by ethical and religious directives. These directives do not align with public health and the public school programs available in the community.Domestic Violence:MGSHC currently provides Sexual Assault Nurse Examiners (SANE) when an incident occurs. The Health Center works very closely with HAVEN a domestic abuse shelter by providing funding. The Health Center Chaplain serves on the HAVEN Board of Directors.Alcohol and Drug Abuse:The Lincoln County Drug Free Coalition is very active in the Merrill community providing multiple agencies to decrease alcohol and drug use. |
| Good Samaritan Health Center | Part V, Section B, Line 14g: A plain language summary of the financial assistance policy is available in the following locations:- The Hospital facilitiy's website- Attachment to billing invoices- Posted to the Hospital facility's emergency rooms and waiting rooms- Posted in the Hospital facility's admission offices- Provided, in writing, to patients on admission to the Hospital facility. |
| Part V, Section B, Line 5a: | The Hospital facility's CHNA can be found at the following website:http://ministryhealth.org/GoodSamaritan/Ministry_Good_Samaritan_Health_ Center_CHNA_2013_2_13FINAL3.pdf |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | Good Samaritan Health Center of Merrill, Wisconsin, 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, Inc. network of hospitals, clinics and other health-related organizations. |
| Part I, Line 7: | Amounts calculated in Part 1, 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. |
| Part II, Community Building Activities: | Community building activities include activities 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. The Organization provides various community health education programs. They include health promotion and wellness, school health education programs, child safety programs, advanced health directive education programs and various support groups. The Organization also provides various clinical services to the community. They include diabetes education, prostate and various other screenings, and school and athletic exams. The Organization also provided job shadowing and mentoring opportunities for the community. |
| Part III, Line 2: | 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. |
| Part III, Line 3: | Good Samaritan Health Center of Merrill, Wisconsin, Inc. has a very robust financial assistance program; therefore, no estimate is made for bad debt attributed to financial assistance eligible patients. |
| Part III, Line 4: | From the footnote of the consolidated financial statements of Ministry Health Care, Inc., which includes the activity of Good Samaritan Health Center of Merrill, Wisconsin, Inc.:The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Health Ministry follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Health Ministry's policies.The methodology for determining the allowance for doubtful accounts and related write-offs on uninsured patient accounts has remained consistent with the prior year. 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. |
| Part III, Line 8: | 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. |
| Part III, Line 9b: | The Organization has a debt collection policy which sets forth collection practices for patients who are known to qualify or may qualify for financial assistance under the Charity Care Program. Sufficient financial counseling support is made available to patients so they can easily access patient financial service representatives and have their questions answered, and gain an understanding of the reasons why they owe a balance. Accounts are designated as Charity Care in the business offices so no additional time is spent on collection efforts. |
| Part VI, Line 2: | The Organization performs Community Health Needs Assessments as needed. Planning workgroups consisting of community partners are formed to define the community and its needs through review of 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 in subsequent Community Health Needs Assessments. Community benefit plans are presented to senior leadership and board members to ensure the findings are incorporated into the Organization's strategy and policy development. For example, senior leaders are required to provide direct service to the poor in their communities, and the hours are included as part of their performance goals. |
| Part VI, Line 3: | Ministry Health Care, Inc. ("MHC") has financial counselors located at every hospital. If a patient indicates they are unable to pay their bill at any point during pre-service, admission, discharge or billing process, the financial counselors will assist the patient in either securing a funding source (grants, COBRA coverage, disability benefits, Medicaid, VA, etc.) if eligible or assist them in completing a financial assistance application. |
| Part VI, Line 4: | The city of Merrill is located in Southern Lincoln County located in the Northern portion of Wisconsin. Merrill serves as the county seat and is the largest city in the county. The 2013 population of Merrill is 9,475. According to the 2010 census data the population of Merrill was 9,661. The racial make-up consisted of 96.3% White, 2.00% Hispanic, 0.50% African American, 0.40% Native American, 0.60% Asian, and 0.20% other. 23.9% were under 18 and 19.40% were over 65.The median income for a household in Lincoln County over the last five years is $49,021 and 11.1% of the population was below the poverty line. |
| Part VI, Line 5: | The Organization strives to further its exempt purposes by the following:- The Organization's governing board consists primarily of persons who reside within the primary service area who are not employees of the Organization.- As mentioned, the Organization provides several services which are nototherwise available being in a rural setting.- Based on the Organization's mission, emergency rooms are made availableto all patients regardless of the ability to pay.- The Organization also participates in the education and training ofhealthcare professional through internship programs.The Hospital participates in government-sponsored health programs(Medicare, Medicaid, Champus, Tricare).The Hospital offers volunteer opportunities to the community. There are 359 volunteers that serve the Hospital as needed.Various financial programs are available to patients of Good Samaritan Health Center of Merrill, Wisconsin, Inc. They include discounted and/or free care depending on individual circumstances. The facility also offers payment plans for those self pay patients.Good Samaritan Health Center of Merrill, Wisconsin, Inc. is a critical access hospital that has inpatient and swing beds. They also provide emergency and walk-in services. As a critical access hospital, the Organization serves as a critical point in stabilizing patients for transport to other facilities. |
| Part VI, Line 6: | Ministry Health Care, Inc. ("Ministry" or "the Health Ministry") is a member of Ascension Health. Ascension Health Alliance, d/b/a Ascension (Ascension), is a Missouri nonprofit corporation formed on September 13, 2011. Ascension is 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 healthcare facilities, or Health Ministries, located in 23 of the United States and the District of Columbia. Ascension and its member organizations are hereafter referred to collectively 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; theCongregation 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. As more fully described in the Organizational Changes note, Marian Health System, which was previously sponsored by the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi US/Caribbean Province, became part of Ascension Health on April 1, 2013.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.The consolidated financial statements include the following affiliates in which Ministry has a controlling interest or is the sole sponsor.Affiliate Organization - LocationAffinity Health System (Affinity)Calumet Medical Center, Inc. (CMC) - Chilton, WINetwork Health System, Inc. (NHS)Affinity Medical Group (AMG) - Fox Valley of WisconsinTwin Med, LLC - Fox Valley of WisconsinMercy Medical Center of Oshkosh, Inc. - Oskosh, WIMercy Health Foundation, Inc. - Oshkosh, WISt. Elizabeth Hospital, Inc. - Appleton, WICatalpa Health, Inc. - Appleton, WISt. Elizabeth Hospital Foundation, Inc. - Appleton, WIAgape Community Center of Milwaukee, Inc. - Milwaukee, WIDoor County Memorial Hospital (Door County) - Sturgeon Bay, WIGood Samaritan Health Center of Merrill, Wisconsin, Inc. - Merrill, WIGood Samaritan Health Center Foundation of Merrill, Wisconsin, Inc. - Merrill, WIHoward Young Health Care, Inc. (Howard Young)Dr. Kate Newcomb Convalescent Center, Inc. - Woodruff, WIThe Howard Young Medical Center, Inc. - Woodruff, WIHoward Young Foundation, Inc. - Woodruff, WIEagle River Memorial Hospital, Incorporated - Eagle River, WIMinistry Holdings, Inc.Network Health (NH) - Fox Valley of WisconsinNetwork Health Insurance Corporation (NHIC) - Fox Valley of WisconsinMinistry Home Care, Inc.Ministry Home Care Services - Various in WisconsinMinistry Medical Group, Inc.Our Lady of Victory Hospital, Inc. - Stanley, WISacred Heart-St. Mary's Hospitals, Inc. - Tomahawk, WI/Rhinelander, WISaint Clare's Hospital of Weston, Inc. - Weston, WIFoundation of Saint Clare's Hospital of Weston, Inc. - Weston, WISaint Elizabeth's Hospital of Wabasha, Inc. - Wabasha, MNSaint Joseph's Hospital of Marshfield, Inc. - Marshfield, WIFoundation of Saint Joseph's Hospital of Marshfield, Inc. - Marshfield, WISaint Michael's Hospital of Stevens Point, Inc. - Stevens Point, WISaint Michael's Foundation of Stevens Point, Inc. - Stevens Point, WIMission: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 which 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 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 community benefit programs:- Traditional charity care includes the cost of services provided to persons who cannot afford healthcare because of inadequate resources and/or who are uninsured or underinsured.- Unpaid cost of public programs, excluding Medicare, represents the unpaid cost of services provided to persons covered by public programs for persons living in poverty and other vulnerable persons.- Cost of other programs for persons living in poverty and other vulnerable persons includes unreimbursed costs of programs intentionally designed to serve the persons living in poverty and other vulnerable persons of the community, including substance abusers, the homeless, victims of child abuse, and persons with acquired immune deficiency syndrome.- Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for the persons living in poverty, including health promotion and education, health clinics and screenings, and medical research.Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons living in poverty and other community benefit programs. The cost of providing care to persons living in poverty and other community benefit programs is estimated by reducing charges forgone by a factor derived from the ratio of each entity's total operating expenses to the entity's billed charges for patient care. The amount of traditional charity care provided, determined on the basis of cost, was approximately $18,380,000 for the year ended June 30, 2014. The amount of unpaid cost of public programs, cost of other programs for persons living in poverty and other vulnerable persons, and community benefit cost are reported in the accompanying supplementary information. |
| Part VI, Line 7, List of States Receiving Community Benefit Report: | WI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robyn Schertz MD | ||||||||||||||
| Board Member | $0 | $440,810 | $0 | $0 | $0 | $30,054 | $0 | $22,600 | $0 | $40,957 | $0 | $534,421 | $0 | $0 |
| Mary T Krueger | ||||||||||||||
| President | $0 | $242,465 | $0 | $38,261 | $0 | $27,689 | $0 | $43,259 | $0 | $16,958 | $0 | $368,632 | $0 | $0 |
| Nicholas Desien | ||||||||||||||
| Ministry Health Care CEO | $0 | $1,004,953 | $0 | $329,299 | $0 | $727,354 | $0 | $15,000 | $0 | $26,974 | $0 | $2,103,580 | $0 | $0 |
| Jeffrey Francis | ||||||||||||||
| Ministry Health Care CAFO | $0 | $427,032 | $0 | $63,804 | $0 | $31,416 | $0 | $101,523 | $0 | $22,502 | $0 | $646,277 | $0 | $0 |
| Larry T Hegland | ||||||||||||||
| Chief Medical Officer | $0 | $265,895 | $0 | $24,091 | $0 | $22,830 | $0 | $29,175 | $0 | $13,628 | $0 | $355,619 | $0 | $0 |
| Jeffrey Martin | ||||||||||||||
| President at SMH | $0 | $428,700 | $0 | $69,766 | $0 | $63,173 | $0 | $113,532 | $0 | $23,250 | $0 | $698,421 | $0 | $0 |
| Kristine McGarigle | ||||||||||||||
| VP - Patient Care | $0 | $155,427 | $0 | $13,643 | $0 | $36,136 | $0 | $11,029 | $0 | $18,181 | $0 | $234,416 | $0 | $0 |
| Kathryn S Horst | ||||||||||||||
| Clinical Staff Pharmacist | $102,818 | $0 | $0 | $0 | $28,156 | $0 | $25,130 | $0 | $12,323 | $0 | $168,427 | $0 | $0 | $0 |
| James L Mason | ||||||||||||||
| Manager, Pharmacy - E | $103,234 | $0 | $10,573 | $0 | $27,070 | $0 | $3,822 | $0 | $20,887 | $0 | $165,586 | $0 | $0 | $0 |
| Jeff Badger | ||||||||||||||
| Former Officer | $0 | $405,962 | $0 | $56,934 | $0 | $34,917 | $0 | $44,888 | $0 | $18,099 | $0 | $560,800 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Ministry Health Care, Inc., a related organization of Good Samaritan Health Center of Merrill, Wisconsin, 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 |
| Part I, Line 4a: | The following highest compensated employee received severance payments from the organization or a related organization during the calendar year 2013: James L. Mason $20,870 |
| Part I, Line 4b: | 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 individual received current year distributions of: Kristina McGarigle $18,080 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | Many of the persons listed on Part VII have a "business relationship" with each other by virtue of employment by Ministry Health Care, Inc. related entities. |
| Form 990, Part VI, Section A, line 6 | Good Samaritan Health Center of Merrill, Wisconsin, Inc. has a single corporate member, Ministry Health Care, Inc. |
| Form 990, Part VI, Section A, line 7a | Good Samaritan Health Center of Merrill, Wisconsin, Inc. has a single corporate member, Ministry Health Care, Inc., who has the ability to elect members to the governing body of Good Samaritan Health Center of Merrill, Wisconsin, Inc. |
| Form 990, Part VI, Section A, line 7b | All decisions that have a material impact to Good Samaritan Health Center of Merrill, Wisconsin, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, Ministry Health Care, Inc. |
| Form 990, Part VI, Section B, line 11 | 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, Section B, line 12c | 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 statement which affirms such person has received a copy of the Conflicts 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, Section B, line 15 | In determining compensation of the organization's CEO, the process performed by Ministry Health Care, Inc., a related organization of Good Samaritan Health Center of Merrill, Wisconsin, Inc., included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Compensation Committee, which is assisted by an independent consulting firm, 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 Good Samaritan Health Center of Merrill, Wisconsin, Inc., included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Compensation Committee, assisted by an independent consulting firm, 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, Section C, line 19 | The Ministry web page is available to the public for inspection with a good deal of information regarding who Ministry Health Care, Inc. 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 any inquiry is made for any documents they are shared as appropriate. |
| Form 990, Part VII, Section B: | Amounts paid to Ellis Stone Construction Co., Inc. represent payments for both services and goods. These amounts cannot be separated. |
| Form 990, Part XI, line 9: | Equity Transfer - EHR 701,466. Ascension Pension FMV Adjustment 1,135,641. Intercompany Transfer 5,400. Interentity Transfer 6. Intercompany Fund Balance - Funds Held for Foundation 22,097. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Ascension Health Alliance | |||||||||||
| PO BOX 45998 | St Louis | MO | 631455998 | 453358926 | National Health System | MO | Section 501(c)(3) | Schedule A, Line 11a | N/A | 0 | |
| Ascension Health | |||||||||||
| PO Box 45998 | St Louis | MO | 631453806 | 311662309 | National Health System | MO | Section 501(c)(3) | Schedule A, Line 11a | 0 | Ascension Health Alliance | |
| Ministry Health Care Inc | |||||||||||
| 10925 W Lake Park Dr Ste 100 | Milwaukee | WI | 53224 | 391490371 | Parent Corporation | WI | Section 501(c)(3) | Schedule A, Line 11b | 0 | Ascension Health | |
| Agape Community Center of Milwaukee Inc | |||||||||||
| 6100 North 42nd Street | Milwaukee | WI | 532093560 | 391461846 | Community Center | WI | Section 501(c)(3) | Schedule A, Line 7 | Yes (1) | Ministry Health Care Inc | |
| Calumet Medical Center Inc | |||||||||||
| 614 Memorial Drive | Chilton | WI | 53014 | 390905385 | Hospital | WI | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | Affinity Health System | |
| Catalpa Health Inc | |||||||||||
| N4642 County N | Appleton | WI | 54914 | 454681563 | Mental Health Facility | WI | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | St Elizabeth Hospital Inc | |
| Saint Michael's Foundation of Stevens Point Inc | |||||||||||
| 900 Illinois Avenue | Stevens Point | WI | 54481 | 391657410 | Charitable Foundation | WI | Section 501(c)(3) | Schedule A, Line 11a | Yes (1) | Saint Michael's Hospital of Stevens Point Inc | |
| Door County Memorial Hospital | |||||||||||
| 323 South 18th Avenue | Sturgeon Bay | WI | 54235 | 390806324 | Hospital | WI | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | Ministry Health Care Inc | |
| Dr Kate Newcomb Convalescent Center Inc | |||||||||||
| PO Box 829 | Woodruff | WI | 54568 | 391357365 | LTC Facility | WI | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Howard Young Health Care Inc | |
| Eagle River Memorial Hospital Incorporated | |||||||||||
| 201 Hospital Road | Eagle River | WI | 54521 | 390985690 | Hospital | WI | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | 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 | Section 501(c)(3) | Schedule A, Line 11a | Yes (1) | Ministry Health Care Inc | |
| Foundation of Saint Joseph's Hospital of Marshfield Inc | |||||||||||
| 611 Saint Joseph Avenue | Marshfield | WI | 54449 | 391684957 | Charitable Foundation | WI | Section 501(c)(3) | Schedule A, Line 11a | Yes (1) | Saint Joseph's Hospital of Marshfield Inc | |
| Good Samaritan Health Center Foundation of Merrill Wisconsin Inc | |||||||||||
| 601 South Center Avenue | Merrill | WI | 54452 | 391627755 | Charitable Foundation | WI | Section 501(c)(3) | Schedule A, Line 11a | Yes (1) | Good Samaritan Health Center of Merrill Wisconsin Inc | |
| Howard Young Foundation Inc | |||||||||||
| 240 Maple Street | Woodruff | WI | 54568 | 391521169 | Charitable Foundation | WI | Section 501(c)(3) | Schedule A, Line 7 | Yes (1) | Howard Young Health Care Inc | |
| Howard Young Health Care Inc | |||||||||||
| 240 Maple Street | Woodruff | WI | 54568 | 391499115 | Home Office | WI | Section 501(c)(3) | Schedule A, Line 11b | Yes (1) | Ministry Health Care Inc | |
| The Howard Young Medical Center Inc | |||||||||||
| 240 Maple Street | Woodruff | WI | 54568 | 390873606 | Hospital | WI | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | Howard Young Health Care Inc | |
| Mercy Health Foundation Inc | |||||||||||
| PO Box 3370 | Oshkosh | WI | 54903 | 237140261 | Charitable Foundation | WI | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Affinity Health System | |
| Mercy Medical Center of Oshkosh Inc | |||||||||||
| 500 S Oakwood Road | Oshkosh | WI | 54904 | 390806268 | Hospital | WI | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | Ministry Health Care Inc | |
| Ministry Home Care Inc | |||||||||||
| 611 St Joseph Avenue 4S | Marshfield | WI | 54449 | 391936201 | Home Care/Hospice | WI | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Ministry Health Care Inc | |
| Ministry Medical Group Inc | |||||||||||
| 824 Illinois Avenue | Stevens Point | WI | 54481 | 391965593 | Clinics | WI | Section 501(c)(3) | Schedule A, Line 11c | Yes (1) | Ministry Health Care Inc | |
| Ministry Weight Management Inc | |||||||||||
| 2251 North Shore Drive | Rhinelander | WI | 54501 | 391829015 | Health Services | WI | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | Sacred Heart-St Mary's Hospitals Inc | |
| Network Health System Inc | |||||||||||
| 1570 Appleton Rd | Menasha | WI | 54952 | 391127163 | Clinical Healthcare Services | WI | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | Affinity Health System | |
| Our Lady of Victory Hospital Inc | |||||||||||
| 1120 Pine Street | Stanley | WI | 54768 | 390807065 | Hospital | WI | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | Ministry Health Care Inc | |
| Sacred Heart-St Mary's Hospitals Inc | |||||||||||
| PO Box 347 | Stevens Point | WI | 54481 | 391390638 | Hospital | WI | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | Ministry Health Care Inc | |
| Saint Clare's Hospital of Weston Inc | |||||||||||
| 3400 Ministry Parkway | Weston | WI | 54476 | 721531917 | Hospital | WI | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | Ministry Health Care Inc | |
| Saint Elizabeth's Hospital of Wabasha Inc | |||||||||||
| 1200 Grant Blvd West | Wabasha | MN | 55981 | 410693877 | Hospital | MN | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | Ministry Health Care Inc | |
| St Elizabeth Hospital Foundation Inc | |||||||||||
| 1506 S Oneida Street | Appleton | WI | 54915 | 391256677 | Charitable Foundation | WI | Section 501(c)(3) | Schedule A, Line 7 | Yes (1) | Affinity Health System | |
| St Elizabeth Hospital Inc | |||||||||||
| 1506 S Oneida Street | Appleton | WI | 54915 | 390816818 | Hospital | WI | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | Ministry Health Care Inc | |
| Saint Joseph's Hospital of Marshfield Inc | |||||||||||
| 611 Saint Joseph Avenue | Marshfield | WI | 54449 | 390847631 | Hospital | WI | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | Ministry Health Care Inc | |
| Saint Michael's Hospital of Stevens Point Inc | |||||||||||
| 900 Illinois Avenue | Stevens Point | WI | 54481 | 390808443 | Hospital | WI | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | Ministry Health Care Inc | |
| Affinity Health System | |||||||||||
| 1570 Midway Place | Menasha | WI | 54952 | 391568866 | Support Related Healthcare Organziations | IL | Section 501(c)(3) | Schedule A, Line 11b | Yes (1) | 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 | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 8005 | AddressLine1 |
| City | Menasha | City |
| State | WI | State |
| ZIP Code | 54952 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391180341 | EIN |
| Primary Activities | Rental Property | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Network Health Plan Inc | |||||||||
| 1570 Midway Place | Menasha | WI | 54952 | 391442058 | Insurance | WI | N/A | C | 0 |
| Network Health Insurance Corporation | |||||||||
| 1570 Midway Place | Menasha | WI | 54952 | 392020474 | Insurance | WI | N/A | C | 0 |
| Ministry Holdings Inc | |||||||||
| 1570 Midway Place | Menasha | WI | 54952 | 422966177 | Insurance Holding Company | WI | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Ministry Health Care Inc | ||
| O | $2,816,845 | FMV |
| Saint Clare's Hospital of Weston Inc | ||
| O | $280,722 | FMV |
| Ministry Medical Group Inc | ||
| O | $3,641,868 | FMV |
| Ministry Medical Group Inc | ||
| R | $739,396 | FMV |
| Ministry Health Care Inc | ||
| P | $4,009,473 | FMV |