THE HOWARD YOUNG MEDICAL CENTER INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
THE HOWARD YOUNG MEDICAL CENTER INC (EIN 39-0873606)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-14
IRS object ID
201931349349309798
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)
Return2019-05-14T17:46:18-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN390873606EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Howard Young Medical Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOWABusinessNameControlTxt
Phone3147338000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1240 Maple StreetAddressLine1Txt
CityWoodruffCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54568ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTonya MershonPersonNm
Person TitleTax OfficerPersonTitleTxt
Signature2019-05-14SignatureDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2020-01-14 16:20:31ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Sandra Latzel-AndersonBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 W River Woods ParkwayAddressLine1Txt
CityGlendaleCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53212ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$55,997,708GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://healthcare.ascension.org/Locations/Wisconsin/WIAPM/Woodruff-Howard-Young-Medical-CenterWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1948FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH AND WELL-BEING OF ALL PEOPLE IN THE COMMUNITIES WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee353TotalEmployeeCnt
Total Volunteers190TotalVolunteersCnt
Total Gross UBI$80TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$1,906NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,040,467PYContributionsGrantsAmt
CY Contributions Grants$2,681,455CYContributionsGrantsAmt
PY Program Service Revenue$53,797,320PYProgramServiceRevenueAmt
CY Program Service Revenue$52,717,430CYProgramServiceRevenueAmt
PY Investment Income-$35,885PYInvestmentIncomeAmt
CY Investment Income-$248,617CYInvestmentIncomeAmt
PY Other Revenue$502,029PYOtherRevenueAmt
CY Other Revenue$588,158CYOtherRevenueAmt
PY Total Revenue$57,303,931PYTotalRevenueAmt
CY Total Revenue$55,738,426CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$487,362CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$22,162,742PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$20,464,361CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$25,446,905PYOtherExpensesAmt
CY Other Expenses$28,890,004CYOtherExpensesAmt
PY Total Expenses$47,609,647PYTotalExpensesAmt
CY Total Expenses$49,841,727CYTotalExpensesAmt
PY Revenues Less Expenses$9,694,284PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,896,699CYRevenuesLessExpensesAmt
Total Assets BOY$88,300,966TotalAssetsBOYAmt
Total Assets EOY$98,721,211TotalAssetsEOYAmt
Total Liabilities BOY$22,017,509TotalLiabilitiesBOYAmt
Total Liabilities EOY$16,112,603TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$66,283,457NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$82,608,608NetAssetsOrFundBalancesEOYAmt
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$32,627,510ExpenseAmt
Grant$487,362GrantAmt
Revenue$52,717,630RevenueAmt
DescThe Howard Young Medical Center, Inc. is a 50-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, The Howard Young Medical Center, Inc. treated 2,329 adults and children for a total of 8,226 patient days of service. The hospital also provided services for 37,773 outpatient visits, which included 892 outpatient surgeries and 10,534 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.Desc
Total Program Service Expenses$32,627,510TotalProgramServiceExpensesAmt
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 EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
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 OrganizationsYes (true)GrantsToOrganizationsInd
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 ContriYes (true)DeductibleNonCashContriInd
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 Document60IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee353EmployeeCnt
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
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 (20 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
JUDY SMOLAREK RN MSN FP
CHAIR1.05.0Yes (X)Yes (X)$0$0$0
RAY BURGAN
VICE CHAIR1.05.0Yes (X)Yes (X)$0$0$0
MARGARET S JOHNSON
SECRETARY/TREASURER1.05.0Yes (X)Yes (X)$0$0$0
SANDRA L LATZEL-ANDERSON
BOARD MEMBER/HOSPITAL PRESIDENT (EX-OFFICIO)8.042.0Yes (X)Yes (X)$0$473,504$33,538
SISTER ELIZABETH AMMAN OP
BOARD MEMBER1.05.0Yes (X)$0$0$0
FR JIM FOSDICK
BOARD MEMBER1.05.0Yes (X)$0$0$0
ARTHUR C HELGERSON DDS
BOARD MEMBER1.05.0Yes (X)$0$0$0
JESICA WITTE
BOARD MEMBER1.05.0Yes (X)$0$0$0
JONATHAN SOHN
CFO - ASCENSION, WI2.048.0Yes (X)$0$903,904$48,367
LAURIE R OUNGST
CHIEF ADMINISTRATIVE OFFICER10.040.0$0$240,429$47,230Yes (X)
PHILIP G CONRARDY
PHYSICIAN50.00$393,250$0$46,100Yes (X)
AUBREY J HOYE
PHYSICIAN50.00$334,093$0$33,380Yes (X)
DAVID J SELL
CRNA50.00$230,463$0$18,700Yes (X)
KEVIN R KRUEGER
CRNA50.00$221,855$0$31,414Yes (X)
LAURIE DEMRO
CRNA50.00$221,277$0$31,974Yes (X)
TERESA J THEILER
FORMER KEY EMPLOYEE (END 7/2016)0.050.0$0$190,470$22,849Yes (X)
DEBORAH L KAROW
FORMER KEY EMPLOYEE (END 6/2017)0.050.0$0$156,004$21,020Yes (X)
DANIEL E NEUFELDER
FORMER OFICER (END 9/2016)0.00.0$0$996,775$0Yes (X)
SHISHIR N SHETH MD
FORMER OFFICER (END 6/2017)0.050.0$0$533,406$38,707Yes (X)
ELMER L LINBOOM MD
FORMER OFFICER (END 6/2017)0.050.0$0$177,347$24,095Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,400,938TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,671,839TotReportableCompRltdOrgAmt
Total Other Compensation$397,374TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K19IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MARSHFIELD CLINIC
1000 N OAK AVEMARSHFIELDWI544495703PHYSICIAN SERVICES$1,151,184
SUPERIOR HEALTH LINENS
DEPT 5379MILWAUKEEWI53201LAUNDRY SERVICES$115,846
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Government Grants$1,249GovernmentGrantsAmt
All Other Contributions$2,680,206AllOtherContributionsAmt
Noncash Contributions$45,876NoncashContributionsAmt
Total Contributions$2,681,455TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621990$51,519,052$51,519,052
AMBULANCE SERVICES621910$462,403$462,403
RENTAL INCOME FROM AFFILIATES531120$222,740$222,740
SERVICES TO AFFILIATES900099$292,262$292,262
REHAB SERVICES622000$219,295$219,295

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,678TotalRevenueColumnAmt
Related Or Exempt Func Income$1,678RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$52,717,430TotalProgramServiceRevenueAmt

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$453,786RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$453,786RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$453,786TotalRevenueColumnAmt
Exclusion$453,786ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$10,666OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$259,282OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other-$248,616OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$248,617TotalRevenueColumnAmt
Exclusion-$248,617ExclusionAmt

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 (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA/VENDING REVENUE722514$98,580$98,580
EDUCATION REVENUE611430$200$200

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,592TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$80UnrelatedBusinessRevenueAmt
Exclusion$35,512ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$134,372OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$55,738,426TotalRevenueColumnAmt
Related Or Exempt Func Income$52,717,630RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$80UnrelatedBusinessRevenueAmt
Exclusion$339,261ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$487,362TotalAmt
Program Services$487,362ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,136,513TotalAmt
Program Services$15,615,916ProgramServicesAmt
Management And General$520,597ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,263,215TotalAmt
Program Services$3,157,937ProgramServicesAmt
Management And General$105,278ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,064,633TotalAmt
Program Services$1,030,286ProgramServicesAmt
Management And General$34,347ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$5,317TotalAmt
Management And General$5,317ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$194,850TotalAmt
Management And General$194,850ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,238,845TotalAmt
Program Services$1,176,115ProgramServicesAmt
Management And General$62,730ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$23,840TotalAmt
Program Services$6,437ProgramServicesAmt
Management And General$17,403ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$142,874TotalAmt
Program Services$44,562ProgramServicesAmt
Management And General$98,312ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,052TotalAmt
Program Services$2,296ProgramServicesAmt
Management And General$4,756ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$707,657TotalAmt
Management And General$707,657ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$50,967TotalAmt
Program Services$45,948ProgramServicesAmt
Management And General$5,019ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$23,144TotalAmt
Program Services$25,354ProgramServicesAmt
Management And General-$2,210ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,825,917TotalAmt
Program Services$1,246,295ProgramServicesAmt
Management And General$1,579,622ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
MANAGEMENT FEE TO AFFILIATE$6,297,703$6,297,703
CORPORATE EXPENSES$5,356,007$5,356,007
MEDICAL SUPPLIES$4,859,957$26,600$4,833,357
PURCHASED SERVICES$3,593,919$2,078,802$1,515,117

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,561,955TotalAmt
Program Services$3,440,528ProgramServicesAmt
Management And General$121,427ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$49,841,727TotalAmt
Program Services$32,627,510ProgramServicesAmt
Management And General$17,214,217ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$6,016BOYAmt
EOY$1,050EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,940EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,622,359BOYAmt
EOY$8,088,858EOYAmt

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$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,665,881BOYAmt
EOY$1,601,013EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,355BOYAmt
EOY$435EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$37,594,827LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$11,659,332LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$23,534,857BOYAmt
EOY$25,935,495EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$48,746,796BOYAmt
EOY$50,942,861EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$49,845BOYAmt
EOY$32,376EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,682,889BOYAmt
EOY$12,116,183EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$88,300,966BOYAmt
EOY$98,721,211EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,492,372BOYAmt
EOY$2,580,783EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$22,487EOYAmt

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$19,525,137BOYAmt
EOY$13,509,333EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,017,509BOYAmt
EOY$16,112,603EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,528,689BOYAmt
EOY$28,637,996EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,007,972BOYAmt
EOY$3,027,751EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$48,746,796BOYAmt
EOY$50,942,861EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$66,283,457BOYAmt
EOY$82,608,608EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$88,300,966BOYAmt
EOY$98,721,211EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,896,699ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$10,428,452OtherChangesInNetAssetsAmt
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$5,317OtherActivitiesAmt
Total Lobbying Expenditures$5,317TotalLobbyingExpendituresAmt
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. THE HOWARD YOUNG MEDICAL CENTER, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYLOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. THE HOWARD YOUNG MEDICAL CENTER, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$48,746,796BeginningYearBalanceAmt
Investment Earnings Or Losses$4,592,173InvestmentEarningsOrLossesAmt
Other Expenditures$2,201,258OtherExpendituresAmt
Administrative Expenses$194,850AdministrativeExpensesAmt
End Year Balance$50,942,861EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$44,045,398BeginningYearBalanceAmt
Investment Earnings Or Losses$6,865,840InvestmentEarningsOrLossesAmt
Other Expenditures$2,049,067OtherExpendituresAmt
Administrative Expenses$115,375AdministrativeExpensesAmt
End Year Balance$48,746,796EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$46,961,389BeginningYearBalanceAmt
Investment Earnings Or Losses-$1,584,543InvestmentEarningsOrLossesAmt
Other Expenditures$1,232,455OtherExpendituresAmt
Administrative Expenses$98,993AdministrativeExpensesAmt
End Year Balance$44,045,398EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$47,483,727BeginningYearBalanceAmt
Investment Earnings Or Losses$1,304,856InvestmentEarningsOrLossesAmt
Other Expenditures$1,641,656OtherExpendituresAmt
Administrative Expenses$185,538AdministrativeExpensesAmt
End Year Balance$46,961,389EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$41,832,772BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$7,307,270InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$1,581,416OtherExpendituresAmt
Administrative Expenses$74,899AdministrativeExpensesAmt
End Year Balance$47,483,727EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.0PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,709,987OtherCostOrOtherBasisAmt
Book Value$2,709,987BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,312,806OtherCostOrOtherBasisAmt
Depreciation$4,775,888DepreciationAmt
Book Value$12,536,918BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,858,479OtherCostOrOtherBasisAmt
Depreciation$6,299,102DepreciationAmt
Book Value$5,559,377BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,713,555OtherCostOrOtherBasisAmt
Depreciation$584,342DepreciationAmt
Book Value$5,129,213BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$25,935,495TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescHYMC TRUST INDENTUREDesc
Book Value$50,942,861BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$50,942,861TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
Interests in investments held by Ascension Health Alliance
Due from Affiliates$6,036,269
Estimated Settlements from Third-Party Payor$331,724
Other Receivables$2,685,199
Miscellaneous Current Assets$35,239
HYHF TRUST RECEIVABLE (FASB 136)
INTEREST IN HOWARD YOUNG FOUNDATION, INC.$3,027,752
FieldValueIRS element (for citing)
Total Book Value Other Assets$12,116,183TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
Intercompany Debt
Estimated Settlement to Third-Party Payor$1,036,381
Due to Affiliates$12,223,459
AH Savings Plan Liability
Asset Retirement Obligation$154,887
Accrued Tax Liability$24,067
Recovery Tail Liability$70,539
FieldValueIRS element (for citing)
Total Liability$13,509,333TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsTHE HOWARD YOUNG TRUST WAS ESTABLISHED BY S. HOWARD YOUNG IN 1975 AS A MECHANISM TO ENSURE THE HOSPITAL CONTINUES TO HAVE ACCESS TO FUNDING FOR CAPITAL NEEDS, MEDICAL SERVICE CONTINUATION AND SERVICE GROWTH TO MEET THE COMMUNITY'S NEEDS.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteTHE 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.

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 BudgetfalseExpensesExceedBudgetInd
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$630,995TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,664DirectOffsettingRevenueAmt
Net Community Benefit Expns$593,331NetCommunityBenefitExpnsAmt
Total Expense0.0119TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,693,078TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,335,609DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,357,469NetCommunityBenefitExpnsAmt
Total Expense0.0674TotalExpensePct

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$9,324,073TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,373,273DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,950,800NetCommunityBenefitExpnsAmt
Total Expense0.0793TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$64,557TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,189DirectOffsettingRevenueAmt
Net Community Benefit Expns$46,368NetCommunityBenefitExpnsAmt
Total Expense0.0009TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,258TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,258NetCommunityBenefitExpnsAmt
Total Expense0.0010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

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$10,409TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,409NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$126,224TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,189DirectOffsettingRevenueAmt
Net Community Benefit Expns$108,035NetCommunityBenefitExpnsAmt
Total Expense0.0022TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$9,450,297TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,391,462DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,058,835NetCommunityBenefitExpnsAmt
Total Expense0.0814TotalExpensePct

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)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

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)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

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$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$588,525BadDebtExpenseAmt
Bad Debt Expense Attributable$11,368BadDebtExpenseAttributableAmt
Reimbursed By Medicare$23,776,331ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$25,917,962CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,141,631MedicareSurplusOrShortfallAmt

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 Line1THE HOWARD YOUNG MEDICAL CENTER INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1240 MAPLE STREETAddressLine1Txt
CityWOODRUFFCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54568ZIPCd
FieldValueIRS element (for citing)
Website Addresshttps://healthcare.ascension.org/Locations/Wisconsin/WIAPM/Woodruff-Howard-Young-Medical-CenterWebsiteAddressTxt
State License201StateLicenseNum
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 Line1THE HOWARD YOUNG MEDICAL CENTER INCBusinessNameLine1Txt
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 URLwww.healthcare.ascension.org/locations/wisconsin/woodruff-howard-young-medical-center/community-beneOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.healthcare.ascension.org/locations/wisconsin/woodruff-howard-young-medical-center/community-beneStrategyWebsiteURLTxt
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
Residency CriteriaYes (X)ResidencyCriteriaInd
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
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 (5 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 - THE HOWARD YOUNG MEDICAL CENTER, INC.. INPUT INTO THE CHNA FROM COMMUNITY MEMBERS, INCLUDING MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AND FROM ORGANIZATIONS THAT SERVE THOSE POPULATIONS, WAS SOUGHT IN MULTIPLE WAYS. (A) A COMMUNITY SURVEY WAS CONDUCTED IN SUMMER-FALL 2015 THAT ASKED PARTICIPANTS TO SHARE THEIR PERCEPTIONS ON THE HEALTH OF THE COMMUNITY AND TO IDENTITY HEALTH PRIORITY AREAS. THE SURVEY ALSO ASKED QUESTIONS ABOUT THE PARTICIPANTS' CURRENT HEALTH STATUS AND BARRIERS TO CARE. THE SURVEY WAS DISTRIBUTED ONLINE THROUGH THE HEALTH DEPARTMENTS' WEBSITES AND FACEBOOK. IN AN EFFORT TO INSURE REPRESENTATION FROM VULNERABLE GROUPS, SUCH AS LOW-INCOME, MINORITY AND MEDICALLY UNDERSERVED POPULATIONS PAPER COPIES OF THE SURVEY WERE DISTRIBUTED TO IDENTIFY COMMUNITY SITES THAT SERVE THESE POPULATIONS. (B) IN DECEMBER 2015, A COMMUNITY FORUM WAS HELD, AT WHICH INPUT WAS RECEIVED FROM BOTH THE GENERAL PUBLIC AND FROM REPRESENTATIVES OF ORGANIZATIONS THAT SERVE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. (C) MULTIPLE FOCUS GROUPS WERE HELD TO OFFER OPPORTUNITIES FOR THE VOICES OF SPECIFIC COMMUNITIES (E.G., COLLEGE STUDENTS, NATIVE AMERICAN TRIBES) TO BE HEARD. (D) KEY-INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS THAT WORK TO IMPROVE THE HEALTH OF THE COMMUNITY, ESPECIALLY WITHIN THE VULNERABLE POPULATIONS INCLUDING THE LOW-INCOME AND MEDICALLY UNDERSERVED. THE ORGANIZATIONS INVOLVED IN THE ABOVE EFFORTS ARE LISTED BELOW. COMMUNITY NEEDS ASSESSMENT TEAM / DECEMBER 2015 COMMUNITY FORUM * FOREST COUNTY HEALTH DEPARTMENT * ONEIDA COUNTY HEALTH DEPARTMENT * VILAS COUNTY HEALTH DEPARTMENT * MINISTRY ST. MARY'S HOSPITAL * MINISTRY HEALTH CARE * UW-EXTENSION - ONEIDA COUNTY * DIVISION OF PUBLIC HEALTH, NORTHERN REGION OFFICE * COMMISSION ON AGING * MARSHFIELD CLINIC * RHINELANDER SCHOOL DISTRICT * CRANDON PUBLIC LIBRARY * LAC DU FLAMBEAU SCHOOL DISTRICT * ONEIDA COUNTY SOCIAL SERVICES * TRI-COUNTY COUNCIL ON DOMESTIC VIOLENCE AND SEXUAL ASSAULT * VILAS COUNTY HEALTH DEPARTMENT BOARD OF HEALTH * HOLY FAMILY CHURCH * UW-EXTENSION-FOREST COUNTY * NICOLET COLLEGE * MINISTRY HEALTH - SACRED HEART * FOREST COUNTY OFFICE ON AGING * NORTHWOODS UNITED WAY, INC. * UW-EXTENSION-FOREST AND VILAS COUNTIES * SOKAOGON MOLE LAKE CLINIC * FAMILY & CHILD LEARNING CENTER * BLACKWELL JOB CORPS * FOREST COUNTY TRIBAL AMERICORPS * MINISTRY HEALTH-HOWARD YOUNG * FOREST COUNTY POTAWATOMI HEALTH & WELLNESS * CITY OF RHINELANDER POLICE DEPARTMENT * TRI-COUNTY COUNSEL * DEPARTMENT OF AGING * TRI COUNTY COUNCIL * ADRC * SUNSHINE FOR HUMANITY * VILAS COUNTY EMERGENCY MANAGEMENT * DEMMER LIBRARY * PETERSEN CHRISTIANSON HEALTHCARE * GREAT LAKES INTERTRIBAL COUNCIL * VILAS COUNTY SHERIFF'S DEPARTMENT * ONEIDA COUNTY SOCIAL SERVICES * NICOLET COLLEGE FOCUS GROUPS: AODA COALITION MENTAL HEALTH INTER-AGENCY COALITION LEAN COALITION NICOLET COLLEGE NURSING STUDENTS RHS CHANGE/FACT GROUP VILAS COUNTY FIRE CHIEF'S AND EMERGENCY SERVICES ASSOCIATION COMMUNITY COALITION OF FOREST COUNTY FOREST COUNTY SCHOOL ADMINISTRATORS OF CRANDON, LAONA AND WABENO KEY INFORMANT INTERVIEWS: NORTHWOODS ALLIANCE FOR TEMPORARY HOUSING POLICE / LAW ENFORCEMENT TRI-COUNTY COUNSEL ON DOMESTIC VIOLENCE UNIVERSITY OF WISCONSIN-EXTENSION SCHOOL DISTRICT TRIBAL SOCIAL SERVICES ECONOMIC DEVELOPMENT
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - THE HOWARD YOUNG MEDICAL CENTER, INC.. THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITY(S) ASCENSION ST. MARY'S HOSPITAL ASCENSION EAGLE RIVER HOSPITAL
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - THE HOWARD YOUNG MEDICAL CENTER, INC.. THE CHNA WAS CONDUCTED THE FOLLOWING NON-HOSPITAL FACILITY(S): FOREST COUNTY HEALTH DEPARTMENT VILAS COUNTY HEALTH DEPARTMENT ONEIDA COUNTY HEALTH DEPARTMENT
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - THE HOWARD YOUNG MEDICAL CENTER, 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 2018 (TAX YEAR 2017), THE HOSPITAL IMPLEMENTED THE FOLLOWING PLAN TO ADDRESS THE PRIORITY NEEDS: MENTAL HEALTH -- INCREASE COMMUNITY MEMBERS' AWARENESS OF AND ABILITY TO ACCESS BEHAVIORAL HEALTH SERVICES. -- PARTICIPATED IN THE REGIONAL MENTAL HEALTH AND AODA COALITION. MENTAL HEALTH-RELATED COALITION ACTIVITIES INCLUDED PARTNERING WITH THE SCHOOLS FOR YOUTH RISK BEHAVIOR SURVEYS AND CONDUCTING 'QUESTION, PERSUADE, REFER (QPR)' SUICIDE PREVENTION TRAININGS. -- LED THE PLANNING FOR AND CONDUCTED A BIENNIAL MENTAL HEALTH SUMMIT -- CONTRIBUTED FINANCIALLY TO THE COUNTY PUBLIC HEALTH DEPARTMENT'S MENTAL HEALTH EFFORTS CHRONIC DISEASE -- INCREASE THE PROPORTION OF RESIDENTS OF FOREST, ONEIDA AND VILAS COUNTIES WHO HAVE A HEALTHY DIET AND REGULAR PHYSICAL ACTIVITY. -- PARTICIPATED IN THE REGIONAL CHRONIC DISEASE PREVENTION COALITION -- CONDUCTED 'STRONG BONES' STRENGTHENING CLASSES -- INSTALLED AND REGULARLY ROTATED POINT-OF-DECISION PROMPTS FOR PHYSICAL ACTIVITY, HEALTHY EATING AND WATER CONSUMPTION -- CONTRIBUTED FINANCIALLY TO THE COUNTY PUBLIC HEALTH DEPARTMENT'S CHRONIC DISEASE EFFORTS AODA -- THERE WILL BE COORDINATED AND STRENGTHENED EFFORTS TO CONNECT PEOPLE WITH RESOURCES AND HEALTHY ALTERNATIVES FOR PREVENTION AND EARLY INTERVENTION OF ALCOHOL AND OTHER DRUG ABUSE IN NORTHERN REGION MINISTRY HOSPITALS AND CLINICS. -- PARTICIPATED IN THE REGIONAL MENTAL HEALTH AND AODA COALITION. AODA-RELATED COALITION ACTIVITIES INCLUDED: HOSTING VIEWINGS OF A DOCUMENTARY ABOUT A BOY WHO DIED OF A DRUG OVERDOSE; HOSTING DRUG TAKE-BACK EVENTS; PROMOTING 'PARENTS WHO HOST LOSE THE MOST' UNDERAGE DRINKING PREVENTION EFFORTS; PARTNERING WITH THE SCHOOLS FOR YOUTH RISK BEHAVIOR SURVEYS; CONDUCTING MULTIPLE TRAININGS (E.G., DRUG RECOGNITION FOR OFFICERS AND PARENTS AND NALOXONE USE). --------------------------------------------------------------------------------------------------------------------------------- THE DESCRIPTION BELOW INCLUDES THE NEEDS NOT BEING ADDRESSED AS WELL AS THE REASON WHY THE NEEDS ARE NOT BEING ADDRESSED. IN ADDITION TO THE THREE HEALTH ISSUES SELECTED AS THE TOP PRIORITIES, STAKEHOLDERS IDENTIFIED TRANSPORTATION AS A CONCERN THAT COULD IMPACT ACCESS TO SERVICES IN FOREST, ONEIDA, AND VILAS COUNTIES. WHILE THIS ISSUE WILL NOT BE ADDRESSED BY OUR HOSPITALS AS A PRIORITY HEALTH NEED, WE WILL PROVIDE SUPPORT TO THOSE COMMUNITY EFFORTS WHENEVER POSSIBLE. TRANSPORTATION ISSUES HAVE BEEN RAISED AS A BARRIER FOR RESIDENTS LIVING IN THE THREE COUNTIES. TRANSPORTATION CAN IMPACT A PERSON'S ABILITY TO GET TO SERVICES TO MEET THEIR NEEDS. THERE IS A NEW TRANSPORTATION PROGRAM THAT HAS STARTED IN OUR AREA THAT SERVES ONEIDA AND VILAS COUNTIES. FOREST COUNTY HAD BEEN A PARTNER AT THE TABLE BUT IS NO LONGER PART OF THE PROGRAM. THE NEW TRANSPORTATION PROGRAM WILL BE ADDRESSING TRANSPORTATION ISSUES AND CONDUCTING A GAP ANALYSIS, THEREFORE, THE HOSPITALS WILL NOT BE ADDRESSING THIS ISSUE AT THIS TIME. HOWEVER, THE HOSPITALS' ADMINISTRATIONS ARE INTERESTED IN KNOWING MORE ABOUT HOW THE GAPS ARE BEING FILLED AND WILL BE OPEN TO HEARING MORE ABOUT THESE NEEDS WHEN THE GAP ANALYSIS IS COMPLETED.
FieldValueIRS element (for citing)
Facility0FacilityNum

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 6a Community benefit report prepared by related organizationMINISTRY HEALTH CARE, INC. EIN: 39-1490371
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 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 $1,509,039 AT CHARGES, ($588,525 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 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- THE HOWARD YOUNG MEDICAL CENTER, INC.: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance/wisconsin;
Schedule H, Part V, Section B, Line 16b FAP Application website- THE HOWARD YOUNG MEDICAL CENTER, INC.: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance/wisconsin;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- THE HOWARD YOUNG MEDICAL CENTER, INC.: 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, HOWARD YOUNG MEDICAL CENTER 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. HOWARD YOUNG MEDICAL CENTER 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 ORGANIZATION GOES TO GREAT LENGTHS IN ORDER TO INFORM AND EDUCATE PATIENTS/PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS AND UNDER THE ORGANIZATION'S CHARITY CARE POLICY. THE CHARITY CARE POLICY AND APPLICATION IS POSTED ON THE ORGANIZATION'S WEBSITE. ADMISSIONS AND OTHER KEY AREAS CONTAIN SUMMARY INFORMATION OF THE CHARITY CARE POLICY. AS PART OF THE INTAKE/DISCHARGE PROCESS, PATIENTS ARE PROVIDED WITH A COPY OF THE POLICY AND OTHER INFORMATION FOR FINANCIAL ASSISTANCE. IF A PATIENT INDICATES THEY ARE UNABLE TO PAY THEIR BILL AT ANY POINT DURING PRE-SERVICE, ADMISSION, DISCHARGE OR BILLING PROCESS, THE FINANCIAL COUNSELORS WILL ASSIST THE PATIENT IN EITHER SECURING A FUNDING SOURCE (GRANTS, COBRA COVERAGE, DISABILITY BENEFITS, MEDICAID, VA, ETC.) IF ELIGIBLE OR ASSIST THEM IN COMPLETING A FINANCIAL ASSISTANCE APPLICATION. IF DURING THE COURSE OF THE PATIENT REGISTRATION PROCESS, CARE ENCOUNTER, TREATMENT, OR UPON DISCHARGE IT BECOMES EVIDENT THAT A PATIENT MAY NEED FINANCIAL ASSISTANCE, THE PATIENT SHALL BE REFERRED TO THE ORGANIZATION'S COMMUNITY CARE PROGRAM. PATIENTS MAY BE IDENTIFIED AS NEEDING FINANCIAL ASSISTANCE AT ANY TIME DURING THE COURSE OF AN ENCOUNTER. A REFERRAL FOR CONSIDERATION OF COMMUNITY CARE FINANCIAL ASSISTANCE CAN BE INITIATED BY ANY MEMBER OF THE HOSPITAL'S WORKFORCE, INCLUDING MEDICAL STAFF MEMBERS, WHO BECOME AWARE OF THE PATIENT'S POTENTIAL NEED FOR COMMUNITY CARE FINANCIAL ASSISTANCE. THE CHARITY CARE POLICY WAS ALSO TRANSLATED INTO DIALECTS PREVALENT IN THE COMMUNITY IN ORDER TO REACH OUT TO THOSE THAT MAY SPEAK ANOTHER LANGUAGE SPANISH AND HMONG). PATIENT REGISTRATION STAFF AND FINANCIAL COUNSELORS ARE PROVIDED WITH SCRIPTS TO FOLLOW WHEN INTERACTING WITH PATIENTS. AS PART OF THE CHARITY CARE PROCESS, PATIENTS MUST REGISTER WITH THE COUNTY PUBLIC ASSISTANCE TO SEE IF THEY MAY QUALIFY UNDER ANY OTHER FEDERAL OR STATE PROGRAMS.
Schedule H, Part VI, Line 4 Community informationWHILE THERE IS GROWING AGREEMENT IN THE UNITED STATES ABOUT WHAT CONSTITUTES A NON-PROFIT HOSPITAL'S COMMUNITY BENEFIT, THIS IS A WORK IN PROGRESS. THE ORGANIZATION PROVIDED SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS. BUT, IN ADDITION, WE BELIEVE THAT WE PROVIDE A CRITICALLY IMPORTANT COMMUNITY BENEFIT, WHICH IS NOT QUANTIFIED. OUR HOSPITAL, LIKE MOST RURAL HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY - CARE THAT WITHOUT OUR HOSPITAL, MAY NOT BE AVAILABLE LOCALLY. CERTAIN SPECIALIZED SERVICES AVAILABLE INCLUDE: DIABETES EDUCATION AND MANAGEMENT, SPEECH THERAPY, WOUND CARE AND MANAGEMENT, PALLIATIVE CARE SERVICES, PAIN MANAGEMENT SERVICES, AND INPATIENT DIALYSIS SERVICES. THE HOWARD YOUNG MEDICAL CENTER, INC. IS LOCATED IN WOODRUFF, WISCONSIN AND SERVICES THE SURROUNDING COMMUNITIES. PER THE HOME TOWN LOCATOR WOODRUFF HAD A POPULATION OF 2,210 AS OF JULY 1, 2015. ACCORDING TO THE 2010 CENSUS, WITH 18.8% UNDER THE AGE OF 19, 4.0% FROM 20-24 YEARS OF AGE, 19.0% FROM 25-44 YEARS OF AGE, 29.7% FROM 45-64 YEARS OF AGE, AND 28.5% OVER THE AGE OF 65. THE MEDIAN INCOME IN 2010 FOR A HOUSEHOLD WAS $42,306. THE PER CAPITA INCOME OF THE TOWN IN 2010 WAS $27,086. THE TOWN HAS A TOTAL OF 35.6 SQUARE MILES, OF WHICH 7.0 SQUARE MILES IS WATER. THE MEDIAN AGE IS 50.3 YEARS. WOODRUFF IS LOCATED IN ONEIDA COUNTY WISCONSIN. ACCORDING TO THE 2010 CENSUS, ONEIDA COUNTY HAD A POPULATION OF 35,998 PEOPLE, WITH 18.4% UNDER THE AGE OF 18 AND 21.7% OVER THE AGE OF 65. THE MEDIAN AGE WAS 48.0 YEARS. THE MEDIAN HOUSEHOLD INCOME IN 2010 WAS $45,857. ABOUT 9.9% OF THE POPULATION WAS BELOW THE POVERTY LEVEL. THE UNEMPLOYMENT RATE FOR DECEMBER 2011 IN ONEIDA COUNTY WAS 9.3% COMPARED TO THE STATE RATE OF 7.0%.
Schedule H, Part VI, Line 5 Promotion of community healthTHE ORGANIZATION STRIVES TO FURTHER ITS EXEMPT PURPOSES BY THE FOLLOWING: (1) THE ORGANIZATION'S GOVERNING BOARD CONSISTS PRIMARILY OF PERSONS WHO RESIDE WITHIN THE PRIMARY SERVICE AREA. THEY ARE NOT EMPLOYEES OF THE ORGANIZATION. (2) AS MENTIONED, THE ORGANIZATION PROVIDES SEVERAL SERVICES WHICH ARE NOT OTHERWISE AVAILABLE BEING IN A RURAL SETTING. (3) BASED ON THE ORGANIZATION'S MISSION, EMERGENCY ROOMS ARE MADE AVAILABLE TO ALL PATIENTS REGARDLESS OF THE ABILITY TO PAY. (4) THE ORGANIZATION ALSO PARTICIPATES IN THE EDUCATION AND TRAINING OF HEALTHCARE PROFESSIONALS THROUGH INTERNSHIP PROGRAMS. THE HOWARD YOUNG MEDICAL CENTER, INC. IS ALSO INVOLVED IN THE FOLLOWING EFFORTS WHICH FURTHER ITS TAX-EXEMPT STATUS: - THE HOSPITAL PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH PROGRAMS (MEDICARE, MEDICAID, CHAMPUS, TRICARE). - THE FACILITY STRIVES TO BE A LOW-COST/LOW-CHARGE PROVIDER BY UTILIZING THE LEAN SIX SIGMA APPROACH TO IMPROVE PATIENT SAFETY, PATIENT QUALITY OF SERVICES AND PATIENT SATISFACTION. - THE HOWARD YOUNG MEDICAL CENTER, INC. EMERGENCY ROOM SERVES ALL PEOPLE REGARDLESS OF THEIR ABILITY TO PAY. - CHARITY CARE IS AVAILABLE TO ALL IN THE COMMUNITY BASED ON NEED AND IS SUBJECT TO SLIDING SCALE DISCOUNTS. - THE HOWARD YOUNG MEDICAL CENTER, INC. HAS A VOLUNTEER SERVICES PROGRAM WHERE COMMUNITY MEMBERS UTILIZE THE HOSPITAL AS A VEHICLE TO CONNECT WITH AND CONTRIBUTE TO INDIVIDUALS AND THE OVERALL COMMUNITY THROUGH VOLUNTEERING. - THE HOWARD YOUNG MEDICAL CENTER, INC. ENCOURAGES THEIR MANAGEMENT TEAM TO PARTICIPATE IN THE LOCAL GOOD PANTRY'S DISTRIBUTION DAY. NUTRITIONISTS ARE AVAILABLE TO DISCUSS HEALTHY FOOD CHOICES, CLINICAL SERVICES SUCH AS BLOOD PRESSURE CHECKS AND CHOLESTEROL SCREENING ALONG WITH EDUCATIONAL SESSIONS HAVE BEEN DEVELOPED. THEY ALSO HAVE NETWORKED WITH A LOCAL OPTOMETRY OFFICE TO PROVIDE EYE CARE SCREENINGS AND EYEGLASS ASSISTANCE.
Schedule H, Part VI, Line 6 Affiliated health care systemTHE HOWARD YOUNG MEDICAL CENTER, INC. IS AN AFFILIATE OF MINISTRY HEALTH, INC. AND ASCENSION HEALTH. THE HOWARD YOUNG MEDICAL CENTER, INC.'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 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 SYSTEM DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE THAT SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH THE SYSTEM'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND TO OTHER VULNERABLE PERSONS, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE SYSTEM USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND FOR COMMUNITY BENEFIT PROGRAMS: TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE, REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR PERSONS LIVING IN POVERTY AND FOR OTHER VULNERABLE PERSONS. COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND FOR OTHER VULNERABLE PERSONS INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE PERSONS LIVING IN POVERTY AND THE OTHER VULNERABLE PERSONS OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE PERSONS LIVING IN POVERTY, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESEARCH. DISCOUNTS ARE PROVIDED TO ALL UNINSURED PATIENTS, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALIFY FOR ASSISTANCE UNDER CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY OR IN THE COST OF OTHER COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY AND OF OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA AND IS ESTIMATED BY REDUCING CHARGES FORGONE BY A FACTOR DERIVED FROM THE RATIO OF TOTAL OPERATING EXPENSES TO BILLED CHARGES FOR PATIENT CARE.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxtCash GrantCashGrantAmt
LAKELAND RETIREMENT FOUNDATION LTD
PO BOX 1815WOODRUFFWI54568391306202$468,362APPRAISALLAND DONATIONSPACE TO CONSTRUCT COMMUNITY CENTER
DR KATE NEWCOMB MUSEUM WOODROOF HISTORICAL SOCIETY AND LIBRARY LTD
PO BOX 851WOODRUFFWI54568391553200BOOK VALUESPONSORSHIP$19,000
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationTHE FINANCE COMMITTEE ENSURES THAT FUNDS ARE DISTRIBUTED APPROPRIATELY ACCORDING TO ASCENSION HEALTH'S STRATEGIC BUSINESS PLAN AND CONSISTENT WITH CORPORATE POLICIES AND PROCEDURES.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 (13 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
SANDRA L LATZEL-ANDERSON
BOARD MEMBER/HOSPITAL PRESIDENT (EX-OFFICIO)$0$354,518$0$78,674$0$40,312$0$13,500$0$20,038$0$507,042$0$0
DANIEL E NEUFELDER
FORMER OFICER (END 9/2016)$0$0$0$0$0$996,775$0$0$0$0$0$996,775$0$0
SHISHIR N SHETH MD
FORMER OFFICER (END 6/2017)$0$476,466$0$10,000$0$46,940$0$17,550$0$21,157$0$572,113$0$0
ELMER L LINBOOM MD
FORMER OFFICER (END 6/2017)$0$120,583$0$19,650$0$37,114$0$3,986$0$20,109$0$201,442$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
TERESA J THEILER
FORMER KEY EMPLOYEE (END 7/2016)$0$170,435$0$15,321$0$4,714$0$6,917$0$15,932$0$213,319$0$0
DEBORAH L KAROW
FORMER KEY EMPLOYEE (END 6/2017)$0$110,374$0$42,808$0$2,822$0$7,634$0$13,386$0$177,024$0$0
LAURIE R OUNGST
CHIEF ADMINISTRATIVE OFFICER$0$195,232$0$43,679$0$1,518$0$14,431$0$32,799$0$287,659$0$0
PHILIP G CONRARDY
PHYSICIAN$393,070$0$0$0$180$0$16,200$0$29,900$0$439,350$0$0$0
AUBREY J HOYE
PHYSICIAN$313,593$0$8,445$0$12,055$0$7,967$0$25,413$0$367,473$0$0$0
DAVID J SELL
CRNA$199,119$0$29,042$0$2,302$0$14,962$0$3,738$0$249,163$0$0$0
KEVIN R KRUEGER
CRNA$190,511$0$29,042$0$2,302$0$14,962$0$16,452$0$253,269$0$0$0
LAURIE DEMRO
CRNA$190,731$0$29,042$0$1,504$0$12,660$0$19,314$0$253,251$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 THE HOWARD YOUNG MEDICAL CENTER, 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 individuals received payment from the supplemental nonqualified retirement plan in the amount as noted during calendar year 2016: DANIEL NEUFELDER - $994,500
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 M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescWAITING ROOM FURNITURE AND BLANKET WARMERDesc
Contribution2ContributionCnt
Noncash Contributions Rpt F990$45,876NoncashContributionsRptF990Amt
Method Of Determining RevenuesCostMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Part I Explanations of reporting method for number of contributionsFormAndLineReferenceDesc
ExplanationOther - WAITING ROOM FURNITURE AND BLANKET WARMER NUMBER OF ITEMS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 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 THE HOWARD YOUNG MEDICAL CENTER, 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 THE HOWARD YOUNG MEDICAL CENTER, 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 stockholdersTHE HOWARD YOUNG MEDICAL CENTER, INC. HAS A SINGLE CORPORATE MEMBER, MINISTRY HEALTH CARE, INC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyTHE HOWARD YOUNG MEDICAL CENTER, INC. HAS A SINGLE CORPORATE MEMBER, MINISTRY HEALTH CARE, INC., WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF THE HOWARD YOUNG MEDICAL CENTER, INC.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersALL DECISIONS THAT HAVE A MATERIAL IMPACT TO THE HOWARD YOUNG MEDICAL CENTER, 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 PROGRAM REVENUE - Total Revenue: 1678, Related or Exempt Function Revenue: 1678, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueMiscellaneous Revenue - Total Revenue: 35592, Related or Exempt Function Revenue: , Unrelated Business Revenue: 80, Revenue Excluded from Tax Under Sections 512, 513, or 514: 35512;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesTRANSFERS WITH AFFILIATES - -5247269; TRANSFERS WITH ALPHA FUND - 11063768; CHANGE IN VALUE OF BENEFICIAL INTEREST TRUST - 4592173; CHANGE IN INTEREST IN HOWARD YOUNG FOUNDATION, INC. - 19780;
Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTTHE ACTIVITY OF THE HOWARD YOUNG MEDICAL CENTER, INC. IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF THE HOWARD YOUNG MEDICAL CENTER, INC. IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF THE HOWARD YOUNG MEDICAL CENTER, INC.
Form 990, Part XII, Line 2c AUDIT COMMITTEETHE HOWARD YOUNG MEDICAL CENTER, 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-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 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)
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 OrgfalseGiftGrntCapContriFromOthOrgInd
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 OrgfalseRentalOfFcltsFromOthOrgInd
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 OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxtBusiness Name Line2OtherOrganizationName/BusinessNameLine2Txt
ASCENSION EAGLE RIVER HOSPITAL INC
L$335,402FAIR MARKET VALUE
ASCENSION EAGLE RIVER HOSPITAL INC
M$130,884FAIR MARKET VALUE
ASCENSION EAGLE RIVER HOSPITAL INC
Q$570,987FAIR MARKET VALUE
ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC (FKA MINISTRY MEDICAL GROUP
L$6,475,429FAIR MARKET VALUEINC)
ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC (FKA MINISTRY MEDICAL GROUP
Q$5,015,283FAIR MARKET VALUEINC)
ASCENSION SACRED HEART-ST MARY'S HOSPITALS INC
J$184,623FAIR MARKET VALUE
ASCENSION SACRED HEART-ST MARY'S HOSPITALS INC
L$120,478FAIR MARKET VALUE
ASCENSION SACRED HEART-ST MARY'S HOSPITALS INC
M$132,000FAIR MARKET VALUE
ASCENSION SACRED HEART-ST MARY'S HOSPITALS INC
Q$345,594FAIR MARKET VALUE
ASCENSION ST MICHAEL'S HOSPITAL INC
P$155,373FAIR MARKET VALUE
ASCENSION ST MICHAEL'S HOSPITAL INC
Q$207,098FAIR MARKET VALUE
DR KATE NEWCOMB CONVALESCENT CENTER
Q$73,637FAIR MARKET VALUE
HOWARD YOUNG HEALTH CARE INC
Q$65,566FAIR MARKET VALUE

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