2016-05-16T19:03:47-05:00 2015-06-30 861065772 Deloitte Tax LLP 555 East Wells Street Suite 1400 Milwaukee WI 53202 990 2014-07-01 721531917 St Clare's Hospital of Weston Inc STCL 7153933000 3400 Ministry Parkway Weston WI 54476 Brian Regan Interim CFO 2016-05-16 true Rachel Becker P00966076 4142713000 2014 2016-08-17 19:52:53Z Mary T Krueger 3400 Ministry Parkway Weston WI 54476 112849079 false 0928 X www.ministryhealth.org X 2002 WI To further the healing ministry of Jesus by improving the health/well-being of all people. 14 11 570 136 25023 -43764 128354 43510 103497950 110294043 -2474 -113350 997003 2500239 104620833 112724442 0 0 0 0 42702762 43059855 0 0 0 57621673 62702219 100324435 105762074 4296398 6962368 94985084 102794668 184174198 185071006 -89189114 -82276338 Saint 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. false false 78172191 111864047 SAINT 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. 78172191 true true false true false false false false false false true false true false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 62 0 true 570 true true true false false false false false false false false false X 14 11 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 TEE DALY SECRETARY/TREASURER 0.20 0 X X 0 0 0 THOMAS FELCH VICE CHAIRMAN 0.20 0 X X 0 0 0 LARRY T HEGLAND MD CHIEF MEDICAL OFFICER 7.00 40.00 X X 0 427650 17897 MARY T KRUEGER PRESIDENT 27.00 40.00 X X 0 487564 17534 KEVIN NOEL CHAIRMAN 0.20 0 X X 0 0 0 DAVID EISENREICH BOARD MEMBER 0.20 0 X 0 0 0 JIM FRINGS BOARD MEMBER 0.20 0 X 0 0 0 KEVIN KRAFT BOARD MEMBER 0.20 0 X 0 0 0 JAMIE SCHAEFER BOARD MEMBER 0.20 0 X 0 0 0 ROBYN SCHERTZ MD BOARD MEMBER 0.20 41.00 X 0 403878 41956 SISTER MARIA VINTON SSM BOARD MEMBER 0.20 0.00 X 0 0 0 DAVE KALLSTROM BOARD MEMBER 0.20 0 X 0 0 0 DR JANET KLOSINSKI BOARD MEMBER 0.20 0 X 0 0 0 TOM RAU BOARD MEMBER 0.20 0 X 0 0 0 NICHOLAS DESIEN MINISTRY HEALTH CARE CEO 0.10 40.00 X 0 2134343 18803 JEFFREY FRANCIS MINISTRY HEALTH CARE CAFO 0.10 40.00 X 0 1021840 19803 DANIEL NEUFELDER SVP, HOSPITAL OPERATIONS & PRESIDENT, AHS 0.10 40.00 X 0 1071649 17365 JEFFREY L MARTIN VICE PRESIDENT MINISTRY HEALTH CARE 6.00 40.00 X 0 1023508 18196 KRISTINE MCGARIGLE VP OF PATIENT CARE 40.00 0.00 X 0 226070 17732 RACHEL YARON VP OF QUALITY AND SAFETY 14.00 40.00 X 0 237518 3690 PAUL W DAUBNER CLINICAL STAFF PHARMACIST 36.00 0 X 142003 0 10431 MARIA HEGLAND CLINICAL STAFF PHARMACIST 40.00 0 X 131078 0 2829 ROBERT K MIDDLETON DIRECTOR PHARMACY 27.00 0 X 156171 0 21848 JASON M ROMINSKI CLINICAL STAFF PHARMACIST 40.00 0 X 137725 0 10491 JOHN ZEPKE CLINICAL STAFF PHARMACIST 36.00 0 X 138156 0 10334 JEFF BADGER FORMER OFFICER 0.00 0.00 X 0 659840 13832 705133 7693859 242741 10 true true false MEDICAL STAFFING SOLUTIONS INC PO BOX 101 3 SOUTH MAIN ST RICE LAKE WI 54868 AGENCY STAFFING 687778 MARSHFIELD CLINIC 1000 NORTH OAK AVE MARSHFIELD WI 54449 MEDICAL SERVICES 558961 DIAGNOSTIC & TREATMENT CENTER 3401 CRANBERRY BLVD WESTON WI 54476 MEDICAL SERVICES 469425 ADVANCE ICU CARE PO BOX 790379 ST LOUIS MO 63179 MEDICAL SERVICES 428976 LANDART INC 3808 E SELL ST WAUSAU WI 54403 LANDSCAPING SERVICES 385257 14 X 36963 6547 18365 43510 Net patient revenue 622110 105405319 105405319 Rent from exempt org 531190 3331712 3331712 Ancillary-DTC Income 621500 1557012 1557012 0 0 0 0 110294043 1063 1063 42109 9941 32168 0 32168 32168 283 114696 0 -114413 -114413 -114413 0 0 Cafeteria 722210 781626 25023 756603 Gift Shop 453220 116441 116441 Rebates/Discounts 900099 69593 69593 1500411 1500411 0 0 2468071 112724442 111864047 25023 791862 0 0 0 0 0 0 0 0 0 0 0 0 33739284 28556811 5182473 1356133 1147827 208306 6164609 3994474 2170135 1799829 1523369 276460 0 0 5935 1125 4810 1100 1100 0 0 0 0 2676255 1731802 944453 0 16568088 16114536 453552 390707 390707 1738293 1023753 714540 63504 44942 18562 294592 110536 184056 8378316 298355 8079961 6973203 3748431 3224772 230111 90341 139770 Underarrangements 8227564 8227564 Purchased services 7555389 4626756 2928633 Pharmaceuticals 2921872 2911576 10296 Anesthesia services 2861176 2861176 3816114 767010 3049104 0 105762074 78172191 27589883 0 1700 1700 3570700 14068343 12382234 13675483 0 0 0 2098839 2242537 408454 159927 70951663 11165657 64480869 59786006 0 6866472 8279223 1935588 959533 3240228 3621916 94985084 102794668 29902577 33495807 0 154271621 151575199 184174198 185071006 X -89332273 -82456868 143159 180530 -89189114 -82276338 94985084 102794668 X 6962368 0 0 0 0 -49592 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 8537 8537 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. 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. 5736650 5736650 47647955 3715572 43932383 1639992 284746 1355246 13842173 5861443 7980730 2084893 1303896 780997 59786006 Equity investment in DTC 8279223 C 8279223 Note payable to MHC (Related Party) 147925119 Other liabilities 2347390 Estimated due to third party payors 1302690 151575199 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote From the consolidated audited financial statements of Ministry Health Care, Inc. which includes the activity of 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. true true X true X true X true true true false true true 328258 0 328258 0.0031 12216317 12955701 -739384 0.0 0 0 0 0.0 0 0 12544575 12955701 -411126 0.0031 18 404 413810 13087 400723 0.0038 5 0 183736 0 183736 0.0017 2 23540 2974 20566 0.0002 0 0 0 0.0 11 232660 7598 225062 0.0021 36 404 853746 23659 830087 0.0078 36 404 13398321 12979360 418961 0.0110 0 0.0 0 0.0 4 28387 28387 0.0003 0 0.0 1 1500 1500 0.0000 3 64190 64190 0.0006 0 0.0 0 0.0 0 0.0 8 0 94077 0 94077 0.0009 false 3134452 0 46161378 53374319 -7212941 X true true 1 1 Saint Clare's Hospital of Weston Inc 3400 Ministry Parkway Weston WI 54476 www.ministryhealth.org 310 X X X Saint Clare's Hospital of Weston Inc 1 false false true X X X X X X X X X 12 true false true true X http://ministryhealth.org/SaintClaresHospital0/Ministry_Saint_Clares_Hospital_CHNA_2013_FINAL2.pdf X true 12 true http://ministryhealth.org/SaintClaresHospital0/MSCH_Implementation_Plan_2013_12_3_2014REV.pdf false false true X 2.0 4.0 X X X X X true true X X X true X http://ministryhealth.org/Ministry_Health_Care/Financial_Assistance_Program_RC08.pdf X http://ministryhealth.org/Ministry_Health_Care/MHC_FinancialAid_Application_REV4.pdf X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 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 , 1 Facility , 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. 1 The Diagnostic & Treatment Center 3401 Cranberry Blvd Weston WI 54476 Outpatient/Diagnostic Services Schedule H, Part I, Line 6a Community benefit report prepared by related organization Saint 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 assistance Amounts calculated in Part I, Line 7 are determined both on a cost accounting system and a cost-to-charge ratio. Other benefits are determined based on the direct and indirect costs (where allocated) associated with a program net of earned revenue. Detail for each program/activity is maintained and determined at the department level. Charity care and means-tested programs are determined based on a cost-to-charge ratio consistent with Worksheet 2, Ratio of Patient Care Cost to Charges. 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 Activities Community 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 amount Accounts are written off to bad debt after all internal collection efforts have been exhausted. Attempts to resolve these outstanding balances can include, but are not limited to statements being sent, phone calls and letters being sent. Account follow up protocol is based on personal pay balance size owed. Schedule H, Part III, Line 3 Bad Debt Expense Methodology Saint 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 footnote From 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 costs Ascension Health and related health ministries follow the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance The organization has a debt collection policy which sets forth collection practices for patients who are known to qualify or may qualify for financial assistance under the charity care program. Sufficient financial counseling support is made available to patients so they can easily access patient financial service representatives and have their questions answered, and gain an understanding of the reasons why they owe a balance. Accounts are designated as charity care in the business offices so no additional time is spent on collection efforts. Schedule H, Part V, Section B, Line 16a FAP website - 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 assessment The 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 assistance The 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 information While 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 health The organization strives to further its exempt purposes by the following: (1) The Organization's governing board consists primarily of persons who reside within the primary service area 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 system Ministry Health Care, Inc. (Ministry or the Health Ministry) is a member of Ascension Health. In December 2011, Ascension Health Alliance, doing business as Ascension, became the sole corporate member and parent organization of Ascension Health, a Catholic national health system consisting primarily of nonprofit corporations that own and operate local health care facilities, or Health Ministries, located in 23 states and the District of Columbia. In addition to serving as the sole corporate member of Ascension Health, Ascension serves as the member or shareholder of various other subsidiaries. Ascension, its subsidiaries, and the Health Ministries are referred to collectively from time to time hereafter as the System. Ascension is sponsored by Ascension Sponsor, a Public Juridic Person. The Participating Entities of Ascension Sponsor are the Daughters of Charity of St. Vincent de Paul, St. Louise Province, the Congregation of St. Joseph, the Congregation of the Sisters of St. Joseph of Carondelet, the Congregation of Alexian Brothers of the Immaculate Conception Province, Inc. - American Province, and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi-US/Caribbean Province. The Health Ministry is a Wisconsin non-stock, tax-exempt corporation that manages, promotes, and supports health care and related ministries in Wisconsin and Minnesota. The Health Ministry provides inpatient, outpatient, and emergency care services for the residents of Wisconsin and Minnesota. Admitting physicians are primarily practitioners in the local area. The Health Ministry is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of the Health Ministry are related to providing health care services. Effective November 1, 2014, the Health Ministry sold 50% of its ownership in Network Health, Inc. to an unrelated health system (see Note 3). On February 1, 2015, the Health Ministry transferred its ownership in Ministry Home Care, Inc. to Ascension Health. The consolidated financial statements include the following affiliates located primarily in Wisconsin, in which Ministry has a controlling interest and/or is the sole sponsor. Affinity Health System, Inc. (Affinity): Calumet Medical Center, Inc. (CMC): Affinity Medical Group (AMG) Twin Med, LLC Mercy Medical Center, Inc. Mercy Health Foundation St. Elizabeth Hospital Catalpa Health: St. Elizabeth Foundation Agape Community Center of Milwaukee, Inc. Door County Memorial Hospital (Door County) Good Samaritan Health Center of Merrill Good Samaritan Health Center Foundation Howard Young Health Care, Inc. (Howard Young): Dr. Kate Newcomb Convalescent Center Howard Young Medical Center, Inc. Dr. Howard Young Foundation Eagle River Memorial Hospital, Inc. Ministry Medical Group, Inc. Ministry Holdings, Inc. (through November 1, 2014): Network Health (NH) (through November 1, 2014) Network Health Insurance Corporation (NHIC) (thru November 1, 2014) Our Lady of Victory Hospital Sacred Heart Hospital-St. Mary's Hospital, Inc. St. Clare's Hospital of Weston, Inc. Foundation of St. Clare's Hospital of Weston, Inc. St. Elizabeth's Hospital of Wabasha, Inc. St. Joseph's Hospital of Marshfield, Inc. Foundation of St. Joseph's Hospital of Marshfield, Inc. St. Michael's Hospital of Stevens Point, Inc. St. Michael's Foundation of Stevens Point, Inc. The System directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing and dedicates its resources to spiritually centered care that sustains and improves the health of the individuals and communities it serves. In accordance with the System's mission of service to those persons living in poverty and to other vulnerable persons, each Health Ministry accepts patients regardless of their ability to pay. The System uses four categories to identify the resources utilized for the care of persons living in poverty and for community benefit programs: 1. Traditional charity care includes the cost of services provided to persons who cannot afford health care because of inadequate resources and/or who are uninsured or underinsured. 2. Unpaid cost of public programs, excluding Medicare, represents the unpaid cost of services provided to persons covered by public programs for persons living in poverty and for other vulnerable persons. 3. Cost of other programs for persons living in poverty and for other vulnerable persons includes unreimbursed costs of programs intentionally designed to serve the persons living in poverty and the other vulnerable persons of the community, including substance abusers, the homeless, victims of child abuse, and persons with acquired immune deficiency syndrome. 4. Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for the persons living in poverty, including health promotion and education, health clinics and screenings, and medical research. Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care to persons living in poverty or in the cost of other community benefit programs. The cost of providing care to persons living in poverty and of other community benefit programs is estimated using internal cost data and is estimated by reducing charges forgone by a factor derived from the ratio of total operating expenses to billed charges for patient care. The amount of traditional charity care provided, determined on the basis of cost, was approximately $12,600 and $18,400 for the years ended June 30, 2015 and 2014, respectively. The amount of unpaid cost of public programs, cost of other programs for persons living in poverty and for other vulnerable persons, and cost of community benefit programs are reported in the accompanying supplementary information. Schedule H, Part VI, Line 7 State filing of community benefit report WI false true false false false false false false false LARRY T HEGLAND MD CHIEF MEDICAL OFFICER 0 268295 0 69095 0 90260 0 0 0 17897 0 445547 0 0 MARY T KRUEGER PRESIDENT 0 248235 0 88927 0 150402 0 0 0 17534 0 505097 0 0 ROBYN SCHERTZ MD BOARD MEMBER 0 391687 0 350 0 11841 0 17500 0 24456 0 445834 0 0 JEFF BADGER FORMER OFFICER 0 264031 0 374899 0 20910 0 0 0 13832 0 673672 0 0 NICHOLAS DESIEN MINISTRY HEALTH CARE CEO 0 1009502 0 1079643 0 45198 0 0 0 18803 0 2153146 0 0 JEFFREY FRANCIS MINISTRY HEALTH CARE CAFO 0 438327 0 141768 0 441745 0 0 0 19803 0 1041644 0 0 DANIEL NEUFELDER SVP, HOSPITAL OPERATIONS & PRESIDENT, AHS 0 791344 0 259379 0 20926 0 0 0 17365 0 1089014 0 0 JEFFREY L MARTIN VICE PRESIDENT MINISTRY HEALTH CARE 0 428700 0 166683 0 428125 0 0 0 18196 0 1041703 0 0 KRISTINE MCGARIGLE VP OF PATIENT CARE 0 157079 0 41439 0 27552 0 0 0 17732 0 243802 0 0 RACHEL YARON VP OF QUALITY AND SAFETY 0 140124 0 38758 0 58636 0 0 0 3690 0 241208 0 0 PAUL W DAUBNER CLINICAL STAFF PHARMACIST 119705 0 16750 0 5548 0 2843 0 7588 0 152434 0 0 0 ROBERT K MIDDLETON DIRECTOR PHARMACY 142237 0 2800 0 11134 0 3223 0 18625 0 178019 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Ministry 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 plan These 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 Form 990, Part VI, Line 2 BUSINESS RELATIONSHIP MANY OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF EMPLOYMENT BY MINISTRY HEALTHCARE, INC. RELATED ENTITIES. Form 990, Part VI, Line 15 DETERMINING COMPENSATION OF THE ORGANIZATION IN 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 stockholders Saint 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 body Saint 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 stockholders All 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 body Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members' questions. Form 990, Part VI, Line 12c Conflict of interest policy The organization regularly and consistently monitors and enforces compliance with the Conflict of Interest Policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the Conflict of Interest Policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Line 19 Required documents available to the public The Ministry web page is available to the public for inspection with a good deal of information regarding who Ministry Health Care is and the entities included along with our mission. The Articles of Incorporation, Bylaws, Conflict of Interest Policy and financial statements are not included on any web page. However, if any inquiry is made for any documents they are shared as appropriate. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All 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 balances Equity Transfer to Foundation of Saint Clare's Hospital of Weston, Inc. - -86963; Temporarily Restricted Increase in Fund Balance - 37371; ASCENSION HEALTH ALLIANCE PO BOX 45998 STLOUIS MO 63145 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3 Type I NA false ASCENSION HEALTH PO BOX 45998 STLOUIS MO 63145 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3 Type I ASCENSION HEALTH ALLIANCE false MINISTRY HEALTH CARE INC 10925 W LAKE PARK DR STE 100 MILWAUKEE WI 53224 391490371 PARENT CORPORATION WI 501(c)(3 Type II ASCENSION HEALTH false AFFINITY HEALTH SYSTEM 1570 MIDWAY PLACE MENASHA WI 54952 391568866 SUPPORT RELATED HEALTHCARE ORGANZIATIONS IL 501(c)(3 Type II MINISTRY HEALTH CARE INC true AGAPE COMMUNITY CENTER OF MILWAUKEE INC 6100 NORTH 42ND STREET MILWAUKEE WI 53209 391461846 COMMUNITY CENTER WI 501(c)(3 7 MINISTRY HEALTH CARE INC true CALUMET MEDICAL CENTER INC 614 MEMORIAL DRIVE CHILTON WI 53014 390905385 HOSPITAL WI 501(c)(3 3 AFFINITY HEALTH SYSTEM true CATALPA HEALTH INC N4642 COUNTY N APPLETON WI 54914 454681563 MENTAL HEALTH FACILITY WI 501(c)(3 3 STELIZABETH HOSPITAL INC true SAINT MICHAEL'S FOUNDATION OF STEVENS POINT INC 900 ILLINOIS AVENUE STEVENS POINT WI 54481 391657410 CHARITABLE FOUNDATION WI 501(c)(3 Type I SAINT MICHAEL'S HOSPITAL OF STEVENS POINT true DOOR COUNTY MEMORIAL HOSPITAL 323 SOUTH 18TH AVENUE STURGEON BAY WI 54235 390806324 HOSPITAL WI 501(c)(3 3 MINISTRY HEALTH CAREINC true DR KATE NEWCOMB CONVALESCENT CENTER INC PO BOX 829 WOODRUFF WI 54568 391357365 NURSING/ASSISTED LIVING SERVICES WI 501(c)(3 9 HOWARD YOUNG HEALTH CARE INC true EAGLE RIVER MEMORIAL HOSPTIAL INCORPORATED 201 HOSPITAL ROAD EAGLE RIVER WI 54521 390985690 HOSPITAL WI 501(c)(3 3 THE HOWARD YOUNG MEDICAL CENTER INC true FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC 3400 MINISTRY PARKWAY WESTON WI 54476 753193633 CHARITABLE FOUNDATION WI 501(c)(3 Type I MINISTRY HEALTH CARE INC true FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD 611 SAINT JOSEPH AVENUE MARSHFIELD WI 54449 391684957 CHARITABLE FOUNDATION WI 501(c)(3 Type I SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC true GOOD SAMARITAN HEALTH CENTER OF MERRILL WISCONSIN INC 601 SOUTH CENTER AVENUE MERRILL WI 54452 390808503 HOSPITAL WI 501(c)(3 3 MINISTRY HEALTH CARE INC true GOOD SAMARITAN HEALTH CENTER FOUNDATION OF MERRILL WISCONSIN INC 601 SOUTH CENTER AVENUE MERRILL WI 54452 391627755 CHARITABLE FOUNDATION WI 501(c)(3 Type I GOOD SAMARITAN HEALTH CENTER OF MERRILL true HOWARD YOUNG FOUNDATION INC 240 MAPLE STREET WOODRUFF WI 54568 391521169 CHARITABLE FOUNDATION WI 501(c)(3 7 HOWARD YOUNG HEALTH CARE INC true HOWARD YOUNG HEALTH CARE INC 240 MAPLE STREET WOODRUFF WI 54568 391499115 HOME OFFICE WI 501(c)(3 Type II MINISTRY HEALTH CARE INC true THE HOWARD YOUNG MEDICAL CENTER INC 240 MAPLE STREET WOODRUFF WI 54568 390873606 HOSPITAL WI 501(c)(3 3 HOWARD YOUNG HEALTH CARE INC true MERCY HEALTH FOUNDATION INC PO BOX 3370 OSHKOSH WI 54903 237140261 CHARITABLE FOUNDATION WI 501(c)(3 9 AFFINITY HEALTH SYSTEM true MERCY MEDICAL CENTER OF OSHKOSH INC 500 S OAKWOOD ROAD OSHKOSH WI 54904 390806268 HOSPITAL WI 501(c)(3 3 MINISTRY HEALTH CARE INC true MINISTRY HOMECARE INC 611 STJOSEPH AVENUE 4S MARSHFIELD WI 54449 391936201 HOME CARE/ HOSPICE WI 501(c)(3 9 MINISTRY HEALTH CARE INC true MINISTRY MEDICAL GROUP INC 824 ILLINOIS AVENUE STEVENS POINT WI 54481 391965593 CLINICS WI 501(c)(3 Type III-FI MINISTRY HEALTH CARE INC true MINISTRY WEIGHT MANAGEMENT 2251 NORTH SHORE DRIVE RHINELANDER WI 54501 391829015 HEALTH SERVICES WI 501(c)(3 3 SACRED HEART-ST MARY'S HOSPITALS true NETWORK HEALTH SYSTEM INC 1570 APPLETON RD MENASHA WI 54952 391127163 CLINICAL HEALTHCARE SERVICES WI 501(c)(3 3 AFFINITY HEALTH SYSTEM true OUR LADY OF VICTORY HOSPITAL 1120 PINE STREET STANLEY WI 54768 390807065 HOSPITAL WI 501(c)(3 3 MINISTRY HEALTH CARE INC true SACRED HEART-STMARY'S HOSPITALS INC PO BOX 347 STEVENS POINT WI 54481 391390638 HOSPITAL WI 501(c)(3 3 MINISTRY HEALTH CARE INC true SAINT ELIZABETH'S HOSPITAL OF WABASHA INC 1200 GRANT BLVD WEST WABASHA MN 55981 410693877 HOSPITAL MN 501(c)(3 3 MINISTRY HEALTH CARE INC true SAINT ELIZABETH'S HOSPITAL FOUNDATION INC 1506 S ONEIDA STREET APPLETON WI 54915 391256677 CHARITABLE FOUNDATION WI 501(c)(3 7 AFFINITY HEALTH SYSTEM true ST ELIZABETH HOSPITAL INC 1506 S ONEIDA STREET APPLETON WI 54915 390816818 HOSPITAL WI 501(c)(3 3 MINISTRY HEALTH CARE INC true SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC 611 SAINT JOSEPH AVENUE MARSHFIELD WI 54449 391847631 HOSPITAL WI 501(c)(3 3 MINISTRY HEALTH CARE INC true SAINT MICHAEL'S HOSPTIAL OF STEVENS POINT INC 900 ILLINOIS AVENUE STEVENS POINT WI 54481 390808443 HOSPITAL WI 501(c)(3 3 MINISTRY HEALTH CARE INC true TWIIN MED LLP PO BOX 8005 MENASHA WI 54952 391180341 RENTAL PROPERTY WI NA N/A DIAGNOSTIC & TREATMENT CENTER 3401 CRANBERRY BLVD WESTON WI 54952 200691634 OUTPATIENT SERVICES WI SAINT CLARE'S HOSPITAL OF WESTON INC Related 8598166 8198039 false false 0.5 NETWORK HEALTH PLAN INC 1570 MIDWAY PLACE MENASHA WI 54952 391442058 INSURANCE WI NA C Corporation NETWORK HEALTH INSURANCE CORPORATION 1570 MIDWAY PLACE MENASHA WI 54952 392020474 INSURANCE WI NA C Corporation MINISTRY HOLDINGS INC 1570 MIDWAY PLACE MENASHA WI 54952 422966177 INSURANCE HOLDING COMPANY WI NA C Corporation true false true false true false false false false false false true true true true true true true false Ministry Health Care P 12740052 FMV Ministry Medical Group Inc A 246684 FMV Ministry Health Care Inc E 147925119 FMV Foundation of St Clare's Hospital of Weston Inc Q 57381 FMV Foundation of St Clare's Hospital of Weston Inc R 86963 FMV Foundation of St Clare's Hospital of Weston Inc O 66557 FMV Ministry Health Care Inc R 8200923 FMV SAINT JOSEPH'S HOSPITAL O 255516 FMV GOOD SAMARITAN HOSPITAL O 475607 FMV MINISTRY HEALTH CARE O 700759 FMV MINISTRY MEDICAL GROUP O 7976417 FMV MINISTRY MEDICAL GROUP INC M 3626276 FMV