Mercy Medical Center of Oshkosh Inc: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: Mercy Medical Center of Oshkosh Inc (EIN 39-0806268)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-16
IRS object ID: 201601379349310940
Schema version: 2014v6.0
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-16T19:37:08-05:00	ReturnTs
Tax Period End	2015-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	861065772	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Deloitte Tax LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	555 East Wells Street Suite 1400	AddressLine1Txt
City	Milwaukee	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	390806268	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Medical Center of Oshkosh Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MERC	BusinessNameControlTxt
Phone	9207382000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 South Oakwood Road	AddressLine1Txt
City	Oshkosh	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54904	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Brian Regan	PersonNm
Person Title	Interim CFO	PersonTitleTxt
Signature	2016-05-16	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Becker	PreparerPersonNm
PTIN	P00966076	PTIN
Phone	4142713000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JEREMY NORMINGTON-SLAY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 South Oakwood Road	AddressLine1Txt
City	Oshkosh	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54904	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$111,006,272	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.AFFINITYHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1891	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	To further the healing ministry of Jesus by improving the health and well-being of all people.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	872	TotalEmployeeCnt
Total Volunteers	555	TotalVolunteersCnt
Total Gross UBI	$113,646	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$70,801	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$35,970	PYContributionsGrantsAmt
CY Contributions Grants	$300,647	CYContributionsGrantsAmt
PY Program Service Revenue	$103,697,436	PYProgramServiceRevenueAmt
CY Program Service Revenue	$107,138,132	CYProgramServiceRevenueAmt
PY Investment Income	$93,874	PYInvestmentIncomeAmt
CY Investment Income	-$129,465	CYInvestmentIncomeAmt
PY Other Revenue	$2,755,662	PYOtherRevenueAmt
CY Other Revenue	$3,340,731	CYOtherRevenueAmt
PY Total Revenue	$106,582,942	PYTotalRevenueAmt
CY Total Revenue	$110,650,045	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,000	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	$50,226,679	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$52,372,103	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$51,865,069	PYOtherExpensesAmt
CY Other Expenses	$48,821,182	CYOtherExpensesAmt
PY Total Expenses	$102,096,748	PYTotalExpensesAmt
CY Total Expenses	$101,193,285	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,486,194	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$9,456,760	CYRevenuesLessExpensesAmt
Total Assets BOY	$135,184,153	TotalAssetsBOYAmt
Total Assets EOY	$143,405,746	TotalAssetsEOYAmt
Total Liabilities BOY	$68,163,657	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$66,923,860	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$67,020,496	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$76,481,886	NetAssetsOrFundBalancesEOYAmt
Mission	The mission of Mercy Medical Center of Oshkosh, Inc. is to live out the healing ministry of Christ by providing services that promote the health and well-being of the communities we serve, especially the poor.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$78,208,282	ExpenseAmt
Revenue	$109,210,516	RevenueAmt
Desc	MERCY MEDICAL CENTER OF OSHKOSH, INC. PROUDLY SERVES THE OSHKOSH COMMUNITY WITH A HISTORY OF MORE THAN A CENTURY OF QUALITY CARE. THE FACILITY PROVIDES TOTAL HEALTH CARE, INCLUDING EMERGENCY/TRAUMA CARE AND SURGICAL SERVICES AS WELL AS MANY MEDICAL SPECIALTIES SUCH AS CARDIOLOGY, ONCOLOGY, ORTHOPEDICS, INTENSIVE CARE, OBSTETRICS AND NEUROSURGERY. MERCY IS THE HOME OF THE KENNEDY CENTER FOR THE HIP AND KNEE, A NATIONALLY-RECOGNIZED PROGRAM FOR HIP REPLACEMENT. WITH 157 PATIENT BEDS AND MORE THAN 300 MEDICAL STAFF, MERCY MEDICAL CENTER TREATS PATIENTS WITH DIGNITY AND COMPASSION. AVAILABLE SERVICES: CANCER; CARDIAC REHABILITATION; CARDIOVASCULAR SURGERY; DIABETES, NUTRITION AND ENDOCRINOLOGY; ER; GENERAL SURGERY; GYNECOLOGY; HOSPITALIST; LABORATORY; LIFELINE HOME MONITORING; NEPHROLOGY; OBSTETRICS; ORTHOPEDICS; PAIN MANAGEMENT; PALLIATIVE CARE (END OF LIFE CARE); PHARMACY; PSYCHIATRY/PSYCHOLOGY; PULMONOLOGY; RADIOLOGY; REHABILITATION SERVICES; SLEEP LAB; SPIRITUAL SERVICES; SPORTS MEDICINE; VASCULAR MEDICINE; WOUND CARE.	Desc
Total Program Service Expenses	$78,208,282	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	false	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	false	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	61	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	872	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	15	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	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 (29 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
WILLIAM J CALHOUN
PRESIDENT (END 9/2014)	40.00	15.30	Yes (X)	Yes (X)	$0	$431,695	$14,940
MONICA ANN HILT
VP EASTERN REGION, MHC (START 1/11/2015)	3.00	41.90	Yes (X)	Yes (X)	$0	$572,461	$19,954
STEPHEN C MORTON
CHAIRMAN	0.40	1.10	Yes (X)	Yes (X)	$0	$0	$0
KATHRYN SIEMAN
TREASURER	0.40	1.10	Yes (X)	Yes (X)	$0	$0	$0
WAYNE TREMBLY
SECRETARY	0.40	1.10	Yes (X)	Yes (X)	$0	$0	$0
LANE EARNS
BOARD MEMBER	0.40	1.10	Yes (X)		$0	$0	$0
MARK W FAUSTICH MD
BOARD MEMBER	0.40	40.70	Yes (X)		$0	$465,056	$3,699
MARY HARP-JIRSCHELE
BOARD MEMBER	0.40	1.10	Yes (X)		$0	$0	$0
FREDERICK KLEIN MD
BOARD MEMBER	0.40	1.10	Yes (X)		$0	$0	$0
JOSEPH MCCORMICK MD
BOARD MEMBER	0.40	1.10	Yes (X)		$0	$456,058	$21,532
KEVIN RALOFSKY
BOARD MEMBER	0.40	0.80	Yes (X)		$0	$0	$0
STACEY SENSOR DO
BOARD MEMBER	0.40	41.00	Yes (X)		$0	$526,309	$23,275
SUDEEP SODHI MD
BOARD MEMBER	0.40	40.70	Yes (X)		$0	$829,590	$21,095
BARBARA J STRAND MD
BOARD MEMBER	0.40	40.70	Yes (X)		$0	$369,312	$7,343
MONICA VOMASTIC
BOARD MEMBER	0.40	1.10	Yes (X)		$0	$0	$0
MARLIN GREENFIELD
BOARD MEMBER	0.40	1.10	Yes (X)		$0	$0	$0
JAY SAUTER
BOARD MEMBER (END 9/30/14)	0.30	0.40	Yes (X)		$0	$0	$0
TRAVIS ANDERSON
HOSPITAL PRES-STE-APP (END 8/2014)	0.00	27.50		Yes (X)	$0	$344,821	$13,716
NICHOLAS DESIEN
MINISTRY HEALTH CARE CEO	0.40	55.20		Yes (X)	$0	$2,134,343	$18,803
JEFFREY FRANCIS
MINISTRY HEALTH CARE CAFO	0.40	54.40		Yes (X)	$0	$1,021,840	$19,803
DANIEL NEUFELDER
SR.VP - HOSPITAL OPS	0.40	62.90		Yes (X)	$0	$1,071,649	$17,365
JEREMY NORMINGTON-SLAY
HOSPITAL PRESIDENT-MMC (START 9/29/14)	40.30	0.30		Yes (X)	$0	$70,651	$2,362
MARK KEHRBERG MD
CHIEF MEDICAL OFFICER AHS	10.00	30.60			$0	$487,342	$16,019	Yes (X)
DAVID K HOFFMAN
PHARMACIST	35.00	0			$165,664	$0	$16,498		Yes (X)
MICHAEL R MILLER
PHARMACIST	35.00	0			$141,548	$0	$17,649		Yes (X)
MATTHEW T SCHETTLE
PHARMACIST	35.00	0			$145,834	$0	$19,187		Yes (X)
NICHOLAS A SYLVIA
PHARMACY DIRECTOR	40.00	0			$175,520	$0	$1,103		Yes (X)
MICHAEL ZERNZACH
CLINICAL STAFF PHARMACIST	40.00	0			$138,576	$0	$7,725		Yes (X)
JEFF BADGER
FORMER OFFICER	0.00	0.00			$0	$659,840	$13,832			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$767,143	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,440,966	TotReportableCompRltdOrgAmt
Total Other Compensation	$275,900	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	24	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 (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
KENNEDY CENTER FOR THE HIP & KNEE
2700 W NINTH ST	SUITE 125	OSHKOSH	WI	54904	SALARIES/PROFESSIONAL FEES	$4,520,412
ADVANCED ICU CARE INC
PO BOX 671773		DALLAS	TX	75267	PHYSICIAN SERVICES	$506,574
GUNDERSON INC
41 MAIN STREET		MENASHA	WI	54952	LINEN SERVICE	$328,202
MEDICAL STAFFING SOLUTIONS INC
PO BOX 101		RICE LAKE	WI	54868	STAFFING AGENCY	$315,070
MARSHFIELD LABORATORIES
1000 NORTH OAK AVE		MARSHFIELD	WI	54449	LABORATORY FEES	$221,600

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	10	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$262,175	RelatedOrganizationsAmt
Government Grants	$38,472	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$32,542	NoncashContributionsAmt
Total Contributions	$300,647	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	621100	$104,981,140	$104,981,140
RENT FROM EXEMPT ORG	531190	$1,273,475	$1,273,475
SLEEP LAB REVENUE	622999	$319,332	$319,332
OTHER PROGRAM SERVICE	900099	$279,685	$169,017	$110,668
PHARMACY	446110	$284,500	$284,500

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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)
Total Program Service Revenue	$107,138,132	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$129,465	TotalRevenueColumnAmt
Exclusion	-$129,465	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$810,850	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$175,505	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$635,345	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$635,345	TotalRevenueColumnAmt
Exclusion	$635,345	ExclusionAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$202,017	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$180,722	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,295	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$21,295	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
EHR INCENTIVE PYMNT	900099	$1,922,401	$1,922,401
CAFETERIA INCOME	446110	$501,039		$2,978	$498,061
EQUITY INT. IN AFL	900099	$46,977	$46,977

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$213,674	TotalRevenueColumnAmt
Related Or Exempt Func Income	$213,674	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,684,091	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$110,650,045	TotalRevenueColumnAmt
Related Or Exempt Func Income	$109,210,516	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$113,646	UnrelatedBusinessRevenueAmt
Exclusion	$1,025,236	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$40,389,443	TotalAmt
Program Services	$31,683,238	ProgramServicesAmt
Management And General	$8,706,205	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,369,589	TotalAmt
Program Services	$1,369,589	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,285,281	TotalAmt
Program Services	$5,885,950	ProgramServicesAmt
Management And General	$2,399,331	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,327,790	TotalAmt
Program Services	$2,327,790	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$19,495	TotalAmt
Program Services	$245	ProgramServicesAmt
Management And General	$19,250	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$30,538	TotalAmt
Program Services	$30,538	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$8,269	TotalAmt
Management And General	$8,269	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,650,258	TotalAmt
Program Services	$5,388,221	ProgramServicesAmt
Management And General	$1,262,037	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,632,483	TotalAmt
Program Services	$14,090,227	ProgramServicesAmt
Management And General	$542,256	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,959	TotalAmt
Program Services	$1,959	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,999,427	TotalAmt
Program Services	$1,359,181	ProgramServicesAmt
Management And General	$640,246	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$365,300	TotalAmt
Program Services	$95,226	ProgramServicesAmt
Management And General	$270,074	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,154,269	TotalAmt
Program Services	$2,154,269	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,946,981	TotalAmt
Program Services	$5,212,545	ProgramServicesAmt
Management And General	$734,436	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$437,957	TotalAmt
Program Services	$431,837	ProgramServicesAmt
Management And General	$6,120	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PURCHASED SERVICES	$8,289,426	$3,652,418	$4,637,008
DRUGS	$3,945,765	$3,930,345	$15,420
FOOD	$430,616	$383,751	$46,865
DUES, RECRUITING	$172,360	$30,001	$142,359

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,736,079	TotalAmt
Program Services	$180,952	ProgramServicesAmt
Management And General	$3,555,127	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$101,193,285	TotalAmt
Program Services	$78,208,282	ProgramServicesAmt
Management And General	$22,985,003	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$13,697,726	BOYAmt
EOY	$22,559,931	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$12,874,688	BOYAmt
EOY	$15,316,043	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,493,556	BOYAmt
EOY	$2,651,894	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$243,603	BOYAmt
EOY	$440,865	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$103,590,621	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$11,020,730	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$95,070,152	BOYAmt
EOY	$92,569,891	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$10,804,428	BOYAmt
EOY	$9,867,122	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$135,184,153	BOYAmt
EOY	$143,405,746	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$19,055,703	BOYAmt
EOY	$20,046,011	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$164,919	BOYAmt
EOY	$13,069	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$48,943,035	BOYAmt
EOY	$46,864,780	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$68,163,657	BOYAmt
EOY	$66,923,860	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$65,468,356	BOYAmt
EOY	$75,065,030	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$838,140	BOYAmt
EOY	$702,851	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$714,000	BOYAmt
EOY	$714,005	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$67,020,496	BOYAmt
EOY	$76,481,886	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$135,184,153	BOYAmt
EOY	$143,405,746	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$9,456,760	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$4,630	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	false	FederalGrantAuditRequiredInd

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	$8,269	OtherActivitiesAmt
Total Lobbying Expenditures	$8,269	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. Mercy Medical Center of Oshkosh, 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.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$229,791	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$59,992	InvestmentEarningsOrLossesAmt
Administrative Expenses	$3,503	AdministrativeExpensesAmt
End Year Balance	$166,296	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$126,592	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$110,077	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$6,878	AdministrativeExpensesAmt
End Year Balance	$229,791	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$93,573	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$44,639	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$11,620	AdministrativeExpensesAmt
End Year Balance	$126,592	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	-$15,262	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$116,721	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$7,886	AdministrativeExpensesAmt
End Year Balance	$93,573	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	-$10,260	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	-$4,890	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$112	AdministrativeExpensesAmt
End Year Balance	-$15,262	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	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,977,526	OtherCostOrOtherBasisAmt
Book Value	$9,977,526	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$71,246,022	OtherCostOrOtherBasisAmt
Depreciation	$4,868,889	DepreciationAmt
Book Value	$66,377,133	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,041,623	OtherCostOrOtherBasisAmt
Depreciation	$127,416	DepreciationAmt
Book Value	$1,914,207	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,922,877	OtherCostOrOtherBasisAmt
Depreciation	$6,024,425	DepreciationAmt
Book Value	$13,898,452	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$402,573	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$402,573	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$92,569,891	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
A/R - ALL OTHER	$4,426,343
OTHER LONG TERM ASSETS	$2,858,584
INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE	$1,606,730
UNEMPLOYMENT DEPOSIT	$975,465

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$9,867,122	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
INTERCOMPANY DEBT WITH MINISTRY HEALTH CARE, INC.	$42,775,688
PENSION LIABILITY	$2,315,211
OTHER LONG TERM LIABILIITY	$1,032,982
DUE TO THIRD PARTY	$740,899

Field	Value	IRS element (for citing)
Total Liability	$46,864,780	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	To support the mission and priorities of Mercy Medical Center, with an emphasis on charity care for the uninsured poor and continuing education of employees.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	From the consolidated audited financial statements of Ministry Health Care, Inc. which includes the activity of Mercy Medical Center of Oshkosh, Inc.: The Health Ministry 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.

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
Percent200	Yes (X)	Percent200Ind
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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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)
Total Community Benefit Expns	$261,990	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$261,990	NetCommunityBenefitExpnsAmt
Total Expense	0.0026	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,913,818	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,913,818	NetCommunityBenefitExpnsAmt
Total Expense	0.0288	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$245,695	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$245,695	NetCommunityBenefitExpnsAmt
Total Expense	0.0024	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	$3,421,503	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,421,503	NetCommunityBenefitExpnsAmt
Total Expense	0.0338	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	1263	PersonsServedCnt
Total Community Benefit Expns	$601,472	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,482	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$595,990	NetCommunityBenefitExpnsAmt
Total Expense	0.0059	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	5	PersonsServedCnt
Total Community Benefit Expns	$449,068	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,390	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$411,678	NetCommunityBenefitExpnsAmt
Total Expense	0.0041	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,982,218	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,793,170	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$189,048	NetCommunityBenefitExpnsAmt
Total Expense	0.0019	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	9	ActivitiesOrProgramsCnt
Persons Served	4233	PersonsServedCnt
Total Community Benefit Expns	$336,277	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$336,276	NetCommunityBenefitExpnsAmt
Total Expense	0.0033	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	5501	PersonsServedCnt
Total Community Benefit Expns	$5,369,035	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,836,043	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,532,992	NetCommunityBenefitExpnsAmt
Total Expense	0.0151	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	5501	PersonsServedCnt
Total Community Benefit Expns	$8,790,538	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,836,043	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,954,495	NetCommunityBenefitExpnsAmt
Total Expense	0.0490	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	1	ActivitiesOrProgramsCnt
Persons Served	75	PersonsServedCnt
Total Community Benefit Expns	$6,455	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,455	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	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	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

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	25	PersonsServedCnt
Total Community Benefit Expns	$115	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$115	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	100	PersonsServedCnt
Total Community Benefit Expns	$6,570	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,570	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$4,318,292	BadDebtExpenseAmt
Reimbursed By Medicare	$37,258,823	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$44,902,941	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,644,118	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	MERCY MEDICAL CENTER OF OSHKOSH INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 SOUTH OAKWOOD ROAD	AddressLine1Txt
City	OSHKOSH	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54904	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.AFFINITYHEALTH.ORG	WebsiteAddressTxt
State License	186	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	MERCY MEDICAL CENTER OF OSHKOSH 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	12	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://www.affinityhealth.org/Affinity-Files/Community-Health-Needs-Assessments/FY2013-MMC-CHNA-2013	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	12	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	http://www.affinityhealth.org/Affinity-Files/Community-Health-Needs-Assessments/FY2013_MMC_Implement	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	2.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	4.0	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
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/Ministry_Health_Care/Financial_Assistance_Program_RC08.pdf	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	http://ministryhealth.org/Ministry_Health_Care/MHC_FinancialAid_Application_REV4.pdf	FAPAppAvailableOnWebsiteURLTxt
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 - MERCY MEDICAL CENTER OF OSHKOSH, INC.. Mercy Medical Center of Oshkosh, Inc. participated in the assessment processes that gathered input from both private and public Winnebago, Calumet, and Outagamie organization members including: medical staff, nurses and administrators, clinic personnel, public health nurses and educators, behavioral health staff and leaders, health insurance-health management staff, elementary, high school, and post high school educators, police and emergency personnel, child, women's, family and senior social services, as well as interested community members in the health needs assessment process, and service users. Throughout the assessment process, several Affinity representatives participated as members of the Fox Valley and Southern Winnebago L.I.F.E. study and/or the Fox Valley Regional Community Health Coalition. Leona Whitman, Manager of the Living Healthy Community Clinic, was consulted about the medically underserved community health needs. Winnebago County Public Health Experts: -Doug Gieryn, Director/Health Officer, Winnebago County Health Department, has twenty years public health experience with the last nine as Director/Health Officer for Winnebago County. He has previous experience with the City of Milwaukee specializing in environmental health, communicable disease, tuberculosis and refugee health. In 2010, he served as President of the Wisconsin Public Health Association. He has provided oversight of the consolidation of three local public health agencies in Winnebago County in a two-year process ending in 2012. -Denise Krueger, Public Health Nurse, Winnebago County Health Department Has twenty-five years RN experience in Emergency, Home Health and Public Health. thirteen years as public health nurse with the City of Oshkosh and she served as interim health officer for Oshkosh, conducting and overseeing community needs assessments, from 2011 until consolidation with Winnebago County in May 2012. She brought together and served as the chair for what is now the re:TH!NK Nutrition, Diabetes and Obesity (NOD) Committee, currently serving as the public health liaison.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - MERCY MEDICAL CENTER OF OSHKOSH, INC.. The CHNA was conducted with St. Elizabeth's Hospital, Calumet Medical Center, ThedaCare and Aurora Health.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - Mercy Medical Center of Oshkosh, Inc.. The CHNA was conducted with the Health Departments of the city of Appleton, the city of Menasha, Calumet County, Outagamie County & Winnebago County.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Mercy Medical Center of Oshkosh, Inc.. Using the CHNA completed in fiscal year 2013, the hospital developed, adopted, and worked on executing an Implementation Strategy adopted in Fiscal Year 2013 (tax year 2012) to address priority community health needs. In 2014, the hospital implemented the following plan to address the priority needs: 1. Obesity: Reduce obesity in Fox Valley residents: Organize a kick-off event for Weight of the Fox Valley action teams. Expand Weight of the Fox Valley's web and social media presence. Establish a process to share BMI information between Weight of the Fox Valley partners. Increase awareness among Fox Valley residents about active community events and opportunities. 2. Mental Health: Decrease the rate of suicide and illegal drug use in the Fox Valley: Create QPR Portal to promote QPR training and resources, Provide QPR training to school leaders and healthcare providers in the Oshkosh area. Expand QPR trainings to Spanish speaking population in the area. Create community-wide suicide prevention collaboration. Advocate to make Narcan available to families of at-risk users of heroin. Provide educational programs for school and community re heroin. Needs Not Being Addressed: Alcohol consumption, asthma prevalence, preventive health services, smoking. Reasons/Narrative: Alcohol consumption (frequency and amount) is being addressed by Winnebago County re:TH!NK alcohol prevention and control, a program of the Winnebago County Health Department. Asthma prevalence is being addressed on a case by case basis through individual physicians in Affinity Medical Group Medical Home practices. This concern has not yet emerged as an actionable priority at the community level. Preventive health services are available through primary care services at the Living Healthy Community Clinic and Fox Cities Community Health Center for uninsured and under-insured low income individuals and families, as well as through the Wisconsin Well Woman Program. Gaps in services have not yet been addressed by the community. Smoking is being addressed by re:TH!NK tobacco prevention and control, a program of the Winnebago County Health Department and Affinity's "Call it Quits" program.

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 3c Financial Assistance	It is the policy of Mercy Medical Center of Oshkosh, Inc. to provide medically necessary health care services to people in the communities it serves, regardless of their ability to pay. Affinity Care financial assistance is granted based upon the patients' inability to pay and to individuals who are uninsured, under insured or medically indigent. Affinity Care works in collaboration with other financial (both public and private) assistance programs. This is to ensure holistic wellness of patients by facilitating knowledge of available services and programs for health while practicing good stewardship of funds. Key criteria utilized to determine eligibility for Affinity Care financial assistance includes family size, federal poverty income guidelines and available assets. The available asset test includes consideration of the amount of equity in a home, automobiles and savings accounts which are considered part of total allowable income when assessing against the federal poverty income guidelines.
Schedule H, Part I, Line 6a Annual Community Benefit Report	Mercy Medical Center of Oshkosh, 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 network of hospitals, clinics and other health-related organizations.
Schedule H, Part VI, Line 7 List of States	List of States Receiving Community Benefit Report: WI
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. Prior year cost report settlements are excluded from the shortfall calculation in order to get a true fiscal year shortfall amount.
Schedule H, Part II Community Building Activities	Community building activities include programs that, while not directly related to health care, provide opportunities to address the root causes of health problems, such as poverty, homelessness and environmental problems. These activities support community assets by offering the expertise and resources of the organization. Costs for these activities include cash, in-kind donations and expenditures for the development of a variety of community health programs and partnerships.
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	Mercy Medical Center of Oshkosh, 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 consolidated audited financial statements of Ministry Health Care, Inc. (which includes the activity of Mercy Medical Center of Oshkosh, 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. The methodology for determining the allowance for doubtful accounts and related write-offs on uninsured patient accounts has remained consistent with the prior year.
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 community benefit.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	Mercy Medical Center of Oshkosh, Inc. 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	- MERCY MEDICAL CENTER OF OSHKOSH, INC.: Line 16a URL: http://ministryhealth.org/Ministry_Health_Care/Financial_Assistance_Program_RC08.pdf;
Schedule H, Part V, Section B, Line 16b FAP Application website	- MERCY MEDICAL CENTER OF OSHKOSH, INC.: Line 16b URL: http://ministryhealth.org/Ministry_Health_Care/MHC_FinancialAid_Application_REV4.pdf;
Schedule H, Part VI, Line 2 Needs assessment	Mercy Medical Center of Oshkosh, Inc. performs Community Health Needs Assessments as needed. Planning work groups consisting of community partners (e.g. Community Health Improvement Partnership (CHIP)) are formed to define the community and its health needs through review of United Way Life Study results, healthy people initiatives, census documents, and local government health and welfare agencies. Considering other community resources/assets, data collection methods are used to identify particular problems or subgroups and areas known to have high poverty rates and to be under served. 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 will collaborate through community partnerships (or individually) to address the identified need. Outcomes from the programs are measured and considered in subsequent community health needs assessments. The leadership at Affinity takes their commitment to the health and well-being of the community it serves very seriously. In fact, it is core to the Organization's mission, "to live out the healing Ministry of Christ by providing services that promote the health and well-being of the communities we serve, especially the poor". Senior Leaders and management are also highly encouraged to provide direct service to the poor in their communities. Mercy Medical Center of Oshkosh, Inc. and the Leadership also subscribe to publications like the advisory board to compare national trends to local trends to ensure the hospital is resourcing areas to meet patient needs.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Mercy Medical Center of Oshkosh, Inc. 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 Affinity Care Policy. The Affinity Care Policy and application is posted on the organization's website. Admissions and other key areas contain summary information of the Affinity 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 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 Mercy Medical Center of Oshkosh, Inc. Affinity Care Program. Patients may be identified as needing financial assistance at any time during the course of an encounter. A referral for consideration of Affinity Care financial assistance can be initiated by any member of the Hospitals' workforce, including medical staff members, who become aware of the patient's potential need for Affinity Care financial assistance. The Affinity Care brochure 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 guidelines to follow when interacting with patients. As part of the Affinity 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. Mercy Medical Center of Oshkosh, Inc., like most community hospitals, was created and is maintained in order to provide care locally-care that without our Hospital may not be available locally. Certain specialized services available include; in-patient adult behavioral health services, in-patient rehabilitation services, and in-patient sub-acute services. The City of Oshkosh is located in Winnebago County. The population of Winnebago County as of the 2010 census data was 166,994. According to the census data, there were 66,083 people living in Oshkosh, consisting of 26,138 households and 13,836 families. The population density of Oshkosh was 2,582.3 people per square mile. The population consisted of 88.9% White, 2.7 % Hispanic, 3.0% African American, 0.7% Native American, 3.2 % Asian, and 1.4% Other. Of the 26,138 households in Oshkosh, 25.7% of those had children under the age of 18 living at home. The 26,138 households are categorized as 38.7% married couples living together, 4.3% had a male head of household with no wife present, 10% had a female head of household with no husband present, and 47% were non-families. 34.4% of the households consisted of individuals and 11.4% had someone 65 and older living alone. The age population is widely spread. 24% were under 18, 13.4% were 19-24, 26.7% were 25-44, 23% were 45-64, and 12.9% were 65+. The median income for a household was $42,938 and the median income for a family was $58,027. The per capita income for the city was $21,901. The largest industry in Oshkosh is educational, health and social services (22.6%). Manufacturing (21.2%) and retail trade (14.2%) are the next largest industries in Oshkosh. Roughly 10.1% of families and 17.8% of the population were below the poverty line. That includes 18.9% of those under 18 years old and 9.1% of those 65 and older. The unadjusted seasonal unemployment rate for Winnebago County as of 2012 was 4.3%, compared to a state unemployment rate of 5.1% and a national unemployment rate of 7.9%.
Schedule H, Part VI, Line 5 Promotion of community health	Mercy Medical Center of Oshkosh, Inc.'s governing board consists primarily of persons who reside within the primary service area. The majority of the governing board are not employees of the Organization or a related organization. The Organization strives to further its exempt purposes by the following: - Mercy Medical Center of Oshkosh, Inc. participates in government-sponsored health programs (Medicare, Medicaid, Champus, general relief, specialized county programs, and area prisons). Mercy Medical Center of Oshkosh, Inc. donates food to area shelters. - Mercy Health Foundation donated funds to support area organizations that provide services to the following sectors of our population: low-income, physically and mentally challenged, and chronically ill. Mercy Medical Center of Oshkosh, Inc. works with local police departments in the performance of sexual assault exams. The patient does not incur a bill for the exam and the charges are written off. Mercy Medical Center of Oshkosh, Inc. provides community health improvement services through health education lectures, health fairs and support groups. - Mercy Medical Center of Oshkosh, Inc. conducts cardiac and pulmonary rehabilitation family education sessions. Discounted care is provided to low income families up to 300% of federal poverty guidelines. - Mercy Medical Center of Oshkosh, Inc. is a disproportionate share hospital with a combined Medicaid and SSI utilization of over 21.19%. Mercy Medical Center of Oshkosh, Inc. provides a subsidy to a school of radiologic technology program. - Mercy Medical Center of Oshkosh, Inc. serves as a sponsor site for clinical training of college students in various health care programs. Mercy Medical Center of Oshkosh, Inc. helps to subsidize an area community clinic that serves the uninsured and low income members of the community. Support consists of cash donations for operations, use of clinic building and lab and x-ray services.
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. DR. HOWARD YOUNG FOUNDATION EAGLE RIVER MEMORIAL HOSPITAL, INC. MINISTRY MEDICAL GROUP, INC. MINISTRY HOLDINGS, INC. (THROUGH NOVEMBER 1, 2014): NETWORK HEALTH (NH) (THROUGH NOVEMBER 1, 2014) NETWORK HEALTH INSURANCE CORPORATION (NHIC) (THRU NOVEMBER 1, 2014) OUR LADY OF VICTORY HOSPITAL SACRED HEART HOSPITAL-ST. MARY'S HOSPITAL, INC. ST. CLARE'S HOSPITAL OF WESTON, INC. FOUNDATION OF ST. CLARE'S HOSPITAL OF WESTON, INC. ST. ELIZABETH'S HOSPITAL OF WABASHA, INC. ST. JOSEPH'S HOSPITAL OF MARSHFIELD, INC. FOUNDATION OF ST. JOSEPH'S HOSPITAL OF MARSHFIELD, INC. ST. MICHAEL'S HOSPITAL OF STEVENS POINT, INC. ST. MICHAEL'S FOUNDATION OF STEVENS POINT, INC. THE SYSTEM DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE THAT SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH THE SYSTEM'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND TO OTHER VULNERABLE PERSONS, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE SYSTEM USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND FOR COMMUNITY BENEFIT PROGRAMS: 1. TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. 2. UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE, REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR PERSONS LIVING IN POVERTY AND FOR OTHER VULNERABLE PERSONS. 3. COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND FOR OTHER VULNERABLE PERSONS INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE PERSONS LIVING IN POVERTY AND THE OTHER VULNERABLE PERSONS OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. 4. COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE PERSONS LIVING IN POVERTY, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESEARCH. DISCOUNTS ARE PROVIDED TO ALL UNINSURED PATIENTS, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALIFY FOR ASSISTANCE UNDER CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY OR IN THE COST OF OTHER COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY AND OF OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA AND IS ESTIMATED BY REDUCING CHARGES FORGONE BY A FACTOR DERIVED FROM THE RATIO OF TOTAL OPERATING EXPENSES TO BILLED CHARGES FOR PATIENT CARE. THE AMOUNT OF TRADITIONAL CHARITY CARE PROVIDED, DETERMINED ON THE BASIS OF COST, WAS APPROXIMATELY $12,600 AND $18,400 FOR THE YEARS ENDED JUNE 30, 2015 AND 2014, RESPECTIVELY. THE AMOUNT OF UNPAID COST OF PUBLIC PROGRAMS, COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND FOR OTHER VULNERABLE PERSONS, AND COST OF COMMUNITY BENEFIT PROGRAMS ARE REPORTED IN THE ACCOMPANYING SUPPLEMENTARY INFORMATION.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	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
WILLIAM J CALHOUN
PRESIDENT (END 9/2014)	$0	$287,898	$0	$120,923	$0	$22,874	$0	$0	$0	$14,940	$0	$446,636	$0	$0
MONICA ANN HILT
VP EASTERN REGION, MHC (START 1/11/2015)	$0	$331,953	$0	$118,639	$0	$121,869	$0	$0	$0	$19,954	$0	$592,415	$0	$0
MARK W FAUSTICH MD
BOARD MEMBER	$0	$440,913	$0	$0	$0	$24,143	$0	$0	$0	$3,699	$0	$468,754	$0	$0
JOSEPH MCCORMICK MD
BOARD MEMBER	$0	$424,443	$0	$1,000	$0	$30,615	$0	$0	$0	$21,532	$0	$477,590	$0	$0
STACEY SENSOR DO
BOARD MEMBER	$0	$526,309	$0	$0	$0	$0	$0	$0	$0	$23,275	$0	$549,584	$0	$0
SUDEEP SODHI MD
BOARD MEMBER	$0	$817,681	$0	$0	$0	$11,909	$0	$0	$0	$21,095	$0	$850,685	$0	$0
BARBARA J STRAND MD
BOARD MEMBER	$0	$258,827	$0	$84,720	$0	$25,765	$0	$0	$0	$7,343	$0	$376,654	$0	$0
JEFF BADGER
FORMER OFFICER	$0	$264,031	$0	$374,899	$0	$20,910	$0	$0	$0	$13,832	$0	$673,672	$0	$0
TRAVIS ANDERSON
HOSPITAL PRES-STE-APP (END 8/2014)	$0	$176,807	$0	$136,945	$0	$31,068	$0	$0	$0	$13,716	$0	$358,537	$0	$0
NICHOLAS DESIEN
MINISTRY HEALTH CARE CEO	$0	$1,009,502	$0	$1,079,643	$0	$45,198	$0	$0	$0	$18,803	$0	$2,153,146	$0	$0
JEFFREY FRANCIS
MINISTRY HEALTH CARE CAFO	$0	$438,327	$0	$141,768	$0	$441,745	$0	$0	$0	$19,803	$0	$1,041,644	$0	$0
DANIEL NEUFELDER
SR.VP - HOSPITAL OPS	$0	$791,344	$0	$259,379	$0	$20,926	$0	$0	$0	$17,365	$0	$1,089,014	$0	$0
MARK KEHRBERG MD
CHIEF MEDICAL OFFICER AHS	$0	$113,129	$0	$344,147	$0	$30,066	$0	$0	$0	$16,019	$0	$503,361	$0	$0
DAVID K HOFFMAN
PHARMACIST	$146,603	$0	$0	$0	$19,061	$0	$0	$0	$16,498	$0	$182,162	$0	$0	$0
MICHAEL R MILLER
PHARMACIST	$130,387	$0	$0	$0	$11,161	$0	$0	$0	$17,649	$0	$159,197	$0	$0	$0
MATTHEW T SCHETTLE
PHARMACIST	$122,009	$0	$11,760	$0	$12,065	$0	$0	$0	$19,187	$0	$165,021	$0	$0	$0
NICHOLAS A SYLVIA
PHARMACY DIRECTOR	$170,395	$0	$4,800	$0	$325	$0	$0	$0	$1,103	$0	$176,623	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 3 CEO Compensation

Ministry Health Care, Inc., a related organization of Mercy Medical Center of Oshkosh, Inc., uses the following methods to establish the compensation of the organization's CEO: - Compensation Committee, - Independent Compensation Consultant, - Compensation Survey or Study, and - Approval by the Board of Compensation Committee.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The following individuals received payout from Ministry Health Care's nonqualified retirement plan in the amount as noted: Jeffrey Francis - $260,079 Monica Hilt - $52,618

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	WISCOM RADIOS	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$32,542	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	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: THE AMOUNTS SHOWING COLUMN (B) REPRESENT THE NUMBER OF CONTRIBUTIONS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONG INTERESTED PERSONS	MANY OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF EMPLOYMENT BY MINISTRY HEALTHCARE, INC. RELATED ENTITIES.
Form 990, Part VI, Line 15b CEO COMPENSATION	IN DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS, PERFORMED BY MINISTRY HEALTH CARE, INC., A RELATED ORGANIZATION OF MERCY MEDICAL CENTER OF OSHKOSH, 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 OF THE ORGANIZATION, THE PROCESS, PERFORMED BY MINISTRY HEALTH CARE, INC., A RELATED ORGANIZATION OF MERCY MEDICAL CENTER OF OSHKOSH, 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 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	Mercy Medical Center of Oshkosh, Inc. has a single corporate member, Ministry Health Care, Inc.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	Mercy Medical Center of Oshkosh, Inc. has a single corporate member, Ministry Health Care, Inc. who has the ability to elect members to the governing body of Mercy Medical Center of Oshkosh, Inc.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	All decisions that have a material impact to Mercy Medical Center of Oshkosh, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, Ministry Health Care, Inc.
Form 990, Part VI, Line 11b Review of form 990 by governing 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 Conflict 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 is and the entities included along with our mission. The Articles of Incorporation, Bylaws, Conflict 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 11d Other Miscellaneous Revenue	Interest on Patient Accts - Total Revenue: 24175, Related or Exempt Function Revenue: 24175, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Vendor Discounts/Rebates - Total Revenue: 27907, Related or Exempt Function Revenue: 27907, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Credit Card (Procurement) Revenue - Total Revenue: 50853, Related or Exempt Function Revenue: 50853, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Trade-in reclassification - Total Revenue: 11963, Related or Exempt Function Revenue: 11963, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Corporate Overhead Allocation - Total Revenue: 98776, Related or Exempt Function Revenue: 98776, 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	Donations from Restricted Funds - 17829; FASB136 Elimination-Mercy Health Foundation - -135284; Transfer from Mercy Health Foundation, Inc - 143381; Gift Shop Revenue - -21296;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 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
AFFINITY HEALTH SYSTEM
1570 MIDWAY PLACE	MENASHA	WI	54952	391568866	SUPPORT RELATED HEALTHCARE ORGANIZATIONS	IL	501(c)(3	Type II	MINISTRY HEALTH CARE INC	Yes (true)
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 NC	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 HOSPITAL 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 SAMARITAN 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	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)
THE HOWARD YOUNG MEDICAL CENTER INC
240 MAPLE STREET	WOODRUFF	WI	54568	390873606	HOSPITAL	WI	501(c)(3	3	HOWARD YOUNG 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)
MINISTRY HOMECARE INC
611 ST JOSEPH AVENUE 4S	MARSHFIELD	WI	54449	391936201	HOME CARE/ HOSPICE	WI	501(c)(3	9	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 INC
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-ST MARY'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)
SAINT ELIZABETH'S 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	390847631	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)

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
NETWORK HEALTH PLAN INC
1570 MIDWAY PLACE	MENASHA	WI	54952	391442058	INSURANCE	WI	NA	C Corporation	false
MINISTRY HOLDINGS INC
1570 MIDWAY PLACE	MENASHA	WI	54952	422966177	INSURANCE HOLDING COMPANY	WI	NA	C Corporation	false
NETWORK HEALTH INSURANCE CORPORATION
1570 MIDWAY PLACE	MENASHA	WI	54952	392020474	INSURANCE	WI	NA	C Corporation	Yes (true)

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	Yes (true)	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	Yes (true)	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 (14 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
AFFINITY HEALTH SYSTEM
O	$88,618	FMV
NETWORK HEALTH SYSTEM INC
O	$119,433	FMV
ST ELIZABETH HOSPITAL INC
O	$1,210,845	FMV
MINISTRY HEALTH CARE INC
O	$583,539	FMV
MINISTRY HEALTH CARE INC
O	$138,031	FMV
MINISTRY HEALTH CARE INC
P	$19,174,769	FMV
AFFINITY HEALTH SYSTEM
P	$146,605	FMV
AFFINITY HEALTH SYSTEM
J	$1,420,157	FMV
AFFINITY HEALTH SYSTEM
L	$146,125	FMV
DOOR COUNTY MEDICAL HOSPITAL
L	$120,000	FMV
Ministry Health Care Inc
E	$2,148,504	FMV
SAINT MICHAEL'S HOSPITAL OF STEVENS POINT INC
L	$132,000	FMV
ST ELIZABETH HOSPITAL INC
Q	$151,348	FMV
MERCY HEALTH FOUNDATION INC
C	$262,175	FMV