2011-07-21T06:10:20-07:00 2010-09-30 990 2009-10-01 391390638 Sacred Heart-St Marys Hospitals Inc SACR 7153612942 PO Box 347 Stevens Point WI 54481 CATHY BUKOWSKI 2011-07-21 2009 2016-02-24 21:20:13Z 131131208 false false 0928 X www.ministryhealth.org X 1981 WI SHSM HOSPITAL MISSION AS A CATHOLIC HOSPITAL IS TO FURTHER THE HEALING MINISTRY OF JESUS BY CONTINUALLY IMPROVING THE HEALTH AND WELL-BEING OF ALL PEOPLE, ESPECIALLY THE POOR. WE PROVIDE ACUTE HEALTH CARE SERVICES TO THE COMMUNITY REGARDLESS OF A PERSON'S ABILITY TO PAY. 9 7 877 247 0 173595 425546 137366698 129949909 122042 -75771 782297 754105 138444632 131053789 0 0 47876885 79625782 0 0 85363961 47022667 133240846 126648449 5203786 4405340 114573125 114559746 45657052 45015023 68916073 69544723 SHSM HOSPITAL MISSION AS A CATHOLIC HOSPITAL IS TO FURTHER THE HEALING MINISTRY OF JESUS BY CONTINUALLY IMPROVING THE HEALTH AND WELL-BEING OF ALL PEOPLE, ESPECIALLY THE POOR. WE PROVIDE ACUTE HEALTH CARE SERVICES TO THE COMMUNITY REGARDLESS OF A PERSON'S ABILITY TO PAY. false false 111012882 130703787 SACRED HEART/ST MARY'S HOSPITALS PROVIDE INPATIENT, OUTPATIENT, EMERGENCY ROOM, AND ANCILLARY SERVICES TO ANY INDIVIDUAL REGARDLESS OF THEIR ABILITY TO PAY OR THEIR METHOD OF PAYMENT. THE HOSPITAL ALSO PROVIDES EDUCATIONAL PROGRAMS AND SERVICES TO THE COMMUNITY ON VARIOUS HEALTH CARE ISSUES. 111012882 true true false true false false false false false false true false true false false false false false false false false true false false true false false false false false false false false false false false false false false false false true false false false true 70 0 true 877 true false false false false false false false false false false false 0 false false false false false false false false 9 7 false false false false true true true true true false false false true true true true true true true true false false X X Cathy Bukowski 7153568109 2251 North Shore Drive Rhinelander WI 54501 WILLIAM ERICKSON 40.00 X 0 202166 51033 STEVE AGNOLI 1.00 X X 0 0 0 ROVENA L KESSINGER 40.00 X 357091 0 77236 ROGER ERDAHL 1.00 X X 0 0 0 ROBERT SOOKOCHOFF MD 1.00 X 0 346118 30718 RANDY PLANTENBERG 1.00 X 0 0 0 RAJ K JAIN 0. X 147952 0 141533 NANCY FRASIER 1.00 X 0 0 0 MONICA HILT 40.00 X X 0 309634 45853 JIM BROWN 1.00 X 0 0 0 JILL SPIECKERMAN 40.00 X 0 172767 35226 JAMES M LAU 23.00 X 228149 0 97054 GREGG ALBERT 1.00 X X 0 0 0 CATHY BUKOWSKI 20.00 X 0 189526 19140 CAROL A RITTER 40.00 X 198349 0 205772 BRUCE F HERTEL 23.00 X 227998 0 80647 BRIAN KIEF 40.00 X 0 522850 53134 BART LAMERS 1.00 X X 0 0 0 ANN ZENK 0. X 0 0 0 1159539 1743061 837346 5 false true false WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 STAFFING 421733 MARSHFIELD LABORATORIES 1000 NORTH OAK AVENUE MARSHFIELD WI 544495795 LAB TESTING SVCS 508118 JUDGES CLEANERS INC 2150 MAPLE DRIVE PLOVER WI 54467 LAUNDRY SERVICE 253045 HEALTHCARE BUSINESS SERVICE INC PO BOX 989 MARSHFIELD WI 544490989 BILLING SERVICES 673119 D&Y INCORPORATED PO BOX 635715 CINCINNATI OH 452635715 STAFFING 272551 5 338624 86922 425546 PRORGAM SERVICE RENT 532000 364944 364944 PROGRAM SERVICE REVENUE 900099 101270622 101270622 PROGRAM SERVICE AMBULANCE 621910 675606 675606 CLINIC REVENUE 621110 27638737 27638737 129949909 0 0 0 1875 1648 227 227 227 75771 -75771 -75771 -75771 0 0 0 INTEREST 523000 157798 157798 HOME HEALTH HOSPICE 621610 116868 116868 CAFETERIA 722210 356422 356422 122790 122790 753878 131053789 130703787 -75544 0 0 0 0 0 0 60904148 55456949 5447199 5150967 5004784 146183 10320129 8666795 1653334 3250538 3029840 220698 0 472640 472640 8513 8513 0 0 1518 1518 1247253 897663 349590 610081 2906 607175 10738040 10532530 205510 1327080 1184045 143035 0 2414077 2346012 68065 238074 209922 28152 0 313104 294288 18816 1921584 1921584 0 6152015 5824829 327186 788978 459879 329099 STATE ASSESSMENT 2734029 2734029 PURCHASE SERVICES 8475393 4843004 3632389 Pharmaceuticals 3714868 3714868 MHC EXECUTIVE SERVICES 1782778 1782778 Bad Debt 5669032 6086347 -417315 -1586390 -2197392 611002 126648449 111012882 15635567 0 11449727 10607888 1592105 1885898 0 19225561 18137632 0 0 706453 671070 1989449 1992785 240522 277496 132782637 60457320 73316222 72325317 799296 5776283 0 0 0 5253790 2885377 114573125 114559746 12365971 13761445 95361 162320 30349204 26690576 2846516 4400682 45657052 45015023 X 68067348 68979695 848725 565028 68916073 69544723 114573125 114559746 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 7878 7878 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description Sacred Heart/St Mary's belongs to a number of trade asscociations (WHA, CHA, AHA) The associations are paid annual dues and a percentage of the dues are related to lobbying done by the trade association. Lobby percentages range between 5 - 24% of the annual ammounts. The amount reported on line (1i) represents the sum of all trade association dues related to lobby expense. 2704728 2704728 68235756 13512480 54723276 1862931 844381 1018550 59979222 46100459 13878763 72325317 Retirement Obligation 301816 Estimated Amounts due third Party Payors 4098866 4400682 131053789 126648449 4405340 120056 -3896745 -3776689 628651 131053789 131053789 131053789 126648449 126648449 126648449 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Ministry Medical Group-Northern Region Trf Woodruff Loss $485926 Intercompany Transfers-Rent to MHC $83244 DONATED CAPITAL $81360 FOUNDATION CONTRIBUTION $ -283697 HOSPICE/HOME HEALTH $ -263582 SJH OUTREACH ALLOCATION $ -3999996 EQUITY TRANSFER FOR MHC EHR $ -0 true true X true X true X true true false false true true 1144 2040220 2040220 0.01690 5700 13988180 6458048 7530132 0.06220 6844 16028400 6458048 9570352 0.07560 7 1559 281022 2000 279022 0.00230 2 1 3072 3072 1 1585 1585 4 152 41829 2500 39329 0.00030 14 1712 327508 4500 323008 0.00260 14 8556 16355908 6462548 9893360 0.07810 false 1718819 33955048 40588459 -6633411 X true true MMG EAGLE RIVER

930 EAST WALL STREET EAGLE RIVER WI 54521

OUTPATIENT PHYSICIAN CLINIC MMG TOMAHAWK

401 WEST MOHAWK DRIVE TOMAHAWK WI 54487

OUTPATIENT PHYSICIAN CLINIC MMG LAONA

4876 MILL STREET LAONA WI 54541

OUTPATIENT PHYSICIAN CLINIC MMG CRANDON

400 WEST GLEN STREET CRANDON WI 54520

OUTPATIENT PHYSICIAN CLINIC MMG RIVERSIDE

1020 KABEL AVENUE RHINELANDER WI 54501

OUTPATIENT PHYSICIAN CLINIC MMG RHINELANDER

2251 NORTH SHORE DRIVE RHINELANDER WI 54501

OUTPATIENT PHYSICIAN CLINIC MMG WOODRUFF

240 MAPLE STREET WOODRUFF WI 54568

OUTPATIENT PHYSICIAN CLINIC SACRED HEART HOSPITAL

401 WEST MOHAWK DRIVE TOMAHAWK WI 54487

X X ST MARYS HOSPITAL

2251 NORTH SHORE DRIVE RHINELANDER WI 54501

X X X Ministry Health Care publishes an annual community benefit report for all wholly owned entities. Sacred Heart/St. Mary's Hospitals are wholly owned by Ministry Health Care and thus included within the report. Amounts calculated in Part I, Line 7 are determined both on a cost accounting system and a cost-to-charge ratio. Other Benefits are determined based on the direct and indirect costs (where allocated) associated with a program net of earned revenue. Detail for each program/activity is maintained and determined at the department level. Charity care and means-tested programs are determined based on a cost-to-charge ratio consistent with Worksheet 2, Ratio of Patient Care Cost to Charges. Prior year cost report settlements are excluded from the shortfall calculation in order to get a true fiscal year shortfall amount. $5,669,032 of bad debt expense is included in Part IX, line 25, column A, but subtracted for purposes of calculating the percentage of total expense. However, the Lacerte program does not take the bad debt into consideration when calculating the totals on Lines 7d, 7j, and 7k. The program should deduct the bad debt expense from total expenses in Part IX, line 25, column A but does not and we cannot override that field. No footnote exists in the organization's financial statements that describe bad debt expense. Bad debt expense is recorded in a consistent manner with the organization's collection policies. Bad debt expense includes accounts which are written off and estimates made on live accounts based on historical payment trends and account modeling.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 the hospital's charity care policy. These patients would qualify for charity care if they completed the charity application, so the bad debt expense associated with treating them should be treated as community benefit. The organization does have a presumptive eligibility program in place to help identify indigent patients and minimize the instances of when they become a bad debt. The administrative requirements to determine whether patients who do not cooperate with the financial assistance process would have qualified for charity can be burdensome, particularly for small balances. The organization continues serving patients even after the patients have generated significant bad debt which is evidence that the care is given for community benefit motivations. The shortfall associated with Medicare should be considered a community benefit for several reasons. First, IRS Rev. Rul. 69-545, which established the community benefit standard for non-profit hospitals, states that if a hospital serves patients with government health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community. This implies that treating Medicare patients is a community benefit. Second, for-profit specialty hospitals have been carving out certain high-margin services (i.e. cardiac, orthopedics, and oncology), leaving general acute care hospitals with lower-margin Medicare services. This indicates that Medicare losses can be a result of rendering these lower-margin services (which benefit the community) rather than inefficient operations. Lastly, the community which the organization serves has Medicare as the largest payer. The organization must accept these patients regardless of whether they make a surplus or deficit from providing such services. If the Medicare participation is premised on this fact, then providing Medicare services promotes access to healthcare services which is a community benefit. The demographic of the community is also an aging and underserved population who experience issues with access to healthcare services. Without tax-exempt hospitals providing Medicare services, CMS would bear the burden of directly providing services to the elderly. The organization has a debt collection policy which sets forth collection practices for patients who are known to qualify or may qualify for financial assistance under the charity care program. Sufficient financial counseling support is made available to patients so they can easily access patient financial service representatives and have their questions answered, and gain an understanding of the reasons why they owe a balance. Accounts are designated as charity care in the business offices so no additional time is spent on collection efforts. As part of Ministry Health Care, Inc., the organization files an annual community benefit report on its webpage. The report can be viewed by visiting www.ministryhealth.org/MinistryHealth/Community.nws. The organization performs community needs assessments as needed. Planning workgroups consisting of community partners are formed to define the community and its needs through review of Health People Initiatives, census documents, and local government health and welfare agencies. Considering other community resources/assets, data collection methods are used to identify particular problems or subgroups and areas known to have high poverty rates and to be underserved. The data is analyzed and priorities are set based on trending information which may target a specific need. When a need is identified, the hospital develops a plan to implement a program either through community collaboration or individually. Outcomes from the programs are measured and considered in subsequent community needs assessments. Community benefit plans are presented to senior leadership and board members to ensure the findings are incorporated into the organization's strategy and policy development. For example, senior leaders are required to provide direct service to the poor hours as part of their performance goals. The organization goes to great lengths in order to inform and educate patients/persons who may be billed for patient care about their eligibility for assistance under federal, state or local government programs and under the organization's charity care policy. The charity care policy and application is posted on the organization's website. Admissions and other key areas contain summary information of the charity care policy. As part of the intake/discharge process, patients are provided with a copy of the policy and other information for financial assistance. If during the course of the patient registration process, care encounter, treatment, or upon discharge it becomes evident that a patient may need financial assistance, the patient shall be referred to the organization's community care program. Patients may be identified as needing financial assistance at any time during the course of an encounter. A referral for consideration of community care financial assistance can be initiated by any member of the hospital's workforce, including medical staff members, who become aware of the patient's potential need for community care financial assistance. The charity care policy was also translated into dialects prevalent in the community in order to reach out to those that may speak another language (Spanish and Hmong). Patient Registration staff and Financial Counselors are provided with scripts to follow when interacting with patients. As part of the charity care process, patients must register with the county public assistance to see if they may qualify under any other federal or state programs. While there is growing agreement in the United States about what constitutes a non-profit hospital's 'community benefit', this is a work in progress. The organization provided significant charity care and other community benefits as defined by the IRS. But in addition, we believe that we provide a critically important community benefit, which is not quantified. Our hospital, like most rural hospitals, was created and is maintained in order to provide care locally-care that without our hospital, would not be available locally.Certain specialized services available include: Diabetes education and management,; Speech Therapy; Wound care and management; Palliative Care services; Pain Management services; Mental Health and AODA services; Women's health services; Inpatient and Outpatient.Sacred Heart Hospital is located in Tomahawk, WI and serves the surrounding communities. According the the 2000 census, Tomahawk had a population of 3,770, with 25.1% under the age of 18, 7.0% from 18 to 24, 27.1% from 25 to 44, 20.3% from 45 to 64, and 20.5% who were 65 years of age or older. The median age was 39 years. The median income for a household in the city was $33,986 which increased to $44,677 in 2009. The percentage of residents living in poverty in 2009 was 12.2%. The unemployment rate in December 2010 was 9.4% versus the Wisconsin state average of 7.0%. The town covers a total area of 8.8 miles. Tomahawk is located in Lincoln County which had a population of 29,404 in July 2009. The median income for a household was $44,660 in 2009, with 25.4% under the age of 18, 6.9% from 18 to 24, 28.0% from 25 to 44, 23.3% from 45 to 64, and 16.4% who were 65 years of age or older. The median age was 39 years. The percentage of residents living below poverty in 2009 was 6.9%. The unemployment rate in April 2010 was 10.8%.St Mary's Hospital is located in Rhinelander, WI and serves the surrounding communities. According the the 2000 census, Rhinelander had a population of 7,735, with 23.4% under the age of 18, 8.3% from 18 to 24, 27.7% from 25 to 44, 20.1% from 45 to 64, and 20.5% who were 65 years of age or older. The median age was 39 years. The median income for a household in the city was $29,622 which increased to $32,623 in 2009. The percentage of residents living in poverty in 2009 was 18.3%. The unemployment rate in December 2010 was 9.6% versus the Wisconsin state average of 7.0%. The town covers a total area of 7.9 miles. Rhinelander is located in Oneida County which had a population of 35,930 in July 2009. The median income for a household was $42,946 in 2009, with 22.3% under the age of 18, 5.7% from 18 to 24, 26.5% from 25 to 44, 26.80% from 45 to 64, and 18.7% who were 65 years of age or older. The median age was 42 years. The percentage of residents living below poverty in 2009 was 7.4%. The unemployment rate in April 2010 was 10.3%. Community-building activities include programs that, while not directly related to health care, provide opportunities to address the root causes of health problems, such as poverty, homelessness, and environmental problems. These activities support community assets by offering the expertise and resources of the organization. Costs for these activities include cash, in-kind donations, and expenditures for the development of a variety of community health programs and partnerships. The organization strives to further its exempt purposes by the following: (1) The organization's governing board consists primarily of persons who reside within the primary service area. They are not employees of the organization. (2) As mentioned, the organization provides several services which are not otherwise available being in a rural setting. (3) Based on the organization's mission, emergency rooms are made available to all patients regardless of the ability to pay. (4) The organization also participates in the education and training of healthcare professionals through internship programs.Sacred Heart/St Mary's participates in government sponosored health programs (Medicare, Medicaid, Champus, Tricare).Sacred Heart is a critical access hospital in Tomahawk, Wisconsin and St. Mary's is a Sole Community Hospital in Rhinelander, Wisconsin. Both hospitals and hospital-based clinics serve poor rural communities. St. Mary's provides inpatient and outpatient mental health and AODA services at a financial loss to the organization which is somewhat unique to small rural communities. Persons in need of mental health or AODA services would otherwise have to travel several hundred miles to seek care.Sacred Heart-St. Mary's Hospitals serves four Native American Tribes in surrounding communities. Tribal services are paid under Medicare-like rates under Contract Health Services reimbursement program under the federal Indian Health Program. The organization also participates in government sponsored health programs such as Medicare, Medicaid, Champus. The organization strives to be a low-cost provider by continually reducing internal costs through efficiency measures which in turn, is passed on to patients through market-based prices. The uninsured members of the community access healthcare through the emergency department and medical clinics. All medically necessary medical services are provided in an inpatient, outpatient or clinic setting for persons in need of care regardless of their ability to pay.Sacred Heart/St Mary's Hospitals fund a Community Link Coordinator who works in conjunctions with our Patient Family Services department in meeting the special needs of our community. This team helps our community members navigate the various governmental programs by helping our uninsured population apply for State Medicaid programs and the organization's own Community Care (charity care) program. The Community Care program provides financial assistance and sliding scale discounts to patients who meet certain income and asset criteria, up to 400% of the federal poverty guidelines. The organization is part of an affiliated health care system called Ministry Health Care, Inc. The mission of Ministry as a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well being of all people, especially the poor, in the communities served. Ministry supports such non-hospital facilities as the Agape Community Center. As a community center, it has the unique advantage of welcoming youth, adults, families and seniors into the facility through a broad range of educational, social, recreational, cultural, health and life-long learning opportunities in an impoverished portion of Milwaukee. Our Catholic Identity expects leaders to initiate and support efforts to reach out to the poor and vulnerable people, especially where no one else wants to go. Health care can become very bureaucratic and burdened with oversight of finances, regulatory requirements and strategic planning. Our focus on these issues may cause us to lose touch with those for whom we have a primary responsibility-those who are poor and vulnerable. Tithing of time allows us to look into the face of the poor, hear the voice of the poor, and help us better understand the daily challenges and barriers they face. As an affiliated health system, all leaders with direct reports are required to provide service to the poor. This also includes physician leaders and hourly supervisory staff. The organization also participates in the Ministry Health Care Fund which provides monies for special projects within the communities we serve. All organizations sponsored or co-sponsored by Ministry Health Care, Inc. set aside monies each year to assist with the needs of the community and the poor. As the Ministry Health Care Fund, these dollars are funneled back into our communities for a variety of programs and services through a community assets and needs assessment process.A foundation exists but is not included within the operations of the organization. The foundation is operated as a separate entity but does provide programs and cash donations which help support the mission of the organization and the affiliated health care system. WI X X X X X false true false false false false false false false false WILLIAM ERICKSON 142741 14075 45350 34791 16242 253199 ROVENA L KESSINGER 340591 16500 66155 11081 434327 ROBERT SOOKOCHOFF MD 326405 19713 14700 16018 376836 RAJ K JAIN 133182 14770 122340 19193 289485 MONICA HILT 247509 30818 31307 28636 17217 355487 JILL SPIECKERMAN 142646 12589 17532 28942 6284 207993 JAMES M LAU 207271 20878 87506 9548 325203 CATHY BUKOWSKI 136998 10302 42226 12270 6870 208666 CAROL A RITTER 198349 202769 3003 198349 205772 BRUCE F HERTEL 207271 20727 62059 18588 308645 BRIAN KIEF 382940 110302 29608 35916 17218 575984 Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The Ministry Web Page is available to the public for inspection with a good deal of information regarding whom Ministry Health Care is and the entities included along with our mission. The Articles of Incorporation, Bylaws, conflicts policy, and financial statements are not included on any web page. However if an inquiry is made for any documents they are shared as appropriate. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees THE MINISTRY BOARD OF DIRECTORS HAS A COMPENSATION COMMITTEE THAT IS ASSISTED BY AN INDEPENDENT OUTSIDE CONSULTING FIRM, SULLIVAN COTTER. SULLIVAN COTTER, IN PARTNERSHIP WITH THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, REVIEWS MARKET DATA FOR COMPENSATION AND BENEFITS AND COMPARABILITY DATA ON EVERY MINISTRY HEALTH CARE EXECUTIVE. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The Board members complete each year a Board of Directors Conflict of Interest & Insider Transaction Questionaire. A standard annual refresher is completed each year in the fall. Any significant reported items are corrected promptly through the Ministry Corporate Compliance Officer and local administrator. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process Form 990 is presented to our governing body at the most recent board committee meeting. The President/CFO presents and briefly explains the form and its purpose. Completed through joint efforts of shared finance function with review and guidance of legal counsel and corporate finance oversight. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Ministry Healthcare Inc. has certain reserve and influential powers over each of its wholly owned healthcare facilities. Sacred Heart/St. Mary's is one of those Ministry owned facilities. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Ministry Health Care Inc has certain reserves and influential powers over all of its wholly owned healthcare facilities. SHSM is one of Ministry Health Care's owned facilities MINISTRY HEALTH CARE 11925 W LAKE PARK DR MILWAUKEE WI 53224 391490371 MANAGEMENT SUPPORT FOR INTEGRATED HEALTHCARE SYSTEM WI 501(C)(3) 11C Type III N/A false false false false true false false false true false false false true true true true true true MINISTRY HEALTH CARE q 1922154 MINISTRY HEALTH CARE o 4735151 MINISTRY HEALTH CARE n 4922518 MINISTRY HEALTH CARE e 28631646