FROEDTERT SOUTH INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- FROEDTERT SOUTH INC (EIN 39-0816845)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-13
- IRS object ID
- 201141339349305604
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-13T16:41:41-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10000 INNOVATION DRIVE SUITE 250 | AddressLine1 |
| City | MILWAUKEE | City |
| State | WI | State |
| ZIP Code | 532264837 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390816845 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | United Hospital System Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | UNIT | NameControl |
| Phone | 2626562334 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6308 8th Avenue | AddressLine1 |
| City | Kenosha | City |
| State | WI | State |
| ZIP Code | 53143 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Charles Talbert | Name |
| Title | VP & CFO | Title |
| Phone | 2626562334 | Phone |
| Date Signed | 2011-05-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAY ADKISSON | Name |
| Phone | 4144319300 | Phone |
| Date Prepared | 2011-05-13 | DatePrepared |
| 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 | Charles Talbert | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6308 8th Avenue | AddressLine1 |
| City | Kenosha | City |
| State | WI | State |
| ZIP Code | 53143 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 278402997 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.unitedhospitalsystem.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1910 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | UNITED HOSPITAL SYSTEM, INC. is committed to living out the healing ministries of the Judeo-Christian faiths by providing exceptional and compassionate healthcare services that promotes the dignity and well-being of the people we serve. This is our Mission and our reason for being. We strive to recruit and retain the best physicians and staff and purchase the best diagnostic and curative medical equipment that our financial resources will permit. We also strive to be accessible to all members of our community with emergent and urgent healthcare needs, irrespective of their ability to pay. This is our committment to the quality, accessibility and affordability fundamentals affecting the delivery of healthcare. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2443 | TotalNbrEmployees |
| Total Nbr Volunteers | 516 | TotalNbrVolunteers |
| Total Gross UBI | 281648 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -51267 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 36072 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 30988 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 260857325 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 276606527 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -5727256 | InvestmentIncomePriorYear |
| Investment Income Current Year | 425963 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 25030 | OtherRevenuePriorYear |
| Other Revenue Current Year | 33678 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 255191171 | TotalRevenuePriorYear |
| Total Revenue Current Year | 277097156 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 15853 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 21695 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 117696480 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 133086264 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 109947485 | OtherExpensePriorYear |
| Other Expenses Current Year | 117323416 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 227659818 | TotalExpensesPriorYear |
| Total Expenses Current Year | 250431375 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 27531353 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 26665781 | RevenuesLessExpensesCY |
| Total Assets BOY | 263672767 | TotalAssetsBOY |
| Total Assets EOY | 292432389 | TotalAssetsEOY |
| Total Liabilities BOY | 84846266 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 108291941 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 178826501 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 184140448 | NetAssetsOrFundBalancesEOY |
| Mission Description | UNITED HOSPITAL SYSTEM, INC. IS A COMPREHENSIVE REGIONAL HEALTHCARE SYSTEM THAT HAS SERVED SOUTHEASTERN WISCONSIN AND NORTHERN ILLINOIS COMMUNITIES FOR MORE THAN 100 YEARS. UNITED HOSPITAL SYSTEM PROVIDES SERVICES PRIMARILY THROUGH THE KENOSHA MEDICAL CENTER CAMPUS AND THE ST. CATHERINE'S MEDICAL CENTER CAMPUS AND SEVERAL OTHER CLINIC LOCATIONS. UNITED HOSPITAL SYSTEM IS COMMITTED TO LIVING OUT THE HEALING MINISTRIES OF THE JUDEO-CHRISTIAN FAITHS BY PROVIDING EXCEPTIONAL AND COMPASSIONATE HEALTHCARE SERVICES THAT PROMOTES THE DIGNITY AND WELL BEING OF THE PEOPLE WE SERVE. THIS IS OUR MISSION AND OUR REASON FOR BEING. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 206596346 | Expense |
| Revenue | 276324879 | Revenue |
| Description | ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO ITS COMMUNITY. | Description |
| Total Program Service Expense | 206596346 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 70 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2443 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Corporation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2626562334 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6308 8TH AVENUE | AddressLine1 |
| City | Kenosha | City |
| State | WI | State |
| ZIP Code | 53143 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| James Arneson | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| F Gregory Campbell | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| Robert A Cornog | ||||||||
| Secretary/Treasurer/Director | 2.00 | X | 0 | 0 | 0 | X | ||
| Richard O Schmidt Jr | ||||||||
| President/CEO/Director | 45.00 | X | 898206 | 0 | 134524 | X | X | |
| Edward C Emma | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| Harold W Mayer | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| George W Anderson | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| A James Cicchini | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| james Concannon MD | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| Don E Kaelber | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| Raymond Knight MD | ||||||||
| Director/Physician | 2.00 | X | 381048 | 0 | 34583 | X | ||
| Robert Lee Jr | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| Joseph F Madrigrano Sr | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| Lawrence Reif MD | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| W Harley Sobin MD | ||||||||
| Director/Physician | 2.00 | X | 1052127 | 0 | 34583 | X | ||
| William Petasnick | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| Linda Wohlgemuth | ||||||||
| Asst Secretary/VP-COO-SCMCC | 45.00 | 366861 | 0 | 45767 | X | X | ||
| Charles Talbert | ||||||||
| Asst Treasurer/VP-CFO | 45.00 | 355330 | 0 | 56652 | X | X | ||
| Susan Ventura | ||||||||
| SVP/COO-KMCC | 45.00 | 369261 | 0 | 45767 | X | |||
| Ashwani Sethi MD | ||||||||
| Physician | 40.00 | 1053743 | 0 | 34583 | X | |||
| Mario Garretto MD | ||||||||
| Physician | 40.00 | 998854 | 0 | 84583 | X | |||
| Carroll Martin MD | ||||||||
| Physician | 40.00 | 524944 | 0 | 16025 | X | |||
| Alfred Habel MD | ||||||||
| Physician | 40.00 | 427333 | 0 | 34583 | X | |||
| James Shapiro MD | ||||||||
| Physician | 40.00 | 840889 | 0 | 16164 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7268596 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 537814 | TotalOtherCompensation |
| Number Individuals GT100 K | 99 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Eclipsys Corp | |||||
| PO Box 8538 133 | Philadelphia | PA | 19171 | IS Services | 2881044 |
| Waukesha Health Systems Inc | |||||
| PO Box 1108 | Waukesha | WI | 53187 | IS Services | 2377786 |
| Riley Construction Co Inc | |||||
| 5301 99th Street | Kenosha | WI | 53144 | Building | 1230240 |
| Quest Diagnostics | |||||
| 3924 Collection Center Drive | Chicago | IL | 60693 | Medical | 1009690 |
| Wheaton Franciscan Healthcare | |||||
| PO Box 14668 | Milwaukee | WI | 53214 | Laundry | 624066 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 29 | NumberOfContractorsGT100K |
| All Other Contributions | 30988 | AllOtherContributions |
| Total Contributions | 30988 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| net patient service re | 623000 | 270999316 | 270999316 | |
| other operating revenu | 623990 | 5607211 | 5325563 | 281648 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 276606527 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1652243 | TotalRevenueColumn |
| Exclusion | $1,652,243 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 38039 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1243414 | Securities |
| Other | 20905 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -1243414 | Securities |
| Other | 17134 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1226280 | TotalRevenueColumn |
| Exclusion | -$1,226,280 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 75200 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 41522 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 33678 | TotalRevenueColumn |
| Exclusion | $33,678 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 277097156 | TotalRevenueColumn |
| Related Or Exempt Function Income | 276324879 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 281648 | UnrelatedBusinessRevenue |
| Exclusion | $459,641 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21695 | Total |
| Program Services | 21695 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7268596 | Total |
| Management And General | 7268596 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97597376 | Total |
| Program Services | 88422133 | ProgramServices |
| Management And General | 9175243 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4594047 | Total |
| Program Services | 4162155 | ProgramServices |
| Management And General | 431892 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16745608 | Total |
| Program Services | 6106138 | ProgramServices |
| Management And General | 10639470 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6880637 | Total |
| Program Services | 5780618 | ProgramServices |
| Management And General | 1100019 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 290880 | Total |
| Program Services | 158976 | ProgramServices |
| Management And General | 131904 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48119572 | Total |
| Program Services | 45786742 | ProgramServices |
| Management And General | 2332830 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5836604 | Total |
| Program Services | 5698811 | ProgramServices |
| Management And General | 137793 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 554596 | Total |
| Program Services | 187658 | ProgramServices |
| Management And General | 366938 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1649449 | Total |
| Program Services | 1484504 | ProgramServices |
| Management And General | 164945 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12985407 | Total |
| Program Services | 11686866 | ProgramServices |
| Management And General | 1298541 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1073981 | Total |
| Program Services | 422671 | ProgramServices |
| Management And General | 651310 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBTS | 15280290 | 15280290 | |
| OUTSIDE SERVICES | 8902563 | 3287316 | 5615247 |
| State Hospital Assessme | 7622909 | 7622909 | |
| REPAIRS | 6896597 | 4976670 | 1919927 |
| OTHER EXPENSES | 1769954 | 1742819 | 27135 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6340614 | Total |
| Program Services | 3767375 | ProgramServices |
| Management And General | 2573239 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 250431375 | Total |
| Program Services | 206596346 | ProgramServices |
| Management And General | 43835029 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46197702 | BOY |
| EOY | 41553861 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33822054 | BOY |
| EOY | 32052045 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3223584 | BOY |
| EOY | 3194388 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2975937 | BOY |
| EOY | 3117303 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 227171143 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 138985732 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81871217 | BOY |
| EOY | 88185411 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78940515 | BOY |
| EOY | 84808870 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16641758 | BOY |
| EOY | 39520511 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 263672767 | BOY |
| EOY | 292432389 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28098657 | BOY |
| EOY | 28025271 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28391392 | BOY |
| EOY | 27593209 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28356217 | BOY |
| EOY | 52673461 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84846266 | BOY |
| EOY | 108291941 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 176852983 | BOY |
| EOY | 182142414 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 459822 | BOY |
| EOY | 481569 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1513696 | BOY |
| EOY | 1516465 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 178826501 | BOY |
| EOY | 184140448 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 263672767 | BOY |
| EOY | 292432389 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1973518 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 46211 | InvestmentEarningsOrLosses |
| Other Expenditures | 21695 | OtherExpenditures |
| End Of Year Balance | 1998034 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1955842 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 33529 | InvestmentEarningsOrLosses |
| Other Expenditures | 15853 | OtherExpenditures |
| End Of Year Balance | 1973518 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.76000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.24000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5519546 | OtherCostOrOtherBasis |
| Book Value | 5519546 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 112462305 | OtherCostOrOtherBasis |
| Depreciation | 68194308 | Depreciation |
| Book Value | 44267997 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 98011939 | OtherCostOrOtherBasis |
| Depreciation | 69513518 | Depreciation |
| Book Value | 28498421 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11177353 | OtherCostOrOtherBasis |
| Depreciation | 1277906 | Depreciation |
| Book Value | 9899447 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 88185411 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Other Assets | 540381 |
| Due from Affiliate | 38980130 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 39520511 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Deferred Compensation | $6,643,149 |
| Pension Liability | $46,030,312 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 52673461 | TotalOfAmounts |
| Total Revenue | 277097156 | TotalRevenue |
| Total Expenses | 250431375 | TotalExpenses |
| Excess Or Deficit For Year | 26665781 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 5659695 | NetUnrealizedGLOnInvestments |
| Other | -$27,011,529 | OtherAmount |
| Total Adjustments | -21351834 | TotalAdjustments |
| Excess Or Deficit Per FS | 5313947 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 277075461 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 277075461 | RevenueSubtotal |
| Other Revenues Not Included | 21695 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 21695 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 277097156 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 250825092 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 393717 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 393717 | ExpensesNotRptdF990 |
| Expenses Subtotal | 250431375 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 250431375 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | In order to account for any uncertain tax positions, the Corporation determines whether it is more likely than not that a tax position will be sustained upon examination on the technical merits of the position, assuming that taxing authority has full knowledge of all information. If the tax position does not meet the more likely than not recognition threshold, the benefit of that position is not recognized in the financial statements. The Corporation recorded no assets or liabilities related to uncertain tax positions in 2010. |
| Part XI, Line 8 - Other Adjustments: | CHANGE IN MINIMUM PENSION OBLIGATION: -21267711. revenue sharing with affiliate: -5374617. MACRS DEPRECIATION ADJUSTMENT: -415412. TEMPORARILY RESTRICTED EARNINGS: 43442. PERMENANTLY RESTRICTED EARNINGS: 2769. | |
| Part XII, Line 4b - Other Adjustments: | Net Assets Released from Restrictions: 21695. | |
| Part XIII, Line 2d - Other Adjustments: | macrs depreciation adjustment: 415412. Scholarships: -21695. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Golf Outing | NameOfEvent1 |
| Gross Receipts Event1 | 75200 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 75200 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 41522 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 75200 | GrossReceiptsTotal |
| Gross Revenue Total Events | 75200 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 41522 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 41522 | DirectExpenseSummaryEvents |
| Net Income Summary | 33678 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 0 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3601485 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3601485 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01440 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 37911323 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 25979934 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11931389 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04760 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 41512808 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 25979934 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15532874 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06200 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 369 | NumberOfActivitiesOrPrograms |
| Persons Served | 17196 | PersonsServed |
| Total Community Benefit Expense | 510704 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 510704 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 125 | PersonsServed |
| Total Community Benefit Expense | 986390 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 986390 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00390 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 125 | PersonsServed |
| Total Community Benefit Expense | 150727 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 150727 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 369 | NumberOfActivitiesOrPrograms |
| Persons Served | 17446 | PersonsServed |
| Total Community Benefit Expense | 1647821 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1647821 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00650 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 369 | NumberOfActivitiesOrPrograms |
| Persons Served | 17446 | PersonsServed |
| Total Community Benefit Expense | 43160629 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 25979934 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17180695 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06850 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 832 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 832 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 50200 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 50200 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 10 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 832 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 832 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 22 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 51864 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 51864 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $5,562,026 | BadDebtExpenseAmount |
| Amount Attributable To | 278101 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 52484815 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 67535229 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -15050414 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (7 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|
| Kenosha Medical Center Campus | |||||||
| 6308 8th Avenue | Kenosha | WI | 53143 | X | X | X | |
| Saint Catherine's Medical Center Campus | |||||||
| 9555 76th Street | Pleasant Prairie | WI | 53158 | X | X | X | |
| Kenosha Northside Clinic | |||||||
| 3601 30th Avenue Suite 205 | Kenosha | WI | 53143 | Outpatient Physician Clinic | |||
| Paddock Lake Family Medicine Clinic | |||||||
| 7322 236th Avenue | Paddock Lake | WI | 53168 | Outpatient Physician Clinic | |||
| The Gurnee Clinic | |||||||
| 1790 Nations Drive Suite 106 | Gurnee | IL | 60031 | Outpatient Physician Clinic | |||
| LakeView RecPlex | |||||||
| 9900 Terwall Terrace | Pleasant Prairie | WI | 53158 | Rehabilitation Clinic | |||
| Vernon Elementary School - Pool Area | |||||||
| 8518 22nd Avenue | Kenosha | WI | 53143 | Rehabilitation Clinic | |||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Footnote | Part III, Line 4: Management provides for probable uncollectible amounts, primarily uninsured patients and amounts patients are personally responsible for, through a charge to operations and a credit to a valuation allowance based on its assessment of historical collection experience and the current status of individual accounts. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and a credit to patient accounts receivable. Worksheet A in the instructions was used to determine the costing methodology. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: The costing methodology used was the cost to charge ratio and the cost report. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: Our collection process is the same for all patients, regardless if they qualify for charity care. We bill all insurances. Patient does not receive a copy of the bill until it is their balance. We send three statements from our financial system. We have an outside collection agency send out our required final request letters. From this point the outstanding balance is handled by the collection agency. The account does stay active on our financial system for one year. At that time the outstanding balance is moved over to a bad debt status. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: No information available | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: When statements are sent from our financial system, there is a phone number for the patient to call for assistance with their balances. Patients call and we work with them to set up payment arrangements. If they express any concerns for financial needs we offer to send them a Community Care application. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: Kenosha County is a fast growing lakeshore coummunity in Southeastern Wisconsin. Located between Chicago and Milwaukee, Kenosha county boasts a diverse economy. Kenosha is the fourth largest city in the State of Wisconsin with 98,187 residents. Of the state's five largest cities, only Madison has grown faster. Kenosha is now the seventh largest county in Wisconsin in terms of population with 165,382 residents. Kenosha County's median household income ($54,464) substantially exceeds the state and national income figures ($52,249 and $52,175 respectively). United Hospital System serves people in southeastern Wisconsin and northern Illinois through its two hospital campuses, St Catherine's Medical Center and Kenosha Medical Center. Aurora Medical Center also has a hosptial campus in Kenosha. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: Many staff members are utilized to promote the health of the community and the general well-being of the community we serve. Through our Emergency Preparedness Committee, staff are always planning and preparing to be ready to meet the needs of the community as events occur. Additionally, a variety of staff work with local schools and other organizations to give talks promoting health and careers in healthcare. A number of staff members are involved in mentoring programs within the local schools. Recognizing the importance of sustaining and growing our economy, we participate in our local Business Alliance. | CommunityBuildingActivities |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | Scholarship financial assistance to individuals pursuing degrees in the healthcare field. | TypeOfGrant |
| Number Of Recipients | 40 | NumberOfRecipients |
| Amount Of Cash Grant | 21695 | AmountOfCashGrant |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Richard O Schmidt Jr | |||||||||||||
| 640333 | 0 | 248000 | 0 | 9873 | 0 | 114039 | 0 | 20485 | 0 | 1032730 | 0 | 0 | 0 |
| Raymond Knight MD | |||||||||||||
| 378000 | 0 | 0 | 0 | 3048 | 0 | 14039 | 0 | 20544 | 0 | 415631 | 0 | 0 | 0 |
| W Harley Sobin MD | |||||||||||||
| 263016 | 0 | 788079 | 0 | 1032 | 0 | 14039 | 0 | 20544 | 0 | 1086710 | 0 | 0 | 0 |
| Linda Wohlgemuth | |||||||||||||
| 304342 | 0 | 60197 | 0 | 2322 | 0 | 39039 | 0 | 6728 | 0 | 412628 | 0 | 0 | 0 |
| Charles Talbert | |||||||||||||
| 293885 | 0 | 57881 | 0 | 3564 | 0 | 39039 | 0 | 17613 | 0 | 411982 | 0 | 0 | 0 |
| Susan Ventura | |||||||||||||
| 306742 | 0 | 60197 | 0 | 2322 | 0 | 39039 | 0 | 6728 | 0 | 415028 | 0 | 0 | 0 |
| Ashwani Sethi MD | |||||||||||||
| 453000 | 0 | 600191 | 0 | 552 | 0 | 14039 | 0 | 20544 | 0 | 1088326 | 0 | 0 | 0 |
| Mario Garretto MD | |||||||||||||
| 523000 | 0 | 474822 | 0 | 1032 | 0 | 64039 | 0 | 20544 | 0 | 1083437 | 0 | 0 | 0 |
| Carroll Martin MD | |||||||||||||
| 520000 | 0 | 0 | 0 | 4944 | 0 | 14039 | 0 | 1986 | 0 | 540969 | 0 | 0 | 0 |
| Alfred Habel MD | |||||||||||||
| 426973 | 0 | 0 | 0 | 360 | 0 | 14039 | 0 | 20544 | 0 | 461916 | 0 | 0 | 0 |
| James Shapiro MD | |||||||||||||
| 260000 | 0 | 580337 | 0 | 552 | 0 | 14039 | 0 | 2125 | 0 | 857053 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Robert Lee | |||
| Director of Organization | 213039 | Services provided by Lee Plumbing in which Robert Lee is the owner. | 0 |
| A James Cicchini | |||
| Director of Organization | 431986 | Services provided by Cicchini Asphalt LLC in which A. James Cicchini is the owner. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section B, line 11 | Form 990 is reviewed by the Organization's CFO and Controller prior to filing. |
| Form 990, Part VI, Section B, line 12c | United Hospital System's written conflict of interest policy for the board is reviewed annually by each board member, and any potential conflicts of interest are disclosed at that time. The written conflict of interest policy for employees is reviewed during orientation and periodically at organization meetings, and is incorporated into the performance standards of their annual evaluations. |
| Form 990, Part VI, Section B, line 15 | The compensation for the President, CEO and General Counsel and the compensation for the vice presidents reporting directly to the President, CEO and General Counsel are determined by the Board Executive Committee which serves as the Board Compensation Committee. The Board Compensation Committee contracts with the healthcare compensation firm named The Groves Group, LLC, and has utilized the President of the Groves Group, LLC as the compensation consultant since 2005. The compensation consultant utilizes a methodology that evaluates internal and external equity after evaluating the responsibilities of each position and makes a recommendation to the Board Compensation Committee. The Board Compensation Committee has followed the detailed recommendations of the compensation consultant annually since 2005 and the compensation consultant has been retained through 2015. |
| Form 990, Part VI, Section C, line 18 | These documents are made available upon request. Form 990 and 990-T are also made available on Guidestar. |
| Form 990, Part VI, Section C, line 19 | These documents are made available upon request. |
| Form 990, Part XI, Line 2c, Financial Statements and Reporting: | The process the committee uses for oversight of the audit and selection of an independent accountant has not changed from the prior year. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | kenosha health service corp | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6308 8th Avenue | AddressLine1 |
| City | Kenosha | City |
| State | WI | State |
| ZIP Code | 53143 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391491236 | EIN |
| Primary Activities | Healthcare | PrimaryActivities |
| Legal Domicile State | WI | LegalDomicileState |
| Total Income | -77992 | TotalIncome |
| EOY Assets | 669021 | EOYAssets |
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus |
|---|---|---|---|---|---|---|---|---|
| St Catherine's Hospital Inc | ||||||||
| 6308 8th Avenue | Kenosha | WI | 53143 | 390855075 | Healthcare | WI | 501(c)(3) | Line 11b, II |
| UHS Inc | ||||||||
| 6308 8th Avenue | Kenosha | WI | 53143 | 391956749 | Healthcare | WI | 501(c)(3) | Line 9 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| St Catherine's Hospital Inc | |
| J | 4656800 |
| St Catherine's Hospital Inc | |
| Q | 5374617 |