2019-05-14T17:44:57-05:00 2018-06-30 990 2017-07-01 390816818 Ascension NE Wisconsin Inc (FKA St Elizabeth Hospital Inc) ASCE 3147338000 1506 South Oneida Street Appleton WI 549151397 Tonya Mershon Tax Officer 2019-05-14 2017 2019-02-21 02:37:17Z Monica Hilt 400 W River Woods Parkway Glendale WI 53212 228501100 false 0928 X SEE SCHEDULE O X 1999 WI TO IMPROVE THE HEALTH AND WELL-BEING OF ALL PEOPLE IN THE COMMUNITIES WE SERVE. 10 6 1303 280 210942 0 220952 541789 204834164 226482855 109291 -305030 854356 1476456 206018763 228196070 0 0 0 0 64712182 67948534 0 0 -68 106309044 157441938 171021226 225390472 34997537 2805598 214170022 319189143 95406975 53235297 118763047 265953846 OUR MISSION AS PART OF 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 WE SERVE. false false 133983271 226541483 ASCENSION NE WISCONSIN, INC. (F/K/A ST. ELIZABETH HOSPITAL, INC.) IS A 299-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2018, ASCENSION NE WISCONSIN, INC. (F/K/A ST. ELIZABETH HOSPITAL, INC.) TREATED 12,417 ADULTS AND CHILDREN FOR A TOTAL OF 49,182 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 344,107 OUTPATIENT VISITS, WHICH INCLUDED 16,350 OUTPATIENT SURGERIES AND 48,006 EMERGENCY ROOM VISITS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. 133983271 true true false true false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 145 0 true 1303 true true true false false false false false true false false false X 10 6 false false false false true true true true true false false false true true true true true false false false WI X Sara O'Brien 3147338070 11775 BORMAN DRIVE MARYLAND HEIGHTS MO 63146 JOHN RUSSO CHAIR 1.0 3.0 X X 0 0 0 MARK W FAUSTICH MD SECRETARY 1.0 49.0 X X 0 411084 42435 BRIAN WALLACE TREASURER 1.0 3.0 X X 0 0 0 MONICA A HILT BOARD MEMBER/HOSPITAL PRESIDENT AND REGIONAL VP 8.0 42.0 X X 0 531126 44932 MARLIN GREENFIELD BOARD MEMBER 1.0 3.0 X 0 0 0 MARK KEHRBERG MD BOARD MEMBER 1.0 3.0 X 0 0 0 TOM MCDERMOTT JR BOARD MEMBER (START 8/2017) 1.0 3.0 X 0 0 0 WENDY L SCHROEDER DO BOARD MEMBER 1.0 49.0 X 0 431515 45057 SUDEEP S SODHI MD BOARD MEMBER 1.0 49.0 X 0 1682115 60593 WAYNE WIETING VICE CHAIR 1.0 3.0 X 0 0 0 JONATHAN SOHN CFO - ASCENSION, WI 2.0 48.0 X 0 903904 48367 THOMAS E CROWLEY PRESIDENT - ASCENSION NE WISCONSIN 20.0 30.0 X 0 266400 36861 LAWRENCE R DONATELLE VP MEDICAL AFFAIRS 15.0 35.0 X 0 388724 44564 JAMES D ROOT VP OPERATIONS 50.0 0.0 X 0 169682 12519 SCOTT D MOON MEDICAL PHYSICIST-NE 50.0 0 X 212390 0 32421 TONYA L DEDERING REGIONAL DIRECTOR FOUNDATIONS 48.0 2.0 X 199614 0 15842 NANETTE W KRIZENESKY RN LEAD-ICU 50.0 0 X 181710 0 39454 MICHAEL A HOFFMAN REG DIR-PERIOPRATIVE SERVICES 50.0 0 X 171157 0 36042 JEAN A MCDONALD REGIONAL DIR ONCOLOGY SERVICES 50.0 0 X 167001 0 1901 DANIEL E NEUFELDER FORMER OFFICER (END 9/2016) 0.0 0.0 X 0 996775 0 931872 5781325 460988 45 true true false GREEN BAY ONCOLOGY LTD 1726 SHAWANO AVE GREEN BAY WI 543033216 ONCOLOGY SERVICES 2112702 SPECIALTYCARE CARDIOVASCULAR RESOURCES 3100 WEST END AVE STE 800 NASHVILLE TN 37203 CARDIOVASCULAR SERVICES 1231065 CATALPA HEALTH 444 N WESTHILL BLVD APPLETON WI 549145715 MENTAL HEALTH SERVICES 1217463 INTEGRATED HEALTH NETWORK OF WISCONSIN LLC 19601 W BLUEMOUND ROAD SUITE 200 BROOKFIELD WI 53045 MEDICAL SERVICES 1155248 CHILDRENS HOSPITAL OF WI PO BOX 1997 MILWAUKEE WI 53201 PHYSICIAN SERVICES 828318 13 X 0 0 0 541789 0 541789 Net Patient Service Revenue 621990 224356566 224145624 210942 Rental Income from Affiliates 531120 2797543 2797543 Income from Joint Ventures 900099 -460188 -460188 Pharmacy Revenue 446110 342296 342296 Management Fees 561000 415 415 -553777 -553777 0 0 226482855 0 0 0 0 0 0 72508 0 0 72508 0 72508 72508 0 0 305030 0 -305030 -305030 -305030 0 0 0 0 0 0 0 0 Cafeteria/Vending Revenue 722514 1105314 1105314 Education Revenue 611430 34760 34760 Research Revenue 900099 23868 23868 240006 0 0 240006 1403948 228196070 226330541 210942 1112798 53643587 52485145 1158442 10486730 10260267 226463 3818217 3735762 82455 140624 26305 114319 663 663 33533 33533 11187 11187 4984148 3984163 999985 0 75539 42019 33520 432815 290804 135154 6857 16318 14509 1809 3773434 1484835 2288599 78082 65138 10592 2352 68660 65443 2796 421 1942 1942 13406200 6974364 6431836 13243 13243 Medical Supplies 42252979 42001879 251100 Management Fee to Affiliate 26165777 26165777 Corporate Overhead Allocation 24433250 24433250 Physician Fees to Affiliate 20982785 53881 20928904 20570759 12498757 8081700 -9698 225390472 133983271 91407269 -68 4930 8697 772689 286559 4937 0 31032880 52924259 0 0 0 0 0 0 4045032 6359745 262709 490507 327681897 80368082 168462067 247313815 0 0 0 3257666 4924237 0 0 6327112 6881324 214170022 319189143 11794454 16822877 0 0 240282 0 0 0 0 0 0 0 0 0 0 0 83372239 36412420 95406975 53235297 X 118445336 264406151 317711 842675 0 705020 118763047 265953846 214170022 319189143 X 2805598 2450 144382751 X false true X true true true X false false false false false false false false true 11187 11187 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. ASCENSION NE WISCONSIN, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. ASCENSION NE WISCONSIN, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. 14037550 14037550 227243868 37226932 190016936 801769 168110 633659 70873111 42105371 28767740 14725599 867669 13857930 247313815 0 Lease Liability Net Long-Term Debt FIN48 Liability Other Miscellaneous Liabilities AH Savings Plan Liability Due to Affiliates 32204679 Estimated 3rd Party Payor Settlement 2376814 Recovery Tail Liability 974395 Accrued Tax Liability 191305 Asset Retirement Obligation 326774 Lease Liability 187384 Other Miscellaneous Liabilities 151069 36412420 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2018. true true X true X 250 true X true true true false true true 2160966 101884 2059082 0.0091 40998241 36204986 4793255 0.0213 0 0.0 0 0 43159207 36306870 6852337 0.0304 208909 6363 202546 0.0009 1580607 188741 1391866 0.0062 11290915 7448264 3842651 0.0170 87308 0 87308 0.0004 67872 0 67872 0.0003 0 0 13235611 7643368 5592243 0.0248 0 0 56394818 43950238 12444580 0.0552 0 0.0 0 0.0 85 85 0.0000 0 0.0 0 0.0 0 0.0 158 158 0.0000 3650 3650 0.0000 0 0.0 0 0 3893 0 3893 0.0000 false 3363027 68372 112800653 131897701 -19097048 X true true 2 1 ASCENSION NE WISCONSIN INC (FKA ST ELIZABETH HOSPITAL INC) 1506 SOUTH ONEIDA STREET APPLETON WI 54915 https://healthcare.ascension.org/Locations/Wisconsin/WIAPA/Appleton-Ascension-NE-Wisconsin-St-Elizab 88 X X X X A 2 MERCY MEDICAL CENTER OF OSHKOSH INC 500 SOUTH OAKWOOD ROAD OSHKOSH WI 54904 https://healthcare.ascension.org/Locations/Wisconsin/WIAPA/Oshkosh-Ascension-NE-Wisconsin-Mercy-Camp 186 X X X A A false false true X X X X X X X X X 15 true true true true X SEE PART VI X true 15 true SEE PART VI false true X 250.0 400.0 X X X X X true true X X X true X https://healthcare.ascension.org/Financial-Assistance/wisconsin X https://healthcare.ascension.org/Financial-Assistance/wisconsin X https://healthcare.ascension.org/Financial-Assistance/wisconsin X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 3E TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - ASCENSION NE WISCONSIN, INC. (F/K/A ST. ELIZABETH HOSPITAL, INC.) AND MERCY MEDICAL CENTER OF OSHKOSH, INC.. ASCENSION NE WISCONSIN, INC. (F/K/A ST. ELIZABETH HOSPITAL, INC.) AND MERCY MEDICAL CENTER OF OSHKOSH ,INC.'S CHNA PROCESS INCLUDED THREE SPECIFIC EFFORTS TO SEEK INPUT FROM COMMUNITY MEMBERS, INCLUDING MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AND FROM ORGANIZATIONS THAT SERVE THOSE POPULATIONS. FIRST, A TELEPHONE SURVEY OF RESIDENTS WAS CONDUCTED IN EARLY CALENDAR YEAR 2015. THE SURVEY INCLUDED QUESTIONS HEALTH PRACTICES AND HEALTH-RELATED RISK BEHAVIORS AND WAS DOCUMENTED IN A REPORT. SECOND, IN AUGUST AND SEPTEMBER 2015, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH STAKEHOLDERS IN THE COMMUNITY, INCLUDING WITH LEADERS OF ORGANIZATIONS THAT SERVE THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. PARTICIPANTS WERE ASKED ABOUT THE MOST IMPORTANT HEALTH ISSUES FOR THE REGION AS WELL AS EXISTING STRATEGIES, RESOURCES AND BARRIERS IN ADDRESSING THEM. (SEE BELOW FOR LIST OF KEY INFORMANTS' ORGANIZATIONS.) FINALLY, IN SEPTEMBER AND OCTOBER 2015, A SURVEY WAS DISTRIBUTED ELECTRONICALLY TO A VARIETY OF COMMUNITY PARTNERS AND AGENCIES THAT SERVE VULNERABLE POPULATIONS, INCLUDING THE WOMEN, INFANTS AND CHILDREN (WIC) CLINICS, SENIOR CENTERS, FOOD PANTRIES, COMMUNITY CLINICS AND OTHERS. THE SURVEY WAS AVAILABLE IN SPANISH FOR THOSE ORGANIZATIONS AND AGENCIES THAT SERVE SPANISH-SPEAKING INDIVIDUALS. THE SURVEY ASKED ABOUT THE MOST IMPORTANT HEALTH ISSUES FOR THE REGION. KEY INFORMANT INTERVIEWS WERE CONDUCTED REGIONALLY, INCLUSIVE OF OUTAGAMIE AND WINNEBAGO COUNTIES. REPRESENTATIVES FROM THE AGENCIES BELOW WERE INTERVIEWED. (NOTE: SOME AGENCIES HAD MULTIPLE INDIVIDUALS WHO WERE INTERVIEWED.) * UNIVERSITY OF WISCONSIN- OSHKOSH HEAD START *, ** * SAMARITAN COUNSELING CENTER *, **, *** * YMCA OF THE FOX CITIES *, **, *** * N. E. W. MENTAL HEALTH CONNECTION *, **, *** * HEART OF THE VALLEY CHAMBER OF COMMERCE * WISCONSIN DNR * MENASHA HEALTH DEPARTMENT * GOODWILL INDUSTRIES OF NORTH CENTRAL WI *, **, *** * AFFINITY HEALTH SYSTEM* *, **, *** * CASA HISPANA *,*** * COMMON GROUND *, *** * ESTHER *, *** * J.J. KELLER FOUNDATION *, ** * THEDACARE (INCLUDING TRAUMA, AND AT WORK / WELL CITY FOX CITIES) * ST. THERESE CHURCH *, *** * INCLUDE *, **, *** * APPLETON HEALTH DEPARTMENT *, **, *** * CITY OF APPLETON POLICE * CITY OF APPLETON *** * APPLETON DOWNTOWN, INC. * HOPE CLINIC/ALLIANCE *, **, *** * UNITED WAY FOX CITIES *, **, *** * CATALPA HEALTH *, **, *** * EAST CENTRAL WISCONSIN REGIONAL PLANNING COMMISSION * AFFINITY HEALTH SYSTEM* *, **, *** * HOMELESS CONNECTIONS * * CHILDREN'S HOSPITAL OF WISCONSIN- FOX VALLEY *, **, *** * CHILD CARE RESOURCE & REFERRAL *, *** * AFRICAN HERITAGE, INC. *** * HISPANIC CHAMBER OF COMMERCE OF WI *, *** * WEIGHT OF THE FOX VALLEY/ UNITED WAY * ST. ELIZABETH HOSPITAL, AFFINITY HEALTH SYSTEM* *, **, *** * HARBOR HOUSE *, **, *** * WISCONSIN SAFE AND HEALTHY SCHOOLS CENTER *, *** * PARTNERSHIP COMMUNITY HEALTH CTR. *, **, *** * PARENT CONNECTION OF FAMILY SERVICES * U.S. VENTURE, INC. * * BIG BROTHERS BIG SISTERS OF THE FOX VALLEY * * EVOLVE *, **, *** * OUTAGAMIE COUNTY * OUTAGAMIE COUNTY SHERIFF'S DEPARTMENT *, *** * OUTAGAMIE COUNTY AGING AND DISABILITY RESOURCE CENTER *, **, *** * OUTAGAMIE COUNTY PUBLIC HEALTH- WOMEN, INFANTS, AND CHILDREN (WIC) PROGRAM *, *** * EARLY INTERVENTION PROGRAM (BIRTH TO THREE) * COMMUNITY EARLY LEARNING CENTER BOARD * RAWHIDE BOYS RANCH * VALLEY BAPTIST CHURCH *, **, *** * UNIVERSITY OF WISCONSIN- EXTENSION *, *** * WINNEBAGO COUNTY HEALTH DEPARTMENT * FUTURE NEENAH * OSHKOSH YMCA * * WINNEBAGO COUNTY DEPARTMENT OF HUMAN SERVICES *, **, *** * WINNEBAGO COUNTY CORONER * RE:TH!NK YOUTH COALITION * OSHKOSH NORTHWESTERN * WINNEBAGO'S HEALTHY LIVING PARTNERSHIP * AURORA MEDICAL CENTER OSHKOSH * CHILDREN'S HOSPITAL OF WISCONSIN- FOX VALLEY * * OSHKOSH PUBLIC LIBRARY & WINNEFOX LIBRARY SYSTEM * MERCY MEDICAL CENTER, AFFINITY HEALTH SYSTEM *, **, *** * TOWN OF MENASHA PARKS AND RECREATION * OSHKOSH AREA SCHOOL DISTRICT *, *** * MERCY HEALTH FOUNDATION ** * UNIVERSITY OF WISCONSIN- EXTENSION, WINNEBAGO COUNTY EXTENSION OFFICE *** * BOYS AND GIRLS CLUB *, **, *** * COMMUNITY FOR HOPE *, **, *** * OSHKOSH AREA UNITED WAY *, **, *** * OSHKOSH AREA COMMUNITY FOUNDATION * * OSHKOSH AREA SCHOOL DISTRICT * UNIVERSITY OF WISCONSIN- OSHKOSH * WINNEBAGO COUNTY DEPARTMENT OF HUMAN SERVICES * UNIVERSITY OF WISCONSIN- OSHKOSH LIVING HEALTHY COMMUNITY CLINIC *, **, *** * EMMANUEL UNITED CHURCH OF CHRIST * * DENOTES THAT THE ORGANIZATION AND/OR THE KEY INFORMANT'S POSITION REPRESENTS LOW-INCOME POPULATIONS ** DENOTES THAT THE ORGANIZATION AND/OR THE KEY INFORMANT'S POSITION REPRESENTS MEDICALLY UNDERSERVED POPULATIONS *** DENOTES THAT THE ORGANIZATION AND/OR THE KEY INFORMANT'S POSITION REPRESENTS MINORITY POPULATIONS * AFFINITY HEALTH SYSTEM IS PART OF MINISTRY HEALTH CARE Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - ASCENSION NE WISCONSIN, INC. (F/K/A ST. ELIZABETH HOSPITAL, INC.) AND MERCY MEDICAL CENTER OF OSHKOSH, INC.. THE ST. ELIZABETH AND MERCY CHNAS WERE CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITY(S): CALUMET MEDICAL CENTER CHILDREN'S HOSPITAL OF WISCONSIN - FOX VALLEY AURORA MEDICAL CENTER OSHKOSH THEDACARE REGIONAL MEDICAL CENTER - APPLETON (FORMERLY APPLETON MEDICAL CENTER) Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - ASCENSION NE WISCONSIN, INC. (F/K/A ST. ELIZABETH HOSPITAL, INC.) AND MERCY MEDICAL CENTER OF OSHKOSH, INC.. THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITY(S): CALUMET PUBLIC HEALTH DEPARTMENT OUTAGAMIE COUNTY PUBLIC HEALTH DEPARTMENT WINNEBAGO COUNTY PUBLIC HEALTH DEPARTMENT CITY OF APPLETON PUBLIC HEALTH DEPARTMENT CITY OF MENASHA PUBLIC HEALTH DEPARTMENT Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - ASCENSION NE WISCONSIN (F/K/A ST. ELIZABETH HOSPITAL, INC.) AND MERCY MEDICAL CENTER OF OSHKOSH, INC.. ST ELIZABETH: USING THE CHNA COMPLETED IN JUNE 2016, THE HOSPITAL DEVELOPED, ADOPTED, AND WORKED ON EXECUTING A THREE-YEAR IMPLEMENTATION STRATEGY TO ADDRESS PRIORITY COMMUNITY HEALTH NEEDS. IN FISCAL YEAR 2018 (TAX YEAR 2017), THE HOSPITAL IMPLEMENTED THE FOLLOWING PLAN TO ADDRESS THE PRIORITY NEEDS: MENTAL HEALTH -- REDUCE SUICIDE RATES IN OUTAGAMIE COUNTY. -- FINANCIALLY SUPPORTED QUESTION, PERSUADE, AND REFER (QPR) TRAINING TO HELP REDUCE SUICIDES. -- PROMOTED THE AVAILABILITY OF THE 'TEST YOUR MOOD' SURVEY, WHICH ALSO PROVIDES INFORMATION ON RESOURCES. -- PARTICIPATED IN THE ZERO SUICIDE INITIATIVE, WHICH FACILITATED THE SELF-ASSESSMENTS OF FOURTEEN ORGANIZATIONS AS THEY INTEGRATED SUICIDE PREVENTION STRATEGIES IN THEIR ORGANIZATIONAL POLICIES. -- FINANCIALLY SUPPORTED SCHOOL-BASED MENTAL HEALTH SERVICES ALCOHOL MISUSE -- DECREASE THE PERCENTAGE OF ADULTS WHO BINGE DRINK IN OUTAGAMIE COUNTY. -- COMPLETED AN ASSET INVENTORY TO BETTER UNDERSTAND THE STATUS OF COMMUNITY-BASED ALCOHOL MISUSE PREVENTION EFFORTS. -- PARTICIPATED IN 'THE REAL HAPPY HOUR' INITIATIVE, WHICH WAS PART OF 5 BACK TO SCHOOL FAIRS IN THE FOX VALLEY. 'THE REAL HAPPY HOUR' INITIATIVE MEMBERS POSTED FAMILY OPPORTUNITIES AND INFORMATION DAILY ON SOCIAL MEDIA. NUTRITION -- INCREASE THE PROPORTION OF RESIDENTS IN OUTAGAMIE COUNTY WHO HAVE A HEALTHY DIET AND REGULAR PHYSICAL ACTIVITY. -- PARTICIPATED IN THE REGIONAL WEIGHT OF THE FOX VALLEY COALITION, WHICH CONDUCTED A NUTRITION ASSESSMENT OF THE KIDS' MENU LANDSCAPE IN THE FOX VALLEY, SUCCESSFULLY SUPPORTED A NEW 'COMPLETE STREETS' POLICY IN ONE MUNICIPALITY, IMPLEMENTED STRATEGIES FOR OFFERING LOCALLY-GROWN FRESH FRUITS AND VEGETABLES IN TWO SUMMER PROGRAMS, AND HELPED STRENGTHEN WORKSITE WELLNESS PROGRAMS IN THE AREA. -- CONTINUED TO ACTIVELY SUPPORT BREASTFEEDING ACROSS THE CONTINUUM OF CARE. THE DESCRIPTION BELOW INCLUDES THE NEEDS NOT BEING ADDRESSED AS WELL AS THE REASON WHY THE NEEDS ARE NOT BEING ADDRESSED. IN ADDITION TO THE THREE HEALTH ISSUES SELECTED AS TOP PRIORITY, STAKEHOLDERS IDENTIFIED SEVERAL OTHER SIGNIFICANT HEALTH ISSUES IN OUTAGAMIE COUNTY. THESE ISSUES WILL BE OR ARE BEING ADDRESSED BY OTHER ORGANIZATIONS IN THE COMMUNITY. WHILE THESE ISSUES WILL NOT BE ADDRESSED BY ST. ELIZABETH HOSPITAL AS PRIORITY HEALTH NEEDS, WE WILL PROVIDE SUPPORT TO THOSE COMMUNITY EFFORTS WHENEVER POSSIBLE. CHRONIC DISEASE PREVENTION: THE STAKEHOLDERS IDENTIFIED CHRONIC DISEASES AS AN IMPORTANT HEALTH ISSUE TO BE ADDRESSED IN THE COMMUNITY. DISCUSSIONS WITH COMMUNITY LEADERS, PUBLIC HEALTH ORGANIZATIONS AND ST. ELIZABETH LEADERS, REVEALED THAT BY TACKLING THE NUTRITION AND PHYSICAL ACTIVITY NEEDS OF THE COMMUNITY, OFTEN SEEN AS PROXY FOR OBESITY PREVENTION, CHRONIC DISEASES WOULD ALSO BE POSITIVELY AFFECTED. MANY STATED THAT MANY OF THE CHRONIC DISEASES THAT NEED ATTENTION SUCH AS, DIABETES, HYPERTENSION, HIGH CHOLESTEROL, ETC. CAN BE POSITIVELY INFLUENCED BY WORKING ON OBESITY PREVENTION EFFORTS. HEALTHY GROWTH AND DEVELOPMENT: MANY STAKEHOLDERS IDENTIFIED HEALTHY GROWTH AND DEVELOPMENT, ESPECIALLY EARLY CHILDHOOD GROWTH AND DEVELOPMENT, AS A HEALTH NEED. MANY COMMUNITY MEMBERS THERE SAW A NEED TO SUPPORT THE DEVELOPMENT OF HEALTHY, WELL-ROUNDED INDIVIDUALS. AT THE SAME TIME, RESPONDENTS STATED THERE ARE MANY EXISTING ORGANIZATIONS AND PROGRAMS IN THE COMMUNITY THAT ADDRESS THESE ISSUES, INCLUDING THE FOX VALLEY EARLY CHILDHOOD COALITION, PARENT CONNECTION, COMMUNITY EARLY LEARNING CENTER, BIRTH TO 3 PROGRAMS, THE BOYS AND GIRLS CLUB, HEAD START, AS WELL AS SCHOOL-BASED AND YMCA- BASED PROGRAMS. GIVEN THE VARIETY OF EXISTING EFFORTS IN THE COMMUNITY, ST. ELIZABETH WILL CONTINUE TO SUPPORT THE PUBLIC HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS ALREADY IN EXISTENCE TO ADDRESS HEALTHY GROWTH AND DEVELOPMENT ISSUES WHENEVER POSSIBLE. MERCY USING THE CHNA COMPLETED IN JUNE 2016, THE HOSPITAL DEVELOPED, ADOPTED, AND WORKED ON EXECUTING A THREE-YEAR IMPLEMENTATION STRATEGY TO ADDRESS PRIORITY COMMUNITY HEALTH NEEDS. IN FISCAL YEAR 2018 (TAX YEAR 2017), THE HOSPITAL IMPLEMENTED THE FOLLOWING PLAN TO ADDRESS THE PRIORITY NEEDS: MENTAL HEALTH -- REDUCE SUICIDE RATES IN WINNEBAGO COUNTY. -- FINANCIALLY SUPPORTED QUESTION, PERSUADE, AND REFER (QPR) TRAINING TO HELP REDUCE SUICIDES. -- PROMOTED THE AVAILABILITY OF THE 'TEST YOUR MOOD' SURVEY, WHICH ALSO PROVIDES INFORMATION ON RESOURCES. -- PARTICIPATED IN THE ZERO SUICIDE INITIATIVE, WHICH HELPS ORGANIZATIONS SELF-ASSESS AND INTEGRATE SUICIDE PREVENTION STRATEGIES IN THEIR ORGANIZATIONAL POLICIES. -- FINANCIALLY SUPPORTED SCHOOL-BASED MENTAL HEALTH SERVICES ALCOHOL MISUSE -- DECREASE THE PERCENTAGE OF ADULTS WHO BINGE DRINK IN WINNEBAGO COUNTY. -- COMPLETED AN ASSET INVENTORY TO BETTER UNDERSTAND THE STATUS OF COMMUNITY-BASED ALCOHOL MISUSE PREVENTION EFFORTS. -- PARTICIPATED IN 'THE REAL HAPPY HOUR' INITIATIVE, WHICH WAS PART OF MULTIPLE BACK TO SCHOOL FAIRS IN THE FOX VALLEY. 'THE REAL HAPPY HOUR' INITIATIVE MEMBERS POSTED FAMILY OPPORTUNITIES AND INFORMATION DAILY ON SOCIAL MEDIA. NUTRITION -- INCREASE THE PROPORTION OF RESIDENTS IN WINNEBAGO COUNTY WHO HAVE A HEALTHY DIET AND REGULAR PHYSICAL ACTIVITY. -- PARTICIPATED IN THE REGIONAL WEIGHT OF THE FOX VALLEY COALITION, WHICH CONDUCTED A NUTRITION ASSESSMENT OF THE KIDS' MENU LANDSCAPE IN THE FOX VALLEY, SUCCESSFULLY SUPPORTED A NEW 'COMPLETE STREETS' POLICY IN ONE MUNICIPALITY, IMPLEMENTED STRATEGIES FOR OFFERING LOCALLY-GROWN FRESH FRUITS AND VEGETABLES IN TWO SUMMER PROGRAMS, AND HELPED STRENGTHEN WORKSITE WELLNESS PROGRAMS IN THE AREA. THE DESCRIPTION BELOW INCLUDES THE NEEDS NOT BEING ADDRESSED AS WELL AS THE REASON WHY THE NEEDS ARE NOT BEING ADDRESSED. IN ADDITION TO THE THREE HEALTH ISSUES SELECTED AS TOP PRIORITY, STAKEHOLDERS IDENTIFIED SEVERAL OTHER SIGNIFICANT HEALTH ISSUES IN WINNEBAGO COUNTY. THESE ISSUES WILL BE OR ARE BEING ADDRESSED BY OTHER ORGANIZATIONS IN THE COMMUNITY. WHILE THESE ISSUES WILL NOT BE ADDRESSED BY MERCY MEDICAL CENTER AS PRIORITY HEALTH NEEDS, WE WILL PROVIDE SUPPORT TO THOSE COMMUNITY EFFORTS WHENEVER POSSIBLE. CHRONIC DISEASE PREVENTION: THE STAKEHOLDERS IDENTIFIED CHRONIC DISEASES AS AN IMPORTANT HEALTH ISSUE TO BE ADDRESSED IN THE COMMUNITY. DISCUSSIONS WITH COMMUNITY LEADERS, PUBLIC HEALTH ORGANIZATIONS AND MERCY MEDICAL CENTER LEADERS, REVEALED THAT BY TACKLING THE NUTRITION AND PHYSICAL ACTIVITY NEEDS OF THE COMMUNITY, OFTEN SEEN AS PROXY FOR OBESITY PREVENTION, CHRONIC DISEASES WOULD ALSO BE POSITIVELY AFFECTED. MANY STATED THAT MANY OF THE CHRONIC DISEASES THAT NEED ATTENTION SUCH AS, DIABETES, HYPERTENSION, HIGH CHOLESTEROL, ETC. CAN BE POSITIVELY AFFECTED. MANY STATED THAT MANY OF THE CHRONIC DISEASES THAT NEED ATTENTION SUCH AS, DIABETES, HYPERTENSION, HIGH CHOLESTEROL, ETC. CAN BE POSITIVELY INFLUENCED BY WORKING ON OBESITY PREVENTION EFFORTS. HEALTHY GROWTH AND DEVELOPMENT: MANY STAKEHOLDERS IDENTIFIED HEALTHY GROWTH AND DEVELOPMENT, ESPECIALLY EARLY CHILDHOOD GROWTH AND DEVELOPMENT, AS A HEALTH NEED. MANY COMMUNITY MEMBERS THERE SAW A NEED TO SUPPORT THE DEVELOPMENT OF HEALTHY, WELL-ROUNDED INDIVIDUALS. AT THE SAME TIME, RESPONDENTS STATED THERE ARE MANY EXISTING ORGANIZATIONS AND PROGRAMS IN THE COMMUNITY THAT ADDRESS THESE ISSUES, INCLUDING THE FOX VALLEY EARLY CHILDHOOD COALITION, PARENT CONNECTION, COMMUNITY EARLY LEARNING CENTER, BIRTH TO 3 PROGRAMS, THE BOYS AND GIRLS CLUB, HEAD START, AS WELL AS SCHOOL-BASED AND YMCA- BASED PROGRAMS. GIVEN THE VARIETY OF EXISTING EFFORTS IN THE COMMUNITY, MERCY MEDICAL CENTER WILL CONTINUE TO SUPPORT THE PUBLIC HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS ALREADY IN EXISTENCE TO ADDRESS HEALTHY GROWTH AND DEVELOPMENT ISSUES WHENEVER POSSIBLE. 0 Schedule H, Part V, Section B, Line 7 HOSPITAL FACILITY CHNA WEBSITE ASCENSION NE WISCONSIN, INC. (F/K/A ST. ELIZABETH HOSPITAL, INC.) https://healthcare.ascension.org/Locations/Wisconsin/WIAPA/Appleton-Ascension-NE-Wisconsin-St-Elizabeth-Campus/Community-Benefit-Reports Schedule H, Part V, Section B, Line 7 HOSPITAL FACILITY CHNA WEBSITE MERCY MEDICAL CENTER OF OSHKOSH, INC. http://www.affinityhealth.org/Affinity-Files/Community-Health-Needs-Assessments/2016/MercyMedicalCenter_CHNA2016.pdf Schedule H, Part V, Section B, Line 10 HOSPITAL FACILITIY IMPLEMENTATION STRATEGY WEBSITE ASCENSION NE WISCONSIN, INC. (F/K/A ST. ELIZABETH HOSPITAL, INC.) https://healthcare.ascension.org/Locations/Wisconsin/WIAPA/Appleton-Ascension-NE-Wisconsin-St-Elizabeth-Campus/Community-Benefit-Reports Schedule H, Part V, Section B, Line 10 HOSPITAL FACILITY IMPLEMENTATION STRATEGY WEBSITE MERCY MEDICAL CENTER OF OSHKOSH, INC. http://www.affinityhealth.org/Affinity-Files/Community-Health-Needs-Assessments/2016/MercyMedicalCenter_ImplementationStrategy2016.pdf Schedule H, Part I, Line 6a Community benefit report prepared by related organization MINISTRY HEALTH CARE, INC. EIN: 39-1490371 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST OF PROVIDING CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED. Schedule H, Part II Community Building Activities RESEARCH SHOWS THAT SOCIAL DETERMINANTS AND QUALITY OF LIFE PLAY A MAJOR ROLE IN THE HEALTH STATUS OF INDIVIDUALS AND COMMUNITIES. COMMUNITY BUILDING ACTIVITIES, WHICH FOCUS ON IMPROVING THE QUALITY OF LIFE WITHIN A COMMUNITY, ULTIMATELY INFLUENCE AND IMPROVE HEALTH STATUS. ASCENSION NE WISCONSIN -- ST. ELIZABETH CAMPUS PROVIDED HEALTH CAREER INFORMATION TO AREA STUDENTS. ASSURING THAT COMMUNITIES HAVE A VIBRANT HEALTH CARE WORKFORCE IN THE FUTURE WILL HELP INCREASE ACCESS TO QUALITY OF CARE IN THE FUTURE. ASCENSION NE WISCONSIN - ST. ELIZABETH CAMPUS HAS PARTICIPATED IN VALLEY TRANSIT DEVELOPMENT PLAN MEETINGS. FUTURE COMMUNITY LEADERS WHO ARE KNOWLEDGEABLE ABOUT BOTH THE ASSET AND CHALLENGES OUR COMMUNITY HAS WILL HELP US TO POSITIVELY ADDRESS THE HEALTH ISSUES OF THE FUTURE. ASCENSION NE WISCONSIN - MERCY CAMPUS PROVIDED GRIEF SUPPORT GROUPS TO THE COMMUNITY AND WAS REPRESENTED ON THE LOCAL UNITED WAY BOARD. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. AFTER APPLYING THE COST-TO-CHARGE RATIO, THE SHARE OF THE BAD DEBT EXPENSE IN FISCAL YEAR 2017 WAS $8,202,504 AT CHARGES, ($3,363,027 AT COST). Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL EXPERIENCE, ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY, INCLUDING THOSE AMOUNTS NOT COVERED BY INSURANCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION IS PART OF THE ASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSES THE BAD DEBT EXPENSE IS LOCATED ON PAGE 21. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE EXPENSE TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE ORGANIZATION FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED. Schedule H, Part V, Section B, Line 16a FAP website A - ASCENSION NE WISCONSIN, INC. (F/K/A ST. ELIZABETH HOSPITAL, INC.): Line 16a URL: https://healthcare.ascension.org/Financial-Assistance/wisconsin; Schedule H, Part V, Section B, Line 16b FAP Application website A - ASCENSION NE WISCONSIN, INC. (F/K/A ST. ELIZABETH HOSPITAL, INC.): Line 16b URL: https://healthcare.ascension.org/Financial-Assistance/wisconsin; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - ASCENSION NE WISCONSIN, INC. (F/K/A ST. ELIZABETH HOSPITAL, INC.): Line 16c URL: https://healthcare.ascension.org/Financial-Assistance/wisconsin; Schedule H, Part VI, Line 2 Needs assessment IN ADDITION TO THE CHNA REPORTED IN PART V, SECTION B, ASCENSION NE WISCONSIN (F/K/A ST. ELIZABETH HOSPITAL, INC.) USE BOTH HOSPITAL DATA AND RELIABLE, THIRD PARTY REPORTS, INCLUDING DATA FROM GOVERNMENT SOURCES, TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. THESE REPORTS PROVIDE INFORMATION ABOUT KEY HEALTH, SOCIOECONOMIC, AND DEMOGRAPHIC INDICATORS THAT POINT TO AREAS OF NEED. ASCENSION NE WISCONSIN (F/K/A ST. ELIZABETH HOSPITAL, INC.) UTILIZES THIS INFORMATION TO DETERMINE DEVELOP PROGRAMS AND SERVICES TO BE PROVIDED FOR THE COMMUNITY. THESE NEEDS AND INITIATIVES ARE PRESENTED TO SENIOR LEADERSHIP AND BOARD MEMBERS TO ENSURE THE FINDINGS ARE CONSIDERED IN DEVELOPING THE ORGANIZATION'S STRATEGY, POLICY DEVELOPMENT, AND INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance ASCENSION NE WISCONSIN (F/K/A ST. ELIZABETH HOSPITAL, INC.) 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 ORGANIZATIONS AFFINITY CARE POLICY. THE AFFINITY CARE POLICY AND APPLICATION IS POSTED ON THE ORGANIZATION'S WEBSITE. ADMISSIONS AND OTHER KEY AREAS CONTAIN SUMMARY INFORMATION OF THE AFFINITY 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 ORGANIZATIONS AFFINITY CARE PROGRAM. PATIENTS MAY BE IDENTIFIED AS NEEDING FINANCIAL ASSISTANCE AT ANY TIME DURING THE COURSE OF AN ENCOUNTER. A REFERRAL FOR CONSIDERATION OF AFFINITY CARE FINANCIAL ASSISTANCE CAN BE INITIATED BY ANY MEMBER OF THE HOSPITAL'S WORKFORCE, INCLUDING MEDICAL STAFF MEMBERS, WHO BECOME AWARE OF THE PATIENTS POTENTIAL NEED FOR AFFINITY CARE FINANCIAL ASSISTANCE. THE AFFINITY CARE BROCHURE 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 GUIDELINES TO FOLLOW WHEN INTERACTING WITH PATIENTS. AS PART OF THE AFFINITY CARE PROCESS, PATIENTS MUST REGISTER WITH THE COUNTY PUBLIC ASSISTANCE TO SEE IF THEY MAY QUALIFY UNDER ANY OTHER FEDERAL OR STATE PROGRAMS. Schedule H, Part VI, Line 4 Community information WHILE THERE IS GROWING AGREEMENT IN THE UNITED STATES ABOUT WHAT CONSTITUTES A NON-PROFIT HOSPITALS "COMMUNITY BENEFIT," THIS IS A WORK IN PROGRESS. Ascension NE Wisconsin, Inc. (F/K/A St. Elizabeth Hospital, Inc.) 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. ASCESNION NE WISCONSIN, (F/K/A ST. ELIZABETH HOSPITAL, INC.), LIKE MOST COMMUNITY HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY, CARE THAT WITHOUT OUR HOSPITAL, MAY NOT BE AVAILABLE LOCALLY. CERTAIN SPECIALIZED SERVICES AVAILABLE INCLUDE: I/P ADULT BEHAVIORAL HEALTH SERVICES, I/P ADOLESCENT BEHAVIORAL HEALTH SERVICES AND NEONATAL INTENSIVE CARE SERVICES. THE CITY OF APPLETON IS LOCATED IN OUTAGAMIE, CALUMET, AND WINNEBAGO COUNTIES. ACCORDING TO THE 2008-2012 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES, THERE WERE 72,575 PEOPLE LIVING IN APPLETON, CONSISTING OF 28,428 HOUSEHOLDS AND 18,074 FAMILIES. THE POPULATION DENSITY OF APPLETON WAS 2,984.9 PEOPLE PER SQUARE MILE. THE POPULATION CONSISTED OF 86.0% WHITE, 4.7% HISPANIC, 1.6% AFRICAN AMERICAN, 0.5% NATIVE AMERICAN, 5.3% ASIAN, AND 1.9% OTHER. OF THE 28,428 HOUSEHOLDS IN APPLETON, 32.8% OF THOSE HAD CHILDREN UNDER THE AGE OF 18, LIVING AT HOME. THE 28,428 HOUSEHOLDS ARE CATEGORIZED AS 49% MARRIED COUPLES LIVING TOGETHER, 4.1% HAD A MALE HEAD OF HOUSEHOLD WITH NO WIFE PRESENT, 10.5% HAD A FEMALE HEAD OF HOUSEHOLD WITH NO HUSBAND PRESENT, AND 47% WERE NON-FAMILIES. 29.6% OF THE HOUSEHOLDS CONSISTED OF INDIVIDUALS AND 10.1% HAD SOMEONE 65 AND OLDER LIVING ALONE. THE AGE POPULATION IS WIDELY SPREAD. 28.9% WERE UNDER 18, 6.5% WERE 19-24, 26.8% WERE 25-44, 26.3% WERE 45-64, AND 11.5% WERE 65+. THE MEDIAN INCOME FOR A HOUSEHOLD WAS $52,605 AND THE MEDIAN INCOME FOR A FAMILY WAS $66,781. THE PER CAPITA INCOME FOR THE CITY WAS $27,106. THE LARGEST INDUSTRY IN APPLETON IS EDUCATIONAL, HEALTH AND SOCIAL SERVICES (21.5%). MANUFACTURING (20.4%) AND RETAIL TRADE (11.4%) ARE THE NEXT LARGEST INDUSTRIES IN APPLETON. ROUGHLY 8% OF FAMILIES AND 10.5% OF THE POPULATION WERE BELOW THE POVERTY LINE. THAT INCLUDES 13.5% OF THOSE UNDER 18 YEARS OLD AND 7.4% OF THOSE 65 AND OLDER. THE UNADJUSTED SEASONAL UNEMPLOYMENT RATE FOR OUTAGAMIE, CALUMET, AND WINNEBAGO COUNTIES WAS 4.0%, 3.7%, AND 4.3%, RESPECTIVELY, COMPARED TO A STATE UNEMPLOYMENT RATE OF 5.1% AND A NATIONAL UNEMPLOYMENT RATE OF 7.9%. Schedule H, Part VI, Line 5 Promotion of community health 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 WHO 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. CERTAIN SPECIALIZED SERVICES AVAILABLE INCLUDE: DENTAL SERVICES TO PRIMARILY THE INDIGENT, FERTILITY CLINIC SERVICES AND WIC HOME VISITS TO NEW MOTHERS AND INFANTS. Schedule H, Part VI, Line 6 Affiliated health care system ASCENSION NE WISCONSIN, (F/K/A ST. ELIZABETH HOSPITAL, INC.) IS AN AFFILIATE OF MINISTRY HEALTH CARE, INC. AND ASCENSION HEALTH. ASCENSION NE WISCONSIN, (F/K/A ST. ELIZABETH HOSPITAL, INC.) AFFILIATES ARE LARGE MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT MINISTRIES INCLUDING HOSPITAL AND NON-HOSPITAL MINISTRIES (PHYSICIAN GROUP PRACTICES, HOSPITAL ORGANIZATIONS, RESEARCH, HOME HEALTH, DURABLE MEDICAL EQUIPMENT AND SENIOR FACILITIES). THESE MINISTRIES WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF SERVING AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS ESPECIALLY THOSE WHO ARE VULNERABLE. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION AND RESEARCH. THE ORGANIZATIONS WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, STATE AND NATIONAL LEVEL. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 23 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. THE SYSTEM DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE THAT SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH THE SYSTEM'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND TO OTHER VULNERABLE PERSONS, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE SYSTEM USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND FOR COMMUNITY BENEFIT PROGRAMS: TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE, REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR PERSONS LIVING IN POVERTY AND FOR OTHER VULNERABLE PERSONS. COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND FOR OTHER VULNERABLE PERSONS INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE PERSONS LIVING IN POVERTY AND THE OTHER VULNERABLE PERSONS OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE PERSONS LIVING IN POVERTY, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESEARCH. DISCOUNTS ARE PROVIDED TO ALL UNINSURED PATIENTS, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALIFY FOR ASSISTANCE UNDER CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY OR IN THE COST OF OTHER COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY AND OF OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA AND IS ESTIMATED BY REDUCING CHARGES FORGONE BY A FACTOR DERIVED FROM THE RATIO OF TOTAL OPERATING EXPENSES TO BILLED CHARGES FOR PATIENT CARE. true true false false false false false false false MARK W FAUSTICH MD SECRETARY 0 303113 0 100258 0 7713 0 17550 0 24885 0 453519 0 0 MONICA A HILT BOARD MEMBER/HOSPITAL PRESIDENT AND REGIONAL VP 0 398789 0 89542 0 42795 0 17550 0 27382 0 576058 0 0 WENDY L SCHROEDER DO BOARD MEMBER 0 334142 0 96255 0 1118 0 14850 0 30207 0 476572 0 0 SUDEEP S SODHI MD BOARD MEMBER 0 878584 0 800429 0 3102 0 17550 0 43043 0 1742708 0 0 DANIEL E NEUFELDER FORMER OFFICER (END 9/2016) 0 0 0 0 0 996775 0 0 0 0 0 996775 0 0 JONATHAN SOHN CFO - ASCENSION, WI 0 505898 0 270732 0 127274 0 14885 0 33482 0 952271 0 0 THOMAS E CROWLEY PRESIDENT - ASCENSION NE WISCONSIN 0 200948 0 46431 0 19021 0 15669 0 21192 0 303261 0 0 LAWRENCE R DONATELLE VP MEDICAL AFFAIRS 0 305943 0 68676 0 14105 0 17550 0 27014 0 433288 0 0 JAMES D ROOT VP OPERATIONS 0 137952 0 30357 0 1373 0 8237 0 4282 0 182201 0 0 SCOTT D MOON MEDICAL PHYSICIST-NE 210591 0 1317 0 482 0 14112 0 18309 0 244811 0 0 0 TONYA L DEDERING REGIONAL DIRECTOR FOUNDATIONS 177712 0 20684 0 1218 0 11038 0 4804 0 215456 0 0 0 NANETTE W KRIZENESKY RN LEAD-ICU 179527 0 1864 0 319 0 12325 0 27129 0 221164 0 0 0 MICHAEL A HOFFMAN REG DIR-PERIOPRATIVE SERVICES 147541 0 22773 0 843 0 8812 0 27230 0 207199 0 0 0 JEAN A MCDONALD REGIONAL DIR ONCOLOGY SERVICES 149756 0 17245 0 0 0 0 0 1901 0 168902 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Ministry Health Care, Inc., a related organization of Ascension NE Wisconsin, Inc. (fka St. Elizabeth Hospital, Inc.), uses the following to establish the compensation of the organization's CEO: - Compensation Committee, - Independent Compensation Consultant, - Compensation Survey or Study, and - Approval by the Board or Compensation Committee. Schedule J, Part I, Line 4a Severance or change-of-control payment The following individual(s) received severance payments from the organization or a related organization: Daniel E Neufelder - $994,500 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No individuals received current year distributions. Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE PROCESS OF DETERMINING THE AMOUNT OF COMPENSATION PAID TO THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL IS PERFORMED BY MINISTRY HEALTH CARE, INC. AND ITS SUBSIDIARY ORGANIZATIONS. MINISTRY HEALTH CARE, INC. IS THE SOLE CORPORATE MEMBER OF Ascension NE Wisconsin, Inc. (F/K/A St. Elizabeth Hospital, Inc.) THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL'S SALARY WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES THE PROCESS OF DETERMINING THE AMOUNT OF COMPENSATION PAID TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES IS PERFORMED BY MINISTRY HEALTH CARE, INC. AND ITS SUBSIDIARY ORGANIZATIONS. MINISTRY HEALTH CARE, INC. IS THE SOLE CORPORATE MEMBER OF Ascension NE Wisconsin, Inc. (F/K/A St. Elizabeth Hospital, Inc.). THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. Form 990, Part VI, Line 6 Classes of members or stockholders Ascension NE Wisconsin, Inc. (F/K/A St. Elizabeth Hospital, Inc.) HAS A SINGLE CORPORATE MEMBER, MINISTRY HEALTHCARE, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Ascension NE Wisconsin, Inc. (F/K/A St. Elizabeth Hospital, Inc.) HAS A SINGLE CORPORATE MEMBER, MINISTRY HEALTHCARE, INC., WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF Ascension NE Wisconsin, Inc. (F/K/A St. Elizabeth Hospital, Inc.). Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders ALL DECISIONS THAT HAVE A MATERIAL IMPACT TO Ascension NE Wisconsin, Inc. (F/K/A St. Elizabeth Hospital, Inc.) FINANCIAL INFORMATION OR CORPORATION AS A WHOLE ARE SUBJECT TO APPROVAL BY ITS SOLE CORPORATE MEMBER, MINISTRY HEALTHCARE, INC. Form 990, Part VI, Line 11b Review of form 990 by governing body DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. Form 990, Part VIII, Line 2f Other Program Service Revenue Services to Affiliates - Total Revenue: -553777, Related or Exempt Function Revenue: -553777, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Fitness Club Revenue - Total Revenue: 12390, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 12390; Miscellaneous Revenue - Total Revenue: 227616, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 227616; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS WITH ALPHA FUND - 61347569; TRANSFER NET ASSETS FROM MERCY MEDICAL CENTER OF OSHKOSH - 89402357; TRANSFERS WITH AFFILIATE - -5909990; FASB 136 ADJUSTMENT - 8943; CATALPA TEMPORARILY RESTRICTED INVESTMENT - -466128; Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTS THE ACTIVITY OF ASCENSION NE WISCONSIN, INC. (F/K/A ST. ELIZABETH HOSPITAL, INC.) IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF ASCENSION NE WISCONSIN, INC. (F/K/A ST. ELIZABETH HOSPITAL, INC.). IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF ASCENSION NE WISCONSIN, INC. (F/K/A ST. ELIZABETH HOSPITAL, INC.). Form 990, Part XII, Line 2c AUDIT COMMITTEE ASCENSION NE WISCONSIN, INC. (F/K/A ST. ELIZABETH HOSPITAL, INC. IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. THE FINANCE AND AUDIT COMMITTEE OF ASCENSION HEALTH ALLIANCE'S BOARD ASSUMES RESPONSIBILITY FOR THE CONSOLIDATED ORGANIZATION AS A WHOLE. FORM 990, PAGE 1, ITEM J ENTITY WEBSITE https://healthcare.ascension.org/Locations?specialty=&location=Oshkosh%2C+WI&facility=ascension+ne&distance=50&sites-of-care=&filter=All+Location+Types# AFFINITY HEALTH SYSTEM 1570 MIDWAY PLACE MENASHA WI 54952 391568866 HEALTH SYSTEM IL 501(c)(3) Type II MINISTRY HEALTH CARE INC true AGAPE COMMUNITY CENTER OF MILWAUKEE INC 6100 NORTH 42ND STREET MILWAUKEE WI 53209 391641846 COMMUNITY CENTER WI 501(c)(3) 7 MINISTRY HEALTH CARE INC true ASCENSION ALL SAINTS HOSPITAL INC (FKA WHEATON FRANCISCAN HEALTHCARE-ALL SA INTS INC) 3801 SPRING STREET RACINE WI 53405 391264986 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION CALUMET HOSPITAL INC 614 MEMORIAL DRIVE CHILTON WI 53014 390905385 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION EAGLE RIVER HOSPITAL INC 201 HOSPITAL ROAD EAGLE RIVER WI 54521 390985690 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION GOOD SAMARITAN HOSPITAL INC 601 SOUTH CENTER AVENUE MERRILL WI 54452 390808503 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 63145 453358926 NATIONAL HEALTH MO 501(c)(3) Type I NA false ASCENSION HEALTH PO BOX 45998 ST LOUIS MO 63145 311662309 NATIONAL HEALTH MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC (FKA NETWORK HEALTH SYSTEM INC) 1570 APPLETON RD MENASHA WI 54952 391127163 CLINICAL HEALTHCARE SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC (FKA MINISTRY MEDICAL GROUP INC) 824 ILLINOIS AVENUE STEVENS POINT WI 54481 391965593 MEDICAL GROUP WI 501(c)(3) Type III-FI MINISTRY HEALTH CARE INC true ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC (FKA WHEATON FRANCISCAN MED ICAL GROUP INC) 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391791586 MEDICAL GROUP WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION OUR LADY OF 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501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S INC 4425 NORTH PORT WASHINGTON ROAD GLENDALE WI 53212 391834639 PARENT CORPORATION WI 501(c)(3) Type I ASCENSION HEALTH false DR KATE NEWCOMB CONVALESCENT CENTER INC PO BOX 829 WOODRUFF WI 54568 391357365 NURSING/ASSISTED LIVING SERVICES WI 501(c)(3) 10 HOWARD YOUNG HEALTH CARE INC true FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD Inc 611 SAINT JOSEPH AVENUE MARSHFIELD WI 54449 391684957 FOUNDATION WI 501(c)(3) Type I SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC true FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC 3400 MINISTRY PARKWAY WESTON WI 54476 753193633 FOUNDATION WI 501(c)(3) Type I ASCENSION ST CLARE'S HOSPITAL INC true GOOD SAMARITAN HEALTH CENTER FOUNDATION OF MERRILL WISCONSIN INC 601 SOUTH CENTER AVENUE MERRILL WI 54452 391627755 FOUNDATION WI 501(c)(3) Type I ASCENSION GOOD SAMARITAN HOSPITAL INC true HOWARD YOUNG HEALTH CARE INC 240 MAPLE STREET WOODRUFF WI 54568 391499115 HOME OFFICE WI 501(c)(3) Type II 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INC 4425 N PORT WASHINGTON RD GLENDALE WI 53212 208042108 CONDO ASSOCIATION WI NA C Corporation true FRANKLIN MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION INC 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 341983857 CONDO ASSOCIATION WI NA C Corporation true WHEATON FRANCISCAN HOLDINGS INC 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391836357 HOLDING CO WI NA C Corporation true WHEATON FRANCISCAN PROVIDER NETWORK INC 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391952140 PROVIDER CONTRACT WI NA C Corporation true MADISON MEDICAL AFFILIATES INC 4425 N PORT WASHINGTON RD GLENDALE WI 53212 391855720 HEALTHCARE WI NA C Corporation true WHEATON WAY CONDOMINIUM OWNERS ASSOCIATION INC 10101 SOUTH 27TH STREET FRANKLIN WI 53123 300659830 CONDO ASSOCIATION WI NA C Corporation true WHEATON FRANCISCAN ENTERPRISES INC 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391985204 HOLDING CO WI NA C Corporation true WHEATON FRANCISCAN MEDICAL GROUP - SUSSEX INC 400 WEST RIVER WOODS PARKWAY 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