2011-07-21T05:46:27-07:00 2010-09-30 990 2009-10-01 390847631 ST JOSEPHS HOSPITAL OF MARSHFIELD INC STJO 7152955958 611 ST JOSEPH AVENUE MARSHFIELD WI 54449 John Skaden 2011-07-21 2009 2016-02-24 21:20:13Z 349043171 false false 0928 X WWW.STJOSEPHS-MARSHFIELD.ORG X 1955 WI ST JOSEPHS 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 PERSONS ABILILTY TO PAY. 13 11 2585 490 0 161520 151121 338124384 344462597 1235234 1410676 2522220 2787949 342043358 348812343 0 0 140176870 135093566 0 383957 179926873 181786113 320103743 316879679 21939615 31932664 245540472 279455629 28628153 32502901 216912319 246952728 ST JOSEPHS 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 PERSONS ABILILTY TO PAY. false false 285903222 348812343 ST JOSEPHS HOSPITAL PROVIDES INPATIENT, OUTPATIENT, EMERGENCY ROOM AND ANCILLARY SERVICES REGARDLESS OF AN INDIVIDUALS ABILITY TO PAY OR METHOD OF PAYMENT. THE HOSPITAL ALSO PROVIDES EDUCATIONAL PROGRAMS AND SERVICES ON HEALTH CARE ISSUES TO THE COMMUNITY IT SERVES. SEE SCHEDULE H FOR FURTHER DETAILS. 285903222 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 true false false true 131 0 true 2585 true false false false false false false false false false false false 0 false false false false false false false false 13 11 false false false false true true true true true false false false true true true true true true true true false false WI X X JOHN SKADEN 7152955958 611 ST JOSEPH AVENUE MARSHFIELD WI 54449 William Sennholz 1.00 X 0 0 0 Vanessa Freitag 40.00 X 144997 0 17019 Theresa Richards 40.00 X 0 357102 73416 Terry Frankland 1.00 X 0 0 0 Sister Barbara Hollweck 1.00 X X 0 0 0 Sharon Kostroski 40.00 X 0 196889 61855 Rosemarie T Schroeder 40.00 X 134992 0 32006 Robert Gribble MD 1.00 X 0 0 0 Rick Mueller DMD 1.00 X 0 0 0 Peter Stamas MD 1.00 X 0 0 0 Michelle Brenner 40.00 X 151652 0 27442 Michael Schmidt 40.00 X 0 496232 65216 Michael Kryda MD 40.00 X X 0 620144 49384 Michael Blanchard 16.00 X 0 246994 35679 Lori Gropp 1.00 X X 0 0 0 Kenneth Heiman 1.00 X X 0 0 0 Kathy Rhyner 1.00 X X 0 0 0 Karen S Smith 0. X 132754 0 11628 Josh Meissner 1.00 X 0 0 0 John Skaden 40.00 X 0 302416 71336 John Baltus 1.00 X 0 0 0 Craig Cook 40.00 X 0 222969 21772 Brook S Kawchak 40.00 X 136887 0 15683 Brian Kief 40.00 X X 0 522850 53134 Brenda Hall 40.00 X 0 235701 21144 701282 3201297 556714 46 false true false Tek Systems PO Box 198568 Atlanta GA 30384 Consulting Services 642321 Marshfield Clinic 1000 North Oak Ave Marshfield WI 54449 Medical Staff 31530368 Henneman Engineering Inc 1232 Fourler Drive Ste 101 Madison WI 53717 Consulting Services 492484 Hall Render Killian Heath & Lyman One American Square Ste 2000 Box 82 Indianapolis IN 46282 Legal Services 696319 Cross Country Staffing PO Box 404678 Atlanta GA 30384 Medical Staff 784712 139 151121 151121 Rental Income 532000 945296 945296 Program Service Revenue 900099 342645911 342645911 Other Revenue 900099 13762 13762 Med supplies & Pharmacy 446110 764028 764028 Management Fees 541900 93600 93600 344462597 1386447 1386447 0 0 54155 116955 -62800 -62800 -62800 102345 78116 24229 24229 24229 0 0 41120 35757 5363 5363 Purchase Discounts 900099 288473 288473 Ministry Home Care 621610 301402 301402 Dietary/Cafeteria Sales 722210 2125466 2125466 130045 130045 2845386 348812343 345182517 3478705 0 0 0 0 0 0 99591916 91456453 7975772 159691 9009198 8950005 53928 5265 20029875 18093810 1878347 57718 6462577 6189412 254080 19085 0 763751 8499 755252 -2586 -2586 0 0 0 15819240 12095596 3722477 1167 2476331 4960 2470662 709 40850867 40521373 273174 56320 4437491 4341339 96152 0 4330155 4325316 4839 627045 497300 110084 19661 0 0 72712 72712 0 18245839 18191256 53672 911 586400 586400 STATE ASSESSMENT 9186047 9186047 SJH Outreach Allocation 12199992 12199992 PURCHASE SERVICES 39334409 32801378 6492537 40495 Pharmaceuticals 15777247 15777247 Bad Debt 8436015 8436015 8645158 2168112 6454110 22935 316879679 285903222 30592500 383957 45252150 84669565 1235922 1235922 0 49394795 46352352 0 0 349013 161931 6760170 7542658 1670157 963785 334139301 242733989 95269727 91405312 30562452 31443411 12810433 14156393 0 0 2235653 1524300 245540472 279455629 24109096 27700718 189270 231587 2016923 2312864 4570596 28628153 32502901 X 216163108 245868612 749211 1084116 216912319 246952728 245540472 279455629 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 18740 18740 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description The hospital belongs/pays dues to various trade associations and the amount reported on line 1i of Part II-B is the amount allocated by trade associations to lobbying expenditures and reported to the hospital on account of its membership in such association. 2042294 2042294 69822754 47884884 21937870 5044298 4295662 748636 149201064 109617823 39583241 108028891 80935620 27093271 91405312 14156393 Due to 3rd Party Medicare 4289968 Asset Retirement Obligation 111054 Accretion Amortization 169574 4570596 348812343 316879679 31932664 1100439 -2992694 -1892255 30040409 348812343 348812343 348812343 316879679 316879679 316879679 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Home Care/Outreach Allocations ICTs $11672402 Temporarily Restricted Funds FDN Cap transfer $334904 Marshfield Clinic Transfers $0 Capital Risk Transfers Intercompany $ -15000000 true true true X true X true true false false true true 1512 3668385 3668385 0.01190 10062 51599770 34131461 17468309 0.05660 11574 55268155 34131461 21136694 0.06670 17 8241 797607 797607 0.00260 5 40 7440616 7440616 0.02410 7 196 4256227 4256227 0.01380 7 426540 426540 0.00140 36 8477 12920990 12920990 0.04080 36 20051 68189145 34131461 34057684 0.10750 1 3695 3695 1 2137 2137 1 9565 9565 3 15397 15397 false 3430495 128339568 138378559 -10038991 X true true Marshfield Dialysis OP Center

123 Northridge Street Marshfield WI 54449

Outpatient Dialysis Center St Josephs Hospital of Marshfi

611 St Josephs Avenue Marshfield WI 54449

X X X X X Ministry Health Care publishes an annual community benefit report for all owned entities. Saint Josephs Hospital is owned by Ministry Health Care. Each facility is included within the report. 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. 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. $8,436,015 of bad debt expense is included in total expenses of Part IX, line 25, column A, but subtracted for purposes of calculating the percentage of total expense. However, the Lacerte program does not deduct the bad debt expense from total expenses when calculating the totals on Lines 7d, 7j, and 7k. The correct percentage of those lines should be 6.85, 4.19, and 11.04 respectively. No footnote exists in the organization's financials 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. 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. As of the 2000 census, the population of Marshfield was 18,800. The racial make-up was 97.12% White, .39% African American, .23% Native American, 1.38% Asian, .88% of other races. 17.8% were over 65 years old and 22.9% under 18. The median income was $37,248. 6.6% of the population were below the poverty line, including 6.2% of those under the age 18 and 10% of those age 65 or over. 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.The hospital participates in government-sponsored health programs (Medicare, Medicaid, CHAMPUS, Tricare)The hospital offers volunteer opportunities to the community or evidence of the organization's responsiveness to the community, including opportunities for community involvement in governance and advisory groups and examples of programs that were established in the tax year that responded to community needs.The facility strives to be a low-cost/low-charge facility. Advocates community-wide, state or national efforts to improve health of the population and increase access.Partnerships with others in the community (including public health departments) to improve community health and well-being.The role of the emergency department and urgent care units in serving all persons regardless of ability to pay.Availability of financial assistance and sliding scale discounts and changes to financial assistance or collection policies that would be viewed as constructive.The organization is a sole community hospital.The hospital is involved with health professions education and/or research.Community members utilize the hospital as a vehicle to connect with and contribute to individuals and the overall community through philanthropy and volunteering.Programs are having an impact on community health especially prevention activities, efforts to improve health and increase access to health care services, and reducing health care costs. 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.The organization has a foundation which is included within the operations of the organization. The foundation provides programs and cash donations which help support the mission of the organization and the affiliated health care system. WI X X X X false true false false false false false false false false Vanessa Freitag 144997 17019 162016 Theresa Richards 277199 23727 56176 58525 14891 430518 Sharon Kostroski 158261 14488 24140 45146 16709 258744 Rosemarie T Schroeder 134992 15368 16638 166998 Michelle Brenner 151352 300 9081 18361 179094 Michael Schmidt 343492 45978 106762 50075 15141 561448 Michael Kryda MD 407751 53584 158809 42289 7095 669528 Michael Blanchard 163993 40282 42719 33954 1725 282673 John Skaden 241800 20842 39774 52894 18442 373752 Craig Cook 181502 41467 15400 6372 244741 Brook S Kawchak 120295 16592 7818 7865 152570 Brian Kief 382940 110302 29608 35916 17218 575984 Brenda Hall 184017 17833 33851 4653 16491 256845 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 Policy questionnaire. 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 Completed through joint efforts of shared finance function with review and guidance of legal council and corporate finance oversight. 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. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Ministry Health Care Inc has certain reserves and influencial powers over all of it's wholly owned healthcare facilities. Saint Joseph's Hospital is one of Ministry Health Care's 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 influencial powers over all of it's wholly owned healthcare facilities. Saint Joseph's Hospital is one of Ministry Health Care's owned facilities. St Josephs Hospital Foundation 611 St Josephs Avenue Marshfield WI 54449 391684957 Raise funds to support Hospital mission WI 501(c)(3) 11a N/A MINISTRY HEALTH CARE 11925 WEST LAKE PARK DR STE 100 MILWAUKEE WI 53224 391490371 Management Support for integrated healthcare system WI 501(C)(3) 11C Type III N/A false false true false false false false false true false false false true true true true true true St Josephs Hospital Foundation p 383956 St Josephs Hospital Foundation c 877534 MINISTRY HEALTH CARE q 15000000 MINISTRY HEALTH CARE o 17746741 MINISTRY HEALTH CARE n 16232799