ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC (EIN 39-0868982)
- Tax period
- 2013-09-01 to 2014-08-31
- Filed
- 2015-05-08
- IRS object ID
- 201511289349300036
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-08T09:31:03-05:00 | ReturnTs |
| Tax Period End | 2014-08-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8010 | AddressLine1 |
| City | WAUSAU | City |
| State | WI | State |
| ZIP Code | 544028010 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-09-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390868982 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIVERVIEW HOSPITAL ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RIVE | BusinessNameControlTxt |
| Phone | 7154229292 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 410 Dewey Street | AddressLine1 |
| City | Wisconsin Rapids | City |
| State | WI | State |
| ZIP Code | 54494 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Nancy Roth-Mallek | PersonNm |
| Person Title | Interim CFO | PersonTitleTxt |
| Phone | 7154229292 | PhoneNum |
| Signature | 2015-04-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kathleen J LaBrake CPA | PreparerPersonNm |
| PTIN | P00164006 | PTIN |
| Phone | 7158453111 | PhoneNum |
| Preparation | 2015-04-28 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Nancy Roth-Mallek | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 410 Dewey Street | AddressLine1 |
| City | Wisconsin Rapids | City |
| State | WI | State |
| ZIP Code | 54494 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $136,677,519 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.rhahealthcare.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1912 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | To provide compassionate, affordable, state-of-the-art healthcare to our communities. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 773 | TotalEmployeeCnt |
| Total Volunteers | 380 | TotalVolunteersCnt |
| Total Gross UBI | $760,485 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$35,911 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $378,441 | PYContributionsGrantsAmt |
| CY Contributions Grants | $377,256 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $93,609,871 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $93,262,513 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,131,576 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,902,954 | CYInvestmentIncomeAmt |
| PY Other Revenue | $283,752 | PYOtherRevenueAmt |
| CY Other Revenue | $380,539 | CYOtherRevenueAmt |
| PY Total Revenue | $100,403,640 | PYTotalRevenueAmt |
| CY Total Revenue | $98,923,262 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $45,171,193 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $45,740,439 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $42,744,819 | PYOtherExpensesAmt |
| CY Other Expenses | $40,894,884 | CYOtherExpensesAmt |
| PY Total Expenses | $87,916,012 | PYTotalExpensesAmt |
| CY Total Expenses | $86,635,323 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $12,487,628 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $12,287,939 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $214,699,382 | TotalAssetsBOYAmt |
| Total Assets EOY | $236,278,696 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $55,245,493 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $53,506,248 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $159,453,889 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $182,772,448 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To provide compassionate, affordable, state-of-the-art healthcare to our communities. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $64,205,709 | ExpenseAmt |
| Revenue | $92,147,734 | RevenueAmt |
| Desc | Riverview Hospital Association owns and operates the following entities: (1) Riverview Hospital, established in 1912; (2) the outpatient Riverview Rehabilitation Center; (3) Riverview Family Clinic - this service includes clinics in Wisconsin Rapids, Nekoosa, and the Rome-Lakes area; (4) the UW Cancer Center Riverview. UWCC-R opened in 2003 in cooperation with UW Comprehensive Cancer Center, Madison; and (5) Riverview Community Dental Clinic. RHA established this clinic in 2009 to serve residents of South Wood County.Riverview Hospital Association provides community benefit programs and services that address identified community health needs regardless of source or availability of payment, and it provides measurable improvement in health access, health status, and the use of health care resources. In addition, the programs and services considered community benefits should meet one or more of the following criteria: *Supports the organization's community-based mission *Targets the problems of the poor or medically underserved *Impacts the health status of the identified community *Reduces community health costs *Is accessible to the entire target community regardless of their ability to pay *Stimulates external community partnerships *Improves the access to needed health care servicesFONEMED is a free, confidential telephone service the community can call after the clinics are closed to get routine health advice or general health information from a Registered Nurse. Approximately 1,900 persons benefited from this program.Coalition Building: The Heatlhy People Wood County Obesity Prevention Team is focusing efforts on building environments and policies which can support healthy behavior change in terms of diet and exercise. Riverview's Health Promotion Coordinator also represents Riverview on the Safe Kids Coalition, working to prevent injury and death in children aged 0-14. The Community Relations Assistant represents Riverview on the 3-0 Day Committee (Our Bodies, Our Responsibilities). The Committee organizes a teen conference annually focusing on reducing at-risk behavior in junior and senior high students. Approximately 300 persons benefited from these coalitions.Riverview Dental Clinic in Wisconsin Rapids is open to patients who have Medicaid or Badger Care insurance coverage. This insurance is not typically accepted by independent dental clinics. Approximately 4,188 persons benefited from this program in 2014. Riverview Family Clinic physicians are helping educate area junior high students about sexual responsibility. Two physicians took part in several Wisconsin Rapids East Junior High School health classes, sharing information on the topics of sexually transmitted diseases, pregnancy, and pregnancy prevention. Prior to their visits each semester, the physicians share their presentation with the students' parents during a parent meeting and respond to any questions or concerns that may arise. The physicians' visits have been very well received and greatly appreciated by the students, parents, health class instructor and school administration. Approximately 100 students attended this program.The Lifeline program is a 24 hour a day personal response system. A Lifeline unit is installed in the "subscriber's" home and operates through their phone line. He/She wears a "personal help button", which they use to alert Lifeline simply by pressing the button. There is also an Auto Alert personal help button, which alerts Lifeline automatically if the subscriber falls. A Lifeline "Monitor" answers the call through the Lifeline unit and they call the subscriber's. After they determine what kind of help is needed, they call the subscriber's "responders", which are friends, neighbors, or relatives that can check on the subscriber, or if the subscriber needs more professional help the Monitor will call for it immediately. The Lifeline program helps people that would otherwise by unable to remain in their homes. It provides them with freedom and security to do so, while also putting their family at ease. Our program helps many people in Wisconsin Rapids and the surrounding area. This past year approximately 270 people benefited from the Lifeline program that Riverview Medical Center offers.Vulnerable people of all ages including the elderly can remain in their home and be self-sufficient by receiving a home delivered meal that meets their specific nutrition requirements. Health conditions or physical disabilities restrict the ability of individuals to remain independent. The Home Delivered Meals Program provides nutrition that is medically therapeutic to address the special needs of clients diagnosed with diabetes, cardiac and pulmonary issues, retinal disease, gluten intolerance, weight loss due to cancer and chewing and swallowing problems. The program also meets the needs of caretakers of the mentally and physically handicapped or Alzheimer's or other dementia disorders by providing meals to allow them to care for their loved ones. Nutrition education is also offered. Community volunteers deliver hot lunches Monday - Friday as well as brown bag meals for weekends. Food is prepared with consideration for each client's personal preferences as well as dietary restrictions. In 2014, 19,278 meals were delivered. In an effort to meet the community needs of students in the Wisconsin Rapids area, Riverview Hospital Association offers the opportunity for interested students to experience a glimpse of the role of its professional staff. This service is made available to students who are interested in learning more about health careers. In 2014, Riverview had 47 job shadow participants.Riverview offers a free seminar entitled Understand Your Joint Pain. This seminar discussed what you can do about knee, hip, and other joint pain. Attendants also learned about arthritis, the causes and symptoms, and treatment options including medications, nutrition, exercise, alternative treatments, and new concepts in joint replacement. In 2014, Riverview presented this seminar to 63 individuals.Riverview offers monthly events to all women in the surrounding communities. The events are free of charge and educate women on various health topics that could affect them and/or members of their families. Various health topices covered were bone density, sleep disorders, pelvic health and podiatry. In 2014, nearly 600 individuals benefited from these events.Pooh Visits Riverview is a program sponsored by Riverview Hospital Auxiliary that gives hospital tours to kindergarten children of the Wisconsin Rapids area (including special needs children and home-schooled children). The tours are 1.5 hours long and include a video showing someone calling 9-1-1, an ambulance, the pediatric area of the Emergency Room, the operating room, a patient room in the hospital, the nursery, a hand-washing station, show x-rays of various body parts and provide a gift bag at the end of the tour. The program is offered in the spring and serves young children. Riverview coordinates and facilitates several support groups for individuals and their loved ones who are dealing with chronic disease, cancer or loss. The support groups include both men's and women's cancer, diabetes, cellac disease, arthritis and loss. In addition, lactation specialists from the Riverview Family Birthplace offer breastfeeding support to new mothers. Approximately, 715 individuals benefited from these programs.Medical school students from the University of Wisconsin come to Riverview for a six week surgical rotation where they have the opportunity to shadow a surgeon throughout the course of his/her day. Riverview provides free room and board to these students for the entire six weeks. In 2014, 4 medical students benefited from this program.Riverview offers preceptorship opportunities to students enrolled in area nursing programs. This structured program provides instruction, direction and guidance to students who are not employees of Riverview. The program meets the requirements for course credit in a healthcare setting. In 2014, nearly 65 students benefited from preceptorship opportunities. | Desc |
| Total Program Service Expenses | $64,205,709 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 101 | IRPDocumentCnt |
| IRP Document W2 G | 1 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 773 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NANCY ROTH-MALLEK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7154229292 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 410 DEWEY ST | AddressLine1 |
| City | WI RAPIDS | City |
| State | WI | State |
| ZIP Code | 54494 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MARJORIE MILLER MD | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GREGORY NETTESHEIM | ||||||||
| BOARD CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| KALIN LAMP | ||||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| PETER KOLAR | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SUSAN KUNFERMAN | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT BENKOWSKI | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROY BRANDELL MD | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JAY GRODE | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ELDEAN WALLING | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID STARK | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KELLY SCHAEFFER | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TIMOTHY MANCL | ||||||||
| BOARD VICE CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| TODD COUR | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JASON DEITZ | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| THOMAS FERK DO | ||||||||
| PHYSICIAN/BOARD | 40.00 | Yes (X) | $315,478 | $0 | $49,132 | |||
| CELSE BERARD | ||||||||
| PRESIDENT | 40.00 | $319,091 | $0 | $51,922 | Yes (X) | |||
| MICHAEL BOVEE | ||||||||
| V.P. - FINANCE | 40.00 | $220,265 | $0 | $38,391 | Yes (X) | |||
| PEGGY OSE | ||||||||
| V.P. - PATIENT SVCS | 40.00 | $170,611 | $0 | $35,399 | Yes (X) | |||
| RICHARD BAILEY MD FACP | ||||||||
| PRESIDENT OF MEDICAL AFFAIRS | 40.00 | $307,563 | $0 | $54,666 | Yes (X) | |||
| KEVIN FERREIRA MD | ||||||||
| PHYSICIAN | 40.00 | $443,505 | $0 | $51,086 | Yes (X) | |||
| JAMES TORHOST DPM | ||||||||
| PHYSICIAN | 40.00 | $438,089 | $0 | $55,656 | Yes (X) | |||
| RONNIE KIRSCHLING MD | ||||||||
| PHYSICIAN | 40.00 | $1,127,124 | $0 | $49,814 | Yes (X) | |||
| THEODORE REAHM DO | ||||||||
| PHYSICIAN | 40.00 | $415,483 | $0 | $52,320 | Yes (X) | |||
| YOLANDA JONES MD | ||||||||
| PHYSICIAN | 40.00 | $335,420 | $0 | $41,868 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,092,629 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $480,254 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 38 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ELLIS STONE CONSTRUCTION CO | |||||
| PO BOX 366 | STEVENS POINT | WI | 54481 | BUILDING CONSTRUCTION SERVICE | $1,608,559 |
| WEATHERBY LOCUMS INC | |||||
| 6451 NORTH FEDERAL HIGHWAY SUITE 8 | FORT LAUDERDALE | FL | 33308 | STAFFING | $799,807 |
| INFINITY HEALTHCARE PHYSICIANS SC | |||||
| 111 E WISCONSIN AVE SUITE 2100 | MILWAUKEE | WI | 53202 | EMERGENCY ROOM PHYSICIANS & MEDICAL | $637,372 |
| PARK & ASSOCIATES | |||||
| 3610 DEER ROAD | WISCONSIN RAPIDS | WI | 54494 | LABORATORY SERVICES | $578,795 |
| HEALOGICS WOUND CARE & HYPERBARIC SERVIC | |||||
| 3087 MOMENTUM PLACE | CHICAGO | IL | 606895330 | WOUND CARE & HYPERBARIC FEE | $455,423 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $55,902 | FundraisingAmt |
| Related Organizations | $302,124 | RelatedOrganizationsAmt |
| All Other Contributions | $19,230 | AllOtherContributionsAmt |
| Total Contributions | $377,256 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT SERVICES | 900099 | $90,271,177 | $90,271,177 | ||
| HEALTH RELATED PROGRAMS WHICH BEN | 900099 | $1,592,984 | $1,592,984 | ||
| LAB SERVICE FOR NON PATIENTS | 621500 | $470,907 | $470,907 | ||
| INCOME RECEIVED FROM OTHER MISC. | 900099 | $389,687 | $389,687 | ||
| FOOD | 900099 | $237,100 | $237,100 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $300,658 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,080 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $289,578 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $93,262,513 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,954,537 | TotalRevenueColumnAmt |
| Exclusion | $3,954,537 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $657,285 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $551,533 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $105,752 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $105,752 | TotalRevenueColumnAmt |
| Exclusion | $105,752 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $38,137,779 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $37,182,718 | SecuritiesAmt |
| Other | $6,644 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $955,061 | SecuritiesAmt |
| Other | -$6,644 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $948,417 | TotalRevenueColumnAmt |
| Exclusion | $948,417 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $11,068 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $55,902 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $11,068 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $4,588 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $2,294 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,294 | TotalRevenueColumnAmt |
| Exclusion | $2,294 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INCOME RECEIVED FROM REBATES AND | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $272,493 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $272,493 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $272,493 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $98,923,262 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $92,147,734 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $760,485 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,637,787 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,549,335 | TotalAmt |
| Management And General | $1,549,335 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,621,354 | TotalAmt |
| Program Services | $29,881,335 | ProgramServicesAmt |
| Management And General | $3,740,019 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,569,750 | TotalAmt |
| Program Services | $8,980,155 | ProgramServicesAmt |
| Management And General | $1,589,595 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,330 | TotalAmt |
| Program Services | $53,674 | ProgramServicesAmt |
| Management And General | $44,656 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,148 | TotalAmt |
| Management And General | $112,148 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,313 | TotalAmt |
| Management And General | $300,313 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,813,895 | TotalAmt |
| Program Services | $2,143,038 | ProgramServicesAmt |
| Management And General | $1,670,857 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $440,034 | TotalAmt |
| Program Services | $18,105 | ProgramServicesAmt |
| Management And General | $421,929 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,453,751 | TotalAmt |
| Program Services | $1,418,847 | ProgramServicesAmt |
| Management And General | $34,904 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $211,344 | TotalAmt |
| Program Services | $153,742 | ProgramServicesAmt |
| Management And General | $57,602 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,443,629 | TotalAmt |
| Management And General | $2,443,629 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,389,549 | TotalAmt |
| Program Services | $204,595 | ProgramServicesAmt |
| Management And General | $6,184,954 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $372,967 | TotalAmt |
| Program Services | $135,135 | ProgramServicesAmt |
| Management And General | $237,832 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $8,934,591 | $8,703,074 | $231,517 |
| DRUGS | $6,284,607 | $6,244,331 | $40,276 |
| PROFESSIONAL FEES | $5,499,178 | $4,462,025 | $1,037,153 |
| OTHER | $3,045,238 | $366,327 | $2,678,911 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,495,310 | TotalAmt |
| Program Services | $1,441,326 | ProgramServicesAmt |
| Management And General | $53,984 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,635,323 | TotalAmt |
| Program Services | $64,205,709 | ProgramServicesAmt |
| Management And General | $22,429,614 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,036 | BOYAmt |
| EOY | $69,886 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,279,553 | BOYAmt |
| EOY | $26,516,350 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,073,988 | BOYAmt |
| EOY | $13,007,880 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,788,697 | BOYAmt |
| EOY | $2,003,945 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,176,973 | BOYAmt |
| EOY | $1,287,280 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $133,138,855 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $73,425,547 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,546,053 | BOYAmt |
| EOY | $59,713,308 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,366,497 | BOYAmt |
| EOY | $132,834,768 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,391,585 | BOYAmt |
| EOY | $845,279 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $214,699,382 | BOYAmt |
| EOY | $236,278,696 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,302,738 | BOYAmt |
| EOY | $7,778,888 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,505,370 | BOYAmt |
| EOY | $1,802,703 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,707,385 | BOYAmt |
| EOY | $43,715,901 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $730,000 | BOYAmt |
| EOY | $208,756 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,245,493 | BOYAmt |
| EOY | $53,506,248 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $158,431,410 | BOYAmt |
| EOY | $182,142,105 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,022,479 | BOYAmt |
| EOY | $630,343 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,453,889 | BOYAmt |
| EOY | $182,772,448 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $214,699,382 | BOYAmt |
| EOY | $236,278,696 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $12,287,939 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $11,030,620 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $11,162 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $11,162 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Percentage of AHA dues used for lobbying in 2014 - $5,945 Percentage of WHA dues used for lobbying in 2014 - $5,217 Riverview Hospital Association is a member of the Wisconsin Hospital Association (WHA) and American Hospital Assocation (AHA). A portion of the dues paid to these organizations were utilized for lobbying activities. That amount is reported in part II-B. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,414,939 | OtherCostOrOtherBasisAmt |
| Book Value | $2,414,939 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $71,568,773 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,116,216 | DepreciationAmt |
| Book Value | $45,452,557 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,253,097 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,518,557 | DepreciationAmt |
| Book Value | $734,540 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $56,895,229 | OtherCostOrOtherBasisAmt |
| Depreciation | $45,790,774 | DepreciationAmt |
| Book Value | $11,104,455 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,817 | OtherCostOrOtherBasisAmt |
| Book Value | $6,817 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $59,713,308 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MALPRACTICE INSURANCE LIABILITY | Desc |
| Amt | $208,756 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $208,756 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $98,221,496 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$408,097 | OtherRevenueAmt |
| Revenue Not Reported | -$408,097 | RevenueNotReportedAmt |
| Revenue Subtotal | $98,629,593 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $300,313 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$6,644 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $293,669 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $98,923,262 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $85,933,557 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $551,533 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $551,533 | ExpensesNotReportedAmt |
| Expenses Subtotal | $85,382,024 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $300,313 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $952,986 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,253,299 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $86,635,323 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | In order to account for any uncertain income tax positions, the Association determines whether it is more likely than not that a tax position will be sustained upon examination by the taxing authoritites, based on the technical merits of the position, assuming the taxing authority has full knowledge of all information. If the tax position does not meet the more likely than not recognition threshold, the benefit of the tax position is not recognized in the financial statements. The Association has not recorded any assets or liabilitites related to uncertain tax positions or unrecognized tax benefits as of August 31, 2014 and 2013. Federal returns for the years ended August 31, 2011, and beyond, remain subject to examination by the Internal Revenue Service. |
| Part XI, Line 2d - Other Adjustments: | MEDICAL BUILDING RENT NET WITH REV 452,647. RENT EXPENSES NET WITH REV 98,886. BAD DEBT -959,630. |
| Part XI, Line 4b - Other Adjustments: | GAIN/(LOSS) ON DISPOSAL OF ASSETS -6,644. |
| Part XII, Line 2d - Other Adjustments: | MEDICAL BUILDING RENT NET WITH REV 452,647. RENT EXPENSES NET WITH REV 98,886. |
| Part XII, Line 4b - Other Adjustments: | GAIN/(LOSS) ON DISPOSAL OF ASSETS -6,644. BAD DEBT 959,630. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Love Lights | NameOfEvent1Amt |
| Gross Receipts Event1 | $51,093 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $44,671 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $6,422 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $6,422 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | Christmas at the Ridges | NameOfEvent2Amt |
| Gross Receipts Event2 | $15,877 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $11,231 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $4,646 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $4,646 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $66,970 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $55,902 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $11,068 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $11,068 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $11,068 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $0 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $4,588 | GrossRevenueOtherGamingAmt |
| Cash Prizes Other Gaming | $2,294 | CashPrizesOtherGamingAmt |
| Volunteer Labor Other Gaming | Yes (1) | VolunteerLaborOtherGamingInd |
| Volunteer Labor Other Gaming | 1.00000 | VolunteerLaborOtherGamingPct |
| Gross Revenue Total Gaming | $4,588 | GrossRevenueTotalGamingAmt |
| Cash Prizes Total Gaming | $2,294 | CashPrizesTotalGamingAmt |
| Direct Expense Summary Gaming | $2,294 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $2,294 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | WI | StatesWhereGamingConductedCd |
| Licensed | Yes (1) | LicensedInd |
| License Suspended Etc | 0 | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | Yes (1) | GamingWithNonmembersInd |
| Member Of Other Entity | 0 | MemberOfOtherEntityInd |
| Gaming Own Facility | 1.00000 | GamingOwnFacilityPct |
| Individual With Books | Dianne Pokrandt | IndividualWithBooksNm |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5849 Sarah Circle | AddressLine1 |
| City | Wisconsin Rapids | City |
| State | WI | State |
| ZIP Code | 54494 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | 0 | CntrctWith3rdPrtyForGameRevInd |
| Gaming Manager Person | Elaine Semrow | GamingManagerPersonNm |
| Gaming Manager Services Prov | Treasurer of Auxiliary Fundraising Events | GamingManagerServicesProvTxt |
| Gaming Manager Is Director Ofcr | Yes (X) | GamingManagerIsDirectorOfcrInd |
| Charitable Distribution Rqr | 0 | CharitableDistributionRqrInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,202,214 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $214,653 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $987,561 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01150 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,507,564 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,181,501 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,326,063 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05050 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,709,778 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,396,154 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,313,624 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06200 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 7867 | PersonsServedCnt |
| Total Community Benefit Expns | $230,732 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $132,299 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $98,433 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 71 | PersonsServedCnt |
| Total Community Benefit Expns | $451,464 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $451,464 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 15670 | PersonsServedCnt |
| Total Community Benefit Expns | $3,726,036 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,744,299 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $981,737 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01150 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $63,033 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,725 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $54,308 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $309,892 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $88,936 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $220,956 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 23608 | PersonsServedCnt |
| Total Community Benefit Expns | $4,781,157 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,974,259 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,806,898 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02110 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 23608 | PersonsServedCnt |
| Total Community Benefit Expns | $19,490,935 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,370,413 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,120,522 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08310 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,106 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,106 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $13,824 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,824 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,372 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,372 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 300 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,614 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,614 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 310 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $19,916 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $19,916 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $959,630 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $16,597,177 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $19,947,506 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,350,329 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Riverview Hospital Association | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 410 Dewey Street | AddressLine1 |
| City | Wisconsin Rapids | City |
| State | WI | State |
| ZIP Code | 54495 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http://www.riverviewhospital.net | WebsiteAddressTxt |
| State License | WI #11 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIVERVIEW HOSPITAL ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Section C, for line 5d | OwnWebsiteURLTxt |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| Residency | Yes (X) | ResidencyInd |
| Other Factors | Yes (X) | OtherFactorsInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| RIVERVIEW HOSPITAL ASSOCIATION | Part V, Section B, Line 3: Focus group discussions were conducted with each of the two major stakeholder groups within Wood and Adams County. These stakeholder groups included health, social service, and local business agencies and Riverview Hospital Association Department Directors and Administrative Council. The purpose of the focus group discussions was to gather information and opinions from persons who represent the broad interests of the community served, including persons with special knowledge or expertise in public health and persons who represent the medically underserved and vulnerable populations. Stakeholders were contacted and asked to participate in the focus groups. A list of the stakeholder focus group participants can be found in Appendix 1 of the CHNA. Collectively, the stakeholders advocate on behalf of the medically underserved, low income, medically vulnerable and minority populations within the community through their organizations.Qualitative data including statistics and demographic information were obtained from a variety of local, county, and state sources as well as patient statistics and trends from Riverview Hospital Association's own internal records. Other published sources of information were also referenced for statistical and information purposes when needed throughout the process. |
| RIVERVIEW HOSPITAL ASSOCIATION | Part V, Section B, Line 5d: http://www.riverviewhospital.net/pdf/CHNA.pdf |
| RIVERVIEW HOSPITAL ASSOCIATION | Part V, Section B, Line 7: The Riverview Hospital Association Community Health Needs Assessment identified five priorities: 1. Dental Services for Low Income Populations2. Mental Health Services, including Substance Abuse and Addiction Services3. Health Literacy and Nutrition Education4. Outreach to Minority Populations/Cultural Barriers5. Serving the Needs of the Uninsured and Low Income PopulationsRiverview Hospital Association chose to address priorities #1, #2 and #3. This decision was made because of the alignment of these priorities with the priorities identified in the Wood County Health Needs Assessment. In addition, Riverview Hospital Association felt that the other priorities identified were being addressed by current offerings and programming. |
| RIVERVIEW HOSPITAL ASSOCIATION | Part V, Section B, Line 12i: Emergency care for patients residing outside the servicearea will qualify for consideration. |
| RIVERVIEW HOSPITAL ASSOCIATION | Part V, Section B, Line 14g: THE FAP PLAIN LANGUAGE DOCUMENT IS INCLUDED ON EVERY COLLECTION LETTER. |
| RIVERVIEW HOSPITAL ASSOCIATION | Part V, Section B, Line 19d: PER POLICY #0250144 RIVERVIEW WILL LIMIT AMOUNTS CHARGED FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE PROVIDED TO COMMUNITY CARE ELIGIBLE INDIVIDUALS TO NOT MORE THAN THE AMOUNTS GENERALLY BILLED (AGB) TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. THIS DISCOUNT WILL BE DETERMINED ANNUALLY AT THE START OF THE FISCAL YEAR IN ACCORDANCE WITH THE LOOK-BACK METHOD OUTLINED IN THE FEDERAL REGISTER. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| UW Cancer Center Riverview | ||||
| 410 Dewey Street | Wisconsin Rapids | WI | 54495 | Cancer Center |
| Riverview Family Clinic Wisconsin Rapids | ||||
| 420 Dewey Street PO Box 8080 | Wisconsin Rapids | WI | 54495 | Clinic |
| Riverview Family Clinic Nekoosa | ||||
| 1015 Angelus Drive | Nekossa | WI | 54457 | Clinic |
| Riverview Family Clinic Lakes Area | ||||
| 1160 Rome Center Drive Town of Rome | Nekossa | WI | 54457 | Clinic |
| Riverview Community Dental Clinic | ||||
| 820 Two Mile Avenue | Wisconsin Rapids | WI | 54494 | Dental Clinic |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | The costing methodology used on form 990 is based on a cost to charge ratio which is developed based on the organizations total operating expenses, excluding the provision for bad debts divided by gross patient service revenues. This cost to charge ratio is applied against various revenue and expense categories to compute the estimated community benefit expense under IRS suggested costing methods for the form 990. |
| Part I, Line 7g: | The above costs of Subsidized Health Services are related to the Outpatient Mental Health Services, Breastfeeding Support & Respite Care, Lakes Family Clinic, and Nekoosa Family Clinic. Riverview Hospital utilized an internal departmental financial statement to report the cost and direct offsetting revenue that calculates the community benefit expense. The Outpatient Mental Health Services reported costs of $470,191 with offsetting revenue of $349,784. The Breastfeeding Support & Respite Care reported costs of $187,772. The Lakes Family Clinic reported costs of $1,392,292 with offsetting revenue of $1,059,517. The Nekoosa Family Clinic reported costs of $1,675,781 with offsetting revenue of $1,334,998. None of the costs indicated above are attributable to a physician clinic. |
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 959,630. |
| Part II, Community Building Activities: | While there is a growing argument in the United States about what constitutes a non-profit hospitals "community benefit," these efforts continue to be a work in progress. Riverview Hospital Association provides significant charity care and other community benefits as defined by the IRS and in addition, the organization believes that it provides a critically important community benefit which is not quantified. Riverview Hospital Association, like most community hospitals, was created and is maintained in order to provide care locally which without the hospital, would not be available locally. Beyond inpatient hospitalizations, the organization provides local access to many health services including: Cancer center, clinic services, dental services, diagnostic imaging, birthing center, laboratory services, respiratory care, sleep lab, womens services, surgical services, and rehabilitation services. |
| Part III, Line 4: | Management provides for probable uncollectible amounts, primarily uninsured patient and amounts patients are personally responsible for, through a charge to operations and a credit to a valuation allowance based on its assessment of historical collection likelihood and the current status of individual accounts. Balances that are still outstanding after the organization has used reasonable collection efforts are written off through a charge to the valuation allowance and a credit to accounts receivable. Sometimes patients are unable to complete the required financial assistance application and are screened thru the presumtive eligibility process but may be transferred to the collection agency regardless of all these efforts.The costing methodology used on form 990 is based on a cost to charge ratio which is developed based on the Organizations total operating expense, exclude the provision for bad debts divided by gross patient service revenues. This cost to charge ratio is applied against the total charges that are written off during the fiscal year to estimate the cost of the care of patients that have accounts that are deemed to be bad debts to the organization. The organization also provides discounts to eligible uninsured or underinsured patients under its charitable care policy. These amounts are included in the contractual adjustments on the financial statements are not included in the ratio as described above and approved by the IRS for use on form 990. If considered, these additional write-off amounts to uninsured or underinsured accounts would also increase the estimated bad debt expense amount associated with these uncollectible accounts to the organization. |
| Part III, Line 8: | Amount of Medicare allowable costs was taken directly from the Medicare cost report.Whether there is a shortfall or surplus on services to Medicare beneficiaries, these patients, who are typically elderly members of the community, are an underserved population who experience issues with access to healthcare services. Without tax-exempt hospitals providing Medicare patient services, the centers for Medicare and Medicaid (CMS) would bear the burden of directly providing services to the elderly and disabled members of the community. The total Medicare revenue shown on Schedule H is based on the IRS 990 Instructions and includes only the charges from Medicare program beneficiaries that are reported on the hospital's Medicare Cost Report. The amount listed for Medicare revenue does not include physician services for the coverage of the emergency department at Riverview Hospital, physician services provided at the outlying clinic locations, and a significant portion of lab services which are reimbursed by the Medicare program under another methodology. Physician coverage and outpatient lab services are reimbursed primarily on a fee schedule reimbursement at rates that are often below the costs of caring for patients. Emergency physician services provided to Medicare patients are vital to the well-being of the community and as such these costs and shortfalls should also be considered as an additional benefit that Riverview Hospital provides to the community and the surrounding areas. The costing method used above for IRS 990 compliance reporting is also based on the overall average cost to charge ratio and does not consider Medicare non-allowable expenses as it is based on total operating expenses less the provision for bad debt expense divided by the hospital patient service revenue (ignoring contractual adjustments on fee schedule reimbursed items and non-allowable Medicare expenses as noted above). This ratio is then multiplied by the total Medicare services, which are reimbursed based on Medicare regulations. Including the fee schedule items, such as physician services, would produce a larger loss or shortfall on these services to be reported on the Form 990 in any given year. |
| Part III, Line 9b: | For patients qualifying for financial assistance, patients will only be billed if they have not provided current proof of eligibility, a spenddown has not been met, or there is a private third party payor also on the patient's record.For patients qualifying for charity care, arrangements for reduced or free care are made with a financial counselor. Should the patient default on this arrangement, standard collection practices would apply. |
| Part VI, Line 2: | RHA actively participates in Healthy People Wood County (HPWC). The purpose of HPWC is to establish priorities and recommend strategies to enhance the quality of life, health status, and the environment in Wood County. In order to accomplish this, multiple partners work together to analyze health data, quality of life indicators and the community's perception of health. Riverview Hospital Association, at the end of fiscal year 2013, completed a community health needs assessment report and has used the data and findings of this report to guide the organization in the future to be able to respond to those needs identified. |
| Part VI, Line 3: | Community Care information is provided on both the website (riverviewhospital.net) and the back of the patient statement. Financial Counselors offer Community Care applications to patients when they discover during conversations regarding establishing payment plan arrangements, that they would potentially meet the program qualifications. |
| Part VI, Line 4: | Riverview Hospital Association owns and operates the following entities: (1) Riverview Hospital, established in 1912; (2) the outpatient Riverview Rehabilitation Center; (3) Riverview Family Clinic, This service includes clinics in Wisconsin Rapids, Nekoosa, and the Rome-Lakes area (4) the UW Cancer Center Riverview. UWCC-R opened in 2003 in cooperation with UW Comprehensive Cancer Center, Madison; and (5) Riverview Community Dental Clinic. RHA established this clinic in 2009 to serve residents of South Wood County. Riverview Dental Clinic in Wisconsin Rapids is open to patients who have Medicaid or Badger Care insurance coverage. This insurance is not typically accepted by independent dental clinics. Approximately 4,188 persons benefited from this program in 2014 (6) Riverview outpatient Psychiatric services were established in January of 2013 to meet the growing need for mental health services in the area.While many Riverview patients come from Wood County, an increasing number are coming to us from surrounding counties - specifically those along the Interstate 39 corridor: Marathon, Portage, Waupaca, Adams, Juneau, Waushara, Marquette, Columbia, Sauk, and Dane. For the Hospital, over 13.8% of all admissions between July 2013 and June 2014 came from these counties. For the UW Cancer Center-Riverview over the same period, over 18% of all patients came from these same counties-not including our "home" county of Wood.In the Riverview "service area" there are several federally designated "medically underserved areas." They are Wood County (the central part between Marshfield and Wisc. Rapids), Portage County (part), Adams County (all), Waushara County (all), Marquette County (all), Juneau County (the Northern half), Marathon County (part), and Clark County (all). There are scattered Indian tribal lands in Wood County, Juneau County, and Adams County (all Ho Chunk). These would be considered "medically underserved populations" per federal designation.Other hospitals in our service area include: St. Joseph's Hospital in Marshfield, St. Michael's Hospital in Stevens Point, Moundview Memorial Hospital in Friendship, and Hess Memorial Hospital in Mauston. |
| Part VI, Line 5: | As a community-based organization, Riverview Hospital Association provides services and educational opportunities either free of charge or at a nominal fee in an attempt to provide these opportunities to those members of the communities who otherwise may not be able to afford or have local access to these programs. These efforts are provided through a variety of educational speaker forums, support groups, health screenings, health education forums, and other educational opportunities for students. |
| Part VI, Line 7, Reports Filed With States | WI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS FERK DO | ||||||||||||||
| PHYSICIAN/BOARD | $217,398 | $0 | $97,660 | $0 | $420 | $0 | $29,962 | $0 | $19,170 | $0 | $364,610 | $0 | $0 | $0 |
| CELSE BERARD | ||||||||||||||
| PRESIDENT | $317,285 | $0 | $0 | $0 | $1,806 | $0 | $32,752 | $0 | $19,170 | $0 | $371,013 | $0 | $0 | $0 |
| MICHAEL BOVEE | ||||||||||||||
| V.P. - FINANCE | $219,415 | $0 | $0 | $0 | $850 | $0 | $19,221 | $0 | $19,170 | $0 | $258,656 | $0 | $0 | $0 |
| PEGGY OSE | ||||||||||||||
| V.P. - PATIENT SVCS | $167,839 | $0 | $0 | $0 | $2,772 | $0 | $13,883 | $0 | $21,516 | $0 | $206,010 | $0 | $0 | $0 |
| RICHARD BAILEY MD FACP | ||||||||||||||
| PRESIDENT OF MEDICAL AFFAIRS | $306,933 | $0 | $0 | $0 | $630 | $0 | $33,150 | $0 | $21,516 | $0 | $362,229 | $0 | $0 | $0 |
| KEVIN FERREIRA MD | ||||||||||||||
| PHYSICIAN | $437,877 | $0 | $5,250 | $0 | $378 | $0 | $31,916 | $0 | $19,170 | $0 | $494,591 | $0 | $0 | $0 |
| JAMES TORHOST DPM | ||||||||||||||
| PHYSICIAN | $266,045 | $0 | $171,640 | $0 | $404 | $0 | $36,486 | $0 | $19,170 | $0 | $493,745 | $0 | $0 | $0 |
| RONNIE KIRSCHLING MD | ||||||||||||||
| PHYSICIAN | $1,118,406 | $0 | $6,875 | $0 | $1,843 | $0 | $30,644 | $0 | $19,170 | $0 | $1,176,938 | $0 | $0 | $0 |
| THEODORE REAHM DO | ||||||||||||||
| PHYSICIAN | $408,621 | $0 | $5,250 | $0 | $1,612 | $0 | $33,150 | $0 | $19,170 | $0 | $467,803 | $0 | $0 | $0 |
| YOLANDA JONES MD | ||||||||||||||
| PHYSICIAN | $330,792 | $0 | $4,250 | $0 | $378 | $0 | $22,698 | $0 | $19,170 | $0 | $377,288 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 1a | FormAndLineReferenceDesc |
| Explanation | HEALTH AND SOCIAL CLUB DUES WERE PAID ON BEHALF OF CELSE BERARD AND MICHAEL BOVEE. THE AMOUNTS PAID WERE AS FOLLOWS: CELSE BERARD - $4,009 MICHAEL BOVEE - $4,166 THESE ITEMS WERE TAXED AS INCOME ON THEIR RESPECTIVE W-2S. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Wisconsin Health and Educational Facilities Authority | ||||||||
| A | 391337855 | 97710V8S0 | 2008-04-16 | $27,266,182 | Hospital addition | 0 | 0 | 0 |
| Wisconsin Health and Educational Facilities Authority | ||||||||
| B | 391337855 | 97710BZW5 | 2010-12-16 | $20,296,089 | Refinance 2001 Bond | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $1,790,000 | $24,078,184 | $2,648,998 | $539,000 | $24,078,184 | 2009 | 0 | 0 | Yes (1) | Yes (1) |
| B | $2,075,000 | $18,285,000 | $1,663,538 | $347,551 | $18,285,000 | 2010 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0.01430 | 0.01430 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 |
| B | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line 1B | 2010 CUSIP Identification The Series 2001 Bonds were refinanced in 2010 and each separate principal amount was assigned an individual CUSIP. The CUSIPs range from 97710BZW5 to 97710BA93. |
| Part IV Line 2c | No Rebate Due The 2008 bond's date of rebate computation was April 1, 2013. The 2010 bond's date of rebate computation was October 1, 2013. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| WOOD TRUST BANK | |||
| JASON DIETZ IS A BOARD MEMBER AND SENIOR VICE PRESIDENT AT WOOD TRUST BANK | $304,872 | RIVERVIEW HOSPITAL PAID INVESTMENT MANAGEMENT FEES TO WOOD TRUST BANK. | 0 |
| SURGICAL ASSOCIATES OF WISCONSIN RAPIDS SC | |||
| DR.MARJORIE MILLER IS A BOARD MEMBER AND IS AN OWNER OF SURGICAL ASSOCIATES | $278,473 | RIVERVIEW HOSPITAL PAID SURGICAL ASSOCIATES CALL PAY FOR PHYSICIAN SERVICES. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | Members are those community members who have purchased a membership to Riverview Hospital Association. These are life time memberships once purchased, and each year there is very minimal activity related to the purchase of a membership. |
| Form 990, Part VI, Section A, line 7a | Members of Riverview Hospital Association are able to nominate and vote candidates to the Board of Directors. |
| Form 990, Part VI, Section A, line 7b | At the annual meeting with the community members, the members vote whether or not they approve the actions of the board. |
| Form 990, Part VI, Section B, line 11 | A copy of the 990 is presented to the board at a monthly board meeting and is reviewed in detail with them. Any questions are then answered at that time. Once reviewed, it is then mailed/submitted. Effective March 1, 2015 Riverview Hospital Association was acquired by Aspirus, Inc. The Form 990 and 990-T were provided to the newly formed Board of Directors for review and approval prior to its filing. |
| Form 990, Part VI, Section B, line 12c | The Board of Directors, the Medical Staff, and the Department Directors of the hospital annually sign their pledge to adhere to the conflict of interest policy here at Riverview Hospital Association (RHA). The signed attestations are filed and maintained by the Compliance Officer. Lisa Rowe-Peplinski, the Vice President-Quality Improvement serves as RHA's Compliance Officer. The Board reviews the potential conflicts of interest and if a conflict exists the individual is prohibited to vote on transactions where the potential conflict exists. |
| Form 990, Part VI, Section B, line 15 | The following process describes Riverview Hospital Associations (RHA's) compensation practices: Each non-union and non-physician position is evaluated and assigned to a salary grade based on that evaluation. Evaluation criteria include a position's decision-making impact, thinking challenges, thinking problem solving challenges, work environment and entry qualifications. Each salary grade is assigned a pay range based on the market data for the positions in that salary grade. The entire salary range structure will be reviewed at least annually, and based on market data and the Association's budgetary goal's may be adjusted. Such adjustments will occur on or about the start of the Association's fiscal year. This policy covers all non-physicians and non-union positions within Riverview Hospital Association. In addition, salaries of the CEO, Key Employees, and Physicians are determined in conjunction with an independent compensation consultant and industry studies to determine the proper levels of compensation. These results are approved by the Compensation Committee before finalized. Physician compensation is usually based on market data and productivity via an RVU-based approach. Pay for employees in Riverview's three unions is determined via collective bargaining. All approvals are completed by individuals that do not have a conflict of interest with the transaction. |
| Form 990, Part VI, Section C, line 19 | Available upon request. |
| Form 990, Part XI, Line 2c | The process is consistent with prior years. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIVERVIEW HEALTH CARE FOUNDATION INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8080 | AddressLine1 |
| City | WISCONSIN RAPIDS | City |
| State | WI | State |
| ZIP Code | 544958080 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391509239 | EIN |
| Primary Activities | THE FOUNDATION IS OPERATED PRIMARILY FOR THE BENEFIT OF RIVERVIEW HOSPITAL | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Exempt Code Section | 501 (C) 3 | ExemptCodeSectionTxt |
| Public Charity Status | Line 11c, III-FI | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Comments