EDGERTON HOSPITAL AND HEALTH SERVICES INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- EDGERTON HOSPITAL AND HEALTH SERVICES INC (EIN 39-0819992)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-12
- IRS object ID
- 202543169349308289
- Schema version
- 2024v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-11-12T16:49:27-06:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4585 Coleman St Ste 200 | AddressLine1Txt |
| City | Bismarck | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390819992 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Edgerton Hospital & Health Services Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EDGE | BusinessNameControlTxt |
| Phone | 6088843441 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11101 North Sherman Road | AddressLine1Txt |
| City | Edgerton | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53534 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Marc Augsburger | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6088843441 | PhoneNum |
| Signature | 2025-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Lisa Chaffee CPA | PreparerPersonNm |
| PTIN | P00193453 | PTIN |
| Phone | 7012551091 | PhoneNum |
| Preparation | 2025-11-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Marc Augsburger | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11101 North Sherman Road | AddressLine1Txt |
| City | Edgerton | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $39,054,116 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.edgertonhospital.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1968 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | Serve area communities with exceptional quality and innovative health services | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 313 | TotalEmployeeCnt |
| Total Volunteers | 36 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,864,972 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,423,889 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $27,695,433 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $37,102,931 | CYProgramServiceRevenueAmt |
| PY Investment Income | $251,404 | PYInvestmentIncomeAmt |
| CY Investment Income | $432,826 | CYInvestmentIncomeAmt |
| PY Other Revenue | $77,585 | PYOtherRevenueAmt |
| CY Other Revenue | $86,159 | CYOtherRevenueAmt |
| PY Total Revenue | $29,889,394 | PYTotalRevenueAmt |
| CY Total Revenue | $39,045,805 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $11,237 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $13,694 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,839,226 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,797,627 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $175,208 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,769,191 | PYOtherExpensesAmt |
| CY Other Expenses | $19,826,767 | CYOtherExpensesAmt |
| PY Total Expenses | $30,619,654 | PYTotalExpensesAmt |
| CY Total Expenses | $38,638,088 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$730,260 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $407,717 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $28,571,179 | TotalAssetsBOYAmt |
| Total Assets EOY | $28,665,588 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $24,637,097 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $24,304,140 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,934,082 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,361,448 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To provide exceptional healthcare for our communities | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $32,120,939 | ExpenseAmt |
| Grant | $13,694 | GrantAmt |
| Revenue | $37,102,931 | RevenueAmt |
| Desc | Edgerton Hospital and Health Services, Inc. is a 16-bed acute care hospital located in Edgerton, Wisconsin.There were 384 total adult admissions in 2024. Total patient days were 3,219 with an average daily census of 8.8 patients. Emergency room and urgent care visits were 6,062.Preventive Care Services:Edgerton Hospital and Health Services (Edgerton Hospital) provides several types of free health screenings during the year. These include: blood pressure, dietary counseling and education, diabetes, and cancer screenings.Emergency Room:Edgerton Hospital's Emergency Room is fully staffed 24 hours a day, seven days a week. Edgerton Hospital is affiliated with "Life Flight," a helicopter service that delivers patients to area tertiary care centers. Edgerton Hospital's Urgent Care Center provides another level of walk-in care when appropriate.Community Outreach:Edgerton Hospital works closely with the community to provide hospital and hospital-related services responsive to the specific needs of Edgerton and surrounding farming communities. Edgerton Hospital partners with other city services (such as the police and fire departments) to provide emergency equipment and training necessary to enhance area emergency services. Edgerton Hospital also participates in cooperative emergency response training (with the county and other community services) in preparation for local or area disasters. Community Education:Events are held at the Hospital or conducted by Hospital staff several times a year. In addition, Edgerton Hospital provides targeted outreach to the transient recreational communities within the service area. Charity Care:The Hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. The amount of charges foregone for services provided under the Hospital's charity care policy was approximately $4,000 for the year ended December 31, 2024. Total direct and indirect costs related to these foregone charges were approximately $2,000 at December 31, 2024, based on average ratios of cost to gross charges. | Desc |
| Total Program Service Expenses | $32,120,939 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 82 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 313 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fred Garcia | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6088841656 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11101 North Sherman Road | AddressLine1Txt |
| City | Edgerton | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53534 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Norm Fjestad | ||||||||
| Chair | 0.30 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Barry Irmen | ||||||||
| Vice Chair | 0.30 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Andrew Walker | ||||||||
| Treasurer | 0.30 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Connie Goede | ||||||||
| Secretary | 0.30 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Dr Bhanu Sankineini | ||||||||
| Chief of Staff | 0.30 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Pete Sanville | ||||||||
| Foundation Chair & Director | 0.30 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| Chip Knilans | ||||||||
| Trustee | 0.30 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Bonnie Homuth | ||||||||
| Trustee | 0.30 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Rebecca Fribley | ||||||||
| Trustee | 0.30 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Steve Hein | ||||||||
| Trustee (As of 10/24) | 0.30 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Eric Thornton | ||||||||
| Trustee - SSM Health | 0.30 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Dawit Tesfasilassie | ||||||||
| Trustee - SSM Health | 0.30 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Terry Johnson DVM | ||||||||
| Vice Chair (Until 1/24) | 0.30 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Paul Shoemaker | ||||||||
| Treasurer (Until 1/24) | 0.30 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Cynthia Swanson | ||||||||
| Chair (Until 1/24) | 0.30 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Marc Augsburger | ||||||||
| CEO | 40.00 | 0.30 | Yes (X) | $266,965 | $0 | $40,827 | ||
| Charles Roeder | ||||||||
| CFO (Until 10/24) | 40.00 | 0.00 | Yes (X) | $182,670 | $0 | $14,342 | ||
| William Gurske | ||||||||
| CRNA | 40.00 | 0.00 | $282,908 | $0 | $0 | Yes (X) | ||
| John Hoopes | ||||||||
| CRNA | 40.00 | 0.00 | $275,895 | $0 | $5,575 | Yes (X) | ||
| Heather Prestil | ||||||||
| Pharmacist | 40.00 | 0.00 | $169,013 | $0 | $16,863 | Yes (X) | ||
| Alison Hanaman | ||||||||
| CNO | 40.00 | 0.00 | $158,268 | $0 | $3,150 | Yes (X) | ||
| Mark Kindschi | ||||||||
| VP of Human Resources | 40.00 | 0.00 | $102,504 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,438,223 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $80,757 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 31 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Wil Hospitalists LLC | |||||
| PO Box 4071 | Barrington | IL | 60011 | Hospitalists | $964,020 |
| Shared Imaging | |||||
| 944 Water St | Sauk City | WI | 53583 | Imaging Service | $650,483 |
| Psychiatric Medical Care | |||||
| PO Box 734606 | Dallas | TX | 75373 | Psychiatric Doctor | $457,628 |
| Zenith Developers SC | |||||
| 6121 Green Bay Rd Ste 150 | Kenosha | WI | 53142 | Cardiac Doctor | $261,761 |
| Ayman Waish | |||||
| 120 Park Ave Ste 1 | Beaver Dam | WI | 53916 | Sleep Study Services | $131,949 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $658,958 | RelatedOrganizationsAmt |
| Government Grants | $764,931 | GovernmentGrantsAmt |
| Total Contributions | $1,423,889 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Service Revenue | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $36,469,724 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $36,469,724 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $633,207 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $633,207 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $37,102,931 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $261,436 | TotalRevenueColumnAmt |
| Exclusion | $261,436 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $94,470 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,311 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $86,159 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $86,159 | TotalRevenueColumnAmt |
| Exclusion | $86,159 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $171,390 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $171,390 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $171,390 | TotalRevenueColumnAmt |
| Exclusion | $171,390 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,045,805 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $37,102,931 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $518,985 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,694 | TotalAmt |
| Program Services | $13,694 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $507,420 | TotalAmt |
| Management And General | $507,420 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,539,289 | TotalAmt |
| Program Services | $11,583,010 | ProgramServicesAmt |
| Management And General | $1,825,146 | ManagementAndGeneralAmt |
| Fundraising | $131,133 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $361,856 | TotalAmt |
| Program Services | $321,196 | ProgramServicesAmt |
| Management And General | $35,945 | ManagementAndGeneralAmt |
| Fundraising | $4,715 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,343,910 | TotalAmt |
| Program Services | $2,723,701 | ProgramServicesAmt |
| Management And General | $609,337 | ManagementAndGeneralAmt |
| Fundraising | $10,872 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,045,152 | TotalAmt |
| Program Services | $844,330 | ProgramServicesAmt |
| Management And General | $190,859 | ManagementAndGeneralAmt |
| Fundraising | $9,963 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $415,637 | TotalAmt |
| Program Services | $20,833 | ProgramServicesAmt |
| Management And General | $394,804 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,500 | TotalAmt |
| Program Services | $12,000 | ProgramServicesAmt |
| Management And General | $62,500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,812,326 | TotalAmt |
| Program Services | $9,350,914 | ProgramServicesAmt |
| Management And General | $1,461,412 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,514 | TotalAmt |
| Program Services | $2,672 | ProgramServicesAmt |
| Management And General | $137,918 | ManagementAndGeneralAmt |
| Fundraising | $3,924 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,346,417 | TotalAmt |
| Program Services | $956,580 | ProgramServicesAmt |
| Management And General | $389,837 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,628 | TotalAmt |
| Program Services | $22,217 | ProgramServicesAmt |
| Management And General | $411 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $544,454 | TotalAmt |
| Program Services | $476,094 | ProgramServicesAmt |
| Management And General | $68,360 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,046 | TotalAmt |
| Program Services | $24,076 | ProgramServicesAmt |
| Management And General | $10,970 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,303 | TotalAmt |
| Program Services | $61,612 | ProgramServicesAmt |
| Management And General | $72,192 | ManagementAndGeneralAmt |
| Fundraising | $499 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $910,413 | TotalAmt |
| Program Services | $910,413 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,934,974 | TotalAmt |
| Program Services | $1,817,183 | ProgramServicesAmt |
| Management And General | $117,791 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,193 | TotalAmt |
| Program Services | $9,941 | ProgramServicesAmt |
| Management And General | $290,252 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $2,833,677 | $2,827,798 | $5,879 |
| Food | $119,863 | $119,145 | $718 |
| Dues & Licenses | $102,428 | $18,777 | $83,651 |
| Medicaid Provider Tax | $66,531 | $66,531 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,863 | TotalAmt |
| Program Services | $4,753 | ProgramServicesAmt |
| Management And General | $10,008 | ManagementAndGeneralAmt |
| Fundraising | $14,102 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,638,088 | TotalAmt |
| Program Services | $32,120,939 | ProgramServicesAmt |
| Management And General | $6,341,941 | ManagementAndGeneralAmt |
| Fundraising | $175,208 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,523,511 | BOYAmt |
| EOY | $2,195,807 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,953,589 | BOYAmt |
| EOY | $6,841,436 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $442,568 | BOYAmt |
| EOY | $496,328 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $405,977 | BOYAmt |
| EOY | $336,176 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $32,364,708 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $19,124,732 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,215,959 | BOYAmt |
| EOY | $13,239,976 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,050,172 | BOYAmt |
| EOY | $3,905,721 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $979,403 | BOYAmt |
| EOY | $1,650,144 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,571,179 | BOYAmt |
| EOY | $28,665,588 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,317,227 | BOYAmt |
| EOY | $5,734,874 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,931 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,653,709 | BOYAmt |
| EOY | $16,643,795 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $80,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,651,230 | BOYAmt |
| EOY | $1,845,471 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,637,097 | BOYAmt |
| EOY | $24,304,140 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,907,055 | BOYAmt |
| EOY | $4,314,772 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,027 | BOYAmt |
| EOY | $46,676 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,934,082 | BOYAmt |
| EOY | $4,361,448 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,571,179 | BOYAmt |
| EOY | $28,665,588 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $407,717 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $19,649 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $491,231 | OtherCostOrOtherBasisAmt |
| Book Value | $491,231 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,350,093 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,291,703 | DepreciationAmt |
| Book Value | $10,058,390 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $130,947 | OtherCostOrOtherBasisAmt |
| Depreciation | $103,600 | DepreciationAmt |
| Book Value | $27,347 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,717,688 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,451,752 | DepreciationAmt |
| Book Value | $2,265,936 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,674,749 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,277,677 | DepreciationAmt |
| Book Value | $397,072 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,239,976 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due To/From Related Party | $51,000 |
| Right of use assets | $628,417 |
| Investment in CMDI | $172,829 |
| Interest in Net Assets of Edgerton | $46,676 |
| Finance Lease RUA | $751,222 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,650,144 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated Third Party Payor Settlem | $900,000 |
| ROU Liability | $171,839 |
| Lease Liability | $773,632 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,845,471 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 175.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 275.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,694,068 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $410,640 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,283,428 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.21440 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,694,068 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $410,640 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,283,428 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.21440 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,696,068 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $410,640 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,285,428 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.21450 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $594,745 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $8,817,156 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,840,942 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$23,786 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Edgerton Hospital and Health Services | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11101 North Sherman Road | AddressLine1Txt |
| City | Edgerton | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.edgertonhospital.com | WebsiteAddressTxt |
| State License | 1022 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Emergency Room Other | Yes (X) | EmergencyRoomOtherInd |
| Other | Provider based clinic Milton Clinic | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Edgerton Hospital and Health Services | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Section C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Section C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 175.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 275.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.edgertonhospital.com/patients-visitors/medical-billing-information/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.edgertonhospital.com/patients-visitors/medical-billing-information/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.edgertonhospital.com/patients-visitors/medical-billing-information/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Edgerton Hospital and Health Services | Part V, Section B, Line 5: Representatives interviewed from the following sectors: local businesses, schools and higher learning institutions, hospitals and clinics, elected leaders, law enforcement, fire and EMS, faith organizations, social services, and community members to ensure this assessment reflected the community. These contributions occurred through completion of online surveys, mailed surveys, participation in Community Conversations, and/or participation in key informant interviews. Collaboration with over 100 individuals representing diverse sectors of the community, led to the identification of three health priorities. In addition, a Community Health Survey - mailed/online - focused on social determinants of health, income, financial status, education, employment, and access to health care. |
| Edgerton Hospital and Health Services | Part V, Section B, Line 6a: Beloit Health System Beloit, WISSM Health St. Mary's Hospital Janesville, WIMercyhealth Hospital and Trauma Center Janesville, W |
| Edgerton Hospital and Health Services | Part V, Section B, Line 6b: Rock County HEAR Group |
| Edgerton Hospital and Health Services | Part V, Section B, Line 11: The following needs were identified in our most recent CHNA:1. Mental Health Services (Diagnosis, Treatment, Aftercare, Providers)2. Drug/Substance Abuse (Treatment)3. Youth Mental Health Services4. Primary Care (wait Times)5. Lack of Alternative Medicine6. Housing (Senior Focus)7. Senior HealthAll seven needs were and currently continue to be addressed by EHHS.For Mental Health Services, we reviewed current services provided and looked to boost education for the patients and general public by hosting an educational session for the public by our mental health providers. We also reviewed patient care by the providers and re-entered patients into care as the need arose. Further, we continually look at the patient panel of our mental health providers, striving to add additional patients are their schedule permitted.For Drug/Substance Abuse, we held numerous Narcan trainings for the hospital Trustees, local residents and local school faculty and staff. In addition, we continue our work to identify additional mental health provider(s) that can treat drug and substance abuse. We take careful steps to facilitate patient referrals to local agencies who commonly deal with drug/substance abuse.For Youth Mental Health Services, we provided these services locally with both our mental health counselor in the office, mental health NP prescriber and placement of a mental health counselor in both the Milton and Edgerton School districts. In addition, our pediatric nurse practitioner sees child/adolescent patients in her practice with mental health diagnoses.For Primary Care Wait times, we worked with SSM Health in their attached primary care clinic to keep their primary care providers at the three provider agreement. EHHS continually works with our two Milton primary care nurse practitioners to use their schedule for maximum patient efficiency as well as conducting numerous pediatric nurse practitioner education sessions (whether in-person or via social media presentations) for the public.For Lack of Alternative Medicine, we continually worked to identify the best strategy in which we might offer the numerous facets of alternative medicine and reached out to a known alternative medicine provider based in Michigan for additional assistance in identification of alternative care.For Housing (senior focus), we met with officials from the City of Edgerton to discuss these needs and potential opportunities in Edgerton and potentially surrounding areas to look at housing opportunities. The City of Edgerton and Edgerton Outreach continued their work to provide low income female veteran housing to assist with the need. We also worked with the Rural Wisconsin Health Cooperative Economic Development staff to further assist with identification of potential housing groups that may be interested in future development.For Senior Health, we provided numerous physician and health provider lunch and learns/education sessions in order to educate patients on services provided and how to obtain these services. We worked on learning more about Chronic Care Management and Transitional Care Management models in order to support the senior healthcare. Discussion also took place regarding hosting an open community health fair in 2025 in order to further educate the public's knowledge of the care available locally. We also provided healthy eating and meal preparation sessions hosted by our hospital chef. |
| Edgerton Hospital and Health Services | Part V, Section B, Line 13h: In addition to providing free or discounted care based on Federal Poverty Guidelines, Edgerton Hospital provides certain accommodations to patients who have trouble paying their bills. These practices include offering uninsured patients a cash discount for prompt payment of the estimated or final charges for services provided. Edgerton Hospital provides interest-bearing loans through Care Credit. Payment arrangements are also available for accounts to be paid within 6 months at no interest. |
| Edgerton Hospital and Health Services | Part V, Section B, Line 20e: All accounts were reviewed for possible financial assistance prior to sending to a collection agency. |
| Schedule H, Part V, Line 7a: | www.edgertonhospital.com/about-us/community-health-needs-assessment/ |
| Schedule H, Part V, Line 10: | www.edgertonhospital.com/about-us/community-health-needs-assessment/ |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | In addition to providing free or discounted care based on Federal Poverty Guidelines, Edgerton Hospital provides certain accommodations to patients who have trouble paying their bills. These practices include offering uninsured patients a cash discount for prompt payment of the estimated or final charges for services provided. Edgerton Hospital provides interest-bearing loans through Care Credit. Payment arrangements are also available for accounts to be paid within 6 months at no interest. |
| Part I, Line 6a: | Edgerton Hospital and Health Services makes its community benefit report available to the public by providing it upon request. |
| Part I, Line 7: | Charity care expense was converted to cost based on an overall cost-to-charge ratio addressing all patient segments. The amounts for community health improvement services and cash for community benefits were determined using the amounts recorded in the general ledger. The cost for subsidized health services reported was determined using the Medicare Cost Report. |
| Part I, Line 7g: | The subsidized health services reported on Line 7g includes $948,501 of expenses related to provider based clinics. |
| Part III, Line 2: | The amount reported on line 2 represents implicit price concessions. The organization determines its estimate of implicit price concessions based on its historical collection experience with the respective class of patients. |
| Part III, Line 4: | The footnote to the organization's financial statements addressing implicit price concessions may be found on page 14 and 15 of the attached audited financial statements. |
| Part III, Line 8: | Total revenue received from Medicare is the gross reimbursement plus settlement. Both total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by the Centers for Medicare and Medicaid Services.Hospital services reimbursed on a fee schedule are not included in the Medicare calculation per the 990 instructions. Had this been reported the total loss from Medicare services would have been $190,354.Medicare fee schedule revenue $301,329Medicare estimated costs of care relating to payments <421,598>Net (Shortage) <220,269> |
| Part III, Line 9b: | Edgerton Hospital and Health Services provides a charitable program consisting of partial or total discounts for those patients who are uninsured, underinsured, and/or unable to pay for necessary healthcare services and are determined eligible to receive such care. As part of the Billing and Collection Policy patients are given written notices up to 90 days. A final notice is sent to the patient indicating the account will be sent to a collection agency giving the patient an additional 30 days to respond and complete the Community Care paperwork. After a total of 120 days of notices to the patient, the account is sent to an outside collection agency. For patients known to qualify for charity care or financial assistance, this process is followed for the portion they are responsible for. On accounts which have been assigned to outside collection agencies and are later approved for Community Care, the hospital will request such agencies to cancel and return accounts to the hospital, and to reverse any applicable detrimental credit information created against the patient/guarantor. |
| Part VI, Line 2: | We use the following tools to assess health care needs of the communities we serve: (1) Patient exit questionnaires; (2) Involvement in community groups such as the Edgerton Coalition for a Healthy Community where we assess health needs based upon discussions and topics brought up by the Coalition members; (3) Analysis of data received from the Wisconsin Hospital Association and the Rock County Department of Health; and (4) Utilization of the Intellimed software program which allows us to analyze data from facilities comparable to ours.The Community Health Needs Assessment (CHNA) and implementation strategy is complete and posted to our website at www.edgertonhospital.com. |
| Part VI, Line 3: | A summary of our community care program is listed on our Hospital website and is contained in a brochure that is available to all patients at all registration areas, emergency room, and waiting rooms in the Hospital. The policy is also provided upon admission and upon request. The complete packet of information, along with an application, is given to any patient upon request. Posters which explain our community care program are located in the Emergency Department and inform patients to contact the Business Office for more information. Billing staff discuss the availability of various government benefits, state programs, and assist the patient on how to qualify for such programs where applicable. |
| Part VI, Line 4: | Edgerton Hospital and Health Services is a 16-bed acute care hospital located in Edgerton, Wisconsin. The Hospital is located 30 miles south of Madison and 12 Miles north of Janesville on the northern edge of Rock County. Edgerton is in a rural, agricultural area. The population of Edgerton and Rock County was 5,579 and 163,129. Rock County is dominated by health care, social assistance and production occupations. The percentage of residents living in poverty was 12.1%. The median household income for the county is $53,410 and the population aged 65+ is 16.6%.There are multiple hospitals within 30 miles of Edgerton including three facilities in Madison, one in Janesville, one in Stoughton and one in Fort Atkinson.Madison Hospitals (30 miles distant)* St.Mary's - 440 bed acute care hospital * Meriter - 448 bed acute care hospital* University of Wisconsin Hospital - 536 bed acute care hospitalOther Hospitals (20 or less miles distant)* Mercy Hospital - Located 12 miles south - 240 bed acute care hospital* Stoughton Hospital - located 12 miles northwest - 35 bed acute care, critical access hospital* Fort Atkinson - Located 17 miles northeast - 82 bed acute care hospital |
| Part VI, Line 5: | Our Board of Trustees is comprised of persons who reside in our primary service area and none are employees of our Organization. The Hospital extends medical staff privileges to all qualified physicians in the community and all surplus funds are reinvested in patient care and plant upgrades. We hold an annual health fair for the community and offer many health related community education classes at little or no cost to the attendees. We provide and staff a First Aid tent at our local community summer festival. |
| Part VI, Line 7, Reports Filed With States | WI |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Edgerton Hospital Capital Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11101 N Sherman Rd | AddressLine1Txt |
| City | Edgerton | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 203161048 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $0 | CashGrantAmt |
| Non Cash Assistance | $8,849 | NonCashAssistanceAmt |
| Valuation Method Used | Cost | ValuationMethodUsedDesc |
| Non Cash Assistance | Supplies | NonCashAssistanceDesc |
| Purpose Of Grant | General Support | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Organization gives noncash support to the Edgerton Hospital Capital Foundation, Inc., a related organization, for the Foundation's general operations. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Marc Augsburger | ||||||||||||||
| CEO | $266,965 | $0 | $0 | $0 | $0 | $0 | $9,435 | $0 | $32,888 | $0 | $309,288 | $0 | $0 | $0 |
| John Hoopes | ||||||||||||||
| CRNA | $275,895 | $0 | $0 | $0 | $0 | $0 | $5,575 | $0 | $1,496 | $0 | $282,966 | $0 | $0 | $0 |
| William Gurske | ||||||||||||||
| CRNA | $282,908 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $282,908 | $0 | $0 | $0 |
| Charles Roeder | ||||||||||||||
| CFO (Until 10/24) | $182,670 | $0 | $0 | $0 | $0 | $0 | $6,177 | $0 | $9,285 | $0 | $198,132 | $0 | $0 | $0 |
| Heather Prestil | ||||||||||||||
| Pharmacist | $169,013 | $0 | $0 | $0 | $0 | $0 | $6,549 | $0 | $11,810 | $0 | $187,372 | $0 | $0 | $0 |
| Alison Hanaman | ||||||||||||||
| CNO | $158,268 | $0 | $0 | $0 | $0 | $0 | $3,150 | $0 | $1,496 | $0 | $162,914 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 1a | The Executive Committee consists of the Board Chair, Vice Chair, Secretary, and Treasurer of the Corporation. The Executive Committee has power to transact all regular business of the Corporation during the interim between meetings of the Board of Trustees, except the power to: elect officers of the Corporation, fill vacancies in the Board of Trustees or in the Executive Committee, amend or repeal any provisions of these Bylaws, appropriate funds of the Corporation not included in the budget or exceeding an amount for any one purpose in any one fiscal year fixed or authorized by the Board from time to time, or adopt programs which would involve continuing activity or support by the Corporation for more than one fiscal year. Minutes of the Executive Committee summarizing its actions must be submitted to the Board at its next regularly scheduled meeting. |
| Form 990, Part VI, Section A, line 7a | The Board of Trustees consists of two classes: Class E Trustees and Class S Trustees. SSM Health has the right to appoint and remove the Class S Trustees. SSM Health also has the right to appoint an alternate who will serve instead of a Class S Trustee with voting rights if the Class S Trustee is unable to attend a meeting of the Board of Trustees. Class E Trustees are appointed by the Board of Trustees. Class E and Class S Trustees have the same voting rights. |
| Form 990, Part VI, Section B, line 11b | The Form 990 is provided to the Trustees of the Board before it is filed. The return is reviewed by the Accounting Manager and CFO. |
| Form 990, Part VI, Section B, line 12c | Board members, officers, and employees complete and sign a conflict of interest policy annually. The employee handbook contains a conflict of interest policy. The Board Chair and CEO review the potential conflicts of Board members and the HR department reviews the potential conflicts of employees. Potential conflicts may include but are not limited to ownership or control of an entity that contracts with Edgerton Hospital. Board members with conflicts are restricted from voting on such matters and the conflict is made a matter of record in the minutes. |
| Form 990, Part VI, Section B, line 15a | The Board reviews and determines compensation for the CEO on an annual basis. Compensation adjustments are based on an annual performance review and comparability data. The Board provides substantiation of the deliberation and decision for the compensation process. The CEO determines compensation for the CFO based on comparability data. |
| Form 990, Part VI, Section C, line 19 | The Organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request. The financial statements are also attached to the Form 990. |
| Form 990, Part VI, Section B, Line 16b: | Edgerton Hospital's Corporate Compliance Policy confirms the hospital's adherence to applicable state and federal law and specifically prohibits joint ventures or alliances with other providers which could result in unfair pricing, unfair profit margins, prohibited or unethical credit practices, and/or prohibited billing practices. |
| Form 990, Part IX, line 11g | Physician and Consulting Fees: Program service expenses 6,247,873. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,247,873. Contract fees: Program service expenses 29,089. Management and general expenses 133. Fundraising expenses 0. Total expenses 29,222. Professional Fees: Program service expenses 567,185. Management and general expenses 90,283. Fundraising expenses 0. Total expenses 657,468. Purchased services: Program service expenses 1,928,537. Management and general expenses 697,708. Fundraising expenses 0. Total expenses 2,626,245. Repairs & Maintenance: Program service expenses 578,230. Management and general expenses 253,521. Fundraising expenses 0. Total expenses 831,751. Consulting Fees: Program service expenses 0. Management and general expenses 419,767. Fundraising expenses 0. Total expenses 419,767. |
| Form 990, Part XI, line 9: | Change in net assets of Edgerton Memorial Community Hospital Auxiliary 19,649. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Edgerton Hospital Capital Foundation Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11101 North Sherman Road | AddressLine1Txt |
| City | Edgerton | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203161048 | EIN |
| Primary Activities | Provide financial support for Edgerton Hospital and Health Services, Inc. | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 12a, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Edgerton Hospital and Health Services Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Edgerton Hospital Pain Management LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11101 North Sherman Road | AddressLine1Txt |
| City | Edgerton | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 873418372 | EIN |
| Primary Activities | To provide pain relief for patients with acute pain. | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Edgerton Hospital and Health Services Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Related | PredominantIncomeTypeTxt |
| Share Of Total Income | $1,042,715 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $653,365 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.51000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Edgerton Hospital Capital Foundation Inc | ||
| O | $145,965 | General Ledger |
| Edgerton Hospital Capital Foundation Inc | ||
| C | $179,850 | General Ledger |
| Pain Management LLC | ||
| C | $479,106 | General Ledger |
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