GREATER WATERTOWN COMMUNITY HEALTH FOUNDATION INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- GREATER WATERTOWN COMMUNITY HEALTH FOUNDATION INC (EIN 39-1030310)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-02
- IRS object ID
- 201122149349300432
- Schema version
- 2009v1.7
- 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 I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-02T13:59:17-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | 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 | 191 West Nationwide Blvd Ste 500 | AddressLine1 |
| City | Columbus | City |
| State | OH | State |
| ZIP Code | 432152568 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391030310 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Watertown Regional Medical Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WATE | NameControl |
| Phone | 9202614210 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 Hospital Drive | AddressLine1 |
| City | Watertown | City |
| State | WI | State |
| ZIP Code | 53098 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | John Graf | Name |
| Title | Senior Vice President | Title |
| Date Signed | 2011-07-27 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6142492300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | John Kosanovich | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 Hospital Drive | AddressLine1 |
| City | Watertown | City |
| State | WI | State |
| ZIP Code | 53098 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 142336547 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.uwhpwatertown.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1965 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | To provide the best in healthcare to our patients with state of the art technology, advanced expertise, and personalized compassionate care in a healing environment that is convenient to home and work. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 816 | TotalNbrEmployees |
| Total Nbr Volunteers | 190 | TotalNbrVolunteers |
| Total Gross UBI | 1763790 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 95768 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 73720 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 82802235 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 86663956 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1374402 | InvestmentIncomePriorYear |
| Investment Income Current Year | 384222 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1555938 | OtherRevenuePriorYear |
| Other Revenue Current Year | 504651 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 85828343 | TotalRevenuePriorYear |
| Total Revenue Current Year | 87626549 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 75321 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 17500 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 41334416 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 42633447 | 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 | 38214691 | OtherExpensePriorYear |
| Other Expenses Current Year | 41797802 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 79624428 | TotalExpensesPriorYear |
| Total Expenses Current Year | 84448749 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 6203915 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3177800 | RevenuesLessExpensesCY |
| Total Assets BOY | 116692666 | TotalAssetsBOY |
| Total Assets EOY | 122630706 | TotalAssetsEOY |
| Total Liabilities BOY | 46724243 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 46967102 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 69968423 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 75663604 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE THE BEST IN HEALTHCARE TO OUR PATIENTS. HOSPITAL, OPERATES A COMMUNITY HOSPITAL WITH 95 APPROVED BEDS PROVIDING A FULL RANGE OF ACUTE CARE AND HOME HEALTH SERVICES IN WATERTOWN, WISCONSIN AND SURROUNDING COMMUNITIES. THE HOSPITAL ALSO OWNS AND OPERATES PHYSICIAN PRACTICE CLINICS AND SENIOR HOUSING CAMPUSES. THE HOSPITAL HAS A COMMITMENT TO PROVIDE SERVICES TO ALL, INCLUDING THE UNDERSERVED AND THOSE AFFECTED BY POVERTY. THE HOSPITAL PROVIDES A WIDE RANGE OF COMMUNITY OUTREACH SERVICES SUCH AS IMMUNIZATION CLINICS, HEALTH EDUCATION PROGRAMS, HEALTH SCREENINGS, AND VARIOUS HEALTHCARE SUPPORT GROUPS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 56957806 | Expense |
| Revenue | 74403582 | Revenue |
| Description | Operations of an acute care hospital facility including inpatient, emergency room, surgery and outpatient with a full array of ancillary services. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 15651600 | Expense |
| Revenue | 10081883 | Revenue |
| Description | Operations of clinics in Watertown and surrounding communities. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1575166 | Expense |
| Revenue | 1522787 | Revenue |
| Description | Operations of senior living facilities. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 722925 | Expense |
| Revenue | 655704 | Revenue |
| Description | Home Health Care | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 722925 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 655704 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 74907497 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | 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 |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| 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 | true | 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 | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 141 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 816 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| 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 |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | 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 | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | true | 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 | false | 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 | JIM BIRD | NamePerson |
| Telephone Number | 9202624230 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 HOSPITAL DR | AddressLine1 |
| City | Watertown | City |
| State | WI | State |
| ZIP Code | 53098 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 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 |
|---|---|---|---|---|---|---|---|
| John Kosanovich | |||||||
| President | 40.0 | X | X | 321853 | 0 | 49012 | |
| Jeff Baum | |||||||
| Board Chairman | 2.0 | X | 0 | 0 | 0 | ||
| Lyle Wuestenberg | |||||||
| Board Vice-Chair | 2.0 | X | 0 | 0 | 0 | ||
| Donna O'Brien | |||||||
| Board of Director | 2.0 | X | 0 | 0 | 0 | ||
| Daphne Holterman | |||||||
| Board of Director | 2.0 | X | 0 | 0 | 0 | ||
| Juliet Slavens DDS | |||||||
| Board of Director | 2.0 | X | 0 | 0 | 0 | ||
| Fred Albertz | |||||||
| Board of Director | 2.0 | X | 0 | 0 | 0 | ||
| Kathleen Hargarten MD | |||||||
| Board of Director | 2.0 | X | 0 | 0 | 0 | ||
| Ron Sokovich | |||||||
| Board of Director & Physician- | 40.0 | X | 346654 | 0 | 30766 | ||
| Sandhya Garg MD | |||||||
| Board of Director | 2.0 | X | 0 | 0 | 0 | ||
| Michael Dallman | |||||||
| Board of Director | 2.0 | X | 0 | 0 | 0 | ||
| Mike Sullivan MD | |||||||
| Board of Director | 2.0 | X | 0 | 0 | 0 | ||
| Tim Schuler | |||||||
| Board of Director | 2.0 | X | 0 | 0 | 0 | ||
| John Graf | |||||||
| Senior Vice President | 40.0 | X | 191429 | 0 | 32196 | ||
| Jennifer Laughlin | |||||||
| Vice President & CIO | 40.0 | X | 111243 | 0 | 25434 | ||
| Duane Floyd | |||||||
| Vice President of Human Resour | 40.0 | X | 123050 | 0 | 28277 | ||
| Jacklynn Lesniak | |||||||
| VP of Patient Services | 40.0 | X | 143067 | 0 | 28076 | ||
| Jeff Meade MD | |||||||
| Cheif Medical Officer | 24.0 | X | 94664 | 0 | 10788 | ||
| LORI SCHWENKNER | |||||||
| SECRETARY | 40.0 | X | 48437 | 0 | 10671 | ||
| John McGuinness | |||||||
| Physician OBGYN | 40.0 | 373082 | 0 | 35665 | X | ||
| Rhonda Miller | |||||||
| Physician OBGYN | 40.0 | 390449 | 0 | 22005 | X | ||
| Tahmina Aafreen | |||||||
| Physician OBGYN | 40.0 | 301349 | 0 | 40443 | X | ||
| James Milford | |||||||
| Physician - Family Practice | 40.0 | 258962 | 0 | 22504 | X | ||
| John Basarich | |||||||
| Physician - Family Practice | 40.0 | 245748 | 0 | 45470 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2949987 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 381307 | TotalOtherCompensation |
| Number Individuals GT100 K | 27 | 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 |
|---|---|---|---|---|---|
| Metropolitan Watertown LLC | |||||
| 225 S Executive Dr | BROOKFIELD | WI | 53005 | Anesthesia Services | 2280330 |
| Quest Diagnostics Inc | |||||
| 2750 Monroe Blvd | NORRISTOWN | PA | 19403 | Laboratory Services | 486089 |
| Starizon Inc | |||||
| 31 river overlook | KEYSTONE | CO | 80435 | Patient Experience | 413495 |
| University of Wisconsin Med Founda | |||||
| jeff sears 5171 MF centennial bldg | MADISON | WI | 537052281 | Hospitalist Physicia | 908115 |
| University of Wisconsin Med Founda | |||||
| 555 zor shrine place | MADISON | WI | 53719 | Cardiology Physician | 507109 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 22 | NumberOfContractorsGT100K |
| Government Grants | 12928 | GovernmentGrants |
| All Other Contributions | 60792 | AllOtherContributions |
| Total Contributions | 73720 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| HOSPITAL | 621110 | 74403582 | 74179303 | 224279 |
| HOME HEALTH CARE | 621400 | 655704 | 618879 | 36825 |
| WATERTOWN AREA CLINCS | 621300 | 10081883 | 8579197 | 1502686 |
| SENIOR LIVING FACILITIES | 621300 | 1522787 | 1522787 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 86663956 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1306442 | TotalRevenueColumn |
| Exclusion | $1,306,442 | 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 | 1429974 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1224980 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 204994 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 204994 | TotalRevenueColumn |
| Exclusion | $204,994 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 52555541 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 53462111 | Securities |
| Other | 15650 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -906570 | Securities |
| Other | -15650 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -922220 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 16736 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 7257 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9479 | TotalRevenueColumn |
| Exclusion | $9,479 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| CAFETERIA REVENUE | 722310 | 206600 | $206,600 | |
| MEALMOBILE | 624210 | 62872 | 62872 | |
| CANCER CENTER | 541610 | 20706 | 20706 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 290178 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 87626549 | TotalRevenueColumn |
| Related Or Exempt Function Income | 84983744 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1763790 | UnrelatedBusinessRevenue |
| Exclusion | $1,727,515 | 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 | 17500 | Total |
| Program Services | 17500 | ProgramServices |
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 | 1218197 | Total |
| Management And General | 1218197 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
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 | 31778872 | Total |
| Program Services | 28600985 | ProgramServices |
| Management And General | 3177887 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1983017 | Total |
| Program Services | 1784715 | ProgramServices |
| Management And General | 198302 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5383889 | Total |
| Program Services | 4845500 | ProgramServices |
| Management And General | 538389 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2269472 | Total |
| Program Services | 2042525 | ProgramServices |
| Management And General | 226947 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 9687075 | Total |
| Program Services | 8718369 | ProgramServices |
| Management And General | 968706 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 2234858 | Total |
| Program Services | 2011372 | ProgramServices |
| Management And General | 223486 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5532156 | Total |
| Program Services | 4978940 | ProgramServices |
| Management And General | 553216 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES AND DRUGS | 8456997 | 7611297 | 845700 |
| LISCENSE AND TAXES | 1818400 | 1636560 | 181840 |
| PROVISION FOR BAD DEBT | 3970946 | 3573851 | 397095 |
| FISCAL & ADMIN. SERVICE | 10024535 | 9020331 | 1004204 |
| NON OPERATING EXPENSES | 72835 | 65552 | 7283 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84448749 | Total |
| Program Services | 74907497 | ProgramServices |
| Management And General | 9541252 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12396635 | BOY |
| EOY | 8916531 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9938600 | BOY |
| EOY | 11489345 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1905679 | BOY |
| EOY | 2013572 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2048427 | BOY |
| EOY | 3095189 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 101382489 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 51022504 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51739115 | BOY |
| EOY | 50359985 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37532471 | BOY |
| EOY | 45269161 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 636652 | BOY |
| EOY | 603346 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70087 | BOY |
| EOY | 168577 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 425000 | BOY |
| EOY | 715000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 116692666 | BOY |
| EOY | 122630706 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10516865 | BOY |
| EOY | 11741856 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 364586 | BOY |
| EOY | 486207 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29806379 | BOY |
| EOY | 29137830 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6036413 | BOY |
| EOY | 5601209 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46724243 | BOY |
| EOY | 46967102 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69669416 | BOY |
| EOY | 75535521 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 299007 | BOY |
| EOY | 128083 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69968423 | BOY |
| EOY | 75663604 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 116692666 | BOY |
| EOY | 122630706 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| 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 | 1257192 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Book Value | 1257192 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 45570677 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 16736220 | Depreciation |
| Book Value | 28834457 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 50655708 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 32032496 | Depreciation |
| Book Value | 18623212 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 3898912 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 2253788 | Depreciation |
| Book Value | 1645124 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 50359985 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | RESIDENT DEPOSIT PAYABLE | Description |
| Amount | $5,601,209 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 5601209 | TotalOfAmounts |
| Total Revenue | 87626549 | TotalRevenue |
| Total Expenses | 84448749 | TotalExpenses |
| Excess Or Deficit For Year | 3177800 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 2446184 | NetUnrealizedGLOnInvestments |
| Other | $71,197 | OtherAmount |
| Total Adjustments | 2517381 | TotalAdjustments |
| Excess Or Deficit Per FS | 5695181 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 89998884 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 2446184 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 2446184 | RevenueNotRptdF990 |
| Revenue Subtotal | 87552700 | RevenueSubtotal |
| Other Revenues Not Included | 73849 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 73849 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 87626549 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 84375914 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 84375914 | ExpensesSubtotal |
| Other Expenses Not Included | 72835 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 72835 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 84448749 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Reconciliation Items | Identifier |
| Return Reference | Form 990, Schedule D, Part XI, Line 8 | ReturnReference |
| Explanation | Interest Rate Swap 23,838 Temporarily Restricted Unrealized Gain 47,359 Total -------- 71,197 Form 990, Schedule D, Part XII, Line 4b Non-Operating losses reclassed to expense 72,835 Temporarily restricted investment income 1,014 Total -------- 73,849 Form 990, Schedule D, Part XIII, Line 4b Non-Operating Losses 72,835 | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Love Lights | NameOfEvent1 |
| Gross Receipts Event1 | 8430 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 8430 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 2309 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Magic at market | NameOfEvent2 |
| Gross Receipts Event2 | 3165 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 3165 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 1643 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 5 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 5141 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 5141 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 3305 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 16736 | GrossReceiptsTotal |
| Gross Revenue Total Events | 16736 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 7257 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 7257 | DirectExpenseSummaryEvents |
| Net Income Summary | 9479 | 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 |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 125. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | 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 | 476444 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 476444 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00590 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6384997 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6384997 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07930 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6861441 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6861441 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08520 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 91024 | PersonsServed |
| Total Community Benefit Expense | 725260 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 128150 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 597110 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00740 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 220 | PersonsServed |
| Total Community Benefit Expense | 53896 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 53896 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 13019 | PersonsServed |
| Total Community Benefit Expense | 2055078 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1557217 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 497861 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00620 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1560 | PersonsServed |
| Total Community Benefit Expense | 409848 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 54398 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 355450 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00440 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 105823 | PersonsServed |
| Total Community Benefit Expense | 3244082 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1739765 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1504317 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01870 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 105823 | PersonsServed |
| Total Community Benefit Expense | 10105523 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1739765 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8365758 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10390 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 14251 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 14251 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 699 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 699 | NetCommunityBuildingExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 130 | PersonsServed |
| Total Community Building Expense | 426 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 426 | NetCommunityBuildingExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 44348 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 44348 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1599 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1599 | NetCommunityBuildingExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 28292 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 28292 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 130 | PersonsServed |
| Total Community Building Expense | 89615 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 89615 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,683,681 | BadDebtExpenseAmount |
| Amount Attributable To | 336736 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 13895425 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 18433224 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4537799 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UWHP Watertown Regional Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 Hospital Dr | AddressLine1 |
| City | Watertown | City |
| State | WI | State |
| ZIP Code | 53098 | 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 VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Costing Method Used | Costs included in part i, line 7 were calculated using the cost to charge ratio. | CostingMethodUsed |
| Percent Of Total Expense Expln | The amount of bad debt expense excluded from the the total expenses used to calculate Part I, Line 7, Column (f) was $3,970,946. This reduced the total expenses to $80,477,803. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | The Medicare cost to charge ratio, computed from the 9/30/2010 Medicare Cost Report, was used to compute the cost of the bad debt expense. The hospital estimated that 20% of its bad debt expense would be classified as charity care if the forms were filled out with proper documentation. When accounts are transferred to collection the hospital does not know if the patients may possibly qualify for Community Care because they may have neglected their bills. Many accounts go to collection because the hospital never has any contact with the patient. The hospital sends them statements and calls them, but the patients never pay or respond. The Hospital provides care without charge or at amounts less than the Hospital's established rates to patients who meet certain criteria under its charity care policy. The Hospital maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges forgone for services and supplies furnished under its charity care policy. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. The following information measures the level of charity care provided for the years ended September 30: Charges Foregone, based on established rates 2010=$1,123,685 2009=$1,344,586 | BadDebtFootnote |
| Shortfall As Community Benefit | 100% of the Medicare shortfall should be treated as community benefit. Watertown Regional Medical Center is committed to serving all patients, regardless of ability to pay or if the payments to be received will be less than the cost to provide the service, which is the case for Medicare and Medicaid patients. The figures on line 6 of part iii come from the 9/30/2010 Medicare Cost Report. Medicare allowable costs relating to payments on line 5 of part iii are based upon the medicare cost report. This shortfall should be treated as a community benefit since it reflects unreimbursed costs to the health system for providing medical services to the medicare residents of the community. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | When patients qualify for charity care, the Hospital gives up collection efforts on the amount that is classified as charity care. If a patient receives partial charity care, the non-charity portion of their bill is still subject to normal collection efforts, which can include being sent to a collection agency if the patient fails to make payments to the Hospital. | DebtCollectionPolicy |
| Needs Assessment | Using public health data provided by the State of Wisconsin, local health departments and the University of Wisconsin, UW Health Partners Watertown Regional Medical Center (WRMC) completes regular community health assessments. These assessments are performed in cooperation with the local public health offices. Public health data is used to identify the region's top health and safety needs. Each need is then ranked according to the number of people affected and also quantified in terms of regional cost burden. Finally, we rate the community health needs in terms of how well they match with the organization's strategic priorities and resources to calculate overall priority scores. This year, the organization has identified the following as our community's top health and safety needs: a. Heart Disease b. Overweight and Obesity c. Cancer prevention and screening d. Access to care for the under and uninsured. | NeedsAssessment |
| Patient Education Assistance | WRMC uses multiple methods to educate patients about eligibility for financial assistance. Local referring providers are familiar with WRMC's charity care policies and often get patients in contact with WRMC financial counselors as the care process is initiated. Our front office/reception staff at each point of entry is educated on billing and assistance procedures and can serve as an immediate resource for patients, referring patients to financial counselors to provide personalized counseling when necessary. Our financial assistance policies are available on our website, and the numbers for our financial counselors are publicized in phone books and other directories. Once admitted to the medical center, each patient receives a Patient Handbook, which clearly outlines billing procedures and financial assistance resources. These policies and resources are also available 24/7 on our website at uwhpwatertown.com. | PatientEducationAssistance |
| Community Information | WRMC serves the residents of Dodge and Jefferson counties in a service area of roughly 120,000 lives. Basic county demographic information is as follows: Dodge County Jefferson County - Residents below Poverty 8.1% 7.6% - with HS Diploma 82.3% 84.7% - Speak Language other than English 4.6% 6.1% - Residents over age 65 13.6% 12.5% - Residents uninsured 7.4% 3.0% | CommunityInformation |
| Community Building Activities | WRMC is active in community health improvement in the region. Our involvement toward improving three of our health priorities (Obesity, heart disease and access to care) is outlined below. WRMC plays a leading role in Get Healthy Watertown, a community entity working to combat our region's obesity problem by helping families and businesses to adopt healthy lifestyle practices. With Get Healthy Watertown, we've developed an annual community weight loss challenge called Weigh to Win. To date, we have helped community members to lose more than 6,000 pounds. Most importantly, these community members have gained the knowledge to continue their healthy lifestyles for years to come. Heart disease is a major challenge for the WRMC service area. In addition to providing free heart risk screenings and education for adults, we've started to work with area youth to develop healthy habits years before heart disease presents itself. Our Ready Set Fit program takes health professionals into 4th grade classrooms, providing interactive learnings on exercise, nutrition and healthy lifestyles. For high school aged children, who are starting to make independent lifestyle choices, we offer a health camp, where students enjoy a day of active exercise and healthy cooking to learn to enjoy healthy lifestyle choices. Access to care is one of our top priorities, and we are proud to support two local free clinics who provided much needed care to uninsured and under insured community members. We provide leadership, staff expertise, and financial funding to the Watertown Area Cares Clinic (WACC), a new free clinic developed to meet the overwhelming needs of other local free clinics. WRMC provides lab and diagnostic services (free of charge) to meet the needs of the WACC as well as another local free clinic, the Rock River Free Clinic. | CommunityBuildingActivities |
| Other Information | WRMC is governed by a community board of directors who represent the diverse needs of the Watertown region. We have a board of directors sub-committee which oversees our community benefit plan and activities. This committee is made up of community members who represent underserved populations, such as the elderly, low-income, Spanish speaking population and youth. This committee also oversees our Community Health Fund, which provides grants to non-profits who further our health and safety mission. Each fiscal year, our board allocates a percentage of net revenue to a Community Health Fund. Community non-profits with health and safety related missions apply for and receive grant funds to further their missions of enhancing the health of the community. WRMC does have an open medical staff. | OtherInformation |
| Reports Filed With States | WI | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIP AWARDS (SEE PART IV FOR DETAILS) | TypeOfGrant |
| Number Of Recipients | 12 | NumberOfRecipients |
| Amount Of Cash Grant | 17500 | AmountOfCashGrant |
| Method Of Valuation | N/A | MethodOfValuation |
| Description Of Non Cash Assistance | N/A | DescriptionOfNonCashAssistance |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedures for Monitoring the use of grant funds in the United States | Identifier |
| Return Reference | Schedule I, Part I, Line 2 | ReturnReference |
| Explanation | Annually, a team develops and submits a grant request to granting organizations to request funding for initiatives which meet identified health needs. The team develops a proposal with objectives, tactics and budget outlined. The team monitors progress toward stated objectives and budget and sends quarterly updates to the granting organization. In addition, the grant outcomes are reviewed annually with Community Benefit Committee members. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | false | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 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 (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| John Kosanovich | |||||||||||||
| 281820 | 0 | 37868 | 0 | 2165 | 0 | 33340 | 0 | 15672 | 0 | 370865 | 0 | 0 | 0 |
| Ron Sokovich | |||||||||||||
| 330124 | 0 | 0 | 0 | 16530 | 0 | 14000 | 0 | 16766 | 0 | 377420 | 0 | 0 | 0 |
| John Graf | |||||||||||||
| 179062 | 0 | 12301 | 0 | 66 | 0 | 15619 | 0 | 16577 | 0 | 223625 | 0 | 0 | 0 |
| Duane Floyd | |||||||||||||
| 117080 | 0 | 5925 | 0 | 45 | 0 | 10256 | 0 | 18021 | 0 | 151327 | 0 | 0 | 0 |
| Jacklynn Lesniak | |||||||||||||
| 136333 | 0 | 6700 | 0 | 34 | 0 | 11713 | 0 | 16363 | 0 | 171143 | 0 | 0 | 0 |
| John McGuinness | |||||||||||||
| 252865 | 0 | 120197 | 0 | 20 | 0 | 18899 | 0 | 16766 | 0 | 408747 | 0 | 0 | 0 |
| Rhonda Miller | |||||||||||||
| 250561 | 0 | 139842 | 0 | 46 | 0 | 20281 | 0 | 1724 | 0 | 412454 | 0 | 0 | 0 |
| Tahmina Aafreen | |||||||||||||
| 175456 | 0 | 125876 | 0 | 17 | 0 | 20573 | 0 | 19870 | 0 | 341792 | 0 | 0 | 0 |
| James Milford | |||||||||||||
| 180679 | 0 | 78257 | 0 | 26 | 0 | 18761 | 0 | 3743 | 0 | 281466 | 0 | 0 | 0 |
| John Basarich | |||||||||||||
| 172128 | 0 | 73604 | 0 | 16 | 0 | 28783 | 0 | 16687 | 0 | 291218 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHOR | ||||||
| 391337855 | 97710vqw1 | 2003-12-11 | 4400000 | 2003 hospital remodeling | false | false |
| WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHOR | ||||||
| 391337855 | 97710vp36 | 2006-10-26 | 15000000 | 2006 HOSPITAL EXPANSION | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount In Reserve FundAmountInReserveFund |
|---|---|---|---|---|---|---|---|---|
| 4400000 | 110779 | 4289221 | 2004 | false | false | true | true | |
| 15000000 | 924944 | 12816486 | 2008 | false | false | true | true | 1258570 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Term Of HedgeTermOfHedge |
|---|---|---|---|---|---|---|
| (no name) | ||||||
| true | true | false | false | false | true | |
| jpmorgan chase | ||||||
| true | true | true | false | false | true | 28. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Watertown Emergency Physicians SC | |||
| Board Member is President | 315029 | see schedule o | false |
| Meade Medical Clinic | |||
| Officer is Owner | 165216 | see schedule o | false |
| University of Wisconsin Health Care | |||
| Board Member is Officer | 100000 | see schedule o | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Governing Body and Management | Form 990, Part VI, Line 9 | Jeff Baum (Board Chairman) Wisconsin Aviation, Inc. 1741 River Drive Watertown, WI 53094 Lyle Wuestenberg (Board Vice-Chair) J & L Tire 4585 Linmar Lane Johnson Creek, WI 53038 Donna O'Brien N1237 County E Watertown, WI 53098 Daphne Holterman Rosy-Lane Holsteins LLC W3757 Ebenezer Road Watertown, WI 53094 Juliet Slavens, DDS N7730 French Road Johnson Creek, WI 53038 Fred Albertz 508 Highland Blvd. Johnson Creek, WI 53038 Kathleen Hargarten, MD 2924 N. Interlaken Drive Oconomowoc, WI 53066 Ron Sokovich, MD Urology Clinic Medical Office Building-West, Suite 2002 123 Hospital Drive Watertown, WI 53098 Sandhya Garg, MD UWHC 600 Highland Avenue H4/837 Madison, WI 53792-8310 Michael Dallman UWHC 600 Highland Avenue H4/836 Mail #8370 Madison, WI 53792 Mike Sullivan, MD Watertown Family Practice Associates, SC 127 Hospital Drive Watertown, WI 53098 |
| Form 990 Review Process | Form 990, Part VI, Line 11a | The finance committee reviews the 990 in detail and a copy of the 990 is available for review by all board members before it is filed. |
| Conflict of Interest Policy | FORM 990, PART VI, LINE 12c | Each year the Hospital's Conflict of Interest policy, along with the Conflict of Interest form, is sent to each Board member. Board members are asked to review the policy, complete the form, and return them to Administration where they are kept on file. |
| Compensation Process | FORM 990, PART VI, LINE 15b | To determine the compensation of each officer of the corporation, a compensation committee and external data are used to determine a fair and reasonable salary. Outside sources include the opinion of an independent compensation consultant, use of a compensation survey, and the written employment contract for each officer, if applicable. The salary must be approved each year by the compensation committee. |
| Governing Documents Available to Public | FORM 990, PART VI, LINE 19 | Audited financial statements are available to the public through the EMMA website: http://emma.msrb.org/. The governing documents, conflict of interest policies, and audited financial statements are available for public inspection upon request. |
| Business Transactions Involving Interested Persons | FORM 990, SCHEDULE L, PART IV, COLUMN D | Dr. Hargarten's physician group provides physicians services to the Emergency Room of Watertown Regional Medical Center, INC. Dr. Meade provided rental property to Watertown Regional Medical Center, Inc. Mr. Dallman is Vice President of Regional Development for University of Wisconsin Health Care, Inc. which has an affiliation agreement with Watertown Regional Medical Center, Inc. |