COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC (EIN 39-0806315)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-14
IRS object ID
201911349349310081
Schema version
2017v2.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-05-14T18:32:50-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN390806315EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Columbia St Mary's Hospital Milwaukee IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOLUBusinessNameControlTxt
Phone3147338000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 W River Woods PkwayAddressLine1Txt
CityGlendaleCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53212ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTonya MershonPersonNm
Person TitleTax OfficerPersonTitleTxt
Signature2019-05-14SignatureDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Travis Andersen MD Regional President AWBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 W River Woods PkwayAddressLine1Txt
CityGlendaleCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53212ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$507,151,514GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressSEE SCHEDULE OWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1959FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTo improve the health and well-being of all people in the communities we serve.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee3056TotalEmployeeCnt
Total Volunteers325TotalVolunteersCnt
Total Gross UBI$3,459,996TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$99,521NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,034,455PYContributionsGrantsAmt
CY Contributions Grants$1,346,218CYContributionsGrantsAmt
PY Program Service Revenue$455,361,188PYProgramServiceRevenueAmt
CY Program Service Revenue$503,209,602CYProgramServiceRevenueAmt
PY Investment Income$114,914PYInvestmentIncomeAmt
CY Investment Income$83,886CYInvestmentIncomeAmt
PY Other Revenue$3,567,907PYOtherRevenueAmt
CY Other Revenue$2,486,510CYOtherRevenueAmt
PY Total Revenue$460,078,464PYTotalRevenueAmt
CY Total Revenue$507,126,216CYTotalRevenueAmt
PY Grants And Similar Paid$151,654PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$215,135,286PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$237,086,649CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$278,862,635PYOtherExpensesAmt
CY Other Expenses$273,415,792CYOtherExpensesAmt
PY Total Expenses$494,149,575PYTotalExpensesAmt
CY Total Expenses$510,502,441CYTotalExpensesAmt
PY Revenues Less Expenses-$34,071,111PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,376,225CYRevenuesLessExpensesAmt
Total Assets BOY$661,739,923TotalAssetsBOYAmt
Total Assets EOY$635,605,537TotalAssetsEOYAmt
Total Liabilities BOY$155,615,888TotalLiabilitiesBOYAmt
Total Liabilities EOY$142,000,019TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$506,124,035NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$493,605,518NetAssetsOrFundBalancesEOYAmt
MissionOur 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$329,911,628ExpenseAmt
Grant$0GrantAmt
Revenue$503,232,238RevenueAmt
DescColumbia St. Mary's Hospital Milwaukee, Inc. is a 288-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, Columbia St. Mary's Hospital Milwaukee, Inc. treated 12,157 adults and children for a total of 63,855 patient days of service. The hospital also provided services for 611,207 outpatient visits, which included 4,332 outpatient surgeries and 65,368 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.Desc
Total Program Service Expenses$329,911,628TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document208IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3056EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OfYes (true)Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Sara OBrienBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3147338070PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111775 BORMAN DRIVEAddressLine1Txt
CityMARYLAND HEIGHTSCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63146ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
TINA CHANG
CHAIR1.02.0Yes (X)Yes (X)$0$0$0
ROBERT VANHIMBERGEN
VICE CHAIR1.03.0Yes (X)Yes (X)$0$0$0
CHRISTINE NUERNBERG
SECRETARY/TREASURER1.02.0Yes (X)Yes (X)$0$0$0
ROBERT D LYON MD
DIRECTOR/ADMIN MD-STAFF OFFICER1.03.0Yes (X)$0$60,050$0
LYNNE BRIGGS
DIRECTOR1.02.0Yes (X)$0$0$0
KEVIN J GONJU MD
DIRECTOR/PHYSICIAN17.033.0Yes (X)$0$586,766$52,820
STEPHEN E ROBBINS MD
DIRECTOR/ADMIN MD-STAFF OFFICER1.02.0Yes (X)$0$9,167$0
WENDELL WILLIS
DIRECTOR1.02.0Yes (X)$0$0$0
TRAVIS D ANDERSEN
DIRECTOR/REGIONAL PRESIDENT AW9.041.0Yes (X)$0$1,367,565$44,454
KELLY ELKINS
PRESIDENT COLUMBIA ST MARY'S13.037.3Yes (X)$0$307,600$20,717
JONATHAN SOHN
CFO - ASCENSION, WI2.048.0Yes (X)$0$903,904$48,367
SUZANNE SANICOLA
REGIONAL VP OPS-PRIMARY MEDICAL GROUP10.040.0$373,266$0$45,536Yes (X)
RICHARD J SHIMP MD
CHIEF MEDICAL OFFICER15.035.0$0$480,534$42,615Yes (X)
SHARON D BAUGHMAN
REGIONAL CNO, NORTH17.033.0$0$316,915$49,524Yes (X)
SANJAY S DESHPANDE MD
PHYSICIAN50.00$1,618,795$0$58,856Yes (X)
ANTHONY J LINN MD
PHYSICIAN50.00$1,389,725$0$49,565Yes (X)
CRAIG A SCHULZ MD
PHYSICIAN50.00$1,169,330$0$53,426Yes (X)
EMAD S BOTROS MD
PHYSICIAN50.00$1,101,148$0$55,967Yes (X)
RICHARD A PIRCON MD
PHYSICIAN50.00$1,095,084$0$46,939Yes (X)
KEVIN JOHN KLUESNER
FORMER KEY EMPLOYEE (END 6/2017)0.050.0$0$338,950$44,158Yes (X)
BRUCE D MCCARTHY MD
FORMER KEY EMPLOYEE (END 1/2017)0.050.0$0$727,375$9,730Yes (X)
WILLIAM D HART
FORMER KEY EMPLOYEE (END 6/2017)0.050.0$0$410,069$20,854Yes (X)
GERRI G LIETZ-STAFFILENO
FORMER KEY EMPLOYEE (END 6/2017)0.050.0$0$271,033$9,776Yes (X)
CLARISSA L COX
FORMER KEY EMPLOYEE (END 6/2017)0.050.0$0$172,450$0Yes (X)
TIMOTHY JAMES WALDOCH
FORMER OFFICER (END 12/2016)0.00.0$0$257,352$40,746Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,747,348TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,209,730TotReportableCompRltdOrgAmt
Total Other Compensation$694,050TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K271IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
METROPOLITAN ANESTHESIOLOGISTS SC
225 S EXECUTIVE DRIVEBROOKFIELDWI43005PHYSICIAN SERVICES$12,954,757
WISCONSIN RADIOLOGY SPECIALISTS SC
PO BOX 44370MADISONWI53744RADIOLOGY SERVICES$1,392,711
ARUP LABORATORIES
500 S CHIPETA WAYSALT LAKE CITYUT841081221LABORATORY SERVICES$1,250,277
READYMED LLC
5715 STATE ROAD 83HARTLANDWI53029HEALTHCARE STAFFING$1,153,087
NORTH SHORE PATHOLOGISTS SC
2323 N LAKE DRIVEMILWAUKEEEWI53211LABORATORY SERVICES$1,026,395
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K25CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$202,713GovernmentGrantsAmt
All Other Contributions$1,143,505AllOtherContributionsAmt
Total Contributions$1,346,218TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE621990$467,903,454$467,903,454
SERVICES TO AFFILIATES900099$23,625,106$23,625,106
PHARMACY REVENUE446110$18,823,935$18,585,768$238,167
LAB SERVICES621500$3,373,151$455,972$2,917,179
CONTRACTED SERVICES REVENUE900099$1,586,299$1,586,299

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column-$12,102,343TotalRevenueColumnAmt
Related Or Exempt Func Income-$12,406,993RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$304,650UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$503,209,602TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$78,222TotalRevenueColumnAmt
Exclusion$78,222ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$745,531RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$745,531RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$745,531TotalRevenueColumnAmt
Exclusion$745,531ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$30,962OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$25,298OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$5,664OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,664TotalRevenueColumnAmt
Exclusion$5,664ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Exclusion$0ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Exclusion$0ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA/VENDING REVENUE722514$1,071,594$1,071,594
MEDICAL RECORDS FEES900099$30,459$30,459
EDUCATION REVENUE611430$22,636$22,636

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$616,290TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$616,290ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,740,979OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$507,126,216TotalRevenueColumnAmt
Related Or Exempt Func Income$499,772,242RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,459,996UnrelatedBusinessRevenueAmt
Exclusion$2,547,760ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$418,802TotalAmt
Program Services$370,221ProgramServicesAmt
Management And General$48,581ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$192,140,054TotalAmt
Program Services$168,760,361ProgramServicesAmt
Management And General$23,379,693ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$32,549,087TotalAmt
Program Services$28,588,599ProgramServicesAmt
Management And General$3,960,488ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,978,706TotalAmt
Program Services$10,521,263ProgramServicesAmt
Management And General$1,457,443ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$19,569TotalAmt
Program Services$14,844ProgramServicesAmt
Management And General$4,725ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$350TotalAmt
Management And General$350ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$13,519TotalAmt
Management And General$13,519ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$19,168TotalAmt
Management And General$19,168ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$16,319,193TotalAmt
Program Services$17,696,738ProgramServicesAmt
Management And General-$1,377,545ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$221,950TotalAmt
Program Services$21,392ProgramServicesAmt
Management And General$200,558ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$779,096TotalAmt
Program Services$709,911ProgramServicesAmt
Management And General$69,185ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$238,049TotalAmt
Program Services$221,144ProgramServicesAmt
Management And General$16,905ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$15,185,953TotalAmt
Program Services$8,437,201ProgramServicesAmt
Management And General$6,748,752ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$579,314TotalAmt
Program Services$321,929ProgramServicesAmt
Management And General$257,385ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$213,466TotalAmt
Program Services$176,426ProgramServicesAmt
Management And General$37,040ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$27,185,399TotalAmt
Program Services$7,243,676ProgramServicesAmt
Management And General$19,941,723ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,848TotalAmt
Program Services$1,400ProgramServicesAmt
Management And General$6,448ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$68,561,967$68,575,648-$13,681
PURCHASED SERVICES$49,110,222$11,450,138$37,660,084
CORPORATE ALLOCATIONS$48,228,036$48,228,036
MANAGEMENT FEES TO AFFILIATE$33,670,152$33,670,152

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$13,062,541TotalAmt
Program Services$6,800,737ProgramServicesAmt
Management And General$6,261,804ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$510,502,441TotalAmt
Program Services$329,911,628ProgramServicesAmt
Management And General$180,590,813ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$563,602BOYAmt
EOY$10,495EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$655,351EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$27,881BOYAmt
EOY$1,248EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$58,988,767BOYAmt
EOY$56,565,568EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$443,572EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,354,818BOYAmt
EOY$5,701,169EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,924,137BOYAmt
EOY$4,718,928EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$799,936,481LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$349,206,753LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$463,674,547BOYAmt
EOY$450,729,728EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$141,624BOYAmt
EOY$76,982EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$127,064,547BOYAmt
EOY$116,702,496EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$661,739,923BOYAmt
EOY$635,605,537EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$37,524,809BOYAmt
EOY$36,676,968EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$118,091,079BOYAmt
EOY$105,323,051EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$155,615,888BOYAmt
EOY$142,000,019EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$506,124,035BOYAmt
EOY$493,605,518EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$506,124,035BOYAmt
EOY$493,605,518EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$661,739,923BOYAmt
EOY$635,605,537EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$3,376,225ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$9,142,292OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$19,168OtherActivitiesAmt
Total Lobbying Expenditures$19,168TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYLOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OR 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 ACTIVITYLOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OR STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,856,580OtherCostOrOtherBasisAmt
Book Value$11,856,580BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$631,334,812OtherCostOrOtherBasisAmt
Depreciation$225,767,114DepreciationAmt
Book Value$405,567,698BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,793,587OtherCostOrOtherBasisAmt
Depreciation$3,687,432DepreciationAmt
Book Value$1,106,155BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$138,651,087OtherCostOrOtherBasisAmt
Depreciation$116,614,755DepreciationAmt
Book Value$22,036,332BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,300,415OtherCostOrOtherBasisAmt
Depreciation$3,137,452DepreciationAmt
Book Value$10,162,963BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$450,729,728TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Asset Retir Oblig Asset Bldgs$22,257
Deferred Compensation Asset
DUE FROM AFFILIATES$109,088,518
ESTIMATED 3RD PARTY PAYOR SETTLEMENTS$4,774,764
OTHER RECEIVABLES$2,816,957
FieldValueIRS element (for citing)
Total Book Value Other Assets$116,702,496TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
DUE TO AFFILIATES$95,534,900
Pension/Deferred Compensation
ESTIMATED 3RD PARTY PAYOR SETTLEMENT$4,217,869
ACCRUED TAX LIABILITY$1,081,236
ASSET RETIREMENT LIABILITY$956,006
DISCONTINUED OPERATIONS LIABILITIES$143,651
LEASE LIABILITIES$573,534
OTHER MISCELLANEOUS LIABILITIES$286,900
RECOVERY TAIL LIABILITY$1,514,551
VALUATION ALLOWANCE$1,014,404
FieldValueIRS element (for citing)
Total Liability$105,323,051TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationTHE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX PROVISIONS 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.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,406,699TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$514,260DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,892,439NetCommunityBenefitExpnsAmt
Total Expense0.0115TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$119,394,999TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$68,696,850DirectOffsettingRevenueAmt
Net Community Benefit Expns$50,698,149NetCommunityBenefitExpnsAmt
Total Expense0.0993TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$125,801,698TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$69,211,110DirectOffsettingRevenueAmt
Net Community Benefit Expns$56,590,588NetCommunityBenefitExpnsAmt
Total Expense0.1109TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,252,339TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,686,931DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,565,408NetCommunityBenefitExpnsAmt
Total Expense0.0070TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,546,328TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,546,328NetCommunityBenefitExpnsAmt
Total Expense0.0167TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$529,336TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$139,493DirectOffsettingRevenueAmt
Net Community Benefit Expns$389,843NetCommunityBenefitExpnsAmt
Total Expense0.0008TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$232,512TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$232,512NetCommunityBenefitExpnsAmt
Total Expense0.0005TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$14,560,515TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,826,424DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,734,091NetCommunityBenefitExpnsAmt
Total Expense0.0249TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$140,362,213TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$71,037,534DirectOffsettingRevenueAmt
Net Community Benefit Expns$69,324,679NetCommunityBenefitExpnsAmt
Total Expense0.1358TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,831TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,831NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$62,077TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$62,077NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$68,908TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$68,908NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$6,318,742BadDebtExpenseAmt
Bad Debt Expense Attributable$160,093BadDebtExpenseAttributableAmt
Reimbursed By Medicare$119,281,674ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$130,788,497CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$11,506,823MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COLUMBIA ST MARY'S HOSPITAL MILWAUKEEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12301 N LAKE DRIVEAddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53211ZIPCd
FieldValueIRS element (for citing)
Website Addresshttps://healthcare.ascension.org/Locations/Wisconsin/WIMIL/Milwaukee-Ascension-Columbia-St-Marys-HosWebsiteAddressTxt
State License53StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1COLUMBIA ST MARY'S HOSPITAL MILWAUKEEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://healthcare.ascension.org/Locations/Wisconsin/WIMIL/Milwaukee-Ascension-Columbia-St-Marys-HosOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://healthcare.ascension.org/Locations/Wisconsin/WIMIL/Milwaukee-Ascension-Columbia-St-Marys-HosStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://healthcare.ascension.org/Financial-Assistance/wisconsinFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://healthcare.ascension.org/Financial-Assistance/wisconsinFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://healthcare.ascension.org/Financial-Assistance/wisconsinFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3ETO 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 , 1Facility , 1 - COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC.. THE CHNA WAS CONDUCTED TO INCLUDE THREE LEVELS OF INFORMATION: A COMMUNITY TELEPHONE SURVEY OF RESIDENTS TO GATHER THEIR INPUT ON COMMUNITY HEALTH NEEDS; A SECONDARY DATA REPORT COMMISSIONED FROM A CONSULTANT PROFICIENT IN GATHERING AND INTERPRETING OF DATA FROM PUBLIC HEALTH DEPARTMENTS, STATE ORGANIZATIONS AND NON-PROFIT ORGANIZATIONS WORKING IN THE FIELD OF HEALTH; AND INTERVIEWS WITH KEY STAKEHOLDERS IN THE FIELD OF HEALTH. A LIST OF THE ORGANIZATIONS THAT PROVIDE INPUT ARE LISTED BELOW. T DENOTES THIS ORGANIZATION REPRESENTS LOW-INCOME POPULATIONS. TT DENOTES THIS ORGANIZATION REPRESENTS MEDICALLY UNDERSERVED POPULATIONS. TTT DENOTES THIS ORGANIZATION REPRESENTS MINORITY POPULATIONS. * AIDS RESOURCE CENTER OF WISCONSIN T,TT, * APOSTLE PRESBYTERIAN CHURCH T,TT, * BLACK HEALTH COALITION OF WISCONSIN, INC. T,TT,TTT * BOYS & GIRLS CLUB T,TT, * CENTER FOR VETERANS ISSUES T,TT, * CENTRO HISPANO T,TT,TTT * CHILDREN'S HOSPITAL OF WISCONSIN T,TT, * CHILDREN'S HEALTH ALLIANCE OF WISCONSIN/ MILWAUKEE COUNTY ORAL HEALTH TASK FORCE T,TT, * CITY OF MILWAUKEE HEALTH DEPARTMENT T,TT, * CITY OF WEST ALLIS T,TT, * COMMUNITY ADVOCATES T,TT, * CORE/EL CENTO T,TT,TTT * CUDAHY HEALTH DEPARTMENT T,TT, * FRANKLIN HEALTH DEPARTMENT T,TT, * GERALD E. IGNACE INDIAN HEALTH CENTER T,TT,TTT * GREENFIELD HEALTH DEPARTMENT T,TT, * HMONG AMERICAN WOMEN'S ASSOCIATION T,TT,TTT * IMPACT PLANNING COUNCIL T,TT, * MEDICAL COLLEGE OF WISCONSIN INSTITUTE FOR HEALTH AND SOCIETY T,TT, * MENTAL HEALTH AMERICA OF WISCONSIN T,TT, * MILWAUKEE CENTER FOR INDEPENDENCE T,TT,TTT * MILWAUKEE COUNTY BEHAVIORAL HEALTH DIVISION * MILWAUKEE COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES T,TT, * MILWAUKEE COUNTY DEPARTMENT ON AGING T,TT, * MILWAUKEE POLICE DEPARTMENT T,TT, * MILWAUKEE PUBLIC SCHOOLS T,TT, * MP3 HEALTH GROUP; T,TT, * NEXT DOOR FOUNDATION T,TT, * NORTH SHORE HEALTH DEPARTMENT T,TT, * OAK CREEK HEALTH DEPARTMENT T,TT, * SOUTH MILWAUKEE HEALTH DEPARTMENT T,TT, * TRI-CITY NATIONAL BANK T, * UNITED WAY OF GREATER MILWAUKEE AND WAUKESHA COUNTY T,TT, * UW-MILWAUKEE JOSEPH J. ZILBER SCHOOL OF PUBLIC HEALTH (2012-2015) T,TT, * WAUWATOSA HEALTH DEPARTMENT T,TT, * WEST ALLIS & WEST MILWAUKEE HEALTH DEPARTMENT T,TT, * WEST ALLIS FIRE DEPARTMENT T,TT, * WEST ALLIS FIRE DEPARTMENT T,TT, * WEST ALLIS/WEST MILWAUKEE CHAMBER OF COMMERCE T,TT, * WEST ALLIS/WEST MILWAUKEE SCHOOL DISTRICT T,TT, * YMCA OF METRO MILWAUKEE T,TT, * YWCA SOUTHEAST WISCONSIN T,TT,
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC.. AURORA HEALTH CARE CHILDREN'S HOSPITAL OF WISCONSIN FROEDTERT HOSPITAL WHEATON FRANCISCAN HEALTH CARE.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC.. A LIST OF THE ORGANIZATIONS THAT PROVIDE INPUT ARE LISTED BELOW. MILWAUKEE HEALTH CARE PARTNERSHIP WHICH INCLUDES THE FOLLOWING PARTNERS: * AURORA HEALTH CARE * CHILDREN'S HOSPITAL OF WISCONSIN * FROEDTERT HEALTH * PROGRESSIVE COMMUNITY HEALTH CENTERS * MILWAUKEE HEALTH SERVICE, INC. * SIXTEENTH STREET COMMUNITY HEALTH CENTERS * MEDICAL COLLEGE OF WISCONSIN * CITY OF MILWAUKEE HEALTH DEPARTMENT * MILWAUKEE COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES * WISCONSIN DEPARTMENT OF HEALTH SERVICES * THE MEDICAL SOCIETY OF MILWAUKEE COUNTY * THE MILWAUKEE FREE CLINIC COMMUNITY COLLABORATIVE * WISCONSIN STATEWIDE HEALTH INFORMATION NETWORK (WISHIN) * WHEATON FRANCISCAN HEALTHCARE * WISCONSIN HOSPITAL ASSOCIATION * WISCONSIN PRIMARY HEALTH CARE ASSOCIATION.
Schedule H, Part V, Section B, Line 7 Facility , 1Facility , 1 - COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC.. SEVERAL REPORTS APPLICABLE TO OUR WISCONSIN HOSPITAL FACILITIES ARE AVAILABLE AT THE MILWAUKEE HEALTH CARE PARTNERSHIP'S (MHCP) WEBSITE AT HTTP://MKEHCP.ORG/PUBLICATIONS. MHCP IS A PUBLIC / PRIVATE CONSORTIUM DEDICATED TO IMPROVING HEALTH CARE COVERAGE, ACCESS, AND CARE COORDINATION FOR UNDERSERVED POPULATIONS IN MILWAUKEE COUNTY, WITH THE GOALS OF IMPROVING HEALTH OUTCOMES, ELIMINATING DISPARITIES, AND REDUCING THE TOTAL COST OF CARE.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC.. 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 2017 (TAX YEAR 2016), THE HOSPITAL IMPLEMENTED THE FOLLOWING PLAN TO ADDRESS THE PRIORITY NEEDS: SUBSTANCE ABUSE -- IMPROVED HEALTH SCREENING AND EDUCATION TO CLIENTS AT SUBSTANCE ABUSE TREATMENT CENTER FOR WOMEN ORAL HEALTH -- IMPROVED ORAL HEALTH SCREENING AND EDUCATION TO DIABETIC PATIENTS -- EXPANDED DENTAL HEALTH SERVICES INTO PRIMARY CARE AND OB CLINICS -- PROVIDED ORAL HEALTH SERVICES IN SCHOOLS -- EXPANDED DENTAL HEALTH SERVICES INTO PRIMARY CARE AND OB CLINICS BREAST CANCER -- PROVIDED MAMMOGRAPHY SCREENINGS IN THE COMMUNITY INFANT MORTALITY -- PROVIDED PRENATAL EDUCATION AND CASE MANAGEMENT -- PROVIDED EDUCATION TO PREGNANT WOMEN THROUGH COLLABORATIVE RELATIONSHIP WITH CHURCHES OBESITY PREVENTION -- INCREASED ACCESS TO HEALTHY FOODS -- INCREASED ACCESS TO HEALTHY FOODS THROUGH VEGETABLE PRESCRIPTION PROGRAM ---------------------------------------------------------------------------------------------------------------------------- EXPLANATION ON NEEDS IDENTIFIED IN CHNA THAT ARE NOT BEING ADDRESSED: SEXUAL HEALTH THIS IS AN AREA IN WHICH CSM WILL NOT PARTICIPATE DIRECTLY. UNITED WAY OF GREATER MILWAUKEE AND WAUKESHA COUNTY HAS LED A TASK FORCE TO REDUCE TEEN PREGNANCY AND SIGNIFICANTLY REDUCED PREGNANCY RATES. CSM HAS NOT PARTICIPATED IN THIS ACTIVITY AND THIS COLLABORATION. OUR RESOURCES ARE WELL USED IN OTHER AREAS OF COMMUNITY LEADERSHIP. INJURY AND VIOLENCE BECAUSE OF THE STRATEGY TO FOCUS ON FALL ASSESSMENT AND INJURIES THIS NEED WILL BE ADDRESSED IN THE SACRED HEART REHABILITATION INSTITUTE COMMUNITY HEALTH IMPROVEMENT PLAN. CHRONIC DISEASE BECAUSE OF THE FOCUS ON DIABETES FRIENDLY FOOD PANTRY AND SACRED HEART REHABILITATION INSTITUTE'S HISTORY OF SUPPORT OF THE EBENEZER FOOD PANTRY AS WELL AS THE ROLE OF DIABETES IN CHRONIC DISEASES RELATED TO REHABILITATION, THIS NEED WILL BE ADDRESSED IN THE SACRED HEART REHABILITATION INSTITUTE COMMUNITY HEALTH IMPROVEMENT PLAN.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC.. THE FILING ORGANIZATION TAKES SEVERAL PROACTIVE APPROACHES TO MAKE PATIENTS AWARE OF OUR FINANCIAL ASSISTANCE POLICY. IN ADDITION TO OUR POLICY BEING POSTED ON OUR WEBSITE AND AVAILABLE TO ANYONE WHO REQUESTS ONE, THERE IS ABUNDANT SIGNAGE THROUGHOUT OUR FACILITY EXPLAINING OUR FINANCIAL ASSISTANCE POLICY AND HOW TO OBTAIN THE ACTUAL POLICY, IF DESIRED. NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE DISPLAYED IN HIGHLY VISIBLE LOCATIONS WHERE THERE IS A SIGNIFICANT VOLUME OF INPATIENT OR OUTPATIENT TRAFFIC SUCH AS IN INPATIENT AND OUTPATIENT ADMITTING AND REGISTRATION AREAS, PHYSICIAN OFFICES, AND EMERGENCY DEPARTMENTS. BROCHURES DESCRIBING THE POLICY ARE AVAILABLE IN THE SAME LOCATIONS, AND THE POLICY IS DISCUSSED AT THE TIME OF REGISTRATION OR PRE-REGISTRATION, ADMISSION, DISCHARGE, AND WITH BILLING FOR THOSE IDENTIFIED WITH A NEED. PATIENTS WHO CALL AND EXPRESS A FINANCIAL HARDSHIP WITH PAYING THEIR BILL WILL BE ASSISTED BY A CUSTOMER SERVICE REPRESENTATIVE, WHO WILL ASSIST THE PATIENT IN SETTING UP AN APPOINTMENT TO MEET WITH A FINANCIAL ADVOCATE WHO WILL GO OVER THE FINANCIAL ASSISTANCE POLICY IN DETAIL, GET THE FINANCIAL ASSISTANCE APPLICATION PROCESS STARTED, AND EDUCATE THE PATIENT REGARDING ANY QUESTIONS THEY MAY HAVE. LASTLY, OUR PATIENT STATEMENTS ALSO INCLUDE NOTIFICATIONS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND A PHONE NUMBER TO CALL FOR MORE INFORMATION. ADDITIONALLY, OUR FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE ON OUR WEBSITE, HTTP://WWW.COLUMBIA-STMARYS.ORG/OTH/PAGE.ASP?PAGEID=OTH000609. THE FINANCIAL ASSISTANCE POLICY, APPLICATION, PLAIN LANGUAGE SUMMARY, AND PROVIDER LISTING HAS BEEN TRANSLATED INTO 7 LANGUAGES: ENGLISH, SPANISH, HMONG, LAOTIAN, ARABIC, RUSSIAN, AND SERBIAN/CROATIAN.
FieldValueIRS element (for citing)
Facility27FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (27 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Prospect Medical Commons
2311 N Prospect AveMilwaukeeWI53211Clinic
Van Dyke Cancer Center - Milwaukee
2350 N Lake Drive Suite 100MilwaukeeWI53211Clinic
River Woods Outpatient Center
375 W Riverwoods PKWYGlendaleWI53212Outpatient Center
Gateway Medical Center
801 S 70th stWest AllisWI53214Clinic
Glendale Green Bay Clinic
9233 N Green Bay RoadBrown DeerWI53209Clinic
CSM Cardiovascular Specialists - WTMC
2350 N Lake Drive Suite 400MilwaukeeWI53211Clinic
CSM Cardiovascular Specialists - Electrophysiology - WTMC
2350 N Lake Drive Suite 206MilwaukeeWI53211Clinic
CSM Cardiovascular Specialists - Electrophysiology - West Allis
801 S 70th stWest AllisWI53214Clinic
CSM Cardiovascular Specialists - Electrophysiology - Bay View
3056 S Kinnickinnic Ave Suite 302MilwaukeeWI53207Clinic
West Allis Medical Clinic
2323 S 102ND StWest AllisWI53227Clinic
Airport Medical Clinic
4848 S 6th StreetMilwaukeeWI53221Clinic
Columbia West Clinic
10950 W Capitol DriveWauwatosaWI53222Clinic
Glendale Port Washington Clinic
6900 N Port Washington RoadGlendaleWI53217Clinic
Bay View Family Health Center
3056 S Kinnickinnic AveMilwaukeeWI53207Clinic
Westgate Medical Group
2727 N Mayfair RoadWauwatosaWI53222Clinic
River Woods Urgent Care
375 W Riverwoods PKWYGlendaleWI53212Clinic
Shorewood Family Physicians
1901 E Capitol DriveShorewoodWI53211Clinic
Cathedral Square Express Care Center
734 N Jackson StMilwaukeeWI53202Clinic
Family Health Center
1121 E North AveMilwaukeeWI53212Clinic
ENT Associates
2350 N Lake Drive Suite 406MilwaukeeWI53211Clinic
Center For Pain Management
3056 S Kinnickinnic AveMilwaukeeWI53207Clinic
CSM Urogynocology
2350 N Lake Drive Suite 504MilwaukeeWI53211Clinic
CSM Cardiovascular Specialists - Bay View
3056 S Kinnickinnic Ave Suite 300MilwaukeeWI53207Clinic
CSM Behavioral Medicine Clinic
2323 N Lake DriveMilwaukeeWI53211Clinic
St Elizabeth Ann Seton Dental Clinic
1730 S 13th StreetMilwaukeeWI53204Clinic
Perinatal Assessment Center
2323 N Lake DriveMilwaukeeWI53211Clinic
St Ben's Clinic
1027 N 9th StreetMilwaukeeWI53233Clinic

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 7g Subsidized Health ServicesCOLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. DID NOT INCLUDE ANY SUBSIDIZED HEALTH SERVICES ATTRIBUTABLE TO PHYSICIAN CLINICS.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceTHE 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 ActivitiesASCENSION COLUMBIA ST. MARY'S MILWAUKEE HOSPITAL PROVIDES JOB SHADOWING EXPERIENCES FOR MILWAUKEE COUNTY HIGH SCHOOL STUDENTS. STUDENTS ARE PLACED IN VARIOUS DEPARTMENTS WORKING WITH A CSM STAFF AND ARE ASSIGNED A MENTOR. THE PROGRAM IS DESIGNED TO TEACH CHILDREN WITH PHYSICAL, EMOTIONAL AND COGNITIVE DISABILITIES JOB TRAINING/ READINESS SKILLS ALONG WITH ACCEPTABLE WORK BEHAVIORS. ACCORDING TO THE COUNTY HEALTH RANKINGS, EMPLOYMENT PROVIDES INCOME AND, OFTEN, BENEFITS THAT CAN SUPPORT HEALTHY LIFESTYLE CHOICES. UNEMPLOYMENT AND UNDER EMPLOYMENT LIMIT THESE CHOICES, AND NEGATIVELY AFFECT BOTH QUALITY OF LIFE AND HEALTH OVERALL. 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 COLUMBIA ST. MARY'S MILWAUKEE HAS A COLLABORATION WITH THE INROADS PROGRAM TO PROVIDE CULTURALLY DIVERSE COLLEGE STUDENTS AN OPPORTUNITY TO EXPERIENCE THE HEALTHCARE WORKPLACE AND LEARN VALUABLE LEADERSHIP SKILLS DURING THEIR INTERNSHIP. ASCENSION COLUMBIA ST. MARY'S MILWAUKEE ALSO COORDINATES A THANKSGIVING FOOD DISTRIBUTION PROGRAM. RESIDENTS OF MILWAUKEE COUNTY LIVING IN POVERTY CAN RECEIVE FOOD AND OTHER BASIC NESSES SITES TO ASSIST WITH REDUCING FOOD INSECURITY. FOOD INSECURITY HAS BEEN SHOWN TO BE LINKED TO INCREASED RISK OF CHRONIC DISEASES, PARTICULARLY AMONG LOW INCOME POPULATIONS.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountAFTER 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 2018 WAS $19,485,314 AT CHARGES, ($6,318,742 AT COST).
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyTHE 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 footnoteTHE 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 costsA 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 assistanceTHE 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- COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance/wisconsin;
Schedule H, Part V, Section B, Line 16b FAP Application website- COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance/wisconsin;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance/wisconsin;
Schedule H, Part VI, Line 2 Needs assessmentIN ADDITION TO THE CHNA REPORTED IN PART V, SECTION B, COLUMBIA SAINT MARY'S HOSPITAL, MILWAUKEE USES 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. COLUMBIA SAINT MARY'S HOSPITAL, MILWAUKEE 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 assistanceTHE FILING ORGANIZATION IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL (OR HEALTH SYSTEM), IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, OUR FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES AND IS PROVIDED FOR THOSE WHO EARN UP TO 400% OF THE FEDERAL POVERTY LEVEL. THE FOLLOWING DOCUMENTS ARE WIDELY PUBLICIZED ON THE ORGANIZATION'S WEBSITE AT: HTTPS://WWW.MYWHEATON.ORG/ABOUT-WHEATON/BILLING-INFORMATION/#POLICY - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY THE ORGANIZATION ALSO MAKES PAPER COPIES OF THE FOLLOWING DOCUMENTS AVAILABLE UPON REQUEST: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - AMOUNT GENERALLY BILLED CALCULATION PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE, AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL. THE ORGANIZATION INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION CAN BE OBTAINED. SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSION AREA ALSO INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY.
Schedule H, Part VI, Line 4 Community informationPLEASE SEE DETAILED INFORMATION PROVIDED AT SCHEDULE H PART V SECTION B LINES 1-12 AND PART VI LINE 5.
Schedule H, Part VI, Line 5 Promotion of community healthTHE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS REPRESENTING DIVERSE ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF the GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA; WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. SURPLUS FUNDS ARE PROVIDED TO FUND IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH THROUGH DONATIONS FROM SUPPORTING ORGANIZATIONS. PLEASE ALSO SEE PART III FOR COMMUNITY ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION, AS WELL AS A COMPILATION OF REGIONAL CHARITY CARE INFORMATION.
Schedule H, Part VI, Line 6 Affiliated health care systemTHE FILING ORGANIZATION IS AN AFFILIATE OF COLUMBIA ST. MARY'S, INC. AND ASCENSION HEALTH. THE HOSPITAL'S 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 POOR OR 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 ORGANIZATIONS/ENTITIES 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 ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING HEALTHCARE SERVICES IN THE SOUTHEAST WISCONSIN AREA, REGARDLESS OF THE PERSON'S ABILITY TO PAY, BECAUSE IT IS OUR MISSION TO IMPROVE THE LIVES OF THOSE IN THE COMMUNITIES WE SERVE.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KEVIN J GONJU MD
DIRECTOR/PHYSICIAN$0$578,242$0$1,000$0$7,524$0$17,550$0$35,270$0$639,586$0$0
TRAVIS D ANDERSEN
DIRECTOR/REGIONAL PRESIDENT AW$0$563,166$0$701,999$0$102,400$0$13,500$0$30,954$0$1,412,019$0$0
TIMOTHY JAMES WALDOCH
FORMER OFFICER (END 12/2016)$0$209,647$0$46,613$0$1,092$0$12,417$0$28,329$0$298,098$0$0
KELLY ELKINS
PRESIDENT COLUMBIA ST MARY'S$0$282,409$0$0$0$25,191$0$4,696$0$16,021$0$328,317$0$0
JONATHAN SOHN
CFO - ASCENSION, WI$0$505,898$0$270,732$0$127,274$0$14,885$0$33,482$0$952,271$0$0
KEVIN JOHN KLUESNER
FORMER KEY EMPLOYEE (END 6/2017)$0$257,247$0$58,967$0$22,736$0$16,100$0$28,058$0$383,108$0$0
BRUCE D MCCARTHY MD
FORMER KEY EMPLOYEE (END 1/2017)$0$69,797$0$0$0$657,578$0$3,152$0$6,578$0$737,105$0$0
WILLIAM D HART
FORMER KEY EMPLOYEE (END 6/2017)$0$306,049$0$66,840$0$37,180$0$17,550$0$3,304$0$430,923$0$0
GERRI G LIETZ-STAFFILENO
FORMER KEY EMPLOYEE (END 6/2017)$0$26,969$0$0$0$244,064$0$2,195$0$7,581$0$280,809$0$0
CLARISSA L COX
FORMER KEY EMPLOYEE (END 6/2017)$0$0$0$0$0$172,450$0$0$0$0$0$172,450$0$0
SUZANNE SANICOLA
REGIONAL VP OPS-PRIMARY MEDICAL GROUP$268,274$0$63,859$0$41,133$0$17,325$0$28,211$0$418,802$0$0$0
RICHARD J SHIMP MD
CHIEF MEDICAL OFFICER$0$364,550$0$82,203$0$33,781$0$13,500$0$29,115$0$523,149$0$0
SHARON D BAUGHMAN
REGIONAL CNO, NORTH$0$249,824$0$56,892$0$10,199$0$15,702$0$33,822$0$366,439$0$0
SANJAY S DESHPANDE MD
PHYSICIAN$1,540,309$0$73,584$0$4,902$0$14,850$0$44,006$0$1,677,651$0$0$0
ANTHONY J LINN MD
PHYSICIAN$863,258$0$33,000$0$493,467$0$17,550$0$32,015$0$1,439,290$0$478,989$0
CRAIG A SCHULZ MD
PHYSICIAN$1,163,432$0$1,184$0$4,714$0$16,200$0$37,226$0$1,222,756$0$0$0
EMAD S BOTROS MD
PHYSICIAN$1,095,246$0$1,000$0$4,902$0$14,850$0$41,117$0$1,157,115$0$0$0
RICHARD A PIRCON MD
PHYSICIAN$1,086,460$0$1,000$0$7,624$0$16,200$0$30,739$0$1,142,023$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationAscension Health, a related organization of Columbia St. Mary's Hospital Milwaukee Inc. uses the following to establish the compensation of the organization's President: - Compensation Committee - Independent Compensation Consultant - Compensation Survey or Study - Approval by the Board or Compensation Committee.
Schedule J, Part I, Line 4a Severance or change-of-control paymentThe following individual(s) received severance payments from the organization or a related organization during calendar year 2017 : Clarissa Cox - $171,040 Gerri G Lietz-Staffileno - $234,140 Bruce D McCarthy - $541,659
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planEligible 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. The following individuals received payment from the supplemental nonqualified retirement plan in the amount as noted during calendar year 2017 : Anthony Linn - $478,989

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALIN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT, THE PROCESS, PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE PRESIDENT 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 COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEESIN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, THE PROCESS PERFORMED BY COLUMBIA ST. MARY'S INC., A RELATED ORGANIZATION OF COLUMBIA ST. MARY'S HOSPITAL OF MILWAUKEE, INC., 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 stockholdersColumbia St. Mary's Hospital Milwaukee, Inc. has a single corporate member, Columbia St. Mary's, Inc.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyColumbia St. Mary's Hospital Milwaukee, Inc. (CSM-M) has a single corporate member, Columbia St. Mary's, Inc. who has the ability to elect members to the governing body of Columbia St. Mary's Hospital Milwaukee, Inc.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersAll decisions that have a material impact to Columbia St. Mary's Hospital Milwaukee, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, Columbia St. Mary's, Inc.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyDURING 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 policyThe 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 publicThe Organization will provide any documents open to public inspection upon request.
Form 990, Part VIII, Line 2f Other Program Service RevenueINCOME FROM JOINT VENTURES - Total Revenue: -13541643, Related or Exempt Function Revenue: -13541643, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MANAGEMENT FEES - Total Revenue: 609944, Related or Exempt Function Revenue: 305294, Unrelated Business Revenue: 304650, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; CONSULTING FEES - Total Revenue: 11349, Related or Exempt Function Revenue: 11349, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; PROGRAM REVENUE - Total Revenue: 818007, Related or Exempt Function Revenue: 818007, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueESCHEATMENT REVENUE - Total Revenue: 1001, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1001; PARKING REVENUE - Total Revenue: 4290, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 4290; MISCELLANEOUS REVENUE - Total Revenue: 610999, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 610999;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesTRANSFERS WITH ALPHA FUND - -9186815; TRANSFER WITH AFFILIATE - 44523;
Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTSTHE ACTIVITY OF COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC.
Form 990, Part XII, Line 2c AUDIT COMMITTEECOLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, 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 WEBSITEhttps://healthcare.ascension.org/Locations/Wisconsin/WIMIL/Milwaukee-Ascension-Columbia-St-Marys-Hospital-Milwaukee

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (50 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndBusiness Name Line2DisregardedEntityName/BusinessNameLine2TxtBusiness Name Line2DirectControllingEntityName/BusinessNameLine2TxtAddress Line2USAddress/AddressLine2Txt
AFFINITY HEALTH SYSTEM
1570 MIDWAY PLACEMENASHAWI54952391568866HEALTH SYSTEMIL501(c)(3)Type IIMINISTRY HEALTH CARE INCYes (true)
AGAPE COMMUNITY CENTER OF MILWAUKEE INC
6100 NORTH 42ND STREETMILWAUKEEWI53209391641846COMMUNITY CENTERWI501(c)(3)7MINISTRY HEALTH CARE INCYes (true)
ASCENSION ALL SAINTS HOSPITAL INC (FKA WHEATON FRANCISCAN HEALTHCARE-ALL SA
3801 SPRING STREETRACINEWI53405391264986HOSPITALWI501(c)(3)3WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INCYes (true)INTS INC)
ASCENSION CALUMET HOSPITAL INC
614 MEMORIAL DRIVECHILTONWI53014390905385HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
ASCENSION EAGLE RIVER HOSPITAL INC
201 HOSPITAL ROADEAGLE RIVERWI54521390985690HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
ASCENSION GOOD SAMARITAN HOSPITAL INC
601 SOUTH CENTER AVENUEMERRILLWI54452390808503HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
ASCENSION HEALTH ALLIANCE
PO BOX 45998ST LOUISMO63145453358926NATIONAL HEALTHMO501(c)(3)Type INAfalse
ASCENSION HEALTH
PO BOX 45998ST LOUISMO63145311662309NATIONAL HEALTHMO501(c)(3)Type IASCENSION HEALTH ALLIANCEfalse
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC (FKA NETWORK HEALTH SYSTEM
1570 APPLETON RDMENASHAWI54952391127163CLINICAL HEALTHCARE SERVICESWI501(c)(3)3AFFINITY HEALTH SYSTEMYes (true)INC)
ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC (FKA MINISTRY MEDICAL GROUP
824 ILLINOIS AVENUESTEVENS POINTWI54481391965593MEDICAL GROUPWI501(c)(3)Type III-FIMINISTRY HEALTH CARE INCYes (true)INC)
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC (FKA WHEATON FRANCISCAN MED
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391791586MEDICAL GROUPWI501(c)(3)3WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INCYes (true)ICAL GROUP INC)
ASCENSION NE WISCONSIN INC (FKA ST ELIZABETH HOSPITAL INC)
1506 S ONEIDA STREETAPPLETONWI54915390816818HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
ASCENSION OUR LADY OF VICTORY HOSPITAL INC
1120 PINE STREETSTANLEYWI54768390807065HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
ASCENSION SACRED HEART-STMARY'S HOSPITALS INC
PO BOX 347STEVENS POINTWI54481391390638HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
ASCENSION SE WISCONSIN HOSPITAL INC (FKA WHEATON FRANCISCAN INC)
5000 WEST CHAMBERS STREETMILWAUKEEWI53210390816857HOSPITALWI501(c)(3)3WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INCYes (true)
ASCENSION ST CLARE'S HOSPITAL INC
3400 MINISTRY PARKWAYWESTONWI54476721531917HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
ASCENSION ST FRANCIS HOSPITAL INC (FKA WHEATON FRANCISCAN HEALTHCARE-ST FRA
3237 SOUTH 16TH STREETMILWAUKEEWI53215390907740HOSPITALWI501(c)(3)3WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INCYes (true)NCIS INC)
ASCENSION ST MICHAEL'S HOSPITAL INC
900 ILLINOIS AVENUESTEVENS POINTWI54481390808443HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
ASCENSION WISCONSIN LABORATORIES INC (FKA WHEATON FRANCISCAN LABORATORIES I
3237 SOUTH 16TH STREETMILWAUKEEWI53215391701402LABORATORYWI501(c)(3)10WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INCYes (true)NC)
ASCENSION WISCONSIN PHARMACYINC (FKA WHEATON FRANCISCAN HEALTHCARE-PHARMACY
19525 WEST NORTH AVENUEBROOKFIELDWI53005391613624PHARMACYWI501(c)(3)10WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INCYes (true)ENTERPRISES AND FRANCISCAN WOODS INC)
CATALPA HEALTH INC
N4642 COUNTY NAPPLETONWI54914454681563BEHAVIORAL HEALTH SERVICESWI501(c)(3)3AFFINITY HEALTH SYSTEMYes (true)
COLUMBIA COLLEGE OF NURSING Inc
4425 NORTH PORT WASHINGTON ROADGLENDALEWI53212391596986COLLEGEWI501(c)(3)2COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INCYes (true)
COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC
4425 NORTH PORT WASHINGTON ROADGLENDALEWI53212390807063HOSPITALWI501(c)(3)3COLUMBIA ST MARY'S INCYes (true)
COLUMBIA ST MARY'S INC
4425 NORTH PORT WASHINGTON ROADGLENDALEWI53212391834639PARENT CORPORATIONWI501(c)(3)Type IASCENSION HEALTHfalse
DR KATE NEWCOMB CONVALESCENT CENTER INC
PO BOX 829WOODRUFFWI54568391357365NURSING/ASSISTED LIVING SERVICESWI501(c)(3)10HOWARD YOUNG HEALTH CARE INCYes (true)
FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD Inc
611 SAINT JOSEPH AVENUEMARSHFIELDWI54449391684957FOUNDATIONWI501(c)(3)Type ISAINT JOSEPH'S HOSPITAL OF MARSHFIELD INCYes (true)
FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC
3400 MINISTRY PARKWAYWESTONWI54476753193633FOUNDATIONWI501(c)(3)Type IASCENSION ST CLARE'S HOSPITAL INCYes (true)
GOOD SAMARITAN HEALTH CENTER FOUNDATION OF MERRILL WISCONSIN INC
601 SOUTH CENTER AVENUEMERRILLWI54452391627755FOUNDATIONWI501(c)(3)Type IASCENSION GOOD SAMARITAN HOSPITAL INCYes (true)
HOWARD YOUNG HEALTH CARE INC
240 MAPLE STREETWOODRUFFWI54568391499115HOME OFFICEWI501(c)(3)Type IIMINISTRY HEALTH CARE INCYes (true)
MERCY HEALTH FOUNDATION INC
PO BOX 3370OSHKOSHWI54903237140261FOUNDATIONWI501(c)(3)10AFFINITY HEALTH SYSTEMYes (true)
MERCY MEDICAL CENTER OF OSHKOSH INC
500 S OAKWOOD ROADOSHKOSHWI54904390806268HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
METRO PHYSICIANS INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212943436893Medical GroupWI501(c)(3)3ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC (FKA WHEATON FRANCISCAN MEDYes (true)ICAL GROUP INC)
MINISTRY HEALTH CARE INC
10925 W LAKE PARK DR STE 100MILWAUKEEWI53224391490371PARENT CORPORATIONWI501(c)(3)Type IIASCENSION HEALTHfalse
MINISTRY WEIGHT MANAGEMENT INC
2251 NORTH SHORE DRIVERHINELANDERWI54501391829015SPECIALTY HEALTH SERVICESWI501(c)(3)3ASCENSION SACRED HEART-STMARY'S HOSPITALS INCYes (true)
SACRED HEART REHABILITATION INSTITUTE Inc
4425 NORTH PORT WASHINGTON ROADGLENDALEWI53212390902199REHAB SERVICESWI501(c)(3)3COLUMBIA ST MARY'S INCYes (true)
SAINT ELIZABETH'S HOSPITAL OF WABASHA INC
1200 GRANT BLVD WESTWABASHAMN55981410693877HOSPITALMN501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
ST JOSEPH'S HOSPITAL OF MARSHFIELD INC
611 SAINT JOSEPH AVENUEMARSHFIELDWI54449390847631HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
SAINT MICHAEL'S FOUNDATION OF STEVENS POINT INC
900 ILLINOIS AVENUESTEVENS POINTWI54481391657410FOUNDATIONWI501(c)(3)Type IASCENSION ST MICHAEL'S HOSPITAL INCYes (true)
ST ELIZABETH HOSPITAL FOUNDATION INC
1506 S ONEIDA STREETAPPLETONWI54915391256677FOUNDATIONWI501(c)(3)7AFFINITY HEALTH SYSTEMYes (true)
THE HOWARD YOUNG MEDICAL CENTER INC
240 MAPLE STREETWOODRUFFWI54568390873606HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
VOLUNTEERS IN PARTNERSHIP WITH WHEATON FRANCISCAN HEALTHCARE-ALL SAINTS INC
3807 SPRING STREETRACINEWI53405930838390FOUNDATIONWI501(c)(3)10ASCENSION ALL SAINTS HOSPITAL INC (FKA WHEATON FRANCISCAN HEALTHCARE-ALL SAYes (true)INTS INC)
WHEATON FRANCISCAN - ELMBROOK MEMORIAL FOUNDATION INC
3237 SOUTH 16TH STREETMILWAUKEEWI53215392028808FOUNDATIONWI501(c)(3)Type IASCENSION SE WISCONSIN HOSPITAL INC (FKA WHEATON FRANCISCAN INC)Yes (true)
WHEATON FRANCISCAN - ST JOSEPH FOUNDATION INC
5000 WEST CHAMBERS STREETMILWAUKEEWI53210391636804FOUNDATIONWI501(c)(3)Type IASCENSION SE WISCONSIN HOSPITAL INC (FKA WHEATON FRANCISCAN INC)Yes (true)
WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391568865PARENT CORPORATIONIL501(c)(3)Type III-FIASCENSION HEALTHfalse
WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS FOUNDATION INC
3805B SPRING STREETRACINEWI53405391570877FOUNDATIONWI501(c)(3)7ASCENSION ALL SAINTS HOSPITAL INC (FKA WHEATON FRANCISCAN HEALTHCARE-ALL SAYes (true)INTS INC)
WHEATON FRANCISCAN HEALTHCARE-CIRCLE OF LIFE FOUNDATION INC
4300 BROWN DEER ROADBROWN DERWI53223562426294FOUNDATIONWI501(c)(3)Type IASCENSION WISCONSIN PHARMACY INC (FKA WHEATON FRANCISCAN HEALTHCARE-PHARMACYes (true)Y ENTERPRISES & FRANCISCAN WOODS INC)SUITE 250
WHEATON FRANCISCAN HEALTHCARE - ELMBROOK MEMORIAL AUXILIARY
19333 WEST NORTH AVENUEBROOKFIELDWI53045396068950AUXILIARYWI501(c)(3)Type III-FIASCENSION SE WISCONSIN HOSPITAL INC (FKA WHEATON FRANCISCAN INC)Yes (true)
WHEATON FRANCISCAN HEALTHCARE - FOUNDATION FOR ST FRANCIS AND FRANKLIN INC
3237 SOUTH 16TH STREETMILWAUKEEWI53215320135258FOUNDATIONWI501(c)(3)Type IASCENSION ST FRANCIS HOSPITAL INC (FKA WHEATON FRANCISCAN HEALTHCARE-ST FRAYes (true)NCIS INC)
WHEATON FRANCISCAN HEALTHCARE-FRANKLIN INC
10101 SOUTH 27TH STREETFRANKLINWI53132562592868HOSPITALWI501(c)(3)3WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INCYes (true)
WISCONSIN PSYCHOANALYTIC FOUNDATION INC
2323 NORTH LAKE DRIVEMILWAUKEEWI53211391377923FOUNDATIONWI501(c)(3)7COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INCYes (true)1ST FLOOR

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Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
PROSPECT MEDICAL COMMONS CONDOMINIUM ASSOCIATION INC
4425 N PORT WASHINGTON RDGLENDALEWI53212208042108CONDO ASSOCIATIONWINAC CorporationYes (true)
FRANKLIN MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212341983857CONDO ASSOCIATIONWINAC CorporationYes (true)
WHEATON FRANCISCAN HOLDINGS INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391836357HOLDING COWINAC CorporationYes (true)
WHEATON FRANCISCAN PROVIDER NETWORK INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391952140PROVIDER CONTRACTWINAC CorporationYes (true)
MADISON MEDICAL AFFILIATES INC
4425 N PORT WASHINGTON RDGLENDALEWI53212391855720HEALTHCAREWIColumbia St Mary's Hospital Milwaukee IncC CorporationYes (true)$36,106,652$6,153,4591
WHEATON WAY CONDOMINIUM OWNERS ASSOCIATION INC
10101 SOUTH 27TH STREETFRANKLINWI53123300659830CONDO ASSOCIATIONWINAC CorporationYes (true)
WHEATON FRANCISCAN ENTERPRISES INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391985204HOLDING COWINAC CorporationYes (true)
WHEATON FRANCISCAN MEDICAL GROUP - SUSSEX INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391361100HEALTHCAREWINAC CorporationYes (true)
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Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
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Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
COLUMBIA COLLEGE OF NURSING INC
Q$206,321FAIR MARKET VALUE
COLUMBIA ST MARY'S HOSPITAL - OZAUKEE INC
L$4,085,621FAIR MARKET VALUE
COLUMBIA ST MARY'S HOSPITAL- OZAUKEE INC
Q$15,115,402FAIR MARKET VALUE
PROSPECT MEDICAL COMMONS CONDOMINIUM ASSOCIATION INC
P$90,152FAIR MARKET VALUE
SACRED HEART REHABILITATION INSTITUTE INC
L$132,692FAIR MARKET VALUE
SACRED HEART REHABILITATION INSTITUTE INC
Q$931,975FAIR MARKET VALUE

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