LAKEVIEW MEDICAL CENTER INC OF RICE LAKE: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- LAKEVIEW MEDICAL CENTER INC OF RICE LAKE (EIN 39-0837206)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-08
- IRS object ID
- 201442209349300619
- Schema version
- 2012v2.3
- 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 D
- Schedule G
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-08T09:26:58-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 West Nationwide Blvd Ste 500 | AddressLine1 |
| City | Columbus | City |
| State | OH | State |
| ZIP Code | 43215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390837206 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKEVIEW MEDICAL CENTER INC OF RICE LAKE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % JACQUELINE KLEIN | InCareOfName |
| Name Control | LAKE | NameControl |
| Phone | 7152341515 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 WEST STOUT STREET | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | RICE LAKE | City |
| State | WI | State |
| ZIP Code | 54868 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jackie Klein | Name |
| Title | Chief Financial Officer | Title |
| Phone | 6123055000 | Phone |
| Date Signed | 2014-08-07 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6142492300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lakeview Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | EDWARD H WOLF CAO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 WEST STOUT STREET | AddressLine1 |
| City | RICE LAKE | City |
| State | WI | State |
| ZIP Code | 54868 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 67518678 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.LAKEVIEWMEDICAL.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1919 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | LAKEVIEW MEDICAL CENTER SERVES THE COMMUNITY BY PROVIDING SERVICES INTENDED TO ENHANCE THE HEALTH OF THE PEOPLE IN THE SURROUNDING REGION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 458 | TotalNbrEmployees |
| Total Nbr Volunteers | 204 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 113597 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 70568 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 67152121 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 67236429 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 113028 | InvestmentIncomePriorYear |
| Investment Income Current Year | 64337 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 72523 | OtherRevenuePriorYear |
| Other Revenue Current Year | 123237 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 67451269 | TotalRevenuePriorYear |
| Total Revenue Current Year | 67494571 | 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 | 31919278 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 30075244 | 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 | 31102600 | OtherExpensePriorYear |
| Other Expenses Current Year | 30441089 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 63021878 | TotalExpensesPriorYear |
| Total Expenses Current Year | 60516333 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4429391 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6978238 | RevenuesLessExpensesCY |
| Total Assets BOY | 122828997 | TotalAssetsBOY |
| Total Assets EOY | 122242322 | TotalAssetsEOY |
| Total Liabilities BOY | 56857848 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 55511935 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 65971149 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 66730387 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | LAKEVIEW MEDICAL CENTER PROVIDES MEDICAL, SURGICAL, EMERGENCY, OUTPATIENT, DIALYSIS, AMBULANCE, HOSPICE, AND HOME HEALTH SERVICES. IT ALSO SERVES THE COMMUNITY BY PROVIDING SERVICES INTENDED TO ENHANCE THE HEALTH OF THE PEOPLE IN THE SURROUNDING REGION. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 9007679 | Expense |
| Revenue | 21455971 | Revenue |
| Description | LAKEVIEW MEDICAL CENTER PROVIDES INPATIENT AND OUTPATIENT SURGICAL SERVICES IN ORTHOPEDICS, UROLOGY, WOMEN'S HEALTH, ENT AND GENERAL SURGERY. FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2013, THERE WERE 3,797 SURGICAL CASES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4520635 | Expense |
| Revenue | 4935868 | Revenue |
| Description | LAKEVIEW MEDICAL CENTER PROVIDES ROOM, BOARD AND CARE TO MEDICAL AND SURGICAL PATIENTS. FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2013 THIS UNIT HAD 2,194 ADMISSIONS AND 6,569 PATIENT DAYS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3166330 | Expense |
| Revenue | 10113816 | Revenue |
| Description | LAKEVIEW MEDICAL CENTER LABORATORY PERFORMS INPATIENT AND OUTPATIENT TESTS FOR BOTH LAKEVIEW MEDICAL CENTER AND MARSHFIELD CLINIC. FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2013, THERE WERE 281,628 TESTS PERFORMED BY THE LAB. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 31701446 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 30128655 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 48396090 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 30 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 458 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JACQUELINE KLEIN | NamePerson |
| Telephone Number | 7152366129 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 W STOUT STREET | AddressLine1 |
| City | RICE LAKE | City |
| State | WI | State |
| ZIP Code | 54868 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Reportable Comp From OrganizationReportableCompFromOrganization | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| DR BRAD BEKKUM | |||||||
| CHAIRMAN | 1.0 | X | X | 320779 | 48632 | ||
| DR PETER NEAL | |||||||
| DIRECTOR | 1.0 | X | 361241 | 54326 | |||
| DR CHARLES T STEWART | |||||||
| DIRECTOR | 1.0 | X | 441482 | 48638 | |||
| DR LAURA NELSON | |||||||
| DIRECTOR | 1.0 | X | 370802 | 51147 | |||
| JAMES DORRANCE | |||||||
| VICE CHAIRMAN | 1.0 | X | X | ||||
| SANDY BONNEVILLE | |||||||
| DIRECTOR | 1.0 | X | |||||
| PAUL CHASE | |||||||
| DIRECTOR | 1.0 | X | |||||
| DAVE HILDEBRAND | |||||||
| DIRECTOR | 1.0 | X | |||||
| SCOTT POLENZ | |||||||
| DIRECTOR | 1.0 | X | 189737 | 47966 | |||
| Carol Hakala | |||||||
| Director | 1.0 | X | |||||
| Craig Fowler | |||||||
| Director | 1.0 | X | |||||
| Dr Douglas Reding | |||||||
| Director | 1.0 | X | 578775 | 52947 | |||
| EDWARD WOLF | |||||||
| CHIEF ADMINISTRATIVE OFFICER | 40.0 | X | 49264 | 272023 | |||
| CYNTHIA ARTS-STRENKE | |||||||
| CHIEF OPERATING OFFICER | 40.0 | X | 48364 | 176811 | |||
| JACQUELINE KLEIN | |||||||
| CHIEF FINANCIAL OFFICER | 40.0 | X | 49444 | 162841 | |||
| ANNA ROGALLA | |||||||
| STAFF PHARMACIST | 40.0 | 39541 | 119861 | X | |||
| DENNIS MOE | |||||||
| STAFF PHARMACIST | 40.0 | 23047 | 119679 | X | |||
| SHERRY JOHNSON | |||||||
| INPATIENT SERVICES MANAGER | 40.0 | 16383 | 116686 | X | |||
| Kate Hillyer | |||||||
| Pharmacy Manager | 40.0 | 21379 | 127417 | X | |||
| Yukiko Dennis | |||||||
| Staff Pharmacist | 40.0 | 23200 | 124606 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1219924 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2262816 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 574278 | TotalOtherCompensation |
| Number Individuals GT100 K | 11 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CERNER CORPORATION | |||||
| PO BOX 412702 | KANSAS CITY | MO | 64141 | COMPUTER CONSULTING | 2600018 |
| ARAMARK CORPORATION | |||||
| 24863 NETWORK PLACE | CHICAGO | IL | 606731248 | MANAGEMENT SERVICES | 351994 |
| RX CONSULTANTS | |||||
| 105 WESTERN AVENUE | WAUPACA | WI | 54981 | CONTRACT LABOR | 143000 |
| SPM Marketing Comm | |||||
| 15 W Harris Suite 300 | LA GRANGE | IL | 60525 | Marketing Services | 350260 |
| Aureus Advanced Pratice LLC | |||||
| P O box 3037 | OMAHA | NE | 68103 | Contract Labor | 136578 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Federated Campaigns | 4000 | FederatedCampaigns |
| Fundraising Events | 21200 | FundraisingEvents |
| Government Grants | 14485 | GovernmentGrants |
| All Other Contributions | 30883 | AllOtherContributions |
| Total Contributions | 70568 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 624100 | 64808465 | 64808465 | |
| LEASING REVENUE | 624100 | 1580319 | 1580319 | |
| LIFELINE PROGRAM | 624100 | 152746 | 152746 | |
| OCCUPATIONAL/INDUSTRIAL HEALTH | 624100 | 27443 | 27443 | |
| EMPLOYEE MEALS | 624100 | 313134 | $313,134 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 354322 | TotalRevenueColumn |
| Related Or Exempt Function Income | 65337 | RelatedOrExemptFunctionIncome |
| Exclusion | $288,985 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 67236429 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 68961 | TotalRevenueColumn |
| Exclusion | $68,961 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 124104 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 124104 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 124104 | TotalRevenueColumn |
| Exclusion | $124,104 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 18616 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 23240 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -4624 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -4624 | TotalRevenueColumn |
| Exclusion | -$4,624 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 21200 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 751 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -751 | TotalRevenueColumn |
| Exclusion | -$751 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Direct Expenses | 116 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -116 | TotalRevenueColumn |
| Exclusion | -$116 | ExclusionAmount |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 67494571 | TotalRevenueColumn |
| Related Or Exempt Function Income | 66634310 | RelatedOrExemptFunctionIncome |
| Exclusion | $789,693 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 786579 | Total |
| Management And General | 786579 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21289066 | Total |
| Program Services | 19000232 | ProgramServices |
| Management And General | 2288834 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2133740 | Total |
| Program Services | 1891919 | ProgramServices |
| Management And General | 241821 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4317393 | Total |
| Program Services | 3755966 | ProgramServices |
| Management And General | 561427 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1548466 | Total |
| Program Services | 1381150 | ProgramServices |
| Management And General | 167316 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 371369 | Total |
| Program Services | 371369 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 185328 | Total |
| Management And General | 185328 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107295 | Total |
| Management And General | 107295 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5021909 | Total |
| Program Services | 2521324 | ProgramServices |
| Management And General | 2500585 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 432711 | Total |
| Management And General | 432711 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9585904 | Total |
| Program Services | 9107183 | ProgramServices |
| Management And General | 478721 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1978577 | Total |
| Program Services | 159644 | ProgramServices |
| Management And General | 1818933 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3575436 | Total |
| Program Services | 1251740 | ProgramServices |
| Management And General | 2323696 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 129294 | Total |
| Program Services | 129294 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1350500 | Total |
| Program Services | 1350500 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6962009 | Total |
| Program Services | 6962009 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135207 | Total |
| Management And General | 135207 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| FOOD AND PROVISIONS | 419335 | 419335 | |
| DUES AND SUBSCRIPTIONS | 186215 | 94425 | 91790 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60516333 | Total |
| Program Services | 48396090 | ProgramServices |
| Management And General | 12120243 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2310 | BOY |
| EOY | 2310 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21756633 | BOY |
| EOY | 26994930 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11238677 | BOY |
| EOY | 10258131 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 667937 | BOY |
| EOY | 627064 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 361370 | BOY |
| EOY | 247248 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 110966100 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 29875352 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87200720 | BOY |
| EOY | 81090748 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15850 | BOY |
| EOY | 20559 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1585500 | BOY |
| EOY | 3001332 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122828997 | BOY |
| EOY | 122242322 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3055238 | BOY |
| EOY | 2884948 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500000 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52800230 | BOY |
| EOY | 51562934 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 502380 | BOY |
| EOY | 1064053 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56857848 | BOY |
| EOY | 55511935 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65971149 | BOY |
| EOY | 66730387 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65971149 | BOY |
| EOY | 66730387 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122828997 | BOY |
| EOY | 122242322 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6978238 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -6219000 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | 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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5255531 | OtherCostOrOtherBasis |
| Book Value | 5255531 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 70512213 | OtherCostOrOtherBasis |
| Depreciation | 10292480 | Depreciation |
| Book Value | 60219733 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 32013213 | OtherCostOrOtherBasis |
| Depreciation | 18770026 | Depreciation |
| Book Value | 13243187 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3185143 | OtherCostOrOtherBasis |
| Depreciation | 812846 | Depreciation |
| Book Value | 2372297 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 81090748 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEFERRED COMPENSATION | $528,305 |
| NET PAYABLE TO 3RD PARTY PAYORS | $535,748 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1064053 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FASB ASC 740 FOOTNOTE: | Identifier |
| Explanation | LAKEVIEW MEDICAL CENTER INC. OF RICE LAKE is a not-for-profit corporation, as described in Section 501(c)(3)and is exempt from federal income taxes pursuant to Section 501(a) of the Code. This organization is, however, subject to federal and state income taxes on any net unrelated business income under the provisions of Section 511 of the Code. The Center applies Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) Topic 740, Income Taxes (ASC 740), which clarifies the accounting for uncertainty in income taxes recognized in a company's financial statements. ASC 740 prescribes a more-likely than-not recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken. Under ASC 740, tax positions will be evaluated for recognition, derecognition, and measurement using consistent criteria and will provide more information about the uncertainty in income tax assets and liabilities. Based on an analysis prepared by the Center, it was determined that the application of ASC 740 had no material effect on the Center at September 30, 2013 or 2012. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts Event1 | 21200 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 21200 | CharitableContributionsEvent1 |
| Non Cash Prizes Event1 | 551 | NonCashPrizesEvent1 |
| Entertainment Event1 | 200 | EntertainmentEvent1 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 21200 | GrossReceiptsTotal |
| Charitable Contributions Total | 21200 | CharitableContributionsTotal |
| Non Cash Prizes Total Events | 551 | NonCashPrizesTotalEvents |
| Entertainment Total Events | 200 | EntertainmentTotalEvents |
| Direct Expense Summary Events | 751 | DirectExpenseSummaryEvents |
| Net Income Summary | -751 | NetIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percentage Of Gaming Own Facility | 0.00000 | PercentageOfGamingOwnFacility |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | false | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 795878 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 795878 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01310 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10100302 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6973834 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3126468 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05170 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10896180 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6973834 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3922346 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06480 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 342115 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20323 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 321792 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00530 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 76738 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 76738 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2231799 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1690727 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 541072 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00890 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 36243 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 36243 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2686895 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1711050 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 975845 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01610 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13583075 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8684884 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4898191 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08090 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 552 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 552 | NetCommunityBuildingExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1353 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1353 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1905 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1905 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,177,800 | BadDebtExpenseAmount |
| Amount Attributable To | 283000 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 15531551 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 20320420 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4788869 | 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 | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | 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 | Lakeview Medical Center Inc of Rice L | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 W Stout Street | AddressLine1 |
| City | Rice Lake | City |
| State | WI | State |
| ZIP Code | 54868 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | Check General, Med & Surgical along with ER -24 hours | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LakeView Med Ctr Inc of Rice Lake | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | 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 | 13 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | true | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | false | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | false | UsesFPGDiscounted |
| Explains Basis | true | ExplainsBasis |
| Uninsured Discount | X | UninsuredDiscount |
| State Regulation | X | StateRegulation |
| Other Factors | X | OtherFactors |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Lowest Negotiated Rates | X | LowestNegotiatedRates |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 3C | LAKEVIEW MEDICAL CENTER, INC. OF RICE LAKE USES THE FEDERAL POVERTY GUIDELINES AT 200% TO DETERMINE ELIGIBILITY FOR PROVIDING FREE CARE AS STATED IN LINE 3A. FOR SELF-PAY INDIVIDUALS WHO DON'T QUALIFY FOR FREE CARE PER OUR POLICY, WE OFFER A 6% DISCOUNT (OUR HIGHEST COMMERCIAL DISCOUNT). WE ALSO OFFER AN INTEREST FREE PAYMENT PLAN, WITH THE APPROVAL OF THE CREDIT SUPERVISOR BASED ON THE PATIENT'S CIRCUMSTANCES AND ABILITY TO PAY. THE GUIDELINES FOR THE PAYMENT PLAN INCLUDE: MAXIMUM OF 60 MONTHS, LEVEL PAYMENTS OR A FRONT-END-LOADED ARRANGEMENT (I.E., LOWER INITIAL PAYMENTS WITH A BALLOON PAYMENT IS NOT ACCEPTABLE) AND A MINIMUM OF $25 PER MONTH (I.E., $5 PER MONTH ON A $25 BALANCE IS NOT APPROPRIATE). PART I, LINE 7: THE COSTING METHOD USED ON FORM 990 IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS 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 II: | COMMUNITY BUILDING ACTIVITIES PROMOTING THE HEALTH IN THE COMMUNITIES Served: Lakeview Medical Center is the lead organization and partners closely with "Be Well Barron County" in a worksite wellness program entitled "Excel with Be Well". Our goal is to engage worksite leaders to adopt best wellness practices at their worksites. Lakeview Medical Center coordinates meetings six times a year and provides resources and presenters based on the group's interests and needs. Meetings average about 15 worksite leaders from a vast array of workforces and sizes. Lakeview Medical Center coordinated worksite weight loss programs with over 20 worksites whom have participated. | |
| PART III, LINE 4: | MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON AN 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. A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT-OF-POCKET LIABILITY, BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER LAKEVIEW'S CHARITY CARE POLICY EVEN THOUGH LAKEVIEW PROVIDES THIS INFORMATION TO THEM AND ASSISTANCE WITH THE APPLICATION. WITHOUT A COMPLETED APPLICATION THEY ARE TRANSFERRED TO COLLECTION SERVICES AND TREATED AS BAD DEBT EXPENSE. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE CHARITY APPLICATION, SO THE BAD DEBT EXPENSE ASSOCIATED WITH THEM SHOULD BE ATTRIBUTABLE TO CHARITY CARE AND A COMMUNITY BENEFIT. | |
| PART III, LINE 8: | THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE ORGANIZATION AND ALSO DOES NOT CONSIDER ALL CONTRACTUAL ADJUSTMENTS FOR SERVICES REIMBURSED BY THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE LAB AND THERAPY SERVICES REIMBURSED ON FEE SCHEDULES AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. THE COSTING METHOD USED FOR IRS COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED SEPTEMBER 30, 2013, AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES, AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE). WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHICH ARE TYPICALLY ELDERLY OR DISABLED 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. | |
| PART III, LINE 9B: | UNDER THE ORGANIZATION'S COLLECTION AND CHARITY CARE POLICIES, LAKEVIEW MEDICAL CENTER, INC. OF RICE LAKE, MAKES EVERY ATTEMPT TO IDENTIFY AND PROMOTE CHARITY CARE TO PATIENTS. INCLUDED IN THE ORGANIZATION'S CHARITY CARE POLICY IT IS NOTED THAT PATIENTS MAY QUALIFY FOR CHARITY CARE EITHER PRIOR TO ADMISSION OR FOLLOWING DISCHARGE. ALL INPATIENT SELF-PAY ADMISSIONS ARE SCREENED BY THE HOSPITAL'S PATIENT FINANCIAL COUNSELOR OR SOCIAL WORKERS TO ALLOW THESE PATIENTS THE ABILITY TO GET ASSISTANCE WITH THEIR APPLICATION DURING THEIR STAY AT THE HOSPITAL. DEPENDING UPON THE PATIENT'S CONDITION, THE PATIENT OR THE PATIENT'S RESPONSIBLE PARTY MAY BE CONTACTED TO COMPLETE AND RETURN THE FORMS AT A LATER TIME WHEN THEIR CARE ALLOWS THIS COMPLETION. DURING THE PATIENT ACCOUNT COLLECTION PROCESS, SELF-PAY PATIENTS ARE ALSO INFORMED OF THE HOSPITAL'S COLLECTION POLICIES AS WELL AS THE CHARITY CARE PROGRAM TO ALLOW PATIENTS THE OPPORTUNITY TO COMPLETE THE APPROPRIATE FORMS AND QUALIFY UNDER THE PROGRAM. THE ORGANIZATION ALSO PUBLISHES INFORMATION REGARDING ITS CHARITY CARE PROGRAM ON ITS WEBSITE. A DESCRIPTION OF THE CHARITY CARE PROGRAM IS INCLUDED IN THE "WELCOME" BOOKLET THAT PATIENTS RECEIVE UPON ADMISSION. A CHARITY CARE INFORMATIONAL BROCHURE IS GIVEN TO SELF-PAY PATIENTS DURING THE REGISTRATION PROCESS. PART V, LINE 3: LAKEVIEW MEDICAL CENTER PARTNERED WITH STAFF FROM THE WI WESTERN REGION OFFICE OF PUBLIC HEALTH, COUNTY PUBLIC HEALTH OFFICIALS, AND OTHER LOCAL HEALTH CARE PROVIDERS TO LEAD THE ASSESSMENT PROCESS. DIRECT COMMUNITY INPUT WAS GATHERED THROUGH A SURVEY DISTRIBUTED TO LIBRARIES, HOSPITALS, CLINICS, THE FREE CLINIC, FOOD PANTRIES, SENIOR CENTERS AND COMMUNITY CENTERS SERVING THE LOCAL MEXICAN AND SOMALI POPULATIONS. THE SURVEY WAS TRANSLATED INTO BOTH THE SPANISH AND SOMALI LANGUAGES TO ENSURE THE OPINIONS OF THOSE POPULATIONS WERE INCLUDED. PART V, LINE 4: MAYO CLINIC HEALTH SYSTEM MARSHFIELD CLINIC HEALTH SYSTEM BARRON COUNTY PUBLIC HEALTH DEPARTMENT WI DEPARTMENT OF HEALTH CUMBERLAND CLINIC AND HOSPITAL PART V, LINE 7: THE TOP PRIORITIES FOR BARRON COUNTY DETERMINED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE: - ALCOHOL AND DRUGS - MENTAL HEALTH - CHRONIC DISEASE LMC COMPLETED A COMMUNITY HEALTH IMPLEMENTATION PLAN INCLUDING PERFORMANCE MEASURES, OBJECTIVES, STRATEGIES AND ACTION PLANS FOR THE ALCOHOL AND DRUGS AND CHRONIC DISEASE PRIORITIES. MENTAL HEALTH WAS IDENTIFIED AS A PRIORITY, BUT LMC DOES NOT HAVE THE DEDICATED RESOURCES IN PLACE TO SUPPORT THIS ISSUE INDEPENDENTLY. LMC IS AN ACTIVE MEMBER OF THE BARRON COUNTY MENTAL HEALTH COMMUNITY ACTION TEAM AND AS A MEMBER OF THE TEAM WILL SEEK WAYS TO SUPPORT MENTAL HEALTH NEEDS IN BARRON COUNTY. PART V, LINE 11: LAKEVIEW MEDICAL CENTER, INC. OF RICE LAKE USES THE FEDERAL POVERTY GUIDELINES AT 200% TO DETERMINE ELIGIBILITY FOR PROVIDING FREE CARE AS STATED IN LINE 3A. FOR SELF-PAY INDIVIDUALS WHO DON'T QUALIFY FOR FREE CARE PER OUR POLICY, WE OFFER A 6% DISCOUNT (OUR HIGHEST COMMERCIAL DISCOUNT). WE ALSO OFFER AN INTEREST FREE PAYMENT PLAN, WITH THE APPROVAL OF THE CREDIT SUPERVISOR BASED ON THE PATIENT'S CIRCUMSTANCES AND ABILITY TO PAY. THE GUIDELINES FOR THE PAYMENT PLAN INCLUDE: MAXIMUM OF 60 MONTHS, LEVEL PAYMENTS OR A FRONT-END-LOADED ARRANGEMENT (I.E., LOWER INITIAL PAYMENTS WITH A BALLOON PAYMENT IS NOT ACCEPTABLE) AND A MINIMUM OF $25 PER MONTH (I.E., $5 PER MONTH ON A $25 BALANCE IS NOT APPROPRIATE). | |
| PART VI, #2 | LAKEVIEW MEDICAL CENTER, INC. OF RICE LAKE CONTINUES TO MOVE FORWARD WITH ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS. THE CHNA WAS COMPLETED IN PARTNERSHIP WITH THE BARRON COUNTY HEALTH DEPARTMENT, AND THE FOLLOWING ORGANIZATIONS: WISCONSIN DEPARTMENT OF HEALTH, MARSHFIELD CLINIC, MARSHFIELD CLINIC DENTAL CENTER, MAYO CLINIC HEALTH SYSTEMS, AND THE CUMBERLAND CLINIC AND HOSPITAL. THE COMMITTEE HAS IDENTIFIED A NAME FOR THE INITIATIVE, THRIVE BARRON COUNTY (THRIVE BC), GROWING TOGETHER IN HEALTH. THE CHNA WAS REVIEWED BY ITS RICE LAKE BOARD OF DIRECTORS AND SUBSEQUENTLY PUBLISHED ON ITS WEBSITE IN FEBRUARY 2013 MAKING IT WIDELY AVAILABLE TO THE COMMUNITY. HARD COPIES WERE AVAILABLE TO ANYONE REQUESTING A PRINTED VERSION. UPON COMPLETION OF THE CHNA, LMC COMPLETED A COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) ALIGNED WITH THE 3 PRIORITIES IDENTIFIED IN THE CHNA, ALCOHOL AND OTHER DRUGS, CHRONIC DISEASE MANAGEMENT AND MENTAL HEALTH. THE CHIP INCLUDES PERFORMANCE MEASURES, OBJECTIVES, STRATEGIES AND ACTION PLANS FOR THE PRIORITIES OF CHRONIC DISEASE PREVENTION AND ALCOHOL AND OTHER DRUGS. MENTAL HEALTH WAS ALSO IDENTIFIED AS A PRIORITY IN THE CHNA, BUT UNLIKE THE OTHER TWO PRIORITY AREAS, LMC DOES NOT HAVE ANY RESOURCES IN PLACE TO SUPPORT THIS ISSUE INDEPENDENTLY. LMC IS HOWEVER, AN ACTIVE MEMBER OF THE BARRON COUNTY MENTAL HEALTH COMMUNITY ACTION TEAM (CHAT) THAT HAS BEEN ESTABLISHED BY THE CHNA STEERING COMMITTEE. AS A MEMBER OF THIS TEAM, LMC WILL SEEK WAYS TO SUPPORT MENTAL HEALTH NEEDS IN BARRON COUNTY COLLABORATIVELY. THE RICE LAKE BOARD OF DIRECTORS APPROVED THE CHIP AT THEIR SEPTEMBER 29, 2013 BOARD MEETING. | NEEDS ASSESSMENT: |
| PART VI, #3 | UNINSURED AND UNDER INSURED PATIENTS ARE ASKED TO TALK WITH THE HOSPITAL'S PATIENT FINANCIAL COUNSELOR EITHER AT THE TIME SERVICE IS PROVIDED OR WHEN THE PATIENT'S BILL IS GENERATED. THE FINANCIAL COUSELOR EXPLAINS THE VARIOUS PAYMENT OPTIONS AVAILABLE TO THE PATIENT AS WELL AS THE HOSPITAL'S CHARITY CARE PROGRAM AND OFFERS THE CHARITY CARE APPLICATION WHEN APPROPRIATE. IF OTHER PROGRAMS ARE AVAILABLE TO THE PATIENT, SUCH AS THE WISCONSIN MEDICAL ASSISTANCE OR BADGERCARE PROGRAMS, THESE PATIENTS ARE REFERRED TO THE APPROPRIATE GOVERNMENT AGENCY FOR FURTHER ASSISTANCE. | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: |
| PART VI, #4 | THE PRIMARY SERVICE AREA FOR LAKEVIEW MEDICAL CENTER ENCOMPASSES ALL PERSONS LIVING WITHIN A 30 TO 40 MILE RADIUS OF THE HOSPITAL. SOME OF THE COMMUNITIES INCLUDED IN THIS AREA ARE RICE LAKE, CAMERON, BARRON, BIRCHWOOD, LADYSMITH, CUMBERLAND, CHETEK, AND SPOONER, WISCONSIN, AMONG MANY OTHERS. THE HOSPITAL PROVIDES A SIGNIFICANT PORTION OF ITS PATIENT SERVICES TO BENEFICIARIES OF THE MEDICARE AND MEDICAL ASSISTANCE PROGRAMS, THESE MEDICARE AND MEDICAL ASSISTANCE PATIENTS ACCOUNTED FOR APPROXIMATELY 66% OF THE HOSPITAL'S GROSS PATIENT SERVICE REVENUE FOR THE YEAR. | COMMUNITY INFORMATION: |
| OTHER INFORMATION: | LAKEVIEW MEDICAL CENTER, INC. OF RICE LAKE PROVIDES SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS. IN ADDITION, THE ORGANIZATION BELIEVES THAT IT PROVIDES A CRITICALLY IMPORTANT BENEFIT WHICH IS NOT QUANTIFIED. LAKEVIEW MEDICAL CENTER, 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 HOSPITAL PROVIDES LOCAL ACCESS TO MANY SERVICES INCLUDING: BIRTHING CENTER, DIAGNOSTICS, EMERGENCY SERVICES, HOSPICE, HOME CARE, DIALYSIS, INFUSION SERVICES, HEALTH AND WELLNESS SERVICES, LABORATORY SERVICES, OCCUPATIONAL HEALTH, REHABILITATION SERVICES, SLEEP CENTER, SPEECH PATHOLOGY, SURGICAL SERVICES AND WOMENS' SERVICES, TO NAME SOME OF THE MAJOR SERVICES PROVIDED. LAKEVIEW MEDICAL CENTER IS GOVERNED BY AN ELEVEN MEMBER BOARD OF DIRECTORS, INCLUDING SIX COMMUNITY MEMBERS. | |
| PART VI, #5: | THE HOSPITAL OFFERS FREE RADIOLOGY AND LAB SERVICES TO THE FREE CLINIC SERVING THE UNDERSERVED POPULATION IN THE AREA. HEALTH AND WELLNESS CENTER THE HEALTH AND WELLNESS CENTER IS THE ONLY ONE IN THE AREA OFFERING COMMUNITY MEMBERS THE OPPORTUNITY TO EXERCISE WHILE BEING SUPERVISED BY MEDICALLY TRAINED STAFF. RADIOLOGY STUDENT EDUCATION AND WITC NURSING ORIENTATION LAKEVIEW MEDICAL CENTER IS COMMITTED TO SUPPORT THE TRAINING OF FUTURE MEDICAL PROFESSIONALS TO IMPACT PROJECTED MEDICAL STAFF SHORTFALLS. WORK WEIGHT LOSS CHALLENGE IN LIGHT OF RISING OBESITY ISSUES IN THE COUNTY THIS PROGRAM WAS DEVELOPED. THERE WERE 425 PARTICIPANTS FROM 20 AREA BUSINESSES WHO LOST A TOTAL OF 4,147 POUNDS DURING THIS 12-WEEK CHALLENGE. THROUGHOUT THE 12 WEEKS, FITNESS CLASSES AND NUTRITIONAL EDUCATION WAS OFFERED FREE OF CHARGE OR AT A NOMINAL FEE. FARMER'S MARKET LMC HAS A BOOTH AT A LOCAL FARMER'S MARKET THAT HAS 200-300 ATTENDEES EACH WEEK. THE HOSPITAL OFFERS A DIFFERENT HEALTH RELATED TOPIC/SCREENING EACH WEEK. LMC HAS ADMINISTERED 250 FREE BLOOD PRESSURES AND 40 FLU SHOTS AMONG OTHER ACTIVITIES OVER THE 18 WEEKS. A FOCUS THIS YEAR WAS EDUCATING AND PROMOTING HEALTHY EATING BEHAVIORS BY PROVIDING HEALTHY SAMPLES OF FOODS THAT WERE SEASONALLY AVAILABLE AT THE MARKET AND A NEW "EAT THE RAINBOW" PROGRAM. INTERESTED PARTICIPANTS WERE GIVEN A PUNCH CARD AND ONCE THEY HAD PURCHASED 10 FRUITS OR VEGETABLES THEY WERE ENTERED INTO A DRAWING. 30 CARDS WERE COMPLETED AND ENTERED INTO THE DRAWING. | RICE LAKE FREE CLINIC: |
| PART VI, #6: | MARSHFIELD CLINIC IS THE SOLE CORPORATE MEMBER OF LAKEVIEW MEDICAL CENTER. MARSHFIELD CLINIC IS A MULTI-SPECIALTY PHYSICIAN AND HEALTHCARE ORGANIZATION COMPRISED OF OVER 40 SITES, INCLUDING A SITE IN RICE LAKE, WISCONSIN, THE INTEGRATION OF LAKEVIEW MEDICAL CENTER AND MARSHFIELD CLINIC HAS ENHANCED THE ACCESS AND QUALITY OF HEALTH CARE THROUGHOUT RICE LAKE AND THE SURROUNDING COMMUNITIES WHILE ACHIEVING ECONOMIC EFFICIENCIES. | AFFILIATED HEALTH CARE SYSTEM ROLES: |
| PART VI, #7: | COMMUNITY BUILDING ACTIVITIES: THE SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM: THE SANE PROGRAM AT LAKEVIEW MEDICAL CENTER SUPPORTS COMMUNITY EFFORTS TO ADDRESS THE CRIME OF SEXUAL ASSAULT BY ESTABLISHING A PROCESS FOR ACCURATE EVIDENCE COLLECTION AND SUPPORT FOR SEXUAL ASSAULT SURVIVORS. NOT ON TOBACCO (NOT) PROGRAM: LAKEVIEW MEDICAL CENTER JOINED THE SAFE AND STABLE FAMILY COALITION AND LED THE EFFORT TO SECURE A GRANT FROM THE RICE LAKE AREA HEALTH FOUNDATION TO REDUCE THE TOBACCO USE IN THE GREATER RICE LAKE AREA. THROUGH THE GRANT, THE NOT ON TOBACCO (NOT) PROGRAM WAS IMPLEMENTED IN BARRON HIGH SCHOOL AND THE RESTORATIVE JUSTICE PROGRAM ADOPTED THE NOT PROGRAM AS A SANCTIONED WORKSHOP FOR REHABILITATION. ALSO, DUE TO THE HIGH STATISTICS OF SMOKING DURING PREGNANCY, LAKEVIEW MEDICAL CENTER HAS IMPLEMENTED THE FIRST BREATH PROGRAM. LAKEVIEW MEDICAL CENTER HAS BEEN REWARDED MINI-GRANTS THROUGH THE SAFE AND STABLE FAMILY COALITION TO HELP INCENTIVE PARTICIPANTS IN THE PROGRAM. THE PREGNANCY HELP CENTER HAS PARTNERED WITH LAKEVIEW MEDICAL CENTER TO UTILIZE THIS FREE PROGRAM FOR THEIR CLIENTS. ANOTHER ALARMING STATISTIC SHOWS HIGH NUMBERS OF MOTHERS WHO QUIT SMOKING DURING PREGNANCY, BUT START SMOKING AFTER DELIVERY. WITH THIS HEALTH ISSUE, LAKEVIEW MEDICAL CENTER RECEIVED A GRANT TO IMPLEMENT A SMOKING CESSATION PROGRAM TARGETED TO THIS POPULATION. WORKSITE WELLNESS COMMITTEE: A WORKSITE WELLNESS COMMITTEE WAS FORMED AT LAKEVIEW MEDICAL CENTER TO SHARE BEST EVIDENCED - BASED PRACTICES FOR EMPLOYEE HEALTH IMPROVEMENTS WITH LOCAL EMPLOYERS. A COMMUNITY OUTREACH SERIES IS OFFERED WHICH BRINGS PHYSICIANS AND PATIENTS TOGETHER IN A CASUAL ENVIRONMENT TO ANSWER QUESTIONS ABOUT SPECIFIC HEALTH NEEDS. 50 PLUS: 50 PLUS IS A FREE WELLNESS EVENT FOR THOSE OVER 50. THE EVENT OFFERS A VARIETY OF HEALTH SCREENINGS, COMMUNITY RESOURCES, EDUCATIONAL PRESENTATION AND ENTERTAINMENT. THIS EVENT IS COORDINATED BY A COALITION OF COMMUNITY AGENCIES LED BY LAKEVIEW MEDICAL CENTER. CHAMBER MEMBER: A HOSPITAL REPRESENTATIVE IS A MEMBER OF THE RICE LAKE CHAMBER OF COMMERCE'S BUSINESS AND EDUCATION COMMITTEE FOCUSING ON IMPROVING BUSINESS OPPORTUNITIES AND EDUCATION IN RICE LAKE. UNITED WAY MEMBER: A HOSPITAL REPRESENTATIVE IS A MEMBER OF THE RICE LAKE UNITED WAY COALITION SERVING THE COMMUNITY BY ISSUING COMMUNITY IMPROVEMENT GRANTS. FARMERS MARKET: LAKEVIEW MEDICAL CENTER HAS A BOOTH AT A LOCAL FARMERS MARKET THAT HAS 200 - 300 ATTENDEES EACH WEEK. THE HOSPITAL OFFERS A DIFFERENT HEALTH RELATED TOPIC/SCREENING EACH WEEK. LAKEVIEW MEDICAL CENTER HAS ADMINISTERED 245 BLOOD PRESSURES, 30 FLU SHOTS, 18 FALL AND BALANCE TESTS, AND 2 LUNG CAPACITY TESTS AT THE BOOTH. THE LAKEVIEW MEDICAL CENTER PROMOTIONS DEPARTMENT'S INTENTION IS TO BUILD SUSTAINABLE PROGRAMS FOR OUR COMMUNITY THAT IS IN ALIGNMENT WITH ONE OF THE TOP HEALTH CONCERNS IDENTIFIED BY THE COMMUNITY HEALTH IMPROVEMENT PLANS AND PROCESSES (CHIP) OF BARRON COUNTY: OBESITY, NUTRITION AND PHYSICAL ACTIVITY. THE OUTCOMES OBTAINED WILL BE SHARED WITH LOCAL CIVIC GROUPS AND OTHER COMMUNITY ORGANIZATIONS TO SHARE THE PROGRAM'S SUCCESSES AND LAKEVIEW MEDICAL CENTER'S COMMITMENT TO THE HEALTH OF OUR COMMUNITIES. | ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: WI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DR BRAD BEKKUM | |||||||||||
| CHAIRMAN | 312727 | 7632 | 420 | 30540 | 18092 | 369411 | |||||
| DR PETER NEAL | |||||||||||
| DIRECTOR | 358469 | 2772 | 30540 | 23786 | 415567 | ||||||
| DR CHARLES T STEWART | |||||||||||
| DIRECTOR | 440852 | 630 | 30540 | 18098 | 490120 | ||||||
| DR LAURA NELSON | |||||||||||
| DIRECTOR | 370172 | 630 | 30540 | 20607 | 421949 | ||||||
| EDWARD WOLF | |||||||||||
| CHIEF ADMINISTRATIVE OFFICER | 270733 | 1290 | 30540 | 18724 | 321287 | ||||||
| CYNTHIA ARTS-STRENKE | |||||||||||
| CHIEF OPERATING OFFICER | 176121 | 690 | 25911 | 22453 | 225175 | ||||||
| JACQUELINE KLEIN | |||||||||||
| CHIEF FINANCIAL OFFICER | 161564 | 1277 | 23894 | 25550 | 212285 | ||||||
| ANNA ROGALLA | |||||||||||
| STAFF PHARMACIST | 119478 | 383 | 16113 | 23428 | 159402 | ||||||
| SCOTT POLENZ | |||||||||||
| DIRECTOR | 189159 | 578 | 27763 | 20203 | 237703 | ||||||
| Dr Douglas Reding | |||||||||||
| Director | 569219 | 7750 | 1806 | 30540 | 22407 | 631722 | |||||
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART III, LINE 4D - OTHER PROGRAM SERVICES | THE OTHER PROGRAM SERVICES OF LAKEVIEW MEDICAL CENTER INCLUDE IMAGING, WOMEN'S HEALTH INPATIENT AND OUTPATIENT CARE AND ALL INDIRECT EXPENSES ASSOCIATED WITH FURTHERING THE EXEMPT PURPOSE. |
| PART VI, SECTION A, LINE 6 | MARSHFIELD CLINIC IS THE SOLE CORPORATE MEMBER OF LAKEVIEW MEDICAL CENTER. |
| PART VI, SECTION A, LINE 7A | MARSHFIELD CLINIC IS THE SOLE CORPORATE MEMBER OF LAKEVIEW MEDICAL CENTER AND HAS THE AUTHORITY TO ELECT BOARD MEMBERS. |
| PART VI, SECTION A, LINE 7B | MARSHFIELD CLINIC IS THE SOLE CORPORATE MEMBER OF LAKEVIEW MEDICAL CENTER AND THE DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF MARSHFIELD CLINIC. |
| PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT, THEN REVIEWED BY KPMG LLP. THE COMPLETED 990, INCLUDING REQUIRED SCHEDULES IS EMAILED TO AND REVIEWED BY THE BOARD MEMBERS BEFORE FILING. |
| PART VI, SECTION B, LINE 12 | ON AN ANNUAL BASIS, BOARD MEMBERS, TOP MANAGEMENT, AND EMPLOYEES WHO HAVE CONTACT WITH SUPPLIERS SIGN A STATEMENT ACKNOWLEDGING THEIR UNDERSTANDING AND ADHERENCE TO THE CONFLICT OF INTEREST POLICY. IN ADDITION TO THE REQUIREMENT OF AN ANNUAL COMPLETED DISCLOSURE FORM, IT IS THE CONTINUING RESPONSIBILITY OF THE DISCLOSING INDIVIDUALS TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS OF INTEREST AND TO IMMEDIATELY MAKE SUCH DISCLOSURES. THE INDIVIDUALS REQUIRED TO COMPLETE THE DISCLOSURE FORM INCLUDE: BOARD MEMBERS, ADMINISTRATION (CAO, COO AND CFO), AND MANAGERS OF MATERIALS MANAGEMENT, INFORMATION TECHNOLOGY, LAB, IMAGING, COMMUNITY RELATIONS/MARKETING AND PLANT OPERATIONS. |
| PART VI, SECTION B, LINES 15A AND 15B | THE BOARD OF DIRECTORS DETERMINES AND APPROVES THE CAO'S SALARY BASED ON SURVEY'S COMPARABILITY DATA AND AN OUTSIDE CONSULTING FIRM HAS BEEN USED AT TIMES. SALARIES OF OTHER MANAGEMENT EMPLOYEES ARE BASED ON MARKET SURVEYS ANALYZED BY THE HUMAN RESOURCES DEPARTMENT AND APPROVED BY THE ADMINISTRATIVE TEAM AND/OR THE CAO. |
| PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| PART XI, LINE 9 | TRANSFER TO AFFILIATES OF $6,219,000. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| MARSHFIELD CLINIC | |||||||||
| 1000 NORTH OAK AVENUE | MARSHFIELD | WI | 54449 | 390452970 | MEDICAL CARE | WI | 501 (C) (3) | 3 | NA |
| VOLUNTEER PARTNERS OF LAKEVIEW MEDICAL C | |||||||||
| 1700 WEST STOUT STEET | RICE LAKE | WI | 54868 | 391329084 | SUPPORT ORG. | WI | 501 (C) (3) | 11, III-O | NA |
| SECURITY HEALTH PLAN OF WISCONSIN INC | |||||||||
| 1515 N ST JOSEPHS AVE | MARSHFIELD | WI | 54449 | 391572880 | HMO | WI | 501 (C) (3) | N/A | NA |
| THE HERITAGE FOUNDATION | |||||||||
| 1000 N OAK AVE | MARSHFIELD | WI | 54449 | 391865942 | HONOR INDIVID | WI | 501 (C) (3) | 11-TYPE 1 | NA |
| FLAMBEAU HOSPITAL INC | |||||||||
| 98 SHERRY AVE | PARK FALLS | WI | 54552 | 390973724 | HOSPITAL | WI | 501 (C) (3) | 3 | NA |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MRSHFLD FOOD SAFETY | ||||||||||||
| 1000 North Oak Avenue | Marshfield | WI | 544495703 | 201056380 | FOOD TESTING | WI | NA | RELATED | 0 | 0 | false | false |
| DGNSTC TREATMNT CTR | ||||||||||||
| 3401 Cranberry Blvd | Weston | WI | 54476 | 200691634 | MEDICAL SVCS | WI | NA | RELATED | 0 | 0 | false | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | true | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | true | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |