HOLY FAMILY MEMORIAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: HOLY FAMILY MEMORIAL INC (EIN 39-0806395)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-14
IRS object ID: 201213199349306371
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 G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-14T16:39:49-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	391173131	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SCHENCK SC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	100 MARITIME DRIVE SUITE 2B	AddressLine1
City	MANITOWOC	City
State	WI	State
ZIP Code	54220	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	390806395	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	HOLY FAMILY MEMORIAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	HOLY	NameControl
Phone	9203202011	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2300 WESTERN AVE PO BOX 1450	AddressLine1
City	MANITOWOC	City
State	WI	State
ZIP Code	542211450	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MARK HERZOG	Name
Title	PRESIDENT / CEO	Title
Phone	9203203470	Phone
Date Signed	2012-11-12	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	LACEY SILBERNAGEL CPA	Name
PTIN	P01245590	PTIN
Phone	9206845500	Phone

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)
Name Of Principal Officer Person	MARK HERZOG	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2300 WESTERN AVE PO BOX 1450	AddressLine1
City	MANITOWOC	City
State	WI	State
ZIP Code	542211450	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	135015669	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.HFMHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1899	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	HEALTH CARE SERVICESSEE SCHEDULE 0HOLY FAMILY MEMORIAL IS A NETWORK OF HEALTH PROFESSIONALS, WHO ROOTED IN THE HEALING MINISTRY OF JESUS CHRIST, PROVIDE SERVICES TO HELP INDIVIDUALS AND OUR COMMUNITIES ACHIEVE HEALTHIER LIVES. HFM PROVIDES ACUTE, OUTPATIENT, CLINIC AND HOME CARE SERVICES FOR MANITOWOC COUNTY, STRIVING FOR MEDICIAL EXCELLENCE AND VALUED OUTCOMES WITHIN A COMPASSIONATE, VALUES BASED, CHRISTIAN ENVIRONMENT.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	1367	TotalNbrEmployees
Total Nbr Volunteers	349	TotalNbrVolunteers
Total Gross UBI	160550	TotalGrossUBI
Net Unrelated Business Txbl Income	136165	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1756485	ContributionsGrantsPriorYear
Contributions Grants Current Year	933186	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	130165998	ProgramServiceRevenuePriorYear
Program Service Revenue CY	129021726	ProgramServiceRevenueCY
Investment Income Prior Year	908139	InvestmentIncomePriorYear
Investment Income Current Year	3611146	InvestmentIncomeCurrentYear
Other Revenue Prior Year	741752	OtherRevenuePriorYear
Other Revenue Current Year	605790	OtherRevenueCurrentYear
Total Revenue Prior Year	133572374	TotalRevenuePriorYear
Total Revenue Current Year	134171848	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	46000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	42000	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	77600710	SalariesEtcPriorYear
Salaries Etc Current Year	77340656	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	225498	TotalFundrsngExpCurrentYear
Other Expense Prior Year	49777158	OtherExpensePriorYear
Other Expenses Current Year	49572482	OtherExpensesCurrentYear
Total Expenses Prior Year	127423868	TotalExpensesPriorYear
Total Expenses Current Year	126955138	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	6148506	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	7216710	RevenuesLessExpensesCY
Total Assets BOY	165522146	TotalAssetsBOY
Total Assets EOY	169230414	TotalAssetsEOY
Total Liabilities BOY	71786359	TotalLiabilitiesBOY
Total Liabilities EOY	70216195	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	93735787	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	99014219	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	HOLY FAMILY MEMORIAL IS A NETWORK OF HEALTH PROFESSIONALS WHO, ROOTED IN THE HEALING MINISTRY OF JESUS CHRIST, PROVIDE SERVICES TO HELP INDIVIDUALS AND OUR COMMUNITIES ACHIEVE HEALTHIER LIVES.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	115384987	Expense
Revenue	131019171	Revenue
Description	HOLY FAMILY MEMORIAL PROVIDES COMMUNITY SERVICES INTENDED TO BENEFIT THE UNDERSERVED AND ENHANCE THE HEALTH STATUS OF THE COMMUNITIES IT SERVES. THESE SERVICES INCLUDE 24 HOUR A DAY EMERGENCY CARE, COMMUNITY HEALTH SCREENINGS, VARIOUS SUPPORT GROUPS, HEALTH EDUCATION CLASSES, SPEAKERS AND PUBLICATIONS AND HOSPICE CARE. HOLY FAMILY MEMORIAL HAS BEEN ABLE TO ACHIEVE A GREATER IMPACT IN THE COMMUNITY BY PARTNERING FINANCIAL, HUMAN AND PROGRAMMATIC RESOURCES WITH OTHER ORGANIZATIONS. THESE PARTNERSHIPS INCLUDE A COMMITMENT TO COLLABORATE WITH OTHER HEALTH AND SOCIAL SERVICE AGENCIES TO IMPROVE ACCESS TO CARE, FOCUS ON PREVENTIVE SERVICES, REDUCE COMMUNITY HEALTH RISKS AND CONTRIBUTE TO A HEALTHIER, VIBRANT COMMUNITY.HOLY FAMILY MEMORIAL PROVIDES MEDICALLY NECESSARY SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICIES. IN ASSESSING A PATIENT'S ABILITY TO PAY, HOLY FAMILY MEMORIAL UTILIZES GENERALLY RECOGNIZED POVERTY INCOME LEVELS OF THE COMMUNITIES IT SERVES AND CONSIDERS SITUATIONS WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO THE PATIENT'S FINANCIAL RESOURCES. BECAUSE HOLY FAMILY MEMORIAL DOES NOT EXPECT TO RECEIVE PAYMENT OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUES. HOLY FAMILY MEMORIAL'S TOTAL COMMUNITY BENEFIT INCLUDES THE COST OF CHARITY CARE AND UNPAID COST OF PUBLIC PROGRAMS (MEDICARE AND MEDICAID) AS WELL AS THOSE DISCUSSED ABOVE. HOLY FAMILY MEMORIAL'S COMMUNITY BENEFIT WAS APPROXIMATELY $23,495,000 FOR THE YEAR ENDED DECEMBER 2011. THIS AMOUNT INCLUDES THE NET COST OF CHARITY CARE OF APPROXIMATELY $1,723,000. MORE INFORMATION AVAILABLE FROM OUR COMMUNITY BENEFIT REPORT WHICH CAN BE LOCATED ON OUR WEBSITE AT WWW.HFMHEALTH.ORG.	Description
Total Program Service Expense	115384987	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	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	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	1	FundraisingActivities
Gaming	1	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	1	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	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	24	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1367	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
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Form8899 Filed	0	Form8899Filed
Form1098 C Filed	0	Form1098CFiled
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	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	0	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
Own Website	X	OwnWebsite
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	MARK HERZOG PRESIDENT CEO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	9203203470	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2300 WESTERN AVENUE	AddressLine1
City	MANITOWOC	City
State	WI	State
ZIP Code	542211450	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
SISTER LORITA GAFFNEY
DIRECTOR	2.00	X	0	0	0
PRADEEP GIRIYAPPA MD
DIRECTOR	40.00	X	274624	0	37514
MICHAEL B MCCORMICK MD
DIRECTOR	40.00	X	299661	0	40564
SISTER MARDELLE MEINHOLZ
DIRECTOR	2.00	X	0	0	0
AMY L STOCKHAUSEN MD
PHYSICIAN COUNCIL CO-CHAIR	40.00	X	224182	0	34944
WILLIAM R CASEY
DIRECTOR	2.00	X	0	0	0
JAY A STREU
CHAIRMAN	3.00	X	0	0	0
SISTER PAULA VANDEN HOGE
DIRECTOR	2.00	X	0	0	0
JOHN J ZIMMER
TREASURER	3.00	X	0	0	0
SISTER LAURA WOLF
DIRECTOR	2.00	X	0	0	0
GARY SCHMIDT MD
DIRECTOR	40.00	X	185112	0	13866
KATHLEEN A ZUCCHI
DIRECTOR	2.00	X	0	0	0
WILLIAM C CENSKY
VICE CHAIR	3.00	X	0	0	0
MARY A GOVIER MD
DIRECTOR	40.00	X	200635	0	29467
SISTER MARY ANN NUGENT
DIRECTOR	2.00	X	0	0	0
EVELYN D SBAR MD
PHYSICIAN COUNCIL CO-CHAIR	40.00	X	195777	0	15547
LAURIE CRAWFORD
SECRETARY	2.00	X	0	0	0
LEE KUMMER
DIRECTOR	2.00	X	0	0	0
JANE PFEFFER
DIRECTOR	2.00	X	0	0	0
DONALD BRISCH
DIRECTOR	2.00	X	0	0	0
MARK SWANSON
DIRECTOR	2.00	X	0	0	0
JAMES HOFTIEZER MD
DIRECTOR	40.00	X	571357	0	38428
MARK P HERZOG
DIRECTOR, PRESIDENT, CEO	40.00		554293	0	107203	X
PATRICIA HUETTL
CHIEF FINANCIAL OFFICER	40.00		252878	0	54661	X
STEVEN DRIGGERS MD
CHIEF MEDICAL OFFICER	40.00		505958	0	94166		X
MARY MAURER
CHIEF INNOVATION OFFICER	40.00		246753	0	45742		X
RYAN DOPIRAK MD
PHYSICIAN	40.00		1312074	0	39965			X
NANCY BUTLER MD
PHYSICIAN	40.00		1069596	0	29345			X
JEFFREY JACOBY MD
PHYSICIAN	40.00		1118805	0	38866			X
TRACY RUPKE MD
PHYSICIAN	40.00		822707	0	39853			X
KIRK DIMITRIS MD
PHYSICIAN	40.00		1142176	0	23459			X
PATRICK BRANDEL
FORMER CFO	0.00		105893	0	0				X
MARY DEBILZEN
FORMER INTERIM CFO	40.00		98031	0	13134				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	9180512	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	696724	TotalOtherCompensation
Number Individuals GT100 K	78	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
CARETECH SOLUTIONS
901 WILSHIRE DRIVE STE 250	TROY	MI	48084	IT SERVICES	3032872
PATRIOT MEDICAL TECH
PO BOX 415000	NASHVILLE	TN	372415000	BIO-MED SERVICES	1062391
RADIATION ONCOLOGY SPECIALISTS
PO BOX 678	STURGEON BAY	WI	54235	CANCER CARE SERVICES	500694
QUEST DIAGNOSTICS
12989 COLLECTNS CTR DR	CHICAGO	IL	606930129	LABORATORY SERVICES	439233
ST VINCENT HOSPITAL
PO BOX 13508	GREEN BAY	WI	543073508	LAUNDRY SERVICES	375219

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	23	NumberOfContractorsGT100K
Fundraising Events	50074	FundraisingEvents
Government Grants	179279	GovernmentGrants
All Other Contributions	703833	AllOtherContributions
Noncash Contributions	24904	NoncashContributions
Total Contributions	933186	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
INTEGRATED HEALTH CARE	900099	113552616	113552616
LAB	621500	9042559	9027261	15298
PHARMACY	446110	6426551	6414271		$12,280

Field	Value	IRS element (for citing)
Total Program Service Revenue	129021726	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1777326	TotalRevenueColumn
Related Or Exempt Function Income	1744830	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	32496	UnrelatedBusinessRevenue

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	248852	Real
Personal	7100	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	163086	Real
Personal	0	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	85766	Real
Personal	7100	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	92866	TotalRevenueColumn
Exclusion	$92,866	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	2327950	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	494130	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	1833820	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1833820	TotalRevenueColumn
Exclusion	$1,833,820	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	89124	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	50074	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	21046	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	68078	TotalRevenueColumn
Exclusion	$68,078	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	23267	GrossIncomeGaming
Gaming Direct Expenses	2227	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	21040	TotalRevenueColumn
Exclusion	$21,040	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	194189	GrossSalesOfInventory
Cost Of Goods Sold	163332	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	30857	TotalRevenueColumn
Exclusion	$30,857	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
INVESTMENT HFHS & DME	446110	198000	85244	112756
MISCELLANEOUS	900003	194949	194949

Field	Value	IRS element (for citing)
Total Other Revenue	392949	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	134171848	TotalRevenueColumn
Related Or Exempt Function Income	131019171	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	160550	UnrelatedBusinessRevenue
Exclusion	$2,058,941	ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	42000	Total
Program Services	42000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4479286	Total
Program Services	2286484	ProgramServices
Management And General	2192802	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	60214616	Total
Program Services	55771918	ProgramServices
Management And General	4287804	ManagementAndGeneral
Fundraising	154894	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1579595	Total
Program Services	1441618	ProgramServices
Management And General	133907	ManagementAndGeneral
Fundraising	4070	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	7468133	Total
Program Services	6863185	ProgramServices
Management And General	560853	ManagementAndGeneral
Fundraising	44095	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3599026	Total
Program Services	3271663	ProgramServices
Management And General	316800	ManagementAndGeneral
Fundraising	10563	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	97506	Total
Management And General	97506	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	109000	Total
Management And General	109000	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	626565	Total
Program Services	626565	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	484301	Total
Program Services	72504	ProgramServices
Management And General	411797	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	16505174	Total
Program Services	16253843	ProgramServices
Management And General	246163	ManagementAndGeneral
Fundraising	5168	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3041074	Total
Program Services	3041074	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2985816	Total
Program Services	2985816	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	390023	Total
Program Services	268539	ProgramServices
Management And General	120295	ManagementAndGeneral
Fundraising	1189	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	343869	Total
Program Services	173433	ProgramServices
Management And General	170436	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2394566	Total
Program Services	2394566	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	9172539	Total
Program Services	9172539	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	710335	Total
Program Services	710335	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
PURCHASED SERVICES	6107690	4086949	2015222	5519
STATE PROVIDER ASSESSME	3274198	3274198
MAINTENANCE	2611268	2510646	100622
CONSULTING	689779	108333	581446

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	28779	Total
Program Services	28779	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	126955138	Total
Program Services	115384987	ProgramServices
Management And General	11344653	ManagementAndGeneral
Fundraising	225498	Fundraising

Field	Value	IRS element (for citing)
Joint Costs	X	JointCosts

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	6587436	BOY
EOY	9393054	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	3029507	BOY
EOY	3404090	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	26036	BOY
EOY	23190	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	18908121	BOY
EOY	21425602	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	603714	BOY
EOY	606872	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1992813	BOY
EOY	2058558	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5366828	BOY
EOY	5411183	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	172378009	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	100494176	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	72374491	BOY
EOY	71883833	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	34821666	BOY
EOY	30122020	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	17550008	BOY
EOY	20116445	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	3532874	BOY
EOY	3749813	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	728652	BOY
EOY	1035754	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	165522146	BOY
EOY	169230414	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	13414930	BOY
EOY	14880465	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	95678	BOY
EOY	66476	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	57546774	BOY
EOY	54233175	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	728652	BOY
EOY	1035754	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	325	BOY
EOY	325	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	71786359	BOY
EOY	70216195	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	92133119	BOY
EOY	97376300	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	270462	BOY
EOY	209193	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1332206	BOY
EOY	1428726	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	93735787	BOY
EOY	99014219	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	165522146	BOY
EOY	169230414	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	7216710	ReconcilationRevenueExpenses
Reconcilation Other Changes	-1938278	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$11,890	OtherActivitiesAmount
Total Lobbying Expenditures IIB	11890	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATIONS DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES:	PART I-A, LINE 1:	HOLY FAMILY MEMORIAL EXECUTIVES MET WITH LOCAL LEGISLATORS TO DISCUSS THE EFFECTS OF PENDING LEGISLATION ON HEALTHCARE. A SMALL NUMBER OF HOLY FAMILY MEMORIAL EMPLOYEES WROTE LETTERS TO THEIR LEGISLATORS TO EXPRESS THEIR VIEWS ON HEALTHCARE RELATED ISSUES.
EXPLANATION OF LOBBYING ACTIVITIES:	PART II-B, LINE 1:	HOLY FAMILY MEMORIAL BELONGS TO VARIOUS TRADE ASSOCIATIONS. A CERTAIN PERCENTAGE OF MEMBERSHIP DUES TO THE ASSOCIATIONS IS DETERMINED TO HAVE BEEN SPENT ON SPECIFIC LOBBYING PURPOSES.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtc
Included On FS	0	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1602667	BeginningOfYearBalance
Contributions	202680	Contributions
Investment Earnings Or Losses	-9775	InvestmentEarningsOrLosses
Grants Or Scholarships	500	GrantsOrScholarships
Other Expenditures	157154	OtherExpenditures
End Of Year Balance	1637918	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1429395	BeginningOfYearBalance
Contributions	240013	Contributions
Investment Earnings Or Losses	162063	InvestmentEarningsOrLosses
Grants Or Scholarships	500	GrantsOrScholarships
Other Expenditures	228304	OtherExpenditures
End Of Year Balance	1602667	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1223863	BeginningOfYearBalance
Contributions	485645	Contributions
Investment Earnings Or Losses	-107593	InvestmentEarningsOrLosses
Grants Or Scholarships	500	GrantsOrScholarships
Other Expenditures	172020	OtherExpenditures
End Of Year Balance	1429395	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1372479	BeginningOfYearBalance
Contributions	316645	Contributions
Investment Earnings Or Losses	-303997	InvestmentEarningsOrLosses
Grants Or Scholarships	500	GrantsOrScholarships
Other Expenditures	160764	OtherExpenditures
End Of Year Balance	1223863	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.93000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.07000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4629795	OtherCostOrOtherBasis
Book Value	4629795	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	104256485	OtherCostOrOtherBasis
Depreciation	56736169	Depreciation
Book Value	47520316	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5395271	OtherCostOrOtherBasis
Depreciation	3554905	Depreciation
Book Value	1840366	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	56139991	OtherCostOrOtherBasis
Depreciation	39556706	Depreciation
Book Value	16583285	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	1956467	InvestmentCostOrOtherBasis
Depreciation	646396	Depreciation
Book Value	1310071	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	71883833	TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

Field	Value	IRS element (for citing)
Book Value	20116445	BookValue
Method Of Valuation	C	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	20116445	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	SECURITY DEPOSIT	Description
Amount	$325	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	325	TotalOfAmounts
Total Revenue	134171848	TotalRevenue
Total Expenses	126955138	TotalExpenses
Excess Or Deficit For Year	7216710	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-1973529	NetUnrealizedGLOnInvestments
Other	$35,251	OtherAmount
Total Adjustments	-1938278	TotalAdjustments
Excess Or Deficit Per FS	5278432	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	136019610	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-1973529	NetUnrealizedGainsInvestments
Other Revenues	3821291	OtherRevenues
Revenue Not Rptd F990	1847762	RevenueNotRptdF990
Revenue Subtotal	134171848	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	134171848	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	130776429	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	3821291	OtherExpensesIncluded
Expenses Not Rptd F990	3821291	ExpensesNotRptdF990
Expenses Subtotal	126955138	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	126955138	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	HOLY FAMILY MEMORIAL'S ENDOWMENT FUNDS WERE ESTABLISHED TO PROVIDE FINANCIAL SUPPORT ON AN ONGOING BASIS TO MEET THE CURRENT AND FUTURE NEEDS OF HOLY FAMILY MEMORIAL AND THE PEOPLE IT SERVES. FUNDS ARE USED FOR CAPITAL EQUIPMENT, BUILDING IMPROVEMENTS AND PROGRAM DEVELOPMENT, AS DIRECTED BY THE DONOR.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		CHANGE IN RESTRICTED ASSETS 35,251.
		PART XII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBTS: $3,845,165 PURCHASE DISCOUNTS: $4,905 TAXES: ($28,779) PART XIII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBTS: $3,845,165 PURCHASE DISCOUNTS: $4,905 TAXES: ($28,779)

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	FIESTA ITALIANO	NameOfEvent1
Gross Receipts Event1	20032	GrossReceiptsEvent1
Charitable Contributions Event1	3122	CharitableContributionsEvent1
Gross Revenue Event1	16910	GrossRevenueEvent1
Other Direct Expenses Event1	1409	OtherDirectExpensesEvent1
Name Of Event2	SAMARITAN DAY	NameOfEvent2
Gross Receipts Event2	77145	GrossReceiptsEvent2
Charitable Contributions Event2	39105	CharitableContributionsEvent2
Gross Revenue Event2	38040	GrossRevenueEvent2
Other Direct Expenses Event2	14101	OtherDirectExpensesEvent2
Total Number Of Other Events	3	TotalNumberOfOtherEvents
Gross Receipts Other Events	42021	GrossReceiptsOtherEvents
Charitable Contrib Other Events	7847	CharitableContribOtherEvents
Gross Revenue Other Events	34174	GrossRevenueOtherEvents
Other Direct Expenses Other Events	5536	OtherDirectExpensesOtherEvents
Gross Receipts Total	139198	GrossReceiptsTotal
Charitable Contributions Total	50074	CharitableContributionsTotal
Gross Revenue Total Events	89124	GrossRevenueTotalEvents
Other Direct Expenses Total Events	21046	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	21046	DirectExpenseSummaryEvents
Net Income Summary	68078	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	23267	GrossRevenueOtherGaming
Cash Prizes Other Gaming	1725	CashPrizesOtherGaming
Other Direct Expenses Other Gaming	502	OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming	1	VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming	0.75000	VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming	23267	GrossRevenueTotalGaming
Cash Prizes Total Gaming	1725	CashPrizesTotalGaming
Other Direct Expenses Total Gaming	502	OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming	2227	DirectExpenseSummaryGaming
Net Gaming Income Summary	21040	NetGamingIncomeSummary

Field	Value	IRS element (for citing)
States Where Gaming Conducted	WI	StatesWhereGamingConducted
Licensed	1	Licensed
License Suspended Etc	0	LicenseSuspendedEtc
Gaming With Nonmembers	1	GamingWithNonmembers
Member Of Other Entity	0	MemberOfOtherEntity
Percentage Of Gaming Othr Facility	1.00000	PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper Person	ERIK BARBER	NameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1450	AddressLine1
City	MANITOWOC	City
State	WI	State
ZIP Code	542211450	ZIPCode

Field	Value	IRS element (for citing)
Contract With3rd Party For Gam Rev	0	ContractWith3rdPartyForGamRev
Charitable Distrib Required	0	CharitableDistribRequired

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
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)
Persons Served	1612	PersonsServed
Total Community Benefit Expense	1723067	TotalCommunityBenefitExpense
Net Community Benefit Expense	1723067	NetCommunityBenefitExpense
Percent Of Total Expense	0.01440	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	47843	PersonsServed
Total Community Benefit Expense	11579059	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4319164	DirectOffsettingRevenue
Net Community Benefit Expense	7259895	NetCommunityBenefitExpense
Percent Of Total Expense	0.06050	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	49455	PersonsServed
Total Community Benefit Expense	13302126	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4319164	DirectOffsettingRevenue
Net Community Benefit Expense	8982962	NetCommunityBenefitExpense
Percent Of Total Expense	0.07490	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	10989	PersonsServed
Total Community Benefit Expense	154828	TotalCommunityBenefitExpense
Net Community Benefit Expense	154828	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	1166	PersonsServed
Total Community Benefit Expense	262752	TotalCommunityBenefitExpense
Net Community Benefit Expense	262752	NetCommunityBenefitExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	59	PersonsServed
Total Community Benefit Expense	73348	TotalCommunityBenefitExpense
Net Community Benefit Expense	73348	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	854	PersonsServed
Total Community Benefit Expense	186516	TotalCommunityBenefitExpense
Net Community Benefit Expense	186516	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	13068	PersonsServed
Total Community Benefit Expense	677444	TotalCommunityBenefitExpense
Net Community Benefit Expense	677444	NetCommunityBenefitExpense
Percent Of Total Expense	0.00560	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	62523	PersonsServed
Total Community Benefit Expense	13979570	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4319164	DirectOffsettingRevenue
Net Community Benefit Expense	9660406	NetCommunityBenefitExpense
Percent Of Total Expense	0.08050	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	20947	TotalCommunityBuildingExpense
Net Community Building Expense	20947	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Persons Served	45	PersonsServed
Total Community Building Expense	4519	TotalCommunityBuildingExpense
Net Community Building Expense	4519	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	610	TotalCommunityBuildingExpense
Net Community Building Expense	610	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Persons Served	49	PersonsServed
Total Community Building Expense	2635	TotalCommunityBuildingExpense
Net Community Building Expense	2635	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Persons Served	1075	PersonsServed
Total Community Building Expense	4544	TotalCommunityBuildingExpense
Net Community Building Expense	4544	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	1169	PersonsServed
Total Community Building Expense	33255	TotalCommunityBuildingExpense
Net Community Building Expense	33255	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$1,562,329	BadDebtExpenseAmount
Amount Attributable To	321385	AmountAttributableTo
Amount Reimbursed By Medicare	40649551	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	54451395	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-13801844	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

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 YORK STREET PROPERTIES LLC
REAL ESTATE	0.36000	0.00000	0.00000
2 HOLY FAMILY MEMORIAL CANCER CENTER - ST VINCENT CANCER COLLABORATIVE
PROFESSIONAL CANCER CARE SERVICES	0.50000	0.00000	0.00000

Field	Value	IRS element (for citing)
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	HOLY FAMILY MEMORIAL INC	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	2300 WESTERN AVE PO BOX 1450	AddressLine1
City	MANITOWOC	City
State	WI	State
ZIP Code	542211450	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	HOLY FAMILY MEMORIAL INC	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	100.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	200.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
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	2	NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
HOLY FAMILY HEALTH SERVICES INC
3310 CALUMET AVENUE	MANITOWOC	WI	54220	RETAIL PHARMACY
NORTH END HOME MEDICAL SERVICES LLC
3310 CALUMET AVENUE	MANITOWOC	WI	54220	DURABLE MEDICAL EQUIPMENT

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanation	Return ReferenceReturnReference	IdentifierIdentifier
PART I, LINE 7: COMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE CARE AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. HOLY FAMILY MEMORIAL'S COMMUNITY BENEFIT PROGRAMS INCLUDE SERVICES FOR THOSE WHO CAN NOT AFFORD HEALTH CARE AND INITIATIVES FOR IMPROVING HEALTH IN THE BROADER COMMUNITY. PROVIDING COMMUNITY BENEFITS DEMONSTRATES THAT HOLY FAMILY MEMORIAL IS FULFILLING ITS CHARITABLE MISSION AND DEMONSTRATING ITS PREFERENTIAL TAX STATUS IS DESERVED.
PERCENTAGE OF COMMUNITY BENEFIT EXPENSE TO OVERALL ENTITY'S EXPENSES.	SCHEDULE H, PART 1, LINE 7, COLUMN F
PART II: COMMUNITY BUILDING ACTIVITIES INDICATED IN PART II PROMOTE THE HEALTH OF THE MANITOWOC COMMUNITY BY ACTIVELY ADDRESSING EXPRESSED AND REPORTED ISSUES. SPECIFICALLY, THROUGH THE PROGRAMS INDICATED, HOLY FAMILY MEMORIAL AND IN PARTNERSHIP WITH OTHERS, WORKS DILIGENTLY TO ACHIEVE AN OVERALL HEALTHIER COMMUNITY. MAJOR INITIATIVES WITH DISCERNABLE POSITIVE RESULTS INCLUDE: IMPROVED ACCESS TO HEALTH INFORMATION AND PROVIDER RESOURCES, REDUCTION IN COMMUNITY FALLS, REDUCTION IN ADULT SMOKING POPULATION RATES, REDUCTION IN TEENAGE PREGNANCY RATES AND REDUCTION IN TEENAGE AND ADULT DRINKING RATES.
PART III, LINE 4: AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF FACTORS APPPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE ORGANIZATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE.
PART III, LINE 8: HOLY FAMILY MEMORIAL IS A LICENSED MEDICARE PROVIDER WITH APPROXIMATLEY 45.4 PERCENT OF ITS PATIENT BASE QUALIFYING FOR THIS PROGRAM. AT PRESENT, THE REIMBURSEMENT RATE FOR THE MEDICARE PROGRAM DOES NOT FULLY COVER THE COST OF CARE TO THESE PATIENTS. THIS REPRESENTS THE ESTIMATED SHORTFALL CREATED WHEN HOLY FAMILY MEMORIAL RECEIVES PAYMENTS BELOW THE COSTS OF TREATING MEDICARE AND OTHER PUBLIC PROGRAM BENEFICIARIES.COST METHODOLOGY = COST TO CHARGE RATIO
PART III, LINE 9B: PAYMENT OPTIONS AS WELL AS COMMUNITY CARE ASSISTANCE IS NOTED ON ALL COLLECTION LETTERS, AS WELL AS INSURANCE BENEFIT PAPERWORK THAT IS SENT TO PATIENTS FOR INPATIENT, SDS, MRI, CT AND ER SERVICES. A PATIENT FINANCIAL ADVISOR SEES SELF-PAY INPATIENTS AND ADVISES PATIENTS OF ANY PROGRAMS THEY MAY QUALIFY FOR INCLUDING, BUT NOT LIMITED TO MEDICAID, VETERANS ADMINISTRATION, OR OUR OWN CHARITY CARE PROGRAM. IF THEY MAY QUALIFY FOR MEDICAID OR VETERANS ADMINISTRATION, WE DIRECT THEM TO THE APPROPRIATE ORGANIZATION FOR APPLICATION AND ASSISTANCE. FOR THE NETWORK CHARITY PROGRAM, AN APPLICATION IS PROVIDED AND THE PATIENT IS INSTRUCTED ON WHOM TO CALL FOR ASSISTANCE IN APPLYING. WHEN CONTACTING PATIENTS BY PHONE, THE PATIENT FINANCIAL ADVISOR IS TRAINED TO IDENTIFY PATIENTS WHO MAY QUALIFY FOR OUTSIDE STATE OR FEDERAL ASSISTANCE AND WILL DIRECT THOSE PATIENTS ON WHERE TO GO TO APPLY FOR THOSE PROGRAMS.
PART V, SECTION B, LINE 13G: HOLY FAMILY MEMORIAL'S COMMUNITY CARE PROGRAM IS COMMUNICATED ON THE HOSPITAL FACILITY'S WEBSITE SUMMARIZING THE ELIGIBILITY REQUIREMENTS TO INCLUDE SERVICES COVERED, INCOME GUIDELINES, APPLICATION FORM, AND OTHER DOCUMENTS NEEDED FOR COMPLETION OF THE APPLICATION. THE COMMUNITY CARE PROGRAM IS ALSO COMMUNICATED VIA PAYMENT GUIDELINE BROCHURES AVAILABLE IN THE REGISTRATION AREAS AT ALL HFM LOCATIONS THROUGHOUT THE COMMUNITY, AND TO PATIENTS IN COMMUNICATION WITH PRICE ESTIMATIONS AND COLLECTIONS, BOTH VERBAL AND WRITTEN. THE POLICY IS ALSO AVAILABLE UPON REQUEST.		HOLY FAMILY MEMORIAL INC
PART V, SECTION B, LINE 19D: THE HOSPITAL FACILITY USED THE AVERAGE OF ITS FIVE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED.		HOLY FAMILY MEMORIAL INC
PART VI, LINE 2: HOLY FAMILY MEMORIAL UTILIZES FOUR DISTINCT PROCESSES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE. FIRST, AS A PART OF THE ANNUAL STRATEGIC PLANNING PROCESS, AN ENVIRONMENTAL ASSESSMENT IS DONE. INCLUDED IN THAT REPORT AND ANALYSIS IS CURRENT POPULATION DATA INCLUDING DEMOGRAPHICS, UTILIZATION, MORTALITY INFORMATION, DEMAND FORECASTING, PREVALENT DISEASE STATES AND FEEDBACK FROM VARIOUS CONSTITUENCIES RELATIVE TO PERCEIVED MET AND UNMET COMMUNITY HEALTH NEEDS. SECOND, HOLY FAMILY MEMORIAL PARTICIPANTS IN A TRI-ANNUAL FULL COMMUNITY HEALTH ASSESSMENT PROCESS IN CONJUNCTION WITH HEALTHIEST MANITOWOC COUNTY 2020. THIS ASSESSMENT CONSISTS OF INPUT OBTAINED FROM HUNDREDS OF COMMUNITY RESIDENTS, INCLUDING ALL AGE GROUPS, BEGINNING FROM HIGH SCHOOL AGE. THE INFORMATION IS TABULATED, ANALYZED AND UTILIZED TO DETERMINE PRIORITIZED HEALTH NEEDS. HOLY FAMILY MEMORIAL USES THIS INFORMATION IN ITS ANNUAL COMMUNITY BENEFIT PLANS. THIRD, HOLY FAMILY MEMORIAL CONDUCTS REGULAR INPUT SESSSIONS WITH LOCAL EMPLOYERS TO ASCERTAIN HEALTH NEEDS FROM AN OCCUPATIONAL HEALTH PERSPECTIVE. THIS INFORMATION IS THEN UTILIZED TO DEVELOP AND PROVIDE NEEDED EMPLOYER/EMPLOYEE HEALTH SERVICES THROUGHOUT THE BUSINESS COMMUNITY. LASTLY, HOLY FAMILY MEMORIAL UTILIZES A COMBINATION OF PATIENT FEEDBACK FROM ONGOING PATIENT SATISFACTION SURVEYS (CONDUCTED POST PROVISION OF SERVICES) AND COMMUNITY RESEARCH STUDIES COMMISSIONED BY HOLY FAMILY MEMORIAL, TO ASSESS PROGRAM AND SERVICE HEALTH CARE NEEDS OF THE COMMUNITY.
PART VI, LINE 3: PATIENTS ARE INFORMED OF ELIGIBILITY FOR ASSISTANCE / PUBLIC NOTICES / WEBSITE / BROCHURES / ADMISSIONS STAFF / COLLECTION CORRESPONDENTS AS WELL AS INSURANCE BENEFIT PAPERWORK THAT IS SENT TO PATIENTS FOR INPATIENT, SDS, MRI, CT SERVICES. A PATIENT FINANCIAL ADVISOR SEES/COMMUNICATES TO SELF-PAY INPATIENTS TO INTERVIEW AND ADVISE PATIENT OF ANY PROGRAMS THEY MAY QUALIFY FOR INCLUDING, BUT NOT LIMITED TO MEDICAID, VETERANS ADMINISTRATION OR OUR OWN CHARITY PROGRAM. IF THEY QUALIFY FOR MEDICAID OR VETERANS ADMINISTRATION, WE ASSIST THEM TO THE APPROPRIATE ORGANIZATION FOR APPLICATION AND ASSISTANCE. FOR THE NETWORK CHARITIY PROGRAM, AN APPLICATION IS PROVIDED WHICH INCLUDES WHOM TO CALL FOR ASSISTANCE IN APPLYING. WHEN CONTACTING PATIENTS BY PHONE, THE PATIENT FINANCIAL ADVISOR IS TRAINED TO IDENTIFY PATIENTS WHO MAY QUALIFY FOR OUTSIDE STATE OR FEDERAL ASSISTANCE AND WILL DIRECT THOSE PATIENTS ON WHERE TO GO TO APPLY FOR THOSE PROGRAMS.
PART VI, LINE 4: THE COMMUNITY THAT HOLY FAMILY MEMORIAL SERVICES IS CONSIDERED TO BE LOCATED IN THE RURAL LAKESHORE REGION OF NORTHEAST WISCONSIN. THE PRIMARY SERVICE AREA IS MANITOWOC COUNTY WITH SECONDARY NEIGHBORING COUNTIES; BROWN, KEWAUNEE, CALUMET AND SHEBOYGAN. THE COMMUNITY SERVED IS AN OLDER POPULATION WITH 16% OF THE PEOPLE AGE 65 OR OLDER WITH MEDIAN HOUSEHOLD INCOME OF APPROXIMATELY $45,000. 13.5% OF OUR SERVICES ARE DEDICATED TO PROVIDING CARE TO MEDICAID AND SELF-PAY PATIENTS. THIS NUMBER IS 3% HIGHER THAN THE STATE AVERAGE AND 2-3% HIGHER THAN SURROUNDING COUNTIES. THE 2012 SERVICE AREA IS EXPECTED TO REMAIN AT 2009 LEVELS WITH A SLIGHT GROWTH TOWARD THE 65+ AGE AND RETRACTION OF THOSE 18-44. REFLECTIVE OF THIS NUMBER IS THAT OVER 47% OF OUR SERVICES ARE DEDICATED TO PROVIDING CARE TO MEDICARE PATIENTS. THE COMMUNITY IS MAINLY CAUCASIAN WITH SEVERAL OTHER NATIONALITIES INCLUDING AFRICAN AMERICAN, ASIAN AND HISPANIC. OTHER PROVIDERS IN THE AREA CONSIST OF THE AUORORA MEDICAL GROUP, MANITOWOC SURGERY CENTER, AND SEVERAL OTHER INDEPENDENT PROVIDERS.
PART VI, LINE 5: ALL OF HOLY FAMILY MEMORIAL'S BOARD MEMBERS RESIDE IN THE PRIMARY SERVICE AREA. THE BOARD CONSISTS OF COMMUNITY REPRESENTATIVES, PHYSICIANS AND REPRESENTATIVES OF THE SPONSOR ORGANIZATION. THE MEDICAL/DENTAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS WHO MEET THE REQUIREMENTS OF MEDICAL/DENTAL STAFF MEMBERSHIP. THE NETWORK OF PHYSICIANS AND OTHER PROVIDERS IS COMMITTED TO PROVIDING EACH PATIENT WITH THE HIGHEST LEVEL OF PERSONAL CARE, RESPECT AND COMPASSION TO ENHANCE THE PATIENT'S QUALITY OF LIFE AND HEALTH STATUS. ALL SURPLUS FUNDS ARE REINVESTED IN THE ORGANIZATION TO PURCHASE NECESSARY MEDICAL EQUIPMENT, COMPENSATE EMPLOYEES, AND PLAN FOR FUTURE NEEDS. NONE OF THE SUPRLUS EARNINGS BENEFIT ANY INDIVIDUALS OR OTHER CORPORATE ENTITIES.
PART VI, LINE 6: THE HEALTH CARE NETWORK IS SPONSORED BY THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY, LOCATED AT HOLY FAMILY CONVENT, MANITOWOC, WISCONSIN. THE CONVENT, SITUATED ON SILVER LAKE, THREE MILES WEST OF LAKE MICHIGAN, IS HOME FOR OVER 350 CONGREGATION MEMBERS WHO SERVE THROUGHOUT THE UNITED STATES AND ARE PRIMARILY ENGAGED IN EDUCATION, PARISH AND HEALTH MINISTRIES. THE HEALTHCARE MINISTRY SPANS THREE STATES - WISCONSIN, NEBRASKA AND OHIO - AND HAS EXISTED FOR OVER 100 YEARS. THE MISSION OF THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY HEALTHCARE MINISTRY IS TO CARRY OUT THE COMMITMENT OF THE SPONSOR IN THE HEALING MISSION OF THE CATHOLIC CHURCH THROUGHOUT THE PROVISION OF QUALITY HEALTHCARE SERVICES TO THE PEOPLE OF GOD IN OUR COMMUNITIES.
WI,NE	PART VI, LINE 7	REPORTS FILED WITH STATES

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	SCHOLARSHIPS	TypeOfGrant
Number Of Recipients	10	NumberOfRecipients
Amount Of Cash Grant	42000	AmountOfCashGrant
Method Of Valuation	ACTUAL TUITION COST	MethodOfValuation

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Explanation	HOLY FAMILY MEMORIAL'S SCHOLARSHIP PROGRAM IS DESIGNED AS A RECRUITMENT TOOL FOR EMPLOYMENT OF CANDIDATES IN SPECIFIED POSITIONS, CONSIDERED DIFFICULT TO FILL AND TO ASSIST STUDENTS IN THEIR PURSUIT OF A HEALTH CARE RELATED DEGREE. AREAS OF STUDY INCLUDE NURSING, PHARMACY, PHYSICAL THERAPY AND OTHERS. IN RETURN FOR THE SCHOLARSHIP, AN EMPLOYMENT SERVICE COMMITMENT IS MADE. IN ORDER TO BE ELIGIBLE: 1) STUDENTS MUST BE ACCEPTED INTO AN ACCREDITED PROGRAM 2) CANDIDATES MUST BE ATTENDING SCHOOL AS A FULL OR PART TIME STUDENT AND REMAIN IN THAT STATUS 3) STUDENTS MUST HAVE AND MAINTAIN A 3.0 CUMULATIVE GRADE POINT AVERAGE. SCHOLARSHIPS ARE AWARDED ON THE BASIS OF GRADE POINT AVERAGE, VERIFIED WITH OFFICIAL TRANSCRIPT OF GRADES, COMPLETION OF EMPLOYMENT APPLICATION AND PERSONAL INTERVIEW. THE SCHOLARSHIP IS USED FOR TUITION COST. THE SCHOLARSHIPS ARE GIVEN OUT EACH SEMESTER AND ARE PAID DIRECTLY TO THE SCHOOL THE STUDENT ATTENDS. APPLICANTS WHO ARE AWARDED THE SCHOLARSHIP MUST MAKE A SIX-MONTH COMMITMENT TO WORK AT HOLY FAMILY MEMORIAL FOR EACH SEMESTER THE SCHOLARSHIP IS AWARDED. THE SCHOLARSHIP RECIPIENT MUST REPAY THE FULL AMOUNT OF THE SCHOLARSHIP IF HE/SHE: 1) DROPS OUT OF SCHOOL 2) FALLS BELOW A 3.0 CUMULATIVE GRADE POINT AVERAGE 3) DOES NOT ACCEPT EMPLOYMENT 4) DOES NOT COMPLETE FULL LENGTH OF EMPLOYMENT COMMITMENT 5) DOES NOT OBTAIN WISCONSIN LICENSURE, AS REQUIRED.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
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
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	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	1	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 (18 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
PRADEEP GIRIYAPPA MD
182802	0	77518	0	14304	0	19559	0	17955	0	312138	0	0	0
MICHAEL B MCCORMICK MD
268806	0	0	0	30855	0	18596	0	21968	0	340225	0	0	0
AMY L STOCKHAUSEN MD
149977	0	67552	0	6653	0	16198	0	18746	0	259126	0	0	0
GARY SCHMIDT MD
168142	0	6994	0	9976	0	9396	0	4470	0	198978	0	0	0
MARY A GOVIER MD
162601	0	27516	0	10518	0	9773	0	19694	0	230102	0	0	0
EVELYN D SBAR MD
178160	0	10449	0	7168	0	13387	0	2160	0	211324	0	0	0
JAMES HOFTIEZER MD
289419	0	267514	0	14424	0	14559	0	23869	0	609785	0	0	0
MARK P HERZOG
409175	0	47953	0	97165	0	85636	0	21567	0	661496	0	0	0
PATRICIA HUETTL
218214	0	0	0	34664	0	33331	0	21330	0	307539	0	0	0
STEVEN DRIGGERS MD
398118	0	42888	0	64952	0	76087	0	18079	0	600124	0	0	0
MARY MAURER
196254	0	21200	0	29299	0	42555	0	3187	0	292495	0	0	0
RYAN DOPIRAK MD
495010	0	813458	0	3606	0	19559	0	20406	0	1352039	0	0	0
NANCY BUTLER MD
274018	0	736403	0	59175	0	19559	0	9786	0	1098941	0	0	0
JEFFREY JACOBY MD
498841	0	600733	0	19231	0	19559	0	19307	0	1157671	0	0	0
TRACY RUPKE MD
441607	0	337792	0	43308	0	19559	0	20294	0	862560	0	0	0
KIRK DIMITRIS MD
445577	0	653291	0	43308	0	5000	0	18459	0	1165635	0	0	0
PATRICK BRANDEL
0	0	0	0	105893	0	0	0	0	0	105893	0	0	0
MARY DEBILZEN
94835	0	2500	0	696	0	4480	0	8654	0	111165	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

PART I, LINE 4A

PATRICK BRANDEL, FORMER CFO, RECEIVED SEVERANCE PAYMENTS TOTALING $105,893.

PART I, LINE 6

AN AT-RISK COMPENSATION TEAM AWARD PROGRAM WHICH REWARDS EFFORTS AND ACCOMPLISHMENT OF HFM'S GOALS. GOALS ARE APPROVED BY THE HFM BOARD EXECUTIVE COMMITTEE AND ARE DEVELOPED IN THE FOLLOWING AREAS: WORKFORCE AND ORGANIZATIONAL DEVELOPMENT, STRATEGIC INFRASTRUCTURE, IMPROVEMENT AND INNOVATION, AND CLINICAL AND SERVICE EXCELLENCE. BASED ON NET EARNINGS, A LEVEL OF ACHIEVEMENT IS CALCULATED. IN 2011, ALL REGULARLY SCHEDULED, NON-PHYSICIAN EMPLOYEES PARTICIPATED IN THE PROGRAM.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
WISCONSIN HEALTH AND EDUCATION FACILITIES
391337855	97710VPE2	2003-09-09	11293000	SEE SCHEDULE K, PART V	1	0	0
WISCONSIN HEALTH AND EDUCATION FACILITIES
391337855	97710VPE2	2003-09-09	9922000	SEE SCHEDULE K, PART V	0	0	0
WISCONSIN HEALTH AND EDUCATION FACILITIES
391337855	97710V2S6	2007-04-26	45170000	SEE SCHEDULE K, PART V	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
9571000	11293000	898000	1107000	146000	9142000	2006	1	0	1	1
	9922000			244000	9677000	2006	0	0	1	1
	45170000	2247000	37448000	485000	4990000	2009	1	1	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	1
0	0	0	0	1
0	0	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Exception To RebateExceptionToRebate
1	0	1
1	1	1
0	0	1

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifier	ExplanationExplanation
PART I, LINE A, COLUMN F:	THE PURPOSE OF THE BOND ISSUE WAS A PROJECT CONSISTING OF CONSTRUCTION, RENOVATION AND EQUIPPING OF AMBULATORY CARE, DIAGNOSTIC IMAGING, REHABILITATION, OCCUPATIONAL MEDICINE, PRIMARY CARE AND ORTHOPEDIC FACILITIES AT CERTAIN HOLY FAMILY MEMORIAL HEALTH FACILITIES.
PART I, LINE B, COLUMN F:	THE PURPOSE OF THE BOND ISSUE WAS A PROJECT CONSISTING OF THE CONSTRUCTION, RENOVATION AND EQUIPPING OF AMBULATORY CARE, DIAGNOSTIC IMAGING, REHABILITATION, OCCUPATIONAL MEDICINE, PRIMARY CARE AND ORTHOPEDIC FACILITIES AT CERTAIN HOLY FAMILY MEMORIAL HEALTH FACILITIES.
PART I, LINE C, COLUMN F:	THE PURPOSE OF THE BOND ISSUE WERE 1) THE ACQUISITION, CONSTRUCTION, RENOVATION, REMODELING AND EQUIPPING OF CERTAIN HOSPITAL AND OTHER HEALTHCARE FACILITIES AS IDENTIFIED IN A NOTICE OF PUBLIC HEARING PUBLISHED IN CONNECTION WITH THE ISSUANCE OF THE BONDS INCLUDING THE ACQUISITION OF TELEMETRY MONITORS AND AN MRI SYSTEM 2) THE CURRENT REFUNDING OF ALL THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE (WHEFA) BONDS, SERIES 1995, 3) THE ADVANCE REFUNDING OF ALL OF THE WHEFA BONDS, SERIES 1998A, AND 4) THE ADVANCE REFUNDING OF A PORTION OF THE WHEFA BONDS, SERIES 2003A.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
LINDA BRANDEL
SPOUSE OF FORMER CFO	25699	WAGES	0
ALAN SBAR MD
SPOUSE OF M.D. COUNCIL CO-CHAIR	266926	WAGES	0
NORTH END HOME MED SCS LLC
OFFICERS OF HFM	197170	100% OWNED LLC	0
HOLY FAMILY HEALTH SERVICES
SERVE AS DIRECTORS ON BOTH ORGANIZATIONS	830	100% OWNED FOR PROFIT	0
JASON HOENISCH
SON-IN-LAW OF CHIEF MEDICAL OFFICER	20197	WAGES	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6	HOLY FAMILY MEMORIAL IS SPONSORED BY FRANCISCAN SISTERS OF CHRISTIAN CHARITY HEALTH CARE MINISTRY INC., WHICH IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	HOLY FAMILY MEMORIAL OPERATES AN INTEGRATED HEALTHCARE DELIVERY SYSTEM, PRIMARILY TO THE RESIDENTS OF MANITOWOC COUNTY, WISCONSIN. HOLY FAMILY MEMORIAL IS OPERATED BY FRANCISCAN SISTERS OF CHRISTIAN CHARITY HEALTH CARE MINISTRY INC., WHICH IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. FRANCISCAN SISTERS OF CHRISTIAN CHARITY HEALTH CARE MINISTRY INC. IS A NOT-FOR-PROFIT HEALTHCARE HOLDING COMPANY INCORPORATED TO MONITOR AND MANAGE HEALTHCARE OPERATIONS. THE BOARD OF DIRECTORS SHALL CONSIST OF NO MORE THAN EIGHTEEN INDIVIDUALS. THE PRESIDENT OF THE CORPORATION AND CHAIR OF THE PHYSICIAN COUNCIL SHALL BE EX-OFFICIO MEMBERS WITH FULL VOTING PRIVILEGES. IN ADDITION TO THE EX-OFFICIO BOARD POSITIONS, THE BOARD OF DIRECTORS SHALL INCLUDE FOUR MEMBERS OF FRANCISCAN SISTERS OF CHRISTIAN CHARITY AND AT LEAST FOUR PHYSICIANS.
FORM 990, PART VI, SECTION A, LINE 7B	SOME DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE MEMBER AS OUTLINED IN THE CORPORATE BYLAWS. FOR EXAMPLE, THE GOVERNING BOARD SUBMITS NAMES OF NEW BOARD MEMBERS TO THE MEMBER AND THE MEMBER APPOINTS THEM. APPROVAL OF THE PHILOSOPHY, MISSION & VISION STATEMENTS MUST BE APPROVED BY THE MEMBER. A CERTIFIED AUDIT OF CORPORATE FUNDS OR THE ANNUAL FISCAL AUDITOR MUST BE APPROVED BY THE MEMBER, ETC.
FORM 990, PART VI, SECTION B, LINE 11	THE CHAIR OF THE GOVERNING BOARD REVIEWS THE 990 PRIOR TO FILING. AN OVERVIEW OF THE 990 ALONG WITH SPECIFIC SECTIONS ON GOVERNANCE, COMMUNITY BENEFITS, CONFLICT OF INTEREST, AND COMPENSATION IS PRESENTED TO THE BOARD. THE COMPENSATION AND EVALUATION SUBCOMMITTEE REVIEWS THE 990 SECTIONS RELATED TO COMPENSATION PRIOR TO FILING. COPIES ARE AVAILABLE TO ALL BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY, GOVERNING BOARD MEMBERS ARE PROVIDED A COPY OF THE CONFLICT OF INTEREST POLICY TO REVIEW AND SIGN THE CERTIFICATION ON WHICH THEY DISCLOSE ANY CONFLICTS. AT EACH BOARD OR COMMITTEE MEETING WHERE THERE WILL BE A VOTE, THE CHAIRPERSON ASKS IF THERE ARE ANY CONFLICTS TO THE PARTICULAR ISSUE. IF THERE IS A CONFLICT, THAT PERSON ABSTAINS FROM DISCUSSION & VOTING. ALL PHYSICIANS, NETWORK LEADERS, AND KEY EMPLOYEES SIGN A CONFLICT OF INTEREST AT THE TIME OF THEIR CONTRACT RENEWAL OR PERFORMANCE APPRAISAL. CONFLICT OF INTEREST IS MONITORED THROUGH HOLY FAMILY MEMORIAL'S COMPLIANCE DEPARTMENT. PROVIDERS COMPLETE A CONFLICT OF INTEREST ACKNOWLEDGEMENT AS PART OF THE APPROVAL PROCESS FOR THE PURCHASE OF NEW PRODUCTS OR EQUIPMENT THAT THEY ARE DIRECTLY ASSOCIATED WITH.
FORM 990, PART VI, SECTION B, LINE 15	LINES 15 A & B - HOLY FAMILY MEMORIAL HAS A SENIOR LEADER COMPENSATION POLICY. THE PROCESS OF DETERMINING THESE SALARIES ARE GOVERNED BY THE COMPENSATION AND EVALUATION SUBCOMMITTEE OF THE BOARD. THE POLICY COVERS THE FOLLOWING POSITIONS: PRESIDENT AND CEO, CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER, CHIEF NURSING OFFICER AND CHIEF INNOVATION OFFICER. ANNUALLY (LAST DONE 6/21/10) EXECUTIVE SALARY DATA IS EVALUATED USING TWO MAIN SOURCES: HAY GROUP ANNUAL EXECUTIVE COMPENSATION SURVEY AND MSA/CLARK CONSULTING - HEALTHCARE LEADERSHIP COMPENSATION SURVEY. TOTAL COMPENSATION FOR EACH SENIOR LEADER (SALARY, BENEFITS AND INCENTIVE) IS TARGETED TO THE 65TH PERCENTILE OF COMPENSATION FOR COMPARABLE POSITIONS. ALSO CONSIDERED ARE CURRENT MARKET CONDITIONS, INDEPENDENT CONSULTANT INPUT AND MARKET COMPETITIVENESS. AN EXTERNAL REVIEW BY AN EXECUTIVE COMPENSATION FIRM IS ALSO DONE EVERY THREE YEARS (LAST DONE IN 2008).
FORM 990, PART VI, SECTION C, LINE 19	HOLY FAMILY MEMORIAL'S ARTICLES OF INCORPORATION ARE PUBLICLY AVAILABLE FROM THE WI DEPARTMENT OF FINANCIAL INSTITUTIONS. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. HOLY FAMILY MEMORIAL'S FINANCIAL STATEMENTS ARE AVAILABLE ON THE DACBOND.COM WEBSITE AND HOLY FAMILY MEMORIAL SUBMITS FINANCIAL INFORMATION TO THE STATE OF WI ANNUALLY. OUR FORM 990 IS AVAILABLE UPON REQUEST AND CAN BE SEEN ON THE GUIDESTAR WEBSITE.
FORM 990, PART VII, SECTION A, PART 1A LINES 2, 3, 5, 11, 14, 16, 22:	HOLY FAMILY MEMORIAL'S BOARD OF DIRECTORS INCLUDES SEVEN EMPLOYED PHYSICIANS. THE COMPENSATION REPORTED FOR THESE DIRECTORS IS FOR THEIR SERVICES AS A PHYSICIAN.
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -1,973,529. CHANGE IN RESTRICTED ASSETS 35,251. TOTAL TO FORM 990, PART XI, LINE 5: -1,938,278.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:	THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX PROCESS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	NORTH END HOME MED SCS LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3310 CALUMET AVENUE	AddressLine1
City	MANITOWOC	City
State	WI	State
ZIP Code	54220	ZIPCode

Field	Value	IRS element (for citing)
EIN	391868808	EIN
Primary Activities	MEDICAL EQUIPMENT	PrimaryActivities
Legal Domicile State	WI	LegalDomicileState
Total Income	197170	TotalIncome
EOY Assets	2073543	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HFM INC	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg
FRANCISCAN SISTERS OF CHRISTIAN CHARITY
1415 SOUTH RAPIDS ROAD	MANITOWOC	WI	54220	391530622	HEALTHCARE	WI	501(C)(3)	LINE 1	N/A	0
ST PAUL ELDER SERVICES INC
316 EAST 14TH STREET	KAUKAUNA	WI	54130	391029149	ELDER CARE	WI	501(C)(3)	LINE 5	N/A	0
GOOD SAMARITAN MEDICAL CENTER
800 FOREST AVENUE	ZANESVILLE	OH	43701	314379479	HOLDING CO.	OH	501(C)(3)	LINE 7	N/A	0
FRANCISCAN CARE SERVICES INC
430 N MONITOR ST	WEST POINT	NE	68788	470486026	HEALTHCARE	NE	501(C)(3)	LINE 7	N/A	0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	HOLY FAMILY HEALTH SERVICES	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3310 CALUMET AVENUE	AddressLine1
City	MANITOWOC	City
State	WI	State
ZIP Code	54220	ZIPCode

Field	Value	IRS element (for citing)
EIN	391572253	EIN
Primary Activity	PHARMACY	PrimaryActivity
Legal Domicile State	WI	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HOLY FAMILY MEMORIAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity
Share Of Total Income	830	ShareOfTotalIncome
Share Of EOY Assets	1344357	ShareOfEOYAssets
Percentage Ownership	1.00000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	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	1	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	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
HOLY FAMILY HEALTH SERVICES - INTEREST ON LOAN
A	32496	ACTUAL EXPENSE
HOLY FAMILY HEALTH SERVICES - LOAN TO HOLY FAMILY HEALTH SERVICES
D	500000	LOAN BALANCE
HOLY FAMILY HEALTH SERVICES - REIMBURSEMENT OF SALARYBENEFITSUPPLIESRENT
O	1579548	ACTUAL EXPENSE
FRANCISCAN SISTERS OF CHRISTIAN CHARITY - BUILDING RENT
A	51000	ACTUAL EXPENSE
FRANCISCAN SISTERS OF CHRISTIAN CHARITY - AUDIT FEES
O	85009	ACTUAL EXPENSE
FRANCISCAN SISTERS OF CHRISTIAN CHARITY - ADMINISTRATIVE SERVICES
O	692000	ACTUAL EXPENSE
FRANCISCAN SISTERS OF CHRISTIAN CHARITY-LIABBUILDINGWORKERS COMP INSURANC
O	1262652	ACTUAL EXPENSE
FRANCISCAN SISTERS OF CHRISTIAN CHARITY - HEALTH INSURANCE PREMIUMS
O	9065000	ACTUAL EXPENSE