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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - st. joseph's hospital of marshfield, inc.. St. Joseph's Hospital CHNA process included multiple efforts to seek input from community members, including members of medically underserved, low income and minority populations and from organizations that serve those populations. Approaches included the following: (a) In Fall 2015, an electronic and paper survey was distributed throughout the community. The surveys asked about the level of importance of various health issues. To reach diverse populations in Wood County, the survey was offered in English, Hmong and Spanish. In addition, the survey was designed for an 8th grade reading level and reading ease through the use of the "Affordable Language Services" Tool. 1600 surveys were completed. (b) Building on the results of the survey, a community stakeholder meeting was held in October 2015. At this meeting, participants identified their top health issues. (c) In order to gather additional information on community health needs, barriers and resources, from disparate, underrepresented and vulnerable populations in Wood County, focus groups were held with representatives from multiple organizations that serve those populations. (d) In addition to the focus groups, six key informant interviews were conducted with physicians in Wood County. The interviews included questions on the perceived needs, barriers and resources of disparate, underrepresented and vulnerable populations. The organizations involved in the above efforts are listed below. Community Survey: * Employers distributed to employee base (i.e. MSJH, MC, Aspirus Riverview and others) * Distributed through local chamber of commerce to local businesses * St. Vincent DePaul Outreach center * School district * Technical schools and university systems * Public service organizations * Community service groups Stakeholder forum: * Wood County Public Health * Ministry Saint Joseph's Hospital * Ministry Medical Group - Employer Solutions * YMCA * United Way of Marshfield * United Way of Wisconsin Rapids * Wood County Sheriff Department * City of Marshfield * City of Wisconsin Rapids * Legacy Foundation * Marshfield Clinic * Aspirus Riverview Hospital and Clinic * Wood County Human Services * Nekoosa School District * Security Health Plan * UW-Stevens Point * Childrearing Inc. * Incourage * Wood County Dispatch * WI State Assembly * St. Vincent de Paul Outreach center * Clear Green Action * North Central Community action * Aging and Disability Resource Center * Opportunity Development Center * Boys and Girls Club * Wisconsin Energy * Marshfield Public Library * UW-Wood County Extension * Port Edwards School District * Wisconsin Rapids police department Focus groups and Key informant interviews: * Hispanic community (minority population) * Hmong community (minority population) * Women, Infant and Children [ WIC] (low-income population) * Food pantry and soup kitchens clients (low-income population) * Elderly population (i.e. Forum 55) * Physician and healthcare providers (emergency physicians; primary care physicians; case managers) * Patients served by the St. Vincent DePaul Free Medical Clinic (medically-underserved population) * Religious community</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - st. joseph's hospital of marshfield, inc.. The CHNA was conducted with the following hospital facility(s): Aspirus Riverview Hospital and Clinics</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - st. joseph's hospital of marshfield, inc.. The CHNA was conducted with the following non-hospital facility(s): Wood County Health Department, Marshfield Clinic, the Legacy Foundation</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - st. joseph's hospital of marshfield, inc.. Using the CHNA completed in June 2013, the hospital developed, adopted, and worked on executing a three-year Implementation Strategy to address priority community health needs. In Fiscal Year 2016 (Tax Year 2015), the hospital implemented the following plan to address the priority needs: 1. Access to Health Care * Financially supported dental sealant program. * Provided medication prescription coverage for patients who needed it at the St. Vincent DePaul Free Medical Clinic. 2. Chronic Disease Prevention * Financially supported the annual monitoring of HgbA1C for diabetic patients who attend the St. Vincent DePaul Diabetic Clinic. * Financially supported the Youth Net program. 3. Healthy Growth and Development of Youth * Provided breastfeeding support groups. * Supported Healthy Birth program, which is a perinatal support program for teen mom and their families. * Participated in continued efforts to educate youth on distracted driving through coalition work. * Supported community coalition addressing barriers to breast feeding. 4. Falls and Injury Prevention in the Community * Worked with area coalitions, agencies and groups to identify interventions to reduce the risk of falls in the elderly. * Provided grant funding to a county in our service area to address needs of elderly individuals at risk. * Participated in coalition and other efforts around youth injury prevention related to distracted driving and the use of alcohol or other substances. Using the CHNA completed in June 2016, the hospital developed and adopted FY17-FY19 (tax years 2016-2018) Implementation Strategy. The following summarizes the strategies the hospital will implement during that time period to address the priority needs. Mental Health * Provide effective intervention and referral for outpatients and inpatients who receive care for mental health related concerns. This will include (a) training designated emergency department (ED) staff and security staff in de-escalation and behavior management and (b) assuring that referral resources are readily available for use by Case Management/Social Service Department. * Address childhood trauma through the Child Life Program, which provides intervention and support to address childrens' and families' emotional health when an experiencing an adverse childhood event. * Participate in the local Mental Health Coalition. Alcohol and Other Drug Abuse * Improve providers' opioid prescribing practices and improve patients' safe storage and disposal of controlled substances. * Support healthy pregnancies through the continued support for the case management component of the Healthy Birth program for inpatient adolescent moms, the early identification of at risk moms and interventions to support safe pregnancy, and referral for follow-up with community resources and integration of services. * Participate in the local AODA Coalition. Health Growth and Development * Support interventions in early childhood to improve healthy growth and development, including (a) achieving and maintaining designation as a Baby Friendly Hospital by Baby Friendly USA, (b) providing education to moms and families on the importance of good oral health starting as an infant and throughout the life span, (c) continuing to support the efforts to increase the number of third graders who receive dental sealant, and (d) for hospitalized children, assuring that appropriate screening occurs to address developmental needs. * Prevent injuries through trauma injury prevention programs and new parent education on parenting skills, safe sleep, prevention of abusive head trauma, etc. * Participate in the local Human Growth and Development Coalition. Chronic Disease Prevention and Management * Prevent and manage chronic diseases by (a) identifying and referring at-risk patients to resources or programs that can help reduce their risk, (b) continuing to support and fund the St. Vincent DePaul (SVDP) Free Medical Clinic for uninsured/ underinsured patient with chronic diseases, and (c) partner with the United Way to deliver home-delivered meals and nutrition on weekends. * Participate in the local Chronic Disease Prevention and Management (CDPM) Community coalition. St. Joseph's Hospital plans to address all of the priorities identified within the resource capabilities of the organization.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a Community benefit report prepared by related organization</FormAndLineReferenceDesc>
        <ExplanationTxt>SAINT JOSEPH'S HOSPITAL OF MARSHFIELD IS INCLUDED IN THE ANNUAL COMMUNITY BENEFIT REPORT WHICH IS PUBLISHED BY MINISTRY HEALTH CARE, INC. (EIN: 39-1490371) AND AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.MINISTRYHEALTH.ORG. THIS REPORT INCLUDES ALL OF THE RELATED ENTITIES WITHIN THE MINISTRY HEALTH CARE NETWORK OF HOSPITALS, CLINICS AND OTHER HEALTH-RELATED ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS CALCULATED IN PART I, LINE 7 ARE DETERMINED BOTH ON A COST ACCOUNTING SYSTEM AND A COST-TO-CHARGE RATIO. OTHER BENEFITS ARE DETERMINED BASED ON THE DIRECT AND INDIRECT COSTS (WHERE ALLOCATED) ASSOCIATED WITH A PROGRAM NET OF EARNED REVENUE. DETAIL FOR EACH PROGRAM/ACTIVITY IS MAINTAINED AND DETERMINED AT THE DEPARTMENT LEVEL. CHARITY CARE AND MEANS-TESTED PROGRAMS ARE DETERMINED BASED ON A COST-TO-CHARGE RATIO CONSISTENT WITH WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>In the area of community building, Saint Joseph's Hospital participates in several community coalitions and other collaborative efforts with the community whose purpose is to improve the health of the community. These include Regional and State Trauma Advisory Committees, Medical Advisory Board, United Way and ODC Boards. By working together with other organizations in the community, we expect to have a greater impact on health. According to the County Health Rankings site, with a shared vision and commitment to improved health, working together can yield better results than working alone. Saint Joseph's Hospital staff also attended Marshfield Community Leadership Development training. Future community leaders who are knowledgeable about both the asset and challenges our community has will help us to positively address the health issues of the future. In addition, Saint Joseph's Hospital provides Sharps disposal locations in the community. By safely removing sharps from the environment, we make the community safer in terms of injury and infection. Saint Joseph's Hospital not only hosts job shadowing opportunities for area youth, it is a clinical site for many student types. It has successfully integrated the Project Search program, using its ancillary departments. According to the County Health Rankings, employment provides income and, often, benefits that can support healthy lifestyle choices. Unemployment and under employment limit these choices, and negatively affect both quality of life and health overall.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>Accounts are written off to bad debt after all internal collection efforts have been exhausted. Attempts to resolve these outstanding balances can include, but are not limited to statements being sent, phone calls and letters being sent. Account follow up protocol is based on personal pay balance size owed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>Saint Joseph's Hospital of Marshfield, Inc. has a very robust financial assistance program; therefore, no estimate is made for bad debt attributed to financial assistance eligible patients.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The provision for doubtful accounts is based upon management's assessment of expected net collections considering historical experience, economic conditions, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payer 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. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Health Ministry follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the System. Accounts receivable are written off after collection efforts have been followed in accordance with the Health Ministry's policies. The methodology for determining the allowance for doubtful accounts and related write-offs on uninsured patient accounts has remained consistent with the prior year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>Ascension Health and 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization has a debt collection policy which sets forth collection practices for patients who are known to qualify or may qualify for financial assistance under the Charity Care Program. Sufficient financial counseling support is made available to patients so they can easily access patient financial service representatives and have their questions answered, and gain an understanding of the reasons why they owe a balance. Accounts are designated as charity care in the business offices so no additional time is spent on collection efforts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Saint Joseph's Hospital of Marshfield: Line 16a URL: HTTP://http://ministryhealth.org/MinistryHealth/AboutUs/BillingandPayment/FinancialAssistance.nws;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Saint Joseph's Hospital of Marshfield: Line 16b URL: HTTP://http://ministryhealth.org/MinistryHealth/AboutUs/BillingandPayment/FinancialAssistance.nws;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Saint Joseph's Hospital of Marshfield: Line 16c URL: HTTP://http://ministryhealth.org/MinistryHealth/AboutUs/BillingandPayment/FinancialAssistance.nws;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization performs Community Health Needs Assessments as needed. Planning workgroups consisting of community partners are formed to define the community and its health needs through review of United Way Life Study results, Healthy People Initiatives, census documents, and local government health and welfare agencies. Considering other community resources/assets, data collection methods are used to identify particular problems or subgroups and areas known to have high poverty rates and to be underserved. The data is analyzed and priorities are set based on trending information which may target a specific need. When a need is identified, the Hospital develops a plan to implement a program either through community collaboration or individually. Outcomes from the programs are measured and considered in subsequent community health needs assessments. Community benefit plans are presented to senior leadership and board members to ensure the findings are incorporated into the organizations strategy and policy development. Senior leaders and management are also highly encouraged to provide direct service to the poor in their communities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Ministry Health Care, Inc. 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 either in securing a funding source (grants, Cobra coverage, disability benefits, Medicaid, VA, etc) if eligible or assist them in completing a financial assistance application.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>While there is growing agreement in the United States about what constitutes a non-profit hospital's "Community Benefit", this is a work in progress. Saint Joseph's Hospital of Marshfield, Inc. provided significant charity care and other community benefits as defined by the IRS. But in addition, we believe that we provide a critically important community benefit, which is not quantified. Our Hospital, like most community hospitals, was created and is maintained in order to provide care locally - care that without our hospital, may not be available locally. As of the 2010 census, the population of Marshfield was 19,118. The 2014 estimated population is 18,691. Based on the 2010 census, the racial make-up was 93.5% White, 0.7% African American, 0.2% Native American, 2.3% Asian, 2.4% Hispanic, and 0.9% of other races. 18.4% were over 65 year old and 20.9% under 18. The median household income for the last five years was $42,448 and 13.2% of the population was below the poverty line.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization strives to further its exempt purposes by the following: - The Organization's governing board consists primarily of persons who reside within the primary service area who are not employees of the Organization. - As mentioned, the Organization provides several services which are not otherwise available being in a rural setting. - Based on the Organization's mission, emergency rooms are made available to all patients regardless of the ability to pay. - The Organization also participates in the education and training of healthcare professionals through internship programs. - The Hospital participates in government-sponsored health programs (Medicare, Medicaid, Champus, Tricare). - The Hospital offers volunteer opportunities to the community or evidence of the Organization's responsiveness to the community, including opportunities for community involvement in governance and advisory groups and examples of programs that were established in the tax year that responded to community needs. - The Facility strives to be a low-cost/low-charge facility. - Advocates community-wide, state or national efforts to improve health of the population and increase access. - Partnerships with others in the community (including public health departments) to improve community health and well-being. - The role of the emergency department and urgent care units in serving all persons regardless of ability to pay. - Availability of financial assistance and sliding scale discounts and changes to financial assistance or collection policies that would be viewed as constructive. - The Organization is a sole community hospital. - Community members utilize the Hospital as a vehicle to connect with and contribute to individuals and the overall community through philanthropy and volunteering. - Programs are having an impact on community health especially prevention activities, efforts to improve health and increase access to health care services, and reducing health care costs.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>MINISTRY HEALTH CARE, INC. (MINISTRY OR THE HEALTH MINISTRY) IS A MEMBER OF ASCENSION HEALTH. IN DECEMBER 2011, ASCENSION HEALTH ALLIANCE, DOING BUSINESS AS ASCENSION, BECAME 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 HEALTH CARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 23 STATES AND THE DISTRICT OF COLUMBIA. IN ADDITION TO SERVING AS THE SOLE CORPORATE MEMBER OF ASCENSION HEALTH, ASCENSION SERVES AS THE MEMBER OR SHAREHOLDER OF VARIOUS OTHER SUBSIDIARIES. ASCENSION, ITS SUBSIDIARIES, AND THE HEALTH MINISTRIES ARE REFERRED TO COLLECTIVELY FROM TIME TO TIME HEREAFTER AS THE SYSTEM. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE, THE CONGREGATION OF ST. JOSEPH, THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET, THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE, AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI-US/CARIBBEAN PROVINCE. THE HEALTH MINISTRY IS A WISCONSIN NON-STOCK, TAX-EXEMPT CORPORATION THAT MANAGES, PROMOTES, AND SUPPORTS HEALTH CARE AND RELATED MINISTRIES IN WISCONSIN AND MINNESOTA. THE HEALTH MINISTRY PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR THE RESIDENTS OF WISCONSIN AND MINNESOTA. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. THE HEALTH MINISTRY IS RELATED TO ASCENSION HEALTH'S OTHER SPONSORED ORGANIZATIONS THROUGH COMMON CONTROL. SUBSTANTIALLY ALL EXPENSES OF THE HEALTH MINISTRY ARE RELATED TO PROVIDING HEALTH CARE SERVICES. EFFECTIVE NOVEMBER 1, 2014, THE HEALTH MINISTRY SOLD 50% OF ITS OWNERSHIP IN NETWORK HEALTH, INC. TO AN UNRELATED HEALTH SYSTEM (SEE NOTE 3). ON FEBRUARY 1, 2015, THE HEALTH MINISTRY TRANSFERRED ITS OWNERSHIP IN MINISTRY HOME CARE, INC. TO ASCENSION HEALTH. THE CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE FOLLOWING AFFILIATES LOCATED PRIMARILY IN WISCONSIN, IN WHICH MINISTRY HAS A CONTROLLING INTEREST AND/OR IS THE SOLE SPONSOR. AFFINITY HEALTH SYSTEM, INC. (AFFINITY): CALUMET MEDICAL CENTER, INC. (CMC): AFFINITY MEDICAL GROUP (AMG) TWIN MED, LLC MERCY MEDICAL CENTER, INC. MERCY HEALTH FOUNDATION ST. ELIZABETH HOSPITAL CATALPA HEALTH: ST. ELIZABETH FOUNDATION AGAPE COMMUNITY CENTER OF MILWAUKEE, INC. DOOR COUNTY MEMORIAL HOSPITAL (DOOR COUNTY) GOOD SAMARITAN HEALTH CENTER OF MERRILL GOOD SAMARITAN HEALTH CENTER FOUNDATION HOWARD YOUNG HEALTH CARE, INC. (HOWARD YOUNG): DR. KATE NEWCOMB CONVALESCENT CENTER HOWARD YOUNG MEDICAL CENTER, INC. DR. HOWARD YOUNG FOUNDATION EAGLE RIVER MEMORIAL HOSPITAL, INC. MINISTRY MEDICAL GROUP, INC. MINISTRY HOLDINGS, INC. (THROUGH NOVEMBER 1, 2014): NETWORK HEALTH (NH) (THROUGH NOVEMBER 1, 2014) NETWORK HEALTH INSURANCE CORPORATION (NHIC) (THRU NOVEMBER 1, 2014) OUR LADY OF VICTORY HOSPITAL SACRED HEART HOSPITAL-ST. MARY'S HOSPITAL, INC. ST. CLARE'S HOSPITAL OF WESTON, INC. FOUNDATION OF ST. CLARE'S HOSPITAL OF WESTON, INC. ST. ELIZABETH'S HOSPITAL OF WABASHA, INC. ST. JOSEPH'S HOSPITAL OF MARSHFIELD, INC. FOUNDATION OF ST. JOSEPH'S HOSPITAL OF MARSHFIELD, INC. ST. MICHAEL'S HOSPITAL OF STEVENS POINT, INC. ST. MICHAEL'S FOUNDATION OF STEVENS POINT, INC. 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: 1. 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. 2. 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. 3. 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. 4. 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. THE AMOUNT OF TRADITIONAL CHARITY CARE PROVIDED, DETERMINED ON THE BASIS OF COST, WAS $495,863 and $500,067 FOR THE YEARS ENDED JUNE 30, 2016 AND 2015, RESPECTIVELY. THE AMOUNT OF UNPAID COST OF PUBLIC PROGRAMS, COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS, AND COMMUNITY BENEFIT COST IS REPORTED IN THE ACCOMPANYING SUPPLEMENTARY INFORMATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on form 990, Schedule J, Part II, Column B in the year paid. NO DISTRIBUTIONS WERE MADE FROM THE PLAN DURING THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="15000238" softwareVersionNum="2015v3.0">
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Capital Equipment</Desc>
        <ContributionCnt>6</ContributionCnt>
        <NoncashContributionsRptF990Amt>111910</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I Explanations of reporting method for number of contributions</FormAndLineReferenceDesc>
        <ExplanationTxt>Other - Capital Equipment: Number of contributions.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="15000238" softwareVersionNum="2015v3.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Saint Joseph's Hospital of Marshfield, Inc. has a single corporate member, Ministry Health Care, Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Saint Joseph's Hospital of Marshfield, Inc. has a single corporate member, Ministry Health Care, Inc., who has the ability to elect members to the governing body of Saint Joseph's Hospital of Marshfield Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>All decisions that have a material impact to Saint Joseph's Hospital of Marshfield, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, Ministry Health Care, Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members' questions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization regularly and consistently monitors and enforces compliance with the Conflict of Interest Policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the Conflicts of Interest Policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The Ministry web page is available to the public for inspection with a good deal of information regarding who Ministry Health Care, Inc. is and the entities included along with our mission. The Articles of Incorporation, Bylaws, Conflicts Policy and financial statements are not included on any web page. However, if any inquiry is made for any documents they are shared as appropriate.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>- Total Revenue: 211724, Related or Exempt Function Revenue: 211724, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>TEMP RESTRICTED INTERCOMPANY - -132792;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section B, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>The payments reported on Form 990, Part VII, Section B for Boson Company represent amounts for both services and expenses. These amounts cannot be separated.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>IN DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS PERFORMED BY MINISTRY HEALTH CARE, INC., A RELATED ORGANIZATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC. , INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO, 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 BOARD MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. IN DETERMINING COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION, THE PROCESS PERFORMED BY MINISTRY HEALTH CARE, INC., A RELATED ORGANIZATION OF SAINT JOSEPH'S OF MARSHFIELD, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS EMPLOYEES IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>ASCENSION HEALTH ALLIANCE</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 45998</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
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          <BusinessNameLine1Txt>ASCENSION HEALTH</BusinessNameLine1Txt>
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        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>MINISTRY HEALTH CARE INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>10925 W LAKE PARK DR STE 100</AddressLine1Txt>
          <CityNm>MILWAUKEE</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53224</ZIPCd>
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        <PrimaryActivitiesTxt>PARENT CORPORATION</PrimaryActivitiesTxt>
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        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>AGAPE COMMUNITY CENTER OF MILWAUKEE INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>6100 NORTH 42ND STREET</AddressLine1Txt>
          <CityNm>MILWAUKEE</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53209</ZIPCd>
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        <EIN>391461846</EIN>
        <PrimaryActivitiesTxt>COMMUNITY CENTER</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>MINISTRY HEALTH CARE INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CALUMET MEDICAL CENTER INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>614 MEMORIAL DRIVE</AddressLine1Txt>
          <CityNm>CHILTON</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53014</ZIPCd>
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        <EIN>390905385</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CATALPA HEALTH INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>N4642 COUNTY N</AddressLine1Txt>
          <CityNm>APPLETON</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54914</ZIPCd>
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        <EIN>454681563</EIN>
        <PrimaryActivitiesTxt>MENTAL HEALTH FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST ELIZABETH HOSPITAL INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SAINT MICHAEL'S FOUNDATION OF STEVENS POINT INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>900 ILLINOIS AVENUE</AddressLine1Txt>
          <CityNm>STEVENS POINT</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54481</ZIPCd>
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        <EIN>391657410</EIN>
        <PrimaryActivitiesTxt>CHARITABLE FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>SAINT MICHAEL'S HOSPITAL OF STEVENS POINT</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DOOR COUNTY MEMORIAL HOSPITAL</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>323 SOUTH 18TH AVENUE</AddressLine1Txt>
          <CityNm>STURGEON BAY</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54235</ZIPCd>
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        <EIN>390806324</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>MINISTRY HEALTH CAREINC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DR KATE NEWCOMB CONVALESCENT CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 829</AddressLine1Txt>
          <CityNm>WOODRUFF</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54568</ZIPCd>
        </USAddress>
        <EIN>391357365</EIN>
        <PrimaryActivitiesTxt>NURSING/ASSISTED LIVING SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>HOWARD YOUNG HEALTH CARE INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EAGLE RIVER MEMORIAL HOSPITAL INCORPORATED</BusinessNameLine1Txt>
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          <AddressLine1Txt>201 HOSPITAL ROAD</AddressLine1Txt>
          <CityNm>EAGLE RIVER</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54521</ZIPCd>
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        <EIN>390985690</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>THE HOWARD YOUNG MEDICAL CENTER INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>3400 MINISTRY PARKWAY</AddressLine1Txt>
          <CityNm>WESTON</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54476</ZIPCd>
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        <EIN>753193633</EIN>
        <PrimaryActivitiesTxt>CHARITABLE FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>MINISTRY HEALTH CARE INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD</BusinessNameLine1Txt>
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          <AddressLine1Txt>611 SAINT JOSEPH AVENUE</AddressLine1Txt>
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          <ZIPCd>54449</ZIPCd>
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          <BusinessNameLine1Txt>GOOD SAMARITAN HEALTH CENTER OF MERRILL WISCONSIN INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>601 SOUTH CENTER AVENUE</AddressLine1Txt>
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          <StateAbbreviationCd>WI</StateAbbreviationCd>
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          <BusinessNameLine1Txt>MINISTRY HEALTH CARE INC</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>GOOD SAMARITAN HEALTH CENTER FOUNDATION OF MERRILL WISCONSIN INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>601 SOUTH CENTER AVENUE</AddressLine1Txt>
          <CityNm>MERRILL</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54452</ZIPCd>
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        <PrimaryActivitiesTxt>CHARITABLE FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>GOOD SAMARITAN HEALTH CENTER OF MERRILL</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOWARD YOUNG FOUNDATION INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>240 MAPLE STREET</AddressLine1Txt>
          <CityNm>WOODRUFF</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54568</ZIPCd>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOWARD YOUNG HEALTH CARE INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>240 MAPLE STREET</AddressLine1Txt>
          <CityNm>WOODRUFF</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54568</ZIPCd>
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        <EIN>391499115</EIN>
        <PrimaryActivitiesTxt>HOME OFFICE</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>MINISTRY HEALTH CARE INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE HOWARD YOUNG MEDICAL CENTER INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>240 MAPLE STREET</AddressLine1Txt>
          <CityNm>WOODRUFF</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54568</ZIPCd>
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        <EIN>390873606</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>HOWARD YOUNG HEALTH CARE INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERCY HEALTH FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3370</AddressLine1Txt>
          <CityNm>OSHKOSH</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54903</ZIPCd>
        </USAddress>
        <EIN>237140261</EIN>
        <PrimaryActivitiesTxt>CHARITABLE FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AFFINITY HEALTH SYSTEM</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERCY MEDICAL CENTER OF OSHKOSH INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>500 S OAKWOOD ROAD</AddressLine1Txt>
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          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54904</ZIPCd>
        </USAddress>
        <EIN>390806268</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MINISTRY HEALTH CARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MINISTRY MEDICAL GROUP INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>824 ILLINOIS AVENUE</AddressLine1Txt>
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          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54481</ZIPCd>
        </USAddress>
        <EIN>391965593</EIN>
        <PrimaryActivitiesTxt>CLINICS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MINISTRY HEALTH CARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MINISTRY WEIGHT MANAGEMENT</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2251 NORTH SHORE DRIVE</AddressLine1Txt>
          <CityNm>RHINELANDER</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54501</ZIPCd>
        </USAddress>
        <EIN>391829015</EIN>
        <PrimaryActivitiesTxt>HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SACRED HEART-ST MARY'S HOSPITALS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NETWORK HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1570 APPLETON RD</AddressLine1Txt>
          <CityNm>MENASHA</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54952</ZIPCd>
        </USAddress>
        <EIN>391127163</EIN>
        <PrimaryActivitiesTxt>CLINICAL HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AFFINITY HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OUR LADY OF VICTORY HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1120 PINE STREET</AddressLine1Txt>
          <CityNm>STANLEY</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54768</ZIPCd>
        </USAddress>
        <EIN>390807065</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MINISTRY HEALTH CARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SACRED HEART-STMARY'S HOSPITALS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 347</AddressLine1Txt>
          <CityNm>STEVENS POINT</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54481</ZIPCd>
        </USAddress>
        <EIN>391390638</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MINISTRY HEALTH CARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SAINT CLARE'S HOSPITAL OF WESTON INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3400 MINISTRY PARKWAY</AddressLine1Txt>
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          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54476</ZIPCd>
        </USAddress>
        <EIN>721531917</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>MINISTRY HEALTH CARE INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SAINT ELIZABETH'S HOSPITAL OF WABASHA INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1200 GRANT BLVD WEST</AddressLine1Txt>
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          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55981</ZIPCd>
        </USAddress>
        <EIN>410693877</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MINISTRY HEALTH CARE INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SAINT ELIZABETH'S HOSPITAL FOUNDATION INC</BusinessNameLine1Txt>
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        <USAddress>
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          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54915</ZIPCd>
        </USAddress>
        <EIN>391256677</EIN>
        <PrimaryActivitiesTxt>CHARITABLE FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AFFINITY HEALTH SYSTEM</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST ELIZABETH'S HOSPITAL INC</BusinessNameLine1Txt>
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        <USAddress>
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          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54915</ZIPCd>
        </USAddress>
        <EIN>390816818</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MINISTRY HEALTH CARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SAINT MICHAEL'S HOSPITAL OF STEVENS POINT</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>900 ILLINOIS AVENUE</AddressLine1Txt>
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          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54481</ZIPCd>
        </USAddress>
        <EIN>390808443</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MINISTRY HEALTH CARE INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TWIN MED LLP</BusinessNameLine1Txt>
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        <USAddress>
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          <ZIPCd>54952</ZIPCd>
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        <EIN>391180341</EIN>
        <PrimaryActivitiesTxt>RENTAL PROPERTY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <OwnershipPct>0</OwnershipPct>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>true</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>277388</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>328609</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>OUR LADY OF VICTORY HOSPITAL INC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>207603</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT CLARE'S HOSPITAL OF WESTON INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>691619</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SACRED HEART-ST MARY'S HOSPITALS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>74432</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT MICHAEL'S HOSPITAL OF STEVENS POINT INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>229017</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CALUMET MEDICAL CENTER INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>G</TransactionTypeTxt>
        <InvolvedAmt>94606</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>