FURP.ORG / PUBLIC DATA EXPLORER

SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC (EIN 39-0847631)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-07
IRS object ID
201332199349300923
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-07T10:01:27-07:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN390847631EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPHS HOSPITAL OF MARSHFIELD INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTJONameControl
Phone7152955942Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1611 ST JOSEPH AVENUEAddressLine1
CityMARSHFIELDCity
StateWIState
ZIP Code54449ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBrian KiefName
TitlePresidentTitle
Date Signed2013-08-07DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts368929109GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.STJOSEPHS-MARSHFIELD.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1955YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionST JOSEPHS MISSION AS A CATHOLIC HOSPITAL IS TO FURTHER THE HEALING MINISTRY OF JESUS BY CONTINUALLY IMPROVING THE HEALTH AND WELL-BEING OF ALL PEOPLE, ESPECIALLY THE POOR. WE PROVIDE ACUTE HEALTH CARE SERVICES TO THE COMMUNITY REGARDLESS OF A PERSONS ABILILTY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees2390TotalNbrEmployees
Total Nbr Volunteers543TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year130521ContributionsGrantsPriorYear
Contributions Grants Current Year139900ContributionsGrantsCurrentYear
Program Service Revenue Prior Year350691579ProgramServiceRevenuePriorYear
Program Service Revenue CY356690194ProgramServiceRevenueCY
Investment Income Prior Year187255InvestmentIncomePriorYear
Investment Income Current Year3891779InvestmentIncomeCurrentYear
Other Revenue Prior Year2595529OtherRevenuePriorYear
Other Revenue Current Year7452481OtherRevenueCurrentYear
Total Revenue Prior Year353604884TotalRevenuePriorYear
Total Revenue Current Year368174354TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year128612835SalariesEtcPriorYear
Salaries Etc Current Year129744894SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year436408TotalFundrsngExpCurrentYear
Other Expense Prior Year187006485OtherExpensePriorYear
Other Expenses Current Year196275768OtherExpensesCurrentYear
Total Expenses Prior Year315619320TotalExpensesPriorYear
Total Expenses Current Year326020662TotalExpensesCurrentYear
Revenues Less Expenses Prior Year37985564RevenuesLessExpensesPriorYear
Revenues Less Expenses CY42153692RevenuesLessExpensesCY
Total Assets BOY312386380TotalAssetsBOY
Total Assets EOY353808977TotalAssetsEOY
Total Liabilities BOY30128044TotalLiabilitiesBOY
Total Liabilities EOY29888868TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY282258336NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY323920109NetAssetsOrFundBalancesEOY
Mission DescriptionST JOSEPHS MISSION AS A CATHOLIC HOSPITAL IS TO FURTHER THE HEALING MINISTRY OF JESUS BY CONTINUALLY IMPROVING THE HEALTH AND WELL-BEING OF ALL PEOPLE, ESPECIALLY THE POOR. WE PROVIDE ACUTE HEALTH CARE SERVICES TO THE COMMUNITY REGARDLESS OF A PERSONS ABILILTY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense288090440Expense
Revenue364282575Revenue
DescriptionST JOSEPHS HOSPITAL PROVIDES INPATIENT, OUTPATIENT, EMERGENCY ROOM AND ANCILLARY SERVICES REGARDLESS OF AN INDIVIDUALS ABILITY TO PAY OR METHOD OF PAYMENT. THE HOSPITAL ALSO PROVIDES EDUCATIONAL PROGRAMS AND SERVICES ON HEALTH CARE ISSUES TO THE COMMUNITY IT SERVES. SEE SCHEDULE H FOR FURTHER DETAILS.Description
Total Program Service Expense288090440TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096162NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2390NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWilliam HinnerNamePerson
Telephone Number7153465078TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14941 Kirschling CourtAddressLine1
CityStevens PointCity
StateWIState
ZIP Code54481ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Richard Mueller DMD
Vice Chairperso1.00XX000
Michael Kryda MD
Director40.00XX045375616573
Brian Kief
President40.00XX064880930931
Jean Campbell
Director1.00X000
Sister Barbara Hollweck
Secretary1.00XX000
William Sennholz
Treasurer1.00XX000
Kenneth Heiman
Chairperson1.00XX000
Peter Stamas
President40.00X046223140249
Sharon Kostroski
Vice President40.00X021447640650
John Skaden
CFO40.00X032456055897
Larry Hegland
President40.00X038458937079
Craig Cook
Vice President40.00X031643511824
Layton Anderson
VP Hosp Oper40.00X013418312868
Edward Fernandez MD
Director1.00X000
Josh Meissner
Director1.00X000
Bill Mork
Director1.00X000
Lisa Benson MD
Director1.00X000
Brenda Dillenburg
Director1.00X000
Bill Creske
Director1.00X000
Brook S DesRivieres
Pharmacy Manager40.00143800011860X
Nikkolee B Grabow
Needs Team Regiona40.001366000125X
Vanessa L Freitag
Dir of Pharmacy40.00147500028550X
Benjamin J Jung
Clinical Lead Phar40.0015500004900X
Cynthia L Tulbane
Resources Mgmt40.0013580001375X
Brenda Hall
VP Patient Care Services40.0002024253842X
Michael Schmidt
President1.00045452913186X
FieldValueIRS element (for citing)
Total Reportable Comp From Org718700TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3595993TotalReportableCompFrmRltdOrgs
Total Other Compensation309909TotalOtherCompensation
Number Individuals GT100 K59NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
The Ritchie Organization
22 Boston Wharf Rd 7FLBostonMA02210Facility Consulting221091
Marshfield Clinic
1000 North Oak AveMarshfieldWI54449Medical Staff35262075
Hall Render Killian Health & Lyman
One American Square Ste 2000 Box 82IndianapolisIN46282Legal Services691456
Ellerbe Becket Inc
800 LaSalle AveMinneapolisMN55402Consulting Services207141
Boldt Company Corp
PO Box 419AppletonWI54912Consulting Services123623
FieldValueIRS element (for citing)
Number Of Contractors GT100 K136NumberOfContractorsGT100K
Government Grants139900GovernmentGrants
Total Contributions139900TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Rental Income53200011494841149484
Program Service Revenue900099351461333351461333
Pharmacy62150038114473811447
Other Revenue900099191757191757
Med supplies4461107617376173
FieldValueIRS element (for citing)
Total Program Service Revenue356690194TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3403936TotalRevenueColumn
Exclusion$3,403,936ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real38315Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real121681Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-83366Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-83366TotalRevenueColumn
Exclusion-$83,366ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1104309Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other616466Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other487843Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column487843TotalRevenueColumn
Exclusion$487,843ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory19100GrossSalesOfInventory
Cost Of Goods Sold16608CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2492TotalRevenueColumn
Exclusion$2,492ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Stimulus- Mcare/Mcaid90009949139654913965
Purchase Discounts900099336833336833
Dietary/Cafeteria Sales7222102151112$2,151,112

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column131445TotalRevenueColumn
Related Or Exempt Function Income131445RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue7533355TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column368174354TotalRevenueColumn
Related Or Exempt Function Income362072437RelatedOrExemptFunctionIncome
Exclusion$5,962,017ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total98363695Total
Program Services89382928ProgramServices
Management And General8813167ManagementAndGeneral
Fundraising167600Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5496818Total
Program Services5440699ProgramServices
Management And General50806ManagementAndGeneral
Fundraising5313Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total19611688Total
Program Services17247351ProgramServices
Management And General2289000ManagementAndGeneral
Fundraising75337Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6272693Total
Program Services6018439ProgramServices
Management And General235069ManagementAndGeneral
Fundraising19185Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total620279Total
Program Services203ProgramServices
Management And General620076ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total22896935Total
Program Services18503570ProgramServices
Management And General4393365ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2414536Total
Program Services2080ProgramServices
Management And General2412456ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total40156935Total
Program Services39913815ProgramServices
Management And General212065ManagementAndGeneral
Fundraising31055Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4491707Total
Program Services4486007ProgramServices
Management And General5700ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3476113Total
Program Services3471463ProgramServices
Management And General4650ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total961272Total
Program Services831050ProgramServices
Management And General115385ManagementAndGeneral
Fundraising14837Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2312Total
Management And General2312ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total107Total
Program Services107ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total17804908Total
Program Services17312758ProgramServices
Management And General491371ManagementAndGeneral
Fundraising779Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total577126Total
Program Services450728ProgramServices
Management And General126398ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Bad Debt1162555711625557
SJH Outreach Allocation1220000012200000
Pharmaceuticals1453303514533035
PURCHASE SERVICES47845404357601161204412441164

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total16669542Total
Program Services10910534ProgramServices
Management And General5677870ManagementAndGeneral
Fundraising81138Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total326020662Total
Program Services288090440ProgramServices
Management And General37493814ManagementAndGeneral
Fundraising436408Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY54842722BOY
EOY67019387EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1235922BOY
EOY1235922EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY52041305BOY
EOY62386516EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY107382BOY
EOY70651EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7108713BOY
EOY8347955EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1382956BOY
EOY745970EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis346011443LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec257215047LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY92484651BOY
EOY88796396EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY83040696BOY
EOY99528432EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY18348692BOY
EOY23197330EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1793341BOY
EOY2480418EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY312386380BOY
EOY353808977EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY23289319BOY
EOY27032032EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY134111BOY
EOY118289EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6704614BOY
EOY2738547EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY30128044BOY
EOY29888868EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY277143654BOY
EOY318674860EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5114682BOY
EOY5245249EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY282258336BOY
EOY323920109EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY312386380BOY
EOY353808977EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses42153692ReconcilationRevenueExpenses
Reconcilation Other Changes-491919ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$19,488OtherActivitiesAmount
Total Lobbying Expenditures IIB19488TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
ExplanationThe hospital belongs/pays dues to various trade associations and the amount reported on line 1i of Part II-B is the amount allocated by trade associations to lobbying expenditures and reported to the hospital on account of its membership in such association.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3363776OtherCostOrOtherBasis
Book Value3363776BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis82604794OtherCostOrOtherBasis
Depreciation52758665Depreciation
Book Value29846129BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5211661OtherCostOrOtherBasis
Depreciation4709914Depreciation
Book Value501747BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis148980042OtherCostOrOtherBasis
Depreciation112038168Depreciation
Book Value36941874BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis105851170OtherCostOrOtherBasis
Depreciation87708300Depreciation
Book Value18142870BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings88796396TotalOfBookValueLandBuildings
Total Of Book Value Securities23197330TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Due to 3rd Party Medicare$2,439,228
Asset Retirement Obligation$111,054
Accretion Amortization$188,265
FieldValueIRS element (for citing)
Total Of Amounts2738547TotalOfAmounts
Total Revenue368174354TotalRevenue
Total Expenses326020662TotalExpenses
Excess Or Deficit For Year42153692ExcessOrDeficitForYear
Net Unrealized GL On Investments3850302NetUnrealizedGLOnInvestments
Other-$4,342,221OtherAmount
Total Adjustments-491919TotalAdjustments
Excess Or Deficit Per FS41661773ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt368174354TotRevenueEtcAuditedFinclStmt
Revenue Subtotal368174354RevenueSubtotal
Total Revenue Per Form990368174354TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt326020662TotExpensesEtcAuditedFinclStmt
Expenses Subtotal326020662ExpensesSubtotal
Total Expenses Per Form990326020662TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XI, Line 8Identifier
Return ReferencePart XI, Line 8: Other Changes in Net Assets or Fund BalancesReturnReference
ExplanationIntercompany Transfers $11839192 Temporarily Restricted Funds $144856 EHR FUNDING $ -1326269 Capital Risk Transfers Intercompany $ -15000000Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3885419TotalCommunityBenefitExpense
Net Community Benefit Expense3885419NetCommunityBenefitExpense
Percent Of Total Expense0.01190PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense50030273TotalCommunityBenefitExpense
Direct Offsetting Revenue31168678DirectOffsettingRevenue
Net Community Benefit Expense18861595NetCommunityBenefitExpense
Percent Of Total Expense0.05790PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense53915692TotalCommunityBenefitExpense
Direct Offsetting Revenue31168678DirectOffsettingRevenue
Net Community Benefit Expense22747014NetCommunityBenefitExpense
Percent Of Total Expense0.06980PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1114485TotalCommunityBenefitExpense
Net Community Benefit Expense1114485NetCommunityBenefitExpense
Percent Of Total Expense0.00340PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense8677274TotalCommunityBenefitExpense
Direct Offsetting Revenue102521DirectOffsettingRevenue
Net Community Benefit Expense8574753NetCommunityBenefitExpense
Percent Of Total Expense0.02630PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2599975TotalCommunityBenefitExpense
Net Community Benefit Expense2599975NetCommunityBenefitExpense
Percent Of Total Expense0.00800PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense440206TotalCommunityBenefitExpense
Net Community Benefit Expense440206NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense12831940TotalCommunityBenefitExpense
Direct Offsetting Revenue102521DirectOffsettingRevenue
Net Community Benefit Expense12729419NetCommunityBenefitExpense
Percent Of Total Expense0.03910PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense66747632TotalCommunityBenefitExpense
Direct Offsetting Revenue31271199DirectOffsettingRevenue
Net Community Benefit Expense35476433NetCommunityBenefitExpense
Percent Of Total Expense0.10890PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense109000TotalCommunityBuildingExpense
Net Community Building Expense109000NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense3587TotalCommunityBuildingExpense
Net Community Building Expense3587NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense434TotalCommunityBuildingExpense
Net Community Building Expense434NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense15393TotalCommunityBuildingExpense
Net Community Building Expense15393NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense128414TotalCommunityBuildingExpense
Net Community Building Expense128414NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$11,625,557BadDebtExpenseAmount
Amount Reimbursed By Medicare125974045AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare145512789CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-19538744MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Josephs Hospital of MarshfiBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1611 St Josephs AvenueAddressLine1
CityMarshfieldCity
StateWIState
ZIP Code54449ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Childrens HospitalXChildrensHospital
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1St Josephs Hospital of MarshfiBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.0000FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Other ActionsXPermitOtherActions
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part VI - States Where Community Benefit Report FiledWI
Part VI - Affilated Health Care System Roles and PromotionThe organization is part of an affiliated health care system called Ministry Health Care, Inc. The mission of Ministry as a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well being of all people, especially the poor, in the communities served. Ministry supports such non-hospital facilities as the Agape Community Center. As a community center, it has the unique advantage of welcoming youth, adults, families and seniors into the facility through a broad range of educational, social, recreational, cultural, health and life-long learning opportunities in an impoverished portion of Milwaukee. Our Catholic Identity expects leaders to initiate and support efforts to reach out to the poor and vulnerable people, especially where no one else wants to go. Health care can become very bureaucratic and burdened with oversight of finances, regulatory requirements and strategic planning. Our focus on these issues may cause us to lose touch with those for whom we have a primary responsibility-those who are poor and vulnerable. Tithing of time allows us to look into the face of the poor, hear the voice of the poor, and help us better understand the daily challenges and barriers they face. As an affiliated health system, all leaders with direct reports are required to provide service to the poor. This also includes physician leaders and hourly supervisory staff. The organization also participates in the Ministry Health Care Fund which provides monies for special projects within the communities we serve. All organizations sponsored or co-sponsored by Ministry Health Care, Inc. set aside monies each year to assist with the needs of the community and the poor. As the Ministry Health Care Fund, these dollars are funneled back into our communities for a variety of programs and services through a community assets and needs assessment process.The organization has a foundation which is included within the operations of the organization. The foundation provides programs and cash donations which help support the mission of the organization and the affiliated health care system.
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeThe organization strives to further its exempt purposes by the following: (1) The organization's governing board consists primarily of persons who reside within the primary service area. They are not employees of the organization. (2) As mentioned, the organization provides several services which are not otherwise available being in a rural setting. (3) Based on the organization's mission, emergency rooms are made available to all patients regardless of the ability to pay. (4) The organization also participates in the education and training of healthcare professionals through internship programs.The hospital participates in government-sponsored health programs (Medicare, Medicaid, CHAMPUS, Tricare)The hospital offers volunteer opportunities to the community or evidence of the organization's responsiveness to the community, including opportunities for community involvement in governance and advisory groups and examples of programs that were established in the tax year that responded to community needs.The facility strives to be a low-cost/low-charge facility. Advocates community-wide, state or national efforts to improve health of the population and increase access.Partnerships with others in the community (including public health departments) to improve community health and well-being.The role of the emergency department and urgent care units in serving all persons regardless of ability to pay.Availability of financial assistance and sliding scale discounts and changes to financial assistance or collection policies that would be viewed as constructive.The organization is a sole community hospital.The hospital is involved with health professions education and/or research.Community members utilize the hospital as a vehicle to connect with and contribute to individuals and the overall community through philanthropy and volunteering.Programs are having an impact on community health especially prevention activities, efforts to improve health and increase access to health care services, and reducing health care costs.
Part VI - Community Building ActivitiesCommunity-building activities include programs that, while not directly related to health care, provide opportunities to address the root causes of health problems, such as poverty, homelessness, and environmental problems. These activities support community assets by offering the expertise and resources of the organization. Costs for these activities include cash, in-kind donations, and expenditures for the development of a variety of community health programs and partnerships.
Part VI - Community InformationWhile there is growing agreement in the United States about what constitutes a non-profit hospital's 'community benefit', this is a work in progress. The organization provided significant charity care and other community benefits as defined by the IRS. But in addition, we believe that we provide a critically important community benefit, which is not quantified. Our hospital, like most rural hospitals, was created and is maintained in order to provide care locally-care that without our hospital, would not be available locally. As of the 2010 census, the population of Marshfield was 19,118. The 2011 estimated population is 19,129. The racial make-up was 93.5% White, .7% African American, .2% Native American, 2.3% Asian, 2.4% Hispanic, .9% of other races. 18.4% were over 65 years old and 20.9% under 18. The median income was $44,411. 13% of the population were below the poverty line.
Part VI - Patient Education of Eligibility for AssistanceMHC has financial counselors located at every hospital. If a patient indicates they are unable to pay their bill at any point during pre-service, admission, discharge or billing process, the financial counselors will assist the patient either in securing a funding source (grants, COBRA coverage, Disability benefits, Medicaid, VA, etc) if eligible or assist them in completing a financial assistance application.
Part VI - Needs AssessmentThe organization performs community needs assessments as needed. Planning workgroups consisting of community partners are formed to define the community and its needs through review of Health People Initiatives, census documents, and local government health and welfare agencies. Considering other community resources/assets, data collection methods are used to identify particular problems or subgroups and areas known to have high poverty rates and to be underserved. The data is analyzed and priorities are set based on trending information which may target a specific need. When a need is identified, the hospital develops a plan to implement a program either through community collaboration or individually. Outcomes from the programs are measured and considered in subsequent community needs assessments. Community benefit plans are presented to senior leadership and board members to ensure the findings are incorporated into the organization's strategy and policy development. For example, senior leaders are required to provide direct service to the poor hours as part of their performance goals.
Part V, Line 15e - Other Collection Actions Against a PatientActions taken against individuals prior to determining eligibility to FAP - we make every effort to determine patient's eligibility for assistance prior to billing. If patient is uncooperative or unresponsive, the patient account may be referred to a collection ageney for futher billing effort. If patient does indicate inability to pay, we will stop collection efforts and work with patient to complete a financial assistance application. We do not file liens, lawsuits, or report to credit agency, until all determination efforts have been exhausted.Number of Hospital Faciltiy - 0
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsThe organization has a debt collection policy which sets forth collection practices for patients who are known to qualify or may qualify for financial assistance under the charity care program. Sufficient financial counseling support is made available to patients so they can easily access patient financial service representatives and have their questions answered, and gain an understanding of the reasons why they owe a balance. Accounts are designated as charity care in the business offices so no additional time is spent on collection efforts.
Part I, Line 7, Column F - Explanation of Bad Debt Expense$11,625,557 of bad debt expense is included in total expenses of Part IX, line 25, column A, but subtracted for purposes of calculating the percentage of total expense. However, the Lacerte program does not deduct the bad debt expense from total expenses when calculating the totals on Lines 7d, 7j, and 7k. The correct percentage of those lines should be 7.27, 4.06, and 11.34 respectively.
Part I, Line 7 - Explanation of Costing MethodologyAmounts calculated in Part I, Line 7 are determined both on a cost accounting system and a cost-to-charge ratio. Other Benefits are determined based on the direct and indirect costs (where allocated) associated with a program net of earned revenue. Detail for each program/activity is maintained and determined at the department level. Charity care and means-tested programs are determined based on a cost-to-charge ratio consistent with Worksheet 2, Ratio of Patient Care Cost to Charges.
Part I, Line 6a - Related Organization Community Benefit ReportMinistry Health Care publishes an annual community benefit report for all owned entities. Saint Josephs Hospital is owned by Ministry Health Care. Each facility is included within the report. As part of Ministry Health Care, Inc., the organization files an annual community benefit report on its webpage. The report can be viewed by visiting www.ministryhealth.org/MinistryHealth/Community.nws.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBonus Filing OrgBonusFilingOrg
Vanessa L Freitag
147500555023000176050
Sharon Kostroski
15436424814352982557815072255126
Peter Stamas
39098844991262522188318366502480
Michael Schmidt
-386145839013186467715
Michael Kryda MD
2005266501018822081608413470329
Larry Hegland
24025362426819101908017999421668
John Skaden
23909034354511163943616461380457
Craig Cook
221283406125454049006924328259
Brook S DesRivieres
14350029408920155660300
Brian Kief
4155531167661164901234918582679740
Brenda Hall
424331599923842206267
Benjamin J Jung
1388002900200015990016200

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990 PART IX LINE 24 - OTHER EXPENSEEXECUTIVES ARE EMPLOYED BY MINISTRY HEALTH CARE INC (39-1490371) AND THEIR SALARIES AND BENEFITS ARE ALLOCATED TO INDIVIDUAL FACILITIES BASED ON HOURS DEDICATED. ST JOSEPHS HOSPITAL REIMBURSES THE CORPORATE OFFICE FOR ITS SHARE AND THESE EXPENSES ARE INCLUDED ON FORM 990, PART IX, LINE 24 UNDER MINISTRY EXECUTIVE SERVICES. PLEASE SEE FORM 990 PART VII SECTION A AND SCHEDULE J FOR ADDITIONAL DISCLOSURES REGARDING EXECUTIVE COMPENSATION.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe Ministry Web Page is available to the public for inspection with a good deal of information regarding whom Ministry Health Care is and the entities included along with our mission. The Articles of Incorporation, Bylaws, conflicts policy, and financial statements are not included on any web page. However if an inquiry is made for any documents they are shared as appropriate.Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesTHE MINISTRY BOARD OF DIRECTORS HAS A COMPENSATION COMMITTEE THAT IS ASSISTED BY AN INDEPENDENT OUTSIDE CONSULTING FIRM; SULLIVAN COTTER. SULLIVAN COTTER, IN PARTNERSHIP WITH THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, REVIEWS MARKET DATA FOR COMPENSATION AND BENEFITS AND COMPARABILITY DATA ON EVERY MINISTRY HEALTH CARE EXECUTIVE.Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe Board members complete each year a Board of Directors Conflict of Interest & Insider Transaction Policy questionnaire. A standard annual refresher is completed each year in the fall. Any significant reported items are corrected promptly through the Ministry Corporate Compliance Officer and local administrator.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessCompleted through joint efforts of shared finance function with review and guidance of legal council and corporate finance oversight. Form 990 was not presented to our governing body before filing due to time constraints. The President and Finance Director will present and briefly explain the form and its purpose at the next board meeting.Form 990, Part VI, Line 11
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersMinistry Health Care Inc has certain reserves and influencial powers over all of it's wholly owned healthcare facilities. Saint Joseph's Hospital is one of Ministry Health Care's owned facilities.Form 990, Part VI, Line 7b
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyMinistry Health Care Inc has certain reserves and influencial powers over all of it's wholly owned healthcare facilities. Saint Joseph's Hospital is one of Ministry Health Care's owned facilities.Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderMinistry Health Care Inc has certain reserves and influencial powers over all of it's wholly owned healthcare facilities. Saint Joseph's Hospital is one of Ministry Health Care's owned facilities.Form 990, Part VI, Line 6

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
Partners with SJH of Marshfield Inc
611 Saint Joseph AvenueMarshfieldWI54449396094701Hospital AuxillaryWI501(c)(3)11,Type III-FIN/Afalse
St Josephs Hospital Foundation
611 St Joseph AvenueMarshfieldWI54449391684957FoundationWI501(c)(3)11aN/Afalse
MINISTRY HEALTH CARE
11925 WEST LAKE PARK DR STE 100MILWAUKEEWI53224391490371Management CompanyWI501(C)(3)11C Type IIIN/Atrue
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Partners with SJH of Marshfield Inc
p17058Billing System
St Josephs Hospital Foundation
o436406Contributed Svc
St Josephs Hospital Foundation
b577227Various Program
MINISTRY HEALTH CARE
q15000000Risk Capt/Divid
MINISTRY HEALTH CARE
o29052367AP System
MINISTRY HEALTH CARE
n19373128Payroll System