ASCENSION ST CLARES HOSPITAL INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
ASCENSION ST CLARES HOSPITAL INC (EIN 72-1531917)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-16
IRS object ID
201641379349310749
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-16T19:03:47-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1555 East Wells Street Suite 1400AddressLine1Txt
CityMilwaukeeCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN721531917EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Clare's Hospital of Weston IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTCLBusinessNameControlTxt
Phone7153933000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13400 Ministry ParkwayAddressLine1Txt
CityWestonCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54476ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBrian ReganPersonNm
Person TitleInterim CFOPersonTitleTxt
Signature2016-05-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRachel BeckerPreparerPersonNm
PTINP00966076PTIN
Phone4142713000PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Mary T KruegerBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13400 Ministry ParkwayAddressLine1Txt
CityWestonCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54476ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$112,849,079GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.ministryhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTo further the healing ministry of Jesus by improving the health/well-being of all people.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee570TotalEmployeeCnt
Total Volunteers136TotalVolunteersCnt
Total Gross UBI$25,023TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$43,764NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$128,354PYContributionsGrantsAmt
CY Contributions Grants$43,510CYContributionsGrantsAmt
PY Program Service Revenue$103,497,950PYProgramServiceRevenueAmt
CY Program Service Revenue$110,294,043CYProgramServiceRevenueAmt
PY Investment Income-$2,474PYInvestmentIncomeAmt
CY Investment Income-$113,350CYInvestmentIncomeAmt
PY Other Revenue$997,003PYOtherRevenueAmt
CY Other Revenue$2,500,239CYOtherRevenueAmt
PY Total Revenue$104,620,833PYTotalRevenueAmt
CY Total Revenue$112,724,442CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$42,702,762PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$43,059,855CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$57,621,673PYOtherExpensesAmt
CY Other Expenses$62,702,219CYOtherExpensesAmt
PY Total Expenses$100,324,435PYTotalExpensesAmt
CY Total Expenses$105,762,074CYTotalExpensesAmt
PY Revenues Less Expenses$4,296,398PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,962,368CYRevenuesLessExpensesAmt
Total Assets BOY$94,985,084TotalAssetsBOYAmt
Total Assets EOY$102,794,668TotalAssetsEOYAmt
Total Liabilities BOY$184,174,198TotalLiabilitiesBOYAmt
Total Liabilities EOY$185,071,006TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$89,189,114NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$82,276,338NetAssetsOrFundBalancesEOYAmt
MissionSaint Clare's Hospital of Weston, Inc.'s mission as a Catholic hospital is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$78,172,191ExpenseAmt
Revenue$111,864,047RevenueAmt
DescSAINT CLARE'S HOSPITAL OF WESTON, INC. PROVIDES INPATIENT , OUTPATIENT, EMERGENCY ROOM AND ANCILLARY SERVICES REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY OR METHOD OF PAYMENT. THE HOSPITAL ALSO PROVIDES EDUCATION PROGRAMS AND SERVICES ON HEALTH CARE ISSUES TO THE COMMUNITY IT SERVES. DURING FISCAL 2015, THE HOSPITAL COUNTED 19,064 TOTAL PATIENT DAYS AND 5,600 TOTAL DISCHARGES AND ITS EMERGENCY DEPARTMENT RECEIVED 14,635 VISITS. SEE SCHEDULE H FOR FURTHER DETAILS REGARDING THE COMMUNITY BENEFITS THAT SAINT CLARE'S HOSPITAL OF WESTON, INC. PROVIDES.Desc
Total Program Service Expenses$78,172,191TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document62IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee570EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Craig AittamaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7153465161PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15700 Lands End Way 2nd FloorAddressLine1Txt
CityStevens PointCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54482ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
TEE DALY
SECRETARY/TREASURER0.200Yes (X)Yes (X)$0$0$0
THOMAS FELCH
VICE CHAIRMAN0.200Yes (X)Yes (X)$0$0$0
LARRY T HEGLAND MD
CHIEF MEDICAL OFFICER7.0040.00Yes (X)Yes (X)$0$427,650$17,897
MARY T KRUEGER
PRESIDENT27.0040.00Yes (X)Yes (X)$0$487,564$17,534
KEVIN NOEL
CHAIRMAN0.200Yes (X)Yes (X)$0$0$0
DAVID EISENREICH
BOARD MEMBER0.200Yes (X)$0$0$0
JIM FRINGS
BOARD MEMBER0.200Yes (X)$0$0$0
KEVIN KRAFT
BOARD MEMBER0.200Yes (X)$0$0$0
JAMIE SCHAEFER
BOARD MEMBER0.200Yes (X)$0$0$0
ROBYN SCHERTZ MD
BOARD MEMBER0.2041.00Yes (X)$0$403,878$41,956
SISTER MARIA VINTON SSM
BOARD MEMBER0.200.00Yes (X)$0$0$0
DAVE KALLSTROM
BOARD MEMBER0.200Yes (X)$0$0$0
DR JANET KLOSINSKI
BOARD MEMBER0.200Yes (X)$0$0$0
TOM RAU
BOARD MEMBER0.200Yes (X)$0$0$0
NICHOLAS DESIEN
MINISTRY HEALTH CARE CEO0.1040.00Yes (X)$0$2,134,343$18,803
JEFFREY FRANCIS
MINISTRY HEALTH CARE CAFO0.1040.00Yes (X)$0$1,021,840$19,803
DANIEL NEUFELDER
SVP, HOSPITAL OPERATIONS & PRESIDENT, AHS0.1040.00Yes (X)$0$1,071,649$17,365
JEFFREY L MARTIN
VICE PRESIDENT MINISTRY HEALTH CARE6.0040.00Yes (X)$0$1,023,508$18,196
KRISTINE MCGARIGLE
VP OF PATIENT CARE40.000.00$0$226,070$17,732Yes (X)
RACHEL YARON
VP OF QUALITY AND SAFETY14.0040.00$0$237,518$3,690Yes (X)
PAUL W DAUBNER
CLINICAL STAFF PHARMACIST36.000$142,003$0$10,431Yes (X)
MARIA HEGLAND
CLINICAL STAFF PHARMACIST40.000$131,078$0$2,829Yes (X)
ROBERT K MIDDLETON
DIRECTOR PHARMACY27.000$156,171$0$21,848Yes (X)
JASON M ROMINSKI
CLINICAL STAFF PHARMACIST40.000$137,725$0$10,491Yes (X)
JOHN ZEPKE
CLINICAL STAFF PHARMACIST36.000$138,156$0$10,334Yes (X)
JEFF BADGER
FORMER OFFICER0.000.00$0$659,840$13,832Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$705,133TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,693,859TotReportableCompRltdOrgAmt
Total Other Compensation$242,741TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MEDICAL STAFFING SOLUTIONS INC
PO BOX 1013 SOUTH MAIN STRICE LAKEWI54868AGENCY STAFFING$687,778
MARSHFIELD CLINIC
1000 NORTH OAK AVEMARSHFIELDWI54449MEDICAL SERVICES$558,961
DIAGNOSTIC & TREATMENT CENTER
3401 CRANBERRY BLVDWESTONWI54476MEDICAL SERVICES$469,425
ADVANCE ICU CARE
PO BOX 790379ST LOUISMO63179MEDICAL SERVICES$428,976
LANDART INC
3808 E SELL STWAUSAUWI54403LANDSCAPING SERVICES$385,257
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K14CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$36,963RelatedOrganizationsAmt
Government Grants$6,547GovernmentGrantsAmt
Noncash Contributions$18,365NoncashContributionsAmt
Total Contributions$43,510TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net patient revenue622110$105,405,319$105,405,319
Rent from exempt org531190$3,331,712$3,331,712
Ancillary-DTC Income621500$1,557,012$1,557,012

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$110,294,043TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,063TotalRevenueColumnAmt
Exclusion$1,063ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$42,109RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$9,941RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$32,168RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,168TotalRevenueColumnAmt
Exclusion$32,168ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$283OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$114,696OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other-$114,413OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$114,413TotalRevenueColumnAmt
Exclusion-$114,413ExclusionAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Exclusion$0ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria722210$781,626$25,023$756,603
Gift Shop453220$116,441$116,441
Rebates/Discounts900099$69,593$69,593

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,500,411TotalRevenueColumnAmt
Related Or Exempt Func Income$1,500,411RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,468,071OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$112,724,442TotalRevenueColumnAmt
Related Or Exempt Func Income$111,864,047RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$25,023UnrelatedBusinessRevenueAmt
Exclusion$791,862ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$33,739,284TotalAmt
Program Services$28,556,811ProgramServicesAmt
Management And General$5,182,473ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,356,133TotalAmt
Program Services$1,147,827ProgramServicesAmt
Management And General$208,306ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,164,609TotalAmt
Program Services$3,994,474ProgramServicesAmt
Management And General$2,170,135ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,799,829TotalAmt
Program Services$1,523,369ProgramServicesAmt
Management And General$276,460ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,935TotalAmt
Program Services$1,125ProgramServicesAmt
Management And General$4,810ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,100TotalAmt
Program Services$1,100ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,676,255TotalAmt
Program Services$1,731,802ProgramServicesAmt
Management And General$944,453ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,568,088TotalAmt
Program Services$16,114,536ProgramServicesAmt
Management And General$453,552ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$390,707TotalAmt
Program Services$390,707ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,738,293TotalAmt
Program Services$1,023,753ProgramServicesAmt
Management And General$714,540ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$63,504TotalAmt
Program Services$44,942ProgramServicesAmt
Management And General$18,562ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$294,592TotalAmt
Program Services$110,536ProgramServicesAmt
Management And General$184,056ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,378,316TotalAmt
Program Services$298,355ProgramServicesAmt
Management And General$8,079,961ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,973,203TotalAmt
Program Services$3,748,431ProgramServicesAmt
Management And General$3,224,772ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$230,111TotalAmt
Program Services$90,341ProgramServicesAmt
Management And General$139,770ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Underarrangements$8,227,564$8,227,564
Purchased services$7,555,389$4,626,756$2,928,633
Pharmaceuticals$2,921,872$2,911,576$10,296
Anesthesia services$2,861,176$2,861,176

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,816,114TotalAmt
Program Services$767,010ProgramServicesAmt
Management And General$3,049,104ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$105,762,074TotalAmt
Program Services$78,172,191ProgramServicesAmt
Management And General$27,589,883ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,700BOYAmt
EOY$1,700EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,570,700BOYAmt
EOY$14,068,343EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,382,234BOYAmt
EOY$13,675,483EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,098,839BOYAmt
EOY$2,242,537EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$408,454BOYAmt
EOY$159,927EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$70,951,663LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$11,165,657LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$64,480,869BOYAmt
EOY$59,786,006EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$6,866,472BOYAmt
EOY$8,279,223EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,935,588BOYAmt
EOY$959,533EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,240,228BOYAmt
EOY$3,621,916EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$94,985,084BOYAmt
EOY$102,794,668EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$29,902,577BOYAmt
EOY$33,495,807EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$154,271,621BOYAmt
EOY$151,575,199EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$184,174,198BOYAmt
EOY$185,071,006EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$89,332,273BOYAmt
EOY-$82,456,868EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$143,159BOYAmt
EOY$180,530EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$89,189,114BOYAmt
EOY-$82,276,338EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$94,985,084BOYAmt
EOY$102,794,668EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,962,368ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$49,592OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$8,537OtherActivitiesAmt
Total Lobbying Expenditures$8,537TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationLobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. Saint Clare's Hospital of Weston, 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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,736,650OtherCostOrOtherBasisAmt
Book Value$5,736,650BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$47,647,955OtherCostOrOtherBasisAmt
Depreciation$3,715,572DepreciationAmt
Book Value$43,932,383BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,639,992OtherCostOrOtherBasisAmt
Depreciation$284,746DepreciationAmt
Book Value$1,355,246BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,842,173OtherCostOrOtherBasisAmt
Depreciation$5,861,443DepreciationAmt
Book Value$7,980,730BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,084,893OtherCostOrOtherBasisAmt
Depreciation$1,303,896DepreciationAmt
Book Value$780,997BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$59,786,006TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescEquity investment in DTCDesc
Book Value$8,279,223BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$8,279,223TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Note payable to MHC (Related Party)$147,925,119
Other liabilities$2,347,390
Estimated due to third party payors$1,302,690
FieldValueIRS element (for citing)
Total Liability$151,575,199TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationFrom the consolidated audited financial statements of Ministry Health Care, Inc. which includes the activity of Saint Clare's Hospital of Weston, 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.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$328,258TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$328,258NetCommunityBenefitExpnsAmt
Total Expense0.0031TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,216,317TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,955,701DirectOffsettingRevenueAmt
Net Community Benefit Expns-$739,384NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$12,544,575TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,955,701DirectOffsettingRevenueAmt
Net Community Benefit Expns-$411,126NetCommunityBenefitExpnsAmt
Total Expense0.0031TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs18ActivitiesOrProgramsCnt
Persons Served404PersonsServedCnt
Total Community Benefit Expns$413,810TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,087DirectOffsettingRevenueAmt
Net Community Benefit Expns$400,723NetCommunityBenefitExpnsAmt
Total Expense0.0038TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$183,736TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$183,736NetCommunityBenefitExpnsAmt
Total Expense0.0017TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$23,540TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,974DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,566NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs11ActivitiesOrProgramsCnt
Total Community Benefit Expns$232,660TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,598DirectOffsettingRevenueAmt
Net Community Benefit Expns$225,062NetCommunityBenefitExpnsAmt
Total Expense0.0021TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs36ActivitiesOrProgramsCnt
Persons Served404PersonsServedCnt
Total Community Benefit Expns$853,746TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,659DirectOffsettingRevenueAmt
Net Community Benefit Expns$830,087NetCommunityBenefitExpnsAmt
Total Expense0.0078TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs36ActivitiesOrProgramsCnt
Persons Served404PersonsServedCnt
Total Community Benefit Expns$13,398,321TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,979,360DirectOffsettingRevenueAmt
Net Community Benefit Expns$418,961NetCommunityBenefitExpnsAmt
Total Expense0.0110TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Total Community Benefit Expns$28,387TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$28,387NetCommunityBenefitExpnsAmt
Total Expense0.0003TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,500NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Total Community Benefit Expns$64,190TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$64,190NetCommunityBenefitExpnsAmt
Total Expense0.0006TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$94,077TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$94,077NetCommunityBenefitExpnsAmt
Total Expense0.0009TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$3,134,452BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$46,161,378ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$53,374,319CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$7,212,941MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Saint Clare's Hospital of Weston IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13400 Ministry ParkwayAddressLine1Txt
CityWestonCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54476ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.ministryhealth.orgWebsiteAddressTxt
State License310StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Saint Clare's Hospital of Weston IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://ministryhealth.org/SaintClaresHospital0/Ministry_Saint_Clares_Hospital_CHNA_2013_FINAL2.pdfOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt12ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttp://ministryhealth.org/SaintClaresHospital0/MSCH_Implementation_Plan_2013_12_3_2014REV.pdfStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care2.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care4.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://ministryhealth.org/Ministry_Health_Care/Financial_Assistance_Program_RC08.pdfFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://ministryhealth.org/Ministry_Health_Care/MHC_FinancialAid_Application_REV4.pdfFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - Saint Clare's Hospital of Weston, Inc.. In the past decade, representatives from health care, business and other community resources have been actively engaged in the Marathon County LIFE report and Healthy Marathon County Board structures in an effort to positively impact the quality of life in this county. These committees regularly analyze and publicly report progress made on the key priorities that were identified through the assessment process. They also review updated data and reprioritize the key issues impacting health and quality of life, in an effort to continually realign resources to take action on those priorities. Ministry Saint Clare's leadership participates on The Marathon County LIFE Report Steering Committee. United Way of Marathon County serves as the lead agent for this committee of community partners who collaboratively seeks to maximize opportunities to analyze, strategize and ultimately implement plans to address community health care needs. The four major health care systems of the region are active leaders on this committee and include Ministry Health Care, Aspirus, Marshfield Clinic and Marathon County Public Health. Participants also include governmental and business representatives, as well as other community organizations and volunteer community representatives. The Healthy Marathon County Board of Directors is comprised of diverse organizations working together to make a healthier community. Healthy Marathon County serves as the oversight board for Marathon County's Community Health Improvement Plan to ensure the success of the Action Teams tasked with addressing identified health priorities. Ministry Saint Clare's Hospital leadership also serves on this Board. Detailed analysis of health issues was conducted by the Health and Wellness Sub-Committee, a collaborative team comprised of membership from the LIFE steering committee, the Healthy Marathon County Board, and representation from the community. Six representatives of Ministry Saint Clare's Hospital were liaisons to the subcommittee. Appendix 3 includes the names of the individuals, and their corresponding organizations, whom are representing the organizations described above. - Joan Theuer, Health Officer, Marathon County Public Health, RN, MSN. Ms. Theuer has served for nearly four years as the health officer for Marathon County. Prior to this role, she worked as public health nurse consultant for the State of Wisconsin - Division of Public Health for 12 years of which the majority was in the Northern Region. Ms. Theurer cites many successes that include combining the Community Health Needs Assessment with the Life Report; the development of new health coalitions including the Early Age Initiative and the AODA Coalition; and an increased awareness and strengthening of Healthy Marathon County. Ms. Theuer's proudest accomplishment to date is an approved 2012 resolution to make Marathon County the healthiest one in the state. - Roger Lucas LIFE Project Chair, Aspirus Wausau Hospital, Inc. - Rita Straub LIFE Project Vice Chair Retired, Professor Emeriti-UW - Rachel Yaron Ministry Saint Clare's Hospital - Joan Theurer, RN, MSN, Marathon County Health Officer - Ann Lucas, Marshfield Clinic - Dr. Tom Peterson, Retired Physician - Andy Napgezek, Aspirus Wausau Hospital, Inc. - Paula Brabec Aspirus Wausau Hospital, Inc. - Ken, Day American Society for Laser Medicine & Surgery, Inc/Marathon County Board - Sandi Cihlar, Rural Health Care Advocate - Rick Nevers, Aspirus Wausau Hospital, Inc. - Deb Hager, Marathon County Administration - Julie Burmesch Wausau School District - Michael Beck, Wausau Daily Herald - JoAnn Janikowski, United Way of Marathon County - Karen Katz EO Johnson Office Technologies - James McCluskey University of Wisconsin-Marathon County - Hugh Jones, M&I Bank & Wealth Management - Jeff Sargent, North Central Community Action Program - Diane Wessel, Marathon County-Conservation, Planning and Zoning - Jeff Zriny, Wausau Region Chamber of Commerce - Jeff Hardel, Wausau Police Department - Joel VerDuin, Wausau School District - Joanne Kelly, United Way of Marathon County - Mary Radke, LIFE Project Manager - Zachary Heit, LIFE Project Associate
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - St. Clare's. Using the CHNA completed in Fiscal Year 2013 (Tax Year 2012), the hospital developed, adopted, and worked on executing a 2012 Implementation Strategy to address priority community health needs. In 2014, the hospital implemented the following plan to address the priority needs: 1. Access to Health Care: Increase access to, and affordability of, healthcare in Marathon County. Support Rural Health Initiative (RHI) outreach to farm families. Provide funding to RHI. Provide staff to the RHI Steering Committee. 2. Domestic Violence: Decrease domestic violence. Increase public awareness through health fairs, public forums and news articles. Develop and maintain strong community partnerships. Sit on the Board of The Women's Community (TWC). Provide funding to TWC. Provide SANE nurse program. Cover costs of annual training and certifications; support cost of supplies; cover cost of conference's; pay for instate training sessions for SANE's attending training at Saint Clare's. 3. Early Childhood: Improve health, behavior, and learning of young children through early interventions including reducing food insecurity in school aged children, increasing breastfeeding of newborns, decreasing elective deliveries. Provide Blessings in a Backpack program. Provide annual funding; provide staff to steering committee; provide staff to pack backpacks. Provide Lactation program including breastfeeding classes, lactation consulting, providing breast pumps. Support Start Right program. Needs that are not being addressed: alcohol and drug misuse, oral health care, tobacco use, chronic illness. Reasons why: Ministry Saint Clare's Hospital has a number of internal programs which help to support the care and treatment of People with Chronic Illness. These include a Palliative Care Program which helps to ensure that patients living with chronic disease have the highest quality of life possible. Additionally, it proactively engages patients and their families in making life decisions which will support their physical, emotional and spiritual well-being. Saint Clare's Hospital works with their pharmacists to verify the accuracy of patients' current medication lists upon admission. Select patients, such as those with chronic illnesses, receive detailed discharge counseling to improve understanding and management of their medications with the goal of improving compliance with their treatment plans. Saint Clare's Hospital also provides necessary medications to those patients whom are unable to afford them while working to get them enrolled in sustainable medication programs. Saint Clare's Hospital actively works to prevent readmission due to chronic conditions by calling patients after discharge to ensure that they understand their follow-up directives, including future appointments, pain management, and medication instructions. At this time, however, Ministry Saint Clare's Hospital staff does not have the resources to extend this care to the general public, although information regarding ways to access healthcare for chronic conditions is diligently provided to all whom inquire.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Diagnostic & Treatment CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13401 Cranberry BlvdAddressLine1Txt
CityWestonCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54476ZIPCd
FieldValueIRS element (for citing)
FacilityOutpatient/Diagnostic ServicesFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 6a Community benefit report prepared by related organizationSaint Clare's Hospital of Weston, Inc. is included in the annual community benefit report which is published by Ministry Health Care (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 I, Line 7 Costing Methodology used to calculate financial assistanceAmounts 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. Bad Debt expense of $3,134,452 is excluded from total operating expenses when calculating percentage of total expense in Part I, line 7, Column F.
Schedule H, Part II Community Building ActivitiesCommunity building activities include 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. Saint Clare's Hospital of Weston, Inc. in collaboration with the community, help to identify various health problems affecting the surrounding area, causes leading to these health problems, and actions taken to communicate these issues. these are being done with various health fairs and education related to those at-risk population. The Organization in conjunction with its foundation have a fund set up for patients who may need assistance with food, medication, clothing, transportation or basic needs when they leave the hospital.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountAccounts 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 MethodologySaint Clare's Hospital of Weston, 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 footnoteFrom the consolidated audited financial statements of Ministry Health Care, Inc. (which includes the activity of Saint Clare's Hospital of Weston, 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 costsAscension 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 assistanceThe organization has a debt collection policy which sets forth collection practices for patients who are known to qualify or may qualify for financial assistance under the charity care program. Sufficient financial counseling support is made available to patients so they can easily access patient financial service representatives and have their questions answered, and gain an understanding of the reasons why they owe a balance. Accounts are designated as charity care in the business offices so no additional time is spent on collection efforts.
Schedule H, Part V, Section B, Line 16a FAP website- Saint Clare's Hospital of Weston, 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- Saint Clare's Hospital of Weston, Inc.: Line 16b URL: http://ministryhealth.org/Ministry_Health_Care/MHC_FinancialAid_Application_REV4.pdf;
Schedule H, Part VI, Line 2 Needs assessmentThe Organization performs community needs assessments as needed. Planning workgroups consisting of community partners are formed to define the community and its needs through review of Health People Initiatives, census documents, and local government health and welfare agencies. Considering other community resources/assets, data collection methods are used to identify particular problems or subgroups and areas known to have high poverty rates and to be underserved. The data is analyzed and priorities are set based on trending information which may target a specific need. When a need is identified, the Hospital develops a plan to implement a program either through community collaboration or individually. Outcomes from the programs are measured and considered in subsequent community health needs assessments. Community benefit plans are presented to senior leadership and board members to ensure the findings are incorporated into the organization's strategy and policy development. For example, senior leaders required to provide direct service to the poor in their communities, and hours are included as part of their performance goals.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceThe organization has financial counselors located at every hospital. If a patient indicates they are unable to pay their bill at any point during pre-service, admission, discharge or billing process, the financial counselors will assist the patient in either securing a funding source (grants, COBRA coverage, Disability benefits, Medicaid, VA etc.) if eligible or assist them in completing a financial assistance application.
Schedule H, Part VI, Line 4 Community informationWhile there is growing agreement in the United States about what constitutes a non-profit hospitals community benefit, this is a work in progress. The organization provided significant charity care and other community benefits as defined by the IRS. But in addition, we believe that we provide a critically important community benefit, which is not quantified. Our hospital, like most rural hospitals, was created and is maintained in order to provide care locally - care that without our hospital, may not be available locally. Certain specialized services available include: emergency services, surgical services, inpatient medical services & obstetrics. Saint Clare's Hospital of Weston, WI and the surrounding areas include Schofield, Rothschild, Rib Mountain & Wausau. The 2014 estimated population for Weston, WI is 14,988. Based on the 2010 census, the racial make-up was 87.7% white, 0.8% African American, 0.4% Native American, 8.7% Asian, 2.0% Hispanic, and 0.4% of other races. 11.5% of the population were over 65 year old and 27.4% under 18. The median household income for the last five years was $50,657 and 14.9% of the population was below the poverty line.
Schedule H, Part VI, Line 5 Promotion of community healthThe organization strives to further its exempt purposes by the following: (1) The Organization's governing board consists primarily of persons who reside within the primary service area who are not employees of the Organization. (2) As mentioned, the Organization provides several services which are not otherwise available being in an urban setting. (3) Based on the Organization's mission, emergency rooms are made available to all patients regardless of the ability to pay. (4) The Organization also participates in the education and training of healthcare professional through internship programs. Saint Clare's Hospital of Weston, Inc. is also involved in the following efforts to further its tax exempt status. Examples include:- The Hospital participates in government-sponsored health programs (Medicare, Medicaid, Champus, Tricare). - The role of the emergency department and urgent care units in serving all persons regardless of ability to pay. - Availability of financial assistance and sliding scale discounts and changes to financial assistance or collection policies that would be viewed as constructive. - The hospital offers volunteer service program where community members utilize the hospital as a vehicle to connect with and contribute to individuals and the overall community through volunteering.
Schedule H, Part VI, Line 6 Affiliated health care systemMinistry 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 H, Part VI, Line 7 State filing of community benefit reportWI

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LARRY T HEGLAND MD
CHIEF MEDICAL OFFICER$0$268,295$0$69,095$0$90,260$0$0$0$17,897$0$445,547$0$0
MARY T KRUEGER
PRESIDENT$0$248,235$0$88,927$0$150,402$0$0$0$17,534$0$505,097$0$0
ROBYN SCHERTZ MD
BOARD MEMBER$0$391,687$0$350$0$11,841$0$17,500$0$24,456$0$445,834$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
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
SVP, HOSPITAL OPERATIONS & PRESIDENT, AHS$0$791,344$0$259,379$0$20,926$0$0$0$17,365$0$1,089,014$0$0
JEFFREY L MARTIN
VICE PRESIDENT MINISTRY HEALTH CARE$0$428,700$0$166,683$0$428,125$0$0$0$18,196$0$1,041,703$0$0
KRISTINE MCGARIGLE
VP OF PATIENT CARE$0$157,079$0$41,439$0$27,552$0$0$0$17,732$0$243,802$0$0
RACHEL YARON
VP OF QUALITY AND SAFETY$0$140,124$0$38,758$0$58,636$0$0$0$3,690$0$241,208$0$0
PAUL W DAUBNER
CLINICAL STAFF PHARMACIST$119,705$0$16,750$0$5,548$0$2,843$0$7,588$0$152,434$0$0$0
ROBERT K MIDDLETON
DIRECTOR PHARMACY$142,237$0$2,800$0$11,134$0$3,223$0$18,625$0$178,019$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationMinistry Health Care, Inc., a related organization of Saint Clare's Hospital of Weston, Inc., uses the following to establish the compensation of the organization's CEO: - Compensation Committee, - Independent Compensation Consultant, - Compensation Survey or Study, and - Approval by the Board or Compensation Committee.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planThese 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: Larry Hegland - $36,834 Mary Krueger - $71,310 Jeff Martin - $200,949 Jeffrey Francis - $260,079 Rachel Yaron - $18,357

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 2 BUSINESS RELATIONSHIPMANY 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 15 DETERMINING COMPENSATION OF THE ORGANIZATIONIN DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS PERFORMED BY MINISTRY HEALTH CARE, INC., A RELATED ORGANIZATION OF SAINT CLARE'S HOSPITAL OF WESTON, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO, WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. IN DETERMINING COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION, THE PROCESS PERFORMED BY MINISTRY HEALTH CARE, INC., A RELATED ORGANIZATION OF SAINT CLARE'S HOSPITAL OF WESTON, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS EMPLOYEES IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES.
Form 990, Part VI, Line 6 Classes of members or stockholdersSaint Clare's Hospital of Weston, Inc. has a single corporate member, Ministry Health Care, Inc.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodySaint Clare's Hospital of Weston, Inc. has a single corporate member, Ministry Health Care, Inc., who has the ability to elect members to the governing body of the Saint Clare's Hospital of Weston, Inc.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersAll decisions that have a material impact to Saint Clare's Hospital of Weston, 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 bodyManagement, 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 policyThe 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 publicThe 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 RevenueAll Other - Total Revenue: 1500411, Related or Exempt Function Revenue: 1500411, 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 balancesEquity Transfer to Foundation of Saint Clare's Hospital of Weston, Inc. - -86963; Temporarily Restricted Increase in Fund Balance - 37371;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ASCENSION HEALTH ALLIANCE
PO BOX 45998STLOUISMO63145453358926NATIONAL HEALTH SYSTEMMO501(c)(3Type INAfalse
ASCENSION HEALTH
PO BOX 45998STLOUISMO63145311662309NATIONAL HEALTH SYSTEMMO501(c)(3Type IASCENSION HEALTH ALLIANCEfalse
MINISTRY HEALTH CARE INC
10925 W LAKE PARK DR STE 100MILWAUKEEWI53224391490371PARENT CORPORATIONWI501(c)(3Type IIASCENSION HEALTHfalse
AFFINITY HEALTH SYSTEM
1570 MIDWAY PLACEMENASHAWI54952391568866SUPPORT RELATED HEALTHCARE ORGANZIATIONSIL501(c)(3Type IIMINISTRY HEALTH CARE INCYes (true)
AGAPE COMMUNITY CENTER OF MILWAUKEE INC
6100 NORTH 42ND STREETMILWAUKEEWI53209391461846COMMUNITY CENTERWI501(c)(37MINISTRY HEALTH CARE INCYes (true)
CALUMET MEDICAL CENTER INC
614 MEMORIAL DRIVECHILTONWI53014390905385HOSPITALWI501(c)(33AFFINITY HEALTH SYSTEMYes (true)
CATALPA HEALTH INC
N4642 COUNTY NAPPLETONWI54914454681563MENTAL HEALTH FACILITYWI501(c)(33STELIZABETH HOSPITAL INCYes (true)
SAINT MICHAEL'S FOUNDATION OF STEVENS POINT INC
900 ILLINOIS AVENUESTEVENS POINTWI54481391657410CHARITABLE FOUNDATIONWI501(c)(3Type ISAINT MICHAEL'S HOSPITAL OF STEVENS POINTYes (true)
DOOR COUNTY MEMORIAL HOSPITAL
323 SOUTH 18TH AVENUESTURGEON BAYWI54235390806324HOSPITALWI501(c)(33MINISTRY HEALTH CAREINCYes (true)
DR KATE NEWCOMB CONVALESCENT CENTER INC
PO BOX 829WOODRUFFWI54568391357365NURSING/ASSISTED LIVING SERVICESWI501(c)(39HOWARD YOUNG HEALTH CARE INCYes (true)
EAGLE RIVER MEMORIAL HOSPTIAL INCORPORATED
201 HOSPITAL ROADEAGLE RIVERWI54521390985690HOSPITALWI501(c)(33THE HOWARD YOUNG MEDICAL CENTER INCYes (true)
FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC
3400 MINISTRY PARKWAYWESTONWI54476753193633CHARITABLE FOUNDATIONWI501(c)(3Type IMINISTRY HEALTH CARE INCYes (true)
FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD
611 SAINT JOSEPH AVENUEMARSHFIELDWI54449391684957CHARITABLE FOUNDATIONWI501(c)(3Type ISAINT JOSEPH'S HOSPITAL OF MARSHFIELD INCYes (true)
GOOD SAMARITAN HEALTH CENTER OF MERRILL WISCONSIN INC
601 SOUTH CENTER AVENUEMERRILLWI54452390808503HOSPITALWI501(c)(33MINISTRY HEALTH CARE INCYes (true)
GOOD SAMARITAN HEALTH CENTER FOUNDATION OF MERRILL WISCONSIN INC
601 SOUTH CENTER AVENUEMERRILLWI54452391627755CHARITABLE FOUNDATIONWI501(c)(3Type IGOOD SAMARITAN HEALTH CENTER OF MERRILLYes (true)
HOWARD YOUNG FOUNDATION INC
240 MAPLE STREETWOODRUFFWI54568391521169CHARITABLE FOUNDATIONWI501(c)(37HOWARD YOUNG HEALTH CARE INCYes (true)
HOWARD YOUNG HEALTH CARE INC
240 MAPLE STREETWOODRUFFWI54568391499115HOME OFFICEWI501(c)(3Type IIMINISTRY HEALTH CARE INCYes (true)
THE HOWARD YOUNG MEDICAL CENTER INC
240 MAPLE STREETWOODRUFFWI54568390873606HOSPITALWI501(c)(33HOWARD YOUNG HEALTH CARE INCYes (true)
MERCY HEALTH FOUNDATION INC
PO BOX 3370OSHKOSHWI54903237140261CHARITABLE FOUNDATIONWI501(c)(39AFFINITY HEALTH SYSTEMYes (true)
MERCY MEDICAL CENTER OF OSHKOSH INC
500 S OAKWOOD ROADOSHKOSHWI54904390806268HOSPITALWI501(c)(33MINISTRY HEALTH CARE INCYes (true)
MINISTRY HOMECARE INC
611 STJOSEPH AVENUE 4SMARSHFIELDWI54449391936201HOME CARE/ HOSPICEWI501(c)(39MINISTRY HEALTH CARE INCYes (true)
MINISTRY MEDICAL GROUP INC
824 ILLINOIS AVENUESTEVENS POINTWI54481391965593CLINICSWI501(c)(3Type III-FIMINISTRY HEALTH CARE INCYes (true)
MINISTRY WEIGHT MANAGEMENT
2251 NORTH SHORE DRIVERHINELANDERWI54501391829015HEALTH SERVICESWI501(c)(33SACRED HEART-ST MARY'S HOSPITALSYes (true)
NETWORK HEALTH SYSTEM INC
1570 APPLETON RDMENASHAWI54952391127163CLINICAL HEALTHCARE SERVICESWI501(c)(33AFFINITY HEALTH SYSTEMYes (true)
OUR LADY OF VICTORY HOSPITAL
1120 PINE STREETSTANLEYWI54768390807065HOSPITALWI501(c)(33MINISTRY HEALTH CARE INCYes (true)
SACRED HEART-STMARY'S HOSPITALS INC
PO BOX 347STEVENS POINTWI54481391390638HOSPITALWI501(c)(33MINISTRY HEALTH CARE INCYes (true)
SAINT ELIZABETH'S HOSPITAL OF WABASHA INC
1200 GRANT BLVD WESTWABASHAMN55981410693877HOSPITALMN501(c)(33MINISTRY HEALTH CARE INCYes (true)
SAINT ELIZABETH'S HOSPITAL FOUNDATION INC
1506 S ONEIDA STREETAPPLETONWI54915391256677CHARITABLE FOUNDATIONWI501(c)(37AFFINITY HEALTH SYSTEMYes (true)
ST ELIZABETH HOSPITAL INC
1506 S ONEIDA STREETAPPLETONWI54915390816818HOSPITALWI501(c)(33MINISTRY HEALTH CARE INCYes (true)
SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC
611 SAINT JOSEPH AVENUEMARSHFIELDWI54449391847631HOSPITALWI501(c)(33MINISTRY HEALTH CARE INCYes (true)
SAINT MICHAEL'S HOSPTIAL OF STEVENS POINT INC
900 ILLINOIS AVENUESTEVENS POINTWI54481390808443HOSPITALWI501(c)(33MINISTRY HEALTH CARE INCYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
TWIIN MED LLP
PO BOX 8005MENASHAWI54952391180341RENTAL PROPERTYWINAN/A
DIAGNOSTIC & TREATMENT CENTER
3401 CRANBERRY BLVDWESTONWI54952200691634OUTPATIENT SERVICESWISAINT CLARE'S HOSPITAL OF WESTON INCRelated$8,598,166$8,198,039falsefalse0.5

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxt
NETWORK HEALTH PLAN INC
1570 MIDWAY PLACEMENASHAWI54952391442058INSURANCEWINAC Corporation
NETWORK HEALTH INSURANCE CORPORATION
1570 MIDWAY PLACEMENASHAWI54952392020474INSURANCEWINAC Corporation
MINISTRY HOLDINGS INC
1570 MIDWAY PLACEMENASHAWI54952422966177INSURANCE HOLDING COMPANYWINAC Corporation
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Ministry Health Care
P$12,740,052FMV
Ministry Medical Group Inc
A$246,684FMV
Ministry Health Care Inc
E$147,925,119FMV
Foundation of St Clare's Hospital of Weston Inc
Q$57,381FMV
Foundation of St Clare's Hospital of Weston Inc
R$86,963FMV
Foundation of St Clare's Hospital of Weston Inc
O$66,557FMV
Ministry Health Care Inc
R$8,200,923FMV
SAINT JOSEPH'S HOSPITAL
O$255,516FMV
GOOD SAMARITAN HOSPITAL
O$475,607FMV
MINISTRY HEALTH CARE
O$700,759FMV
MINISTRY MEDICAL GROUP
O$7,976,417FMV
MINISTRY MEDICAL GROUP INC
M$3,626,276FMV

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