BELOIT HEALTH SYSTEM INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- BELOIT HEALTH SYSTEM INC (EIN 39-1028081)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-13
- IRS object ID
- 202443209349309059
- Schema version
- 2023v5.0
- 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 D
- Schedule H
- Schedule J
- Schedule K
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-13T12:16:23-07:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391028081 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BELOIT HEALTH SYSTEM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BELO | BusinessNameControlTxt |
| Phone | 6083645011 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1969 West Hart Road | AddressLine1Txt |
| City | Beloit | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53511 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | James Bird | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6083645281 | PhoneNum |
| Signature | 2024-11-13 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | James Bird | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1969 West Hart Road | AddressLine1Txt |
| City | Beloit | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53511 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $277,167,593 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.beloithealthsystem.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1965 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | The mission of Beloit Health System, Inc. is to be the leader in regional health and wellness services that delivers high quality value and satisfaction to our patients and communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 1861 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $253,460,627 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $269,037,749 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,726,639 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,183,992 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,254,457 | PYOtherRevenueAmt |
| CY Other Revenue | $4,945,852 | CYOtherRevenueAmt |
| PY Total Revenue | $260,441,723 | PYTotalRevenueAmt |
| CY Total Revenue | $277,167,593 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $140,788,392 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $147,431,833 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $116,270,876 | PYOtherExpensesAmt |
| CY Other Expenses | $125,723,386 | CYOtherExpensesAmt |
| PY Total Expenses | $257,059,268 | PYTotalExpensesAmt |
| CY Total Expenses | $273,155,219 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,382,455 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,012,374 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $278,045,148 | TotalAssetsBOYAmt |
| Total Assets EOY | $279,624,208 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $112,527,661 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $106,182,701 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $165,517,487 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $173,441,507 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Beloit Health System provides quality medical health care regardless of race, creed, sex, national origin, disability, age or ability to pay. During 2023, the System's Hospital served over 4,300 inpatients including newborns and provided more than 746,000 outpatient services, the NorthPointe facility provided more than 92,000 outpatient services and the Clinics provided more than 208,000 encounters. The Health System is equipped to serve the greater Beloit areas entire spectrum of health needs and strives to continue the long-standing tradition of providing excellent general acute care and to better serve the greater Beloit area. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $52,232,663 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $60,927,047 | RevenueAmt |
| Desc | Inpatient Revenue: Total adult admissions of 4,187 with an average daily census of 52 and an average length of stay of 4.5 days. This is in comparison to 2022 where admissions were 4,161 with an average daily census of 49 and an average length of stay of 4.3 days. Total patient days were 18,939 compared to 17,741 in 2022. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $178,412,982 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $208,110,702 | RevenueAmt |
| Desc | Outpatient Revenue: Total Hospital and NorthPointe outpatient procedures for 2023 were just over 838,000 compared to just over 820,000 in 2022. Total Physician Clinic encounters were just over 208,000, an increase from 191,000 in 2022 due to active physician recruitment and increases in physician RVU's year over year. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $230,645,645 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | Yes (1) | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1861 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Beloit Health System Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6083645102 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1969 West Hart Road | AddressLine1Txt |
| City | Beloit | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53511 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Timothy M McKevett | |||||||||
| Non Voting Board Member & System President & CEO | 40 | 0 | Yes (X) | $1,355,693 | $0 | $45,801 | |||
| Roger Kapoor MD | |||||||||
| VP of Physician Clinics/Medical Affairs/Physician | 40 | 0 | $1,298,687 | $0 | $14,850 | Yes (X) | |||
| Leo Egbujiobi MD | |||||||||
| Board Member & Physician | 40 | 0 | $1,157,463 | $0 | $14,850 | Yes (X) | |||
| Glenn Tan MD | |||||||||
| Physician | 40 | 0 | $1,004,409 | $0 | $14,850 | Yes (X) | |||
| Paul Segal MD | |||||||||
| Physician | 40 | 0 | $900,572 | $0 | $14,850 | Yes (X) | |||
| Tsu-Hon Wang MD | |||||||||
| Board Secretary & Physician | 40 | 0 | $882,571 | $0 | $14,850 | Yes (X) | |||
| Kevin Tomera MD | |||||||||
| Physician | 40 | 0 | $871,968 | $0 | $14,850 | Yes (X) | |||
| Bin Jatta MD | |||||||||
| Physician | 40 | 0 | $869,180 | $0 | $14,850 | Yes (X) | |||
| David Yoon MD | |||||||||
| Physician | 40 | 0 | $864,224 | $0 | $14,850 | Yes (X) | |||
| Jamie Frantz MD | |||||||||
| Board Member & Physician | 40 | 0 | $821,281 | $0 | $14,850 | Yes (X) | |||
| Kenneth Klein MD | |||||||||
| Board Member & Physician | 40 | 0 | $433,780 | $0 | $6,600 | Yes (X) | |||
| James Bird | |||||||||
| VP of Financial Services | 40 | 0 | Yes (X) | $421,934 | $0 | $14,850 | |||
| Robert Lisek MD | |||||||||
| Board Member & Physician | 40 | 0 | $362,094 | $0 | $14,850 | Yes (X) | |||
| Thomas McCawley | |||||||||
| VP of Human Relations | 40 | 0.00 | $346,728 | $0 | $14,850 | Yes (X) | |||
| Sharon Cox | |||||||||
| VP of Nursing Services | 40 | 0 | $332,764 | $0 | $11,901 | Yes (X) | |||
| Nommo Donald | |||||||||
| Vice President | 40.00 | 0 | $279,827 | $0 | $12,904 | Yes (X) | |||
| James B Fisher | |||||||||
| Board Chair | 0 | 0 | $0 | $0 | $0 | Yes (X) | |||
| Mark Gliebe | |||||||||
| Board Vice Chair | 0 | 0 | $0 | $0 | $0 | Yes (X) | |||
| David McCoy | |||||||||
| Board Treasurer | 0 | 0 | $0 | $0 | $0 | Yes (X) | |||
| Kathy Hendricks | |||||||||
| Board Member | 0 | 0 | $0 | $0 | $0 | Yes (X) | |||
| James Packard | |||||||||
| Board Member | 0 | 0 | $0 | $0 | $0 | Yes (X) | |||
| William DeLong | |||||||||
| Board Member | 0 | 0 | $0 | $0 | $0 | Yes (X) | |||
| John Wong | |||||||||
| Board Member | 0 | 0 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $12,203,175 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $255,406 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 213 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | Address Line2ContractorAddress/USAddress/AddressLine2Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| Hilton M Hudson PC | ||||||
| 5261 Fountain Drive | Suite A | Crown Point | IN | 46307 | Cardiothoracic Surgeon | $870,000 |
| Joseph Kittah MD | ||||||
| 6431 Prairie Park Drive | Eau Claire | WI | 54701 | Pulmonology | $780,000 | |
| Daily Care LLC | ||||||
| 323 N Morrison Street | Suite 100 | Appleton | WI | 54911 | Hospitalist Physicians | $398,252 |
| Yehia Khoga MD | ||||||
| 5136 Wil-Acre Drive | Loves Park | IL | 61111 | Psychiatry | $193,200 | |
| Tabassum Nafsi MD | ||||||
| 9348 Reserve Drive | Caledonia | IL | 61011 | Pulmonology | $152,750 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Outpatient Service Revenue | 622000 | $208,110,702 | $208,110,702 | $0 | $0 |
| Inpatient Service Revenue | 622000 | $60,927,047 | $60,927,047 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $269,037,749 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,183,992 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,183,992 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $531,528 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $531,528 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $531,528 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $531,528 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Wellness Center and Spa Revenue | 622000 | $2,329,168 | $0 | $0 | $2,329,168 |
| Cafeteria and VIP Grille Revenue | 622000 | $539,198 | $0 | $0 | $539,198 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,545,958 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,545,958 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,414,324 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $277,167,593 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $269,037,749 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,129,844 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,692,822 | TotalAmt |
| Program Services | $4,128,005 | ProgramServicesAmt |
| Management And General | $3,564,817 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,513,510 | TotalAmt |
| Program Services | $89,697,971 | ProgramServicesAmt |
| Management And General | $15,815,539 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,030,981 | TotalAmt |
| Program Services | $2,512,092 | ProgramServicesAmt |
| Management And General | $518,889 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,153,976 | TotalAmt |
| Program Services | $19,933,619 | ProgramServicesAmt |
| Management And General | $4,220,357 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,040,544 | TotalAmt |
| Program Services | $5,835,238 | ProgramServicesAmt |
| Management And General | $1,205,306 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,300 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $119,300 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,785,050 | TotalAmt |
| Program Services | $20,444,315 | ProgramServicesAmt |
| Management And General | $1,340,735 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,800,154 | TotalAmt |
| Program Services | $280,127 | ProgramServicesAmt |
| Management And General | $1,520,027 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,883,993 | TotalAmt |
| Program Services | $50,322,617 | ProgramServicesAmt |
| Management And General | $3,561,376 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,345,104 | TotalAmt |
| Program Services | $6,916,464 | ProgramServicesAmt |
| Management And General | $1,428,640 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,209,519 | TotalAmt |
| Program Services | $4,496,846 | ProgramServicesAmt |
| Management And General | $1,712,673 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $255,907 | TotalAmt |
| Program Services | $206,416 | ProgramServicesAmt |
| Management And General | $49,491 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,555,144 | TotalAmt |
| Program Services | $2,609,476 | ProgramServicesAmt |
| Management And General | $945,668 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,926,215 | TotalAmt |
| Program Services | $7,646,505 | ProgramServicesAmt |
| Management And General | $1,279,710 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,676,751 | TotalAmt |
| Program Services | $1,380,754 | ProgramServicesAmt |
| Management And General | $295,997 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Other Purchased Services | $7,055,288 | $3,344,451 | $3,710,837 | $0 |
| Equipment Rental and Maintenance | $5,947,235 | $5,409,057 | $538,178 | $0 |
| WI Provider Tax | $5,337,566 | $5,337,566 | $0 | $0 |
| Collections Expense | $419,124 | $0 | $419,124 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $407,036 | TotalAmt |
| Program Services | $144,126 | ProgramServicesAmt |
| Management And General | $262,910 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $273,155,219 | TotalAmt |
| Program Services | $230,645,645 | ProgramServicesAmt |
| Management And General | $42,509,574 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,893 | BOYAmt |
| EOY | $7,993 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,481,391 | BOYAmt |
| EOY | $23,021,240 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,959,003 | BOYAmt |
| EOY | $36,348,142 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,926,344 | BOYAmt |
| EOY | $5,577,710 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,823,475 | BOYAmt |
| EOY | $6,976,651 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,994,038 | BOYAmt |
| EOY | $1,462,500 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $291,873,474 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $169,929,251 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,741,280 | BOYAmt |
| EOY | $121,944,223 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,568,848 | BOYAmt |
| EOY | $73,065,707 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,300,000 | BOYAmt |
| EOY | $3,300,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,242,876 | BOYAmt |
| EOY | $7,920,042 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $278,045,148 | BOYAmt |
| EOY | $279,624,208 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,848,925 | BOYAmt |
| EOY | $31,694,137 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,766,836 | BOYAmt |
| EOY | $6,690,923 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,326,694 | BOYAmt |
| EOY | $64,859,460 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $267,975 | BOYAmt |
| EOY | $147,530 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,317,231 | BOYAmt |
| EOY | $2,790,651 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,527,661 | BOYAmt |
| EOY | $106,182,701 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,517,487 | BOYAmt |
| EOY | $173,441,507 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,517,487 | BOYAmt |
| EOY | $173,441,507 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $278,045,148 | BOYAmt |
| EOY | $279,624,208 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,012,374 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$26,656,433 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $30,568,079 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preservation Open Space | Yes (X) | PreservationOpenSpaceInd |
| Total Easements | 1 | TotalEasementsCnt |
| Total Acreage | 121 | TotalAcreageCnt |
| Historic Structure Easements | 0 | HistoricStructureEasementsCnt |
| Historic Strctr Easements Aftr | 0 | HistoricStrctrEasementsAftrCnt |
| Modified Easements | 0 | ModifiedEasementsCnt |
| States Easements Held | 1 | StatesEasementsHeldCnt |
| Written Policy Monitoring | 0 | WrittenPolicyMonitoringInd |
| Staff Hours Spent Enforcement | 0 | StaffHoursSpentEnforcementCnt |
| Expenses Incurred Enforcement | $0 | ExpensesIncurredEnforcementAmt |
| Section170h Rqr Stsfd | Yes (1) | Section170hRqrStsfdInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $8,103,971 | OtherCostOrOtherBasisAmt |
| Book Value | $8,103,971 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $162,096,643 | OtherCostOrOtherBasisAmt |
| Depreciation | $77,912,406 | DepreciationAmt |
| Book Value | $84,184,237 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $9,614,102 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,592,439 | DepreciationAmt |
| Book Value | $4,021,663 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $111,190,312 | OtherCostOrOtherBasisAmt |
| Depreciation | $86,424,406 | DepreciationAmt |
| Book Value | $24,765,906 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $868,446 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $868,446 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $121,944,223 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Interest Rate Swap Agreements | $2,290,265 |
| Operating Lease Liabilities | $500,386 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,790,651 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $273,951,452 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $0 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Recoveries Prior Year Grants | $0 | RecoveriesPriorYearGrantsAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $273,951,452 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $0 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $3,216,141 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $3,216,141 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $277,167,593 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $273,123,605 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $0 | DonatedServicesUseFcltsAmt |
| Prior Year Adjustments | $0 | PriorYearAdjustmentsAmt |
| Losses Reported | $0 | LossesReportedAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $273,123,605 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $0 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $31,614 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $31,614 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $273,155,219 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part II, Line 9 | Not applicable |
| Schedule D, Part XI, Line 4b | Interest Income: $3,183,992. Auditor mapping variance: $32,149. Total Other: $3,216,141 |
| Schedule D, Part XII, Line 4b | Auditor mapping variance: $31,614 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,429,669 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,429,669 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0199 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $49,412,921 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,281,419 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,131,502 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0957 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $54,842,590 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,281,419 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,561,171 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1156 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $188,415 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $188,415 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0007 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,246 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,246 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,965 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,965 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $138,804 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $138,804 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0005 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $371,430 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $371,430 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0014 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $55,214,020 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,281,419 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,932,601 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1170 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,782,344 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $41,325,829 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $52,920,395 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$11,594,566 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Beloit Memorial Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1969 West Hart Road | AddressLine1Txt |
| City | Beloit | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53511 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.beloithealthsystem.org | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Beloit Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.beloithealthsystem.org/documents/2021-Full-Community-Health-Assessment.pdf | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | https://www.co.rock.wi.us/home/showpublisheddocument/14843/637807001647670000 | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.beloithealthsystem.org/documents/content/financial-assistance-application-english.pdf | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.beloithealthsystem.org/documents/content/Financial-Assistance-Application-June-2016.pdf | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.beloithealthsystem.org/documents/content/financial-assistance-summary.pdf | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5-Beloit Memorial Hospital | Beloit Health System is one of many partners in the Health Equity Alliance of Rock County (HEAR), which conducted the most current Community Health Needs Assessment (CHNA) in 2021. Key individual interviews were conducted with representatives from the following sectors of the community: local businesses, schools and higher learning institutions, hospitals and clinics, elected leaders, law enforcement, fire and EMS, faith organizations, social services, and community members who have been historically marginalized. |
| Schedule H, Part V, Section B, Line 6a-Beloit Memorial Hospital | Other Hospitals included in the CHNA: 1) Mercy Health 2) Edgerton 3) SSM Health |
| Schedule H, Part V, Section B, Line 6b-Beloit Memorial Hospital | Other organizations participating in the Health Equity Alliance of Rock County (HEAR) Community Health Needs Assessment (CHNA): Aging and Disability Resource Center of Rock County, Alzheimer's Association, American Heart Association, Beloit Area Community Health Center, Beloit Library, Beloit NAACP, Building a Safer Evansville (BASE), City of Beloit, City of Janesville, Community Action, Inc., HealthNet of Rock County, Hedberg Public Library, Inclusa Inc., Janesville Community Center, Janesville Mobilizing 4 Change, Nutrition and Health Associates/Women, Infants, and Children (WIC), Rock County Children's Family Resource Center, Rock County Council on Aging, Rock County Human Services Department, Rock County Public Health Department, Rock-Walworth Comprehensive Family Services Head Start/Early Head Start, School District of Beloit, School District of Janesville, Second Harvest Food Bank, South Central Wisconsin Area Health Education Center, Southwest Wisconsin Workforce Development Board, United Way Blackhawk Region, University of Wisconsin Division of Extension, Vivent Health, Youth 2 Youth 4 Change, YMCA of Northern Rock County, YWCA of Rock County |
| Schedule H, Part V, Section B, Line 11-Beloit Memorial Hospital | Beloit Health System, in conjunction with the county-wide Community Health Needs Assessment (CHNA), will focus on two health needs as are the other participating organizations participating in the Health Equity Alliance of Rock County (HEAR). 1) Reduce Barriers to Mental Health. 2) Improve Access to Care. Beloit Health System has created their own goals for each of these two areas and will be addressing these needs during the triennium years 2022-2024. There are two goals developed for the need of mental health related issues. Goal #1 is to increase the awareness of mental health problems in the community. Beloit Health System will create opportunities to present depression/suicide and other mental health concerns to the community and improve the identification of mental health issues of the patient population. Goal #2 will be to increase the presence of mental health services within the community by partnering with other Beloit Agencies, including but not limited to Beloit School District and Beloit College. There are two goals developed for Access to Care objective. Goal #1 is to increase knowledge of the benefits of healthy lifestyles and the services provided. Activities include but are not limited to partnering with other Beloit agencies to promote and increase activities to improve wellness. Such activities will include the BHS Safety Fair and free information provided at other Beloit events including but not limited to the Beloit Farmers Market, Beloit Senior Center, and the Stateline Boys and Girls Club. Goal #2 is to improve the relationship between patients and providers. Beloit Health System will actively provide information to providers relating to patient experience, access to health information materials, and continue to include cultural competency for providers and employees. In conclusion, Beloit Health System will continue to work in connection with the Rock County Health Department's Health Equity Alliance of Rock County as they continuously monitor trends and programs affecting the health of Rock County. This committee will meet regularly and consist of all not-for-profit health related agencies that serve Rock County. Progress and findings will be presented in annual meetings where all interested parties are invited to attend. Progress on Beloit Health System goals will be presented to our partners and other collaborating organization. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 13 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| Beloit Clinic | |||||
| 1905 E Huebbe Parkway | Beloit | WI | 53511 | Outpatient Physician Clinic | |
| NorthPointe Health and Wellness | |||||
| 5605 E Rockton Road | Roscoe | IL | 61073 | Other Outpatient Physician Clinic and Diagnostic Center | |
| Beloit Cancer Care Center | |||||
| 1670 Lee Lane | Beloit | WI | 53511 | Outpatient Cancer Care Clinic | |
| Beloit At-Home Healthcare | |||||
| 655 3rd Street | Beloit | WI | 53511 | At Home Healthcare Practice | Ste 200 |
| Beloit Regional Hospice | |||||
| 655 3rd Street | Beloit | WI | 53511 | Hospice | Ste 200 |
| Riverside Terrace | |||||
| 3055 S Riverside Drive | Beloit | WI | 53511 | Assisted Living Center | |
| NorthPointe Terrace | |||||
| 5601 Rockton Road | Roscoe | IL | 61073 | Assisted Living Center | |
| Occupational Health Sports and Family Medicine | |||||
| 1650 Lee Lane | Beloit | WI | 53511 | Outpatient Physician Clinic | |
| West Side Clinic | |||||
| 1735 Madison Ave | Beloit | WI | 53511 | Outpatient Physician Clinic | |
| Clinton Clinic | |||||
| 307 Ogden Ave | Clinton | WI | 53525 | Outpatient Physician Clinic | |
| Janesville Clinic | |||||
| 1321 Creston Park | Janesville | WI | 53545 | Outpatient Physician Clinic | |
| Darien Clinic | |||||
| 300 N Walworth | Darien | WI | 53114 | Outpatient Physician Clinic | |
| South Beloit Clinic | |||||
| 1655 Blackhawk Blvd | South Beloit | IL | 61080 | Outpatient Physician Clinic | |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 6a | Each year Beloit Health System prepares a community benefit report using the guidelines of the Wisconsin Hospital Association (WHA). It is then submitted to WHA for data tracking and reporting purposes. |
| Schedule H, Part I, Line 7 | Costing methodology used: Ratio of Patient Care Cost to Charges with guidance from the IRS worksheets in the instructions. |
| Schedule H, Part I, Line 7, Column f | Not applicable |
| Schedule H, Part I, Line 7g | Not applicable |
| Schedule H, Part III, Section A, Line 4 | Page 14 through 16 of the attached audit report discusses patient service revenue and bad debt expense. The costing methodology used was the Ratio of Patient Care Cost to Charges. |
| Schedule H, Part III, Section B, Line 8 | Medicare Allowable Costs were determined by using the Health Systems' Cost to Charge Ratio and applying that percentage to the amount of Medicare Charges obtained from the Provider Statistical and Reimbursement System (PSR) with 2023 service dates. |
| Schedule H, Part III, Section C, Line 9b | The Health Sytem's collection policy states that patient accounts that have aged at least 84 days to be reviewed for possible collection and pre-collection activity by a Financial Counselor. If it has been determined that no payment is forthcoming from a third-party payer and the patient has failed to establish an acceptable payment arrangement, a pre-collection letter shall be sent to the patient by a collection agency. If satisfactory payment arrangements are not made within 15 days of the pre-collection letter, the account status shall be changed to Bad Debt. All accounts in a Bad Debt status are transferred to a collection agency on a daily basis. Pre-collection accounts are transferred on the same dates. Upon patient request, it is the policy of Beloit Health System to consider a Charity Care adjustment if all other avenues have been exhausted and the patient shows there is no means of making payment on the account. All uninsured patients shall be granted an automatic "Uninsured Patient Discount" under Beloit Health System's Financial Assistance Policy which means that such patients are not charged more than the amounts generally billed to insured patients for the same emergency or other medically necessary care to preserve life or limb. Charity care adjustments are available to eligible persons requiring medically necessary treatment but who are unable to pay for medical services to preserve life or limb. Eligibility for charity care shall be extended to those persons whose family income does not exceed 200% of the current Federal Poverty Guidelines. Persons whose income is not more than 400% of the Guidelines may be eligible for charity care on a reduced charge basis. Charity care adjustments are based on the application materials and other information required under Beloit Health System's Financial Assistance Policy. A charity care adjustment shall be considered only after review of the patient's account and a determination has been made that no third-party reimbursement is available. A Charity Care application may be completed in person with the assistance of a Credit Consultant, or it may be sent by mail accompanied by a letter of explanation from the Credit Consultant. Upon review of the Charity Care application, the Credit Consultant shall determine eligibility and notify the patient of the outcome. If the application receives partial approval, the amount owed by the patient shall be indicated in the appropriate location on the determination notice letter. Also indicated on the form shall be 100% approvals or denials. Charity care approvals shall be in effect for additional services rendered within 90 days of the date of approval. After 90 days, updated financial information may be requested. Beloit Health System will not initiate Extraordinary Collection Actions until an initial determination of Financial Assistance eligibility status is made. Where Beloit Health System initially determines that a patient may be eligible for Financial Assistance, all Extraordinary Collection Actions (including civil actions, garnishments, and reports to collections or credit agencies) shall cease pending a final determination of Financial Assistance eligibility, and further action will not be taken on existing Extraordinary Collection Actions. |
| Schedule H, Part VI, Line 2 | In addition to the CHNA County-Wide Plan, Beloit Health System also uses a couple other methods to assess healthcare needs of the community. First, a marketing group is utilized for the purpose of collecting data through phone interviews, mailings, etc. what the needed medical services are, how our services are perceived, and if there are any disconnects between those community needs, our actual services, and the community perception. Second, the Health System also looks at out migration data. Often limited to CMS data, this is what services (by CPT codes) were billed for residents of a particular zip code and where they go to get that service. If the volume of people going to other facilities is large, the Health System will review the costs, etc. of providing that service within the Health System. |
| Schedule H, Part VI, Line 3 | Information about Beloit Health System's financial assistance policy is available on the System's own website as well as in all patient rooms. In addition, admissions staff are trained to offer financial assistance applications to all uninsured patients who inquire at the time of registration. Finally, every patient billing statement includes contact information for the System's financial assistance policy. |
| Schedule H, Part VI, Line 4 | Rock County is centrally located in the southern part of Wisconsin near the Illinois-Wisconsin border. It encompasses the following cities in its region: Beloit, Brodhead, Clinton, Edgerton, Evansville, Footvile, Fulton, Hanover, Janesville, Johnstown, Magnolia, Milton, Newark, Orfordville, Tiffany, and Union. A population over 160,000 people makes it the 9th largest county in Wisconsin. While the county is slightly less diverse in race and ethnicity than Wisconsin and the United States, the county has seen increases in rates of Black or African American, Asian, Hispanic and Latina, and American Indian and Alaska Native population across the last decade. The White population makes up the majority of Rock County's population at 82.3%. As a whole, Rock County has higher rates of poverty than Wisconsin and the United States with 12.3% of the population living under the poverty threshold. Though poverty is a complex issue with many contributing factors, health, education, and employment status are often good indicators of an area's poverty rate. In terms of health, Rock County has a higher rate of individuals under 65 years old without health insurance and a higher rate of people living with disability than the United States. Additionally, Rock County has a significantly lower proportion of its population with a bachelor's degree or higher. Currently, 22.1% of Rock County has attained a degree from higher education while 30.1% and 32.1% of Wisconsin and the Unites States, respectively, have achieved this level of education. Unemployment rates in Rock County and Wisconsin are lower than the United States rate at 3.4%. |
| Schedule H, Part VI, Line 5 | The Health System provides health care services and other financial support through various programs that are designed, among other matters, to enhance the health of the community, including the health of low-income patients. They System actively provided or participated in the following community-based activities and programs during 2023. 1) General health education services such as health fairs, cancer education, heart health education, family planning, and mental health education. 2) Provided health information on the System's website through health-related publications distributed at no charge. 3) Support groups such as AIDS/HIV, diabetes, substance abuse, and weight management. 4) Self-help and wellness programs, such as nutrition, weight management and sports injury prevention. 5) Blood pressure screenings, cholesterol testing, and hearing tests. 6) Crisis intervention counseling. 7) Guidance, referral, and enrollment assistance for public medical programs and other family support assistance. 8) Provided discounted or free medical supplies and equipment to those unable to pay. 9) Delivered hot in-home meals. 10) Provided emergency bus tokens for the indigent to access health care services. 11) Promoted participation in blood drives by employees. 12) Contributed to the education of student nurses and other health care professionals. The Health System also subsidized counseling and dialysis services, provided first aid to community events at no cost, and made cash contributions to support community events. Consistent with the mission of the Health System, care is provided to patients regardless of their ability to pay, including providing services to those patients who cannot afford health insurance because of inadequate resources or are underinsured. The Health System gives discounts from the established charges to self-pay patients without regard to the patient's ability to pay and considers these discounts a part of their community benefit. Health care services to patients under governmental programs, such as Medicaid, are also considered part of the Health System's benefit provided to the community since a substantial portion of such services are reimbursed at amounts less than the cost of providing care. |
| Schedule H, Part VI, Line 6 | Not applicable |
| Schedule H, Part VI, Line 7 | Beloit Health System files a community benefit report through the Wisconsin Hospital Assocation. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Timothy M McKevett | ||||||||||||||
| Non Voting Board Member & System President & CEO | $658,113 | $0 | $347,251 | $0 | $350,329 | $0 | $45,801 | $0 | $0 | $0 | $1,401,494 | $0 | $350,329 | $0 |
| Roger Kapoor MD | ||||||||||||||
| VP of Physician Clinics/Medical Affairs/Physician | $1,133,085 | $0 | $165,602 | $0 | $0 | $0 | $14,850 | $0 | $0 | $0 | $1,313,537 | $0 | $0 | $0 |
| Leo Egbujiobi MD | ||||||||||||||
| Board Member & Physician | $1,157,463 | $0 | $0 | $0 | $0 | $0 | $14,850 | $0 | $0 | $0 | $1,172,313 | $0 | $0 | $0 |
| Glenn Tan MD | ||||||||||||||
| Physician | $1,004,409 | $0 | $0 | $0 | $0 | $0 | $14,850 | $0 | $0 | $0 | $1,019,259 | $0 | $0 | $0 |
| Paul Segal MD | ||||||||||||||
| Physician | $900,572 | $0 | $0 | $0 | $0 | $0 | $14,850 | $0 | $0 | $0 | $915,422 | $0 | $0 | $0 |
| Tsu-Hon Wang MD | ||||||||||||||
| Board Secretary & Physician | $882,571 | $0 | $0 | $0 | $0 | $0 | $14,850 | $0 | $0 | $0 | $897,421 | $0 | $0 | $0 |
| Kevin Tomera MD | ||||||||||||||
| Physician | $871,968 | $0 | $0 | $0 | $0 | $0 | $14,850 | $0 | $0 | $0 | $886,818 | $0 | $0 | $0 |
| Bin Jatta MD | ||||||||||||||
| Physician | $869,180 | $0 | $0 | $0 | $0 | $0 | $14,850 | $0 | $0 | $0 | $884,030 | $0 | $0 | $0 |
| David Yoon MD | ||||||||||||||
| Physician | $864,224 | $0 | $0 | $0 | $0 | $0 | $14,850 | $0 | $0 | $0 | $879,074 | $0 | $0 | $0 |
| Jamie Frantz MD | ||||||||||||||
| Board Member & Physician | $821,281 | $0 | $0 | $0 | $0 | $0 | $14,850 | $0 | $0 | $0 | $836,131 | $0 | $0 | $0 |
| Kenneth Klein MD | ||||||||||||||
| Board Member & Physician | $433,780 | $0 | $0 | $0 | $0 | $0 | $6,600 | $0 | $0 | $0 | $440,380 | $0 | $0 | $0 |
| James Bird | ||||||||||||||
| VP of Financial Services | $359,680 | $0 | $62,254 | $0 | $0 | $0 | $14,850 | $0 | $0 | $0 | $436,784 | $0 | $0 | $0 |
| Robert Lisek MD | ||||||||||||||
| Board Member & Physician | $362,094 | $0 | $0 | $0 | $0 | $0 | $14,850 | $0 | $0 | $0 | $376,944 | $0 | $0 | $0 |
| Thomas McCawley | ||||||||||||||
| VP of Human Relations | $281,137 | $0 | $65,591 | $0 | $0 | $0 | $14,850 | $0 | $0 | $0 | $361,578 | $0 | $0 | $0 |
| Sharon Cox | ||||||||||||||
| VP of Nursing Services | $265,775 | $0 | $66,989 | $0 | $0 | $0 | $11,901 | $0 | $0 | $0 | $344,665 | $0 | $0 | $0 |
| Nommo Donald | ||||||||||||||
| Vice President | $244,482 | $0 | $35,345 | $0 | $0 | $0 | $12,904 | $0 | $0 | $0 | $292,731 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a | Memberships are paid on behalf of all individuals listed on Part VII Section A. These memberships are to the Health System's Fitness Center as well as different social clubs and organizations. This promotes overall health and wellness, social aspects, and getting involved in the community for the Board and key employees of Beloit Health System. |
| Schedule J, Part I, Line 4 | 409(a) Plan Participant is Timothy McKevett. $350,329 was received in 2023 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Wisconsin Health and Educational Facilities Authority | ||||||||
| A | 391337855 | 000000000 | 2013-02-26 | $10,864,000 | Proceeds used for contruction of Cancer Care Center | 0 | 0 | 0 |
| Wisconsin Health and Educational Facilities Authority | ||||||||
| B | 391337855 | 97712DRD0 | 2016-05-25 | $16,801,384 | Proceeds used for construction of Ambulatory Surgery Center and renovations for Heart Hospital | 0 | 0 | 0 |
| Wisconsin Health and Educational Facilities Authority | ||||||||
| C | 391337855 | 97712D3P9 | 2020-01-07 | $23,981,474 | Refund prior issue (10/21/10) | 0 | 0 | 0 |
| Illinois Finance Authority | ||||||||
| D | 861091967 | 000000000 | 2020-10-01 | $29,265,000 | Refund prior issue (10/21/10) | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $7,182,359 | $0 | $10,864,000 | $0 | $0 | $0 | $110,000 | $0 | $0 | $10,754,000 | $0 | $0 | 2014 | 0 | 0 | Yes (1) | Yes (1) |
| B | $0 | $0 | $16,820,218 | $0 | $0 | $0 | $301,384 | $0 | $0 | $16,518,834 | $0 | $0 | 2017 | 0 | 0 | Yes (1) | Yes (1) |
| C | $3,745,000 | $0 | $24,066,904 | $0 | $0 | $0 | $401,397 | $0 | $0 | $0 | $23,665,506 | $0 | 2010 | Yes (1) | 0 | Yes (1) | Yes (1) |
| D | $4,090,000 | $0 | $29,265,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $29,265,000 | $0 | 2007 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part IV, Line 2c-02/26/2013 10,864,000 Wisconsin Health and Educational Facilities Autho | Date the Rebate Computation was performed: 01/31/2018. Note regarding the rebate computation: This debt was issued on a draw-down basis and amounts were drawn as project costs were incurred. As no rebatable arbitrage was earned and the debt service fund was operated on a bona fide basis, no further rebate analysis is necessary. |
| Schedule K, Part IV, Line 2c-05/25/2016 16,801,384 Wisconsin Health and Educational Facilities Autho | Date the Rebate Computation was performed: 04/30/2020. Note regarding the rebate computation: Since the bond proceeds have been spent, a spending exception was met, and the debt service fund was operated on a bona fide basis, no further rebate calculations are necessary. Total proceeds do not agree to the issue price in Part I, Column E due to investment earnings. |
| Schedule K, Part IV, Line 2c-01/07/2020 23,981,474 Wisconsin Health and Educational Facilities Autho | Date the Rebate Computation was performed: 07/07/2020. Note regarding the rebate computation: Since the bond proceeds have been spent, a spending exception was met, and the debt service fund was operated on a bona fide basis, no further rebate calculations are necessary. Total proceeds do not agree to the issue price in Part I, Column E due to investment earnings. |
| Schedule K, Part IV, Line 2c-10/01/2020 29,265,000 Illinois Finance Authority | Date the Rebate Computation was performed: 10/01/2020. Note regarding the rebate computation: Since the bond proceeds have been spent, a spending exception was met, and the debt service fund was operated on a bona fide basis, no further calculations are necessary. |
Schedule K IRS990ScheduleK
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 2 | One member of Beloit Health System's Board is currently an employee of First National Bank and Trust Company, which holds banking accounts and a bond hedge of Beloit Health System. Any relationship between this member and other Board members or key employees are considered normal banking relationships, and all transactions are within the normal course of business. |
| Form 990, Part VI, Section A, Line 9 | James Fischer: 1754 Sherwood Drive, Beloit WI 53511...Mark Gliebe: 13055 Promontory Trail, Roscoe IL 61073...David McCoy: 2311 E. Ridge Road, Beloit WI 53511...Kathy Hendricks: 1 ABC, Beloit WI 53511...James Packard: 7613 McCurry Road, Roscoe IL 61073...William DeLong: 8339 County Road X, Clinton WI 53525...John Wong: 2719 Sharon Drive, Beloit WI 53511 |
| Form 990, Part VI, Section B, Line 11b | The 2023 Form 990 was prepared by an employee of the Health System's accounting staff and is reviewed by the VP of Financial Services, where it is then electronically signed. Prior to filing the return, a draft copy is given to the Board for review at a regularly scheduled meeting. If no changes are recommended, the return will then be e-filed. |
| Form 990, Part VI, Section B, Line 12c | It is the policy of Beloit Health System that any leadership staff who believes he or she may be acting in contrary to the conflict-of-interest policy to promptly disclose the conflict to his or her supervisor. Other employees should immediately report all known, observed or potential conflict of interests to their immediate supervisor or Human Resources. It is the responsibility of the President and CEO to enforce and interpret this policy on all related matters. |
| Form 990, Part VI, Section B, Line 15 | The Health System Board of Directors had established a Compensation Committee to evaluate the CEO and Vice Presidents' performance based on criteria and links performance evaluation to compensation. This committee meets at least two times per year to establish and review measurable goals. Outside directors establish performance criteria, compensation, and benefit programs for the CEO and Vice Presidents. |
| Form 990, Part VI, Section C, Line 19 | Beloit Health System makes its financial statements available to the public via summary in the annual financial report which is posted on the Health System's website (www.beloithealthsystem.org). Also available on the website is the Board of Trustees Principle Based Governance Policy. It has been adopted by the Trustees and applies to all aspects of governance to create a consistent, effective, and continuously improving governance system. The principles are divided into three categories: 1) Board of Independence and Leadership 2) Board of Processes and Evaluation 3) Board Structure |
| Form 990, Part XI, Line 9 | Change in fair value of effective portion of interest swap agreements: $125,971. Net assets released from restrictions for capital improvement: $1,094,724. Change in pension obligation other than pension expense: $29,347,384. Total other changes in net assets: $30,568,079 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Beloit Health System Foundation Inc | ||||||||||
| 1969 West Hart Road | Beloit | WI | 53511 | 391477854 | Support Beloit Health System | WI | 501(c)(3) | 3 | N/A | 0 |
| Beloit Memorial Hospital Auxiliary Inc | ||||||||||
| 1969 West Hart Road | Beloit | WI | 53511 | 390928583 | Support Beloit Health System | WI | 501(c)(3) | 3 | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Beloit Health System Foundation Inc | ||
| c | $2,220,340 | Actual cash contributed to Beloit Health System, Inc. |
| Beloit Health System Foundation Inc | ||
| n | $0 | Beloit Health System Foundation uses office space at Beloit Health System. No cash consideration is received. |
| Beloit Memorial Hospital Auxiliary Inc | ||
| n | $0 | Beloit Memorial Hospital Auxiliary uses office space at Beloit Health System. No cash consideration is received. |
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