LAKEVIEW MEDICAL CENTER INC OF RICE LAKE: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- LAKEVIEW MEDICAL CENTER INC OF RICE LAKE (EIN 39-0837206)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-14
- IRS object ID
- 201232279349303288
- Schema version
- 2010v3.7
- 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 D
- Schedule G
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-14T15:06:49-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4200 WELLS FARGO CTR 90 S 7TH ST | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390837206 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKEVIEW MEDICAL CENTER INC OF RICE LAKE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LAKE | NameControl |
| Phone | 7152341515 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 west stout street | AddressLine1 |
| City | RICE LAKE | City |
| State | WI | State |
| ZIP Code | 54868 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jackie Klein | Name |
| Title | Chief Financial Officer | Title |
| Date Signed | 2012-08-13 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6123055000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | EDWARD H WOLF | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 west stout street | AddressLine1 |
| City | RICE LAKE | City |
| State | WI | State |
| ZIP Code | 54868 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 67501509 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.lakeviewmedical.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1919 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | Lakeview Medical Center serves the community by providing services intended to enhance the health of the people in the surrounding region. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 525 | TotalNbrEmployees |
| Total Nbr Volunteers | 214 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 121749 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 60701 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 59608642 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 66929460 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 483224 | InvestmentIncomePriorYear |
| Investment Income Current Year | -250458 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -21557 | OtherRevenuePriorYear |
| Other Revenue Current Year | 28011 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 60192058 | TotalRevenuePriorYear |
| Total Revenue Current Year | 66767714 | 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 | 28654289 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 31035869 | 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 | 25783132 | OtherExpensePriorYear |
| Other Expenses Current Year | 29636505 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 54437421 | TotalExpensesPriorYear |
| Total Expenses Current Year | 60672374 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5754637 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6095340 | RevenuesLessExpensesCY |
| Total Assets BOY | 104956226 | TotalAssetsBOY |
| Total Assets EOY | 128620549 | TotalAssetsEOY |
| Total Liabilities BOY | 37936383 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 35137164 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 67019843 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 93483385 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | LAKEVIEW MEDICAL CENTER PROVIDES MEDICAL, SURGICAL, EMERGENCY, OUTPATIENT, DIALYSIS, AMBULANCE, HOSPICE, AND HOME HEALTH SERVICES. IT ALSO SERVES THE COMMUNITY BY PROVIDING SERVICES INTENDED TO ENHANCE THE HEALTH OF THE PEOPLE IN THE SURROUNDING REGION. | MissionDescription |
| Significant New Program Services | true | SignificantNewProgramServices |
| Significant Change | true | SignificantChange |
| Expense | 7800889 | Expense |
| Revenue | 15457031 | Revenue |
| Description | LAKEVIEW MEDICAL CENTER PROVIDES INPATIENT AND OUTPATIENT SURGICAL SERVICES FOR ORTHOPEDIC, UROLOGY, WOMEN'S HEALTH, ENT AND GENERAL SURGERY. FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2011 THERE WERE 3,697 SURGICAL CASES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4876678 | Expense |
| Revenue | 4660865 | Revenue |
| Description | LAKEVIEW MEDICAL CENTER PROVIDES INPATIENT ROOM, BOARD AND CARE TO MEDICAL AND SURGICAL PATIENTS. FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2011 THIS UNIT HAD 2,413 DISCHARGES AND 6,857 PATIENT DAYS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3397848 | Expense |
| Revenue | 10991918 | Revenue |
| Description | Lakeview Medical Center laboratory performs lab tests for inpatients and outpatients. On October 1, 2010, Lakeview consolidated its lab with Marshfield Clinic-Rice Lake Center and has assumed all lab operations for the Rice Lake campus. For the fiscal year ended September 30, 2011, there were 288,831 tests performed by the lab. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 32630958 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 35819646 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 48706373 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 23 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 525 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| 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 | JACQUELINE KLEIN | NamePerson |
| Telephone Number | 7152366129 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 W STOUT STREET | AddressLine1 |
| City | RICE LAKE | City |
| State | WI | State |
| ZIP Code | 54868 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| DR BRAD BEKKUM | |||||||
| CHAIRMAN | 1.0 | X | X | 0 | 321502 | 47994 | |
| JAMES DORRANCE | |||||||
| VICE CHAIRMAN | 1.0 | X | X | 0 | 0 | 0 | |
| MARY BITZ | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| SANDY BONNEVILLE | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| PAUL CHASE | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| DAVID HILDEBRAND | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| SUE ZAHRBOCK | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| DR PETER NEAL | |||||||
| DIRECTOR | 1.0 | X | 0 | 346537 | 51856 | ||
| DR CHARLES T STEWART | |||||||
| DIRECTOR | 1.0 | X | 0 | 543756 | 51566 | ||
| DR LAURA NELSON | |||||||
| DIRECTOR | 1.0 | X | 0 | 340983 | 49364 | ||
| DAN DEGROOT | |||||||
| DIRECTOR | 1.0 | X | 0 | 204422 | 36254 | ||
| DR DOUGLAS REDING | |||||||
| DIRECTOR | 1.0 | X | 0 | 581156 | 51676 | ||
| DR PAUL LISS | |||||||
| DIRECTOR | 1.0 | X | 0 | 402822 | 50456 | ||
| JACQUELINE KLEIN | |||||||
| CFO | 40.0 | X | 160981 | 0 | 26515 | ||
| EDWARD WOLF | |||||||
| CAO | 40.0 | X | 270884 | 0 | 38175 | ||
| CYNTHIA ARTS-STRENKE | |||||||
| COO | 40.0 | X | 172571 | 0 | 27306 | ||
| JAMES KIFFMEYER | |||||||
| CRNA | 40.0 | 124016 | 0 | 13039 | X | ||
| WENDY BROMBEREK | |||||||
| PHARMACIST | 40.0 | 118538 | 0 | 20980 | X | ||
| DENNIS MOE | |||||||
| PHARMACIST | 40.0 | 114619 | 0 | 15306 | X | ||
| SHERRY JOHNSON | |||||||
| INPATIENT SERVICES MANAGER | 40.0 | 112995 | 0 | 8292 | X | ||
| KEN ENGEL | |||||||
| PHARMACY MANAGER | 40.0 | 135095 | 0 | 15839 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1209699 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2741178 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 504618 | TotalOtherCompensation |
| Number Individuals GT100 K | 16 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Cerner Corporation | |||||
| PO Box 412702 | KANSAS CITY | MO | 64141 | Computer consulting | 839670 |
| The Revere Group | |||||
| 3266 Paysphere circle | CHICAGO | IL | 60674 | Computer consulting | 363430 |
| Aramark Management | |||||
| 22506 Network Place | CHICAGO | IL | 606731225 | Management services | 378587 |
| Quadramed Corporation | |||||
| PO 1915 | MERRIFIED | VA | 221161915 | Software support | 348411 |
| Aureus Radiology | |||||
| po box 3037 | OMAHA | NE | 681030037 | Contracted employees | 130037 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Federated Campaigns | 5700 | FederatedCampaigns |
| Fundraising Events | 18027 | FundraisingEvents |
| Government Grants | 17196 | GovernmentGrants |
| All Other Contributions | 19778 | AllOtherContributions |
| Total Contributions | 60701 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 624100 | 63846249 | 63846249 | |
| LEASING REVENUE | 624100 | 2584538 | 2584538 | |
| LIFELINE PROGRAM | 624100 | 139088 | 139088 | |
| OCCUPATIONAL/INDUSTRIAL HEALTH | 624100 | 37971 | 37971 | |
| EMPLOYEE MEALS | 624100 | 175078 | $175,078 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 146536 | TotalRevenueColumn |
| Related Or Exempt Function Income | 75494 | RelatedOrExemptFunctionIncome |
| Exclusion | $71,042 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 66929460 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 237152 | TotalRevenueColumn |
| Exclusion | $237,152 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 50366 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 24205 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 26161 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 26161 | TotalRevenueColumn |
| Exclusion | $26,161 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 220740 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 708350 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -487610 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -487610 | TotalRevenueColumn |
| Exclusion | -$487,610 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 580 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 18027 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 451 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 129 | TotalRevenueColumn |
| Exclusion | $129 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 2510 | GrossIncomeGaming |
| Gaming Direct Expenses | 789 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1721 | TotalRevenueColumn |
| Exclusion | $1,721 | ExclusionAmount |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 66767714 | TotalRevenueColumn |
| Related Or Exempt Function Income | 66683340 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $23,673 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 731615 | Total |
| Management And General | 731615 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22214371 | Total |
| Program Services | 19167792 | ProgramServices |
| Management And General | 3046579 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2417124 | Total |
| Program Services | 2102776 | ProgramServices |
| Management And General | 314348 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3825685 | Total |
| Program Services | 3298618 | ProgramServices |
| Management And General | 527067 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1847074 | Total |
| Program Services | 1517542 | ProgramServices |
| Management And General | 329532 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 331509 | Total |
| Program Services | 331509 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 186126 | Total |
| Management And General | 186126 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80372 | Total |
| Management And General | 80372 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6421371 | Total |
| Program Services | 3034541 | ProgramServices |
| Management And General | 3386830 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 335949 | Total |
| Management And General | 335949 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9634175 | Total |
| Program Services | 8956732 | ProgramServices |
| Management And General | 677443 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3539652 | Total |
| Program Services | 1259364 | ProgramServices |
| Management And General | 2280288 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131580 | Total |
| Program Services | 131580 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 225749 | Total |
| Program Services | 225749 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6111056 | Total |
| Program Services | 6111056 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 151254 | Total |
| Program Services | 151254 | ProgramServices |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | FundraisingFundraising | Management And GeneralManagementAndGeneral |
|---|---|---|---|---|
| PROVISION FOR BAD DEBTS | 2065602 | 2065602 | 0 | |
| FOOD AND PROVISIONS | 286257 | 286257 | ||
| DUES AND SUBSCRIPTIONS | 135853 | 66001 | 69852 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60672374 | Total |
| Program Services | 48706373 | ProgramServices |
| Management And General | 11966001 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2530 | BOY |
| EOY | 2230 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42345712 | BOY |
| EOY | 27395340 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8033403 | BOY |
| EOY | 9500266 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 666791 | BOY |
| EOY | 659098 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 366855 | BOY |
| EOY | 418694 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 105948529 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 16031590 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52548557 | BOY |
| EOY | 89916939 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 992378 | BOY |
| EOY | 727982 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 104956226 | BOY |
| EOY | 128620549 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5928616 | BOY |
| EOY | 4133030 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500000 | BOY |
| EOY | 500000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30814091 | BOY |
| EOY | 30043170 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 693676 | BOY |
| EOY | 460964 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37936383 | BOY |
| EOY | 35137164 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66267615 | BOY |
| EOY | 93483385 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 752228 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67019843 | BOY |
| EOY | 93483385 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 104956226 | BOY |
| EOY | 128620549 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6095340 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 20368202 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | 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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 5255530 | OtherCostOrOtherBasis |
| Book Value | 5255530 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 68238334 | OtherCostOrOtherBasis |
| Depreciation | 4083223 | Depreciation |
| Book Value | 64155111 | 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 | 23379895 | OtherCostOrOtherBasis |
| Depreciation | 11595485 | Depreciation |
| Book Value | 11784410 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 9074770 | OtherCostOrOtherBasis |
| Depreciation | 352882 | Depreciation |
| Book Value | 8721888 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 89916939 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DEFERRED COMPENSATION | Description |
| Amount | $460,964 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 460964 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FASB ASC 740 FOOTNOTE: | Identifier |
| Explanation | Effective October 1, 2007, the organization adopted financial accounting standards board (FASB) accounting standards codification (ASC) 740, income taxes, which clarifies the accounting for uncertainty in income taxes recognized in a company's financial statements. ASC 740 prescribes a more-likely-than-not recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken. Under ASC 740, tax positions will be evaluated for recognition, derecognition, and measurement using consistent criteria and will provide more information about the uncertainty in income tax assets and liabilities. Based on an analysis prepared by the organization, it was determined that the application of ASC 740 had no material effect on the organization at September 30, 2011. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | VOICES FOR HOSP | NameOfEvent1 |
| Gross Receipts Event1 | 18607 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 18027 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 580 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 451 | OtherDirectExpensesEvent1 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 18607 | GrossReceiptsTotal |
| Charitable Contributions Total | 18027 | CharitableContributionsTotal |
| Gross Revenue Total Events | 580 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 451 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 451 | DirectExpenseSummaryEvents |
| Net Income Summary | 129 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | false | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 499800 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 499800 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00850 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9463425 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6855159 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2608266 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04450 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9963225 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6855159 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3108066 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05300 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 378371 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15620 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 362751 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00620 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22805 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22805 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 35364 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 35364 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 436540 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15620 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 420920 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00720 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10399765 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6870779 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3528986 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06020 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 6881 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 6881 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2359 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2359 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 9240 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 9240 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $967,309 | BadDebtExpenseAmount |
| Amount Attributable To | 232154 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 15936500 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 19954432 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4017932 | 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 | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | 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 | LAKEVIEW MEDICAL CENTER INC OF RICE LAKE | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 W Stout Street | AddressLine1 |
| City | RICE LAKE | City |
| State | WI | State |
| ZIP Code | 54868 | 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 | LAKEVIEW MEDICAL CENTER INC OF RICE LAKE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | false | CHNAConducted |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | false | UsesFPGDiscounted |
| Explains Basis | true | ExplainsBasis |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | true | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Lien On Residence | X | LienOnResidence |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Lowest Negotiated Rates | X | LowestNegotiatedRates |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (21 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 3C: | Lakeview Medical Center, Inc. of Rice Lake uses the federal poverty guidelines at 200% to determine eligibility for providing free care as stated in line 3A. For self-pay individuals who don't qualify for free care per our policy, we offer a 6% discount (our highest commercial discount). We also offer an interest free payment plan, with the approval of the credit supervisor based on the patient's circumstances and ability to pay. The guidelines for the payment plan include: maximum of 60 months, level payments or a front-end-loaded arrangement (i.e., lower initial payments with a balloon payment is not acceptable) and a minimum of $25 per month (i.e., $5 per month on a $25 balance is not appropriate). | |
| Part I, Line 7, column F: | The amount of bad debt expense that was removed from total expenses reported on Form 990, Part IX, line 25, was $2,065,602. The reduced total expense amount of $58,606,772 was used to calculate the percentages reported on Schedule H, Part I, Line 7, column F. | |
| Part I, Line 7: | The costing method used on Form 990 is based on a cost to charge ratio which is developed based on the hospital's total operating expenses less the provision for bad debts divided by gross patient service revenues. This cost to charge ratio is applied against various revenue and expense categories to compute the estimated community benefit expense under IRS suggested costing methods for the Form 990. | |
| Part II: Community Building Activities Promoting the Health in the | Lakeview Medical Center joined with Barron County in the Barron County Community Health Improvement Process to identify local health concerns and address local health priorities linked to state and national priorities. The information gathered from this process was used to identify and prioritize community health issues and needs. Lakeview Medical Center has focused education efforts in the community based on this information. Lakeview Medical Center's specific efforts have focused on the programs "Be Well Barron County" which is an initiative to increase physical activity and decrease obesity rates of Barron County residents and the "Not on Tobacco" (NOT) program Lakeview sponsors, for supplying information to help kids already using tobacco to quit. | Communities Served |
| Part III, Line 4: | Management provides for probable uncollectible amounts, primarily uninsured patients and amounts patients are personally responsible for, through a charge to operations and a credit to a valuation allowance based on an assessment of historical collection likelihood and the current status of individual accounts. Balances that are still outstanding after the organization has used reasonable collection efforts are written off through a charge to the valuation allowance and a credit to accounts receivable. A number of patients are truly unable to pay their out-of-pocket liability, but do not complete the process required to apply for financial assistance under Lakeview's charity care policy even though Lakeview provides this information to them and assistance with the application. Without a completed application they are transferred to collection services and treated as bad debt expense. These patients would qualify for charity care if they completed the charity application, so the bad debt expense associated would treating them should be attributable to charity care and a community benefit. | |
| Part III, Line 8: | The total Medicare revenue shown in Schedule H is based on the IRS 990 instructions and includes only a portion of the gross Medicare revenue of the organization and also does not consider all contractual adjustments for services reimbursed by the Medicare program. Amounts listed for Medicare revenues do not include lab and therapy services reimbursed on fee schedules at rates that are often below the costs of caring for patients. The costing method used for IRS compliance reporting is also based on the filed Medicare cost report for the year ended September 30, 2011, and does not consider Medicare non-allowable expenses, as it is based on total hospital patient service revenues (ignoring contractual adjustments on fee schedule reimbursed items and non-allowable medicare expenses as noted above). Whether there is a shortfall or surplus on services provided to Medicare beneficiaries, these people, which are typically elderly or disabled members of the community, are an underserved population who experience issues with access to healthcare services. Without tax-exempt hospitals providing Medicare patient services, the Centers for Medicare and Medicaid (CMS) would bear the burden of directly providing services to the elderly and disabled members of the community. | |
| Part III, Line 9b: | Under the organization's collection and charity care policies, Lakeview Medical Center, Inc. of Rice Lake, makes every attempt to identify and promote charity care to patients. Included in the organization's charity care policy it is noted that patients may qualify for charity care either prior to admission or following discharge. All inpatient self-pay admissions are screened by the hospital's patient financial counselor or social workers to allow these patients the ability to get assistance with their application during their stay at the hospital. Depending upon the patient's condition, the patient or the patient's responsible party may be contacted to complete and return the forms at a later time when their care allows this completion. During the patient account collection process, self-pay patients are also informed of the hospital's collection policies as well as the charity care program to allow patients the opportunity to complete the appropriate forms and qualify under the program. The organization also publishes information regarding its charity care program on its website. A description of the charity care program is included in the "welcome" booklet that patients receive upon admission. | |
| NEEDS ASSESSMENT: | LAKEVIEW MEDICAL CENTER, INC. OF RICE LAKE ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES AND AREAS IT SERVES BY REVIEWING LOCAL DEMOGRAPHICS AND TRENDS IN PATIENT SERVICE UTILIZATION TO DETERMINE WHICH SERVICES COULD AND SHOULD BE MADE AVAILABLE TO THE COMMUNITY IN A COST-EFFECTIVE MANNER. IN 2011, LAKEVIEW MEDICAL CENTER JOINED WITH BARRON COUNTY IN THE BARRON COUNTY COMMUNITY HEALTH IMPROVEMENT PROCESS (CHIPP) TO COLLECTIVELY IDENTIFY LOCAL HEALTH CONCERNS AND ADDRESS LOCAL HEALTH PRIORITIES LINKED TO STATE AND NATIONAL PRIORITIES. PARTNERS TO JOIN LAKEVIEW MEDICAL CENTER AND BARRON COUNTY PUBLIC HEALTH IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND CHIPP PROCESS' ARE THE FOLLOWING ORGANIZATIONS: WISCONSIN DEPARTMENT OF HEALTH, MARSHFIELD CLINIC, MARSHFIELD CLINIC DENTAL CENTER, MAYO CLINIC HEALTH SYSTEMS, AND THE CUMBERLAND CLINIC AND HOSPITAL. OUR STEERING COMMITTEE MEMBERS HAVE SHOWN COMMITMENT DEDICATING FOUR HOURS PER MONTH TO MEET AND STRENGTHEN OUR PARTNERSHIPS AND DEVELOP A PLAN TO IMPROVE THE HEALTH OF BARRON COUNTY RESIDENTS. THE COMMITTEE HAS IDENTIFIED A NAME FOR THE INITIATIVE, THRIVE BARRON COUNTY (THRIVE BC), GROWING TOGETHER IN HEALTH. OUR MISSION: THRIVE BC WILL WORK TO ENGAGE COMMUNITY MEMBERS AND ORGANIZATIONS TO FOCUS RESOURCES AND DEVELOP AND STRENGTHEN PARTNERSHIPS TO ESTABLISH SUSTAINABLE, SAFE AND HEALTHY COMMUNITIES. OUR VISION: COMMUNITY MEMBERS AND ORGANIZATIONS WORKING TOGETHER TO IMPROVE THE QUALITY OF LIFE FOR EVERYONE IN BARRON COUNTY. TO MEET OUR VISION WE WILL MEET REGULARLY AND SYSTEMATICALLY COLLECT, ASSEMBLE, ANALYZE, AND MAKE AVAILABLE INFORMATION ON THE HEALTH OF THE COMMUNITY. OUR COALITION HAS COLLECTED SECONDARY DATA THROUGH BOTH AN ONLINE AND PAPER SURVEY CONCERNING DISEASE, DEATH, DISABILITY, INJURY AND COMMUNITY OPINIONS. THE SURVEY WAS TRANSLATED TO SOMALIAN AND SPANISH TO INCLUDE FEEDBACK FROM UNDERSERVED POPULATIONS IN THE COUNTY. ONE THOUSAND ONE HUNDRED AND THIRTEEN RESPONSES OUT OF THE COUNTY POPULATION OF 45,850 WERE COMPLETED. ALONG WITH THE SECONDARY DATA, THE COMMITTEE IS ANALYZING STATE AND NATIONAL DATA BASED ON THE 12 WISCONSIN HEALTH PRIORITIES. THIS DATA WILL BE PRESENTED TO COMMUNITY MEMBERS, LEADERS AND EXPERTS AT A SEPTEMBER 26, 2012 MEETING WHERE ATTENDEES WILL SELECT THE TOP THREE HEALTH PRIORITIES FOR BARRON COUNTY. FROM THESE PRIORITIES, LAKEVIEW MEDICAL CENTER WILL DEVELOP ITS COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). LAKEVIEW MEDICAL CENTER'S CHIP WILL BE STRUCTURED TO ACCOMPLISH THE FOLLOWING: -INCREASE COMMUNITY AWARENESS -GENERATE COMMUNITY INNOVATIVE IDEAS -INTEGRATE ISOLATED EFFORTS, BUILD ON EXISTING SERVICES -CONSERVE RESOURCES, PREVENT DUPLICATION OF EFFORTS -IDENTIFY PRIORITY HEALTH PROBLEMS, FACTORS THAT CAN BE IMPACTED -DEVELOP COMPREHENSIVE STRATEGIES THAT WILL WORK IN OUR COMMUNITY -IMPLEMENT THE STRATEGIES AND MEASURE SUCCESS | |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: | UNINSURED AND UNDER INSURED PATIENTS ARE ASKED TO TALK WITH THE HOSPITAL'S PATIENT FINANCIAL COUNSELOR EITHER AT THE TIME SERVICE IS PROVIDED OR WHEN THE PATIENT'S BILL IS GENERATED. THE FINANCIAL COUNSELOR EXPLAINS THE VARIOUS PAYMENT OPTIONS AVAILABLE TO THE PATIENT AS WELL AS THE HOSPITAL'S CHARITY CARE PROGRAM AND OFFERS THE CHARITY CARE APPLICATION WHEN APPROPRIATE. IF OTHER PROGRAMS ARE AVAILABLE TO THE PATIENT, SUCH AS THE WISCONSIN MEDICAL ASSISTANCE OR BADGERCARE PROGRAMS, THESE PATIENTS ARE REFERRED TO THE APPROPRIATE GOVERNMENT AGENCY FOR FURTHER ASSISTANCE. | |
| COMMUNITY INFORMATION: | THE PRIMARY SERVICE AREA FOR LAKEVIEW MEDICAL CENTER ENCOMPASSES ALL PERSONS LIVING WITHIN A 30 TO 40 MILE RADIUS OF THE HOSPITAL. SOME OF THE COMMUNITIES INCLUDED IN THIS AREA ARE RICE LAKE, CAMERON, BARRON, BIRCHWOOD, LADYSMITH, CUMBERLAND, CHETEK AND SPOONER, WISCONSIN, AMONG MANY OTHERS. THE HOSPITAL PROVIDES A SIGNIFICANT PORTION OF ITS PATIENT SERVICES TO BENEFICIARIES OF THE MEDICARE AND MEDICAL ASSISTANCE PROGRAMS. THESE MEDICARE AND MEDICAL ASSISTANCE PATIENTS ACCOUNTED FOR APPROXIMATELY 65% OF THE HOSPITAL'S GROSS PATIENT SERVICE REVENUE FOR THE YEAR. | |
| COMMUNITY BUILDING ACTIVITIES: | THE SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM: THE SANE PROGRAM AT LAKEVIEW MEDICAL CENTER SUPPORTS COMMUNITY EFFORTS TO ADDRESS THE CRIME OF SEXUAL ASSAULT BY ESTABLISHING A PROCESS FOR ACCURATE EVIDENCE COLLECTION AND SUPPORT FOR SEXUAL ASSAULT SURVIVORS. NOT ON TOBACCO (NOT) PROGRAM: LAKEVIEW MEDICAL CENTER JOINED THE SAFE AND STABLE FAMILY COALITION AND LED THE EFFORT TO SECURE A GRANT FROM THE RICE LAKE AREA HEALTH FOUNDATION TO REDUCE THE TOBACCO USE IN THE GREATER RICE LAKE AREA. THROUGH THE GRANT THE NOT ON TOBACCO (NOT) PROGRAM WAS IMPLEMENTED IN BARRON HIGH SCHOOL AND THE RESTORATIVE JUSTICE PROGRAM ADOPTED THE NOT PROGRAM AS A SANCTIONED WORKSHOP FOR REHABILITATION. ALSO, DUE TO THE HIGH STATISTICS OF SMOKING DURING PREGNANCY, LAKEVIEW MEDICAL CENTER HAS IMPLEMENTED THE FIRST BREATH PROGRAM. LAKEVIEW MEDICAL CENTER HAS BEEN REWARDED MINI-GRANTS THROUGH THE SAFE AND STABLE FAMILY COALITION TO HELP INCENTIVE PARTICIPANTS IN THE PROGRAM. THE PREGNANCY HELP CENTER HAS PARTNERED WITH LAKEVIEW MEDICAL CENTER TO UTILIZE THIS FREE PROGRAM FOR THEIR CLIENTS. ANOTHER ALARMING STATISTIC SHOWS HIGH NUMBERS OF MOTHERS WHO QUIT SMOKING DURING PREGNANCY, BUT START SMOKING AFTER DELIVERY. WITH THIS HEALTH ISSUE, LAKEVIEW MEDICAL CENTER RECEIVED A GRANT TO IMPLEMENT A SMOKING CESSATION PROGRAM TARGETED TO THIS POPULATION. A SYSTEM HAS BEEN IMPLEMENTED TO CONNECT THE PATIENTS TO THIS PROGRAM. WORKSITE WELLNESS COMMITTEE: A WORKSITE WELLNESS COMMITTEE WAS FORMED AT LAKEVIEW MEDICAL CENTER TO SHARE BEST EVIDENCED - BASED PRACTICES FOR EMPLOYEE HEALTH IMPROVEMENTS WITH LOCAL EMPLOYERS. A COMMUNITY OUTREACH SERIES IS OFFERED WHICH BRINGS PHYSICIANS AND PATIENTS TOGETHER IN A CASUAL ENVIRONMENT TO ANSWER QUESTIONS ABOUT SPECIFIC HEALTH NEEDS. | |
| 50 PLUS | 50 PLUS IS A FREE WELLNESS EVENT FOR THOSE OVER 50. THE EVENT OFFERS A VARIETY OF HEALTH SCREENINGS, COMMUNITY RESOURCES, EDUCATIONAL PRESENTATIONS AND ENTERTAINMENT. THIS EVENT IS COORDINATED BY A COALITION OF COMMUNITY AGENCIES LED BY LAKEVIEW MEDICAL CENTER. | |
| UNITED WAY MEMBER | A HOSPITAL REPRESENTATIVE IS A MEMBER OF THE RICE LAKE UNITED WAY COALITION SERVING THE COMMUNITY BY ISSUING COMMUNITY IMPROVEMENT GRANTS. | |
| SHARPS CONTAINERS | THE ORGANIZATION HAS A LONG STANDING COMMITMENT TO BEING ENVIRONMENTALLY SENSITIVE. THERE ARE MANY EXAMPLES OF HOW THIS IS DEMONSTRATED, ONE OF WHICH IS OUR PARTICIPATION IN THE SHARPS PROGRAM. THE HOSPITAL SERVES AS A DROP-OFF SITE FOR SHARPS, SUCH AS NEEDLES TO INJECT INSULIN. THIS PROVIDES THE OPPORTUNITY FOR COMMUNITY MEMBERS AND BUSINESSES TO DISPOSE OF THEIR USED HAZARDOUS MEDICAL SUPPLIES FREE OF CHARGE, KEEPING THEM OUT OF LANDFILLS. | |
| RICE LAKE FREE CLINIC | THE HOSPITAL OFFERS FREE RADIOLOGY AND LAB SERVICES TO THE FREE CLINIC SERVING THE UNDERSERVED POPULATION IN THE AREA. PREVENT WITH INTENT PROGRAM THE PREVENT WITH INTENT PROGRAM IS A NEW WELLNESS PROGRAM OFFERED IN PARTNERSHIP WITH LAKEVIEW MEDICAL CENTER'S HEALTH PROMOTION TEAM AND THE RICE LAKE FREE CLINIC. THIS PROGRAM HAS BEEN GRANTED FUNDS FROM THE HEALTHIER RICE LAKE FOUNDATION. PRE AND POST SCREENINGS WILL BE OBTAINED TO SHOW OUTCOMES. OUR GOAL IS TO ASSESS THE EFFECTIVENESS OF A LIFESTYLE INTERVENTION PROGRAM (PREVENT WITH INTENT) DESIGNED TO TREAT THE METABOLIC SYNDROME IN A COMMUNITY SETTING PREVENT WITH INTENT IS A 12-WEEK PROGRAM THAT AIMS TO ASSIST PARTICIPANTS IN CREATING AN ACTION PLAN TO IMPLEMENT HEALTHY CHANGES IN THEIR LIVES AND PROVIDE THEM WITH THE TOOLS AND SUPPORT THEY NEED TO BE SUCCESSFUL. PROGRAM GOALS INCLUDE LOSING 7% OF THE PARTICIPANTS' CURRENT WEIGHT AND INCREASING PHYSICAL ACTIVITY LEVELS TO AT LEAST 150 MINUTES PER WEEK. THE PROGRAM WILL CONSIST OF FOUR BASIC COMPONENTS: 1. WEEKLY GROUP EDUCATIONAL SESSIONS 2. EXERCISE AT THE HEALTH AND WELLNESS CENTER (MEMBERSHIP INCLUDED AS PART OF THE PROGRAM) 3. LAKEVIEW MEDICAL CENTER FITNESS CLASSES 4. NUTRITIONAL CONSULTATIONS WITH A REGISTERED DIETITIAN LAKEVIEW MEDICAL CENTER WILL PROVIDE THE FOLLOWING: -DIETITIANS AND HEALTH PROMOTIONS STAFF FOR THE WEEKLY GROUP MEETINGS -LIFESTYLE COACH AVAILABLE TO PARTICIPANTS AT THE HEALTH AND WELLNESS CENTER FIVE DAYS A WEEK -HEALTH AND WELLNESS CENTER MEMBERSHIP FOR ALL PARTICIPANTS FOR THE DURATION OF THE PROGRAM -PARTICIPANT MATERIALS -INCENTIVES FOR PARTICIPANTS BASED ON ATTENDANCE AND GOAL ACCOMPLISHMENT THE LAKEVIEW MEDICAL CENTER PROMOTIONS DEPARTMENT'S INTENTION IS TO BUILD A SUSTAINABLE PROGRAM FOR OUR COMMUNITY THAT IS IN ALIGNMENT WITH ONE OF THE TOP HEALTH CONCERNS IDENTIFIED BY THE COMMUNITY HEALTH IMPROVEMENT PLANS AND PROCESSES (CHIPP) OF BARRON COUNTY: OBESITY, NUTRITION AND PHYSICAL ACTIVITY. THE OUTCOMES OBTAINED WILL BE SHARED WITH LOCAL CIVIC GROUPS AND OTHER COMMUNITY ORGANIZATIONS TO SHARE THE PROGRAM'S SUCCESSES AND LAKEVIEW MEDICAL CENTER'S COMMITMENT TO THE HEALTH OF OUR COMMUNITIES. PREVENT WITH INTENT PILOT PROGRAM OUTCOMES: -ALL PARTICIPANTS AVERAGED 2 OR MORE VISITS TO THE HEALTH AND WELLNESS CENTER PER WEEK PLUS ADDITIONAL ACTIVITY AT HOME -PARTICIPANTS LOST AN AVERAGE OF 6.5% OF THEIR WEIGHT IN 12 WEEKS. -ALL BUT ONE PARTICIPANT LOST WEIGHT -SIX OUT OF TEN (60%) OF PARTICIPANTS REACHED THEIR WEIGHT LOSS GOAL OF 7% OF THEIR BODY WEIGHT AND ACTIVITY GOAL OF 150 MINUTES PER WEEK -ALL PARTICIPANTS INCREASED THEIR PHYSICAL ACTIVITY LEVELS TO AN AVERAGE OF 150 MINUTES PER WEEK -80% LOWERED THEIR BLOOD PRESSURE. ONE AVOIDED BLOOD PRESSURE MEDICATIONS DUE TO HER WEIGHT LOSS AND DECREASED BLOOD PRESSURE. -PARTICIPANTS DECREASED ABDOMINAL GIRTH BY AN AVERAGE OF 3.6 INCHES PRE AND POST SURVEY RESULTS: -PRE: 62% OF PARTICIPANTS RATED THEIR HEALTH AS FAIR OR POOR. POST: 80% OF PARTICIPANTS RATED THEIR HEALTH AS GOOD/VERY GOOD -PRE: 15% OF PARTICIPANTS FELT THEIR HEALTH WAS GOOD 28 OR MORE OF 30 DAYS. POST: 60% FELT THEIR HEALTH WAS GOOD 28 OR MORE DAYS OUT OF 30 DAYS -INCREASED AVERAGE FRUIT AND VEGETABLE CONSUMPTIONS FROM 1.7 SERVINGS PER DAY TO 3.6 SERVINGS PER DAY -INCREASED AVERAGE WATER INTAKE FROM 4 GLASSES PER DAY TO 6 GLASSES -30% OF PARTICIPANTS DECREASED SCREEN TIME; 40% ARE UNDER THE RECOMMENDED LIMIT OF 2 HOURS PER DAY COMPARED TO 15% BEFORE PROGRAM -ALL PARTICIPANTS ARE AVERAGING 150 MINUTES OR MORE OF PHYSICAL ACTIVITY COMPARED TO LESS THAN ONE HOUR PER WEEK BEFORE THE PROGRAM | |
| HEALTH AND WELLNESS CENTER | THE HEALTH AND WELLNESS CENTER IS THE ONLY ONE IN THE AREA OFFERING COMMUNITY MEMBERS THE OPPORTUNITY TO EXERCISE WHILE BEING SUPERVISED BY MEDICALLY TRAINED STAFF. | |
| ATHLETIC TRAINER | LAKEVIEW MEDICAL CENTER OFFERED AN ATHLETIC TRAINER TO STUDENT ATHLETES FREE OF CHARGE TO MINIMIZE INJURIES AND EXPEDITE HEALING. RADIOLOGY STUDENT EDUCATION AND WITC NURSING ORIENTATION LAKEVIEW MEDICAL CENTER IS COMMITTED TO SUPPORT THE TRAINING OF FUTURE MEDICAL PROFESSIONALS TO IMPACT PROJECTED MEDICAL STAFF SHORTFALLS. | |
| WORKSITE WEIGHT LOSS CHALLENGE | IN LIGHT OF RISING OBESITY ISSUES IN THE COUNTY THIS PROGRAM WAS DEVELOPED. 350 PARTICIPANTS FROM 20 AREA BUSINESSES LOST A TOTAL OF 3,241 POUNDS DURING THIS 12 - WEEK CHALLENGE. THROUGHOUT THE 12 WEEKS, FITNESS CLASSES AND NUTRITIONAL EDUCATION WAS OFFERED FREE OF CHARGE OR AT A NOMINAL FEE. | |
| OTHER INFORMATION: | LAKEVIEW MEDICAL CENTER INC. OF RICE LAKE PROVIDES SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS. IN ADDITION, THE ORGANIZATION BELIEVES THAT IT PROVIDES A CRITICALLY IMPORTANT BENEFIT WHICH IS NOT QUANTIFIED. LAKEVIEW MEDICAL CENTER, LIKE MOST COMMUNITY HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY WHICH WITHOUT THE HOSPITAL, WOULD NOT BE AVAILABLE LOCALLY. BEYOND INPATIENT HOSPITALIZATIONS, THE HOSPITAL PROVIDES LOCAL ACCESS TO MANY SERVICES INCLUDING: BIRTHING CENTER, DIAGNOSTICS, EMERGENCY SERVICES, HOSPICE, HOME CARE, DIALYSIS, INFUSION SERVICES, HEALTH AND WELLNESS SERVICES, LABORATORY SERVICES, OCCUPATIONAL HEALTH, REHABILITATION SERVICES, SLEEP CENTER, SPEECH PATHOLOGY, SURGICAL SERVICES AND WOMENS' SERVICES, TO NAME SOME OF THE MAJOR SERVICES PROVIDED. LAKEVIEW MEDICAL CENTER IS GOVERNED BY AN ELEVEN MEMBER BOARD OF DIRECTORS, INCLUDING SIX COMMUNITY MEMBERS. | |
| AFFILIATED HEALTH CARE SYSTEM ROLES: | MARSHFIELD CLINIC IS THE SOLE CORPORATE MEMBER OF LAKEVIEW MEDICAL CENTER. MARSHFIELD CLINIC IS A MULTI-SPECIALTY PHYSICIAN AND HEALTHCARE ORGANIZATION COMPRISED OF OVER 40 SITES, INCLUDING A SITE IN RICE LAKE, WISCONSIN. THE INTEGRATION OF LAKEVIEW MEDICAL CENTER AND MARSHFIELD CLINIC HAS ENHANCED THE ACCESS AND QUALITY OF HEALTH CARE THROUGHOUT RICE LAKE AND THE SURROUNDING COMMUNITIES WHILE ACHIEVING ECONOMIC EFFICIENCIES. | |
| ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: | WI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR BRAD BEKKUM | |||||||||||||
| 0 | 290676 | 0 | 29660 | 0 | 1166 | 0 | 30728 | 0 | 17266 | 0 | 369496 | 0 | 0 |
| DR PETER NEAL | |||||||||||||
| 0 | 327019 | 0 | 0 | 0 | 19518 | 0 | 30729 | 0 | 21127 | 0 | 398393 | 0 | 0 |
| DR CHARLES T STEWART | |||||||||||||
| 0 | 543126 | 0 | 0 | 0 | 630 | 0 | 30729 | 0 | 20837 | 0 | 595322 | 0 | 0 |
| DR LAURA NELSON | |||||||||||||
| 0 | 323607 | 0 | 0 | 0 | 17376 | 0 | 30728 | 0 | 18636 | 0 | 390347 | 0 | 0 |
| DAN DEGROOT | |||||||||||||
| 0 | 203110 | 0 | 100 | 0 | 1212 | 0 | 27977 | 0 | 8277 | 0 | 240676 | 0 | 0 |
| DR DOUGLAS REDING | |||||||||||||
| 0 | 573604 | 0 | 5500 | 0 | 2052 | 0 | 30729 | 0 | 20947 | 0 | 632832 | 0 | 0 |
| DR PAUL LISS | |||||||||||||
| 0 | 399830 | 0 | 0 | 0 | 2992 | 0 | 30728 | 0 | 19728 | 0 | 453278 | 0 | 0 |
| JACQUELINE KLEIN | |||||||||||||
| 144038 | 101 | 0 | 16842 | 0 | 11825 | 0 | 14690 | 0 | 187496 | 0 | 0 | 0 | |
| EDWARD WOLF | |||||||||||||
| 230138 | 0 | 101 | 0 | 40645 | 0 | 16352 | 0 | 21823 | 0 | 309059 | 0 | 0 | 0 |
| CYNTHIA ARTS-STRENKE | |||||||||||||
| 153001 | 101 | 0 | 19469 | 0 | 12616 | 0 | 14690 | 0 | 199877 | 0 | 0 | 0 | |
| KEN ENGEL | |||||||||||||
| 116233 | 101 | 0 | 18761 | 0 | 9804 | 0 | 6036 | 0 | 150935 | 0 | 0 | 0 | |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Supplemental Information to Form 990 | PART III, LINE 2 | On October 1, 2010, Lakeview Medical Center and Marshfield Clinic consolidated laboratory services with Lakeview overseeing the revenue and billing functions. This resulted in a significant change in the Lakeview Medical Center laboratory financial performance. |
| PART III, LINE 3 | On September 30, 2011, Lakeview Medical Center closed its satellite hemodialysis unit located in Spooner, Wisconsin and consolidated the service at its main campus in Rice Lake. | |
| PART III, LINE 4D - OTHER PROGRAM SERVICES | The other program services of Lakeview Medical Center include Imaging, Women's Health inpatient and outpatient care and all indirect expenses associated with furthering the exempt purpose. | |
| PART VI, SECTION A, LINE 6 | Marshfield Clinic is the sole corporate member of Lakeview Medical Center. | |
| PART VI, SECTION A, LINE 7A | Marshfield Clinic is the sole corporate member of Lakeview Medical Center and has the authority to elect board members. | |
| PART VI, SECTION A, LINE 7B | Marshfield Clinic is the sole corporate member of Lakeview Medical Center and the decisions of the governing body are subject to the approval of Marshfield Clinic. | |
| PART VI, SECTION B, LINE 11 | The Form 990 is prepared by the Finance department, then reviewed by KPMG LLP. The completed 990, including required schedules is emailed to and reviewed by the board members before filing. | |
| PART VI, SECTION B, LINE 12 | On an annual basis, board members, top management, and employees who have contact with suppliers sign a statement acknowledging their understanding and adherence to the conflict of interest policy. In addition to the requirement of an annual completed disclosure form, it is the continuing responsibility of the disclosing individuals to scrutinize their transactions and outside business interests and relationships for potential conflicts of interest and to immediately make such disclosures. The individuals required to complete the disclosure form include: board members, administration (CAO, COO and CFO), and managers of materials management, information technology, lab, imaging, community relations/marketing and plant operations. | |
| PART VI, SECTION B, LINES 15A AND 15B | The board of directors determines and approves the CAO's salary based on survey's comparability data and an outside consulting firm has been used at times. Salaries of other management employees are based on market surveys analyzed by the human resources department and approved by the administrative team and/or the CAO. | |
| PART VI, SECTION C, LINE 19 | The organization's governing documents, conflict of interest policy and financial statements are available upon request. | |
| PART XI, LINE 5 | Marshfield Clinic paid for a portion ($23,945,201) of Lakeview Medical Center's new hospital building and transferred those assets to Lakeview Medical Center within the fiscal year. Lakeview Medical Center provided a cash distribution of $3,577,000 to Marshfield Clinic. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Marshfield Clinic | |||||||||
| 1000 North Oak Avenue | Marshfield | WI | 54449 | 390452970 | Medical Care | WI | 501(C)(3) | 3 | NA |
| Volunteer Partners of Lakeview Medical C | |||||||||
| 1700 West Stout Steet | Rice Lake | WI | 54868 | 391329084 | Support Org. | WI | 501(C)(3) | 11, iii-o | NA |
| Security Health Plan of Wisconsin Inc | |||||||||
| 1515 N St Josephs Ave | Marshfield | WI | 54449 | 391572880 | HMO | WI | 501(C)(4) | N/A | NA |
| The Heritage Foundation | |||||||||
| 1000 N Oak Ave | Marshfield | WI | 54449 | 391865942 | Honor Individ | WI | 501(C)(3) | 11-Type 1 | NA |
| Flambeau Hospital Inc | |||||||||
| 98 Sherry Ave | Park Falls | WI | 54552 | 390973724 | Hospital | WI | 501(C)(3) | 3 | NA |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|
| Marshfield Food Safety | ||||||||
| 201056380 | Food Testing | WI | NA | RELATED | 0 | 0 | false | false |
| Diagnostic Treatment Ctr | ||||||||
| 200691634 | Medical Svcs | WI | NA | RELATED | 0 | 0 | false | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | true | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | true | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |