2018-05-14T20:01:51-05:00 2017-06-30 990 2016-07-01 390806315 Columbia St Mary's Hospital Milwaukee Inc COLU 3147338000 400 W River Woods Pkway Glendale WI 53212 Tonya Mershon Tax Officer 2017-10-23 2016 2022-09-23 18:48:47Z X Bernard Sherry Sr VP 400 W River Woods Pkway Glendale WI 53212 464301779 false 0928 X columbia-stmarys.org X 1859 WI To improve the health and well-being of all people in the communities we serve. 9 8 3046 325 3667970 -505501 974880 1034455 466348448 455361188 229165 114914 19420971 3567907 486973464 460078464 433562 151654 0 207712522 215135286 0 0 0 315195145 278862635 523341229 494149575 -36367765 -34071111 569124114 661739923 177955815 155615888 391168299 506124035 Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve. false false 308888956 151654 456833010 Columbia St. Mary's Hospital Milwaukee, Inc. operates a full-service 482 bed hospital, which offers a complete range of medical, surgical and advanced clinical specialties, and operates an emergency department that is open to all persons, regardless of ability to pay. The hospital also sponsors a number of programs designed to improve the health care in its community. Please refer to the Community Benefit information presented in Schedule H for a discussion of how the hospital makes a positive difference in the health status of the community, with a focus on those who are poor or vulnerable. 308888956 true true false true false false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 182 0 true 3046 true true true false false false false false false false false false X 9 8 false false false false true true true true true false false false true true true true true false false false X David Mannes Controller 4144654589 400 W River Woods Pkwy Glendale WI 53212 WILLIAM C WERNER CHAIR (START 9/2016) 0.2 1.9 X X 0 0 101 ROBERT J VENABLE VICE CHAIR 0.2 1.9 X X 0 0 101 RANDALL PERRY SECRETARY 0.2 1.9 X X 0 0 101 KURT D VELDHUIZEN CPA TREASURER (START 9/2016) 0.2 1.9 X X 0 0 101 BERNARD J SHERRY SR VP - ASCENSION WI (START 9/2016) 7.0 44.0 X X 0 1559311 45520 SISTER M THERESE GOTTSCHALK DIRECTOR (START 9/2016) 0.2 7.6 X 0 0 0 JOHN BYKOWSKI DIRECTOR (START 9/2016) 0.3 2.5 X 0 0 101 JOHN SPLUDE DIRECTOR (START 9/2016) 0.2 1.9 X 0 0 101 PATRICIA DOLHUN MD DIRECTOR 0.2 1.9 X 0 0 101 JONATHAN SOHN CFO - ASCENSION, WI 7.0 39.0 X 0 707247 95164 TIMOTHY WALDOCH INTERIM CFO (END 12/2016) 15.0 31.0 X 0 252913 18219 KEVIN KLUESNER VP CLINICAL SERVICES 9.0 58.0 X 0 261820 40319 CLARISSA COX VP QUALITY & CLINICAL INTEGRATION 15.0 30.0 X 0 246644 14379 WILLIAM HART VP/Chief Operating Officer 20.0 30.0 X 0 335740 21829 GERRI LIETZ-STAFFILENO VP/Chief Nursing Officer 20.0 30.3 X 0 283666 37124 BRUCE MCCARTHY MD PRESIDENT PHYSICIAN DIVISION (END 1/2017) 20.0 30.0 X 0 703503 38015 SUZANNE SANICOLA VP PHYSICIAN SVCS 15.0 25.0 X 0 234696 41525 RICHARD SHIMP MD CHIEF MEDICAL OFFICER 15.0 25.0 X 0 432536 41640 TRAVIS D ANDERSEN REGIONAL PRESIDENT - SOUTH MARKET 1.0 43.0 X 0 1214959 43221 EMAD S BOTROS MD Physician 40.0 0 X 1283373 0 58216 SANJAY S DESHPANDE MD Physician 40.0 0 X 1794551 0 63911 JOSHUA D LIBERMAN MD Physician 40.0 0 X 1045248 0 57298 ANTHONY J LINN MD Physician 40.0 0 X 1205996 0 53712 RICHARD A PIRCON MD Physician 40.0 0 X 1178976 0 57984 MICHAEL SANDERL FORMER KEY EMPLOYEE (END 12/2015) 0.0 0.0 X 0 159745 11943 ALLAN SPOONER FORMER KEY EMPLOYEE (END 8/2015) 0.0 0.0 X 0 357603 10586 MARK TAYLOR FORMER OFFICER (END 6/2014) 0.0 0.0 X 0 409715 0 6508144 7160098 751312 239 true true false METROPOLITAN ANESTHESIOLOGISTS SC 225 S EXECUTIVE DRIVE BROOKFIELD WI 43005 PHYSICIAN SERVICES 12641807 MEDICAL COLLEGE OF WISCONSIN INC 8701 WATERTOWN PLANK ROAD MILWAUKEE WI 532263548 RESIDENT PROGRAM 2367745 ARUP LABORATORIES 500 S CHIPETA WAY SALT LAKE CITY UT 841081221 LABORATORY SERVICES 1182687 WISCONSIN RADIOLOGY SPECIALISTS SC PO BOX 44370 MADISON WI 53744 RADIOLOGY SERVICES 1134781 TOTAL RENAL CARE INC P O BOX 403008 ATLANTA GA 30384 DIALYSIS SERVICES 886387 32 X 755128 279327 1034455 Net Patient Services Revenue 621990 452790891 452790891 Diagnostic Lab Revenue 621500 12460855 9714372 2746483 Contract Revenue 900099 1629532 1629532 Dental Revenue 621300 708868 708868 Services to Affiliates 561000 636977 636977 -12865935 -13156575 290640 0 455361188 120974 120974 726348 726348 0 726348 726348 6060 0 -6060 -6060 -6060 6907395 4217255 2690140 1471822 630847 587471 Education Revenue 900099 30819 30819 Medical Records 900099 26940 26940 Consulting 900099 15490 15490 78170 0 0 78170 151419 460078464 453795887 3667970 1580152 151654 151654 175250763 157585822 17664941 29142930 26205378 2937552 10741593 9658861 1082732 423464 66800 356664 112 112 10551 10551 26811214 16308182 10503032 0 24668 22182 2486 1162713 768680 394033 326400 202689 123711 16504160 9089569 7414591 354520 313526 40994 393092 388866 4226 26149338 6456303 19693035 1536302 1536302 Corporate Overhead 80477082 4285033 76192049 Medical Supplies 54331632 54331632 Purchased Services 39774202 6437206 33336996 Provider Tax 11864778 11864778 18718407 16616461 2101946 0 494149575 308888956 185260619 0 376107 563602 0 27881 64230538 58988767 0 0 0 6512230 6354818 5573372 4924137 791097294 327422747 476341067 463674547 0 0 195102 141624 15895698 127064547 569124114 661739923 29329970 37524809 0 148625845 118091079 177955815 155615888 X 391168299 506124035 391168299 506124035 569124114 661739923 X -34071111 149026847 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 10551 10551 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OR STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OR STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. 11856580 11856580 627625295 206318726 421306569 4970224 3639255 1330969 135491154 114524539 20966615 11154041 2940227 8213814 463674547 Asset Retir Oblig Asset Bldgs 29677 Deferred Compensation Asset 19714312 Due to Affiliates 104241399 Estimated Settlements from Third-Party Payor 846057 Other Receivables 2233102 127064547 Payable to Affiliates 90879933 Pension/Deferred Compensation 19714312 Other Miscellaneous Current Liabilities Intercompany Debt to Ascension Other Miscellaneous Long Term Liabilities Estimated Settlement to Third-Party Payor 1441334 Accrued Taxes 1335045 Asset Retirement Obligations 924490 Discontinued Operations Liabilities 144602 Lease Liabilities 801968 Other Liabilities 282831 Recovery Tail Liability 1552160 Valuation Allowance 1014404 118091079 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The System accounts for uncertainty in income tax provisions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2017. true true X true X 250 true X true true true false true true 6034849 6034849 0.0122 111345790 73759591 37586199 0.0761 0 0.0 0 0 117380639 73759591 43621048 0.0883 14 530 4742283 1577623 3164660 0.0064 3 354 10638766 2774827 7863939 0.0159 1 524073 59491 464582 0.0009 1 51376 51376 0.0001 4 398 573278 573278 0.0012 23 1282 16529776 4411941 12117835 0.0245 23 1282 133910415 78171532 55738883 0.1128 0 0.0 0 0.0 1 150 2810 2810 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 2 29 132824 132824 0.0003 0 0.0 3 179 135634 0 135634 0.0003 false 23920010 483283 144308810 185728752 -41419942 X true true 1 1 Columbia St Mary's Hospital Milwaukee 2301 N Lake Drive Milwaukee WI 53211 www.columbia-stmarys.org 53 X X X Columbia St Mary's Hospital Milwaukee 1 false false true X X X X X X X X X 15 true true true true X http://www.columbia-stmarys.org/doc/Page.asp?PageID=DOC103012 X X true 15 true http://www.columbia-stmarys.org/doc/Page.asp?PageID=DOC103012 false true X 250.0 400.0 X X X X true true X X X true X http://www.columbia-stmarys.org/oth/Page.asp?PageID=OTH000609 X http://www.columbia-stmarys.org/oth/Page.asp?PageID=OTH000609 X http://www.columbia-stmarys.org/oth/Page.asp?PageID=OTH000609 X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Columbia St. Mary's Hospital Milwaukee, Inc.. The CHNA was conducted to include three levels of information: a community telephone survey of residents to gather their input on community health needs; a secondary data report commissioned from a consultant proficient in gathering and interpreting of data from public health departments, state organizations and non-profit organizations working in the field of health; and interviews with key stakeholders in the field of health. A list of the organizations that provide input are listed below. T Denotes this organization represents low-income populations. TT Denotes this organization represents medically underserved populations. TTT Denotes this organization represents minority populations. * AIDS Resource Center of Wisconsin T,TT, * Apostle Presbyterian Church T,TT, * Black Health Coalition of Wisconsin, Inc. T,TT,TTT * Boys & Girls Club T,TT, * Center for Veterans Issues T,TT, * Centro Hispano T,TT,TTT * Children's Hospital of Wisconsin T,TT, * Children's Health Alliance of Wisconsin/ Milwaukee County Oral Health Task Force T,TT, * City of Milwaukee Health Department T,TT, * City of West Allis T,TT, * Community Advocates T,TT, * CORE/El Cento T,TT,TTT * Cudahy Health Department T,TT, * Franklin Health Department T,TT, * Gerald E. Ignace Indian Health Center T,TT,TTT * Greenfield Health Department T,TT, * Hmong American Women's Association T,TT,TTT * IMPACT Planning Council T,TT, * Medical College of Wisconsin Institute for Health and Society T,TT, * Mental Health America of Wisconsin T,TT, * Milwaukee Center for Independence T,TT,TTT * Milwaukee County Behavioral Health Division * Milwaukee County Department of Health & Human Services T,TT, * Milwaukee County Department on Aging T,TT, * Milwaukee Police Department T,TT, * Milwaukee Public Schools T,TT, * MP3 Health Group; T,TT, * Next Door Foundation T,TT, * North Shore Health Department T,TT, * Oak Creek Health Department T,TT, * South Milwaukee Health Department T,TT, * Tri-City National Bank T, * United Way of Greater Milwaukee and Waukesha County T,TT, * UW-Milwaukee Joseph J. Zilber School of Public Health (2012-2015) T,TT, * Wauwatosa Health Department T,TT, * West Allis & West Milwaukee Health Department T,TT, * West Allis Fire Department T,TT, * West Allis Fire Department T,TT, * West Allis/West Milwaukee Chamber of Commerce T,TT, * West Allis/West Milwaukee School District T,TT, * YMCA of Metro Milwaukee T,TT, * YWCA Southeast Wisconsin T,TT, Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Columbia St. Mary's Hospital Milwaukee, Inc.. Aurora Health Care, Children's Hospital of Wisconsin, Froedtert Hospital, and Wheaton Franciscan Health Care. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC.. A LIST OF THE ORGANIZATIONS THAT PROVIDE INPUT ARE LISTED BELOW. MILWAUKEE HEALTH CARE PARTNERSHIP WHICH INCLUDES THE FOLLOWING PARTNERS: AURORA HEALTH CARE, CHILDREN'S HOSPITAL OF WISCONSIN, FROEDTERT HEALTH, PROGRESSIVE COMMUNITY HEALTH CENTERS, MILWAUKEE HEALTH SERVICE, INC., SIXTEENTH STREET COMMUNITY HEALTH CENTERS, MEDICAL COLLEGE OF WISCONSIN, CITY OF MILWAUKEE HEALTH DEPARTMENT, MILWAUKEE COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES, WISCONSIN DEPARTMENT OF HEALTH SERVICES, THE MEDICAL SOCIETY OF MILWAUKEE COUNTY, THE MILWAUKEE FREE CLINIC COMMUNITY COLLABORATIVE, WISCONSIN STATEWIDE HEALTH INFORMATION NETWORK (WISHIN), WHEATON FRANCISCAN HEALTHCARE, WISCONSIN HOSPITAL ASSOCIATION, WISCONSIN PRIMARY HEALTH CARE ASSOCIATION. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - Columbia St. Mary's Hospital Milwaukee, Inc.. Several reports applicable to our Wisconsin Hospital Facilities are available at the Milwaukee Health Care Partnership's (MHCP) website at http://mkehcp.org/publications. MHCP is a public / private consortium dedicated to improving health care coverage, access, and care coordination for underserved populations in Milwaukee County, with the goals of improving health outcomes, eliminating disparities, and reducing the total cost of care. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Columbia St. Mary's Hospital Milwaukee, Inc.. Using the CHNA completed in June 2016, the hospital developed, adopted, and worked on executing a three-year Implementation Strategy to address priority community health needs. In Fiscal Year 2017 (Tax Year 2016), the hospital implemented the following plan to address the priority needs: Substance Abuse -- Community Outreach Nurse providing health services. -- Provided health screenings for both new women and current residents. -- Conducted health education presentations to residents. Infant Mortality -- Offer programs to reduce infant mortality rates in Milwaukee County. -- Offer Primary Care for high risk women -- Provide prenatal oral healthcare to at risk women -- Partner with and offer education to churches so they can become Safe Sleep Sanctuaries Oral Health -- Increase access to oral health care -- Train providers on oral health care and diabetes. -- Added additional oral health care team to provide services through Smart Smiles Program at local schools -- Increased the number of schools that participate in Smart Smiles program. Access to care -- Assist community with locating services -- Increased referrals to resource center for access to healthy food and diabetes resources. -- Increase in Food Pantry utilization due to food scarcity. -- Increased the number of community screening sites for mammography. Nutrition and Physical Activity -- Educate community on health eating -- Implemented vegetable prescription program for clients to receive produce at local farmers market -- Provided nutrition education and counseling at farmers market" Explanation on needs identified in CHNA that are not being addressed: SEXUAL HEALTH This is an area in which CSM will not participate directly. United Way of Greater Milwaukee and Waukesha County has led a task force to reduce teen pregnancy and significantly reduced pregnancy rates. CSM has not participated in this activity and this collaboration. Our resources are well used in other areas of community leadership. INJURY AND VIOLENCE Because of the strategy to focus on fall assessment and injuries this need will be addressed in the Sacred Heart Rehabilitation Institute Community Health Improvement Plan. CHRONIC DISEASE Because of the focus on diabetes friendly food pantry and Sacred Heart Rehabilitation Institute's history of support of the Ebenezer Food Pantry as well as the role of diabetes in chronic diseases related to rehabilitation, this need will be addressed in the Sacred Heart Rehabilitation Institute Community Health Improvement Plan. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Columbia St. Mary's Hospital Milwaukee, Inc.. The filing organization takes several proactive approaches to make patients aware of our financial assistance policy. In addition to our policy being posted on our website and available to anyone who requests one, there is abundant signage throughout our facility explaining our financial assistance policy and how to obtain the actual policy, if desired. Notices regarding the availability of financial assistance are displayed in highly visible locations where there is a significant volume of inpatient or outpatient traffic such as in inpatient and outpatient admitting and registration areas, physician offices, and emergency departments. Brochures describing the policy are available in the same locations, and the policy is discussed at the time of registration or pre-registration, admission, discharge, and with billing for those identified with a need. Patients who call and express a financial hardship with paying their bill will be assisted by a customer service representative, who will assist the patient in setting up an appointment to meet with a financial advocate who will go over the financial assistance policy in detail, get the financial assistance application process started, and educate the patient regarding any questions they may have. Lastly, our patient statements also include notifications about the availability of financial assistance and a phone number to call for more information. Additionally, our Financial Assistance Policy, Financial Assistance Application, and Plain Language Summary are available on our website, http://www.columbia-stmarys.org/oth/Page.asp?PageID=OTH000609. The Financial Assistance Policy, Application, Plain Language Summary, and Provider Listing has been translated into 7 languages: English, Spanish, Hmong, Laotian, Arabic, Russian, and Serbian/Croatian. 30 Prospect Medical Commons 2311 N Prospect Ave Milwaukee WI 53211 Clinic Van Dyke Cancer Center - Milwaukee 2350 N Lake Drive Suite 100 Milwaukee WI 53211 Clinic River Woods Outpatient Center 375 W Riverwoods PKWY Glendale WI 53212 Outpatient Center Gateway Medical Center 801 S 70th st West Allis WI 53214 Clinic Glendale Green Bay Clinic 9233 N Green Bay Road Brown Deer WI 53209 Clinic CSM Cardiovascular Specialists - WTMC 2350 N Lake Drive Suite 400 Milwaukee WI 53211 Clinic CSM Cardiovascular Specialists - Electrophysiology - WTMC 2350 N Lake Drive Suite 206 Milwaukee WI 53211 Clinic CSM Cardiovascular Specialists - Electrophysiology - West Allis 801 S 70th st West Allis WI 53214 Clinic CSM Cardiovascular Specialists - Electrophysiology - Bay View 3056 S Kinnickinnic Ave Suite 302 Milwaukee WI 53207 Clinic West Allis Medical Clinic 2323 S 102ND St West Allis WI 53227 Clinic Airport Medical Clinic 4848 S 6th Street Milwaukee WI 53221 Clinic Columbia West Clinic 10950 W Capitol Drive Wauwatosa WI 53222 Clinic Glendale Port Washington Clinic 6900 N Port Washington Road Glendale WI 53217 Clinic Bay View Family Health Center 3056 S Kinnickinnic Ave Milwaukee WI 53207 Clinic Westgate Medical Group 2727 N Mayfair Road Wauwatosa WI 53222 Clinic River Woods Urgent Care 375 W Riverwoods PKWY Glendale WI 53212 Clinic Shorewood Family Physicians 1901 E Capitol Drive Shorewood WI 53211 Clinic Cathedral Square Express Care Center 734 N Jackson St Milwaukee WI 53202 Clinic Family Health Center 1121 E North Ave Milwaukee WI 53212 Clinic ENT Associates 2350 N Lake Drive Suite 406 Milwaukee WI 53211 Clinic Center For Pain Management 3056 S Kinnickinnic Ave Milwaukee WI 53207 Clinic CSM Urogynocology 2350 N Lake Drive Suite 504 Milwaukee WI 53211 Clinic CSM Cardiovascular Specialists - Bay View 3056 S Kinnickinnic Ave Suite 300 Milwaukee WI 53207 Clinic CSM Behavioral Medicine Clinic 2323 N Lake Drive Milwaukee WI 53211 Clinic St Elizabeth Ann Seton Dental Clinic 1730 S 13th Street Milwaukee WI 53204 Clinic Perinatal Assessment Center 2323 N Lake Drive Milwaukee WI 53211 Clinic St Ben's Clinic 1027 N 9th Street Milwaukee WI 53233 Clinic Schedule H, Part I, Line 7 Community Benefit COMMUNITY BENEFIT AMOUNTS ARE COMPILED USING TOTAL ACTUAL COSTS PER THE HOSPITAL'S MANAGERIAL ACCOUNTING SYSTEM IN USE, WHICH INCLUDES ALL PATIENT SEGMENTS INCLUDING INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, MEDICARE HMO, UNINSURED, AND SELF-PAY PATIENTS. MEDICARE IS REPORTED USING THE MOST RECENTLY FILED COST REPORT AT THE TIME THE ANNUAL REPORT AND RELATED COMMUNITY BENEFIT INFORMATION IS PUBLISHED. COMMUNITY BENEFIT AMOUNTS WERE DETERMINED FOR EXTERNAL REPORTING PURPOSES, AND AMOUNTS ARE SUMMARIZED USING A SOFTWARE APPLICATION RECOMMENDED BY THE CATHOLIC HEALTH ASSOCIATION BECAUSE IT HAS THE ABILITY TO PROVIDE THE INFORMATION IN A FORMAT SUITABLE FOR SCHEDULE H PRESENTATION. The organization also VOLUNTARILY REPORTS COMMUNITY BENEFIT INFORMATION IN WISCONSIN BY REPORTING THE INFORMATION TO THE WISCONSIN HOSPITAL ASSOCIATION. Schedule H, Part V, Section B, Line 17 Billing and Collection Policy During tax year 2017, the organization learned via verbal comments of IRS agents at public events that the IRS intends that the "readily obtainable" standard in the 501(r) regulations for the AGB calculation and billing and collection policy is only met if those items are posted to the organization's web site. The organization had interpreted that web posting standard to be a safe harbor after consulting with external counsel and tax advisors, and timely took other steps to make the information readily obtainable. Consequently, the organization does not believe its decision to not post these documents to its web site rises to the level of a failure, nor does it believe the circumstances were either willful or egregious, having otherwise timely taken the steps necessary to attain and continue to maintain compliance with the other requirements related to the billing and collection policy and the AGB, as part of its policies and procedures for ensuring compliance with all aspects of 501(r). However, the organization is making this voluntary disclosure in order to communicate to the IRS the changes it is undertaking in response to the recent IRS informal guidance on this specific point concerning the "readily obtainable" standard, and the fact that the organization has started the work necessary to post its AGB information and billing and collection policy to its web site and will complete those additional postings as soon as reasonably possible. The other web postings required under 501(r) (i.e., those related to the community health needs assessment and the financial assistance policy) were timely completed and continue to remain in place as required. The organization believes its safeguards worked as intended in this case (i.e., the organization has regular communications with a number of external law firms and tax consultants and the timely attention to the recent guidance was supported by the framework of regular access to subject matter experts). These changes are in the process of being incorporated into corporate policies and procedures that apply to the organization. Schedule H, Part I, Line 7g Subsidized Health Services Columbia St. Mary's Hospital Milwaukee, Inc. did not include any subsidized health SERVICES ATTRIBUTABLE TO PHYSICIAN CLINICS. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The cost of providing charity care, means-tested government programs, and other community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied. Schedule H, Part II Community Building Activities Ascension Columbia St. Mary's Milwaukee Hospital provides job shadowing experiences for Milwaukee County high school students. Students are placed in various departments working with a CSM staff and are assigned a mentor. The program is designed to teach children with physical, emotional and cognitive disabilities job training/ readiness skills along with acceptable work behaviors. According to the County Health Rankings, employment provides income and, often, benefits that can support healthy lifestyle choices. Unemployment and under employment limit these choices, and negatively affect both quality of life and health overall. Future community leaders who are knowledgeable about both the asset and challenges our community has will help us to positively address the health issues of the future. Ascension Columbia St. Mary's Milwaukee has a collaboration with the INROADS Program to provide culturally diverse college students an opportunity to experience the healthcare workplace and learn valuable leadership skills during their internship. Ascension Columbia St. Mary's Milwaukee also coordinates a Thanksgiving Food Distribution program. Residents of Milwaukee County living in poverty can receive food and other basic nesses sites to assist with reducing food insecurity. Food insecurity has been shown to be linked to increased risk of chronic diseases, particularly among low income populations. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Corporation follows established guidelines for placing certain past-due patient balances within collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Corporation's policies. After applying the cost-to-charge ratio, the share of the bad debt expense in fiscal year 2017 was $23,920,010 at charges, ($7,589,014 at cost). Schedule H, Part III, Line 3 Bad Debt Expense Methodology The provision for doubtful accounts is based upon management's assessment of expected net collections considering historical experience, economic conditions, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense begins on page 19. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A cost to charge ratio is applied to the organization's Medicare Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. Ascension Health and its related health ministries follow the Catholic Health Association (CHA) guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance The filing organization FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED, THE PATIENT'S ACCOUNT IS ADJUSTED. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED. Schedule H, Part V, Section B, Line 16a FAP website - Columbia St. Mary's Hospital Milwaukee: Line 16a URL: http://www.columbia-stmarys.org/oth/Page.asp?PageID=OTH000609; Schedule H, Part V, Section B, Line 16b FAP Application website - Columbia St. Mary's Hospital Milwaukee: Line 16b URL: http://www.columbia-stmarys.org/oth/Page.asp?PageID=OTH000609; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Columbia St. Mary's Hospital Milwaukee: Line 16c URL: http://www.columbia-stmarys.org/oth/Page.asp?PageID=OTH000609; Schedule H, Part VI, Line 2 Needs assessment In addition to the CHNA reported in Part V, Section B, Columbia Saint Mary's Hospital, Milwaukee uses both hospital data and reliable, third party reports, including data from government sources, to assess the health needs of the community it serves. These reports provide information about key health, socioeconomic, and demographic indicators that point to areas of need. Columbia Saint Mary's Hospital, Milwaukee utilizes this information to determine develop programs and services to be provided for the community. These needs and initiatives are presented to senior leadership and board members to ensure the findings are considered in developing the organization's strategy, policy development, and internal financial and operational decisions. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance The filing organization iS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL (OR HEALTH SYSTEM), IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, our FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES and is provided for tHOSE WHO EARN UP TO 400% OF THE FEDERAL POVERTY LEVEL. The following documents are widELY PUBLICIZEd on the organization's website at: https://www.mywheaton.org/about-wheaton/billing-information/#policy - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY The organization also MAKES PAPER COPIES OF the following DOCUMENTS AVAILABLE UPON REQUEST: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - AMOUNT GENERALLY BILLED CALCULATION PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE, AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL. The organization INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION CAN BE OBTAINED. Signage displayed in the emergency room and admission area also INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY. Schedule H, Part VI, Line 4 Community information Please see detailed information provided at Schedule H Part V Section B Lines 1-12 and Part VI Line 5. Schedule H, Part VI, Line 5 Promotion of community health The organization's GOVERNING BODY IS COMPRISED OF PERSONS REPRESENTING DIVERSE ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF the GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA; WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. SURPLUS FUNDS are provided TO FUND IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, and RESEARCH through DONATIONS from supporting organizations. Please also see Part III for community activities undertaken by this organization, as well as a compilation of regional charity care information. Schedule H, Part VI, Line 6 Affiliated health care system The filing organization IS AN AFFILIATE OF Columbia St. Mary's, Inc. and ASCENSION HEALTH. The hospital's aFFILIATES ARE LARGE MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT MINISTRIES INCLUDING HOSPITAL AND NON-HOSPITAL MINISTRIES (PHYSICIAN GROUP PRACTICES, HOSPITAL ORGANIZATIONS, RESEARCH, HOME HEALTH, DURABLE MEDICAL EQUIPMENT AND SENIOR FACILITIES). THESE MINISTRIES WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF SERVING AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS ESPECIALLY THOSE WHO ARE poor or VULNERABLE. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION AND RESEARCH. THE ORGANIZATIONS WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, STATE AND NATIONAL LEVEL. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 23 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ORGANIZATIONS/ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. The organization PROMOTES THE HEALTH OF THE COMMUNITY BY providing healthcare services in the Southeast Wisconsin area, regardless of the person's ability to pay, because it is our mission to improve the lives of those in the communities we serve. true Lutheran Mission Attic Workshop Inc 12455 W Janesville Rd Muskego WI 53150 391577994 501(c)(3) 150154 Book Supplies & Equipment Operating Support 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Contributions to governments and organizations in the United States are approved by the board of directors and/or the president & CEO. All records of outgoing contributions are retained for a period of 10 years, plus the current fiscal year, and can be obtained at the office center located at 400 W. River Woods Pkwy, Glendale, WI 53212 true true false false false false false true false BERNARD J SHERRY SR VP - ASCENSION WI (START 9/2016) 0 745387 0 575928 0 237996 0 17226 0 28294 0 1604831 0 0 MARK TAYLOR FORMER OFFICER (END 6/2014) 0 0 0 0 0 409715 0 0 0 0 0 409715 0 360637 JONATHAN SOHN CFO - ASCENSION, WI 0 487399 0 206003 0 13845 0 67575 0 27589 0 802411 0 0 TIMOTHY WALDOCH INTERIM CFO (END 12/2016) 0 231469 0 20233 0 1211 0 12290 0 5929 0 271132 0 0 MICHAEL SANDERL FORMER KEY EMPLOYEE (END 12/2015) 0 0 0 0 0 159745 0 0 0 11943 0 171688 0 0 ALLAN SPOONER FORMER KEY EMPLOYEE (END 8/2015) 0 0 0 0 0 357603 0 0 0 10586 0 368189 0 0 KEVIN KLUESNER VP CLINICAL SERVICES 0 232817 0 20208 0 8795 0 13238 0 27081 0 302139 0 0 CLARISSA COX VP QUALITY & CLINICAL INTEGRATION 0 188127 0 16334 0 42183 0 11086 0 3293 0 261023 0 0 WILLIAM HART VP/Chief Operating Officer 0 303200 0 25293 0 7247 0 15900 0 5929 0 357569 0 0 GERRI LIETZ-STAFFILENO VP/Chief Nursing Officer 0 243022 0 20963 0 19681 0 17041 0 20083 0 320790 0 0 BRUCE MCCARTHY MD PRESIDENT PHYSICIAN DIVISION (END 1/2017) 0 548057 0 60724 0 94722 0 14575 0 23440 0 741518 0 0 SUZANNE SANICOLA VP PHYSICIAN SVCS 0 211973 0 18060 0 4663 0 14674 0 26851 0 276221 0 0 RICHARD SHIMP MD CHIEF MEDICAL OFFICER 0 364753 0 56107 0 11676 0 13250 0 28390 0 474176 0 0 TRAVIS D ANDERSEN REGIONAL PRESIDENT - SOUTH MARKET 0 564396 0 517513 0 133050 0 13250 0 29971 0 1258180 0 0 EMAD S BOTROS MD Physician 1280751 0 0 0 2622 0 13250 0 44966 0 1341589 0 0 0 SANJAY S DESHPANDE MD Physician 1757580 0 31969 0 5002 0 14575 0 49336 0 1858462 0 0 0 JOSHUA D LIBERMAN MD Physician 1044008 0 0 0 1240 0 14575 0 42723 0 1102546 0 0 0 ANTHONY J LINN MD Physician 958091 0 13000 0 234905 0 17225 0 36487 0 1259708 0 220327 0 RICHARD A PIRCON MD Physician 1174074 0 0 0 4902 0 15900 0 42084 0 1236960 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Ascension Health, a related organization of Columbia St. Mary's Hospital Milwaukee Inc. uses the following to establish the compensation of the organization's President: - Compensation Committee - Independent Compensation Consultant - Compensation Survey or Study - Approval by the Board or Compensation Committee. Schedule J, Part I, Line 4a Severance or change-of-control payment The following individual(s) received severance payments from the organization or a related organization during calendar year 2016 : Allan Spooner - $344,725 Michael Sanderl - $159,745 Clarissa Cox - $26,606 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The following individuals received payment from the supplemental nonqualified retirement plan in the amount as noted during calendar year 2016 : Jonathan Sohn - $9,620 Mark Taylor - $630,637 Anthony Linn - $220,327 Schedule J, Part I, Line 7 Non-fixed payments BOARD MEMBERS, OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO ARE EMPLOYED BY THE CSM ORGANIZATIONS AND ARE MEDICAL DOCTORS ARE ELIGIBLE TO RECEIVE A PERCENTAGE OF THE REVENUE GENERATED FROM PATIENTS THEY SERVE, BASED ON ESTABLISHED GUIDELINES. Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT, THE PROCESS, PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE PRESIDENT WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, THE PROCESS PERFORMED BY COLUMBIA ST. MARY'S INC., A RELATED ORGANIZATION OF COLUMBIA ST. MARY'S HOSPITAL OF MILWAUKEE, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. Form 990, Part VI, Line 6 Classes of members or stockholders Columbia St. Mary's Hospital Milwaukee, Inc. has a single corporate member, Columbia St. Mary's, Inc. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Columbia St. Mary's Hospital Milwaukee, Inc. (CSM-M) has a single corporate member, Columbia St. Mary's, Inc. who has the ability to elect members to the governing body of CSM-M. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to Columbia St. Mary's Hospital Milwaukee, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, Columbia St. Mary's, Inc. Form 990, Part VI, Line 11b Review of form 990 by governing body DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Line 19 Required documents available to the public The Organization will provide any documents open to public inspection upon request. Form 990, Part VIII, Line 2f Other Program Service Revenue Management Fees - Total Revenue: 581280, Related or Exempt Function Revenue: 290640, Unrelated Business Revenue: 290640, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Government Incentives - Total Revenue: 434472, Related or Exempt Function Revenue: 434472, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Income from Joint Ventures - Total Revenue: -13881687, Related or Exempt Function Revenue: -13881687, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Escheat Revenue - Total Revenue: 23829, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 23829; Miscellaneous Other Revenue - Total Revenue: 54341, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 54341; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers with Alpha Fund - XXX-XX-XXXX; Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTS The activity of COLUMBIA ST. MARY'S HOSPITAL Milwaukee, INC. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of COLUMBIA ST. MARY'S HOSPITAL Milwaukee, INC. is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of COLUMBIA ST. MARY'S HOSPITAL Milwaukee, INC. Form 990, Part XII, Line 2c AUDIT COMMITTEE COLUMBIA ST. MARY'S HOSPITAL Milwaukee, INC.is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole. 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