ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC (EIN 39-0808443)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-11
IRS object ID
201801319349302665
Schema version
2016v3.0
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)
Return2018-05-11T12:18:01-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN390808443EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Ascension St Michael's Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlASCEBusinessNameControlTxt
Phone3147338000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 Illinois AvenueAddressLine1Txt
CityStevens PointCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54481ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTonya MershonPersonNm
Person TitleTax OfficerPersonTitleTxt
Signature2017-10-25SignatureDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Bernard SherryBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 W River Woods ParkwayAddressLine1Txt
CityGlendaleCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53212ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$186,262,375GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.ministryhealth.org/smhWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1955FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTo improve the health and well-being of all people in the communities we serve.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee853TotalEmployeeCnt
Total Volunteers203TotalVolunteersCnt
Total Gross UBI$1,164TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$386,580PYContributionsGrantsAmt
CY Contributions Grants$239,855CYContributionsGrantsAmt
PY Program Service Revenue$192,159,757PYProgramServiceRevenueAmt
CY Program Service Revenue$184,656,053CYProgramServiceRevenueAmt
PY Investment Income$440,848PYInvestmentIncomeAmt
CY Investment Income-$8,086CYInvestmentIncomeAmt
PY Other Revenue$854,309PYOtherRevenueAmt
CY Other Revenue$965,743CYOtherRevenueAmt
PY Total Revenue$193,841,494PYTotalRevenueAmt
CY Total Revenue$185,853,565CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$114,986,590PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$92,762,925CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$58,833PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$68,110,081PYOtherExpensesAmt
CY Other Expenses$84,677,916CYOtherExpensesAmt
PY Total Expenses$183,155,504PYTotalExpensesAmt
CY Total Expenses$177,440,841CYTotalExpensesAmt
PY Revenues Less Expenses$10,685,990PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,412,724CYRevenuesLessExpensesAmt
Total Assets BOY$207,291,722TotalAssetsBOYAmt
Total Assets EOY$116,346,533TotalAssetsEOYAmt
Total Liabilities BOY$24,508,392TotalLiabilitiesBOYAmt
Total Liabilities EOY$39,053,957TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$182,783,330NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$77,292,576NetAssetsOrFundBalancesEOYAmt
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$114,027,370ExpenseAmt
Grant$0GrantAmt
Revenue$184,969,591RevenueAmt
DescASCENSION ST MICHAEL'S HOSPITAL INC ("THE HOSPITAL") PROVIDES INPATIENT, OUTPATIENT, EMERGENCY ROOM AND ANCILLARY SERVICES REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY OR METHOD OF PAYMENT. THE HOSPITAL ALSO PROVIDES EDUCATION PROGRAMS AND SERVICES ON HEALTH CARE ISSUES TO THE COMMUNITY IT SERVES. SEE SCHEDULE H FOR FURTHER DETAILS REGARDING THE COMMUNITY BENEFITS THAT ASCENSION ST MICHAEL'S HOSPITAL, INC. PROVIDES.Desc
Total Program Service Expenses$114,027,370TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
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 SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationYes (true)PartialLiquidationInd
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 Document21IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee853EmployeeCnt
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 OffalseForm8282PropertyDisposedOfInd
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 Line1David MannesBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4144654571PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 W River Woods ParkwayAddressLine1Txt
CityGlendaleCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53212ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BRIAN KIEF
SJH PRESIDENT (EX OFFICIO) (END 3/2017)0.344.4Yes (X)Yes (X)$0$1,234,458$41,545
JEREMY NORMINGTON-SLAY
PRESDIENT, MERCY MEDICAL CENTER (EX OFFICIO) (START 5/2017)0.343.8Yes (X)Yes (X)$0$305,876$36,968
KEVIN NOEL
CHAIRMAN0.33.2Yes (X)Yes (X)$0$0$0
KATHY DAVIES
VICE-CHAIRMAN0.33.2Yes (X)Yes (X)$0$0$0
BRENDA DILLENBURG
SECRETARY/TREASURER0.33.2Yes (X)Yes (X)$0$0$0
BILL ARCISZEWSKI
BOARD MEMBER0.33.2Yes (X)$0$0$0
DAN BURNS
BOARD MEMBER0.33.2Yes (X)$0$0$0
BILL CRESKE
BOARD MEMBER (END 1/2017)0.33.2Yes (X)$0$0$0
DAVID EISENREICH
BOARD MEMBER0.33.2Yes (X)$0$0$0
SHERYL JONES
BOARD MEMBER0.33.2Yes (X)$0$0$0
VAL MINDAK
BOARD MEMBER (END 4/2017)0.33.2Yes (X)$0$0$0
RICK RETTLER
BOARD MEMBER0.33.2Yes (X)$0$0$0
SUSAN RYMAN
BOARD MEMBER (END 5/2017)0.33.2Yes (X)$0$0$0
JAMIE SCHAEFER
BOARD MEMBER0.33.2Yes (X)$0$0$0
JAMES WEISHAN
BOARD MEMBER0.33.2Yes (X)$0$0$0
CRYSTAL KIRSCHLING
VP, PATIENT CARE SERVICES40.00.2Yes (X)$0$172,322$39,338
CHERYL MARTI
CHIEF OPERATING OFFICER40.00.0Yes (X)$0$156,963$27,922
JEFFREY L MARTIN
PRESIDENT (END 12/2016)27.512.5Yes (X)$0$770,723$34,199
DANIEL E NEUFELDER
MINISTRY HEALTH CARE CEO & PRESIDENT (END 9/2016)0.139.4Yes (X)$0$1,825,757$28,416
JOSEPH P KIM MD
Physician40.00$870,427$0$36,864Yes (X)
PATRICK K SAFO MD
Physician40.00$1,035,445$0$33,645Yes (X)
SHILOH A SIMONS MD
Physician40.00$799,496$0$45,160Yes (X)
TODD M WILLIAMS MD
Physician40.00$959,681$0$42,809Yes (X)
Steven J Slezak MD
Physician40.00$691,723$0$41,048Yes (X)
NICHOLAS DESIEN
FORMER OFFICER (END 12/2015)0.00.0$0$2,710,823$443Yes (X)
JEFFREY FRANCIS
FORMER OFFICER (END 9/2015)0.00.0$0$225,000$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,356,772TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,401,922TotReportableCompRltdOrgAmt
Total Other Compensation$408,357TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K13IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Federated Campaigns$97,583FederatedCampaignsAmt
Related Organizations$28,529RelatedOrganizationsAmt
Government Grants$90,131GovernmentGrantsAmt
All Other Contributions$23,612AllOtherContributionsAmt
Total Contributions$239,855TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
NET PATIENT REV-HOSP621990$131,019,237$131,019,237
NET PATIENT REV-CLINIC621400$52,058,063$52,058,063
INTEGRATED LAB621500$977,477$908,704$68,773
PHARMACY446110$202,267$202,267
MEDICARE STIMULUS900100$169,255$169,255

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$229,754TotalRevenueColumnAmt
Related Or Exempt Func Income$229,754RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$184,656,053TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,839TotalRevenueColumnAmt
Exclusion-$6,839ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$274,759RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$274,759RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$274,759TotalRevenueColumnAmt
Exclusion$274,759ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$12,253OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$13,500OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other-$1,247OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,247TotalRevenueColumnAmt
Exclusion-$1,247ExclusionAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Gross Sales Of Inventory$703,983GrossSalesOfInventoryAmt
Cost Of Goods Sold$395,310CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$308,673TotalRevenueColumnAmt
Unrelated Business Revenue$1,164UnrelatedBusinessRevenueAmt
Exclusion$307,509ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYEE ASSISTANCE PROGRAM624100$354,173$354,173
Marshfield Clinic Oncology900099-$224,762-$224,762
Management Fees561000$52,448$52,448

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$200,452TotalRevenueColumnAmt
Related Or Exempt Func Income$200,452RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$382,311OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$185,853,565TotalRevenueColumnAmt
Related Or Exempt Func Income$184,969,591RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,164UnrelatedBusinessRevenueAmt
Exclusion$642,955ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$76,686,942TotalAmt
Program Services$69,255,275ProgramServicesAmt
Management And General$7,431,667ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,054,826TotalAmt
Program Services$1,855,694ProgramServicesAmt
Management And General$199,132ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,522,369TotalAmt
Program Services$8,599,564ProgramServicesAmt
Management And General$922,805ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,498,788TotalAmt
Program Services$4,062,814ProgramServicesAmt
Management And General$435,974ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$5,152TotalAmt
Management And General$5,152ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,864,148TotalAmt
Program Services$2,063,371ProgramServicesAmt
Management And General$800,777ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$30,877TotalAmt
Program Services$14,953ProgramServicesAmt
Management And General$15,924ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,101,012TotalAmt
Program Services$363,144ProgramServicesAmt
Management And General$737,868ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$54,497TotalAmt
Program Services$48,409ProgramServicesAmt
Management And General$6,088ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,309,014TotalAmt
Program Services$572,288ProgramServicesAmt
Management And General$1,736,726ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$370,376TotalAmt
Program Services$303,981ProgramServicesAmt
Management And General$66,395ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$249,536TotalAmt
Program Services$229,573ProgramServicesAmt
Management And General$19,963ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$72,397TotalAmt
Program Services$734ProgramServicesAmt
Management And General$71,663ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,194,601TotalAmt
Program Services$3,253,045ProgramServicesAmt
Management And General$6,941,556ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$629,937TotalAmt
Program Services-$185ProgramServicesAmt
Management And General$630,122ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
Corporate Overhead Allocation$31,258,386$31,258,386
Medical Supplies$19,027,109$19,027,109
Purchased Services$10,247,301$8,423,621$1,823,680
Provider Tax$2,619,192$2,619,192

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,644,381TotalAmt
Program Services$2,553,921ProgramServicesAmt
Management And General$1,090,460ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$177,440,841TotalAmt
Program Services$114,027,370ProgramServicesAmt
Management And General$63,413,471ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$24,704,253BOYAmt
EOY$251,397EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$4,508,034EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$25,734,914BOYAmt
EOY$27,959,033EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,208,632BOYAmt
EOY$2,409,696EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$105,815BOYAmt
EOY$18,914EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$105,674,167LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$35,026,355LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$69,441,898BOYAmt
EOY$70,647,812EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,667,824BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,578,924BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$80,849,462BOYAmt
EOY$10,551,647EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$207,291,722BOYAmt
EOY$116,346,533EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$20,140,862BOYAmt
EOY$9,859,500EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$76,561BOYAmt
EOY$140,096EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,290,969BOYAmt
EOY$29,054,361EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,508,392BOYAmt
EOY$39,053,957EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$180,111,839BOYAmt
EOY$72,794,661EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$630,809BOYAmt
EOY$2,457,227EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,040,682BOYAmt
EOY$2,040,688EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$182,783,330BOYAmt
EOY$77,292,576EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$207,291,722BOYAmt
EOY$116,346,533EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$8,412,724ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$5,989NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$113,897,489OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

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$5,152OtherActivitiesAmt
Total Lobbying Expenditures$5,152TotalLobbyingExpendituresAmt
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 are specifically allocated to lobbying. Ascension St Michael's Hospital 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 are specifically allocated to lobbying. Ascension St Michael's Hospital 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$2,190,300BeginningYearBalanceAmt
Investment Earnings Or Losses$115,666InvestmentEarningsOrLossesAmt
Administrative Expenses$23,060AdministrativeExpensesAmt
End Year Balance$2,282,906EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,205,348BeginningYearBalanceAmt
Contributions$278ContributionsAmt
Investment Earnings Or Losses$6,798InvestmentEarningsOrLossesAmt
Administrative Expenses$22,124AdministrativeExpensesAmt
End Year Balance$2,190,300EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,242,492BeginningYearBalanceAmt
Contributions$147ContributionsAmt
Investment Earnings Or Losses$74,840InvestmentEarningsOrLossesAmt
Administrative Expenses$112,131AdministrativeExpensesAmt
End Year Balance$2,205,348EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,192,062BeginningYearBalanceAmt
Contributions$38,158ContributionsAmt
Investment Earnings Or Losses$86,289InvestmentEarningsOrLossesAmt
Other Expenditures$51,366OtherExpendituresAmt
Administrative Expenses$22,651AdministrativeExpensesAmt
End Year Balance$2,242,492EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,117,254BeginningYearBalanceAmt
Contributions$59,121ContributionsAmt
Investment Earnings Or Losses$38,866InvestmentEarningsOrLossesAmt
Other Expenditures$1,037OtherExpendituresAmt
Administrative Expenses$22,142AdministrativeExpensesAmt
End Year Balance$2,192,062EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.89PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.11TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,297,402OtherCostOrOtherBasisAmt
Book Value$3,297,402BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$63,167,705OtherCostOrOtherBasisAmt
Depreciation$12,820,200DepreciationAmt
Book Value$50,347,505BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$42,910OtherCostOrOtherBasisAmt
Depreciation$14,231DepreciationAmt
Book Value$28,679BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,554,162OtherCostOrOtherBasisAmt
Depreciation$21,788,306DepreciationAmt
Book Value$14,765,856BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,611,988OtherCostOrOtherBasisAmt
Depreciation$403,618DepreciationAmt
Book Value$2,208,370BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$70,647,812TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
Interest in investments held by Ascension Health Alliance
Other long term assets
Due from Affiliates$7,797,136
Other Assets$94,514
Estimated Settlements from Third-Party Payor$800,246
Assets Held for Sale$515,536
Other Receivables$1,344,215
FieldValueIRS element (for citing)
Total Book Value Other Assets$10,551,647TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
Provider related clinic charges
Intercompany debt with Ministry Health Care Inc.$2,033,862
Other
Property Tax Liability$291,701
Estimated Settlement to Third-Party Payor$933,516
Due to Affiliates$24,484,676
Other Liabilities$14,248
Asset Retirement Obligation$212,877
Recovery Tail Liability$157,759
AH Savings Liability$925,722
FieldValueIRS element (for citing)
Total Liability$29,054,361TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsIncome from the Ministry Dental Center Endowment is available to cover operation deficits. This ensures dental care can be provided to those who could not otherwise afford to pay. This endowment is administered by Saint Michael's Foundation of Stevens Point, Inc. (39-1657410).
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, 2017.

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)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served1655PersonsServedCnt
Total Community Benefit Expns$3,262,611TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,262,611NetCommunityBenefitExpnsAmt
Total Expense0.0184TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served17155PersonsServedCnt
Total Community Benefit Expns$26,293,876TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,975,278DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,318,598NetCommunityBenefitExpnsAmt
Total Expense0.0694TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served18810PersonsServedCnt
Total Community Benefit Expns$29,556,487TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,975,278DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,581,209NetCommunityBenefitExpnsAmt
Total Expense0.0878TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$259,966TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$259,966NetCommunityBenefitExpnsAmt
Total Expense0.0015TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served117PersonsServedCnt
Total Community Benefit Expns$616,726TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$616,726NetCommunityBenefitExpnsAmt
Total Expense0.0035TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$58,075TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$58,075NetCommunityBenefitExpnsAmt
Total Expense0.0003TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs18ActivitiesOrProgramsCnt
Persons Served117PersonsServedCnt
Total Community Benefit Expns$934,767TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$934,767NetCommunityBenefitExpnsAmt
Total Expense0.0053TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs18ActivitiesOrProgramsCnt
Persons Served18927PersonsServedCnt
Total Community Benefit Expns$30,491,254TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,975,278DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,515,976NetCommunityBenefitExpnsAmt
Total Expense0.0931TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

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$2,620,980BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$51,748,994ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$71,634,043CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$19,885,049MedicareSurplusOrShortfallAmt

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 Line1Ascension St Michael's Hospital IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 Illinois AvenueAddressLine1Txt
CityStevens PointCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54481ZIPCd
FieldValueIRS element (for citing)
Website Addresshttp://ministryhealth.org/SMH/home.nwsWebsiteAddressTxt
State License0146StateLicenseNum
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 Line1Ascension St Michael's Hospital 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 FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://healthcare.ascension.org/locations/wisconsin/stevens-point-saint-michaels-hospital/communityOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://healthcare.ascension.org/locations/wisconsin/stevens-point-saint-michaels-hospital/communityStrategyWebsiteURLTxt
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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - ASCENSION ST. MICHAEL'S HOSPITAL, INC.. Ascension St. Michael's Hospital, Inc.'s CHNA process included a number of efforts to seek input from community members, including members of medically underserved, low income and minority populations and from organizations that serve those populations. First, a survey was sent to over 4000 randomly-identified residents of Portage County. Second, in Summer 2015, 100 copies of the survey were distributed to agencies focused on serving medically underserved, low income and minority populations in Portage County, including the Ministry Dental Center, Portage County Meals on Wheels, Portage County Health & Human Services WIC Program, and Portage County Department of Aging. Finally, key stakeholders met in Fall 2015 to identify priorities. The list of organizations participating in the Fall 2015 key stakeholder meetings are listed below. * Portage County Public Health (Public Health Officer) * United Way of Portage County (serves poor, disparate and vulnerable community members) * Ministry Saint Michael's Hospital * Ministry Medical Group (MMG) * Ministry Dental Center (serves the poor, disparate and vulnerable population) * Employer Solutions
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - Ascension St. Michael's Hospital, Inc.. THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITY(S): Portage County Health Department, United Way of Portage County
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - ASCENSION ST. MICHAEL'S HOSPITAL, 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: Oral Health -- Provided dental care to thousands of patients with Medicaid through a dental clinic. -- Held fluoride clinics in a rural part of the county, providing students with fluoride applications. -- Provided free fluoride testing for well water. (Those households with low fluroride received guidance on how to access fluoride supplements for their children.) -- Provided dental care on-site at the Boys and Girls Club. -- Increased referrals of pregnant women for dental care. -- Provided multiple oral health education sessions in the community. Obesity -- Implemented a Fruit and Vegetable Prescription (FVRx) program in the pediatric clinic. -- Provided the Boys and Girls Club with funding to implement 'Triple Play' which focuses on students' mental, physical and interpersonal health. -- Provided the YMCA with funding to implement 5210 (5 fruits and vegetables a day, less than 2 hours of screen time, at least 1 hour of physical activity, and 0 sugar-sweetened beverages) in after school programming. The following needs will not be addressed: Alcohol and Drug Use and Misuse; Vandalism; Domestic Violence. St. Michael's will not be including these priorities in our implementation plan because other community organizations are addressing the needs and the hospital lacks the relative expertise to effectively address the needs. Other community organizations within our Portage County are better equipped to address these identified priorities. In addition, there are financial constraints to being able to effectively lead each of these priorities.
FieldValueIRS element (for citing)
Facility21FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Ministry Medical Group
824 Illinois AvenueStevens PointWI54481OP Clinic
Ministry Medical Group-Plover
2401 Plover RoadPloverWI54467OP Clinic
Ministry Medical Group-Point
3398 E Maria DriveStevens PointWI54481Psychiatric Services
Ministry Medical Group Employer Solutions
5412 Highway 10 EastStevens PointWI54481Occupational Health Services
Ministry St Michael's Hospital Rehab
2401 Plover RdPloverWI54467Cardiac rehab and physical therapy
Ministry Medical Group - Hoover
3500 Hoover RoadStevens PointWI54481OP clinic
Ministry St Michael's Hospital Rehab
3500 Hoover RoadStevens PointWI54481Physical and Occupational Therapy Services
Ministry Dental Clinic
3504 E Maria DriveStevens PointWI54481Dental clinic
Ministry Medical Group - PFP
3301 Stanley StreetStevens PointWI54481OP clinic
Ministry Behavioral Health
209 Prentice Street NStevens PointWI54481OP Alcohol and Chemical Dependency Treatment Center
Ministry Medical Group - COL
190 Grand Seasons DriveWaupacaWI54981OP Clinic and psychiatric services
Ministry Behavioral Health
201 Prentice Street NStevens PointWI54481Residential Alcohol and Chemical Dependency Treatment Center
Ministry Medical Group - Iola
205 S Main StreetIolaWI54945OP clinic and physical therapy
Ministry Behavioral Health
190 Grand Seasons DriveWaupacaWI54981Alcohol and Chemical Dependency Treatment Center
Ministry Medical Group-Amherst
272 Christy StreetAmherstWI54406OP Clinic
Ministry Medical Group Employer Solutions
1020 Kabel AvenueRhinelanderWI54501Occupational health services
Ministry Medical Group Employer Solutions
3301 Cranberry BlvdWestonWI54476Occupational health services
Ministry Medical Group Employer Solutions
601 S Center AvenueMerrillWI54452Occupational health services
Ministry Medical Group
1000 Riverview ExpresswayWisconsin RapidsWI54494ENT and Opthamalogy Services
AEAS
2811 8th Street S Suite 80Wisconsin RapidsWI54494Employee Assistance and Counseling Programs
AEAS
1820 Post Road Suite 5PloverWI54467Employee Assistance and Counseling Programs

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 17 Billing and Collection PolicyDuring 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 6a Community benefit report prepared by related organizationASCENSION ST. MICHAEL'S HOSPITAL, INC. IS INCLUDED IN THE ANNUAL COMMUNITY BENEFIT REPORT WHICH IS PUBLISHED BY MINISTRY HEALTH CARE, INC. AND AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.MINISTRYHEALTH.ORG. THIS REPORT INCLUDES ALL OF THE RELATED ENTITIES WITHIN THE MINISTRY HEALTH CARE INC. NETWORK OF HOSPITALS, CLINICS AND OTHER HEALTH-RELATED ORGANIZATIONS.
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 2017 was $4,615,470 at charges, ($2,620,980 at cost).
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyThe provision for doubtful accounts is based upon management's assessment of expected net collections considering historical experience, economic conditions, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteThe organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense is located on page 19.
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 assistanceASCENSION ST. MICHAEL'S HOSPITAL 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- Ascension St. Michael's Hospital. Inc.: Line 16a URL: https://healthcare.ascension.org/financial-assistance/wisconsin;
Schedule H, Part V, Section B, Line 16b FAP Application website- Ascension St. Michael's Hospital. Inc.: Line 16b URL: https://healthcare.ascension.org/financial-assistance/wisconsin;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- Ascension St. Michael's Hospital. 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, Ascension St. Michael's Hospital 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. Ascension St. Michael's Hospital 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 assistanceMinistry Health Care, Inc. ("MHC") has financial counselors located at every hospital. 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 program.
Schedule H, Part VI, Line 4 Community informationAscension St. Michael's Hospital, Inc. serves Stevens Point, WI and the surrounding villages and towns, including Plover, Whiting, Custer, Park Ridge, Stockton, and the town of Hull. It is located in the center of the state in Portage County. According to 2010 census information, the city of Stevens Point has a population of over 26,000 while Portage County's population exceeds 70,000. The racial makeup of the city is 91.7% White, 4.68% Asian, 0.92% African American, 0.43% Native American and 2.27% from other races. The population age is widespread, with 16% under the age of 18, 31.2% from ages 18 to 24, 27.3% from ages 25 to 49, 13.5% from ages 50 to 64, and 12% who were 65 years of age and above. Based on 2010 estimates, the per capita income of the city was $21,653. About 17.3% of the population had incomes below the poverty line. Like much of the country, the area continues to feel the effects of the economic downturn and has experienced a very slow recovery after the significant loss of jobs since 2009. Stevens Point is home to the University of Wisconsin - Stevens Point, which enrolls almost 10,000 students in both undergraduate and graduate degree programs. Mid-State Technical College ("MSTC"), a technical college, is also located in the city. Major employers include Sentry Insurance, the University of Wisconsin - Stevens Point, Ministry Health Care, Inc., Associated Banc-Corp and Travel Guard.
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 who are not employees of the Organization. (2) As mentioned, the Organization provides several services which are not otherwise available being in a rural setting. (3) Based on the Organization's mission, emergency rooms are made available to all patients regardless of the ability to pay. (4) The Organization also participates in the education and training of healthcare professionals through internship programs. Certain specialized services available include: dental services to primarily the indigent, fertility clinic services and WIC home visits to new mothers and infants.
Schedule H, Part VI, Line 6 Affiliated health care systemASCENSION ST. MICHAEL'S HOSPITAL, INC. IS AN AFFILIATE OF MINISTRY HEALTH, INC. AND ASCENSION HEALTH. ASCENSION ST. MICHAEL'S HOSPITAL, 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 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 H, Part VI, Line 7 State filing of community benefit reportWI

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
BRIAN KIEF
SJH PRESIDENT (EX OFFICIO) (END 3/2017)$0$519,335$0$661,025$0$54,098$0$15,900$0$25,645$0$1,276,003$0$0
JEREMY NORMINGTON-SLAY
PRESDIENT, MERCY MEDICAL CENTER (EX OFFICIO) (START 5/2017)$0$252,210$0$52,363$0$1,303$0$13,122$0$23,846$0$342,844$0$0
NICHOLAS DESIEN
FORMER OFFICER (END 12/2015)$0$190,823$0$0$0$2,520,000$0$443$0$0$0$2,711,266$0$0
JEFFREY FRANCIS
FORMER OFFICER (END 9/2015)$0$0$0$0$0$225,000$0$0$0$0$0$225,000$0$0
CRYSTAL KIRSCHLING
VP, PATIENT CARE SERVICES$0$161,147$0$10,684$0$491$0$11,785$0$27,553$0$211,660$0$0
CHERYL MARTI
CHIEF OPERATING OFFICER$0$144,779$0$9,704$0$2,480$0$10,663$0$17,259$0$184,885$0$0
JEFFREY L MARTIN
PRESIDENT (END 12/2016)$0$535,866$0$215,646$0$19,211$0$17,225$0$16,974$0$804,922$0$0
DANIEL E NEUFELDER
MINISTRY HEALTH CARE CEO & PRESIDENT (END 9/2016)$0$861,918$0$713,099$0$250,740$0$15,900$0$12,516$0$1,854,173$0$0
JOSEPH P KIM MD
Physician$845,568$0$20,000$0$4,859$0$12,324$0$24,540$0$907,291$0$0$0
PATRICK K SAFO MD
Physician$991,617$0$21,000$0$22,828$0$13,099$0$20,546$0$1,069,090$0$0$0
SHILOH A SIMONS MD
Physician$779,956$0$17,350$0$2,190$0$15,900$0$29,260$0$844,656$0$0$0
TODD M WILLIAMS MD
Physician$939,966$0$17,525$0$2,190$0$17,225$0$25,584$0$1,002,490$0$0$0
Steven J Slezak MD
Physician$666,369$0$17,350$0$8,004$0$14,774$0$26,274$0$732,771$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationMinistry Health Care, Inc., a related organization of Ascension St Michael's Hospital, Inc., uses the following to establish the compensation of the organization's CEO: - Compensation Committee - Independent Compensation Consultant - Compensation Survey or Study, and - Approval by the Board or Compensation Committee
Schedule J, Part I, Line 4a Severance or change-of-control paymentThe following individual(s) received severance payments from the organization or a related organization: Nicholas Desien - $2,520,000 Jeffrey Francis - $225,000 Daniel Neufelder - $234,000
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 individuals received current year distributions.

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidCASH ACCOUNTS TRANSFERRED TO PARENT'S BALANCE SHEETAssetsDistriOrExpnssPaidDesc
Distribution2016-07-01DistributionDt
Fair Market Value Of Asset$79,854,429FairMarketValueOfAssetAmt
Method Of FMV DeterminationFMVMethodOfFMVDeterminationTxt
EIN453358926EIN
PersonASCENSION HEALTH ALLIANCEPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 45998AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63145ZIPCd
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSectionTxt
FieldValueIRS element (for citing)
Director Of Successor2falseDirectorOfSuccessor2Ind
Employee Of Successor2falseEmployeeOfSuccessor2Ind
Owner Of Successor2falseOwnerOfSuccessor2Ind
Receive Compensation2falseReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule N, Part II CASH TRANSFERFormAndLineReferenceDesc
ExplanationASCENSION ST. MICHAEL'S HOSPITAL, INC. TRANSFERRED ITS BEGINNING HSD CASH BALANCES TO ASCENSION HEALTH ALLIANCE (45-3358926) AS OF JULY 1, 2016.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 ASCENSION ST. MICHAEL'S HOSPITAL, INC. THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL'S SALARY WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY 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 ASCENSION ST. MICHAEL'S HOSPITAL, INC. THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 6 Classes of members or stockholdersAscension St Michael's Hospital Inc has a single corporate member, Ministry Health Care, Inc.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyAscension St Michael's Hospital Inc has a single corporate member, Ministry Health Care, Inc. who has the ability to elect members to the governing body of St. Michael's Hospital of Stevens Point, Inc.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersAll decisions that have a material impact to the Ascension St Michael's Hospital 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 RevenueServices to Affiliates - Total Revenue: 224044, Related or Exempt Function Revenue: 224044, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Rent from Affiliates - Total Revenue: 5710, Related or Exempt Function Revenue: 5710, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueOther Revenue - Total Revenue: 200452, Related or Exempt Function Revenue: 200452, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesNET ASSET TRANSFERS WITH AFFILIATES - -35869484; Change in Value of Beneficial Interest in Foundation - 1826424; Net Asset Transfer to Alpha Fund - -79854429;
Form 990, Part XII, Line 2b Audited Financial StatementsThe activity of Ascension St. Michael's Hospital, Inc. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of Ascension St. Michael's Hospital, Inc. is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of Ascension St. Michael's Hospital, Inc..
Form 990, Part XII, Line 2c Audit CommitteeAscension St. Michael's Hospital, Inc. is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (52 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndBusiness Name Line2DisregardedEntityName/BusinessNameLine2Txt
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
COLUMBIA ST MARY'S INC
4425 NORTH PORT WASHINGTON ROADGLENDALEWI53212391834639PARENT CORPORATIONWI501(c)(3)Type IASCENSION HEALTHfalse
MINISTRY HEALTH CARE INC
10925 W LAKE PARK DR STE 100MILWAUKEEWI53224391490371PARENT CORPORATIONWI501(c)(3)Type IIASCENSION HEALTHfalse
WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391568865PARENT CORPORATIONIL501(c)(3)Type III-FIASCENSION HEALTHfalse
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)
SACRED HEART REHABILITATION INSTITUTE INC
4425 NORTH PORT WASHINGTON ROADGLENDALEWI53212390902199REHAB SERVICESWI501(c)(3)3COLUMBIA ST MARY'S INCYes (true)
AFFINITY HEALTH SYSTEM
1570 MIDWAY PLACEMENASHAWI54952391568866HEALTH SYSTEMIL501(c)(3)Type IIMINISTRY HEALTH CARE INCYes (true)
AGAPE COMMUNITY CENTER OF MILWAUKEE INC
6100 NORTH 42ND STREETMILWAUKEEWI53209391461846COMMUNITY CENTERWI501(c)(3)7MINISTRY HEALTH CARE INCYes (true)
ASCENSION EAGLE RIVER MEMORIAL HOSPITAL INC FKA EAGLE RIVER MEMORIAL HOSPIT
201 HOSPITAL ROADEAGLE RIVERWI54521390985690HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)AL INC
ASCENSION GOOD SAMARITAN HOSPITAL INC FKA GOOD SAMARITAN HEALTH CENTER OF M
601 SOUTH CENTER AVENUEMERRILLWI54452390808503HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)ERRILL WI INC
ASCENSION OUR LADY OF VICTORY HOSPITAL INC FKA OUR LADY OF VICTORY HOSPITAL
1120 PINE STREETSTANLEYWI54768390807065HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)INC
ASCENSION SACRED HEART-STMARY'S HOSPITALS INC FKA SACRED HEART-SAINT MARY'S
PO BOX 347STEVENS POINTWI54481391390638HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)HOSPITALS INC
ASCENSION ST CLARE'S HOSPITAL INC FKA SAINT CLARE'S HOSPITAL OF WESTON INC
3400 MINISTRY PARKWAYWESTONWI54476721531917HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
HOWARD YOUNG HEALTH CARE INC
240 MAPLE STREETWOODRUFFWI54568391499115HOME OFFICEWI501(c)(3)Type IIMINISTRY HEALTH CARE INCYes (true)
MERCY MEDICAL CENTER OF OSHKOSH INC
500 S OAKWOOD ROADOSHKOSHWI54904390806268HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
MINISTRY MEDICAL GROUP INC
824 ILLINOIS AVENUESTEVENS POINTWI54481391965593MEDICAL GROUPWI501(c)(3)Type III-FIMINISTRY HEALTH CARE INCYes (true)
SAINT ELIZABETH'S HOSPITAL OF WABASHA INC
1200 GRANT BLVD WESTWABASHAMN55981410693877MEDICAL GROUPMN501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC
611 SAINT JOSEPH AVENUEMARSHFIELDWI54449391847631MEDICAL GROUPWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
ST ELIZABETH HOSPITAL INC
1506 S ONEIDA STREETAPPLETONWI54915390816818MEDICAL GROUPWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
THE HOWARD YOUNG MEDICAL CENTER INC
240 MAPLE STREETWOODRUFFWI54568390873606MEDICAL GROUPWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
DOOR COUNTY MEMORIAL HOSPITAL INC
323 SOUTH 18TH AVENUESTURGEON BAYWI54235390806324MEDICAL GROUPWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
ASCENSION CALUMET HOSPITAL INC FKA CALUMET MEDICAL CENTER INC
614 MEMORIAL DRIVECHILTONWI53014390905385MEDICAL GROUPWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS INC
3801 SPRING STREETRACINEWI53405391264986MEDICAL GROUPWI501(c)(3)3WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN INCYes (true)
WHEATON FRANCISCAN HEALTHCARE - FRANKLIN INC
10101 SOUTH 27TH STREETFRANKLINWI53132562592868MEDICAL GROUPWI501(c)(3)3WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN INCYes (true)
WHEATON FRANCISCAN HEALTHCARE - PHARMACY ENTERPRISES & FRANCISCAN WOODS INC
19525 WEST NORTH AVENUEBROOKFIELDWI53005391613624MEDICAL GROUPWI501(c)(3)10WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN INCYes (true)
WHEATON FRANCISCAN HEALTHCARE - ST FRANCIS INC
3237 SOUTH 16TH STREETMILWAUKEEWI53215390907740MEDICAL GROUPWI501(c)(3)3WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN INCYes (true)
WHEATON FRANCISCAN LABORATORIES INC
3237 SOUTH 16TH STREETMILWAUKEEWI53215391701402MEDICAL GROUPWI501(c)(3)10WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN INCYes (true)
WHEATON FRANCISCAN MEDICAL GROUP INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391791586MEDICAL GROUPWI501(c)(3)3WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN INCYes (true)
WHEATON FRANCISCAN INC
5000 WEST CHAMBERS STREETMILWAUKEEWI53210390816857HOSPITALWI501(c)(3)3WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN INCYes (true)
WHEATON FRANCISCAN HOME HEALTH & HOSPICE INC
3070 North 51st Street Suite 406MILWAUKEEWI53210391559428HOME HEALTHWI501(c)(3)10WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN INCYes (true)
CATALPA HEALTH INC
N4642 COUNTY NAPPLETONWI54914454681563BEHAVIORAL HEALTH SERVICESWI501(c)(3)3AFFINITY HEALTH SYSTEMYes (true)
MERCY HEALTH FOUNDATION INC
PO BOX 3370OSHKOSHWI54903237140261FOUNDATIONWI501(c)(3)10AFFINITY HEALTH SYSTEMYes (true)
NETWORK HEALTH SYSTEM INC
1570 APPLETON RDMENASHAWI54952391127163CLINICAL HEALTHCARE SERVICESWI501(c)(3)3AFFINITY HEALTH SYSTEMYes (true)
ST ELIZABETH HOSPITAL FOUNDATION INC
1506 S ONEIDA STREETAPPLETONWI54915391256677FOUNDATIONWI501(c)(3)7AFFINITY HEALTH SYSTEMYes (true)
GOOD SAMARITAN HEALTH CENTER FOUNDATION OF MERRILL WISCONSIN INC
601 SOUTH CENTER AVENUEMERRILLWI54452391627755FOUNDATIONWI501(c)(3)Type IASCENSION GOOD SAMARITAN HOSPITAL INCYes (true)
MINISTRY WEIGHT MANAGEMENT INC
2251 NORTH SHORE DRIVERHINELANDERWI54501391829015SPECIALTY HEALTH SERVICESWI501(c)(3)3ASCENSION SACRED HEART - STMARY'S HOSPITALS INCYes (true)
FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC
3400 MINISTRY PARKWAYWESTONWI54476753193633FOUNDATIONWI501(c)(3)Type IASCENSION ST CLARE'S HOSPITAL INCYes (true)
SAINT MICHAEL'S FOUNDATION OF STEVENS POINT INC
900 ILLINOIS AVENUESTEVENS POINTWI54481391657410FoundationWI501(c)(3)Type IASCENSION ST MICHAEL'S HOSPITAL INCYes (true)
COLUMBIA COLLEGE OF NURSING INC
4425 NORTH PORT WASHINGTON ROADGLENDALEWI53212391596986COLLEGEWI501(c)(3)2COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INCYes (true)
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)
VOLUNTEERS IN PARTNERSHIP WITH WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS I
3807 SPRING STREETRACINEWI53405930838390FOUNDATIONWI501(c)(3)10WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS INCYes (true)NC
WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS FOUNDATION INC
3805B SPRING STREETRACINEWI53405391570877FOUNDATIONWI501(c)(3)7WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS INCYes (true)
WHEATON FRANCISCAN HEALTHCARE - CIRCLE OF LIFE FOUNDATION INC
4300 WEST BROWN DEER RD STE 2BROWN DEERWI53223562426294FOUNDATIONWI501(c)(3)Type IWHEATON FRANCISCAN HEALTHCARE - PHARMACY ENTERPRISES & FRANCISCAN WOODS INCYes (true)
WHEATON FRANCISCAN HEALTHCARE - FOUNDATION FOR ST FRANCIS AND FRANKLIN INC
3237 SOUTH 16TH STREETMILWAUKEEWI53215320135258FOUNDATIONWI501(c)(3)Type IWHEATON FRANCISCAN HEALTHCARE - ST FRANCIS INCYes (true)
METRO PHYSICIANS INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212943436893MEDICAL GROUPWI501(c)(3)3WHEATON FRANCISCAN MEDICAL GROUPYes (true)
WHEATON FRANCISCAN - ELMBROOK MEMORIAL FOUNDATION INC
3237 SOUTH 16TH STREETMILWAUKEEWI53215392028808FOUNDATIONWI501(c)(3)Type IWHEATON FRANCISCANL INCYes (true)
WHEATON FRANCISCAN - ST JOSEPH FOUNDATION INC
5000 WEST CHAMBERS STREETMILWAUKEEWI53210391636804FOUNDATIONWI501(c)(3)Type IWHEATON FRANCISCANL INCYes (true)
WHEATON FRANCISCAN HEALTHCARE - ELMBROOK MEMORIAL AUXILIARY
19333 WEST NORTH AVENUEBROOKFIELDWI53045396068950AUXILIARYWI501(c)(3)Type III-FIWHEATON FRANCISCANL INCYes (true)
HORIZON HOME CARE & HOSPICE INC
8949 N DEERBROOK TRLBROWN DEERWI53223391171298HOME CARE / HOSPICEWI501(c)(3)3NAfalse

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 OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH'S HOSPITAL OF MARSHFIELD INC
P$51,153FAIR MARKET VALUE
ASCENSION SACRED HEART-ST MARY'S HOSPITALS INC
L$282,794FAIR MARKET VALUE
ASCENSION SACRED HEART-ST MARY'S HOSPITALS INC
M$580,019FAIR MARKET VALUE
SAINT MICHAEL'S FOUNDATION OF STEVENS POINT INC
L$376,468FAIR MARKET VALUE
ASCENSION ST CLARE'S HOSPITAL INC
L$215,143FAIR MARKET VALUE
ASCENSION GOOD SAMARITAN HOSPITAL INC
M$67,848FAIR MARKET VALUE
THE HOWARD YOUNG MEDICAL CENTER INC
L$426,970FAIR MARKET VALUE
THE HOWARD YOUNG MEDICAL CENTER INC
M$186,792FAIR MARKET VALUE
MINISTRY MEDICAL GROUP INC
L$192,086FAIR MARKET VALUE
MINISTRY MEDICAL GROUP INC
P$6,887,724FAIR MARKET VALUE
MINISTRY MEDICAL GROUP INC
Q$484,690FAIR MARKET VALUE
AFFINITY MEDICAL GROUP
P$84,784FAIR MARKET VALUE
ST ELIZABETH HOSPITAL INC
P$144,799FAIR MARKET VALUE
ASCENSION ST CLARE'S HOSPITAL INC
P$61,463FAIR MARKET VALUE
ASCENSION GOOD SAMARITAN HOSPITAL INC
L$93,126FAIR MARKET VALUE

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