THE MONROE CLINIC INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- THE MONROE CLINIC INC (EIN 39-0808509)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-13
- IRS object ID
- 201203189349304155
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-13T16:21:48-07:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390808509 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MONROE CLINIC INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MONR | NameControl |
| Phone | 6083241357 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 22ND AVENUE | AddressLine1 |
| City | MONROE | City |
| State | WI | State |
| ZIP Code | 53566 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Julie Wilke | Name |
| Title | CFO/VP | Title |
| Phone | 6083241357 | Phone |
| Date Signed | 2012-11-12 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Initial Return | X | InitialReturn |
| Name Of Principal Officer Person | JULIE WILKE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 22ND AVENUE | AddressLine1 |
| City | MONROE | City |
| State | WI | State |
| ZIP Code | 53566 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 154059513 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MONROECLINIC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1963 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | THE MONROE CLINIC, INC. PROVIDES HEALTHCARE SERVICES TO A RURAL AREA NEEDING MEDICAL SERVICES REGARDLESS OF ANY INDIVIDUAL'S ABILITY TO PAY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1267 | TotalNbrEmployees |
| Total Nbr Volunteers | 120 | TotalNbrVolunteers |
| Total Gross UBI | 709763 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 53413 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 110180 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 150337257 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 152933738 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4028081 | InvestmentIncomePriorYear |
| Investment Income Current Year | 984947 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 154418751 | TotalRevenuePriorYear |
| Total Revenue Current Year | 154028865 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 86024160 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 90145758 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 56676337 | OtherExpensePriorYear |
| Other Expenses Current Year | 57410097 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 142700497 | TotalExpensesPriorYear |
| Total Expenses Current Year | 147555855 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 11718254 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6473010 | RevenuesLessExpensesCY |
| Total Assets BOY | 232081395 | TotalAssetsBOY |
| Total Assets EOY | 238050691 | TotalAssetsEOY |
| Total Liabilities BOY | 108443366 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 109077457 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 123638029 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 128973234 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | WORKING TOGETHER TO ACHIEVE THE HIGHEST STANDARDS IN HEALTHCARE, WE CREATE HEALTHY COMMUNITIES THROUGH GOD'S HEALING SPIRIT. VISION: EXCEPTIONAL HEALTHCARE; EXCEPTIONAL EXPERIENCE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 120518928 | Expense |
| Revenue | 152223975 | Revenue |
| Description | MONROE CLINIC IS AN INTEGRATED, COMPREHENSIVE HEALTHCARE ORGANIZATION. THROUGH THE SPONSORSHIP OF THE CONGREGATION OF SISTERS OF ST. AGNES (CSA), MONROE CLINIC IS AN INTEGRAL PART OF THE CATHOLIC CHURCH HEALING MINISTRY. PATIENTS FROM THROUGHOUT SOUTHERN WISCONSIN AND NORTHERN ILLINOIS CHOOSE MONROE CLINIC BECAUSE WE HELP PATIENTS GET WELL FASTER AND STAY HEALTHIER LONGER. WE OFFER SERVICES CENTERED ON OUR PATIENTS AND PLACE QUALITY AND CUSTOMER SATISFACTION AS OUR TOP PRIORITIES. MONROE CLINIC UTILIZES STATE-OF-THE-ART EQUIPMENT AND TECHNOLOGY FOR DIAGNOSIS AND TREATMENT, FOCUSING ON HIGH-QUALITY MEDICAL CARE. MONROE CLINIC IS COMPRISED OF A FULL SERVICE HOSPITAL THAT IS FULLY INTEGRATED WITH A MULTI-SPECIALTY CLINIC AS WELL AS NUMEROUS OTHER PHYSICIAN CLINIC LOCATIONS. MONROE CLINIC HAS 11 CLINICS IN VARIOUS LOCATIONS. | Description |
| Total Of Other Program Service Exp | 0 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 0 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 120518928 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 62 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1267 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JULIE WILKE | NamePerson |
| Telephone Number | 6083241357 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 22ND AVENUE | AddressLine1 |
| City | MONROE | City |
| State | WI | State |
| ZIP Code | 53566 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|---|
| JAMES LEE | ||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | |||
| WILLIAM OEMICHEN | ||||||||
| VICE-CHAIRPERSON/TREASURER | 3.0 | X | 0 | 0 | 0 | X | ||
| ANTHONY ROGERSON | ||||||||
| PHYSICIAN/SECRETARY | 50.0 | X | 594237 | 0 | 58506 | X | X | |
| MICHAEL SANDERS | ||||||||
| PRESIDENT/CEO | 50.00 | X | 555189 | 0 | 272810 | X | ||
| MARK THOMPSON | ||||||||
| MEDICAL DIRECTOR | 3.0 | X | 334166 | 0 | 138385 | X | ||
| SISTER MARY NOEL BROWN | ||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | |||
| CHARLES DEARTH | ||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | |||
| DAVID DEININGER | ||||||||
| CHAIRPERSON | 3.0 | X | 0 | 0 | 0 | X | ||
| JOHN FREY | ||||||||
| PHYSICIAN/DIRECTOR | 50.0 | X | 271604 | 0 | 48701 | |||
| MIKE GREENFIELD | ||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | |||
| PATRICIA JAMES | ||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | |||
| RACHEL LONG | ||||||||
| PHYSICIAN/DIRECTOR | 50.0 | X | 122022 | 0 | 15780 | |||
| CHRISTINE WELLINGTON | ||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | |||
| SISTER JOMARIE ZIELKE | ||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | |||
| AMY SIMANTEL | ||||||||
| PHYSICIAN/CHIEF OF STAFF | 50.00 | X | 146607 | 0 | 30202 | |||
| JULIE WILKE | ||||||||
| VP/CFO | 50.0 | 295775 | 0 | 123388 | X | |||
| PAULA RAIBLEY-ELMER | ||||||||
| VP/CHIEF NURSING OFFICER | 50.0 | 236797 | 0 | 87445 | X | |||
| JANE WELDON | ||||||||
| VP/CLINICAL OPERATIONS | 50.00 | 229723 | 0 | 92321 | X | |||
| LANCE SATHOFF | ||||||||
| PHYSICIAN/ORTHOPEDIC SURGEON | 50.0 | 949629 | 0 | 70511 | X | |||
| NICHOLAS MAXWELL | ||||||||
| PHYSICIAN/GENERAL SURGEON | 50.00 | 870860 | 0 | 60541 | X | |||
| ANDREW RIKKERS | ||||||||
| PHYSICIAN/GENERAL SURGEON | 50.00 | 800044 | 0 | 65489 | X | |||
| JOHN BAZLEY | ||||||||
| PHYSICIAN/OB/GYN | 50.00 | 525391 | 0 | 51066 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5932044 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1115145 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| RAIN RESOURCES LLC | |||||
| PO BOX 131463 | ROSEVILLE | MN | 55113 | CONSULTING SERVICES | 474508 |
| SOUTHERN WI EMERGENCY ASSOC SC | |||||
| 1446 N RANDALL AVE | JANESVILLE | WI | 53545 | PHYSICIAN SERVICES | 250219 |
| VON BRIESEN & ROPER SC | |||||
| WISCONSIN AVE STE 700 | MILWAUKEE | WI | 53201 | LEGAL SERVICES | 128707 |
| WIPFLI LLP | |||||
| PO BOX 3160 | MILWAUKEE | WI | 53201 | AUDITING SERVICES | 102623 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Federated Campaigns | 0 | FederatedCampaigns |
| Membership Dues | 0 | MembershipDues |
| Fundraising Events | 0 | FundraisingEvents |
| Related Organizations | 59805 | RelatedOrganizations |
| Government Grants | 26758 | GovernmentGrants |
| All Other Contributions | 23617 | AllOtherContributions |
| Noncash Contributions | 0 | NoncashContributions |
| Total Contributions | 110180 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| NET PATIENT REVENUE | 900099 | 147796714 | 147796714 | 0 | $0 |
| OTHER OPERATING REVENUE | 561499 | 4427261 | 4427261 | 0 | $0 |
| NON-PATIENT SERVICES | 621990 | 700361 | 0 | 700361 | $0 |
| LAUNDRY SERVICES | 812320 | 9402 | 0 | 9402 | $0 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 152933738 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 936468 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $936,468 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 79127 | Securities |
| Other | 0 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 30648 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 79127 | Securities |
| Other | -30648 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 48479 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $48,479 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 0 | CntrbtnsRprtdFundraisingEvents |
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 154028865 | TotalRevenueColumn |
| Related Or Exempt Function Income | 152223975 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 709763 | UnrelatedBusinessRevenue |
| Exclusion | $984,947 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3653658 | Total |
| Program Services | 2009512 | ProgramServices |
| Management And General | 1644146 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68880372 | Total |
| Program Services | 61086371 | ProgramServices |
| Management And General | 7794001 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2462419 | Total |
| Program Services | 2178995 | ProgramServices |
| Management And General | 283424 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10692423 | Total |
| Program Services | 8660863 | ProgramServices |
| Management And General | 2031560 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4456886 | Total |
| Program Services | 3805559 | ProgramServices |
| Management And General | 651327 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 133291 | Total |
| Management And General | 133291 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54068 | Total |
| Management And General | 54068 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7059633 | Total |
| Program Services | 4393326 | ProgramServices |
| Management And General | 2666307 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22185843 | Total |
| Program Services | 21209381 | ProgramServices |
| Management And General | 976462 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2249061 | Total |
| Program Services | 1435210 | ProgramServices |
| Management And General | 813851 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 930343 | Total |
| Program Services | 748727 | ProgramServices |
| Management And General | 181616 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 971978 | Total |
| Program Services | 971978 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7005287 | Total |
| Program Services | 3470799 | ProgramServices |
| Management And General | 3534488 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BAD DEBT EXPENSE | 5667094 | 5667094 | 0 | 0 |
| REPAIRS AND MAINTENANCE | 4095586 | 1733706 | 2361880 | 0 |
| DUES AND SUBSCRIPTIONS | 1077711 | 706044 | 371667 | |
| MISCELLANEOUS | 5980202 | 2441363 | 3538839 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 147555855 | Total |
| Program Services | 120518928 | ProgramServices |
| Management And General | 27036927 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88049 | BOY |
| EOY | 83752 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54025989 | BOY |
| EOY | 40172466 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19666097 | BOY |
| EOY | 24315844 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2374336 | BOY |
| EOY | 2529333 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3685095 | BOY |
| EOY | 3926906 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 209759083 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 98923278 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76401178 | BOY |
| EOY | 110835805 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39877992 | BOY |
| EOY | 38175542 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 624078 | BOY |
| EOY | 479307 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35338581 | BOY |
| EOY | 17531736 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 232081395 | BOY |
| EOY | 238050691 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20098626 | BOY |
| EOY | 21435412 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83108817 | BOY |
| EOY | 81979538 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1062417 | BOY |
| EOY | 785684 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4173506 | BOY |
| EOY | 4876823 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 108443366 | BOY |
| EOY | 109077457 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 123520802 | BOY |
| EOY | 128856007 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 117227 | BOY |
| EOY | 117227 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 123638029 | BOY |
| EOY | 128973234 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 232081395 | BOY |
| EOY | 238050691 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6473010 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -1137805 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 1 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $3,567 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 3567 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SchC_P2B_S00_L01 | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1 | ReturnReference |
| Explanation | OTHER LOBBYING ACTIVITIES: WHA AND CHA DUES ALLOCATED TO LOBBYING | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 1274964 | OtherCostOrOtherBasis |
| Book Value | 1274964 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 136788841 | OtherCostOrOtherBasis |
| Depreciation | 44117585 | Depreciation |
| Book Value | 92671256 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 66658412 | OtherCostOrOtherBasis |
| Depreciation | 52189221 | Depreciation |
| Book Value | 14469191 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 5036866 | OtherCostOrOtherBasis |
| Depreciation | 2616472 | Depreciation |
| Book Value | 2420394 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 110835805 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| RECEIVABLE FROM FOUNDATION | 2008351 |
| INVESTMENT IN UNCONSOLIDATED AFFILIATES | 713324 |
| INVESTMENT IN FOUNDATION | 1259005 |
| BOND PROCEEDS | 8162811 |
| DEFERRED COMPENSATION | 5388245 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 17531736 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DEFERRED COMPENSATION | Description |
| Amount | $4,876,823 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4876823 | TotalOfAmounts |
| Total Revenue | 154028865 | TotalRevenue |
| Total Expenses | 147555855 | TotalExpenses |
| Excess Or Deficit For Year | 6473010 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -1194928 | NetUnrealizedGLOnInvestments |
| Donated Services And Facilities | 0 | DonatedServicesAndFacilities |
| Investment Expenses | 0 | InvestmentExpenses |
| Prior Period Adjustments | 0 | PriorPeriodAdjustments |
| Other | $57,123 | OtherAmount |
| Total Adjustments | -1137805 | TotalAdjustments |
| Excess Or Deficit Per FS | 5335205 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 154085989 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 0 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 0 | DonatedSrvcAndUseOfFacilities |
| Recoveries Of Prior Year Grants | 0 | RecoveriesOfPriorYearGrants |
| Other Revenues | 197547 | OtherRevenues |
| Revenue Not Rptd F990 | 197547 | RevenueNotRptdF990 |
| Revenue Subtotal | 153888442 | RevenueSubtotal |
| Investment Expenses Not Included | 0 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 140423 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 140423 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 154028865 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 147555855 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 0 | DonatedServicesUseOfFacilities |
| Prior Year Adjustments | 0 | PriorYearAdjustments |
| Losses Reported | 0 | LossesReported |
| Other Expenses Included | 0 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 147555855 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 0 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 0 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 147555855 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchD_P10_S00_L02 | Schedule D, Part X, Line 2 | THE CLINIC IS A TAX-EXEMPT CORPORATION AS DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAX ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE.THE CLINIC IS ALSO EXEMPT FROM STATE INCOME TAX. IN ORDER TO ACCOUNT FOR UNCERTAIN TAX POSITIONS, THE CLINIC DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE CLINIC RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS IN 2011 OR 2010. FEDERAL TAX RETURNS FOR TAX YEARS 2008 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE APPLICABLE FEDERAL AND STATE TAXING AUTHORITIES. |
| SchD_P11_S00_L08 | Schedule D, Part XI, Line 8 | OTHER:INCREASE IN EQUITY IN UNCONSOLIDATED AFFILIATE 22,725 CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 174,822 OTHER -140,424TOTAL TO SCHEDULE D, PART XI, LINE 8 57,123 |
| SchD_P12_S00_L02d | Schedule D, Part XII, Line 2d | OTHER:INCREASE IN EQUITY IN UNCONSOLIDATED AFFILIATE 22,725 CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 174,822 TOTAL TO SCHEDULE D, PART XII, LINE 2D 197,547 |
| SchD_P12_S00_L04b | Schedule D, Part XII, Line 4b | Other 140,424. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 3560700 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3560700 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0251 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 16146843 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 16146843 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.1138 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 61444 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 61444 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0004 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 19768987 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19768987 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.1393 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 9 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 546740 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 546740 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0039 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 134325 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 134325 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0009 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 2611404 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2611404 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0184 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 126088 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 126088 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0009 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 22 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 3418557 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3418557 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0241 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 25 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 23187544 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 23187544 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.1634 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,425,516 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 11775993 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 16165983 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4389990 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONROE CLINIC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 22ND AVENUE | AddressLine1 |
| City | MONROE | City |
| State | WI | State |
| ZIP Code | 53566 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONROE CLINIC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 100 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 10 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (10 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| MONROE CLINIC - HIGHLAND WOMEN'S CARE | ||||
| 3103 W KUNKLE BLVD | FREEPORT | IL | 61032 | COMMUNITY-BASED OUTPATIENT CLINIC |
| MONROE CLINIC - FREEPORT | ||||
| 1301 S KIWANIS DRIVE | FREEPORT | IL | 61032 | COMMUNITY-BASED OUTPATIENT CLINIC |
| MONROE CLINIC - FREEPORT EYE CARE | ||||
| 1110 S PARK BLVD | FREEPORT | IL | 61032 | COMMUNITY-BASED OUTPATIENT CLINIC |
| MONROE CLINIC - BRODHEAD | ||||
| 1904 FIRST CENTER AVENUE | BRODHEAD | WI | 53520 | COMMUNITY-BASED OUTPATIENT CLINIC |
| MONROE CLINIC - LENA | ||||
| 214 SCHUYLER | LENA | IL | 61048 | COMMUNITY-BASED OUTPATIENT CLINIC |
| MONROE CLINIC - NEW GLARUS | ||||
| 1800 SECOND STREET | NEW GLARUS | WI | 53574 | COMMUNITY-BASED OUTPATIENT CLINIC |
| MONROE CLINIC - ALBANY | ||||
| 700 CAROLAN DRIVE | ALBANY | WI | 53502 | COMMUNITY-BASED OUTPATIENT CLINIC |
| MONROE CLINIC- DURAND | ||||
| 400 S CENTER STREET | DURAND | IL | 61024 | COMMUNITY-BASED OUTPATIENT CLINIC |
| MONROE CLINIC FASTCARE | ||||
| 405 W 8TH ST | MONROE | WI | 53566 | COMMUNITY-BASED OUTPATIENT CLINIC |
| MONROE CLINIC - BLANCHARDVILLE | ||||
| 309 S MAIN STREET | BLANCHARDVILLE | WI | 53516 | COMMUNITY-BASED OUTPATIENT CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchH_P01_S00_L07 | Schedule H, Part I, Line 7 | A COST TO CHARGE RATIO WAS USED TO COMPUTE COST OF COMMUNITY BENEFIT SERVICES. |
| SchH_P01_S00_L072f | Schedule H, Part I, Line 7, Column f | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $5,667,092. |
| SchH_P01_S00_L07g | Schedule H, Part I, Line 7g | SUBSIDIZED HEALTH SERVICES INCLUDE BEHAVIORAL HEALTH/OUTPATIENT MENTAL HEALTH, PALLIATIVE CARE, RENAL DIALYSIS, SELF-HELP/SPORTS INJURY PREVENTION, CONTINUING CARE/HOME CARE SERVICES, AND EMERGENCY AND TRAUMA/EMERGENCY DEPARTMENT. |
| SchH_P03_S0A_L04 | Schedule H, Part III, Section A, Line 4 | ACCOUNTS RECEIVABLE ARE UNCOLLATERALIZED PATIENT OBLIGATIONS THAT ARE STATED AT THE AMOUNT MANAGEMENT EXPECTS TO COLLECT FROM OUTSTANDING BALANCES. THESE BALANCES ARE PRIMARILY FROM RESIDENTS OF SOUTHERN WISCONSIN AND NORTHERN ILLINOIS. THE CLINIC BILLS THIRD-PARTY PAYORS ON EACH PATIENT'S BEHALF OR, IF A PATIENT IS UNINSURED, THE PATIENT IS BILLED DIRECTLY. ONCE CLAIMS ARE SETTLED WITH THE PRIMARY PAYOR, SECONDARY INSURANCE IS BILLED AND PATIENTS ARE BILLED FOR COPAY AND DEDUCTIBLE AMOUNTS FOR WHICH THE PATIENTS ARE PERSONALLY RESPONSIBLE. PAYMENTS ON ACCOUNTS RECEIVABLE ARE APPLIED TO THE SPECIFIC CLAIM IDENTIFIED ON THE REMITTANCE ADVICE OR STATEMENT. THE CLINIC DOES NOT HAVE A POLICY TO CHARGE INTEREST ON PAST DUE ACCOUNTS. THE CARRYING AMOUNTS OF ACCOUNTS RECEIVABLE ARE REDUCED BY ALLOWANCES THAT REFLECT MANAGEMENT'S BEST ESTIMATE OF THE AMOUNTS THAT WILL NOT BE COLLECTED. MANAGEMENT PROVIDES FOR CONTRACTUAL ADJUSTMENTS UNDER TERMS OF THIRD-PARTY REIMBURSEMENT AGREEMENTS THROUGH A CHARGE TO GROSS REVENUE AND A CREDIT TO ACCOUNTS RECEIVABLE. IN ADDITION, MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY FROM UNINSURED PATIENTS AND AMOUNTS FOR WHICH PATIENTS ARE PERSONALLY RESPONSIBLE, 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 MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE. ACCOUNTS RECEIVABLE ARE RECORDED IN THE ACCOMPANYING BALANCE SHEET'S NET OF CONTRACTUAL ADJUSTMENTS AND AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| SchH_P03_S0B_L08 | Schedule H, Part III, Section B, Line 8 | MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT. TO ARRIVE AT COST OF MEDICARE SERVICES, THE TOTAL EXPENSES LESS OTHER OPERATING REVENUE IS MULTIPLIED BY THE RATIO OF MEDICARE REVENUE TO TOTAL REVENUE. |
| SchH_P03_S0C_L09b | Schedule H, Part III, Section C, Line 9b | MONROE CLINIC RECOGNIZES THE INHERENT VALUE OF ALL INDIVIDUALS. ALL INDIVIDUALS HAVE THE RIGHT TO BE TREATED WITH RESPECT AND DIGNITY. THOSE INDIVIDUALS INDICATING LACK OF FINANCIAL RESOURCES TO PAY FOR SERVICES WILL BE DIRECTED TO COUNTY OFFICES TO ENSURE ALL GOVERNMENT SPONSORED PROGRAMS ARE OPTIMIZED AND DIRECTED TO MONROE CLINIC'S COMMUNITY CARE PROGRAM TO ENSURE ALL INDIVIDUALS QUALIFYING FOR ASSISTANCE ARE INDEED GIVEN ASSISTANCE. INDIVIDUALS WITH THE FINANCIAL RESOURCES TO PAY FOR SERVICES ARE EXPECTED TO DO SO IN A TIMELY MANNER TO ENSURE MONROE CLINIC'S FINANCIAL HEALTH AND ABILITY TO MAINTAIN OPERATIONS AND CONTINUED COMMUNITY CARE. PATIENTS WITH FINANCIAL RESOURCES ARE ASKED TO PAY CO-PAYMENTS AT THE TIME OF SERVICE AND TO PAY BALANCES REMAINING DUE AFTER INSURANCE HAS PAID WITHIN 30 DAYS OR MAKE MUTUALLY AGREEABLE PAYMENT ARRANGEMENTS WITH PATIENT ACCOUNTING. COLLECTION AGENCIES USED BY MONROE CLINIC GUARANTEE COMPLIANCE WITH THE FAIR DEBT COLLECTION PRACTICES ACT AND THE ACA INTERNATIONAL'S CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY. |
| SchH_P05_S0B_L12 | Schedule H, Part V, Section B, Line 12 | METHOD FOR APPLYING: PATIENTS MUST FIRST SEEK ASSISTANCE THROUGH OTHER RESOURCES. IF DENIED THEY MUST PROVIDE A LETTER OF DENIAL. IF AN APPLICATION IS MAILED TO A POTENTIAL APPLICANT IT MUST BE COMPLETED USING INCOME INFORMATION FOR THE LAST THREE-MONTH PERIOD AND RETURN IT TO THE PATIENT ACCOUNTS DEPARTMENT WITHIN 10 DAYS. IF THE POTENTIAL APPLICANT HAS BEEN A RECIPIENT OF COMMUNITY CARE IN THE RECENT PAST THEY DO NOT NEED TO RESUBMIT THE INCOME INFORMATION. |
| SchH_P05_S0B_L13 | Schedule H, Part V, Section B, Line 13 | OTHER: 1. FINANCIAL COUNSELORS REACH OUT TO SELF-PAY INPATIENTS 2. CLINICAL DEPARTMENTS REFER PATIENTS TO FINANCIAL COUNSELORS 3. THE BILLING OFFICE WILL REFER PATIENTS WHEN ATTEMPTING TO COLLECT ON UNPAID BALANCES. |
| SchH_P05_S0B_L19 | Schedule H, Part V, Section B, Line 19 | MONROE CLINIC OFFERS ALL UNINSURED PATIENTS A 10% ON STANDARD RATES. |
| SchH_P06_S00_L02 | Schedule H, Part VI, Line 2 | MONROE CLINIC DEVELOPS A COMMUNITY BENEFIT PLAN EACH YEAR THAT IS APPROVED BY THE BOARD OF DIRECTORS. THE PROCESS USED TO IDENTIFY AND PRIORITIZE THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED ANALYZING A COLLECTION OF DATA FROM SEVERAL STATE AND LOCAL AGENCIES, ACTIVELY PARTICIPATING IN COALITIONS AND PARTNERSHIPS, AND FOLLOWING THE COMMUNITY BENEFIT PLAN. |
| SchH_P06_S00_L03 | Schedule H, Part VI, Line 3 | MONROE CLINIC PROVIDES FINANCIAL COUNSELORS WHO ACT AS PATIENT ADVOCATES AND HELP THOSE IN NEED APPLY FOR MONROE CLINIC'S COMMUNITY CARE PROGRAMS OR OTHER STATE, COUNTY OR FEDERAL PROGRAMS. (IE.WISCONSIN BADGERCARE, WISCONSIN AND ILLINOIS WELL WOMAN PROGRAMS, MEDICARE, MEDICAID, ETC.) PATIENTS CAN FIND OUT ABOUT THESE SERVICES THROUGH MONROECLINIC.ORG'S INFORMATION PAGES, MONROE CLINIC'S ANNUAL MISSION REPORT POSTED ON OUR WEB SITE AND MAILED TO HOUSEHOLDS IN OUR SERVICE AREA, AND THROUGH COMMUNITY OUTREACH THAT OFFERS ASSISTANCE EXPLAINING NEW FEDERAL/STATE PROGRAMS OR CHANGES TO THOSE PROGRAMS. ADDITIONALLY, MONROE CLINIC CAREGIVERS IDENTIFY PATIENTS IN NEED AS THEY REGISTER OR AFTER THEY RECEIVE CARE AND CANNOT PAY. COUNSELORS HELP PATIENTS UNDERSTAND WHAT PROGRAMS THEY COULD BE ELIGIBLE FOR, HELP THEM THROUGH APPLICATION PROCEDURES AND ALSO PROVIDE APPROVAL/DENIAL NOTIFICATION TO THE PATIENTS IN A TIMELY MANNER. |
| SchH_P06_S00_L04 | Schedule H, Part VI, Line 4 | MONROE CLINIC GIVES SPECIAL CONSIDERATION TO PERSONS IN NEED OF FINANCIAL ASSISTANCE THROUGH OUR COMMUNITY CARE PROGRAM. MONROE CLINIC DOES NOT DISCRIMINATE AGAINST A PATIENT BECAUSE OF RACE, CREED, COLOR, NATIONAL ORIGIN, OR BECAUSE A PATIENT IS COVERED BY A PROGRAM SUCH AS MEDICAID OR MEDICARE. FOR PATIENTS WHO HAVE NO HEALTH INSURANCE, LIMITED HEALTH INSURANCE, OR WHO EXPECT TO HAVE DIFFICULTY PAYING THEIR BILL, THE COMMUNITY CARE PROGRAM PROVIDES HEALTHCARE AT A REDUCED COST OR AT NO COST. THE PROGRAM PROVIDES HEALTHCARE WITH A PAYMENT SCHEDULE THAT RECOGNIZES AN INDIVIDUAL'S FINANCIAL CONDITION. COMMUNITY CARE APPLICATIONS ARE ACCEPTED FROM PATIENTS WHO RESIDE IN OUR PRIMARY AND SECONDARY SERVICE AREA WHICH INCLUDES THE FOLLOWING COUNTIES IN WISCONSIN: GREEN, LAFAYETTE, AND SECTIONS OF DANE, ROCK, AND IOWA COUNTIES. IN ILLINOIS:STEPHENSON AND SECTIONS OF WINNEBAGO AND JO DAVIES COUNTIES. INDIVIDUALS MUST BE A RESIDENT OF ONE OF THESE AREAS FOR A MINIMUM OF THREE MONTHS PRIOR TO BEING ELIGIBLE FOR THE COMMUNITY CARE PROGRAM. |
| SchH_P06_S00_L05 | Schedule H, Part VI, Line 5 | A MAJORITY OF THE MONROE CLINIC BOARD OF DIRECTORS IS COMPRISED OF PERSONS THAT RESIDE IN THE GEOGRAPHIC AREAS WE SERVE. MONROE CLINIC RE-INVESTS BACK INTO THE COMMUNITY THROUGH ITS COMMUNITY BENEFIT PROGRAMS AND THROUGH MEDICAL EQUIPMENT AND PROGRAMS NEEDED IN THE COMMUNITY. EXAMPLES OF THIS INCLUDE PALLIATIVE CARE, PARISH NURSING PROGRAM, YOUTH APPRENTICESHIP AND JOB SHADOWING PROGRAMS, SCREENING OUTREACH AND MANY OTHER PROGRAMS. FURTHER, MONROE CLINIC HAS INVESTED IN THE ELECTRONIC HEALTH RECORD. OUR PATIENTS ARE GEOGRAPHICALLY DIVERSE AND MONROE CLINIC HAS TEN BRANCH PHYSICIAN CLINICS IN OUTLYING AREAS. THE INVESTMENT IN ELECTONIC RECORD MEANS THAT OUR PATIENTS CAN BE SEEN ANYWHERE AND HAVE THEIR MEDICAL HISTORY IMMEDIATELY AVAILABLE. THIS PROMOTES BETTER HEALTH FOR OUR PATIENTS AND INCREASED SAFETY AS WE CAN TRACK MEDICAL EVENTS AND ONGOING MEDICATION NEEDS. |
| SchH_P06_S00_L07 | Schedule H, Part VI, Line 7 | LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: WI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANTHONY ROGERSON | |||||||||||||
| 593576 | 0 | 511 | 0 | 150 | 0 | 32659 | 0 | 25847 | 0 | 652743 | 0 | 511 | 0 |
| MICHAEL SANDERS | |||||||||||||
| 431393 | 0 | 119935 | 0 | 3861 | 0 | 247381 | 0 | 25429 | 0 | 827999 | 0 | 119935 | 0 |
| MARK THOMPSON | |||||||||||||
| 266069 | 0 | 67902 | 0 | 195 | 0 | 114128 | 0 | 24257 | 0 | 472551 | 0 | 67902 | 0 |
| JOHN FREY | |||||||||||||
| 270814 | 0 | 511 | 0 | 280 | 0 | 22854 | 0 | 25847 | 0 | 320306 | 0 | 511 | 0 |
| RACHEL LONG | |||||||||||||
| 121565 | 0 | 307 | 0 | 150 | 0 | 11015 | 0 | 4764 | 0 | 137801 | 0 | 307 | 0 |
| AMY SIMANTEL | |||||||||||||
| 143101 | 0 | 409 | 0 | 98 | 0 | 12065 | 0 | 18137 | 0 | 173810 | 0 | 409 | 0 |
| JULIE WILKE | |||||||||||||
| 237267 | 0 | 58060 | 0 | 449 | 0 | 102137 | 0 | 21251 | 0 | 419164 | 0 | 58060 | 0 |
| PAULA RAIBLEY-ELMER | |||||||||||||
| 192368 | 0 | 43723 | 0 | 677 | 0 | 65969 | 0 | 21476 | 0 | 324213 | 0 | 43723 | 0 |
| JANE WELDON | |||||||||||||
| 183047 | 0 | 46419 | 0 | 257 | 0 | 76867 | 0 | 15455 | 0 | 322045 | 0 | 46419 | 0 |
| LANCE SATHOFF | |||||||||||||
| 949053 | 0 | 511 | 0 | 65 | 0 | 44664 | 0 | 25847 | 0 | 1020140 | 0 | 511 | 0 |
| NICHOLAS MAXWELL | |||||||||||||
| 870200 | 0 | 511 | 0 | 150 | 0 | 40104 | 0 | 20436 | 0 | 931401 | 0 | 511 | 0 |
| ANDREW RIKKERS | |||||||||||||
| 799468 | 0 | 511 | 0 | 65 | 0 | 39642 | 0 | 25847 | 0 | 865533 | 0 | 511 | 0 |
| JOHN BAZLEY | |||||||||||||
| 524814 | 0 | 511 | 0 | 65 | 0 | 25219 | 0 | 25847 | 0 | 576456 | 0 | 511 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchJ_P01_S00_L01a | Schedule J, Part I, Line 1a | PROVIDED MEMBERSHIP FOR THE PRESIDENT/CEO TO THE LOCAL COUNTRY CLUB AND KIWANIS ORGANIZATION: TOTAL VALUE: $2,236 |
| SchJ_P01_S00_L03 | Schedule J, Part I, Line 3 | THE ORGANIZATION'S CEO AND SENIOR LEADERSHIP TEAM'S COMPENSATION PLAN IS REVIEWED AND APPROVED AT FORMAL MEETINGS OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT/NON-EMPLOYEE MEMBERS WHO HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENT TO BE REVIEWED AND RECOMMENDED BY THE COMPENSATION COMMITTEE. THE COMMITTEE REVIEWS COMPARABLE WISCONSIN AND NATIONAL COMPENSATION DATA AND ESTABLISHES BASE COMPENSATION AT THE COMPARABLE MARKET MEDIAN BY POSITION AS OUTLINED IN THE COMPENSATION COMMITTEE CHARTER. ADDITIONALLY, THE COMMITTEE HAS AUTHORITY TO RETAIN A COMPENSATION CONSULTANT TO ASSIST THE COMMITTEE IN EVALUATING SENIOR MANAGEMENT COMPENSATION. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REDEVELOPMENT AUTHORITY OF THE CITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 271322385 | IssuerEIN |
| CUSIP Number | 611420AP5 | CUSIPNumber |
| Date Issued | 2009-11-24 | DateIssued |
| Issue Price | 64459717 | IssuePrice |
| Description Of Purpose | CONSTRUCTION OF HOSPITAL | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 0 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 57538978 | TotalProceeds |
| Amount In Reserve Fund | 6022010 | AmountInReserveFund |
| Capitalized Interest | 5501796 | CapitalizedInterest |
| Refunding Escrow | 0 | RefundingEscrow |
| Issuance Costs From Proceeds | 1036820 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 57522007 | CapitalExpenditures |
| Other Spent Proceeds | 0 | OtherSpentProceeds |
| Amount Unspent | 0 | AmountUnspent |
| Year Of Subst Completion | 2012 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Total Private Business Use | 0 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 1 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchK_P01_S00_L00a | Schedule K, Part I, Column a | ISSUER NAME: REDEVELOPMENT AUTHORITY OF THE CITY OF MONROE, WISCONSIN |
| SchK_P01_S00_L00f | Schedule K, Part I, Column f | DESCRIPTION OF PURPOSE: CONSTRUCTION OF HOSPITAL |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARTIN ARNOLD | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | DR. RACHEL LONG'S HUSBAND | Relationship |
| Amount Of Transaction | 393091 | AmountOfTransaction |
| Description Of Transaction | EMPLOYMENT | DescriptionOfTransaction |
| Sharing Of Revenues | 1 | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SchL_P04_S00_L00 | Identifier |
| Return Reference | Schedule L, Part IV | ReturnReference |
| Explanation | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF PERSON: MARTIN ARNOLD (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION:DR. RACHEL LONG'S HUSBAND, MARTIN ARNOLD, IS ALSO COMPENSATED BY THE MONROE CLINIC (D) DESCRIPTION OF TRANSACTION: EMPLOYMENT COMPENSATION | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| F990_P01_S00_L01 | Form 990, Part I, Line 1 | DESCRIPTION OF ORGANIZATION MISSION: SERVICES INCLUDE INPATIENT ROUTINE, INPATIENT ANCILLARY, AND OUTPATIENT HEALTHCARE IN SUPPORT OF THE CORPORATION'S HEALTH CARE MISSION. THE MONROE CLINIC, BECAUSE OF ITS MISSION STATEMENT, OFFERS A COMMUNITY CARE PROGRAM TO ELIGIBLE BENEFICIARIES (THIS FALLS UNDER CHARITY CARE). |
| F990_P03_S00_L04a | Form 990, Part III, Line 4a | PROGRAM SERVICE ACCOMPLISHMENTS:THROUGHOUT SOUTHERN WISCONSIN AND NORTHERN ILLINOIS. WITHIN THE CLINICS AND HOSPITAL, THERE ARE 78 PHYSICIANS WITH 24 SPECIALTIES - SUCH AS ENDOCRINOLOGY AND CARDIOLOGY - THAT WORK HARD TO MEET THE NEEDS OF OUR PATIENTS EVERY DAY. DURING 2011, OUR PHYSICIANS AND STAFF PROVIDED SERVICES TO PATIENTS ACCESSING OUR SYSTEM IN TOTAL OVER 250,000 VISITS. IN 1939, CSA ESTABLISHED ST. CLARE HOSPITAL AT THE REQUEST OF A SMALL GROUP OF PHYSICIANS WHO OPENED MONROE CLINIC IN THE SAME YEAR. IN 1992, ST. CLARE HOSPITAL AND MONROE CLINIC CONSOLIDATED UNDER CONTINUED SPONSORSHIP OF CSA AS A CATHOLIC, NOT-FOR-PROFIT INTEGRATED HEALTHCARE FACILITY. MONROE CLINIC HAS A SPECIAL COMMITMENT TO PROVIDE HEALTHCARE SERVICES TO ALL PATIENTS WITHOUT ANY FORM OF DISCRIMINATION INCLUDING THE ABILITY TO PAY. THE PASSION AND DETERMINATION OF BOTH THE FOUNDING PHYSICIANS AND CSA HAS DEVELOPED AN EXCEPTIONAL HEALTHCARE ORGANIZATION THAT FOCUSES ON QUALITY AND OUTCOME MEASURES THAT EXCEED NATIONAL BENCHMARKS. IN 2010, MONROE CLINIC COMMITTED TO PUBLISHING OUR QUALITY SCORES IN LOCAL NEWSPAPERS AND ON OUR WEB SITE. TO DATE, WE HAVE BEEN AMONG THE HIGHEST PERFORMING HOSPITALS IN THE AREA. PATIENT SATISFACTION SCORES ARE ALSO SIGNIFICANTLY ABOVE THE AVERAGE OF OTHER HEALTHCARE FACILITIES. OUR HIGHLY TRAINED PHYSICIANS AND STAFF ARE READY TO PROVIDE BOTH EXCEPTIONAL HEALTH CARE AND AN EXCEPTIONAL EXPERIENCE TO THE PATIENTS AND COMMUNITIES WE SERVE. IN CALENDAR YEAR 2011, MONROE CLINIC PROVIDED MORE THAN $23.1 MILLION IN COMMUNITY BENEFIT TO MORE THAN 63,000 PATIENTS. THIS $23.1 MILLION REPRESENTS APPROXIMATELY 16.3 PERCENT OF MONROE CLINIC'S TOTAL NET PATIENT REVENUE. THE COMMUNITY BENEFIT AT COST IS COMPRISED OF $3.6 MILLION OF CHARITY CARE, $16.1 MILLION IN UNREIMBURSED COST FOR MEDICAID PATIENTS, $2.6 MILLION IN SUBSIDIZED HEALTHCARE SERVICES (SERVICES PROVIDED TO PATIENTS AT LESS THAN WHAT IT COST US TO PROVIDE THESE SERVICES) AND $.8 MILLION IN COMMUNITY EDUCATION. HEALTH SCREENINGS, AND OTHER HEALTHCARE RELATED COMMUNITY SERVICES. EACH YEAR MONROE CLINIC USES SURPLUS FUNDS TO ENHANCE PATIENT SERVICES, ACQUIRE NEW TECHNOLOGY, ADD NEW SERVICES, UPGRADE FACILITIES, AND PROVIDE FREE COMMUNITY EDUCATION AND SCREENING PROGRAMS. THROUGH OUR SPENDING AND THAT OF OUR EMPLOYEES, MONROE CLINIC CONTRIBUTES SIGNIFICANTLY TO THE LOCAL COMMUNITY. |
| F990_P06_S0A_L06 | Form 990, Part VI, Section A, Line 6 | THE CORPORATION HAS TWO CLASSES OF MEMBERS. THE CLASS A MEMBERS ARE THE GENERAL SUPERIOR OF CSA AND THOSE PERSONS WHO ARE MEMBERS OF THE GENERAL COUNCIL OF CSA. THE CLASS B MEMBERS ARE INDIVIDUALS APPOINTED BY THE CLASS A MEMBERS AND CONSIST OF NOT LESS THAN NINE MEMBERS AND NOT MORE THAN 13 MEMBERS. |
| F990_P06_S0A_L07a | Form 990, Part VI, Section A, Line 7a | THERE IS A GOVERNING BODY THAT HAS FINAL APPROVAL FOR ANY NEW BOARD MEMBERS |
| F990_P06_S0A_L07b | Form 990, Part VI, Section A, Line 7b | VARIOUS DECISIONS SUCH AS INDEBTEDNESS OF A CERTAIN SCOPE, MISSION OF THE ORGANIZATION, AND FINAL APPROVAL OF BOARD MEMBERS MUST BE BY CLASS A MEMBERS OF CONGREGATION OF SISTERS OF ST AGNES SPONSORSHIP MINISTRY BOARD. |
| F990_P06_S0B_L11b | Form 990, Part VI, Section B, Line 11b | ANNUALLY, THE BOARD OF DIRECTORS IS PROVIDED AN OVERVIEW OF THE FORM 990 AND HAS AN OPPORTUNITY TO ASK QUESTIONS AND PROVIDE INPUT. |
| F990_P06_S0B_L12c | Form 990, Part VI, Section B, Line 12c | ANNUALLY, CONFLICT OF INTEREST STATEMENTS AND POLICY ARE DISTRIBUTED TO MEMBERS OF THE BOARD AND ANY EMPLOYEE WHO HAS AUTHORITY TO ENTER INTO CONTRACTS AND OTHER TRANSACTIONS ON BEHALF OF MONROE CLINIC. THE COMPLETED FORMS ARE REVIEWED BY ADMINISTRATION. |
| F990_P06_S0B_L15 | Form 990, Part VI, Section B, Line 15 | THE ORGANIZATION'S CEO AND SENIOR LEADERSHIP TEAM'S COMPENSATION PLAN IS REVIEWED AND APPROVED AT FORMAL MEETINGS OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT, NON-EMPLOYEE MEMBERS WHO HAVE NO PERSONAL INTEREST IN THE COMPENSATION AGREEMENT TO BE REVIEWED AND RECOMMENDED BY THE COMPENSATION COMMITTEE. THE COMMITTEE REVIEWS COMPARABLE WISCONSIN AND NATIONAL COMPENSATION DATA AND ESTABLISHES BASE COMPENSATION AT THE COMPARABLE MARKET MEDIAN BY THE POSITION AS OUTLINED IN THE COMPENSATION COMMITTEE CHARTER. ADDITIONALLY THE COMMITTEE HAS AUTHORITY TO RETAIN A COMPENSATION CONSULTANT TO ASSIST THE COMMITTEE IN EVALUATING SENIOR MANAGEMENT COMPENSATION. |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | A PAPER COPY OF DOCUMENTS/STATEMENTS IS PROVIDED UPON REQUEST. |
| F990_P11_S00_L05 | Form 990, Part XI, Line 5 | CHANGES IN NET ASSETS: UNREALIZED LOSSES ON INVESTMENTS: -1,194.928 INCREASE IN EQUITY IN UNCONSOLIDATED AFFILIATE : 22,725 CHANGE IN INTEREST IN NET ASSETS OF FOUNDATIONS: 174,823 OTHER: -140,425 TOTAL TO FORM 990, PART XI, LINE 5: -1,137,805 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONROE CLINIC AND HOSPITAL FOUNDATION INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 22ND AVENUE | AddressLine1 |
| City | MONROE | City |
| State | WI | State |
| ZIP Code | 53566 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205769038 | EIN |
| Primary Activities | SUPPORT THE MISSION OF THE MONROE CLINIC | PrimaryActivities |
| Legal Domicile State | WI | LegalDomicileState |
| Exempt Code Section | 501(C) (3) | ExemptCodeSection |
| Public Charity Status | LINE 7 | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Extension to file was approved. Necessary notification was received. | Explanation |