ASPIRUS MEDICAL GROUP NORTHERN WISCONSIN INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
ASPIRUS MEDICAL GROUP NORTHERN WISCONSIN INC (EIN 39-1965593)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-14
IRS object ID
201921349349309627
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)
Return2019-05-14T17:41:21-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391965593EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Ascension Medical Group-Northern Wisconsin Inc (FKA Ministry Medical GroupBusinessNameLine1Txt
Business Name Line2Inc)BusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlASCEBusinessNameControlTxt
Phone3147338000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111925 W Lake Park Drive 100AddressLine1Txt
CityMilwuakeeCityNm
State AbbreviationWIStateAbbreviationCd
ZIP532243104ZIPCd

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 Line1Mary B McDonaldBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 W River Woods ParkwayAddressLine1Txt
CityGlendaleCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53121ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$65,968,336GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
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 Independent0VotingMembersIndependentCnt
Total Employee278TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$2,956,662TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$43,508NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$38,899CYContributionsGrantsAmt
PY Program Service Revenue$23,327,517PYProgramServiceRevenueAmt
CY Program Service Revenue$65,897,354CYProgramServiceRevenueAmt
PY Investment Income$565PYInvestmentIncomeAmt
CY Investment Income$345CYInvestmentIncomeAmt
PY Other Revenue$92,437PYOtherRevenueAmt
CY Other Revenue$31,738CYOtherRevenueAmt
PY Total Revenue$23,420,519PYTotalRevenueAmt
CY Total Revenue$65,968,336CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$20,682,125PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$40,383,602CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$15,100,458PYOtherExpensesAmt
CY Other Expenses$28,929,083CYOtherExpensesAmt
PY Total Expenses$35,782,583PYTotalExpensesAmt
CY Total Expenses$69,312,685CYTotalExpensesAmt
PY Revenues Less Expenses-$12,362,064PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,344,349CYRevenuesLessExpensesAmt
Total Assets BOY$32,690,341TotalAssetsBOYAmt
Total Assets EOY$32,532,492TotalAssetsEOYAmt
Total Liabilities BOY$11,260,427TotalLiabilitiesBOYAmt
Total Liabilities EOY$19,724,273TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$21,429,914NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,808,219NetAssetsOrFundBalancesEOYAmt
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$61,362,393ExpenseAmt
Grant$0GrantAmt
Revenue$65,897,354RevenueAmt
DescASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, INC. (F/K/A MINISTRY MEDICAL GROUP, INC.) PROVIDES HEALTH CARE SERVICES REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY OR METHODS OF PAYMENT. HEALTH CARE SERVICES OF APPROXIMATELY 60,480 OFFICE VISITS ARE PROVIDED AT 10 SITES IN RURAL NORTH CENTRAL WISCONSIN AND INCLUDES THE PROVISION OF CHARITY CARE. ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, INC. (F/K/A MINISTRY MEDICAL GROUP, INC.) ALSO PROVIDES EDUCATIONAL PROGRAMS AND SERVICES ON HEALTHCARE ISSUES TO THE COMMUNITY IT SERVES.Desc
Total Program Service Expenses$61,362,393TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
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 HospitalfalseOperateHospitalInd
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 Document149IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee278EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
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 Member0IndependentVotingMemberCnt
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 O'BrienBusinessNameLine1Txt
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 (23 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
Tracy A Rogers
CHAIR1.049.0Yes (X)Yes (X)$0$1,696,876$51,047
MARK D HORNEFFER MD
VICE CHAIR1.049.0Yes (X)Yes (X)$0$298,750$48,396
SHISHIR N SHETH MD
SECRETARY/TREASURER1.049.0Yes (X)Yes (X)$0$533,406$38,707
DEBRA STANDRIDGE
BOARD MEMBER1.049.0Yes (X)$0$825,914$36,007
TRAVIS D ANDERSEN
BOARD MEMBER1.049.0Yes (X)$0$1,367,565$44,454
CHOON HEONG P'NG MD
BOARD MEMBER/PHYSICIAN EMER SERVICES47.03.0Yes (X)$653,075$0$52,250
CHRISTINE R WEIBEL-LYNN
BOARD MEMBER1.049.0Yes (X)$0$89,734$32,691
ANDREW C ALEXANDER
BOARD MEMBER1.049.0Yes (X)$0$396,187$52,587
CAROLYN OGLAND VUKICH MD
BOARD MEMBER1.049.0Yes (X)$0$278,461$23,646
TIMOTHY J MASEK
VP FINANCE, AMG WI15.035.0Yes (X)$0$426,799$37,698
MARY B MCDONALD
ADMIN COO - AMG WI15.035.0Yes (X)$0$387,315$44,884
DOUGLAS REDING MD
CHIEF MEDICAL OFFICER - ASCENSION WI10.040.0$0$647,638$40,758Yes (X)
LISA S BENSON MD
CHIEF QUALITY OFFICER - ASCENSION WI10.040.0$0$510,066$20,485Yes (X)
KARI M KLASEN-LISI
ASSOC GENERAL COUNSEL10.040.0$0$222,080$36,672Yes (X)
MARK BANAS MD
PHYSICIAN40.010.0$725,996$0$54,222Yes (X)
JAMES DYREBY MD
PHYSICIAN50.00$615,004$0$50,394Yes (X)
KENT LOWRY MD
PHYSICIAN50.00$580,419$0$50,851Yes (X)
NICOLE A SIMPSON MD
PHYSICIAN50.00$571,117$0$54,427Yes (X)
GREG GILLES MD
PHYSICIAN50.00$567,071$0$50,671Yes (X)
KATHERINE A RICHARDS-BESS
FORMER KEY EMPLOYEE (END 6/2017)0.00.0$0$244,926$31,288Yes (X)
DANIEL E NEUFELDER
FORMER OFFICER (END 9/2016)0.00.0$0$996,775$0Yes (X)
GREG P HENN
FORMER OFFICER (END 6/2017)0.050.0$0$230,478$20,170Yes (X)
WILLIAM J HINNER
FORMER OFFICER (END 6/2013)0.050.0$0$313,177$29,122Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,712,682TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,466,147TotReportableCompRltdOrgAmt
Total Other Compensation$901,427TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K156IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$38,899GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Total Contributions$38,899TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
SERVICES TO AFFILIATES561000$39,641,745$39,641,745
NET PATIENT SERVICE REVENUE621300$18,306,945$18,306,945
PHARMACY REVENUE446110$7,899,478$4,942,816$2,956,662

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$49,186TotalRevenueColumnAmt
Related Or Exempt Func Income$49,186RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$65,897,354TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$345TotalRevenueColumnAmt
Exclusion$345ExclusionAmt

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$15,065RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$15,065RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,065TotalRevenueColumnAmt
Exclusion$15,065ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

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

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

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

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,673TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$16,673ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$16,673OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$65,968,336TotalRevenueColumnAmt
Related Or Exempt Func Income$62,940,692RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,956,662UnrelatedBusinessRevenueAmt
Exclusion$32,083ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$705,325TotalAmt
Program Services$684,165ProgramServicesAmt
Management And General$21,160ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$33,851,666TotalAmt
Program Services$32,827,895ProgramServicesAmt
Management And General$1,023,771ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,104,127TotalAmt
Program Services$3,980,013ProgramServicesAmt
Management And General$124,114ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,722,484TotalAmt
Program Services$1,670,399ProgramServicesAmt
Management And General$52,085ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,017,451TotalAmt
Program Services$11,967,378ProgramServicesAmt
Management And General$50,073ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,199TotalAmt
Program Services$1,199ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$128,113TotalAmt
Program Services$94,477ProgramServicesAmt
Management And General$33,636ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$124,431TotalAmt
Program Services$123,867ProgramServicesAmt
Management And General$564ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,409,551TotalAmt
Program Services$24,559ProgramServicesAmt
Management And General$2,384,992ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$183,922TotalAmt
Program Services$150,464ProgramServicesAmt
Management And General$33,458ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$90,793TotalAmt
Program Services$71,763ProgramServicesAmt
Management And General$19,030ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,194,800TotalAmt
Program Services$1,158,955ProgramServicesAmt
Management And General$35,845ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$7,124,044$7,113,936$10,108
PURCHASED SERVICES$2,948,683$1,015,248$1,933,435
CORPORATE EXPENSES$951,191$951,191
CORPORATE ALLOCATIONS$416,047$416,047

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,338,858TotalAmt
Program Services$478,075ProgramServicesAmt
Management And General$860,783ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$69,312,685TotalAmt
Program Services$61,362,393ProgramServicesAmt
Management And General$7,950,292ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,424,886BOYAmt
EOY$1,365EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$130,267EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,192,399BOYAmt
EOY$6,161,657EOYAmt

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$5,946,276BOYAmt
EOY$4,255,386EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$328,363BOYAmt
EOY$289,567EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$159,110BOYAmt
EOY$161,545EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,304,743LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,596,890LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,396,127BOYAmt
EOY$9,707,853EOYAmt

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$47,608BOYAmt
EOY$23,808EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,195,572BOYAmt
EOY$11,801,044EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$32,690,341BOYAmt
EOY$32,532,492EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,268,185BOYAmt
EOY$6,651,582EOYAmt

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$6,992,242BOYAmt
EOY$13,072,691EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,260,427BOYAmt
EOY$19,724,273EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,429,914BOYAmt
EOY$12,808,219EOYAmt

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$21,429,914BOYAmt
EOY$12,808,219EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$32,690,341BOYAmt
EOY$32,532,492EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$3,344,349ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$5,277,346OtherChangesInNetAssetsAmt
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 RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations12SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (12 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
DR KATE NEWCOMB CONVALESCENT CENTER
3913573653false$0$0
HOWARD YOUNG HEALTH CARE INC
3914991153false$0$0
MERCY MEDICAL CENTER OF OSHKOSH INC
3908062683false$0$0
AGAPE COMMUNITY CENTER OF MILWAUKEE INC
3916418467false$0$0
ASCENSION ST CLARE'S HOSPITAL INC
7215319173false$0$0
ASCENSION EAGLE RIVER HOSPITAL INC
3909856903false$0$0
ASCENSION GOOD SAMARITAN HOSPITAL INC
3908085033false$0$0
SAINT ELIZABETH'S HOSPITAL OF WABASHA INC
4106938773false$0$0
ASCENSION OUR LADY OF VICTORY HOSPITAL INC
3908070653false$0$0
ASCENSION SACRED HEART-ST MARY'S HOSPITALS INC
3913906383false$0$0
ASCENSION ST MICHAEL'S HOSPITAL INC
3908084433false$0$0
ST JOSEPH'S HOSPITAL OF MARSHFIELD INC
3908476313false$0$0
FieldValueIRS element (for citing)
Supported Organizations Total12SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocfalseListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (true)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (true)OfficersCloseRelationshipInd
Supported Org Voice InvestmentYes (true)SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Activities TestYes (X)ActivitiesTestInd
Activities Further Exempt PrpsYes (true)ActivitiesFurtherExemptPrpsInd
Activities Engaged Org InvlmntYes (true)ActivitiesEngagedOrgInvlmntInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By NameTHE ORGANIZATION SUPPORTS ASCENSION SPONSOR (THE CANONICAL SPONSOR WHICH WAS FORMED BY THE FOUNDING SPONSORS AND WHICH HAS BEEN CONFERRED PUBLIC JURIDIC PERSONALITY BY DECREE OF THE CONGREGATION FOR INSTITUTES OF CONSECRATED LIFE AND SOCIETIES OF APOSTOLIC LIFE OF THE ROMAN CATHOLIC CHURCH) AND SUCH OTHER OF THE ASCENSION ORGANIZATIONS THAT QUALIFY UNDER SECTIONS 509(A)(1) OR 509(A)(2) OF THE CODE.
Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment PoliciesBY VIRTUE OF OVERLAPPING BOARD MEMBERS, THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN THE SUPPORTING ORGANIZATION'S DAILY OPERATIONS. THE INVESTMENTS ARE HELD AT THE NATIONAL SYSTEM OFFICE BY ASCENSION HEALTH. THE ASCENSION SPONSOR, THROUGH ITS CONTROL OF THE ASCENSION BOARD, CONTROLS THE SYSTEM'S INTEGRATED STRATEGIC OPERATIONAL FINANCIAL PLAN, ANNUAL TARGETS AND INITIATIVES. WITHIN THIS OPERATIONAL FRAMEWORK, CERTAIN EXPENDITURES OF FUNDS, CAPITAL INVESTMENTS, ISSUANCE OF DEBT, ETC. ARE SUBJECT TO ASCENSION-LEVEL APPROVAL.
Schedule A, Part IV, Section E, Line 2a Org. Activities Directly Further The Exempt PurposesASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, INC.(F/K/A MINISTRY MEDICAL GROUP, INC.) PROVIDED HEALTH CARE PROFESSIONAL SERVICES AND EDUCATIONAL PROGRAMS TO ALL OF THE ORGANIZATIONS (LISTED IN SCHEDULE A, PART I, LINE G) IN THE SURROUNDING COMMUNITIES REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY OR METHOD OF PAYMENT. IT IS THE MISSION OF THESE ORGANIZATIONS TO FURTHER THE HEALING MINISTRY OF JESUS BY CONTINUALLY IMPROVING THE HEALTH AND WELL-BEING OF ALL PEOPLE, ESPECIALLY THE POOR, REGARDLESS OF A PERSON'S ABILITY TO PAY.
Schedule A, Part IV, Section E, Line 2b Activities That One Or More Supp. Org. Engaged InASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, INC.(F/K/A MINISTRY MEDICAL GROUP, INC.) PROVIDED HEALTH CARE PROFESSIONAL SERVICES AND EDUCATIONAL PROGRAMS TO ALL OF THE ORGANIZATIONS (LISTED IN SCHEDULE A, PART I, LINE G) IN THE SURROUNDING COMMUNITIES REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY OR METHOD OF PAYMENT. WHEN THESE ORGANIZATIONS DEMONSTRATE THAT THE COMMUNITY IS DEFICIENT IN A PARTICULAR MEDICAL SPECIALTY OR LACKS THE AVAILABILITY OF A MEDICAL SERVICE, ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, INC.(F/K/A MINISTRY MEDICAL GROUP, INC.) PROVIDES THE RECRUITMENT SERVICES NEEDED TO EMPLOY THE NEEDED MEDICAL PROVIDERS.

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$315,000OtherCostOrOtherBasisAmt
Book Value$315,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,367,404OtherCostOrOtherBasisAmt
Depreciation$350,828DepreciationAmt
Book Value$1,016,576BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,279,810OtherCostOrOtherBasisAmt
Depreciation$992,172DepreciationAmt
Book Value$6,287,638BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,297,879OtherCostOrOtherBasisAmt
Depreciation$1,251,493DepreciationAmt
Book Value$2,046,386BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,650OtherCostOrOtherBasisAmt
Depreciation$2,397DepreciationAmt
Book Value$42,253BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,707,853TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
OTHER PROVIDER-BASED CLINIC ASSETS
OTHER RECEIVABLES$1,121,720
DUE FROM AFFILIATES$10,679,324
FieldValueIRS element (for citing)
Total Book Value Other Assets$11,801,044TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
STRAIGHT LINE LEASE LIABILITY$225,212
DUE TO AFFILIATES$12,692,325
ASCENSION RETIREMENT LIABILITY
OTHER LIABILITIES
RECOVERY TAIL LIABILITY$3,089
ACCRUED TAX LIABILITY$152,065
FieldValueIRS element (for citing)
Total Liability$13,072,691TotalLiabilityAmt
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 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.ExplanationTxt

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 (22 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
Tracy A Rogers
CHAIR$0$641,898$0$611,054$0$443,924$0$16,200$0$34,847$0$1,747,923$0$0
MARK D HORNEFFER MD
VICE CHAIR$0$296,177$0$1,000$0$1,573$0$17,550$0$30,846$0$347,146$0$0
SHISHIR N SHETH MD
SECRETARY/TREASURER$0$476,466$0$10,000$0$46,940$0$17,550$0$21,157$0$572,113$0$0
DEBRA STANDRIDGE
BOARD MEMBER$0$493,219$0$207,295$0$125,400$0$9,931$0$26,076$0$861,921$0$0
TRAVIS D ANDERSEN
BOARD MEMBER$0$563,166$0$701,999$0$102,400$0$13,500$0$30,954$0$1,412,019$0$0
CHOON HEONG P'NG MD
BOARD MEMBER/PHYSICIAN EMER SERVICES$615,934$0$2,881$0$34,260$0$16,200$0$36,050$0$705,325$0$0$0
ANDREW C ALEXANDER
BOARD MEMBER$0$339,626$0$54,200$0$2,361$0$15,306$0$37,281$0$448,774$0$0
CAROLYN OGLAND VUKICH MD
BOARD MEMBER$0$251,768$0$15,000$0$11,693$0$15,085$0$8,561$0$302,107$0$0
DANIEL E NEUFELDER
FORMER OFFICER (END 9/2016)$0$0$0$0$0$996,775$0$0$0$0$0$996,775$0$0
GREG P HENN
FORMER OFFICER (END 6/2017)$0$144,612$0$32,882$0$52,984$0$5,873$0$14,297$0$250,648$0$0
WILLIAM J HINNER
FORMER OFFICER (END 6/2013)$0$246,279$0$62,243$0$4,655$0$17,146$0$11,976$0$342,299$0$0
TIMOTHY J MASEK
VP FINANCE, AMG WI$0$323,543$0$72,287$0$30,969$0$16,200$0$21,498$0$464,497$0$0
MARY B MCDONALD
ADMIN COO - AMG WI$0$331,431$0$40,000$0$15,884$0$16,200$0$28,684$0$432,199$0$0
KATHERINE A RICHARDS-BESS
FORMER KEY EMPLOYEE (END 6/2017)$0$104,187$0$42,958$0$97,781$0$8,388$0$22,900$0$276,214$0$0
DOUGLAS REDING MD
CHIEF MEDICAL OFFICER - ASCENSION WI$0$523,885$0$115,749$0$8,004$0$13,500$0$27,258$0$688,396$0$0
LISA S BENSON MD
CHIEF QUALITY OFFICER - ASCENSION WI$0$419,726$0$87,358$0$2,982$0$13,500$0$6,985$0$530,551$0$0
KARI M KLASEN-LISI
ASSOC GENERAL COUNSEL$0$171,408$0$27,695$0$22,977$0$11,178$0$25,494$0$258,752$0$0
MARK BANAS MD
PHYSICIAN$720,414$0$0$0$5,582$0$17,550$0$36,672$0$780,218$0$0$0
JAMES DYREBY MD
PHYSICIAN$544,453$0$62,547$0$8,004$0$14,850$0$35,544$0$665,398$0$0$0
KENT LOWRY MD
PHYSICIAN$464,164$0$114,395$0$1,860$0$16,200$0$34,651$0$631,270$0$0$0
NICOLE A SIMPSON MD
PHYSICIAN$455,594$0$113,813$0$1,710$0$13,963$0$40,464$0$625,544$0$0$0
GREG GILLES MD
PHYSICIAN$447,197$0$118,164$0$1,710$0$16,200$0$34,471$0$617,742$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 compensationMINISTRY HEALTH CARE, INC., A RELATED ORGANIZATION OF ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, 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 paymentThe following individual(s) received severance payments from the organization or a related organization during calendar year 2016: DANIEL NEUFELDER - $994,500 KATHERINE A RICHARDS-BESS - $90,784
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. No payments were made to listed persons in Part VII under the non-qualified retirement plan during the year.

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 OFFICIALTHE 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 MINISTRY MEDICAL GROUP, 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 EMPLOYEESTHE 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 MINISTRY MEDICAL GROUP, 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 stockholdersASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, INC.(F/K/A MINISTRY MEDICAL GROUP, INC.) HAS A SINGLE CORPORATE MEMBER, MINISTRY HEALTH CARE, INC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, INC.(F/K/A MINISTRY MEDICAL GROUP, INC.) HAS A SINGLE CORPORATE MEMBER, MINISTRY HEALTH CARE, INC., WHICH HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF MINISTRY MEDICAL GROUP, INC.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersALL DECISIONS THAT HAVE A MATERIAL IMPACT TO ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, INC.(F/K/A MINISTRY MEDICAL GROUP, INC.) FINANCIAL INFORMATION OR CORPORATION AS A WHOLE ARE SUBJECT TO APPROVAL BY ITS SOLE CORPORATE MEMBER, MINISTRY HEALTH CARE, 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 RevenueOTHER MISCELLANEOUS REVENUE - Total Revenue: 49186, Related or Exempt Function Revenue: 49186, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueOTHER MISCELLANEOUS REVENUE - Total Revenue: 16673, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 16673;
Form 990, Part IX, Line 11g Other FeesPhysician Fees - Total Expense: 12010883, Program Service Expense: 11964504, Management and General Expenses: 46379, Fundraising Expenses: ; Consulting Fees - Total Expense: 3416, Program Service Expense: , Management and General Expenses: 3416, Fundraising Expenses: ; Professional Fees - Total Expense: 3152, Program Service Expense: 2874, Management and General Expenses: 278, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesTRANSFERS WITH AFFILIATE - -2166346; TRANSFERS WITH ALPHA FUND - -3111000;
Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTSTHE ACTIVITY OF ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, INC.(F/K/A MINISTRY MEDICAL GROUP, INC.) IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, INC.(F/K/A MINISTRY MEDICAL GROUP, INC.) IS COMPLETED. THEREFORE, THE AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, INC.(F/K/A MINISTRY MEDICAL GROUP, INC.).
Form 990, Part XII, Line 2c AUDIT COMMITTEEASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, INC.(F/K/A MINISTRY MEDICAL GROUP, 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.

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-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 MILWAUKEE INC
4425 NORTH PORT WASHINGTON ROADGLENDALEWI53212390806315HOSPITALWI501(c)(3)3COLUMBIA ST MARY'S 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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1TWINMED LLPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1222 W COLLEGE AVE SUITE 3BAddressLine1Txt
CityAPPLETONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54911ZIPCd
FieldValueIRS element (for citing)
EIN391180341EIN
Primary ActivitiesREAL ESTATEPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeTypeTxt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
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 RDGLENDALEWI53212391855720HEALTHCAREWINAC CorporationYes (true)
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)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (19 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxtBusiness Name Line2OtherOrganizationName/BusinessNameLine2Txt
ASCENSION EAGLE RIVER HOSPITAL INC
L$348,257FAIR MARKET VALUE
ASCENSION EAGLE RIVER HOSPITAL INC
M$1,323,634FAIR MARKET VALUE
ASCENSION GOOD SAMARITAN HOSPITAL INC
L$369,238FAIR MARKET VALUE
ASCENSION GOOD SAMARITAN HOSPITAL INC
M$1,407,415FAIR MARKET VALUE
THE HOWARD YOUNG MEDICAL CENTER INC
Q$5,144,877FAIR MARKET VALUE
ASCENSION OUR LADY OF VICTORY HOSPITAL INC
L$75,714FAIR MARKET VALUE
ASCENSION OUR LADY OF VICTORY HOSPITAL INC
M$247,152FAIR MARKET VALUE
ASCENSION SACRED HEART-ST MARY'S HOSPITALS INC
L$796,741FAIR MARKET VALUE
ASCENSION SACRED HEART-ST MARY'S HOSPITALS INC
M$7,172,789FAIR MARKET VALUE
ASCENSION SACRED HEART-ST MARY'S HOSPITALS INC
Q$123,245FAIR MARKET VALUE
ASCENSION ST CLARE'S HOSPITAL INC
K$246,684FAIR MARKET VALUE
ASCENSION ST CLARE'S HOSPITAL INC
L$821,043FAIR MARKET VALUE
ASCENSION ST CLARE'S HOSPITAL INC
M$21,169,923FAIR MARKET VALUE
ASCENSION ST CLARE'S HOSPITAL INC
Q$86,022FAIR MARKET VALUE
ASCENSION ST MICHAEL'S HOSPITAL INC
L$912,010FAIR MARKET VALUE
ASCENSION ST MICHAEL'S HOSPITAL INC
M$6,884,302FAIR MARKET VALUE
THE HOWARD YOUNG MEDICAL CENTER INC
L$5,015,283FAIR MARKET VALUE
THE HOWARD YOUNG MEDICAL CENTER INC
M$1,330,552FAIR MARKET VALUE
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC (FKA NETWORK HEALTH SYSTEM
L$1,870,024FAIR MARKET VALUEINC )

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