2016-05-16T18:01:29-05:00 2015-06-30 861065772 Deloitte Tax LLP 555 East Wells Street Suite 1400 Milwaukee WI 53202 990 2014-07-01 391127163 Network Health System Inc NETW 9206289203 PO Box 8005 1570 Midway Place Menasha WI 54952 Brian Regan Interim CFO 2016-05-16 true Rachel Becker P00966076 4142713000 2014 2016-08-17 19:52:53Z AFFINITY MEDICAL GROUP Dan Neufelder PO Box 8005 1570 Midway Place Menasha WI 54952 136530267 false X WWW.AFFINITYHEALTH.ORG X 1969 WI To further the healing ministry of Jesus by improving the health and well-being of all people. 15 10 1252 10 99262 7517 124057 46272 147869518 135819850 211561 210166 221125 172971 148426261 136249259 0 0 0 0 133129266 135896507 0 0 0 38198474 37131651 171327740 173028158 -22901479 -36778899 62426220 60331604 99244124 133928407 -36817904 -73596803 Network Health System, Inc. has adopted the mission statement of Affinity Health System. The mission of Affinity Health System 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. false false 145518035 135819850 NETWORK HEALTH SYSTEM, INC. IS A REGIONAL HEALTH CARE ORGANIZATION FOCUSED ON COMMUNITY-BASED CARE INCLUDING OUTPATIENT, INPATIENT, ANCILLARY, AND LONG-TERM CARE AS WELL AS INSURANCE SERVICES. THE 23 CLINICS IN THE 12 COMMUNITIES AROUND THE FOX CITIES AND OSHKOSH AREA PROVIDE PRIMARY AND SPECIALTY CARE CLOSE TO HOME. 145518035 true true false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 47 0 true 1252 true true true false false false false false false false false false X 15 10 true false false false true true true true true false false true true true true true true false false false WI X Craig Aittama 7153465161 5700 Lands End Way 2nd Floor Stevens Point WI 54482 MONICA ANN HILT VP EASTERN REGION, MHC (START 1/11/15) 3.00 38.90 X X 0 572461 19954 STEPHEN C MORTON CHAIRMAN 0.40 1.10 X X 0 0 0 DANIEL NEUFELDER VICE CHAIRMAN 5.00 58.30 X X 0 1071649 17365 KATHRYN SIEMAN TREASURER 0.40 1.10 X X 0 0 0 WAYNE TREMBLY SECRETARY 0.40 1.10 X X 0 0 0 WILLIAM J CALHOUN PRESIDENT (END 9/14) 5.00 50.30 X 0 431695 14940 LANE EARNS BOARD MEMBER 0.40 1.10 X 0 0 0 MARK W FAUSTICH MD BOARD MEMBER 40.00 1.10 X 465056 0 3699 MARY HARP-JIRSCHELE BOARD MEMBER 0.40 1.10 X 0 0 0 FREDERICK KLEIN MD BOARD MEMBER 0.40 1.10 X 0 0 0 JOSEPH MCCORMICK MD BOARD MEMBER 0.40 40.70 X 456058 0 21532 KEVIN RALOFSKY BOARD MEMBER 0.40 0.80 X 0 0 0 JAY SAUTER BOARD MEMBER 0.40 0.30 X 0 0 0 STACEY SENSOR DO BOARD MEMBER 40.00 1.40 X 526309 0 23275 SUDEEP SODHI MD BOARD MEMBER 40.00 1.10 X 829590 0 21095 BARBARA J STRAND MD BOARD MEMBER 40.00 1.10 X 369312 0 7343 MONICA VOMASTIC BOARD MEMBER 0.40 1.10 X 0 0 0 MARLIN GREENFIELD BOARD MEMBER 0.40 1.10 X 0 0 0 NICHOLAS DESIEN MINISTRY HEALTHCARE CEO 0.30 55.30 X 0 2134343 18803 JEFFREY FRANCIS MINISTRY HEALTHCARE CAFO 0.30 54.50 X 0 1021840 19803 JANE CURRAN-MEULI COO 40.00 0.00 X 0 283949 6480 MICHAEL P HANSON COO, MMG 5.00 35.30 X 0 481232 16344 MARK KEHRBERG MD AHS CHIEF MEDICAL OFFICER 10.00 30.60 X 0 487342 16019 DAVID ROMOND NHS VP SPECIALTY CARE 40.00 0 X 462403 0 15531 ZENOUN O ABOUZELAM PHYSICIAN 40.00 0 X 1526018 0 23214 KHALID ALAM PHYSICIAN 40.00 0 X 991230 0 22603 MICHELE A HOLDER PHYSICIAN 40.00 0 X 1184093 0 22833 DOUGLAS B HORAN PHYSICIAN 40.00 0 X 1436312 0 20325 TIMOTHY EDISON PHYSICIAN 40.00 0 X 855717 0 22382 JEFF BADGER FORMER OFFICER 0.00 0.00 X 0 659840 13832 9102098 7144351 347372 196 true true false COMP HEALTH PO BOX 972651 DALLAS TX 75397 LOCUMS 709062 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 LOCUMS 532025 GREENWOOD PROJECT MANAGEMENT LLC W5163 NATURES WAY DR SHERWOOD WI 54169 CONTRACTOR/PROJ MANGMNT 470855 MARSHFIELD LABORATORIES 1000 N OAK AVENUE MARSHFIELD WI 54449 LAB SERVICE 391215 MIDLAND HEALTH TESTING 12855 WEST LISBON ROAD SUITE 200 BROOKFIELD WI 53005 MEDICAL SERVICES 158265 8 X 41914 4358 46272 NET PATIENT REVENUE 622110 129502201 129502201 MEDICARE MEANINGFUL US 900099 603452 603452 MISC. OPERATING REVENUE 900099 1407218 1407218 RENT FROM EXEMPT ORG. 531190 335061 335061 INCOME FROM JV 532000 -37755 -37755 4009673 4009673 0 0 135819850 197684 197684 287120 281008 6112 0 6112 6112 12482 0 0 12482 12482 12482 COSMETIC SALES 621110 99262 99262 NON-OPERATING REV 900099 39483 39483 DISCOUNTS 900099 28114 28114 0 0 0 0 166859 136249259 135819850 99262 283875 0 0 0 0 0 0 0 0 3201202 2817058 384144 0 0 108798059 96222073 12575986 0 3225585 2838515 387070 0 15590890 13719983 1870907 0 5080771 4471078 609693 0 4292660 2923541 1369119 0 5122228 4402039 720189 0 7094231 6410666 683565 0 794651 436105 358546 0 484421 484367 54 0 2598225 1665731 932494 987897 642374 345523 PURCHASED SERVICES 8982202 2746917 6235285 DRUGS 4475018 4454550 20468 FOOD 93415 49435 43980 DUES 59356 18629 40727 2147347 1214974 932373 0 173028158 145518035 27510123 0 14013 10592 5696929 15633822 21198795 0 0 0 -688724 420132 27320134 3549082 24861936 23771052 879184 743338 0 16029060 14187695 62426220 60331604 67148574 104867731 0 32095550 29060676 99244124 133928407 X -36817904 -73596803 -36817904 -73596803 62426220 60331604 -36778899 0 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1309832 1309832 19365476 1516307 17849169 6336028 2011382 4324646 308798 21393 287405 23771052 457B PLAN 9995139 DUE FROM AFFILIATES 2651058 OTHER ACCOUNTS RECEIVABLE 1298951 PP&E HELD FOR SALE 200000 DEPOSITS 42547 14187695 PENSION LIABILITY 10337254 RETIREMENT PLAN CONTRIBUTION 9995139 INTERCOMPANY DEBT WITH MINISTRY HEALTH CARE, INC 8642904 ASSET RETIREMENT OBLIGATION 85379 29060676 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote From the consolidated audited financial statements of Ministry Health Care, Inc. which include the activity of Network Health System, 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. false true false false false false false false false MONICA ANN HILT VP EASTERN REGION, MHC (START 1/11/15) 0 331953 0 118639 0 121869 0 0 0 19954 0 592415 0 0 DANIEL NEUFELDER VICE CHAIRMAN 0 791344 0 259379 0 20926 0 0 0 17365 0 1089014 0 0 WILLIAM J CALHOUN PRESIDENT (END 9/14) 0 287898 0 120923 0 22874 0 0 0 14940 0 446636 0 0 MARK W FAUSTICH MD BOARD MEMBER 440913 0 0 0 24143 0 0 0 3699 0 468754 0 0 0 JOSEPH MCCORMICK MD BOARD MEMBER 424443 0 1000 0 30615 0 0 0 21532 0 477590 0 0 0 STACEY SENSOR DO BOARD MEMBER 526309 0 0 0 0 0 0 0 23275 0 549584 0 0 0 SUDEEP SODHI MD BOARD MEMBER 817681 0 0 0 11909 0 0 0 21095 0 850685 0 0 0 BARBARA J STRAND MD BOARD MEMBER 258827 0 84720 0 25765 0 0 0 7343 0 376654 0 0 0 JEFF BADGER FORMER OFFICER 0 264031 0 374899 0 20910 0 0 0 13832 0 673672 0 0 NICHOLAS DESIEN MINISTRY HEALTHCARE CEO 0 1009502 0 1079643 0 45198 0 0 0 18803 0 2153146 0 0 JEFFREY FRANCIS MINISTRY HEALTHCARE CAFO 0 438327 0 141768 0 441745 0 0 0 19803 0 1041644 0 0 JANE CURRAN-MEULI COO 0 53640 0 49550 0 180759 0 0 0 6480 0 290429 0 0 MICHAEL P HANSON COO, MMG 0 312831 0 106037 0 62364 0 0 0 16344 0 497576 0 0 MARK KEHRBERG MD AHS CHIEF MEDICAL OFFICER 0 113129 0 344147 0 30066 0 0 0 16019 0 503361 0 0 DAVID ROMOND NHS VP SPECIALTY CARE 345838 0 91290 0 25274 0 0 0 15531 0 477934 0 0 0 ZENOUN O ABOUZELAM PHYSICIAN 1496478 0 1000 0 28540 0 0 0 23214 0 1549232 0 0 0 KHALID ALAM PHYSICIAN 952290 0 0 0 38940 0 0 0 22603 0 1013833 0 0 0 MICHELE A HOLDER PHYSICIAN 1146388 0 0 0 37705 0 0 0 22833 0 1206926 0 0 0 DOUGLAS B HORAN PHYSICIAN 1435401 0 0 0 911 0 0 0 20325 0 1456637 0 0 0 TIMOTHY EDISON PHYSICIAN 842705 0 0 0 13012 0 0 0 22382 0 878099 0 0 0 Schedule J, Part I, Line 3 PROCEDURES USED TO ESTABLISH CEO COMPENSATION MINISTRY HEALTH CARE, INC., A RELATED ORGANIZATION OF NETWORK HEALTH SYSTEM, 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 OR 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 Form 990, Part VI, Line 2 RELATED PERSONS MANY OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF EMPLOYMENT BY MINISTRY HEALTH CARE, INC. RELATED ENTITIES. Form 990, Part VI, Line 15 CEO COMPENSATION IN DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS, PERFORMED BY MINISTRY HEALTH CARE, INC., A RELATED ORGANIZATION OF NETWORK HEALTH SYSTEM, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. IN DETERMINING COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION, THE PROCESS, PERFORMED BY MINISTRY HEALTH CARE, INC., A RELATED ORGANIZATION OF NETWORK HEALTH SYSTEM, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. Form 990, Part VI, Line 6 Classes of members or stockholders Network Health System, Inc. has a single corporate member, Affinity Health System. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Network Health System, Inc. has a single corporate member, Affinity Health System, who has the ability to elect members to the governing body of Network Health System, Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to the Network Health System, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, Affinity Health System. 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 VII, Section A Compensation The compensation paid to Mark Faustich, M.D., Joseph McCormick, M.D., Stacey Sensor, D.O., Sudeep Sodhi, M.D., and Barbara Strand, M.D. is for their services as physicians for Network Health System, Inc., and not for their role as board members for Network Health System, Inc. Form 990, Part VIII, Line 2f Other Program Service Revenue - Total Revenue: 4009673, Related or Exempt Function Revenue: 4009673, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Schedule A, Part I, Line 3 Public Charity Status Network Health System, Inc. is exempt as a hospital under Internal Revenue Code Section 170(b)(1)(A)(iii); however, it is not a hospital as defined by Form 990, Schedule H Instructions. 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