COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC (EIN 39-0806315)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-15
- IRS object ID
- 201431359349308453
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-15T15:56:00-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 E WELLS SUITE 1400 | AddressLine1 |
| City | MILWAUKEE | City |
| State | WI | State |
| ZIP Code | 53202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390806315 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBIA ST MARY'S HOSPITAL MILWAUKEE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COLU | NameControl |
| Phone | 4143262230 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4425 N PORT WASHINGTON ROAD NO 301 | AddressLine1 |
| City | GLENDALE | City |
| State | WI | State |
| ZIP Code | 53212 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RHONDA ANDERSON | Name |
| Title | CSM PRESIDENT/CFO | Title |
| Phone | 4143262230 | Phone |
| Date Signed | 2014-05-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RACHEL J BECKER | Name |
| PTIN | P00966076 | PTIN |
| Phone | 4142713000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RHONDA ANDERSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4425 N PORT WASHINGTON ROAD NO 301 | AddressLine1 |
| City | GLENDALE | City |
| State | WI | State |
| ZIP Code | 53212 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 440827318 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | COLUMBIA-STMARYS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1859 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | FULL-SERVICE HOSPITAL WITH MEDICAL, SURGICAL, ADVANCED CLINICAL AND OTHER COMMUNITY SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2665 | TotalNbrEmployees |
| Total Nbr Volunteers | 366 | TotalNbrVolunteers |
| Total Gross UBI | 3322965 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -254408 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1069589 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 933007 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 462713797 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 436026731 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 270 | InvestmentIncomePriorYear |
| Investment Income Current Year | 58114 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 12682192 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3809466 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 476465848 | TotalRevenuePriorYear |
| Total Revenue Current Year | 440827318 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 220138233 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 188893635 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 261096590 | OtherExpensePriorYear |
| Other Expenses Current Year | 247327001 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 481234823 | TotalExpensesPriorYear |
| Total Expenses Current Year | 436220636 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4768975 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4606682 | RevenuesLessExpensesCY |
| Total Assets BOY | 619741975 | TotalAssetsBOY |
| Total Assets EOY | 875254526 | TotalAssetsEOY |
| Total Liabilities BOY | 394946704 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 646447457 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 224795271 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 228807069 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE ("CSM-M") IS PART OF COLUMBIA ST. MARY'S INC. ("CSM"), A HEALTHCARE PROVIDER FOUNDED IN RESPONSE TO IDENTIFIED COMMUNITY NEEDS, WHICH IS SPONSORED BY ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM, AND COLUMBIA HEALTH SYSTEM, A NON-SECTARIAN COMMUNITY HEALTH SYSTEM. CSM-M'S GOVERNING BODY HAS ADOPTED THE MISSION OF CSM. CSM EXISTS TO MAKE A POSITIVE DIFFERENCE IN THE HEALTH STATUS AND LIVES OF INDIVIDUALS AND OUR COMMUNITY, WITH SPECIAL CONCERN FOR THOSE WHO ARE VULNERABLE. CSM AND ITS AFFILIATES ARE COMMITTED TO PROVIDING HIGH-QUALITY, ACCESSIBLE, VALUES-DRIVEN PROGRAMS AND SERVICES WITH EQUAL ATTENTION TO THE PHYSICIAL, SPIRITUAL, AND EMOTIONAL DIMENSIONS OF HEALTH. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 341618463 | Expense |
| Revenue | 439894311 | Revenue |
| Description | CSM-M OPERATES A FULL-SERVICE 336-BED HOSPITAL, WHICH OFFERS A COMPLETE RANGE OF MEDICAL, SURGICAL AND ADVANCED CLINICAL SPECIALITIES. CSM-M OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN TO ALL PERSONS, REGARDLESS OF ABILITY TO PAY. DURING FISCAL 2013, CSM-M'S HOSPITAL AND CLINICS PROVIDED CARE TO 229,237 PATIENTS. CSM-M'S ESTIMATED UNREIMBURSED COSTS OF SERVICES TO THE ELDERLY, UNINSURED, AND UNDERINSURED TOTALED $88,348,825. CSM-M ALSO SPONSORS A NUMBER OF PROGRAMS DESIGNED TO IMPROVE THE HEALTH CARE IN ITS COMMUNITY. REFER TO THE COMMUNITY BENEFIT INFORMATION IN SCHEDULE H FOR DISCUSSION OF HOW CSM-M MAKES A POSITIVE DIFFERENCE IN THE HEALTH STATUS OF ITS COMMUNITY, FOCUSING ON THOSE WHO ARE VULNERABLE. | Description |
| Total Program Service Expense | 341618463 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 162 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2665 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RHONDA ANDERSON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4143262230 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4425 N PORT WASHINGTON ROAD NO 301 | AddressLine1 |
| City | GLENDALE | City |
| State | WI | State |
| ZIP Code | 53212 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| PATRICIA DOLHUN MD | ||||||||||
| BOARD MEMBER | 0.20 | 0.80 | X | 0 | 0 | 0 | ||||
| GEORGE H HOFF | ||||||||||
| VICE CHAIR | 0.20 | 0.80 | X | 0 | 0 | 0 | ||||
| KEVIN GONIU MD | ||||||||||
| BOARD MEMBER AND CSM PHYSI | 0.20 | 40.80 | X | 0 | 568539 | 28044 | ||||
| MARK R TAYLOR | ||||||||||
| PRESIDENT/CEO | 25.00 | 25.00 | X | 0 | 1605199 | 40485 | X | |||
| MASON G ROSS | ||||||||||
| BOARD MEMBER | 0.20 | 0.80 | X | 0 | 0 | 0 | ||||
| MICHAEL GREBE | ||||||||||
| BOARD MEMBER | 0.20 | 0.80 | X | 0 | 0 | 0 | ||||
| R BRUCE MCDONALD | ||||||||||
| CHAIR | 0.20 | 0.80 | X | 0 | 0 | 0 | ||||
| RANDALL PERRY | ||||||||||
| SECRETARY/TREASURER | 0.20 | 0.80 | X | 0 | 0 | 0 | ||||
| ROBERT LYON MD | ||||||||||
| BOARD MEMBER | 0.20 | 0.80 | X | 0 | 0 | 0 | ||||
| ROBERT J VENABLE | ||||||||||
| VICE CHAIR | 0.20 | 0.80 | X | 0 | 0 | 0 | ||||
| SISTER THERESA SULLIVAN DC | ||||||||||
| BOARD MEMBER | 0.20 | 0.80 | X | 0 | 0 | 0 | ||||
| TINA CHANG | ||||||||||
| BOARD MEMBER | 0.20 | 0.80 | X | 0 | 0 | 0 | ||||
| CHRISTINE NUERNBERG | ||||||||||
| BOARD MEMBER | 0.20 | 0.80 | X | 0 | 0 | 0 | ||||
| MICHELLE NETTLES END 213 | ||||||||||
| BOARD MEMBER | 0.20 | 0.80 | X | 0 | 0 | 0 | ||||
| RHONDA ANDERSON | ||||||||||
| CSM PRESIDENT/CFO | 18.00 | 32.00 | 0 | 660752 | 11123 | X | ||||
| CHERYL HILL | ||||||||||
| VP HUMAN RESOURCES | 20.00 | 30.00 | 0 | 434537 | 24771 | X | ||||
| DAVID H SHAPIRO MD | ||||||||||
| CHIEF MEDICAL OFFICER | 39.00 | 11.00 | 0 | 448579 | 20004 | X | ||||
| GERRI LIETZ-STAFFILENO | ||||||||||
| VP HOSP OPERATIONS | 5.00 | 45.00 | 0 | 398589 | 24492 | X | ||||
| SUE SANICOLA | ||||||||||
| VP CSM COMM PHYSICIANS | 20.00 | 30.00 | 0 | 324050 | 28444 | X | ||||
| WILLIAM HART | ||||||||||
| VP/COO | 33.00 | 17.00 | 0 | 497000 | 13153 | X | ||||
| DEBORAH FRIBERG | ||||||||||
| PRESIDENT HOSPITAL DIV END 06/12 | 37.00 | 13.00 | 0 | 768773 | 29832 | X | ||||
| BRUCE MCCARTHY | ||||||||||
| PRESIDENT PHYSICIAN DIVISION | 20.00 | 30.00 | 0 | 835070 | 35735 | X | ||||
| CONSTANCE J BRADLEY | ||||||||||
| VP HOSPITAL OPERATIONS | 41.00 | 9.00 | 333603 | 0 | 17007 | X | ||||
| ALLAN SPOONER | ||||||||||
| PRESIDENT HOSPITAL DIV. | 20.00 | 30.00 | 0 | 208489 | 1046 | X | ||||
| ROBERT B ROTH MD | ||||||||||
| PHYSICIAN | 40.00 | 1675987 | 0 | 32116 | X | |||||
| ROBERT L HUXLEY MD | ||||||||||
| PHYSICIAN | 40.00 | 1512450 | 0 | 36049 | X | |||||
| DAVID W GRAMBOW MD | ||||||||||
| PHYSICIAN | 40.00 | 1294897 | 0 | 41202 | X | |||||
| SANJAY S DESHPANDE MD | ||||||||||
| PHYSICIAN | 40.00 | 1541024 | 0 | 37870 | X | |||||
| JOSHUA LIBERMAN | ||||||||||
| PHYSICIAN | 40.00 | 1099724 | 0 | 40611 | X | |||||
| LEO P BRIDEAU | ||||||||||
| PRESIDENT/CEO END 02/11 | 0.00 | 40.00 | 0 | 727898 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7457685 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 7477475 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 461984 | TotalOtherCompensation |
| Number Individuals GT100 K | 225 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| TOUCHPOINT SUPPORT SERVICES | |||||
| 4721 MORRISON DR | MOBILE | AL | 36609 | SUPPORT SERVICE | 12271921 |
| METROPOLITAN ANESTHESIOLOGY | |||||
| 4225 N DOWNER AVE | SHOREWOOD | WI | 53211 | ANESTHESIOLOGY SERVICES | 10183778 |
| MEDICAL COLLEGE OF WISCONSIN | |||||
| 8701 WATERTOWN PLANK ROAD | MILWAUKEE | WI | 53226 | RESIDENT & INTERN PROGRAM | 5551102 |
| DUKE REALTY LIMITED PARTNER | |||||
| 510 E 96TH ST | INDIANAPOLIS | IN | 46240 | OCCUPANCY | 3614573 |
| ECOVA INC | |||||
| 1313 N ATLANTIC | SPOKANE | WA | 99201 | UTILITY MANAGEMENT | 3561513 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 85 | NumberOfContractorsGT100K |
| Related Organizations | 788607 | RelatedOrganizations |
| All Other Contributions | 144400 | AllOtherContributions |
| Total Contributions | 933007 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT SERVICES | 621990 | 427502179 | 427502179 | |
| RETAIL PHARMACY REVENUE | 446110 | 4715369 | 3300584 | 1414785 |
| DIAGNOSTIC LAB REVENUE | 621500 | 1677031 | 1677031 | |
| COMMUNITY EDUCATION REVENUE | 900099 | 937708 | 937708 | |
| RENTAL INCOME | 531120 | 738292 | 738292 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 456152 | TotalRevenueColumn |
| Related Or Exempt Function Income | 225003 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 231149 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 436026731 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 48707 | TotalRevenueColumn |
| Exclusion | $48,707 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 9407 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 9407 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9407 | TotalRevenueColumn |
| Related Or Exempt Function Income | 9407 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 1184 | GrossSalesOfInventory |
| Cost Of Goods Sold | 0 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1184 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1184 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| CONTRACT SERVICES | 900099 | 1593528 | 1593528 | |
| FOOD & NUTRITION | 722210 | 986268 | $986,268 | |
| MISCELLANEOUS REVENUE | 900099 | 766189 | 766189 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 462297 | TotalRevenueColumn |
| Related Or Exempt Function Income | 462297 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3808282 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 440827318 | TotalRevenueColumn |
| Related Or Exempt Function Income | 435536371 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 3322965 | UnrelatedBusinessRevenue |
| Exclusion | $1,034,975 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 338455 | Total |
| Management And General | 338455 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 162244859 | Total |
| Program Services | 160347529 | ProgramServices |
| Management And General | 1897330 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6287599 | Total |
| Program Services | 2042208 | ProgramServices |
| Management And General | 4245391 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9474026 | Total |
| Program Services | 1009068 | ProgramServices |
| Management And General | 8464958 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10548696 | Total |
| Program Services | 5922142 | ProgramServices |
| Management And General | 4626554 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 637800 | Total |
| Program Services | 637800 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 339354 | Total |
| Program Services | 339354 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 415775 | Total |
| Program Services | 415775 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32836736 | Total |
| Program Services | 32060469 | ProgramServices |
| Management And General | 776267 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6698 | Total |
| Program Services | 6698 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 572090 | Total |
| Program Services | 565276 | ProgramServices |
| Management And General | 6814 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93579 | Total |
| Program Services | 93579 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19362344 | Total |
| Program Services | 19206870 | ProgramServices |
| Management And General | 155474 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 176421 | Total |
| Program Services | 173598 | ProgramServices |
| Management And General | 2823 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 388190 | Total |
| Program Services | 388117 | ProgramServices |
| Management And General | 73 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12424415 | Total |
| Program Services | 3207902 | ProgramServices |
| Management And General | 9216513 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26435337 | Total |
| Program Services | 26434174 | ProgramServices |
| Management And General | 1163 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2139037 | Total |
| Program Services | 2139037 | ProgramServices |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| OVERHEAD ALLOCATION | 74937901 | 11846742 | 63091159 |
| PATIENT CARE SUPPLIES | 47808888 | 47807030 | 1858 |
| HOSPITAL TAX ASSESSMENT | 14637759 | 14637759 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14114677 | Total |
| Program Services | 12337336 | ProgramServices |
| Management And General | 1777341 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 436220636 | Total |
| Program Services | 341618463 | ProgramServices |
| Management And General | 94602173 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 915083 | BOY |
| EOY | 326854 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 346914 | BOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64673361 | BOY |
| EOY | 65276477 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55125 | BOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6171158 | BOY |
| EOY | 6584414 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6272856 | BOY |
| EOY | 14015281 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 767173798 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 239138566 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 531232178 | BOY |
| EOY | 528035232 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 394527 | BOY |
| EOY | 444352 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9680773 | BOY |
| EOY | 260571916 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 619741975 | BOY |
| EOY | 875254526 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23399757 | BOY |
| EOY | 24178008 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 371546947 | BOY |
| EOY | 622269449 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 394946704 | BOY |
| EOY | 646447457 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 224795271 | BOY |
| EOY | 228807069 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 224795271 | BOY |
| EOY | 228807069 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 619741975 | BOY |
| EOY | 875254526 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 4606682 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -594886 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $14,319 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 14319 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | CSMM 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. LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 17101206 | OtherCostOrOtherBasis |
| Book Value | 17101206 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 616326029 | OtherCostOrOtherBasis |
| Depreciation | 130628780 | Depreciation |
| Book Value | 485697249 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4622970 | OtherCostOrOtherBasis |
| Depreciation | 2578031 | Depreciation |
| Book Value | 2044939 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 128327425 | OtherCostOrOtherBasis |
| Depreciation | 105931755 | Depreciation |
| Book Value | 22395670 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 796168 | OtherCostOrOtherBasis |
| Book Value | 796168 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 528035232 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INTEREST IN INVESTMENTS AT ASCENSION HEALTH ALLIANCE | 256586430 |
| PHYSICIAN INCOME GUARANTEE | 55125 |
| ASSET RETIREMENT OBLIGATION | 61835 |
| LONG TERM PREPAIDS | 2625947 |
| ESTIMATED SETTLEMENTS FROM THIRD-PARTY PAYORS | 1242579 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 260571916 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PAYABLE TO AFFILIATES | $495,918,046 |
| PENSION/DEFERRED COMPENSATION | $11,799,228 |
| PAYABLE TO THIRD PARTIES | $408,678 |
| INTERCOMPANY DEBT TO ASCENSION HEALTH ALLIANCE | $110,624,171 |
| OTHER MISCELLANEOUS LIABILITIES | $3,519,326 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 622269449 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | PART X: ASC 740 FOOTNOTE REGARDING UNCERTAIN TAX POSITIONS IN AUDITED FINANCIALS: NOT APPLICABLE. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10080153 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 10080153 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02310 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 93781071 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 87975850 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5805221 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01330 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 103861224 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 87975850 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15885374 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03640 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4557207 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 741652 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3815555 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00870 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13843414 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4986358 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8857056 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02030 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 544183 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 544183 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18944804 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5728010 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13216794 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03020 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 122806028 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 93703860 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 29102168 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06660 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 127450 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 127450 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 56701 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 56701 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 184151 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 184151 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $12,137,645 | BadDebtExpenseAmount |
| Amount Attributable To | 242753 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 438157903 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 458591589 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -20433686 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBIA ST MARYS HOSPITAL MILWAUKEE | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2323 N LAKE DRIVE | AddressLine1 |
| City | MILWAUKEE | City |
| State | WI | State |
| ZIP Code | 53211 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBIA ST MARY'S HOSPITAL MILWAUKEE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 34 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (34 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| AIRPORT MEDICAL CLINIC | ||||
| 4848 S 6TH STREET | MILWAUKEE | WI | 53221 | CLINIC |
| BABBITZ BURNSTEIN & NASH | ||||
| 2350 N LAKE DRIVE SUITE 201 | MILWAUKEE | WI | 53221 | CLINIC |
| BAY VIEW FAMILY HEALTH CENTER | ||||
| 3056 S KINNICKINNIC AVE | MILWAUKEE | WI | 53207 | CLINIC |
| CSMCP PULMONOLOGY | ||||
| 2311 N PROSPECT AVE | MILWAUKEE | WI | 53211 | CLINIC |
| CARDIAC RHYTHM SPECIALISTS | ||||
| 2350 N LAKE DRIVE SUITE 206 | MILWAUKEE | WI | 53211 | CLINIC |
| CARDIAC & VASCULAR INTER SPECIALISTS | ||||
| 2350 N LAKE DRIVE SUITE 303 | MILWAUKEE | WI | 53211 | CLINIC |
| CATHEDRAL SQUARE URGENT CARE CENTER | ||||
| 734 N JACKSON ST | MILWAUKEE | WI | 53202 | CLINIC |
| COLUMBIA WEST CLINIC | ||||
| 10950 W CAPITOL DRIVE | WAUWATOSA | WI | 53222 | CLINIC |
| ENT ASSOCIATES | ||||
| 2350 N LAKE DRIVE SUITE 406 | MILWAUKEE | WI | 53211 | CLINIC |
| FAMILY HEALTH CENTER | ||||
| 1121 E NORTH AVE | MILWAUKEE | WI | 53212 | CLINIC |
| PMC NEUROLOGY | ||||
| 2311 N PROSPECT AVE | MILWAUKEE | WI | 53211 | CLINIC |
| GATEWAY MEDICAL CENTER | ||||
| 801 S 70TH ST | WEST ALLIS | WI | 53214 | CLINIC |
| GLENDALE GREEN BAY CLINIC | ||||
| 9233 N GREEN BAY ROAD | BROWN DEER | WI | 53209 | CLINIC |
| GLENDALE PORT WASHINGTON CLINIC | ||||
| 6900 N PORT WASHINGTON ROAD | GLENDALE | WI | 53217 | CLINIC |
| CSM GYN ONCOLOGY | ||||
| 2350 N LAKE DRUVE SUITE 501 | MILWAUKEE | WI | 53211 | CLINIC |
| MEDICAL ONCOLOGY | ||||
| 2350 N LAKE DRIVE SUITE 100 | MILWAUKEE | WI | 53211 | CLINIC |
| NORTHSHORE MEDICAL CLINIC | ||||
| 7080 N PORT WASHINGTON ROAD | GLENDALE | WI | 53217 | CLINIC |
| OBGYN RESIDENCY CLINIC | ||||
| 2320 N LAKE DRIVE | MILWAUKEE | WI | 53211 | CLINIC |
| PERINATAL ASSESSMENT CENTER | ||||
| 2323 N LAKE DRIVE | MILWAUKEE | WI | 53211 | CLINIC |
| PROSPECT MEDICAL COMMONS | ||||
| 2311 N PROSPECT AVE | MILWAUKEE | WI | 53211 | CLINIC |
| RADIATION ONCOLOGY | ||||
| 2350 N LAKE DRIVE SUITE G01 | MILWAUKEE | WI | 53211 | CLINIC |
| RIVER GLEN MEDICAL CLINIC | ||||
| 375 W RIVERWOODS PKWY | GLENDALE | WI | 53212 | CLINIC |
| RIVER WOODS URGENT CARE | ||||
| 375 W RIVERWOODS PKWY | GLENDALE | WI | 53212 | CLINIC |
| SHOREWOOD FAMILY PHYSICIANS | ||||
| 1901 E CAPITOL DRIVE | SHOREWOOD | WI | 53211 | CLINIC |
| WEST ALLIS MEDICAL CLINIC | ||||
| 2323 S 102ND ST | WEST ALLIS | WI | 53227 | CLINIC |
| WESTGATE MEDICAL GROUP | ||||
| 2727 N MAYFAIR ROAD | WAUWATOSA | WI | 53222 | CLINIC |
| PLASTIC SURGERY | ||||
| 2350 N LAKE DRIVE SUITE 501 | MILWAUKEE | WI | 53211 | CLINIC |
| WISCONSIN CARDIOVASCULAR GROUP | ||||
| 2350 N LAKE DRIVE SUITE 400 | MILWAUKEE | WI | 53211 | CLINIC |
| CSM CANCER CENTER | ||||
| 2350 N LAKE DRIVE SUITE 100 | MILWAUKEE | WI | 53211 | CLINIC |
| NORTH SHORE CARDIOLOGY EAST | ||||
| 2350 N LAKE DRIVE SUITE 400 | MILWAUKEE | WI | 53211 | CLINIC |
| CARDIAC RHYTHM SPECIALISTS - MAYFAIR | ||||
| 2727 N MAYFAIR ROAD | WAUWATOSA | WI | 53222 | CLINIC |
| CENTER FOR PAIN MANAGEMENT | ||||
| 2323 N LAKE DRIVE | MILWAUKEE | WI | 53211 | CLINIC |
| MMA CATHEDRAL SQUARE | ||||
| 788 N JEFFERSON ST | MILWAUKEE | WI | 53202 | CLINIC |
| MMA WAUKESHA | ||||
| 22370 W BLUEMOUND ROAD | WAUKESHA | WI | 53186 | CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (21 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 6A: CSM HOSPITAL MILWAUKEE PREPARES AND FILES AN ANNUAL COMMUNITY BENEFIT PLAN REPORT WITH THE WISCONSIN HOSPITAL ASSOCIATION ("WHA"). THE INFORMATION ON THIS REPORT INCLUDES INFORMATION ONLY FOR CSM MILWAUKEE AND NOT ANY OF ITS AFFILIATED HOSPITALS. | |
| PART I, LINE 7: THE COST OF PROVIDING CHARITY CARE, MEANS TESTED GOVERNMENT PROGRAMS, AND COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR CERTAIN CATEGORIES IN THE TABLE, THIS WAS A COST ACCOUNTING SYSTEM; IN OTHER CATEGORIES, A SPECIFIC COST-TO-CHARGE RATIO WAS APPLIED. PART I, LINE 7: THE TOTAL AMOUNT OF CHARITY CARE AND OTHER COMMUNITY BENEFITS IN PART I, LINE 7 IS DIFFERENT FROM THE COMMUNITY BENEFIT AS REPORTED IN THE ANNUAL COMMUNITY BENEFIT REPORT BY THE AMOUNT OF COMMUNITY BUILDING ACTIVITIES REPORTED ON PART II OF SCHEDULE H. THE IRS DOES NOT CONSIDER COMMUNITY BUILDING ACTIVITIES TO BE COMMUNITY BENEFIT; HOWEVER, THESE COSTS ARE INCLUDED IN THE TOTAL COMMUNITY BENEFIT AMOUNT AS REPORTED IN THE ANNUAL COMMUNITY BENEFIT REPORT.PART I, LINE 7G: THE ORGANIZATION EMPLOYS ITS PHYSICIANS AT ITS HOSPITALS AND PHYSICIAN CLINICS, SO THE ASSOCIATED COSTS AND CHARGES RELATING TO THOSE PHYSICIAN SERVICES ARE INCLUDED IN ALL RELEVANT CATEGORIES IN PART I. | |
| PART I, L7 COL(F): THE AMOUNT OF CSMM'S BAD DEBT EXPENSE IS $28,092,824. THIS AMOUNT IS NETTED AGAINST PATIENT SERVICE REVENUE ON FORM 990, PART VII, LINE 2A AND IS NOT REPORTED ON FORM 990, PART IX, LINE 25 OR INCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGES ON SCHEDULE H, PART 1, LINE 7 | |
| PART II: OTHER COMMUNITY PROGRAMS AND SERVICES ARE DELIVERED ON A PROACTIVE BASIS FROM THE COMMUNITY BENEFIT PLAN GOALS. HIGHLIGHTS OF PLAN GOALS INCLUDE WORK TO IMPROVE INFANT MORTALITY; PROGRAMS AT SETON DENTAL CLINIC TO SUPPORT ORAL HEALTH ACCESS, PARTICULARLY FOR CHILDREN; IMPROVEMENT IN ACCESS TO PRIMARY AND SECONDARY CARE; IMPROVED EDUCATION AND ACCESS REGARDING CANCER SCREENING AND COLLABORATION WITH THE MILWAUKEE HEALTH CARE PARTNERSHIP. INFANT MORTALITY, PARTICULARLY AMONG THE AFRICAN AMERICAN COMMUNITY IN MILWAUKEE, IS A PARTICULAR HEALTH ISSUE NEEDING IMPROVEMENT. CSM HAS BEEN AN IMPORTANT COLLABORATOR IN CITY AND STATE EFFORTS TO IMPROVE BIRTH OUTCOMES AND REDUCE INFANT MORTALITY RATES IN MILWAUKEE. CSM HAS SUPPORTED THE LIFECOURSE INITIATIVE FOR HEALTHY FAMILIES AS A COMMUNITY/ACADEMIC PARTNERSHIP FOR INITIATION OF A FIVE YEAR FUNDED PLAN FOR MORTALITY IMPROVEMENT. A PARTICULAR CSM FOCUS HAS BEEN THAT OF SAFE SLEEP INITIATIVES TO ASSURE THAT INFANTS HAVE A SAFE PLACE TO SLEEP BY PROVIDING PACK AND PLAY CRIBS FOR MOTHERS WITHOUT A DEDICATED INFANT SLEEP SPACE. ADDITIONALLY, PARENTS ARE EDUCATED ABOUT THE IMPORTANCE OF AN INFANT SLEEPING ON HIS BACK THROUGH A "BACK TO SLEEP" CAMPAIGN OF INFANT APPAREL WITH THAT MESSAGE IMPRINTED. PRENATAL EDUCATION IS DELIVERED IN A COMMUNITY SETTING THROUGH THE CSM BLANKET OF LOVE PROGRAM. LACK OF ACCESS TO ORAL HEALTH CARE HAS ALSO BEEN IDENTIFIED IN THE NEEDS ASSESSMENT. CSM MILWAUKEE SPONSORED THE SMART SMILES PROGRAM OF SCHOOL-BASED ORAL HEALTH CARE TO SERVE 4,000 CHILDREN IN FISCAL 2013. DENTIST ASSESSMENT, ORAL HYGIENE CARE, DENTAL SEALANTS AND FLUORIDE TREATMENTS ARE PROVIDED IN MORE THAN 30 SCHOOLS TO MEET THESE NEEDS. THE ST. ELIZABETH ANN SETON DENTAL CLINIC SERVES AS THE URGENT DENTAL CARE PROVIDER FOR UNINSURED PEOPLE IN MILWAUKEE, BOTH CHILDREN AND ADULTS. ACCESS TO PRIMARY CARE HAS BEEN IMPROVED IN MILWAUKEE THROUGH THE WORK OF ST. BENS CLINIC FOR THE HOMELESS AND THE COMMUNITY CHRONIC DISEASE MANAGEMENT (CCDM) CLINIC TO TREAT HYPERTENSION AND DIABETES THROUGH CHURCH PARTNERSHIPS. ADDITIONALLY CSM SPONSORS MEDICAL RESIDENCY PROGRAMS THROUGH CSM FAMILY HEALTH CENTER AND THE CSM OB/GYN CLINIC. THE COLUMBIA COLLEGE OF NURSING SPONSORS EL CENTRO DE SALUD TO PROVIDE HEALTH EDUCATION, SCREENING AND SERVICE THROUGH A PRIMARY EDUCATION SYSTEM IN AN IMPOVERISHED AREA OF MILWAUKEE. CSM CO-SPONSORSHIP OF THE SATURDAY FREE CLINIC WITH THE MEDICAL COLLEGE OF WISCONSIN ALSO DELIVERS HEALTH SCREENING AND BASIC HEALTH CARE TO UNINSURED PEOPLE. SPECIALTY CARE ACCESS HAS BEEN IMPROVED THROUGH THE WORK OF THE MILWAUKEE HEALTH CARE PARTNERSHIP, (MHCP) A COLLABORATION OF MILWAUKEES FIVE HEALTH SYSTEMS AND FOUR FEDERALLY QUALIFIED HEALTH CENTERS. ONE PROGRAM TARGETS UNINSURED PEOPLE FROM THE FQHCS. AND FROM AREA FREE CLINICS FOR ACCESS TO SPECIALTY CARE. THE SPECIALTY ACCESS FOR UNINSURED PROGRAM (SAUP) PAIRS HOSPITALS WITH FQHCS AND FREE CLINICS TO DELIVER SPECIALTY CARE FOR PRIMARY CARE PATIENTS. ADDITIONALLY, THE MHCP COLLABORATES WITH STATE AND COUNTY RESOURCES TO PLAN FOR IMPROVEMENT IN BEHAVIORAL HEALTH DELIVERY IN MILWAUKEE COUNTY. THIS ADVISORY WORK CONTINUES THROUGH PARTICIPATION BY CSM VICE-PRESIDENTS AND DIRECTORS. A HIGHLIGHT OF CANCER SCREENING IS THE USE OF A MOBILE MAMMOGRAPHY DIGITAL COACH TO DELIVER BREAST SCREENING WITHIN COMMUNITY SETTINGS. THIS IS PARTICULARLY IMPORTANT FOR PARTNERSHIP WITH CENTRAL CITY CHURCHES TO IDENTIFY WOMEN WHO OTHERWISE WOULD NOT ACCESS TRADITIONAL HOSPITAL BASED SCREENING. OFTEN CHURCH PARTNERSHIPS SUPPORT CSM'S WORK IN THE COMMUNITY. CSM PARISH NURSES WORK WITH MORE THAN 40 CHURCHES OF THE NORTHWEST CHURCH OF GOD IN CHRIST (COGIC) JURISDICTION UNDER A LOCAL BISHOP TO DELIVER HEALTH EDUCATION AND SCREENING THROUGH COMMUNITY HEALTH WORKERS AND CHURCH HEALTH LIAISONS THROUGH A PROGRAM CALLED THE COGIC COVENANT. PARTNERSHIP IS A KEY ELEMENT IN COMMUNITY BENEFIT ACTIVITIES OF CSM. A PARTICULARLY STRONG PARTNER THESE ACTIVITIES HAS BEEN THE MEDICAL COLLEGE OF WISCONSIN IN SPONSORSHIP OF PROGRAMS: CSM COLLABORATES WITH THE MEDICAL COLLEGE OF WISCONSIN IN SPONSORING THE FOLLOWING:- THE FAMILY HEALTH CENTER, A RESIDENCY-BASED FAMILY MEDICINE CLINIC THAT PROVIDES PRIMARY CARE TO MORE THAN 9,000 INDIVIDUALS IN THE COMMUNITY.- THE OB/GYN CLINIC, A RESIDENCY-BASED PROGRAM THAT SERVES OVER 150 PATIENTS, 250 OB APPOINTMENTS PER MONTH, AND 325 DELIVERIES PER YEAR.- THE CHRONIC DISEASE MANAGEMENT CLINIC, WHICH SCREENS AND MANAGES HYPERTENSION, DIABETES, OBESITY, AND SMOKING FOR LOW INCOME ADULTS THROUGH A CLINIC BASED IN A FOOD PANTRY. - THE SATURDAY CLINIC FOR THE UNINSURED, WHICH USES MEDICAL STUDENTS AND VOLUNTEER PHYSICIANS TO SERVE HUNDREDS OF UNINSURED PATIENTS EACH YEAR.ALL OF THESE SERVICES ARE REPORTED AS PART OF THE COMMUNITY BENEFIT EXPENSES IN SECTION H. ADDITIONALLY CSM PARTICIPATES IN COMMUNITY BUILDING ACTIVITIES THROUGH PROGRAMS SUCH AS INROADS, WHICH IS AN OPPORTUNITY FOR CULTURALLY DIVERSE COLLEGE STUDENTS TO SERVE AN INTERNSHIP OVER SUMMER BREAK TO FAMILIARIZE THEMSELVES WITH THE CHALLENGES AND OPPORTUNITIES IN HEALTH CARE AND GAIN REAL WORLD EXPERIENCE. INROADS IS REFLECTED IN THE COMMUNITY BUILDING SECTION OF THE REPORT. | |
| PART III, LINE 4: THE ORGANIZATION IS A PART OF THE COLUMBIA ST. MARY'S, INC. CONSOLIDATED AUDIT AND FURTHER INCLUDED AS PART OF THE ASCENSION HEALTH CONSOLIDATED AUDITED FINANCIALS. THE FOOTNOTE THAT REFERENCES BAD DEBT EXPENSE IN THE FISCAL 2013 CONSOLIDATED AUDITED FINANCIALS IS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING ECONOMIC CONDITIONS, HISTORICAL EXPERIENCE, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE OFF EXPERIENCE BY PAYOR CATEGORY, INCLUDING THOSE AMOUNTS NO COVERED BY INSURANCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE ORGANIZATION 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 THE ORGANIZATION. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE ORGANIZATION'S POLICIES." | |
| PART III, LINE 8: 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. | |
| PART III, LINE 9B: THE ORGANIZATION HAS A WRITTEN DEBT COLLECTION POLICY THAT ALSO INCLUDES A PROVISION ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE CERTAIN COLLECTION PRACTICES DO NOT APPLY. | |
| PART V, SECTION B, LINE 3: THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. THE COLLABORATION INCLUDED PARTICIPATION BY THE MILWAUKEE COUNTY HEALTH DEPARTMENT AND REPRESENTATIVES FROM HEALTH DEPARTMENTS IN MILWAUKEE COUNTY.THE CHNA TEAM DEVELOPED A MULTI-LEVEL ASSESSMENT PROCESS. THE FIRST LEVEL CONSISTED OF A SURVEY OF COUNTY RESIDENTS REGARDING THEIR HEALTH STATUS, HEALTH ACCESS AND THE PERCEPTION OF COMMUNITY NEEDS. WORKING TOGETHER, SURVEY QUESTIONS WERE DEVELOPED AND APPROVED. JKV RESEARCH LLC WAS CONTRACTED TO PERFORM THE SURVEY USING TECHNIQUES THAT THE CONSULTANT HAD USED IN SIMILAR SURVEYS OVER TEN YEARS. THE SURVEY WAS CONDUCTED OVER THE TELEPHONE TO CELL PHONE OWNERS AND LAND LINE TELEPHONE OWNERS. MORE THAN 1,900 PEOPLE WERE INTERVIEWED.THE SECOND LEVEL OF DATA GATHERING WAS PERFORMED BY THE CENTER FOR URBAN POPULATION HEALTH (CUPH) AS SECONDARY DATA GATHERING ABOUT COMMUNITY NEEDS BASED ON PUBLIC HEALTH AND OTHER PUBLICLY AVAILABLE INFORMATION. THE THIRD LEVEL OF DATA WAS GATHERED THROUGH A KEY STAKEHOLDER INTERVIEW PROCESS. THE MHCP MEMBERS HAD AGREED UPON THOSE DIVERSE PEOPLE WHO REPRESENTED KEY ASPECTS OF THE COMMUNITY. A SURVEY TOOL WAS DEVELOPED BY THE GROUP AND INTERVIEWS WERE SCHEDULED BY MHCP MEMBERS AND BY PUBLIC HEALTH STUDENTS WORKING WITH THE CITY OF MILWAUKEE HEALTH DEPARTMENT. IN ALL, 35 INDIVIDUAL INTERVIEWS AND FIVE GROUP INTERVIEWS WERE CONDUCTED BY TEAM MEMBERS. | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE |
| PART V, SECTION B, LINE 4: THE OTHER HOSPITAL FACILITIES WITH WHICH THE REPORTING HOSPITAL FACILITY CONDUCTED ITS CHNA, INCLUDE AURORA HEALTH CARE, CHILDRENS HOSPITAL OF WISCONSIN, FROEDTERT HEALTH AND WHEATON FRANCISCAN HEALTHCARE. THESE FIVE HOSPITAL SYSTEMS HAVE DEVELOPED THE MILWAUKEE HEALTH CARE PARTNERSHIP (MHCP) TO COLLABORATE EFFORTS TO IMPROVE UNDERSTANDING OF HEALTH CARE NEEDS IN MILWAUKEE AND TO IMPROVE ACCESS TO HEALTH CARE. | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE |
| PART V, SECTION B, LINE 5C: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) OF THE HOSPITAL FACILITY CAN BE LOCATED AT THE FOLLOWING WEB ADDRESS: WWW.COLUMBIA-STMARYS.ORG/SERVINGOURCOMMUNITY | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE |
| PART V, SECTION B, LINE 10: ALL PATIENTS WITH INCOME LESS THAN 200% OF THE FEDERAL POVERTY LEVEL WILL BE ELIGIBLE FOR 100% CHARITY CARE WRITE-OFF OF THE CHARGES FOR SERVICES THAT HAVE BEEN PROVIDED. ELIGIBILITY MAY BE DETERMINED AT ANY POINT IN THE REVENUE CYCLE. FINANCIAL COUNSELORS PROVIDE ASSISTANCE TO THE PATIENTS TO DETERMINE IF THEY ARE ELIGIBLE FOR MEDICAID OR OTHER PUBLIC ASSISTANCE IN ORDER TO QUALIFY FOR CHARITY CARE. CREDIT REPORTS OR OTHER SIMILAR REPORTS MAY BE RUN TO VERIFY INFORMATION PROVIDED. | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE |
| PART V, SECTION B, LINE 11: PATIENTS WITH INCOMES ABOVE 300% OF THE POVERTY LEVEL MAY BE ELIGIBLE FOR SOME LEVEL OF DISCOUNT BASED ON A SUBSTANTIVE ASSESSMENT OF THEIR ABILITY TO PAY. THE ASSESSMENT CONSIDERS TOTAL INCOME AND DOLLAR AMOUNT OF PATIENT RESPONSIBILITY ON A SLIDING SCALE. A MEANS TEST IS PERFORMED THAT CONSIDERS INCOME, TOTAL MEDICAL BILL OBLIGATIONS, MORTGAGE PAYMENTS, UTILITY PAYMENTS, NUMBER OF FAMILY MEMBERS, AND ANY DISABILITY CONSIDERATIONS. PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, BUT ARE IN NEED OF FINANCIAL ASSISTANCE, WILL BE OFFERED APPROPRIATE EXTENDED PAYMENT TERMS OR OTHER PAYMENT OPTIONS THAT TAKE INTO ACCOUNT THE PATIENT'S FINANCIAL STATUS. | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE |
| PART V, SECTION B, LINE 16E: THE FOLLOWING STEPS WERE FOLLOWED AND CONSIDERED REASONABLE EFFORTS FOR PURPOSES OF QUESTION 16. WE NOTIFIED EACH INDIVIDUAL OF THE FACILITY'S FINANCIAL ASSISTANCE POLICY (FAP). THIS NOTIFICATION BEGAN ON THE DATE CARE WAS PROVIDED AND ENDED ON THE 120TH DAY AFTER THE FIRST BILLING STATEMENT WAS PROVIDED TO THE INDIVIDUAL. INDIVIDUALS WERE NOTIFIED OF THE FAP BY METHODS AS NOTED IN QUESTION 14. THIS INCLUDED, BUT IS NOT LIMITED TO, PROVIDING THE FOLLOWING: - A BRIEF DESCRIPTION OF ELIGIBILITY REQUIREMENTS AND ASSISTANCE PROVIDED - DIRECTIONS ON HOW TO ACCESS THE FAP AND APPLICATION ON OUR WEBSITE AND PHYSICAL LOCATION OF APPLICATION FORMS - INSTRUCTIONS TO OBTAIN A FREE COPY OF THE FAP AND APPLICATION BY MAIL - CONTACT INFORMATION FOR AN INDIVIDUAL/NONPROFIT ORGANIZATION TO ASSIST IF THE INDIVIDUAL HAS QUESTIONS - STATEMENT OF TRANSLATIONS OF FAP AS WELL AS PLAIN LANGUAGE SUMMARIES, AND - A STATEMENT THAT NO FAP ELIGIBLE INDIVIDUAL WILL BE CHARGED MORE FOR EMERGENCY/MEDICALLY NECCESSARY CARE. FOR INDIVIDUALS WHO SUBMITTED AN INCOMPLETE FAP, WE PROVIDED THAT INDIVIDUAL WITH INFORMATION RELEVANT TO ASSIST THEM WITH COMPLETION OF THE FAP. FOR INDIVIDUALS WHO SUBMITTED A COMPLETE FAP, WE MADE AND DOCUMENTED A DETERMINATION AS TO WHETHER THAT PERSON WAS ELIGIBLE UNDER THE FACILITY'S FAP. WE DETERMINED ELIGIBILITY BASED ON OTHER MEANS SUCH AS ESTABLISHING THAT THE INDIVIDUAL IS ELIGIBLE UNDER ONE OR MORE MEANS TESTED PROGRAMS (AS NOTED IN QUESTION 12). | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE |
| PART V, SECTION B, LINE 17E: THE FOLLOWING STEPS WERE FOLLOWED AND CONSIDERED REASONABLE EFFORTS FOR PURPOSES OF QUESTION 17. WE NOTIFIED EACH INDIVIDUAL OF THE FACILITY'S FINANCIAL ASSISTANCE POLICY (FAP). THIS NOTIFICATION BEGAN ON THE DATE CARE WAS PROVIDED AND ENDED ON THE 120TH DAY AFTER THE FIRST BILLING STATEMENT WAS PROVIDED TO THE INDIVIDUAL. INDIVIDUALS WERE NOTIFIED OF THE FAP BY METHODS AS NOTED IN QUESTION 14. THIS INCLUDED, BUT IS NOT LIMITED TO, PROVIDING THE FOLLOWING: - A BRIEF DESCRIPTION OF ELIGIBILITY REQUIREMENTS AND ASSISTANCE PROVIDED - DIRECTIONS ON HOW TO ACCESS THE FAP AND APPLICATION ON OUR WEBSITE AND PHYSICAL LOCATION OF APPLICATION FORMS - INSTRUCTIONS TO OBTAIN A FREE COPY OF THE FAP AND APPLICATION BY MAIL - CONTACT INFORMATION FOR AN INDIVIDUAL/NONPROFIT ORGANIZATION TO ASSIST IF THE INDIVIDUAL HAS QUESTIONS - STATEMENT OF TRANSLATIONS OF FAP AS WELL AS PLAIN LANGUAGE SUMMARIES, AND - A STATEMENT THAT NO FAP ELIGIBLE INDIVIDUAL WILL BE CHARGED MORE FOR EMERGENCY/MEDICALLY NECCESSARY CARE. FOR INDIVIDUALS WHO SUBMITTED AN INCOMPLETE FAP, WE PROVIDED THAT INDIVIDUAL WITH INFORMATION RELEVANT TO ASSIST THEM WITH COMPLETION OF THE FAP. FOR INDIVIDUALS WHO SUBMITTED A COMPLETE FAP, WE MADE AND DOCUMENTED A DETERMINATION AS TO WHETHER THAT PERSON WAS ELIGIBLE UNDER THE FACILITY'S FAP. WE DETERMINED ELIGIBILITY BASED ON OTHER MEANS SUCH AS ESTABLISHING THAT THE INDIVIDUAL IS ELIGIBLE UNDER ONE OR MORE MEANS TESTED PROGRAMS (AS NOTED IN QUESTION 12). | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE |
| PART V, SECTION B, LINE 18E: QUESTION 18 IS MORE APPROPRIATELY ANSWERED AS NOT APPLICABLE AS THE BILLING AND COLLECTIONS POLICY OF CSMM DOES NOT ALLOW A HOSPITAL TO ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS BEFORE THE ORGANIZATION HAS MADE REASONABLE EFFORTS TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. REASONABE EFFORTS TAKEN INCLUDE BUT ARE NOT LIMITED TO: NOTIFYING INDIVIDUALS OF THE FINANCIAL ASSISTANCE POLICY IN COMMUNCATIONS WITH THE PATIENTS REGARDING THE PATIENTS BILLS. | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE |
| PART V, SECTION B, LINE 20D: ALL PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE RECEIVE A MINIMUM DISCOUNT OF 40% OFF GROSS CHARGES FOR SERVICES PROVIDED TO THEM. | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE |
| PART V, SECTION B, LINE 21: THE FOLLOWING STEPS WERE FOLLOWED AND CONSIDERED REASONABLE EFFORTS FOR PURPOSES OF IDENTIFYING PATIENTS ELIGIBLE FOR ASSISTANCE UNDER THE FACILITY'S FAP. WE NOTIFIED EACH INDIVIDUAL OF THE FACILITY'S FINANCIAL ASSISTANCE POLICY (FAP). THIS NOTIFICATION BEGAN ON THE DATE CARE WAS PROVIDED AND ENDED ON THE 120TH DAY AFTER THE FIRST BILLING STATEMENT WAS PROVIDED TO THE INDIVIDUAL. INDIVIDUALS WERE NOTIFIED OF THE FAP BY METHODS AS NOTED IN QUESTION 14. THIS INCLUDED, BUT IS NOT LIMITED TO, PROVIDING THE FOLLOWING: - A BRIEF DESCRIPTION OF ELIGIBILITY REQUIREMENTS AND ASSISTANCE PROVIDED - DIRECTIONS ON HOW TO ACCESS THE FAP AND APPLICATION ON OUR WEBSITE AND PHYSICAL LOCATION OF APPLICATION FORMS - INSTRUCTIONS TO OBTAIN A FREE COPY OF THE FAP AND APPLICATION BY MAIL - CONTACT INFORMATION FOR AN INDIVIDUAL/NONPROFIT ORGANIZATION TO ASSIST IF THE INDIVIDUAL HAS QUESTIONS - STATEMENT OF TRANSLATIONS OF FAP AS WELL AS PLAIN LANGUAGE SUMMARIES, AND - A STATEMENT THAT NO FAP ELIGIBLE INDIVIDUAL WILL BE CHARGED MORE FOR EMERGENCY/MEDICALLY NECCESSARY CARE. FOR INDIVIDUALS WHO SUBMITTED AN INCOMPLETE FAP, WE PROVIDED THAT INDIVIDUAL WITH INFORMATION RELEVANT TO ASSIST THEM WITH COMPLETION OF THE FAP. FOR INDIVIDUALS WHO SUBMITTED A COMPLETE FAP, WE MADE AND DOCUMENTED A DETERMINATION AS TO WHETHER THAT PERSON WAS ELIGIBLE UNDER THE FACILITY'S FAP. WE DETERMINED ELIGIBILITY BASED ON OTHER MEANS SUCH AS ESTABLISHING THAT THE INDIVIDUAL IS ELIGIBLE UNDER ONE OR MORE MEANS TESTED PROGRAMS (AS NOTED IN QUESTION 12). | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE |
| PART VI, LINE 2: THE COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE COMMUNITY BENEFIT PROCESS IS COORDINATED THROUGH THE WORK OF THE MILWAUKEE COMMUNITY BENEFIT COMMITTEE (MCBC). THE MCBC IS GUIDED BY THE MISSION STATEMENT OF CSM AND A COMMUNITY BENEFIT PHILOSOPHY STATEMENT. THE COMMITTEE IS COMPRISED OF ADMINISTRATIVE LEADERSHIP, MANAGERS, AND STAFF INVOLVED IN DIRECT SERVICE TO VULNERABLE PEOPLE. TWO REPRESENTATIVES OF THE CSM PATIENT FAMILY ADVISORY COMMITTEE PARTICIPATE IN THE MCBC.THE MCBC ROLES INCLUDE THE FOLLOWING: - DEVELOP COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO DETERMINE MILWAUKEE COUNTY NEEDS- REVIEW CHNA AND CREATE COMMUNITY BENEFIT PLAN TO ADDRESS NEEDS- INCORPORATE COMMUNITY BENEFIT PLAN GOALS IN THE CSM INTEGRATED STRATEGIC, OPERATIONAL AND FINANCIAL PLAN (ISOFP) FOR BOARD LEVEL APPROVAL AND SUBMISSION TO ASCENSION HEALTH SYSTEM - DEVELOP A STRATEGY TO MEASURE AND INCREASE THE IMPACT OF COMMUNITY BENEFIT PLAN ELEMENTSTHE NEEDS ASSESSMENT IN FY 13 INVOLVED THE GATHERING OF SECONDARY INFORMATION ABOUT MILWAUKEE COUNTY FROM VARIED PUBLIC SOURCES INCLUDING STATE DATA, MILWAUKEE COUNTY DATA AND CITY OF MILWAUKEE DATA. THE MOST REMARKABLE NEEDS FOR THE SERVICE AREA INCLUDED ADDRESSING INFANT MORTALITY ISSUES, IMPROVING ACCESS TO ORAL HEALTH CARE, PARTICULARLY FOR CHILDREN, IMPROVING ACCESS TO PRIMARY AND SPECIALTY CARE, AND IMPROVING HEALTH DISPARITIES, PARTICULARLY REGARDING CANCER SCREENING. | |
| PART VI, LINE 3: CSM HOSPITAL MILWAUKEE ATTEMPTS TO IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR CHARITY OR DISCOUNTED CARE AS OUTLINED IN THE CHARITY CARE POLICY DURING THE PRE-REGISTRATION, REGISTRATION, ADMISSIONS AND DISCHARGE PROCESSES. A COPY OF THE CHARITY CARE POLICY IS POSTED IN THE EMERGENCY ROOM, AND A SUMMARY OF THE POLICY IS PROVIDED TO PATIENTS WITH ADMISSION AND DISCHARGE PAPERWORK. CSM HOSPITAL MILWAUKEE HAS TRAINED FINANCIAL COUNSELORS AVAILABLE TO DISCUSS PAYMENT OPTIONS TO THE PATIENTS. UPON MAKING AN APPOINTMENT, THE FINANCIAL COUNSELORS WILL MEET WITH THE PATIENT TO DETERMINE WHAT OTHER FINANCIAL ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY QUALIFY. | |
| PART VI, LINE 4: CSM HOSPITAL MILWAUKEE SERVES A PRIMARY SERVICE AREA OF EASTERN MILWAUKEE COUNTY, FROM THE NEAR SOUTH SIDE OF MILWAUKEE NORTH THROUGH OZAUKEE COUNTY. CSM HOSPITAL MILWAUKEE IS LOCATED IN AN URBAN COMMUNITY WITHIN MILWAUKEE COUNTY. THE POPULATION OF MILWAUKEE COUNTY IS APPROXIMATELY 953,000, WITH OVER 20% OF THE HOUSEHOLDS LIVING AT OR BELOW FEDERAL POVERTY GUIDELINES. THE MEDIAN INCOME IS APPROXIMATELY $43,000, OVER 46% OF THE POPULATION IS A MINORITY, AND APPROXIMATELY 16% OF THE POPULATION SPEAK A LANGUAGE OTHER THAN ENGLISH. THE SERVICE AREA IS VARIED, WITH SOME SECTORS HAVING HIGH INCOMES AND MANY HEALTH RESOURCES WHILE OTHER HIGH ADMISSION ZIP CODES ARE LOCATED IN THE IMPOVERISHED CENTRAL CITY AND IN MEDICALLY UNDERSERVED AREAS. SEVERAL HIGH ADMITTING ZIP CODES FOR CSM HAVE A HIGH PROPORTION OF AFRICAN AMERICAN PEOPLE AND TWO HIGH ADMITTING ZIP CODES HAVE HIGH PROPORTIONS OF PEOPLE OF HISPANIC BACKGROUND. ADDRESSING THE HEALTH DISPARITY ISSUES OF THESE POPULATIONS IS AN IMPORTANT PART OF THE COMMUNITY BENEFIT SERVICE OF CSM HOSPITAL MILWAUKEE. IN FISCAL 2013, CSM HOSPITAL MILWAUKEE SERVED 229,237 PATIENTS AND PROVIDED $10,080,153 IN TRADITIONAL CHARITY CARE (AT COST), $5,805,221 IN UNPAID COSTS OF PUBLIC PROGRAMS, $10,535,997 IN UNINSURED DISCOUNTS AND $13,400,944 IN OTHER COMMUNITY PROGRAMS AND SERVICES, WHICH ARE REPORTED ON PART I, LINE 7J AND PART II. DISCOUNTS FOR THE UNINSURED AND UNDERINSURED ARE NOT INCLUDED IN PARTS I OR II OF SCHEDULE H. | |
| PART VI, LINE 6: CSM HOSPITAL MILWAUKEE IS PART OF THE CSM HEALTH SYSTEM, WHICH CONTRIBUTES TO THE POSITIVE HEALTH STATUS OF THE COMMUNITIES IT SERVES. CSM IS AN ORGANIZATION COMPRISED OF THREE HOSPITALS, 61 COMMUNITY CLINICS, THE COLUMBIA COLLEGE OF NURSING, A PARTNERSHIP WITH THE ORTHOPAEDIC HOSPITAL OF WISCONSIN, A PARTNERSHIP WITH THE SLEEP CENTER, A PARTNERSHIP WITH HORIZON HOME CARE & HOSPICE, AND FOUR URGENT CARE CENTERS. CSM PROVIDES CARE FOR INDIVIDUALS AND FAMILIES THROUGHOUT MILWAUKEE, OZAUKEE, WASHINGTON, AND SHEBOYGAN COUNTIES - WITH MORE THAN 160 YEARS OF SERVICE TO INDIVIDUALS AND FAMILIES IN THESE COMMUNITIES.AS A MEMBER OF ASCENSION HEALTH, THE NATION'S LARGEST CATHOLIC HEALTHCARE SYSTEM, CSM CONTINUES TO BUILD AND STRENGTHEN SUSTAINABLE COLLABORATIVE EFFORTS THAT BENEFIT THE HEALTH OF INDIVIDUALS, FAMILIES, AND SOCIETY AS A WHOLE. THE GOAL OF CSM IS TO PERPETUATE THE HEALTH MISSION OF THE CHURCH. CSM FURTHERS THIS GOAL THROUGH DELIVERY OF PATIENT SERVICES, CARE TO THE ELDERLY AND INDIGENT, PATIENT EDUCATION AND HEALTH AWARENESS PROGRAMS FOR THE COMMUNITY, AND MEDICAL RESEARCH. OUR CONCERN FOR ALL HUMAN LIFE AND DIGNITY OF EACH PERSON LEADS THE ORGANIZATION TO PROVIDE MEDICAL SERVICES TO ALL PEOPLE IN THE COMMUNITY WITHOUT REGARD TO THE PATIENT'S RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY.CSM EMPLOYS A COMMUNITY BENEFIT PHILOSOPHY IN PROGRAM PLANNING AND IMPLEMENTATION. CSM PROVIDES FOR THE HEALTH OF THE COMMUNITY THROUGH FINANCIAL SUPPORT PROVIDED TO PATIENTS BY FINANCIAL DISCOUNTS AND CONTRACTS, BY DEVELOPING CLINICS AND SERVICES FOR SPECIFIC VULNERABLE GROUPS, BY SPONSORING COMMUNITY EDUCATION AND TRAINING AND BY COLLABORATING WITH GOVERNMENT PROGRAMS.DURING FISCAL 2013, THE CSM SYSTEM PROVIDED $139,785,804 IN COMMUNITY HEALTH BENEFIT SERVICES, INCLUDING SUBSIDIZED HEALTH CARE, PROFESSIONAL EDUCATION, FINANCIAL CONTRIBUTIONS AND COMMUNITY BUILDING ACTIVITIES.IN ADDITION, THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS, THE MAJORITY OF WHOM RESIDE WITHIN THE COMMUNITIES CSM SERVES AND ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY; HOWEVER, THE CLINICS WITHIN THE ORGANIZATION ARE SERVED BY PHYSICIANS AFFILIATED WITH CSM. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KEVIN GONIU MD | ||||||||||||||
| BOARD MEMBER AND CSM PHYSI | 0 | 471474 | 0 | 76989 | 0 | 20076 | 0 | 5000 | 0 | 23044 | 0 | 596583 | 0 | 0 |
| MARK R TAYLOR | ||||||||||||||
| PRESIDENT/CEO | 0 | 578558 | 0 | 906425 | 0 | 120216 | 0 | 5000 | 0 | 35485 | 0 | 1645684 | 0 | 0 |
| RHONDA ANDERSON | ||||||||||||||
| CSM PRESIDENT/CFO | 0 | 371606 | 0 | 275204 | 0 | 13942 | 0 | 5000 | 0 | 6123 | 0 | 671875 | 0 | 0 |
| CHERYL HILL | ||||||||||||||
| VP HUMAN RESOURCES | 0 | 241053 | 0 | 172844 | 0 | 20640 | 0 | 5000 | 0 | 19771 | 0 | 459308 | 0 | 0 |
| DAVID H SHAPIRO MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | 0 | 287471 | 0 | 139129 | 0 | 21979 | 0 | 5000 | 0 | 15004 | 0 | 468583 | 0 | 0 |
| GERRI LIETZ-STAFFILENO | ||||||||||||||
| VP HOSP OPERATIONS | 0 | 222732 | 0 | 154831 | 0 | 21026 | 0 | 5000 | 0 | 19492 | 0 | 423081 | 0 | 0 |
| SUE SANICOLA | ||||||||||||||
| VP CSM COMM PHYSICIANS | 0 | 176360 | 0 | 127258 | 0 | 20432 | 0 | 4279 | 0 | 24165 | 0 | 352494 | 0 | 0 |
| WILLIAM HART | ||||||||||||||
| VP/COO | 0 | 293407 | 0 | 200126 | 0 | 3467 | 0 | 3123 | 0 | 10030 | 0 | 510153 | 0 | 0 |
| DEBORAH FRIBERG | ||||||||||||||
| PRESIDENT HOSPITAL DIV END 06/12 | 0 | 227653 | 0 | 304009 | 0 | 237111 | 0 | 5000 | 0 | 24832 | 0 | 798605 | 0 | 0 |
| BRUCE MCCARTHY | ||||||||||||||
| PRESIDENT PHYSICIAN DIVISION | 0 | 500431 | 0 | 329091 | 0 | 5548 | 0 | 5000 | 0 | 30735 | 0 | 870805 | 0 | 0 |
| CONSTANCE J BRADLEY | ||||||||||||||
| VP HOSPITAL OPERATIONS | 202888 | 0 | 130434 | 0 | 281 | 0 | 5000 | 0 | 12007 | 0 | 350610 | 0 | 0 | 0 |
| ALLAN SPOONER | ||||||||||||||
| PRESIDENT HOSPITAL DIV. | 0 | 76765 | 0 | 97089 | 0 | 34635 | 0 | 0 | 0 | 1046 | 0 | 209535 | 0 | 0 |
| ROBERT B ROTH MD | ||||||||||||||
| PHYSICIAN | 1623170 | 0 | 30915 | 0 | 21902 | 0 | 5000 | 0 | 27116 | 0 | 1708103 | 0 | 0 | 0 |
| ROBERT L HUXLEY MD | ||||||||||||||
| PHYSICIAN | 1493926 | 0 | 11000 | 0 | 7524 | 0 | 5000 | 0 | 31049 | 0 | 1548499 | 0 | 0 | 0 |
| DAVID W GRAMBOW MD | ||||||||||||||
| PHYSICIAN | 1245685 | 0 | 29590 | 0 | 19622 | 0 | 5000 | 0 | 36202 | 0 | 1336099 | 0 | 0 | 0 |
| SANJAY S DESHPANDE MD | ||||||||||||||
| PHYSICIAN | 1221734 | 0 | 299668 | 0 | 19622 | 0 | 5000 | 0 | 32870 | 0 | 1578894 | 0 | 0 | 0 |
| JOSHUA LIBERMAN | ||||||||||||||
| PHYSICIAN | 779477 | 0 | 302221 | 0 | 18026 | 0 | 5000 | 0 | 35611 | 0 | 1140335 | 0 | 0 | 0 |
| LEO P BRIDEAU | ||||||||||||||
| PRESIDENT/CEO END 02/11 | 0 | 0 | 0 | 727898 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 727898 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINES 4A-B | SEVERANCE AMOUNTS PAID IN FY13 INCLUDE: DEBORAH FRIBERG $234,603 ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. THE FILING ORGANIZATION, CSMM, DID NOT CONTRIBUTE TO THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FOR ANY OF THE EXECUTIVES THIS FISCAL YEAR. |
| PART I, LINE 7 | BOARD MEMBERS, OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO ARE EMPLOYED BY THE CSM ORGANIZATIONS AND ARE MEDICAL DOCTORS ARE ELIGIBLE TO RECEIVE A PERCENTAGE OF THE REVENUE GENERATED FROM PATIENTS THEY SERVE, BASED ON ESTABLISHED GUIDELINES. OFFICERS AND KEY EMPLOYEES PARTICIPATE IN A MANAGEMENT INCENTIVE PLAN, WHEREBY CERTAIN FINANCIAL TRIGGERS OF THE CSM SYSTEM AS APPROVED BY THE BOARD MUST BE MET BEFORE ANY ELIGIBLE EMPLOYEE MAY RECEIVE PAYMENT OF THE INCENTIVE. ONCE THE TRIGGER IS MET, THE INCENTIVE IS MEASURED BASED ON VARIOUS ESTABLISHED GOALS, INCLUDING OPERATING MARGIN, PATIENT SATISFACTION, QUALITY, AND PRODUCTIVITY. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DAVID SHAPIRO MD | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | KEY EMPLOYEE | Relationship |
| Amount Of Transaction | 143207 | AmountOfTransaction |
| Description Of Transaction | SPOUSE IS ALSO EMPLOYED BY CSM SYSTEM. ALL COMPENSATION IS DETERMINED IN ACCORDANCE WITH PAYROLL POLICY GUIDELINES. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | CSM-M HAS A SINGLE CORPORATE MEMBER, CSM. | |
| FORM 990, PART VI, SECTION A, LINE 7A | CSM-M HAS A SOLE MEMBER, HAS A SINGLE CORPORATE MEMBER, CSM, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF CSM-M. | |
| FORM 990, PART VI, SECTION A, LINE 7B | ALL DECISIONS THAT HAVE A MATERIAL IMPACT TO CSM-M'S FINANCIAL INFORMATION OR CORPORATION AS A WHOLE ARE SUBJECT TO APPROVAL BY ITS SOLE CORPORATE MEMBER, CSM. | |
| FORM 990, PART VI, SECTION B, LINE 11 | MANAGEMENT, INCLUDING CERTAIN KEY EMPLOYEES, WORKS DILIGENTLY TO COMPLETE THE FORM 990 AND ATTACHED SCHEDULES IN A THOROUGH MANNER. MANAGEMENT PRESENTS THE FORM TO THE BOARD, OR A DESIGNATED COMMITTEE, TO REVIEW AND ANSWER ANY QUESTIONS. 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, SECTION B, LINE 12C | CSM HAS A WRITTEN CONFLICT OF INTEREST POLICY. THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE 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 MEETING 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 CONFLICTS 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, SECTION B, LINE 15 | 15A. IN DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE AUDIT COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO WAS COMPARED TO OTHER HOSPITALS IN THE AREA THAT HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. THE CEO WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. 15B. IN DETERMINING COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE AUDIT COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATIONS, THE OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION WERE COMPARED TO OTHER HOSPITALS' EMPLOYEES IN THE AREA THAT 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, SECTION C, LINE 19 | THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. CSM DOES PUBLISH AN ANNUAL REPORT AND FACT SHEETS ON THE EXTERNAL WEBSITE, WHICH IS AVAILABLE FOR PUBLIC VIEWING. | |
| FORM 990, PART XI, LINE 9: | TRANSFERS FROM FOUNDATION - CAPITAL PURCHASE GRANTS FOR CAPITAL EXPENDITURE OTHER ADJUSTMENT - UNRESTRICTED NET ASSETS -590,261. OTHER ADJUSTMENT - INCOME -4,625. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | NO CHANGES SINCE PRIOR YEAR |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC | |||||||||||
| 4425 NORTH PORT WASHINGTON ROAD | MILWAUKEE | WI | 53212 | 390807063 | HOSPITAL | WI | 501(C)(3) | 3 | N/A | 1 | |
| SACRED HEART REHABILITATION INSTITUTE | |||||||||||
| 4425 NORTH PORT WASHINGTON ROAD | MILWAUKEE | WI | 53212 | 390902199 | REHAB FACILITY | WI | 501(C)(3) | 3 | 1 | COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC | |
| COLUMBIA COLLEGE OF NURSING | |||||||||||
| 4425 NORTH PORT WASHINGTON ROAD | MILWAUKEE | WI | 53212 | 391596986 | COLLEGE | WI | 501(C)(3) | 2 | 1 | COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC | |
| ASCENSION HEALTH | |||||||||||
| 4600 EDMUNDSON ROAD | ST LOUIS | MO | 63136 | 311662309 | HEALTH SYSTEM | MO | 501(C)(3) | 11 | N/A | 0 | |
| HORIZON HOME CARE & HOSPICE INC | |||||||||||
| 8949 N DEERBROOK TRL | MILWAUKEE | WI | 53223 | 391171298 | HOME CARE/HOSPICE | WI | 501(C)(3) | 3 | N/A | 0 | |
| COLUMBIA ST MARY'S INC | |||||||||||
| 4425 NORTH PORT WASHINGTON RD | GLENDALE | WI | 53212 | 391834639 | HEALTH SYSTEM | WI | 501(C)(3) | 11 | N/A | 0 | |
| COLUMBIA HEALTH SYSTEM | |||||||||||
| 4425 NORTH PORT WASHINGTON RD | GLENDALE | WI | 53212 | 391494977 | HEALTH SYSTEM | WI | 501(C)(3) | 11 | N/A | 0 | |
| COLUMBIA ST MARY'S FOUNDATION INC | |||||||||||
| 4425 NORTH PORT WASHINGTON RD | GLENDALE | WI | 53212 | 391494981 | FOUNDATION | WI | 501(C)(3) | 7 | N/A | 0 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| ORTHOPAEDIC HOSPITAL OF WISCONSIN LLC | |||||||
| 575 RIVERWOODS PKWY | GLENDALE | WI | 53212 | 392015655 | HEALTHCARE | WI | N/A |
| SLEEP SERVICES OF WISCONSIN | |||||||
| 111 E KILBOURN AVE SUITE 1300 | MILWAUKEE | WI | 53202 | 273148310 | SLEEP SERVICES | WI | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CSM STRATEGIC ALLIANCE | |||||||||||||
| 4425 NORTH PORT WASHINGTON RD | GLENDALE | WI | 53212 | 391871856 | HEALTH CARE | WI | N/A | C | 0 | ||||
| MADISON MEDICAL AFFILIATES INC | |||||||||||||
| 4425 NORTH PORT WASHINGTON RD | GLENDALE | WI | 53212 | 391855720 | HEALTH CARE | WI | C | 0 | COLUMBIA ST MARY'S HOSPITAL INC | -9126020 | 7877390 | 1.00000 | |
| PROSPECT MEDICAL COMMONS CONDO ASSOCIATION | |||||||||||||
| 4425 NORTH PORT WASHINGTON RD | GLENDALE | WI | 53212 | 208042108 | CONDO ASSOCIATION | WI | N/A | C | 0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| COLUMBIA ST MARY'S INC | |
| L | 77255562 |
| COLUMBIA ST MARY'S INC | |
| O | 14915425 |
| COLUMBIA ST MARY'S INC | |
| O | 1061064 |
| COLUMBIA ST MARY'S INC | |
| P | 71146000 |
| SACRED HEART REHABILITATION INSTITUTE | |
| L | 1791749 |
| COLUMBIA ST MARY'S FOUNDATION INC | |
| C | 2931222 |
| COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC | |
| L | 2120080 |
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