2013-08-08T11:17:56-07:00 2012-09-30 990 2011-10-01 390808443 ST MICHAELS HOSPITAL OF STEVENS POINT INC STMI 7153465000 900 ILLINOIS AVENUE STEVENS POINT WI 54481 JEFFREY MARTIN 2013-08-08 2011 2016-02-24 21:20:13Z 184874666 false false 0928 X www.ministryhealth.org/SMH/ X 1955 WI ST MICHAELS 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 PERSON'S ABILITY TO PAY. 15 14 1132 224 0 470570 478101 178377977 180977702 332932 725695 2275158 2615965 181456637 184797463 22470 23961 0 99757205 105358672 0 0 61269959 64045399 161049634 169428032 20407003 15369431 137877646 147993843 30045533 31589990 107832113 116403853 ST MICHAELS 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 PERSON'S ABILITY TO PAY. false false 146868447 23961 183054701 SAINT MICHAEL'S HOSPITAL PROVIDES INPATIENT AND OUTPATIENT HEALTH CARE SERVICES REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY OR METHOD OF PAYMENT. IN ADDITION, THE HOSPITAL PROVIDES EDUCATIONAL PROGRAMS AND SERVICES ON HEALTH CARE ISSUES TO THE COMMUNITY IT SERVES. SEE SCHEDULE H FOR FURTHER DETAILS. 146868447 true true false true false false false false false false true true false false true false false true false false false false false false false false true true false true true false false false false false false false false false false false false false false false false true true true false false true 141 0 true 1132 true false false false false false false false false false false false 0 false false false false false false false false false false false X 15 14 false false false false true true true true true false false false true true true true true true true true false false WI X X JEFF BADGER VP CORP FIN TRS 7153465000 4941 KIRSCHLING CT STEVENS POINT WI 54481 X JEFFREY MARTIN 30.00 X X 0 804211 45600 SUE BUDJAC 0.25 X 0 0 0 JAMES SCHUH 0.25 X X 0 0 0 RICK RETTLER 0.25 X 0 0 0 DICK OKRAY 0.25 X X 0 0 0 JIM ANDERSON 0.25 X 0 0 0 JEFF LANDIN 0.25 X 0 0 0 JOE KINSELLA 0.25 X X 0 0 0 ANDREW HALVERSON 0.25 X 0 0 0 JAMES DEWEERD MD 0.25 X 0 0 0 NADINE DAVY 0.25 X 0 0 0 BERNIE PATTERSON 0.25 X 0 0 0 KATHY DAVIES 0.25 X 0 0 0 ANDREW BRAUN MD 0.25 X 0 0 0 SISTER PAT BELONGIA 0.25 X 0 0 0 ALLEN PENNEBECKER 40.00 X 0 217107 42985 PAULETTE BESSEN 40.00 X 0 39648 2704 WILLIAM HINNER 1.00 X 0 338703 47433 DR G DAVIDSON 40.00 X 149477 0 18908 K DEMARS 40.00 X 126970 0 22807 C THOMPSON 40.00 X 154623 0 11620 D GROEN 40.00 X 143529 0 23412 M KLIENBAUM 40.00 X 120192 0 5471 GRACE MCBRIDE 40.00 X 0 88969 15513 694791 1488638 236453 13 true true false NEW RESOURCES CONSULTING LLC 1000 N WATER STREET MILWAUKEE WI 53202 STAFFING 558683 MARSHFIELD LABORATORIES 1000 NORTH OAK AVENUE MARSHFIELD WI 54449 MEDICAL SERVICES 829301 MARSHFIELD CLINIC 1000 NORTH OAK AVENUE MARSHFIELD WI 54449 MEDICAL SERVICES 392906 HEALTHCARE BUSINESS SERVICE INC PO BOX 989 MARSHFIELD WI 54449 BILLING SERVICE 1141806 HALL RENDER KILLIAN HEATH & LYMAN 39778 TREASURY CENTER CHICACO IL 60694 LEGAL 806615 24 4892 86894 16727 369588 478101 REFERENCE LAB 621500 79090 79090 PROGRAM SERVICES-RENTS 531120 948765 948765 PROGRAM SERVICES-HOSPITAL 900099 129382720 129382720 PROGRAM SERVICES-CLINIC 621400 50567127 50567127 180977702 733322 162095 571227 0 0 10228 1381 8847 8847 8847 68195 75822 -7627 -7627 -7627 0 0 0 OTHER OPERATING INCOME 900099 583374 583374 HOSPICE ALLOCATION 621610 573866 573866 CAFETERIA 722210 613124 613124 836754 836754 2607118 184797463 183054701 1264661 0 23961 23961 0 0 0 0 82513012 75470767 7042245 5767232 5696030 71202 12495916 10666890 1829026 4582512 4298344 284168 0 632174 632174 0 0 0 17828 17828 2631727 2046651 585076 958222 33239 924983 14316054 13782838 533216 2263443 2261743 1700 0 2103491 2097434 6057 273398 249561 23837 0 507376 442872 64504 354162 354162 0 7423739 7301660 122079 488047 449018 39029 STATE ASSESSMENT 4325241 4325241 PHARMACEUTICALS 4601319 4585574 15745 BAD DEBT 6358782 6358782 PURCHASE SERVICES 16947104 8887158 8059946 -156708 -2463478 2306770 169428032 146868447 22559585 0 0 51761488 50401661 0 20829172 22988364 0 0 962327 1419358 2509848 2325012 353837 445015 153411156 109225148 41287332 44186008 12138571 15980312 6238548 7801648 0 435973 400000 1360550 2046465 137877646 147993843 20040801 23655461 69568 53981 9935164 7880548 30045533 31589990 X 107828446 116400186 3667 3667 107832113 116403853 137877646 147993843 X 15369431 -6797691 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 9729 9729 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description ST MICHAEL'S HOSPITAL OF STEVENS POINT INC BELONGS TO A NUMBER OF TRADE ASSOCIATIONS (WHA, CHA, AHA, RWHC). THESE ASSOCIATIONS ARE PAID ANNUAL DUES AND A PERCENTAGE OF THE DUES ARE RELATED TO LOBBYING DONE BY THE TRADE ASSOCIATION. LOBBY PERCENTAGES RANGE BETWEEN 3%-25% OF THE ANNUAL AMOUNTS. THE AMOUNT REPORTED ON SCHEDULE C, PT II-B, LINE 1(i) REPRESENTS THE SUM OF ALL TRADE ASSOCIATION DUES RELATED TO LOBBY EXPENSE. 3226265 3226265 84676140 60579210 24096930 2095851 1651666 444185 58230301 46994272 11236029 5182599 5182599 44186008 7801648 Third Party Liabilities 2778310 NP - MHC (RELATED PARTY) BOND REFINANCE 802655 NP - MHC (RELATED PARTY) 4282577 DUE TO CHRISTIAN WORKPLACE 17006 7880548 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances MARKET ADJUSTMENTS $1353596 MDC EQUIP FUNDED BY SMH FDTN $39044 FUND BALANCE TRANSFER - FOUNDATION $ -116420 MHC RISK CAPITAL TRANSFER $ -3200000 SJH OUTREACH ALLOCATION $ -3999996 HOSPICE/HOME HEALTH $ -245057 EHR FUNDING AND DEPRECIATION $ -628551 INTERENTITY TRANSFERS $ -307 true true X true X true X true true false false true true 2888808 2888808 0.01770 24418799 15541672 8877127 0.05440 905253 104648 800605 0.00490 28212860 15646320 12566540 0.07700 1165608 16677 1148931 0.00700 1632271 1245491 386780 0.00240 376585 9797 366788 0.00220 3174464 1271965 1902499 0.01160 31387324 16918285 14469039 0.08860 true 6358782 43440821 58789019 -15348198 X true true 1 0 ST MICHAELS HOSPITAL OF STEVEN

900 ILLINOIS AVENUE STEVENS POINT WI 54481

X X X ST MICHAELS HOSPITAL OF STEVEN 1 true true 200.0000 true 400.0000 true X X X X X X true true X X X X X X true X false X X X X true X false false 20 MINISTRY MEDICAL GROUP OCCUPATIONAL MEDICINE

601 S CENTER AVENUE MERRILL WI 54452

OCCUPATIONAL HEALTH SERVICES MINISTRY MEDICAL GROUP

1000 RIVERVIEW EXPRESSWAY WISCONSIN RAPIDS WI 54494

OPHTHALMOLOGY SERVICES AEAS

2811 8TH ST S SUITE 80 WISCONSIN RAPIDS WI 54494

EMPLOYEE ASSISTANCE AND COUNSELING PROGRAMS AEAS

1820 POST ROAD SUITE 5 PLOVER WI 54467

EMPLOYEE ASSISTANCE AND COUNSELING PROGRAMS MINISTRY BEHAVIORAL HEALTH

190 GRAND SEASONS DRIVE WAUPACA WI 54981

ALCOHOL AND CHEMICAL DEPENDENCY TREATMENT CENTER MINISTRY MEDICAL GROUP OCCUPATIONAL MEDICINE

3301 CRANBERRY BLVD WESTON WI 54476

OCCUPATIONAL HEALTH SERVICES MINISTRY MEDICAL GROUP-IOLA

205 S MAIN STREET IOLA WI 54945

OP CLINIC AND PHYSICAL THERAPY MINISTRY MEDICAL GROUP-AMHERST

272 CHRISTY STREET AMHERST WI 54406

OP CLINIC MINISTRY MEDICAL GROUP OCCUPATIONAL MEDICINE

1020 KABEL AVENUE RHINELANDER WI 54501

OCCUPATIONAL HEALTH SERVICES MINISTRY MEDICAL GROUP

400 DEWEY STREET WISCONSIN RAPIDS WI 54494

ENT AND NEUROLOGY SERVICES MINISTRY BEHAVIORAL HEALTH

201 PRENTICE STREET N STEVENS POINT WI 54481

RESIDENTIAL ALCOHOL AND CHEMICAL DEPENDENCY TREATMENT CENTER MINISTRY BEHAVIORAL HEALTH

209 PRENTICE STREET N STEVENS POINT WI 54481

OP ALCOHOL AND CHEMICAL DEPENDENCY TREATMENT CENTER MINISTRY MEDICAL GROUP-PFP

3301 STANLEY STREET STEVENS POINT WI 54481

OP CLINIC MINISTRY MEDICAL GROUP-COL

190 GRAND SEASONS DRIVE WAUPACA WI 54981

OP CLINIC AND PSYCHIATRIC SERVICES MINISTRY DENTAL CLINIC

3504 E MARIA DRIVE STEVENS POINT WI 54481

DENTAL CLINIC ST MICHAELS HOSPITAL REHAB

2401 PLOVER ROAD PLOVER WI 54467

CARDIAC REHAB AND PHYSICAL THERAPY MINISTRY MEDICAL GROUP OCCUPATIONAL MEDICINE

5412 HWY 10 E STEVENS POINT WI 54481

OCCUPATIONAL HEALTH SERVICES, OCCUPATIONAL THERAPY AND PHYSICAL THERAPY MINISTRY MEDICAL GROUP-POINT

3398 E MARIA DRIVE STEVENS POINT WI 54481

PSYCHIATRIC SERVICES MINISTRY MEDICAL GROUP-PLOVER

2401 PLOVER ROAD PLOVER WI 54467

OP CLINIC MINISTRY MEDICAL GROUP

824 ILLINOIS AVENUE STEVENS POINT WI 54481

OP CLINIC Part VI - Additional Information While 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 hospitals, was created and is maintained in order to provide care locally-care that without our hospital, would not be available locally. Part V - Explanation of Number of Facility Type HOSPITAL FACILITY 1: ST MICHAELS HOSPITAL OF STEVENS POINT INC IS A FULLY ACCREDITED, ACUTE-CARE FACILITY OFFERING A COMPREHENSIVE RANGE OF SERVICES TO THE RESIDENTS OF STEVENS POINT, WI AND SURROUNDING COMMUNITIES. THE HOSPITAL WAS ORIGINALLY MADE POSSIBLE THROUGH THE EFFORTS OF THE SISTERS OF THE SORROWFUL MOTHER WHO RALLIED THE COMMUNITY AND RAISED THE NECESSARY FUNDS TO BUILD THE FACILITY NEARLY 100 YEARS AGO ON ITS PRESENT SITE.TODAY, THE HOSPITAL SHARES A CAMPUS WITH MINISTRY MEDICAL GROUP, A MULTI-SPECIALTY PRACTICE WITH MORE THAN 75 PHYSICIANS. Part VI - States Where Community Benefit Report Filed WI Part VI - Affilated Health Care System Roles and Promotion The 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 has a foundation which is not 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 Purpose The organization strives to further its exempt purposes by the following: (1) The organization's governing board consists primarily of persons who reside within the primary service area. 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.Certain specialized services available include: Dental Services to primarily the indigent, Fertility Clinic services and WIC home visits to new mothers and infants. Part VI - Community Building Activities Community-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. St Michaels Hospital is involved in suicide prevention working in conjunction with Portage County and participates in other community efforts such as the HIV/AIDS Ministry project, the Hunger Prevention Coalition, Elder abuse education/prevention and a support group at Oakridge Senior Center. MANY EMPLOYEES ALSO VOLUNTEER IN THE COMMUNITY FOR PROGRAMS INCLUDING MEDICAL MISSION TRIPS, MEALS ON WHEELS, HABITAT FOR HUMANITY, OPERATION BOOTSTRAP, AMONG OTHERS. Part VI - Community Information St Michael's Hospital serves Stevens Point, WI and the surrounding villages and towns, including Plover, Whiting, Custer, Park Ridge, Stockton, and the Town of Hull. It is located in the center of the state in Portage County. According to 2010 census information, the city of Stevens Point has a population of over 26,000 while Portage County's population exceeds 70,000. The racial makeup of the city is 91.7% White, 4.68% Asian, 0.92% African American, 0.43% Native American, and 2.27% from other races. The population age is widespread, with 16.0% under the age of 18, 31.2% from 18 to 24, 27.3% from 25 to 49, 13.5% from 50 to 64, and 12.0% who were 65 years of age or older. Based on 2010 estimates, the per capita income for the city was $21,653. About 17.3% of the population had incomes below the poverty line. Unemployment rates between October 2011 and September 2012 averaged about 8.0%. Like much of the country, the area continues to feel the effects of the economic downturn and has experienced a very slow recovery after the significant loss of jobs since 2009. Stevens Point is home to the University of WisconsinStevens Point, which enrolls almost 10,000 students in both undergraduate and graduate degree programs. Mid-State Technical College (MSTC), a technical college, is also located in the city. Major employers include Sentry Insurance, the University of Wisconsin-Stevens Point, Ministry Health Care, Associated Banc-Corp and Travel Guard. Part VI - Patient Education of Eligibility for Assistance MHC has financial counselors located at every hospital. If a patient indicates they are unable to pay their bill at any point during pre-service, admission, discharge or billing process, the financial counselors will assist the patient in either securing a funding source (grants, COBRA coverage, Disability benefits, Medicaid, VA, etc) if eligible or assist them in completing a financial assistance application. Part VI - Needs Assessment The organization performs community needs assessments as needed. Planning workgroups consisting of community partners are formed to define the community and its needs through review of Health People Initiatives, census documents, and local government health and welfare agencies. Considering other community resources/assets, data collection methods are used to identify particular problems or subgroups and areas known to have high poverty rates and to be underserved. The data is analyzed and priorities are set based on trending information which may target a specific need. When a need is identified, the hospital develops a plan to implement a program either through community collaboration or individually. Outcomes from the programs are measured and considered in subsequent community 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. Number of Hospital Faciltiy - 0 Part V, Line 15e - Other Collection Actions Against a Patient 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 agency for further 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. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients THE ORGANIZATION HAS A DEBT COLLECTION POLICY WHICH SETS FORTH COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY OR MAY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE PROGRAM. SUFFICIENT FINANCIAL COUNSELING SUPPORT IS MADE AVAILABLE TO PATIENTS SO THEY CAN EASILY ACCESS PATIENT FINANCIAL SERVICE REPRESENTATIVES AND HAVE THEIR QUESTIONS ANSWERED, AND GAIN AN UNDERSTANDING OF THE REASONS WHY THEY OWE A BALANCE. ACCOUNTS ARE DESIGNATED AS CHARITY CARE IN THE BUSINESS OFFICES SO NO ADDITIONAL TIME IS SPENT ON COLLECTION EFFORTS. Part III, Line 8 - Explanation Of Shortfall As Community Benefit THE SHORTFALL ASSOCIATED WITH MEDICARE SHOULD BE CONSIDERED A COMMUNITY BENEFIT FOR SEVERAL REASONS. FIRST, IRS REV. RUL. 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NON-PROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. SECOND, FOR-PROFIT SPECIALTY HOSPITALS HAVE BEEN CARVING OUT CERTAIN HIGH-MARGIN SERVICES (IE CARDIAC, ORTHOPEDICS, AND ONCOLOGY), LEAVING GENERAL ACUTE CARE HOSPITALS WITH LOWER-MARGIN MEDICARE SERVICES. THIS INDICATES THAT MEDICARE LOSSES CAN BE A RESULT OF RENDERING THESE LOWER-MARGIN SERVICES (WHICH BENEFIT THE COMMUNITY) RATHER THAN INEFFICIENT OPERATIONS. LASTLY, THE COMMUNITY WHICH THE ORGANIZATION SERVES HAS MEDICARE AS THE LARGEST PAYER. THE ORGANIZATION MUST ACCEPT THESE PATIENTS REGARDLESS OF WHETHER THEY MAKE A SURPLUS OR DEFICIT FROM PROVIDING SUCH SERVICES. IF THE MEDICARE PARTICIPATION IS PREMISED ON THIS FACT, THEN PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH IS A COMMUNITY BENEFIT. THE DEMOGRAPHIC OF THE COMMUNITY IS ALSO AN AGING AND UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE SERVICES, CMS WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY. Part III, Line 4 - Bad Debt Expense NO FOOTNOTE EXISTS IN THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE. BAD DEBT EXPENSE IS RECORDED IN A CONSISTENT MANNER WITH THE ORGANIZATION'S COLLECTIONS POLICIES. BAD DEBT EXPENSE INCLUDES ACCOUNTS WHICH ARE WRITTEN OFF AND ESTIMATES MADE ON LIVE ACCOUNTS BASED ON HISTORICAL PAYMENT TRENDS AND ACCOUNT MODELING.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 THE HOSPITAL'S CHARITY CARE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE CHARITY APPLICATION, SO THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM SHOULD BE TREATED AS COMMUNITY BENEFIT. THE ADMINISTRATIVE REQUIREMENTS TO DETERMINE WHETHER PATIENTS WHO DO NOT COOPERATE WITH THE FINANCIAL ASSISTANCE PROCESS WOULD HAVE QUALIFIED FOR CHARITY CAN BE BURDENSOME, PARTICULARLY FOR SMALL BALANCES. THE ORGANIZATION CONTINUES SERVING PATIENTS EVEN AFTER THE PATIENTS HAVE GENERATED SIGNIFICANT BAD DEBT WHICH IS EVIDENCE THAT THE CARE IS GIVEN FOR COMMUNITY BENEFIT MOTIVATIONS. Part I, Line 7, Column F - Explanation of Bad Debt Expense BAD DEBT EXPENSE OF $6,358,782 IS EXCLUDED FROM TOTAL OPERATING EXPENSES OF $169,429,142 WHEN CALCULATING PERCENTAGE OF TOTAL EXPENSE IN PART 1, LINE 7, COL. F. Part I, Line 7 - Explanation of Costing Methodology Amounts calculated in Part I, Line 7 are determined both on a cost accounting system and a cost-to-charge ratio. Other Benefits are determined based on the direct and indirect costs (where allocated) associated with a program net of earned revenue. Detail for each program/activity is maintained and determined at the department level. Charity care and means-tested programs are determined based on a cost-to-charge ratio consistent with Worksheet 2, Ratio of Patient Care Cost to Charges. Part I, Line 6a - Related Organization Community Benefit 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. true X 0 0 CHRISTIAN WORKPLACE COMMITTEE-EMPLOYEES IN NEED ASSISTANCE 218 23961 Grantmaker's Description of How Grants are Used THE CHRISTIAN WORKPLACE COMMITTEE HELPS EMPLOYEES OF ST MICHAEL'S HOSPITAL OR MINISTRY MEDICAL GROUP WHO EXPERIENCE AN UNEXPECTED PERSONAL LOSS OR CRISIS. THE NEED IS DOCUMENTED AND EVALUATED BY COMMITTEE MEMBERS AND ALLOCATED BASED ON FUNDS AVAILABLE. CASH IS NOT GIVEN DIRECTLY TO THE EMPLOYEE IN NEED; RATHER FUNDS ARE PROVIDED THROUGH PAYMENTS MADE DIRECTLY TO UTILITY COMPANIES, LANDLORDS, HOSPITALS, ETC. GAS AND GROCERY GIFT CARDS ARE PURCHASED TO ENSURE FUNDS ARE USED AS INTENDED. THE COMMITTEE ALSO ASSISTS WITH BACK-TO-SCHOOL EXPENSES, HOLIDAY MEAL BASKETS AND CAMP SCHOLARSHIPS. X true true X X X X false true false false false false false false false false WILLIAM HINNER 238588 56804 43311 30531 16902 386136 JEFFREY MARTIN 422518 208046 173647 29556 16044 849811 GRACE MCBRIDE 61587 2434 24948 8924 6589 104482 DR G DAVIDSON 145948 3529 3048 15860 168385 D GROEN 136980 6549 2939 20473 166941 C THOMPSON 138270 16233 120 2801 8819 166243 ALLEN PENNEBECKER 113299 34736 69072 25432 17553 260092 Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. SOCIAL CLUB DUES PROVIDED ON BEHALF OF:JEFFREY MARTIN $ 5,064 FORM 990 PART XI QUESTION 2b - AUDIT MINISTRY HEALTH CARE INC ENGAGES THE SERVICES OF MCGLADREY & PULLEN TO DO A CONSOLIDATED AUDIT OF IT'S HEATH CARE FACILITIES AND RELATED FOUNDATIONS. WHILE SAINT MICHAELS HOSPITAL OF STEVENS POINT INC DOES NOT HAVE ITS OWN INDIVIDUAL AUDIT, IT IS PART OF THE CONSOLIDATED AUDIT PERFORMED. FORM 990 PART IX LINE 24 - OTHER EXPS EXECUTIVES ARE EMPLOYED BY MINISTRY HEALTH CARE INC (39-1490371) AND THEIR SALARIES AND BENEFITS ARE ALLOCATED TO INDIVIDUAL FACILITIES BASED ON HOURS DEDICATED. ST MICHAELS REIMBURSES THE CORPORATE OFFICE FOR ITS SHARE AND THESE EXPENSES ARE INCLUDED ON FORM 990, PART IX, LINE 24 UNDER MHC EXECUTIVE SERVICES. PLEASE SEE FORM 990 PART VII SECTION A AND SCHEDULE J FOR ADDITIONAL DISCLOSURES REGARDING EXECUTIVE COMPENSATION. CLINIC PHYSICIAN SERVICES ST MICHAELS HOSPITAL IS HOSPITAL-BASED FOR MEDICARE REIMBURSEMENT PURPOSES. IT'S PHYSICIAN CLINIC SERVICES ARE PROVIDED BY MINISTRY MEDICAL GROUP (39-1965593) WHOSE PARENT CORPORATION IS MINISTRY HEALTH CARE INC (39-1490371). THESE SERVICES INCLUDE PHYSICIAN SALARIES AND BENEFITS. HOSPITAL-BASED REVENUE AND EXPENSES GENERATED BY THE CLINICS ARE INCLUDED ON THIS FORM 990. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available THE MINISTRY WEB PAGE IS AVAILABLE TO THE PUBLIC FOR INSPECTION WITH A GOOD DEAL OF INFORMATION REGARDING WHO MINISTRY HEALTH CARE IS AND THE ENTITIES INCLUDED ALONG WITH OUR MISSION. THE ARTICLES OF INCORPORATION, BYLAWS, 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 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees THE 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 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts THE BOARD MEMBERS COMPLETE A "BOARD OF DIRECTORS CONFLICT OF INTEREST & INSIDER TRANSACTION POLICY QUESTIONNAIRE" EACH YEAR. A STANDARD ANNUAL REFRESHER IS COMPLETED IN THE FALL EACH YEAR. ANY SIGNIFICANT REPORTED ITEMS ARE CORRECTED PROMPTLY THROUGH THE MINISTRY CORPORATE COMPLIANCE OFFICER AND LOCAL ADMINISTRATOR. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process FORM 990 IS COMPLETED THROUGH JOINT EFFORTS OF A SHARED FINANCE FUNCTION ALONG WITH GUIDANCE OF LEGAL COUNCIL WHEN DEEMED NECESSARY AND CORPORATE OVERSIGHT. THE FORM IS PRESENTED TO THE HOSPITAL'S GOVERNING BODY AT THE BOARD COMMITTEE MEETING. THE PRESIDENT AND FINANCE DIRECTOR PRESENT AND BRIEFLY EXPLAIN THE FORM AND ITS PURPOSE. Form 990, Part VI, Line 7b Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders MINISTRY HEALTH CARE INC (39-1490371) AS CORPORATE MEMBER HAS CERTAIN RESERVED POWERS WHICH INCLUDE TO DEFINE LONG-RANGE GOALS, STRATEGIC PLANS AND LONG-TERM OBJECTIVES; TO INITIATE AND APPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS; TO INITIATE AND APPROVE LONG-TERM BORROWING; TO APPROVE ALL CAPITAL AND OPERATING BUDGETS IN EXCESS OF CERTAIN AMOUNTS; TO APPROVE SELECTION AND RETENTION OF INDEPENDENT AUDIT FIRM AND LEGAL COUNSEL AND SUCH OTHER MATTERS AS STATED IN THE CORPORATE BYLAWS. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body MINISTRY HEALTH CARE INC (39-1490371) HAS THE POWER TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS, AUTHORIZE VACANCIES, AND DETERMINE THE NUMBER OF DIRECTORS. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder MINISTRY HEALTH CARE INC (39-1490371) IS SOLE CORPORATE MEMBER AND HAS CERTAIN RESERVED POWERS OVER ITS WHOLLY OWNED HEALTH CARE FACILITIES INCLUDING ST MICHAELS HOSPITAL INC. SAINT MICHAELS FOUNDATION OF STEVENS POI 900 ILLINOIS AVENUE STEVENS POINT WI 54481 391657410 FOUNDATION WI 501(C)(3) 11-1 N/A true MINISTRY HEALTH CARE INC 11925 W LAKE PARK DRIVE MILWAUKEE WI 53224 391490371 MANAGEMENT COMPANY WI 501(C)(3) 11-O N/A false false false true false true false false false true false false true true true true true true false SAINT MICHAELS FOUNDATION OF STEVENS POI q 116420 GL DETAIL SAINT MICHAELS FOUNDATION OF STEVENS POI n 141838 PAYROLL JRNL SAINT MICHAELS FOUNDATION OF STEVENS POI c 86894 DISB JRNL MINISTRY HEALTH CARE INC q 3200000 COST MINISTRY HEALTH CARE INC o 9421315 COST MINISTRY HEALTH CARE INC n 7839811 PAY RECORDS MINISTRY HEALTH CARE INC i 265820 SQ FTG FMV MINISTRY HEALTH CARE INC e 5047942 PRINCIPAL PYMTS