THE HOWARD YOUNG MEDICAL CENTER INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- THE HOWARD YOUNG MEDICAL CENTER INC (EIN 39-0873606)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-11
- IRS object ID
- 201741319349301554
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-11T09:00:22-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390873606 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Howard Young Medical Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOWA | BusinessNameControlTxt |
| Phone | 7153568000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 240 Maple Street | AddressLine1Txt |
| City | Woodruff | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54568 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Bill Hinner | PersonNm |
| Person Title | CFO Reg Health System,WI North | PersonTitleTxt |
| Signature | 2017-05-10 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sandra L Anderson | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 240 Maple Street | AddressLine1Txt |
| City | Woodruff | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54568 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $58,826,395 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.ministryhealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1948 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | To improve the health and well-being of all people in the communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 405 | TotalEmployeeCnt |
| Total Volunteers | 201 | TotalVolunteersCnt |
| Total Gross UBI | $2,553 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$62 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,738,782 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,445,873 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $54,814,981 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $56,146,209 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,071,983 | PYInvestmentIncomeAmt |
| CY Investment Income | $420,033 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,124,762 | PYOtherRevenueAmt |
| CY Other Revenue | $814,280 | CYOtherRevenueAmt |
| PY Total Revenue | $60,750,508 | PYTotalRevenueAmt |
| CY Total Revenue | $58,826,395 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $30,271,115 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $27,877,728 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $21,302,240 | PYOtherExpensesAmt |
| CY Other Expenses | $22,021,903 | CYOtherExpensesAmt |
| PY Total Expenses | $51,573,355 | PYTotalExpensesAmt |
| CY Total Expenses | $49,899,631 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,177,153 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,926,764 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $174,805,821 | TotalAssetsBOYAmt |
| Total Assets EOY | $173,693,841 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,635,570 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,068,255 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $164,170,251 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $153,625,586 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The Howard Young Medical Center, Inc.'s mission as a Catholic hospital is to further the healing ministry of Jesus by improving the health and well-being of all people, especially the poor. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $35,867,085 | ExpenseAmt |
| Revenue | $55,933,942 | RevenueAmt |
| Desc | THE HOWARD YOUNG MEDICAL CENTER, INC. ("THE HOSPITAL") PROVIDES INPATIENT, OUTPATIENT, EMERGENCY ROOM AND ANCILLARY SERVICES REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY OR METHOD OF PAYMENT. THE HOSPITAL ALSO PROVIDES EDUCATION PROGRAMS AND SERVICES ON HEALTH CARE ISSUES TO THE COMMUNITY IT SERVES. DURING FISCAL 2016, THE HOSPITAL COUNTED 8,612 TOTAL PATIENT DAYS, 2,368 TOTAL DISCHARGES, AND 27,349 OUTPATIENT VISITS, AND ITS EMERGENCY DEPARTMENT RECEIVED 10,478 VISITS. SEE SCHEDULE H FOR FURTHER DETAILS REGARDING THE COMMUNITY BENEFITS THAT THE HOWARD YOUNG MEDICAL CENTER, INC. PROVIDES. | Desc |
| Total Program Service Expenses | $35,867,085 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 50 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 405 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| 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 | Craig Aittama | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7153465161 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5700 Lands End Way 2nd Floor | AddressLine1Txt |
| City | Stevens Point | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54482 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BILL ARVOLD | ||||||||||
| BOARD CHAIRMAN | 0.3 | 1.9 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| RAY BURGAN | ||||||||||
| BOARD VICE CHAIRMAN | 0.3 | 1.9 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| RANDY PLANTENBERG | ||||||||||
| BOARD TREASURER | 0.3 | 1.9 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| NANCY M SCHULLER | ||||||||||
| SECRETARY | 0.3 | 1.9 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ANN ZENK | ||||||||||
| FORMER INTERIM PRESIDENT (THRU 7/15) | 0.0 | 40.0 | Yes (X) | Yes (X) | $0 | $277,054 | $27,374 | |||
| SANDY ANDERSON | ||||||||||
| REGIONAL VP & HOSPITAL PRESIDENT (EX-OFFICIO) | 5.0 | 36.3 | Yes (X) | Yes (X) | $0 | $170,559 | $12,936 | |||
| BRIAN E ELIASON | ||||||||||
| DIRECTOR | 0.3 | 1.9 | Yes (X) | $0 | $0 | $0 | ||||
| NANCY FRAISER | ||||||||||
| DIRECTOR | 0.3 | 1.9 | Yes (X) | $0 | $0 | $0 | ||||
| ARTHUR C HELGERSON DDS | ||||||||||
| DIRECTOR | 0.3 | 1.9 | Yes (X) | $0 | $0 | $0 | ||||
| MARGARET S JOHNSON | ||||||||||
| DIRECTOR | 0.3 | 1.9 | Yes (X) | $0 | $0 | $0 | ||||
| MARK RASSIER MD | ||||||||||
| EX-OFFICIO MEMBER | 0.3 | 0.9 | Yes (X) | $0 | $0 | $0 | ||||
| JUDY SMOLAREK RN MSN FP | ||||||||||
| DIRECTOR | 0.3 | 1.9 | Yes (X) | $0 | $0 | $0 | ||||
| SHISHIR SHETH MD | ||||||||||
| EX-OFFICIO MEMBER | 0.3 | 41.9 | Yes (X) | $0 | $540,582 | $59,993 | ||||
| ELMER LINBOOM MD | ||||||||||
| EX-OFFICIO MEMBER | 0.3 | 40.9 | Yes (X) | $0 | $359,444 | $21,212 | ||||
| NICHOLAS DESIEN | ||||||||||
| MINISTRY HEALTH CARE CEO (END 12/31/15) | 0.5 | 54.8 | Yes (X) | $0 | $2,799,737 | $271,786 | ||||
| JEFFREY FRANCIS | ||||||||||
| MINISTRY HEALTH CARE CAFO (END 9/9/15) | 0.5 | 54.3 | Yes (X) | $0 | $652,678 | $51,385 | ||||
| DANIEL NEUFELDER | ||||||||||
| SVP, HOSPITAL OPERATIONS & PRESIDENT, AHS | 0.5 | 63.4 | Yes (X) | $0 | $2,171,860 | $190,168 | ||||
| DEBORAH KAROW | ||||||||||
| VP PATIENT CARE | 10.0 | 30.0 | $0 | $212,149 | $30,540 | Yes (X) | ||||
| LAURIE OUNGST | ||||||||||
| VP OPERATIONS | 5.0 | 35.3 | $0 | $224,964 | $9,719 | Yes (X) | ||||
| TERESA THEILER | ||||||||||
| VP QUALITY & PATIENT SAFETY | 5.0 | 35.0 | $0 | $183,660 | $18,875 | Yes (X) | ||||
| LAURIE DEMRO | ||||||||||
| CRNA | 40.0 | 0 | $230,577 | $0 | $56,774 | Yes (X) | ||||
| LONNA GROSSKOPF | ||||||||||
| CRNA | 40.0 | 0 | $232,670 | $0 | $49,834 | Yes (X) | ||||
| ANGELENE TIMMERMAN | ||||||||||
| CRNA | 40.0 | 0 | $229,206 | $0 | $54,629 | Yes (X) | ||||
| KEVIN KRUEGER | ||||||||||
| CRNA | 40.0 | 0 | $226,846 | $0 | $46,911 | Yes (X) | ||||
| DAVID SELL | ||||||||||
| CRNA | 40.0 | 0 | $222,481 | $0 | $55,410 | Yes (X) | ||||
| CATHERINE BUKOWSKI | ||||||||||
| FORMER OFFICER (THRU 6/13) | 0.0 | 0.0 | $0 | $289,470 | $18,914 | Yes (X) | ||||
| MONICA ANN HILT | ||||||||||
| REGIONAL CEO/PRESIDENT HYHC (THRU 1/15) | 0.0 | 43.5 | $0 | $709,688 | $64,149 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,141,781 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,591,844 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,040,609 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUPERIOR HEALTH LINENS LLC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2150 Maple Drive | AddressLine1Txt |
| City | Plover | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54467 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Laundry Services | ServicesDesc |
| Compensation | $210,202 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $218,652 | RelatedOrganizationsAmt |
| Government Grants | $1,766 | GovernmentGrantsAmt |
| All Other Contributions | $1,225,455 | AllOtherContributionsAmt |
| Noncash Contributions | $109,110 | NoncashContributionsAmt |
| Total Contributions | $1,445,873 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Net Patient Revenue | 622110 | $55,273,956 | $55,273,956 | |
| Medicare & Medicaid | 900099 | -$26,097 | -$26,097 | |
| Ambulance Services | 621910 | $386,313 | $386,313 | |
| Rehab Services | 622000 | $174,902 | $174,902 | |
| Rent from Affiliates | 531190 | $209,714 | $209,714 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $127,421 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $124,868 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,553 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $56,146,209 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $419,223 | TotalRevenueColumnAmt |
| Exclusion | $419,223 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $443,686 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $443,686 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $443,686 | TotalRevenueColumnAmt |
| Exclusion | $443,686 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $810 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $810 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $810 | TotalRevenueColumnAmt |
| Exclusion | $810 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Pharmacy Revenue | 446110 | $258,175 | $258,175 |
| Cafeteria Revenue | 722210 | $112,419 | $112,419 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $370,594 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $58,826,395 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $55,933,942 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,553 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,444,027 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,607,053 | TotalAmt |
| Program Services | $17,862,705 | ProgramServicesAmt |
| Management And General | $3,744,348 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,033,376 | TotalAmt |
| Program Services | $854,299 | ProgramServicesAmt |
| Management And General | $179,077 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,030,674 | TotalAmt |
| Program Services | $3,326,286 | ProgramServicesAmt |
| Management And General | $704,388 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,206,625 | TotalAmt |
| Program Services | $997,526 | ProgramServicesAmt |
| Management And General | $209,099 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,363 | TotalAmt |
| Management And General | $6,363 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,864 | TotalAmt |
| Management And General | $79,864 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,873,906 | TotalAmt |
| Program Services | $1,436,478 | ProgramServicesAmt |
| Management And General | $437,428 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,782,715 | TotalAmt |
| Program Services | $3,498,061 | ProgramServicesAmt |
| Management And General | $284,654 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,144 | TotalAmt |
| Program Services | $4,144 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $859,061 | TotalAmt |
| Program Services | $810,674 | ProgramServicesAmt |
| Management And General | $48,387 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,800 | TotalAmt |
| Program Services | $80,732 | ProgramServicesAmt |
| Management And General | $2,068 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,498 | TotalAmt |
| Program Services | $53,861 | ProgramServicesAmt |
| Management And General | $98,637 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $423,007 | TotalAmt |
| Program Services | $423,007 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,563,296 | TotalAmt |
| Program Services | $2,024,852 | ProgramServicesAmt |
| Management And General | $1,538,444 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,257 | TotalAmt |
| Program Services | $95,093 | ProgramServicesAmt |
| Management And General | $14,164 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Purchased Services | $6,446,888 | $2,457,699 | $3,989,189 |
| State Assessment | $1,264,104 | $1,264,104 | |
| Pharmaceuticals | $1,588,193 | $1,572,533 | $15,660 |
| Mgmt Fee-Affiliate | $827,223 | $231,622 | $595,601 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $958,584 | TotalAmt |
| Program Services | $137,513 | ProgramServicesAmt |
| Management And General | $821,071 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,899,631 | TotalAmt |
| Program Services | $35,867,085 | ProgramServicesAmt |
| Management And General | $14,032,546 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,909,498 | BOYAmt |
| EOY | $1,275 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $391,904 | BOYAmt |
| EOY | $16,751,829 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,577,208 | BOYAmt |
| EOY | $6,486,477 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,653 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,614,819 | BOYAmt |
| EOY | $1,479,741 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,232 | BOYAmt |
| EOY | $14,722 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $30,733,068 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,270,390 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,032,366 | BOYAmt |
| EOY | $23,462,678 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,961,389 | BOYAmt |
| EOY | $44,045,398 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,928,887 | BOYAmt |
| EOY | $1,069,773 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,321,865 | BOYAmt |
| EOY | $80,381,948 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,805,821 | BOYAmt |
| EOY | $173,693,841 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,580,692 | BOYAmt |
| EOY | $2,327,261 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,054,878 | BOYAmt |
| EOY | $17,740,994 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,635,570 | BOYAmt |
| EOY | $20,068,255 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,892,558 | BOYAmt |
| EOY | $107,104,108 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,316,304 | BOYAmt |
| EOY | $2,476,080 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,961,389 | BOYAmt |
| EOY | $44,045,398 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,170,251 | BOYAmt |
| EOY | $153,625,586 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,805,821 | BOYAmt |
| EOY | $173,693,841 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,926,764 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,181,415 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$17,290,014 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $6,363 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $6,363 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. The Howard Young Medical Center, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. |
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. The Howard Young Medical Center, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $46,961,389 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,584,543 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,232,455 | OtherExpendituresAmt |
| Administrative Expenses | $98,993 | AdministrativeExpensesAmt |
| End Year Balance | $44,045,398 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $47,483,727 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,304,856 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,641,656 | OtherExpendituresAmt |
| Administrative Expenses | $185,538 | AdministrativeExpensesAmt |
| End Year Balance | $46,961,389 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $41,832,772 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $7,307,270 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,581,416 | OtherExpendituresAmt |
| Administrative Expenses | $74,899 | AdministrativeExpensesAmt |
| End Year Balance | $47,483,727 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $40,021,399 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $2,968,498 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,157,125 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $41,832,772 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $35,450,699 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $6,140,071 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,495,165 | OtherExpendituresAmt |
| Administrative Expenses | $74,206 | AdministrativeExpensesAmt |
| End Year Balance | $40,021,399 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.0 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,178,349 | OtherCostOrOtherBasisAmt |
| Book Value | $3,178,349 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,984,493 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,933,168 | DepreciationAmt |
| Book Value | $13,051,325 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $959,542 | OtherCostOrOtherBasisAmt |
| Depreciation | $318,922 | DepreciationAmt |
| Book Value | $640,620 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,518,719 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,018,300 | DepreciationAmt |
| Book Value | $6,500,419 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $91,965 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $91,965 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $23,462,678 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HYMC Trust Indenture | Desc |
| Book Value | $44,045,398 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $44,045,398 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Interests in investments held by Ascension Health Alliance | $76,686,412 |
| Misc. Receivables | $3,636,778 |
| estimated third party payer settlements | $49,447 |
| other assets | $9,311 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $80,381,948 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Asset retirement obligation | $154,887 |
| Due to third party payors | $808,111 |
| intercompany payables | $4,135,023 |
| intercompany debt | $12,365,778 |
| other liabilities | $277,195 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $17,740,994 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 Intended uses of endowment funds | The Howard Young Trust was established by S. Howard Young in 1975 as a mechanism to ensure the Hospital continues to have access to funding for capital needs, medical service continuation and service growth to meet the community's needs. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2016. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $146,532 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $146,532 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0029 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $8,169,030 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,492,623 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,676,407 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0737 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $8,315,562 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,492,623 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,822,939 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0766 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 15 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $159,120 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $546 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $158,574 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0032 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $244,189 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $244,189 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0049 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $642,320 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $473,532 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $168,788 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0034 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $121,818 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $121,818 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0024 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 25 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $1,167,447 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $474,078 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $693,369 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0139 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 25 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $9,483,009 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,966,701 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,516,308 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0905 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $1,387 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,387 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $5,033 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,033 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $6,420 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,420 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,710,247 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $24,316,331 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $25,025,720 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$709,389 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | 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 | The Howard Young Medical Center Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 240 Maple Street | AddressLine1Txt |
| City | Woodruff | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54568 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.ministryhealth.org | WebsiteAddressTxt |
| State License | 201 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Howard Young Medical Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://ministryhealth.org/MinistryHealth/CommunityHealthNeedsAssessmentsCHNAandImplementationStrateg | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://ministryhealth.org/MinistryHealth/CommunityHealthNeedsAssessmentsCHNAandImplementationStrateg | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | 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 |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://ministryhealth.org/MinistryHealth/AboutUs/BillingandPayment/FinancialAssistance.nws | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://ministryhealth.org/MinistryHealth/AboutUs/BillingandPayment/FinancialAssistance.nws | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://ministryhealth.org/MinistryHealth/AboutUs/BillingandPayment/FinancialAssistance.nws | 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - the howard young medical center, inc.. Input into the CHNA from community members, including members of medically underserved, low-income and minority populations and from organizations that serve those populations, was sought in multiple ways. (a) A community survey was conducted in Summer-Fall 2015 that asked participants to share their perceptions on the health of the community and to identity health priority areas. The survey also asked questions about the participants' current health status and barriers to care. The survey was distributed online through the health departments' websites and Facebook. In an effort to insure representation from vulnerable groups, such as low-income, minority and medically underserved populations paper copies of the survey were distributed to identify community sites that serve these populations. (b) In December 2015, a community forum was held, at which input was received from both the general public and from representatives of organizations that serve medically underserved, low-income and minority populations. (c) Multiple focus groups were held to offer opportunities for the voices of specific communities (e.g., college students, Native American tribes) to be heard. (d) Key-informant interviews were conducted with community members that work to improve the health of the community, especially within the vulnerable populations including the low-income and medically underserved. The organizations involved in the above efforts are listed below. Community Needs Assessment Team / December 2015 Community Forum - Forest County Health Department - Oneida County Health Department - Vilas County Health Department - Ministry St. Mary's Hospital - Ministry Health Care - UW-Extension - Oneida County - Division of Public Health, Northern Region Office - Commission on Aging - Marshfield Clinic - Rhinelander School District - Crandon Public Library - Lac du Flambeau School District - Oneida County Social Services - Tri-County Council on Domestic Violence and Sexual Assault - Vilas County Health Department Board of Health - Holy Family Church - UW-Extension-Forest County - Nicolet College - Ministry Health - Sacred Heart - Forest County Office on Aging - Northwoods United Way, Inc. - UW-Extension-Forest and Vilas Counties - Sokaogon Mole Lake Clinic - Family & Child Learning Center - Blackwell Job Corps - Forest County Tribal AmeriCorps - Ministry Health-Howard Young - Forest County Potawatomi Health & Wellness - City of Rhinelander Police Department - Tri-County Counsel - Department of Aging - Tri County Council - ADRC - Sunshine for Humanity - Vilas County Emergency Management - Demmer Library - Petersen Christianson Healthcare - Great Lakes Intertribal Council - Vilas County Sheriff's Department - Oneida County Social Services - Nicolet College Focus Groups: AODA Coalition Mental Health Inter-Agency Coalition LEAN Coalition Nicolet College Nursing Students RHS CHANGE/Fact Group Vilas County Fire Chief's and Emergency Services Association Community Coalition of Forest County Forest County School Administrators of Crandon, Laona and Wabeno Key Informant Interviews: Northwoods Alliance for Temporary Housing Police / Law Enforcement Tri-County Counsel on Domestic Violence University of Wisconsin-Extension School District Tribal Social Services Economic Development |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - the howard young medical center, inc.. THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITY(S) St. Mary's Hospital Eagle River Memorial Hospital |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - the howard young medical center, inc.. THE CHNA WAS CONDUCTED THE FOLLOWING NON-HOSPITAL FACILITY(S): Forest County Health Department Vilas County Health Department Oneida County Health Department |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - the howard young medical center, 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. Chronic Disease (Physical Activity & Nutrition): Improve the health and well-being of children and families in Oneida and Vilas County and create positive community health changes through active involvement in collaborative, community health coalitions. - Conducted a worksite wellness summit. - Implemented water consumption education and point of decision prompts. - Conducted healthy cooking demonstrations with multiple audiences, including Headstart families, children's museum customers, and church-going families. 2. AODA: Reduce the rate of alcohol-related hospitalizations. - Implemented a hospital medicine Alcohol Detoxification Protocol that included set orders at one hospital (Howard Young). - Continued participation in community coalitions focused on implementing strategies to reduce excessive drinking. 3. Mental Health: Increase awareness and capacity of community members accessing behavioral health services. - Hosted Mental Health Summit. - Promoted mental health awareness through displays in hospitals and clinics. 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. AODA - Actively participate in community AODA Coalition. - Improve access to substance abuse counseling and treatment. Chronic Disease - Actively participate in community chronic disease-related coalitions. - Implement a standard practice of referral to evidence-based programs to help patients manage their chronic diseases. Three programs currently offered are Living Well with Chronic Conditions, Stepping On, and Strong Women, Strong Bones. - Implement multi-component falls prevention interventions for older adults, including a Falls Prevention Stoplight patient education tool in clinical settings and the community, provider referrals to the Stepping On Program, community education and early identification of hospitalized patients at risk of falling. - Promote water consumption and provide water bottle filling stations. - Conduct a Healthy Hospital Physical Activity Environmental Scan to determine baseline and assess areas for improvement. Mental Health - Actively participate on the Mental Health Inter-Agency Coalition (MHIAC). - Expand QPR (Question, Persuade, Refer) training in the Northern Region. QPR is a nationally recognized "best practice" method for suicide prevention and education. - Promote awareness and understanding about mental health issues through trainings such as Mental Health First Aid and Crisis Intervention Team (CIT), as well as other efforts such as mindfulness and meditation training. - Grow Memory Cafes. Memory Cafes are a national trend that offers an opportunity for people experiencing early signs of memory loss and their care partners to come together for conversation and support in a social setting. There is research that supports social engagement as a successful way to maintain connection and promote mental health and well-being. The description below includes the needs not being addressed as well as the reason why the needs are not being addressed. In addition to the three health issues selected as the top priorities, stakeholders identified transportation as a concern that could impact access to services in Forest, Oneida, and Vilas counties. While this issue will not be addressed by our hospitals as a priority health need, we will provide support to those community efforts whenever possible. Transportation issues have been raised as a barrier for residents living in the three counties. Transportation can impact a person's ability to get to services to meet their needs. There is a new transportation program that has started in our area that serves Oneida and Vilas Counties. Forest County had been a partner at the table, but is no longer part of the program. The new transportation program will be addressing transportation issues and conducting a gap analysis, therefore, the hospitals will not be addressing this issue at this time. However, the hospitals' administrations are interested in knowing more about how the gaps are being filled and will be open to hearing more about these needs when the gap analysis is completed. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 6a Community benefit report prepared by related organization | THE HOWARD YOUNG MEDICAL CENTER, INC. 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, INC. NETWORK OF HOSPITALS, CLINICS AND OTHER HEALTH-RELATED ORGANIZATIONS. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | 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. |
| Schedule H, Part II Community Building Activities | Howard Young Medical Center participates in community coalitions and other collaborative efforst with the community whose pupose is to improve the health of the community. These include Northwoods LEAN Coalition, Tri-County Collaboration, Lac du Flambeau Endangered Child Taskforce and Lakeland Drug Task Force. 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. In addition, Howard Young Medical Center provides job shadowing experiences for area youth. 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. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | 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. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | The Howard Young Medical Center, Inc. has a very robust financial assistance program; therefore, no estimate is made for bad debt attributed to financial assistance eligible patients. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | From the footnote of the consolidated financial statements of Ministry Health Care, Inc., which includes the activity of The Howard Young Medical Center, Inc.: The provision for doubtful accounts is based upon management's assessment of expected net collections considering historical experience, economic conditions, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts. 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 Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Health Ministry's policies. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | 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 a community benefit. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | 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. |
| Schedule H, Part V, Section B, Line 16a FAP website | - The Howard Young Medical Center, Inc.: Line 16a URL: http://ministryhealth.org/MinistryHealth/AboutUs/BillingandPayment/FinancialAssistance.nws; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - The Howard Young Medical Center, Inc.: Line 16b URL: http://ministryhealth.org/MinistryHealth/AboutUs/BillingandPayment/FinancialAssistance.nws; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - The Howard Young Medical Center, Inc.: Line 16c URL: http://ministryhealth.org/MinistryHealth/AboutUs/BillingandPayment/FinancialAssistance.nws; |
| Schedule H, Part VI, Line 2 Needs assessment | The Organization performed a Community Health Needs Assessment in 2012 and will update it as required by the 501(r) regulations. Planning workgroups consisting of community partners are formed to define the community and its needs through review of 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 Organization's strategy and policy development. For example, senior leaders are required to provide direct service to the poor in their communities, and their hours are included as part of their performance goals. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | The Organization goes to great lengths in order to inform and educate patients/persons who may be billed for patient care about their eligibility for assistance under federal, state or local government programs and under the Organization's Charity Care Policy. The Charity Care Policy and application is posted on the Organization's website. Admissions and other key areas contain summary information of the Charity Care Policy. As part of the intake/discharge process, patients are provided with a copy of the policy and other information for financial assistance. If a patient indicates they are unable to pay their bill at any point during pre-service, admission, discharge or billing process, the financial counselors will assist the patient in either securing a funding source (grants, COBRA coverage, disability benefits, Medicaid, VA, etc.) if eligible or assist them in completing a financial assistance application. If during the course of the patient registration process, care encounter, treatment, or upon discharge it becomes evident that a patient may need financial assistance, the patient shall be referred to the Organization's Community Care Program. Patients may be identified as needing financial assistance at any time during the course of an encounter. A referral for consideration of Community Care Financial Assistance can be initiated by any member of the Hospital's workforce, including medical staff members, who become aware of the patient's potential need for Community Care Financial Assistance. The Charity Care Policy was also translated into dialects prevalent in the community in order to reach out to those that may speak another language Spanish and Hmong). Patient registration staff and financial counselors are provided with scripts to follow when interacting with patients. As part of the charity care process, patients must register with the county public assistance to see if they may qualify under any other federal or state programs. |
| Schedule H, Part VI, Line 4 Community information | 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. The Organization provided significant charity care and other community benefits as defined by the IRS. But, in addition, we believe that we provide a critically important community benefit, which is not quantified. Our Hospital, like most rural hospitals, was created and is maintained in order to provide care locally - care that without our Hospital, may not be available locally. Certain specialized services available include: diabetes education and management, speech therapy, wound care and management, palliative care services, pain management services, and inpatient dialysis services. The Howard Young Medical Center, Inc. is located in Woodruff, Wisconsin and services the surrounding communities. Per the Home Town Locator Woodruff had a population of 2,210 as of July 1, 2015. According to the 2010 census, with 18.8% under the age of 19, 4.0% from 20-24 years of age, 19.0% from 25-44 years of age, 29.7% from 45-64 years of age, and 28.5% over the age of 65. The median income in 2010 for a household was $42,306. The per capita income of the town in 2010 was $27,086. The town has a total of 35.6 square miles, of which 7.0 square miles is water. The median age is 50.3 years. Woodruff is located in Oneida County Wisconsin. According to the 2010 census, Oneida County had a population of 35,998 people, with 18.4% under the age of 18 and 21.7% over the age of 65. The median age was 48.0 years. The median household income in 2010 was $45,857. About 9.9% of the population was below the poverty level. The unemployment rate for December 2011 in Oneida County was 9.3% compared to the state rate of 7.0%. |
| Schedule H, Part VI, Line 5 Promotion of community health | The Organization strives to further its exempt purposes by the following: (1) The Organization's governing board consists primarily of persons who reside within the primary service area. They are not employees of the Organization. (2) As mentioned, the Organization provides several services which are not otherwise available being in a rural setting. (3) Based on the Organization's mission, emergency rooms are made available to all patients regardless of the ability to pay. (4) The Organization also participates in the education and training of healthcare professionals through internship programs. The Howard Young Medical Center, Inc. is also involved in the following efforts which further its tax exempt status: - The Hospital participates in government-sponsored health programs (Medicare, Medicaid, Champus, Tricare). - The facility strives to be a low-cost/low-charge provider by utilizing the lean six sigma approach to improve patient safety, patient quality of services and patient satisfaction. - The Howard Young Medical Center, Inc. emergency room serves all people regardless of their ability to pay. - Charity care is available to all in the community based on need and is subject to sliding scale discounts. - The Howard Young Medical Center, Inc. has a volunteer services program where community members utilize the Hospital as a vehicle to connect with and contribute to individuals and the overall community through volunteering. - The Howard Young Medical Center, Inc. encourages their management team to participate in the Local Good Pantry's Distribution Day. Nutritionists are available to discuss healthy food choices, clinical services such as blood pressure checks and cholesterol screening along with educational sessions have been developed. They also have networked with a local optometry office to provide eye care screenings and eyeglass assistance. |
| Schedule H, Part VI, Line 6 Affiliated health care system | 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. -HOWARD YOUNG FOUNDATION, INC. -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) (THROUGH 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. MISSION: THE SYSTEM DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE THAT SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH THE SYSTEM'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND TO OTHER VULNERABLE PERSONS, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE SYSTEM USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND FOR COMMUNITY BENEFIT PROGRAMS: * TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. * UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE, REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR PERSONS LIVING IN POVERTY AND FOR OTHER VULNERABLE PERSONS. * COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND FOR OTHER VULNERABLE PERSONS INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE PERSONS LIVING IN POVERTY AND THE OTHER VULNERABLE PERSONS OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. * COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE PERSONS LIVING IN POVERTY, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESEARCH. DISCOUNTS ARE PROVIDED TO ALL UNINSURED PATIENTS, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALIFY FOR ASSISTANCE UNDER CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY OR IN THE COST OF OTHER COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY AND OF OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA AND IS ESTIMATED BY REDUCING CHARGES FORGONE BY A FACTOR DERIVED FROM THE RATIO OF TOTAL OPERATING EXPENSES TO BILLED CHARGES FOR PATIENT CARE. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | WI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MONICA ANN HILT | ||||||||||||||
| REGIONAL CEO/PRESIDENT HYHC (THRU 1/15) | $0 | $457,522 | $0 | $238,701 | $0 | $13,465 | $0 | $33,355 | $0 | $30,794 | $0 | $773,837 | $0 | $0 |
| ANN ZENK | ||||||||||||||
| FORMER INTERIM PRESIDENT (THRU 7/15) | $0 | $193,017 | $0 | $53,794 | $0 | $30,243 | $0 | $8,712 | $0 | $18,662 | $0 | $304,428 | $0 | $0 |
| SANDY ANDERSON | ||||||||||||||
| REGIONAL VP & HOSPITAL PRESIDENT (EX-OFFICIO) | $0 | $169,117 | $0 | $0 | $0 | $1,442 | $0 | $4,434 | $0 | $8,502 | $0 | $183,495 | $0 | $0 |
| SHISHIR SHETH MD | ||||||||||||||
| EX-OFFICIO MEMBER | $0 | $538,295 | $0 | $0 | $0 | $2,287 | $0 | $30,225 | $0 | $29,768 | $0 | $600,575 | $0 | $0 |
| ELMER LINBOOM MD | ||||||||||||||
| EX-OFFICIO MEMBER | $0 | $341,043 | $0 | $0 | $0 | $18,401 | $0 | $0 | $0 | $21,212 | $0 | $380,656 | $0 | $0 |
| CATHERINE BUKOWSKI | ||||||||||||||
| FORMER OFFICER (THRU 6/13) | $0 | $212,165 | $0 | $69,706 | $0 | $7,599 | $0 | $6,625 | $0 | $12,289 | $0 | $308,384 | $0 | $0 |
| NICHOLAS DESIEN | ||||||||||||||
| MINISTRY HEALTH CARE CEO (END 12/31/15) | $0 | $1,298,254 | $0 | $1,454,145 | $0 | $47,338 | $0 | $242,978 | $0 | $28,808 | $0 | $3,071,523 | $0 | $0 |
| JEFFREY FRANCIS | ||||||||||||||
| MINISTRY HEALTH CARE CAFO (END 9/9/15) | $0 | $382,625 | $0 | $40,711 | $0 | $229,342 | $0 | $27,845 | $0 | $23,540 | $0 | $704,063 | $0 | $0 |
| DANIEL NEUFELDER | ||||||||||||||
| SVP, HOSPITAL OPERATIONS & PRESIDENT, AHS | $0 | $1,009,083 | $0 | $1,146,884 | $0 | $15,893 | $0 | $162,663 | $0 | $27,505 | $0 | $2,362,028 | $0 | $0 |
| DEBORAH KAROW | ||||||||||||||
| VP PATIENT CARE | $0 | $175,932 | $0 | $32,059 | $0 | $4,158 | $0 | $4,289 | $0 | $26,251 | $0 | $242,689 | $0 | $0 |
| LAURIE OUNGST | ||||||||||||||
| VP OPERATIONS | $0 | $185,457 | $0 | $38,046 | $0 | $1,461 | $0 | $6,732 | $0 | $2,987 | $0 | $234,683 | $0 | $0 |
| TERESA THEILER | ||||||||||||||
| VP QUALITY & PATIENT SAFETY | $0 | $150,366 | $0 | $32,152 | $0 | $1,142 | $0 | $6,509 | $0 | $12,366 | $0 | $202,535 | $0 | $0 |
| LAURIE DEMRO | ||||||||||||||
| CRNA | $227,170 | $0 | $2,752 | $0 | $655 | $0 | $29,725 | $0 | $27,049 | $0 | $287,351 | $0 | $0 | $0 |
| LONNA GROSSKOPF | ||||||||||||||
| CRNA | $230,033 | $0 | $800 | $0 | $1,837 | $0 | $26,408 | $0 | $23,426 | $0 | $282,504 | $0 | $0 | $0 |
| ANGELENE TIMMERMAN | ||||||||||||||
| CRNA | $226,933 | $0 | $1,100 | $0 | $1,173 | $0 | $25,093 | $0 | $29,536 | $0 | $283,835 | $0 | $0 | $0 |
| KEVIN KRUEGER | ||||||||||||||
| CRNA | $224,927 | $0 | $0 | $0 | $1,919 | $0 | $25,788 | $0 | $21,123 | $0 | $273,757 | $0 | $0 | $0 |
| DAVID SELL | ||||||||||||||
| CRNA | $220,341 | $0 | $800 | $0 | $1,340 | $0 | $25,596 | $0 | $29,814 | $0 | $277,891 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Explanation | MINISTRY HEALTH CARE, INC., A RELATED ORGANIZATION OF EAGLE RIVER MEMORIAL HOSPITAL, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | The following individual(s) received severance payments from the organization or a related organization: jEFFREY fRANCIS - $225,000 |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | 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 from the supplemental non-qualified retirement plan were made in the current year. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wendy Hunter | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Sister of Deborah Karow | RelationshipDescriptionTxt |
| Transaction | $49,487 | TransactionAmt |
| Transaction | Wendy Hunter is an employee of The Howard Young Medical Center, Inc. and receives compensation from the organization. | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | Medical Equipment | Desc |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $109,110 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule M, Part I Explanations of reporting method for number of contributions | FormAndLineReferenceDesc |
| Explanation | Other - Medical Equipment: Number of items received. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15 COMPENSATION OF OFFICERS | IN DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS PERFORMED BY MINISTRY HEALTH CARE, INC., A RELATED ORGANIZATION OF THE HOWARD YOUNG MEDICAL CENTER, 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. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS 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 THE HOWARD YOUNG MEDICAL CENTER, 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 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. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | The Howard Young Medical Center, Inc. has a single corporate member, Howard Young Health Care, Inc. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | The Howard Young Medical Center, Inc. has a single corporate member, Howard Young Health Care, Inc., who has the ability to elect members to the governing body of The Howard Young Medical Center, Inc. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | All decisions that have a material impact to The Howard Young Medical Center, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, Howard Young Health Care, Inc. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | 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. |
| Form 990, Part VI, Line 12c Conflict of interest policy | The organization regularly and consistently monitors and enforces compliance with the Conflict of Interest Policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the Conflicts of Interest Policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. |
| Form 990, Part VI, Line 19 Required documents available to the public | The 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 of Interest 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. |
| Form 990, Part VIII, Line 2f Other Program Service Revenue | Miscellaneous Program Revenue - Total Revenue: 47076, Related or Exempt Function Revenue: 44523, Unrelated Business Revenue: 2553, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Management Fee from Affiliate - Total Revenue: 80345, Related or Exempt Function Revenue: 80345, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Transfers with Affiliates - -14164103; Change in Temp Restricted Funds - 159776; Equity Transfer to MMG Woodruff - -468689; Trust Distribution & Realized Gain - -249804; Trust Market Adjustment - -2567194; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ASCENSION HEALTH ALLIANCE | ||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 453358926 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3 | Type I | NA | false |
| ASCENSION HEALTH | ||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 311662309 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3 | Type I | ASCENSION HEALTH ALLIANCE | false |
| MINISTRY HEALTH CARE INC | ||||||||||
| 10925 W LAKE PARK DR STE 100 | MILWAUKEE | WI | 53224 | 391490371 | PARENT CORPORATION | WI | 501(c)(3 | Type II | ASCENSION HEALTH | false |
| AGAPE COMMUNITY CENTER OF MILWAUKEE INC | ||||||||||
| 6100 NORTH 42ND STREET | MILWAUKEE | WI | 53209 | 391461846 | COMMUNITY CENTER | WI | 501(c)(3 | 7 | MINISTRY HEALTH CARE INC | Yes (true) |
| CALUMET MEDICAL CENTER INC | ||||||||||
| 614 MEMORIAL DRIVE | CHILTON | WI | 53014 | 390905385 | HOSPITAL | WI | 501(c)(3 | 3 | AFFINITY HEALTH SYSTEM | Yes (true) |
| CATALPA HEALTH INC | ||||||||||
| N4642 COUNTY N | APPLETON | WI | 54914 | 454681563 | MENTAL HEALTH FACILITY | WI | 501(c)(3 | 3 | ST ELIZABETH HOSPITAL INC | Yes (true) |
| SAINT MICHAEL'S FOUNDATION OF STEVENS POINT INC | ||||||||||
| 900 ILLINOIS AVENUE | STEVENS POINT | WI | 54481 | 391657410 | CHARITABLE FOUNDATION | WI | 501(c)(3 | Type I | SAINT MICHAEL'S HOSPITAL OF STEVENS POINT | Yes (true) |
| DOOR COUNTY MEMORIAL HOSPITAL | ||||||||||
| 323 SOUTH 18TH AVENUE | STURGEON BAY | WI | 54235 | 390806324 | HOSPITAL | WI | 501(c)(3 | 3 | MINISTRY HEALTH CARE INC | Yes (true) |
| DR KATE NEWCOMB CONVALESCENT CENTER INC | ||||||||||
| PO BOX 829 | WOODRUFF | WI | 54568 | 391357365 | NURSING/ASSISTED LIVING SERVICES | WI | 501(c)(3 | 9 | HOWARD YOUNG HEALTH CARE INC | Yes (true) |
| EAGLE RIVER MEMORIAL HOSPTIAL INCORPORATED | ||||||||||
| 201 HOSPITAL ROAD | EAGLE RIVER | WI | 54521 | 390985690 | HOSPITAL | WI | 501(c)(3 | 3 | THE HOWARD YOUNG MEDICAL CENTER INC | Yes (true) |
| FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC | ||||||||||
| 3400 MINISTRY PARKWAY | WESTON | WI | 54476 | 753193633 | CHARITABLE FOUNDATION | WI | 501(c)(3 | Type I | MINISTRY HEALTH CARE INC | Yes (true) |
| FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD | ||||||||||
| 611 SAINT JOSEPH AVENUE | MARSHFIELD | WI | 54449 | 391684957 | CHARITABLE FOUNDATION | WI | 501(c)(3 | Type I | SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC | Yes (true) |
| GOOD SAMARITAN HEALTH CENTER OF MERRILL WISCONSIN INC | ||||||||||
| 601 SOUTH CENTER AVENUE | MERRILL | WI | 54452 | 390808503 | HOSPITAL | WI | 501(c)(3 | 3 | MINISTRY HEALTH CARE INC | Yes (true) |
| GOOD SAMAARITAN HEALTH CENTER FOUNDATION OF MERRILL WISCONSIN INC | ||||||||||
| 601 SOUTH CENTER AVENUE | MERRILL | WI | 54452 | 391627755 | CHARITABLE FOUNDATION | WI | 501(c)(3 | Type I | GOOD SAMARITAN HEALTH CENTER OF MERRILL WISCONSIN INC | Yes (true) |
| HOWARD YOUNG FOUNDATION INC | ||||||||||
| 240 MAPLE STREET | WOODRUFF | WI | 54568 | 391521169 | CHARITABLE FOUNDATION | WI | 501(c)(3 | 7 | HOWARD YOUNG HEALTH CARE INC | Yes (true) |
| HOWARD YOUNG HEALTH CARE INC | ||||||||||
| 240 MAPLE STREET | WOODRUFF | WI | 54568 | 391499115 | HOME OFFICE | WI | 501(c)(3 | Type II | MINISTRY HEALTH CARE INC | Yes (true) |
| MERCY HEALTH FOUNDATION INC | ||||||||||
| PO BOX 3370 | OSHKOSH | WI | 54903 | 237140261 | CHARITABLE FOUNDATION | WI | 501(c)(3 | 9 | AFFINITY HEALTH SYSTEM | Yes (true) |
| MERCY MEDICAL CENTER OF OSHKOSH INC | ||||||||||
| 500 S OAKWOOD ROAD | OSHKOSH | WI | 54904 | 390806268 | HOSPITAL | WI | 501(c)(3 | 3 | MINISTRY HEALTH CARE INC | Yes (true) |
| MINISTRY MEDICAL GROUP INC | ||||||||||
| 824 ILLINOIS AVENUE | STEVENS POINT | WI | 54481 | 391965593 | CLINICS | WI | 501(c)(3 | Type III-FI | MINISTRY HEALTH CARE INC | Yes (true) |
| MINISTRY WEIGHT MANAGEMENT | ||||||||||
| 2251 NORTH SHORE DRIVE | RHINELANDER | WI | 54501 | 391829015 | HEALTH SERVICES | WI | 501(c)(3 | 3 | SACRED HEART-ST MARY'S HOSPITALS INC | Yes (true) |
| NETWORK HEALTH SYSTEM INC | ||||||||||
| 1570 APPLETON RD | MENASHA | WI | 54952 | 391127163 | CLINICAL HEALTHCARE SERVICES | WI | 501(c)(3 | 3 | AFFINITY HEALTH SYSTEM | Yes (true) |
| OUR LADY OF VICTORY HOSPITAL | ||||||||||
| 1120 PINE STREET | STANLEY | WI | 54768 | 390807065 | HOSPITAL | WI | 501(c)(3 | 3 | MINISTRY HEALTH CARE INC | Yes (true) |
| SACRED HEART-STMARY'S HOSPITALS INC | ||||||||||
| PO BOX 347 | STEVENS POINT | WI | 54481 | 391390638 | HOSPITAL | WI | 501(c)(3 | 3 | MINISTRY HEALTH CARE INC | Yes (true) |
| SAINT CLARE'S HOSPITAL OF WESTON INC | ||||||||||
| 3400 MINISTRY PARKWAY | WESTON | WI | 54476 | 721531917 | HOSPITAL | WI | 501(c)(3 | 3 | MINISTRY HEALTH CARE INC | Yes (true) |
| SAINT ELIZABETH'S HOSPITAL OF WABASHA INC | ||||||||||
| 1200 GRANT BLVD WEST | WABASHA | MN | 55981 | 410693877 | HOSPITAL | MN | 501(c)(3 | 3 | MINISTRY HEALTH CARE INC | Yes (true) |
| ST ELIZABETH HOSPITAL FOUNDATION INC | ||||||||||
| 1506 S ONEIDA STREET | APPLETON | WI | 54915 | 391256677 | CHARITABLE FOUNDATION | WI | 501(c)(3 | 7 | AFFINITY HEALTH SYSTEM | Yes (true) |
| ST ELIZABETH HOSPITAL INC | ||||||||||
| 1506 S ONEIDA STREET | APPLETON | WI | 54915 | 390816818 | HOSPITAL | WI | 501(c)(3 | 3 | MINISTRY HEALTH CARE INC | Yes (true) |
| SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC | ||||||||||
| 611 SAINT JOSEPH AVENUE | MARSHFIELD | WI | 54449 | 391847631 | HOSPITAL | WI | 501(c)(3 | 3 | MINISTRY HEALTH CARE INC | Yes (true) |
| SAINT MICHAEL'S HOSPITAL OF STEVENS POINT INC | ||||||||||
| 900 ILLINOIS AVENUE | STEVENS POINT | WI | 54481 | 390808443 | HOSPITAL | WI | 501(c)(3 | 3 | MINISTRY HEALTH CARE INC | Yes (true) |
| AFFINITY HEALTH SYSTEM | ||||||||||
| 1570 MIDWAY PLACE | MENASHA | WI | 54952 | 391568866 | SUPPORT RELATED HEALTHCARE ORGANZIATIONS | IL | 501(c)(3 | Type II | MINISTRY HEALTH CARE INC | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TWIN MED LLP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8005 | AddressLine1Txt |
| City | MENASHA | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54952 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391180341 | EIN |
| Primary Activities | RENTAL PROPERTY | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | N/A | PredominantIncomeTypeTxt |
| Ownership | 0 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Sacred Heart-St Mary's Hospital Inc | ||
| O | $565,207 | FMV |
| Eagle River Memorial Hospital Inc | ||
| O | $826,060 | FMV |
| Ministry Medical Group Inc | ||
| O | $2,904,820 | FMV |
| Saint Michael's Hospital Inc | ||
| M | $139,470 | FMV |
| Sacred Heart-St Mary's Hospitals Inc | ||
| J | $171,590 | FMV |
| Sacred Heart-St Mary's Hospitals Inc | ||
| Q | $132,000 | FMV |
| Eagle River Memorial Hospital Inc | ||
| Q | $111,770 | FMV |
| Howard Young Foundation Inc | ||
| C | $213,732 | FMV |
Comments