FURP.ORG / PUBLIC DATA EXPLORER

SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC (EIN 39-0847631)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-07-19
IRS object ID
201222019349300727
Schema version
2010v3.2
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)
Timestamp2012-07-19T12:49:33-07:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

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 Signed2012-07-19DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts354188392GrossReceipts
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 Members11NbrIndependentVotingMembers
Total Nbr Employees2469TotalNbrEmployees
Total Nbr Volunteers543TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year151121ContributionsGrantsPriorYear
Contributions Grants Current Year130521ContributionsGrantsCurrentYear
Program Service Revenue Prior Year344462597ProgramServiceRevenuePriorYear
Program Service Revenue CY350691579ProgramServiceRevenueCY
Investment Income Prior Year1410676InvestmentIncomePriorYear
Investment Income Current Year187255InvestmentIncomeCurrentYear
Other Revenue Prior Year2787949OtherRevenuePriorYear
Other Revenue Current Year2595529OtherRevenueCurrentYear
Total Revenue Prior Year348812343TotalRevenuePriorYear
Total Revenue Current Year353604884TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year135093566SalariesEtcPriorYear
Salaries Etc Current Year128612835SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year429185TotalFundrsngExpCurrentYear
Other Expense Prior Year181786113OtherExpensePriorYear
Other Expenses Current Year187006485OtherExpensesCurrentYear
Total Expenses Prior Year316879679TotalExpensesPriorYear
Total Expenses Current Year315619320TotalExpensesCurrentYear
Revenues Less Expenses Prior Year31932664RevenuesLessExpensesPriorYear
Revenues Less Expenses CY37985564RevenuesLessExpensesCY
Total Assets BOY279455629TotalAssetsBOY
Total Assets EOY312386380TotalAssetsEOY
Total Liabilities BOY32502901TotalLiabilitiesBOY
Total Liabilities EOY30128044TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY246952728NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY282258336NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
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 ChangetrueSignificantChange
Expense280985333Expense
Revenue353604884Revenue
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 Expense280985333TotalProgramServiceExpense
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 Employees2469NumberOfEmployees
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 Members11NumberIndependentVotingMembers
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 BodytrueForm990ProvidedToGoverningBody
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 (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeOfficerOfficerFormerFormer
William Sennholz
Director1.00X000
Vanessa Freitag
Dir of Pharmacy40.00145654022696X
Theresa Richards
Vice President40.00035832557852X
Sister Barbara Hollweck
Secretary1.00X000X
Sharon Kostroski
Vice President40.00019752750288X
Rosemarie T Schroeder
Dirctr Patient Car40.00132219029597X
Robert Gribble MD
Director1.00X000
Richard Mueller DMD
Director1.00X000
Randal Wegner
Dir Fac Mgmt&Biome15.00120983028555X
Peter Stamas
President40.00027224920943X
Michelle Brenner
Pharmacy Manager40.00131400037642X
Michael Schmidt
President40.00049706353972X
Michael Kryda MD
CEO40.00X068430315712X
Michael Blanchard
Vice President40.00027590332853X
Margaret A Kennedy
Master Black Belt40.00126735029858X
Lori Gropp
vice Chairperso1.00X000X
Larry Hegland
President40.00037072842037X
Kenneth Heiman
Chairman1.00X000X
Kathy Rhyner
Treasurer1.00X000X
Josh Meissner
Director1.00X000
John Skaden
CFO40.00031816259286X
Jean Campbell
Director1.00X000
Craig Cook
Vice President40.00027943211778X
Brian Kief
President40.00X054334638302X
Brent Shulman MD
Director1.00X000
Bill Mork
Director1.00000X
Bill Creske
Director1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org656991TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3797038TotalReportableCompFrmRltdOrgs
Total Other Compensation531371TotalOtherCompensation
Number Individuals GT100 K47NumberIndividualsGT100K
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 Richie Organization
22 Boston Wharf Rd 7FLBostonMA02210Facility Consulting147395
Marshfield Clinic
1000 North Oak AveMarshfieldWI54449Medical Staff33849861
Henneman Engineering Inc
1232 Fourler Drive Ste 101MadisonWI53717Consulting Services287486
Hall Render Killian Health & Lyman
One American Square Ste 2000 Box 82IndianapolisIN46282Legal Services791480
Boldt Company Corp
Lock Box 285MilwaukeeWI53288Consulting Services151365
FieldValueIRS element (for citing)
Number Of Contractors GT100 K144NumberOfContractorsGT100K
Government Grants130521GovernmentGrants
Total Contributions130521TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Rental Income532000954505954505
Program Service Revenue900099348709846348709846
Other Revenue900099105470105470
Med supplies & Pharmacy446110843758843758
Management Fees5419007800078000
FieldValueIRS element (for citing)
Total Program Service Revenue350691579TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column240258TotalRevenueColumn
Exclusion$240,258ExclusionAmount

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)
Real46025Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real117303Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-71278Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-71278TotalRevenueColumn
Exclusion-$71,278ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other393206Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other446209Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-53003Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-53003TotalRevenueColumn
Exclusion-$53,003ExclusionAmount

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 Inventory22996GrossSalesOfInventory
Cost Of Goods Sold19996CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3000TotalRevenueColumn
Exclusion$3,000ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Purchase Discounts900099263065263065
Other Revenue900099199783199783
Dietary/Cafeteria Sales7222102171490$2,171,490

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column29469TotalRevenueColumn
Related Or Exempt Function Income29469RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2663807TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column353604884TotalRevenueColumn
Related Or Exempt Function Income351183896RelatedOrExemptFunctionIncome
Exclusion$2,290,467ExclusionAmount

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)
Total98461827Total
Program Services89488601ProgramServices
Management And General8807794ManagementAndGeneral
Fundraising165432Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4922621Total
Program Services4861742ProgramServices
Management And General55519ManagementAndGeneral
Fundraising5360Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total18883916Total
Program Services16831440ProgramServices
Management And General1989401ManagementAndGeneral
Fundraising63075Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6344471Total
Program Services6071877ProgramServices
Management And General252984ManagementAndGeneral
Fundraising19610Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total581629Total
Program Services16660ProgramServices
Management And General564969ManagementAndGeneral

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)
Total18920351Total
Program Services13188126ProgramServices
Management And General5732225ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2441744Total
Program Services1069ProgramServices
Management And General2440675ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total39692175Total
Program Services39342059ProgramServices
Management And General312756ManagementAndGeneral
Fundraising37360Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total494564Total
Program Services472231ProgramServices
Management And General22333ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4099370Total
Program Services4094870ProgramServices
Management And General4500ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total692800Total
Program Services581185ProgramServices
Management And General98064ManagementAndGeneral
Fundraising13551Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2650Total
Program Services2650ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total2Total
Program Services2ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total17793679Total
Program Services17588394ProgramServices
Management And General204374ManagementAndGeneral
Fundraising911Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total871111Total
Program Services607705ProgramServices
Management And General263406ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
STATE ASSESSMENT98752179875217
SJH Outreach Allocation1219999212199992
PURCHASE SERVICES4603992337931900805719050833
Pharmaceuticals1525025315250253
Bad Debt97133639713363

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8337662Total
Program Services2865997ProgramServices
Management And General5398612ManagementAndGeneral
Fundraising73053Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total315619320Total
Program Services280985333ProgramServices
Management And General34204802ManagementAndGeneral
Fundraising429185Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY84669565BOY
EOY54842722EOY

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)
BOY46352352BOY
EOY52041305EOY

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)
BOY161931BOY
EOY107382EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7542658BOY
EOY7108713EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY963785BOY
EOY1382956EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis347652900LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec255168249LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY91405312BOY
EOY92484651EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY31443411BOY
EOY83040696EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY14156393BOY
EOY18348692EOY

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)
BOY1524300BOY
EOY1793341EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY279455629BOY
EOY312386380EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY27700718BOY
EOY23289319EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY231587BOY
EOY134111EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4570596BOY
EOY6704614EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY32502901BOY
EOY30128044EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY245868612BOY
EOY277143654EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1084116BOY
EOY5114682EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY246952728BOY
EOY282258336EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY279455629BOY
EOY312386380EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses37985564ReconcilationRevenueExpenses
Reconcilation Other Changes-2679956ReconcilationOtherChanges
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$18,955OtherActivitiesAmount
Total Lobbying Expenditures IIB18955TotalLobbyingExpendituresIIB
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 Basis2043705OtherCostOrOtherBasis
Book Value2043705BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis80645958OtherCostOrOtherBasis
Depreciation50265241Depreciation
Book Value30380717BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5173190OtherCostOrOtherBasis
Depreciation4500280Depreciation
Book Value672910BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis154986287OtherCostOrOtherBasis
Depreciation115938104Depreciation
Book Value39048183BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis104803760OtherCostOrOtherBasis
Depreciation84464624Depreciation
Book Value20339136BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings92484651TotalOfBookValueLandBuildings
Total Of Book Value Securities18348692TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Due to 3rd Party Medicare$6,409,954
Asset Retirement Obligation$111,054
Accretion Amortization$183,606
FieldValueIRS element (for citing)
Total Of Amounts6704614TotalOfAmounts
Total Revenue353604884TotalRevenue
Total Expenses315619320TotalExpenses
Excess Or Deficit For Year37985564ExcessOrDeficitForYear
Net Unrealized GL On Investments957533NetUnrealizedGLOnInvestments
Other-$3,637,489OtherAmount
Total Adjustments-2679956TotalAdjustments
Excess Or Deficit Per FS35305608ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt353604884TotRevenueEtcAuditedFinclStmt
Revenue Subtotal353604884RevenueSubtotal
Total Revenue Per Form990353604884TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt315619320TotExpensesEtcAuditedFinclStmt
Expenses Subtotal315619320ExpensesSubtotal
Total Expenses Per Form990315619320TotalExpensesPerForm990

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
Explanation$0 $0 Intercompany Transfers $11932124 $0 $0 Temporarily Restricted Funds $4030566 EHR FUNDING $ -4600179 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 Expense4330047TotalCommunityBenefitExpense
Net Community Benefit Expense4330047NetCommunityBenefitExpense
Percent Of Total Expense0.01370PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense51445000TotalCommunityBenefitExpense
Direct Offsetting Revenue32528907DirectOffsettingRevenue
Net Community Benefit Expense18916093NetCommunityBenefitExpense
Percent Of Total Expense0.05990PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense55775047TotalCommunityBenefitExpense
Direct Offsetting Revenue32528907DirectOffsettingRevenue
Net Community Benefit Expense23246140NetCommunityBenefitExpense
Percent Of Total Expense0.07360PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense965648TotalCommunityBenefitExpense
Net Community Benefit Expense965648NetCommunityBenefitExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense7750622TotalCommunityBenefitExpense
Net Community Benefit Expense7750622NetCommunityBenefitExpense
Percent Of Total Expense0.02460PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3849085TotalCommunityBenefitExpense
Net Community Benefit Expense3849085NetCommunityBenefitExpense
Percent Of Total Expense0.01220PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense552433TotalCommunityBenefitExpense
Net Community Benefit Expense552433NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense13117788TotalCommunityBenefitExpense
Net Community Benefit Expense13117788NetCommunityBenefitExpense
Percent Of Total Expense0.04170PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense68892835TotalCommunityBenefitExpense
Direct Offsetting Revenue32528907DirectOffsettingRevenue
Net Community Benefit Expense36363928NetCommunityBenefitExpense
Percent Of Total Expense0.11530PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense639TotalCommunityBuildingExpense
Net Community Building Expense639NetCommunityBuildingExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense3708TotalCommunityBuildingExpense
Net Community Building Expense3708NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense868TotalCommunityBuildingExpense
Net Community Building Expense868NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense21296TotalCommunityBuildingExpense
Net Community Building Expense21296NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense26511TotalCommunityBuildingExpense
Net Community Building Expense26511NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$3,846,881BadDebtExpenseAmount
Amount Reimbursed By Medicare124736642AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare142000151CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-17263509MedicareSurplusOrShortfall

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 Percent150.0000FPGFreePercent
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
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities4NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
SJH Stanley Dialysis Center
1120 Pine StreetStanleyWI54768Outpatient Dialysis Center
Rhinelander Dialysis Center
232 S Courtney St Ste 2RhinelanderWI54501Outpatient Dialysis Center
Ministry Dialysis WI Rapids
1041b Hill StreetWisconsin RapidsWI54494Outpatient Dialysis Center
Ministry Dialysis Marshfield
123 Northridge StreetMarshfieldWI54449Outpatient Dialysis Center

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 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 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 $43,476. 10% of the population were below the poverty line.
Part VI - Patient Education of Eligibility for AssistanceThe organization goes to great lengths in order to inform and educate patients/persons who may be billed for patient care about their eligibility for assistance under federal, state or local government programs and under the organization's charity care policy. The charity care policy and application is posted on the organization's website. Admissions and other key areas contain summary information of the charity care policy. As part of the intake/discharge process, patients are provided with a copy of the policy and other information for financial assistance. If during the course of the patient registration process, care encounter, treatment, or upon discharge it becomes evident that a patient may need financial assistance, the patient shall be referred to the organization's community care program. Patients may be identified as needing financial assistance at any time during the course of an encounter. A referral for consideration of community care financial assistance can be initiated by any member of the hospital's workforce, including medical staff members, who become aware of the patient's potential need for community care financial assistance. The charity care policy was also translated into dialects prevalent in the community in order to reach out to those that may speak another language (Spanish and Hmong). Patient Registration staff and Financial Counselors are provided with scripts to follow when interacting with patients. As part of the charity care process, patients must register with the county public assistance to see if they may qualify under any other federal or state programs.
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 21 - Charge Patients Amount Equal Gross Charge for ServicesA patient could be charged an amount equal to the gross charge in the following circumstance: If a patient is insured by a non-contracted payer, that payer or patient would be responsible for 100% of billed charges. If a service or visit under that scenario fell under the co-pay, coinsurance, or deductible portion of the plan, or if the service was not covered by the plan, the patient could be financially responsible for 100% of gross charges.Number of Hospital Faciltiy - 0
Part V, Line 19d - Other Billing Determination of Individuals Without InsuranceMinistry Health Care's policy is to offer a 10% discount to our uninsured population.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$9,713,363 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 7.64, 4.31, and 11.94 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 PlantrueSupplementalNonqualRetirePlan
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 (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred 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 OrgsTotalCompensationRelatedOrgs
Vanessa Freitag
1453543007522621168350
Theresa Richards
30376933139214174184916003416177
Sharon Kostroski
1756701963722202860621682247815
Rosemarie T Schroeder
131919300610623491161816
Peter Stamas
25221619281752490016043293192
Michelle Brenner
131400805429588169042
Michael Schmidt
1211653758983884415128551035
Michael Kryda MD
4422419878414327881607552700015
Michael Blanchard
12876520583126555316831170308756
Margaret A Kennedy
126735291626942156593
Larry Hegland
27196759110396512135820679412765
John Skaden
26397028845253473943619850377448
Craig Cook
209909244074511649006878291210
Brian Kief
43258397630131331532622976581648

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 is presented to our governing body at the most recent board committee meeting. The President and Finance Director presents and briefly explains the form and its purpose.Form 990, Part VI, Line 11
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
Form 990, Part III, Line 3: Ceased Conducting or Significant Changes To ServicesEFFECTIVE JUNE 1, 2011 OUTPATIENT DIALYSIS SERVICES WERE SOLD TO A THIRD PARTY. PLEASE REFER TO MINISTRY HEALTH CARE INC (39-1490371) 2010 FORM 990 FOR FURTHER DISCLOSURE ON THE SALE OF THIS SERVICE.Form 990, Part III, Line 3

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

Form990 Schedule R Part III Form990ScheduleRPartIII

FieldValueIRS element (for citing)
Direct Controlling Entity NAN/ADirectControllingEntityNA
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner
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 OrgtrueGiftGrantOrCapContrFrOtherOrg
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
p25552Billing System
St Josephs Hospital Foundation
o429186Contributed Ser
St Josephs Hospital Foundation
b4483875Various Program
MINISTRY HEALTH CARE
q15000000Risk Capt/Divid
MINISTRY HEALTH CARE
o19575499AP System
MINISTRY HEALTH CARE
n19320490Payroll System