2011-08-12T07:11:03-07:00 2010-09-30 990 2009-10-01 390985690 EAGLE RIVER MEMORIAL HOSPITAL EAGL 7153568109 201 HOSPITAL RD EAGLE RIVER WI 54521 CATHY BUKOWSKI 2011-08-12 2009 2016-02-24 21:20:13Z 14928987 false false 0928 X WWW.MINISTRYHEALTH.ORG X 1941 WI EAGLE RIVER MEMORIAL HOSPITAL'S MISSION AS A CATHOLIC HOSPITAL IS TO FURTHER THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH/WELL-BEING OF ALL PEOPLE, ESPECIALLY THE POOR. WE PROVIDE ACUTE HEALTH CARE SRVCS TO THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. 11 10 140 150 0 67890 117405 15700908 14691417 119685 81796 24342 30654 15912825 14921272 0 0 7325801 7679962 0 0 7867654 7269110 15193455 14949072 719370 -27800 32117110 30229958 11972952 10084169 20144158 20145789 EAGLE RIVER MEMORIAL HOSPITAL'S MISSION AS A CATHOLIC HOSPITAL IS TO FURTHER THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH/WELL-BEING OF ALL PEOPLE, ESPECIALLY THE POOR. WE PROVIDE ACUTE HEALTH CARE SRVCS TO THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. false false 13093866 14698009 EAGLE RIVER MEMORIAL HOSPITAL PROVIDES INPATIENT, OUTPATIENT, EMERGENCY ROOM AND ANCILLARY SERVICES REGARDLESS OF AN INDIVIDUAL'S 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. 13093866 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 6 0 true 140 true false false false false false false false false false false false 0 false false false false false false false false 11 10 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 CATHY BUKOWSKI 7153568109 PO BOX 470 WOODRUFF WI 54568 WILLIAM ARVOLD III 1.00 X 0 0 0 SHEILA CLOUGH 40.00 X X 0 195189 33391 REBECCA MORIN 40.00 X 0 149308 8685 PHIL JENSEN 1.00 X X 0 0 0 NANCY SCHULLER 1.00 X 0 0 0 MONICA HILT 20.00 X 0 294992 46690 LEE GUENTHER 1.00 X 0 0 0 LAURIE OUNGST 40.00 X 0 142587 14406 KURT VELDUIZEN 1.00 X X 0 0 0 KAREN GEIER 1.00 X 0 0 0 JOHN LUND 40.00 X 0 120499 22676 JACK BERGINZ 40.00 X 135679 0 16086 G H BRISTER 1.00 X X 0 0 0 DAWN GAPKO 40.00 X 112774 0 18914 CATHY BUKOWSKI 20.00 X 0 186698 22101 BRIAN KIEF 20.00 X 0 509633 56305 BRIAN ELIASON 1.00 X 0 0 0 ADRIENNE LAVERDURE MD 1.00 X 0 0 0 A WOODSON HAGGE 1.00 X X 0 0 0 248453 1598906 239254 2 false true false MARSHFIELD CLINIC 1000 NORTH OAK MARSHFIELD WI 54449 EMER ROOM PHYS/SERVC 102998 CROSS COUNTRY STAFFING 6551 PARK OF COMMERCE BLVD NW BOCA RATON FL 33487 PHYS/NURSING COVRAGE 222045 ADVANCED CARE PROVIDERS 9900 KAWAGA ROAD MINOCQUA WI 54548 MID LEVEL ED COVERAG 101577 3 93680 23725 117405 PROGRAM SVC REV-AMBULANCE 621910 97171 97171 PROGRAM SERVICE REV-RENT 531190 17648 17648 PROGRAM SERVICE REVENUE 900099 14576598 14576598 14691417 89503 89503 8 8 0 0 7715 -7715 -7715 -7715 0 0 0 MISC PROGRAM SERVICE REV 900099 6009 6009 MISC INTEREST 523000 5427 5427 CAFETERIA/VENDING INCOME 722210 18635 18635 583 583 30654 14921272 14698009 105858 0 0 0 0 0 0 5918542 5786401 132141 349816 347088 2728 1035747 1017220 18527 375857 365714 10143 0 0 16149 16149 0 0 5582 5582 397413 353403 44010 0 558656 538952 19704 9892 9892 0 287309 271714 15595 21606 19881 1725 0 11617 11617 580149 580149 0 796946 796674 272 62925 14060 48865 PURCHASE SERVICES 1131249 962112 169137 MHC EXECUTIVE SERVICES 225066 225066 MANAGEMENT FEE FROM AFFLIATE 1783682 659453 1124229 DRUGS 326818 326818 BAD DEBT 944622 944622 109429 88096 21333 14949072 13093866 1855206 0 10553618 9067043 0 0 2675026 2345120 0 0 0 129014 125552 12829 80251 19003472 9675726 9740273 9327746 8335263 8560243 0 0 0 671087 724003 32117110 30229958 946341 954244 55247 6246 9786754 9541809 1184610 -418130 11972952 10084169 X 19956216 19907398 187942 238391 20144158 20145789 32117110 30229958 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 2591 2591 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description EAGLE RIVER MEMORIAL HOSPITAL BELONGS TO A NUMBER OF TRADE ASSOCIATIONS (WHA, CHA, AHA). THESE 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 AMOUNTS. THE AMOUNT REPORTED ON (1i) REPRESENTS THE SUM OF ALL TRADE ASSOCIATION DUES RELATED TO LOBBYING EXPENSE. 300919 300919 11077795 3940525 7137270 130188 110554 19634 7494570 5624647 1869923 9327746 DUE TO THIRD PARTY PAYORS -472739 ASSET RETIREMENT OBLIGATION 54609 -418130 14921272 14949072 -27800 7663 21768 29431 1631 14921272 14921272 14921272 14949072 14949072 14949072 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances CHANGE IN TEMP RESTRICTED FUNDS $50448 DONATED CAPITAL $65000 FOUNDATION CONTRIBUTION $ -93680 true true X true X true X true true false false true true 90 208000 208000 0.01490 1266 1820000 1104000 716000 0.05110 1356 2028000 1104000 924000 0.06180 3 25 296 296 1 1 4797 4797 0.00030 1 24860 24860 0.00180 3 392 392 8 26 30345 30345 0.00200 8 1382 2058345 1104000 954345 0.06380 false 491061 6409000 7626767 -1217767 X true true EAGLE RIVER MEMORIAL HOSPITAL

201 HOSPITAL RD EAGLE RIVER WI 54521

X MINISTRY HEALTH CARE PUBLISHES AN ANNUAL COMMUNITY BENEFIT REPORT FOR ALL WHOLLY OWNED ENTITIES. EAGLE RIVER MEMORIAL HOSPITAL IS 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. BAD DEBT EXPENSE OF $944,622 SHOULD EXCLUDED FROM TOTAL OPERATING EXPENSES OF $14,949,072 WHEN CALCULATING PERCENTAGE OF TOTAL EXPENSE IN PART I, LINE 7, COL. F.HOWEVER, DUE TO AN ISSUE WITH THE SOFTWARE, THE AMOUNT INCORRECTLY INCLUDED WHEN CALCULATING THE PERCENTAGE OF THE TOTAL LINES 7D, 7J, AND 7K. THE CORRECT PERCENTAGES REPORTED SHOULD BE 6.60, 0.21 AND 6.81 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. 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; Inpatient and Outpatient services.EAGLE RIVER MEMORIAL HOSPITAL IS LOCATED IN EAGLE RIVER, WISCONSIN AND SERVES THE SURROUNDING COMMUNITIES. ACCORDING TO THE 2000 CENSUS, EAGLE RIVER HAD A POPULATION OF 1,443 PEOPLE, WITH 19.4% UNDER THE AGE OF 18, 8.2% FOR 18-24 YEARS OF AGE, 25.4% FROM 25-44 YEARS OF AGE, 20.6% FROM 45-64 YEARS OF AGE, AND 26.5% OVER THE AGE OF 65. THE MEDIAN INCOME IN 2000 FOR A HOUSEHOLD WAS $23,611, WHICH DECREASED TO $22,276 IN 2009. THE PER CAPITA INCOME OF THE CITY IN 2000 WAS $15,876. ABOUT 11.8% OF THE POPULATION WERE BELOW THE POVERTY LINE. THE TOWN HAS A TOTAL AREA OF 2.7 SQUARE MILES. THE MEDIAN AGE IS 42.5 YEARS. THE UNEMPLOYMENT RATE FOR DEC 2010 WAS 11% COMPARED TO THE STATE UNEMPLOYMENT RATE OF 7.0%EAGLE RIVER IS LOCATED IN VILAS COUNTY WISCONSIN. ACCORDING TO THE 2000 CENSUS, VILAS COUNTY HAD A POPULATION OF 21,033 PEOPLE, WITH 17.2% UNDER THE AGE OF 18 AND 26% OVER THE AGE OF 65. THE MEDIAN AGE IN 45.8 YEARS. THE MEDIAN HOUSEHOLD INCOMES IN 2008 WAS $41,022. ABOUT 11.5% OF THE POPULATION WAS BELOW THE POVERTY LEVEL. 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.EAGLE RIVER MEMORIAL HOSPITAL IS ALSO INVOLVED IN THE FOLLOWING EFFORTS WHICH FURTHER ITS TAX EXEMPT STATUS: THE HOSPITAL PARTICIPATES IN GOVERNMENT SPONSORED HEALTH PROGRAMS (MEDICARE, MEDICAID, CHAMPUS, TRICARE). THE FACILITY STRIVES TO BE A LOW-COST/LOW-CHARGE PROVIDER BY UTILIZING THE LEAN SIX SIGMA APPROACH TO IMPROVE PATIENT SAFETY, PATIENT QUALITY OF SERVICES AND PATIENT SATISFACTION. THE EAGLE RIVER MEMORIAL HOSPITAL EMERGENCY ROOM SERVES ALL PEOPLE REGARDLESS OF THEIR ABILITY TO PAY. CHARITY CARE IS AVAILABLE TO ALL IN THE COMMUNITY BASED ON NEED AND IS SUBJECT TO SLIDING SCALE DISCOUNTS. EAGLE RIVER MEMORIAL HOSPITAL HAS A VOLUNTEER SERVICES PROGRAM WHERE COMMUNITY MEMBERS UTILIZE THE HOSPITAL AS A VECHILE TO CONNECT WITH AND CONTRIBUTE TO INDIVIDUALS AND THE OVERALL COMMUNITY THROUGH VOLUNTEERING. EAGLE RIVER MEMORIAL HOSPITAL ENCOURAGES STAFF TO WORK WITH THE VILAS COUNTY FOOD PANTRY BY SERVING DINNERS AND PLACING FOOD DONATION CONTAINERS IN THE HOSPITAL LOBBY. ONE EMPLOYEE HAS HELPED HER ENTIRE DEPARTMENT STEP UP BY SETTING UP A SERIES OF FUNDRAISERS TO PROVIDE MONETARY GIFTS, FOOD GIFTS AND SERVICES TO THE PANTRY. THEY ALSO WORKED WITH LOCAL GROCERS TO SET UP A FREST FRUIT PROGRAM. EAGLE RIVER MEMORIAL HOSPITAL LAB STAFF ARE ALSO PROVIDING FREE SCREENINGS INCLUDING NON-FASTING CHOLESTEROL AND GLUCOSE TESTING AT THE PANTRY, WHICH HAS INSPIRED OTHER HOSPITAL EMPLOYEES TO OFFER BLOOD PRESSURE TESTS, NUTRITION SERVICES, AND WELLNESS INFORMATION. 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 affliated with the hospital, but reported separately for 990 purposes. 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 SHEILA CLOUGH 167694 12748 14747 16174 17217 228580 REBECCA MORIN 128010 21298 4036 4649 157993 MONICA HILT 247509 30818 16665 29473 17217 341682 LAURIE OUNGST 122645 6333 13609 12577 1829 156993 JACK BERGINZ 115613 20066 2312 13774 151765 CATHY BUKOWSKI 136998 10301 39399 15231 6870 208799 BRIAN KIEF 382940 110302 16391 39087 17218 565938 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 who 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 counsel and corporate 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 influential powers over all of its wholly owned healthcare facilities. Eagle River Memorial Hospital is wholly owned by Howard Young Health Care, who is wholly owned by Ministry Health Care. 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. Eagle River Memorial Hospital is wholly owned by Howard Young Health Care, who is wholly owned by Ministry Health Care. DR KATE CONVALESCENT CENTER 240 MAPLE ST WOODRUFF WI 54568 391357365 PROMOTE HEALTH AND WELLNESS WI 501(C)3 9 NA HOWARD YOUNG MEDICAL CENTER 240 MAPLE ST WOODRUFF WI 54568 390873606 HEALTH CARE SERVICES WI 501(C)3 3 NA HOWARD YOUNG FOUNDATION 240 MAPLE ST WOODRUFF WI 54568 391521169 SUPPORT FOR HEALTH CARE ORGANIZATIONS TO PROMOTE WELLNESS WI 501(C)3 7 NA MINISTRY HEALTH CARE 11925 W LAKE PARK DR SUITE 100 MILWAUKEE WI 53224 391490371 MANAGEMENT SUPPORT FOR INTEGRATED HEALTHCARE SYSTEM WI 501(C)3 11, TYPE III-FI NA HOWARD YOUNG HEALTH CARE 240 MAPLE ST WOODRUFF WI 54568 391499115 HEALTH CARE MANAGEMENT SERVICES WI 501(c)3 11, TYPE II NA false false false false false false false false true true true true true true true true false false MINISTRY HEALTH CARE o 262710 MINISTRY HEALTH CARE n 53124 HOWARD YOUNG HEALTH CARE o 577273 HOWARD YOUNG HEALTH CARE n 942744