SAINT ELIZABETHS HOSPITAL OF WABASHA INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- SAINT ELIZABETHS HOSPITAL OF WABASHA INC (EIN 41-0693877)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-08-13
- IRS object ID
- 202612259349303001
- Schema version
- 2024v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-08-13T16:58:53+00:00 | ReturnTs |
| Tax Period End | 2025-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 EAST RANDOLPH DRIVE SUITE 5500 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 606016436 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410693877 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT ELIZABETH'S HOSPITAL OF WABASHA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAIN | BusinessNameControlTxt |
| Phone | 6515654531 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 GRANT BLVD WEST | AddressLine1Txt |
| City | WABASHA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55981 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JIM ROOT | PersonNm |
| Person Title | ADMINISTRATOR | PersonTitleTxt |
| Signature | 2026-08-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ZELJKO POPOVIC | PreparerPersonNm |
| PTIN | P01795951 | PTIN |
| Phone | 3126651000 | PhoneNum |
| Preparation | 2026-08-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GUNDERSEN ST ELIZABETH'S HOSPITAL AND CLINICS | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JIM ROOT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 GRANT BLVD WEST | AddressLine1Txt |
| City | WABASHA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55981 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $58,694,955 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GUNDERSENHEALTH.ORG/LOCATIONS/ST-ELIZABETHS | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1955 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TOGETHER, WE WILL INSPIRE YOUR BEST LIFE BY RELENTLESSLY CARING, LEARNING AND INNOVATING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 478 | TotalEmployeeCnt |
| Total Volunteers | 54 | TotalVolunteersCnt |
| Total Gross UBI | $2,398,764 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $180,456 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,687,404 | PYContributionsGrantsAmt |
| CY Contributions Grants | $990,308 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $51,529,485 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $57,269,981 | CYProgramServiceRevenueAmt |
| PY Investment Income | $309,606 | PYInvestmentIncomeAmt |
| CY Investment Income | $370,309 | CYInvestmentIncomeAmt |
| PY Other Revenue | $75,095 | PYOtherRevenueAmt |
| CY Other Revenue | $64,357 | CYOtherRevenueAmt |
| PY Total Revenue | $54,601,590 | PYTotalRevenueAmt |
| CY Total Revenue | $58,694,955 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,925 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $438,684 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $34,605,334 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $37,185,439 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,296,000 | PYOtherExpensesAmt |
| CY Other Expenses | $17,117,871 | CYOtherExpensesAmt |
| PY Total Expenses | $50,907,259 | PYTotalExpensesAmt |
| CY Total Expenses | $54,741,994 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,694,331 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,952,961 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $30,832,586 | TotalAssetsBOYAmt |
| Total Assets EOY | $35,787,093 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,153,853 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,155,399 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $22,678,733 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $26,631,694 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TOGETHER, WE INSPIRE YOUR BEST LIFE BY RELENTLESSLY CARING, LEARNING AND INNOVATING. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $47,368,321 | ExpenseAmt |
| Grant | $438,684 | GrantAmt |
| Revenue | $57,269,981 | RevenueAmt |
| Desc | SAINT ELIZABETH'S HOSPITAL OF WABASHA, INC. IS A 163-BED HOSPITAL CAMPUS (25 HOSPITAL BEDS, 100 NURSING HOME BEDS, 38 ASSISTED LIVING APARTMENT BEDS) PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2025, SAINT ELIZABETH'S HOSPITAL OF WABASHA, INC. HAD PATIENT DAYS OF SERVICE COMPRISED OF 449 ACUTE INPATIENT DAYS, 2,196 SWING BED DAYS, 125 OBSERVATION DAYS, 26,843 NH DAYS, AND 13,086 APARTMENT DAYS. THE HOSPITAL ALSO PROVIDED SERVICES FOR 15,636 CLINIC VISITS, 3,075 EMERGENCY ROOM VISITS, 450 OUTPATIENT SURGERIES AND 5,946 HOME HEALTH VISITS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. | Desc |
| Total Program Service Expenses | $47,368,321 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 54 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 478 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN WOLFE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6515655553 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 GRANT BLVD WEST | AddressLine1Txt |
| City | WABASHA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55981 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CINDY DENK | ||||||||||
| BOARD OF DIRECTORS, SECRETARY | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DARLENE THEISMANN | ||||||||||
| BOARD OF DIRECTORS, CHAIRMAN | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| PAUL FISCH | ||||||||||
| BOARD OF DIRECTORS, VICE CHAIRMAN, DIRECTOR, MEDICAL MEDIA | 2.0 | 2.0 | Yes (X) | Yes (X) | $0 | $2,599 | $0 | |||
| BEVERLY YOUNGBAUER | ||||||||||
| BOARD OF DIRECTORS | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| DANIEL COENEN | ||||||||||
| BOARD OF DIRECTORS, ADMINISTRATOR | 2.0 | 48.0 | Yes (X) | $0 | $165,449 | $47,722 | ||||
| EMILY DURAND | ||||||||||
| BOARD OF DIRECTORS | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| KIMBERLY BESELER | ||||||||||
| BOARD OF DIRECTORS, PROGRAM MANAGER, EMERGENCY MEDICAL SERVICES | 2.0 | 48.0 | Yes (X) | $0 | $117,460 | $16,157 | ||||
| LLOYD HAAS | ||||||||||
| BOARD OF DIRECTORS, SOLUTION OWNER | 2.0 | 48.0 | Yes (X) | $0 | $133,428 | $18,913 | ||||
| MICHAEL EBERSOLD MD | ||||||||||
| BOARD OF DIRECTORS, MD | 2.0 | 48.0 | Yes (X) | $0 | $126,900 | $0 | ||||
| REECE RYKAL | ||||||||||
| BOD, CLINICAL OPERATIONS DIRECTOR, GI SERVICES, GENERAL & TRAUMA SURGERY SERVICES, (BEG 1.1.25) | 2.0 | 48.0 | Yes (X) | $0 | $112,242 | $38,017 | ||||
| JAMES ROOT | ||||||||||
| ADMINISTRATOR | 50.0 | 0.0 | Yes (X) | $0 | $214,429 | $34,522 | ||||
| JOHN CEELEN | ||||||||||
| CHIEF FINANCIAL OFFICER | 1.0 | 49.0 | Yes (X) | $0 | $728,316 | $54,052 | ||||
| JOHN WOLFE | ||||||||||
| FINANCE ADMINISTRATOR | 50.0 | 0.0 | Yes (X) | $0 | $187,716 | $48,685 | ||||
| SCOTT RATHGABER MD | ||||||||||
| CEO | 1.0 | 49.0 | Yes (X) | $0 | $1,324,275 | $73,275 | ||||
| KIMBERLY WOLTER | ||||||||||
| DIRECTOR, INPATIENT SERVICES - ST. ELIZABETH | 50.0 | 0 | $169,420 | $0 | $37,416 | Yes (X) | ||||
| AMANDA STERRY | ||||||||||
| CRNA - ST. ELIZABETH | 50.0 | 0 | $276,194 | $0 | $38,731 | Yes (X) | ||||
| KURT HENN | ||||||||||
| DIRECTOR, OUTPATIENT OPERATIONS & PHARMACY - ST. ELIZABETH | 50.0 | 0 | $208,548 | $0 | $30,561 | Yes (X) | ||||
| MARK SWENSON | ||||||||||
| CRNA - ST. ELIZABETH | 50.0 | 0 | $242,674 | $0 | $39,976 | Yes (X) | ||||
| STACY SASS | ||||||||||
| PHARMACIST - ST. ELIZABETH | 36.0 | 0 | $173,327 | $0 | $26,752 | Yes (X) | ||||
| TRACY HENN | ||||||||||
| DIRECTOR, BUSINESS OPERATIONS - ST. ELIZABETH | 50.0 | 0 | $174,935 | $0 | $64,977 | Yes (X) | ||||
| STEVE LITTLE | ||||||||||
| FORMER CHIEF FINANCIAL OFFICER | 0.0 | 0.0 | $0 | $209,856 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,245,098 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,322,670 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $569,756 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 45 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AEGIS THERAPIES INC | |||||
| PO BOX 936653 | ATLANTA | GA | 31193 | REHAB SERVICES (PT,OT,ST) | $310,038 |
| STAFFENCY | |||||
| 221 W COLLEGE ACE FLOOR 2 | APPLETON | WI | 54911 | CONTRACT SERVICES FOR LAB, RAD | $171,029 |
| BWBR | |||||
| 380 SAINT PETER STREET STE600 | SAINT PAUL | MN | 55102 | ARCHITECTURAL FEES | $170,474 |
| BURLINGTON HEALTHCARE | |||||
| PROVIDERS INC | DELAFIELD | WI | 53018 | CONTRACTUAL SERVICES FOR PHYSICIAN ED CO | $166,941 |
| WIPFLI LLP | |||||
| PO BOX 3160 | MILWAUKEE | WI | 53201 | FINANCIAL SERVICES | $105,460 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $708,542 | GovernmentGrantsAmt |
| All Other Contributions | $281,766 | AllOtherContributionsAmt |
| Total Contributions | $990,308 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 621990 | $50,647,896 | $50,647,896 | |
| PHARMACY REVENUE | 456110 | $6,571,955 | $4,173,191 | $2,398,764 |
| NURSING CONTRACT REVENUE | $48,930 | $48,930 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,200 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,200 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $57,269,981 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $370,309 | TotalRevenueColumnAmt |
| Exclusion | $370,309 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,346 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,346 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,346 | TotalRevenueColumnAmt |
| Exclusion | $3,346 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA | Desc |
| Business | 722514 | BusinessCd |
| Total Revenue Column | $25,655 | TotalRevenueColumnAmt |
| Exclusion | $25,655 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,356 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $35,356 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $61,011 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $58,694,955 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $54,871,217 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,398,764 | UnrelatedBusinessRevenueAmt |
| Exclusion | $434,666 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,050 | TotalAmt |
| Program Services | $10,050 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $428,634 | TotalAmt |
| Program Services | $428,634 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,807 | TotalAmt |
| Management And General | $219,807 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,126,496 | TotalAmt |
| Program Services | $26,685,175 | ProgramServicesAmt |
| Management And General | $2,441,321 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,603,754 | TotalAmt |
| Program Services | $2,484,717 | ProgramServicesAmt |
| Management And General | $119,037 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,546,776 | TotalAmt |
| Program Services | $3,164,492 | ProgramServicesAmt |
| Management And General | $382,284 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,688,606 | TotalAmt |
| Program Services | $1,514,361 | ProgramServicesAmt |
| Management And General | $174,245 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,932,287 | TotalAmt |
| Program Services | $842 | ProgramServicesAmt |
| Management And General | $1,931,445 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,650 | TotalAmt |
| Management And General | $55,650 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,803,036 | TotalAmt |
| Program Services | $1,389,463 | ProgramServicesAmt |
| Management And General | $413,573 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,889 | TotalAmt |
| Program Services | $12,983 | ProgramServicesAmt |
| Management And General | $1,906 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $780,366 | TotalAmt |
| Program Services | $371,103 | ProgramServicesAmt |
| Management And General | $409,263 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,183 | TotalAmt |
| Program Services | $48,542 | ProgramServicesAmt |
| Management And General | $641 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $765,507 | TotalAmt |
| Program Services | $765,472 | ProgramServicesAmt |
| Management And General | $35 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,679 | TotalAmt |
| Program Services | $81,757 | ProgramServicesAmt |
| Management And General | $1,922 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,889 | TotalAmt |
| Program Services | $12,983 | ProgramServicesAmt |
| Management And General | $1,906 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,183 | TotalAmt |
| Management And General | $7,183 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,570,160 | TotalAmt |
| Program Services | $1,548,325 | ProgramServicesAmt |
| Management And General | $21,835 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,893 | TotalAmt |
| Management And General | $123,893 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $7,554,801 | $7,522,488 | $32,313 |
| SUPPLIES | $1,160,318 | $1,129,195 | $31,123 |
| BAD DEBT | $998,657 | $998,657 | |
| REPAIRS AND MAINTENANCE | $203,373 | $197,739 | $5,634 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,741,994 | TotalAmt |
| Program Services | $47,368,321 | ProgramServicesAmt |
| Management And General | $7,373,673 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,215,870 | BOYAmt |
| EOY | $2,065,004 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,156,994 | BOYAmt |
| EOY | $4,814,544 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,108,424 | BOYAmt |
| EOY | $11,376,846 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,625 | BOYAmt |
| EOY | $9,103 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,042,577 | BOYAmt |
| EOY | $1,050,300 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,810 | BOYAmt |
| EOY | $98,783 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $16,236,276 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,981,977 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,488,772 | BOYAmt |
| EOY | $8,254,299 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,252,419 | BOYAmt |
| EOY | $7,566,108 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $465,095 | BOYAmt |
| EOY | $552,106 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,832,586 | BOYAmt |
| EOY | $35,787,093 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,050,359 | BOYAmt |
| EOY | $4,784,491 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $717,362 | BOYAmt |
| EOY | $270,932 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,386,132 | BOYAmt |
| EOY | $4,099,976 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,153,853 | BOYAmt |
| EOY | $9,155,399 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,678,733 | BOYAmt |
| EOY | $26,631,694 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,678,733 | BOYAmt |
| EOY | $26,631,694 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,832,586 | BOYAmt |
| EOY | $35,787,093 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,952,961 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $250,000 | OtherCostOrOtherBasisAmt |
| Book Value | $250,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,470,186 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,423,459 | DepreciationAmt |
| Book Value | $6,046,727 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,947,475 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,479,437 | DepreciationAmt |
| Book Value | $1,468,038 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $568,615 | OtherCostOrOtherBasisAmt |
| Depreciation | $79,081 | DepreciationAmt |
| Book Value | $489,534 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,254,299 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| FEDERAL INCOME TAXES | |
| OTHER PAY 3RD PARTY SETTLEMENTS | $267,104 |
| SALES TAX PAYABLE | $467 |
| LEASE CONTRACTS PAYABLE | $156,267 |
| ASSET RETIREMENT OBLIG-FIN47 | $59,399 |
| DUE TO/ FROM GLAS | $3,559,328 |
| CURRENT LEASE PAYABLE FINANCE | $55,476 |
| CURRENT LEASE PAYABLE OPERATING | $1,935 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,099,976 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $0 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $0 | TotalRevenuePerForm990Amt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $0 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $0 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART X, LINE 2 | THE SYSTEM AND MOST OF ITS SUBSIDIARIES ARE CLASSIFIED AS TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES ON RELATED INCOME, PURSUANT TO SECTION 501(A) OF THE CODE. THESE ORGANIZATIONS ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES TO THE EXTENT THEY HAVE UNRELATED BUSINESS INCOME. THE SYSTEM HAS NO MATERIAL UNCERTAIN TAX POSITIONS. |
| SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE | THE SYSTEM AND MOST OF ITS SUBSIDIARIES ARE CLASSIFIED AS TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES ON RELATED INCOME, PURSUANT TO SECTION 501(A) OF THE CODE. THESE ORGANIZATIONS ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES TO THE EXTENT THEY HAVE UNRELATED BUSINESS INCOME. THE SYSTEM HAS NO MATERIAL UNCERTAIN TAX POSITIONS. CERTAIN SUBSIDIARIES ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. SOME OF THESE CORPORATIONS HAVE ACCUMULATED NET OPERATING LOSS CARRYFORWARDS THAT ARE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME, IF ANY, AND HAVE BEEN FULLY RESERVED. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $342,378 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $342,378 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00637 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,711,368 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,516,905 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,194,463 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02223 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $3,053,746 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,516,905 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,536,841 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02860 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,306 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,200 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $41,106 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00076 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $95,197 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $95,197 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00177 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,804,666 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,813,248 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,991,418 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05566 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,722 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,722 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00031 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $12,958,891 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,814,448 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,144,443 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05851 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $16,012,637 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,331,353 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,681,284 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08710 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $572 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $572 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00001 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,706 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,706 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00009 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $5,278 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,278 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $925,402 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $10,588,126 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $10,868,414 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$280,288 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT ELIZABETH'S HOSPITAL OF WABASHA | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 GRANT BLVD WEST | AddressLine1Txt |
| City | WABASHA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55981 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.GUNDERSENHEALTH.ORG/ST-ELIZABETHS | WebsiteAddressTxt |
| State License | 410340 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT ELIZABETH'S HOSPITAL OF WABASHA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 25 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.GUNDERSENHEALTH.ORG/COMMUNITY-ASSESSMENT | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 25 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.GUNDERSENHEALTH.ORG/COMMUNITY-ASSESSMENT | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.GUNDERSENHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.GUNDERSENHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.GUNDERSENHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1 | FACILITY , 1 - SAINT ELIZABETH'S HOSPITAL OF WABASHA INC:. GUNDERSEN ST. ELIZABETH'S HOSPITAL AND CLINICS IS COMMITTED TO ADDRESSING COMMUNITY HEALTH NEEDS COLLABORATIVELY WITH LOCAL PARTNERS. SAINT ELIZABETH'S AND WABASHA COUNTY PUBLIC HEALTH USED THE FOLLOWING METHODS TO GAIN KEY STAKEHOLDERS AND COMMUNITY FEEDBACK ON THE STRENGTHS AND CHALLENGES OF BEING A HEALTHY COMMUNITY. THESE METHODS PROVIDED US WITH ADDITIONAL PERSPECTIVES ON HOW TO SELECT AND ADDRESS TOP HEALTH ISSUES FACING OUR COMMUNITIES. INPUT FROM COMMUNITY: A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS JOINTLY CONDUCTED BY GUNDERSEN ST. ELIZABETH'S AND WABASHA COUNTY PUBLIC HEALTH DEPARTMENT IN SUMMER 2022. COUNTY DATA AND HEALTH INDICATORS WERE COLLECTED AND REVIEWED BY A CHNA LEADERSHIP TEAM. IN ADDITION, SIMILAR COLLABORATIVE WORK BETWEEN THESE TWO ENTITIES WAS UNDERTAKEN TO COMPLETE OUR 2025 CHNA AND FOR 2026-2028 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) DURING SPRING AND SUMMER 2025. FOLLOWING AN EXTENSIVE ANALYSIS OF ALL DATA, TRENDS, AND OTHER ASSESSMENTS CONDUCTED BY AGENCIES AND ORGANIZATIONS SERVING WABASHA COUNTY RESIDENTS, THE LEADERSHIP TEAM SOUGHT ENGAGEMENT FROM KEY STAKEHOLDERS, HEALTH PROVIDERS, COMMUNITY LEADERS AND COUNTY RESIDENTS TO PRIORITIZE WABASHA COUNTY'S TOP TWO HEALTH NEEDS. GUNDERSEN ST. ELIZABETH'S AND WABASHA COUNTY PUBLIC HEALTH ARE COMMITTED TO ADDRESSING COMMUNITY HEALTH NEEDS COLLABORATIVELY WITH LOCAL PARTNERS. GUNDERSEN ST. ELIZABETH'S AND THE WABASHA COUNTY PUBLIC HEALTH DEPARTMENT USED A MASS COMMUNICATION EFFORT TO GAIN AN UNDERSTANDING OF COMMUNITY MEMBERS' THOUGHTS ON THE STRENGTHS AND CHALLENGES OF BEING A HEALTHY COMMUNITY. THIS METHOD PROVIDED US WITH ADDITIONAL PERSPECTIVES ON HOW TO SELECT AND ADDRESS TOP HEALTH ISSUES FACING OUR COMMUNITIES. A CHNA PRIORITY SURVEY WAS PREPARED AND DISTRIBUTED THROUGH MULTIPLE EMAIL DISTRIBUTION LISTS, WEBSITES, AND SOCIAL MEDIA PLATFORMS. RESIDENTS WITHOUT ACCESS TO A COMPUTER OR INTERNET WERE INVITED TO UTILIZE RESOURCES AT THEIR LOCAL LIBRARY OR GUNDERSEN ST. ELIZABETH'S TO COMPLETE THE SURVEY. ORGANIZATIONS SERVING LOW-INCOME AND VULNERABLE POPULATIONS WERE PROVIDED WITH RESOURCES TO ENCOURAGE SURVEY PARTICIPATION AMONG THEIR CLIENTS. PRESS RELEASES, NEWSLETTERS, POSTERS, AND SOCIAL MEDIA POSTS WERE USED TO DRAW ATTENTION TO THE IMPORTANCE OF PUBLIC PARTICIPATION. FOLLOWING THE CLOSE OF THE SURVEY (A TWO-WEEK WINDOW PROVIDED AMPLE OPPORTUNITY FOR SURVEY RESPONSE), CHNA LEADERSHIP TEAM MEMBERS COLLATED AND EVALUATED SURVEY RESPONSE AND RESULTS. THE 2025 PRIORITIZATION PROCESS INCLUDED MULTIPLE STEPS: 1. REVIEWED PREVIOUS 2022 CHNA AND PROGRESS ON PREVIOUS 2023-2025 CHIP PRIORITIES 2. REVIEWED BROAD AND COUNTY-LEVEL NATIONALLY AVAILABLE RESOURCES 3. COLLECTED AND REVIEWED EXISTING PRIMARY DATA ASSESSMENTS AND RESOURCES FROM LOCAL ORGANIZATIONS AND AGENCIES 4. IDENTIFIED THE TOP FIVE PRIORITIES (AFFORDABLE HOUSING, FINANCIAL STABILITY, MENTAL HEALTH, SENIOR HEALTH, TRANSPORTATION) 5. OFFERED LOCAL SURVEY OF THESE FIVE TO ADD MORE INFORMATION AND INPUT FROM A BROADER REPRESENTATION OF OUR COMMUNITY 6. IDENTIFIED TOP TWO ACTIONABLE PRIORITIES THE FOLLOWING HEALTH ISSUES WERE SELECTED AS THE PRIORITIES FOR THE 2026-2028 CHIP: NUMBER 1: SENIOR HEALTH NUMBER 2: MENTAL HEALTH THE CHNA LEADERSHIP TEAM IS FUELED BY A COMMITMENT TO HUMAN DIGNITY, THE COMMON GOOD, JUSTICE AND SOLIDARITY. WE BELIEVE THE CHNA PROCESS MUST BE INFORMED BY DIRECT INPUT FROM PEOPLE WHO EXPERIENCE HEALTH DISPARITIES BASED ON INCOME AND/OR RACE AND ETHNICITY. WITH THAT IN MIND, THE CHNA PRIORITY SURVEY INCLUDED POINTED QUESTIONS ABOUT NEEDS AND SATISFACTION LEVELS OF THE LOW-INCOME POPULATION. THE PROCESS TO SELECT THE HEALTH PRIORITIES CONTINUES TO GIVE STRONG CONSIDERATION TO HOW INDIVIDUALS WHO ARE MORE VULNERABLE ARE IMPACTED BY HEALTH ISSUES. |
| SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY , 1 | FACILITY , 1 - SAINT ELIZABETH'S HOSPITAL OF WABASHA INC:. GUNDERSEN ST. ELIZABETH'S CONDUCTED THE CHNA AND IMPROVEMENT PLAN DEVELOPMENT JOINTLY WITH WABASHA COUNTY PUBLIC HEALTH DEPARTMENT. SUPPORT AND BACKGROUND DATA WERE PROVIDED BY THE EMPLIFY HEALTH DEPARTMENT OF POPULATION HEALTH. IN ADDITION, OTHER AGENCIES, ORGANIZATIONS, AND CITIZENS ACTIVELY PARTICIPATED IN THE DEVELOPMENT OF IMPROVEMENT STRATEGIES FOR THE PRIORITIES SELECTED. |
| SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1 | FACILITY , 1 - SAINT ELIZABETH'S HOSPITAL OF WABASHA IN. SENIOR HEALTH: ONGOING COLLABORATION WITHIN THE COMMUNITY TO SUPPORT OUR AGE-FRIENDLY MEMBERSHIP, INCLUDING GATHERING COMMUNITY/PARTNERS' INPUT, WORKING ON PROGRAMMING FOR FALLS PREVENTION AND HOME MODIFICATIONS, AND UPDATING LOCAL RESOURCE DIRECTORY WORKING TO EXPAND MEMBERSHIP TO OTHER SURROUNDING COMMUNITIES BOOST GRANT FROM CITY OF WABASHA RECEIVED TO SUPPORT SENIOR SERVICES OFFERED THROUGH OUR CONNECTIONS CAFE REMOVED MEMORY KITS FROM CIRCULATION AND REDISTRIBUTED ITEMS COMBINED OUR SENIOR HEALTH AND AGE-FRIENDLY GROUPS INTO ONE TEAM/SINGLE MEETINGS TO STREAMLINE WORK MENTAL HEALTH: * CHALLENGES WITH THIS WORK AS ONE OF OUR MAJOR COMMUNITY PARTNERS HAD SIGNIFICANT TRANSITIONS/VACANCIES IN LEADERSHIP DURING 2025 * ANOTHER CHALLENGE RELATED TO OUR IMPACT PERFORMANCE INDICATOR WAS IDENTIFIED AS THE COUNTY HEALTH RANKINGS THAT WE HAVE USED IN THE PAST LOST FUNDING/WILL NO LONGER BE RELEASED * WABASHA CLINIC MENTAL HEALTH PROVIDER SERVICES REMAINED STEADY DURING 2025 * LOCAL EDUCATION SESSIONS COMPLETED RELATED TO MENTAL HEALTH FIRST AID, ACES TRAIN THE TRAINER |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| GUNDERSEN ST ELIZABETH'S CARE CENTER | ||||
| 1200 GRANT BLVD WEST | WABASHA | MN | 55981 | NURSING HOME |
| GUNDERSEN ST ELIZABETH'S WABASHA CLINIC | ||||
| 1200 GRANT BLVD WEST | WABASHA | MN | 55981 | PROVIDER BASED RURAL HEALTH CLINIC |
| GUNDERSEN ST ELIZABETH'S SENIOR LIVING | ||||
| 1200 GRANT BLVD WEST | WABASHA | MN | 55981 | RESIDENTAL HOUSING WITH SERVICES |
| ALMA COMMUNITY CLINIC | ||||
| 204 S MAIN STREET | ALMA | WI | 54610 | PROVIDER BASED RURAL HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (19 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | PATIENTS WITH DEMONSTRATED FINANCIAL NEEDS WITH INCOME GREATER THAN 400% OF THE FPL MAY BE ELIGIBLE FOR CONSIDERATION UNDER A "MEANS TEST" FOR SOME DISCOUNT OF THEIR CHARGES FOR SERVICES FROM THE ORGANIZATION BASED ON A SUBSTANTIVE ASSESSMENT OF THEIR ABILITY TO PAY. THIS TEST CAPS TOTAL BALANCE DUE AT 25% OF TOTAL INCOME. A PATIENT ELIGIBLE FOR THE "MEANS TEST" DISCOUNT WILL NOT BE CHARGED MORE THAN THE CALCULATED AGB CHARGES. |
| SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES | THE HOSPITAL'S SUBSIDIZED HEALTH SERVICES INCLUDE THE EMERGENCY DEPARTMENT AND RURAL HEALTH CLINICS. |
| SCHEDULE H, PART I, LINE 7 BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION | 998657 |
| SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE | THE COST OF PROVIDING CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF-PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED. |
| SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES | SAINT ELIZABETH'S MEDICAL CENTER SUPPORTS A YOUTH READING PROGRAM. ACCORDING TO THE COUNTY HEALTH RANKINGS SITE, BETTER EDUCATED INDIVIDUALS LIVE LONGER, HEALTHIER LIVES THAN THOSE WITH LESS EDUCATION, AND THEIR CHILDREN ARE MORE LIKELY TO THRIVE. THIS IS TRUE EVEN WHEN FACTORS LIKE INCOME ARE TAKEN INTO ACCOUNT. SAINT ELIZABETH'S LEADERS PARTICIPATE IN MANY LOCAL ORGANIZATIONS AND COLLABORATIVE EFFORTS THAT HELP IMPROVE THE COMMUNITY. THESE INCLUDE THE LOCAL CHAMBER OF COMMERCE AND THE WABASHA AREA COMMUNITY RESOURCE CENTER. BY WORKING TOGETHER WITH OTHER ORGANIZATIONS IN THE COMMUNITY, WE EXPECT TO HAVE A GREATER IMPACT ON HEALTH. ACCORDING TO THE COUNTY HEALTH RANKINGS SITE, WITH A SHARED VISION AND COMMITMENT TO IMPROVED HEALTH, WORKING TOGETHER CAN YIELD BETTER RESULTS THAN WORKING ALONE. SAINT ELIZABETH MEDICAL CENTER PROVIDED JOB SHADOWING EXPERIENCES TO STUDENTS. ASSURING THAT RURAL COMMUNITIES HAVE A VIBRANT HEALTH CARE WORKFORCE IN THE FUTURE WILL HELP INCREASE ACCESS TO QUALITY OF CARE IN THE FUTURE. SAINT ELIZABETH MEDICAL CENTER ALSO CONDUCTS A COMMUNITY SHARPS PROGRAM. BY SAFELY REMOVING SHARPS FROM THE ENVIRONMENT, WE MAKE THE COMMUNITY SAFER IN TERMS OF INJURY AND INFECTION. |
| SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT | AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY GUNDERSEN HEALTH SYSTEM. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. AFTER APPLYING THE COST-TO-CHARGE RATIO, THE SHARE OF THE BAD DEBT EXPENSE WAS $0 IN 2023. |
| SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY | THE ORGANIZATION HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM; THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. |
| SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE | THE ORGANIZATION IS PART OF THE GUNDERSEN HEALTH SYSTEM'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSES THE BAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGE 8. |
| SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS | A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE EXPENSE TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT. ST. ELIZABETH'S HOSPITAL OF WABASHA, INC. FOLLOWS THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT. |
| SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE | THE ORGANIZATION FOLLOWS GUNDERSEN HEALTH SYSTEM'S GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED. |
| SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE | - SAINT ELIZABETH'S HOSPITAL OF WABASHA: LINE 16A URL: HTTPS://WWW.GUNDERSENHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE; |
| SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE | - SAINT ELIZABETH'S HOSPITAL OF WABASHA: LINE 16B URL: HTTPS://WWW.GUNDERSENHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE; |
| SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE | - SAINT ELIZABETH'S HOSPITAL OF WABASHA: LINE 16C URL: HTTPS://WWW.GUNDERSENHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE; |
| SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT | IN ADDITION TO THE CHNA REPORTED IN PART V, SECTION B, SAINT ELIZABETH'S MEDICAL CENTER USES BOTH HOSPITAL DATA AND RELIABLE, THIRD-PARTY REPORTS, INCLUDING DATA FROM GOVERNMENT SOURCES, TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. THESE REPORTS PROVIDE INFORMATION ABOUT KEY HEALTH, SOCIOECONOMIC, AND DEMOGRAPHIC INDICATORS THAT POINT TO AREAS OF NEED. SAINT ELIZABETH'S MEDICAL CENTER UTILIZES THIS INFORMATION TO DETERMINE DEVELOP PROGRAMS AND SERVICES TO BE PROVIDED FOR THE COMMUNITY. THESE NEEDS AND INITIATIVES ARE PRESENTED TO SENIOR LEADERSHIP AND BOARD MEMBERS TO ENSURE THE FINDINGS ARE CONSIDERED IN DEVELOPING THE ORGANIZATION'S SAINT ELIZABETH'S HOSPITAL OF WABASHA 41-0693877 STRATEGY, POLICY DEVELOPMENT, AND INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. |
| SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | THE 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, SOCIAL SERVICES, 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 IMPORTANT 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 COMMUNITY CARE POLICY WAS ALSO TRANSLATED INTO DIALECTS PREVALENT IN THE COMMUNITY IN ORDER TO REACH OUT TO THOSE THAT MAY SPEAK ANOTHER LANGUAGE (SPANISH). 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. |
| SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION | SAINT ELIZABETH'S MEDICAL CENTER PRIMARILY SERVES THE RESIDENTS OF WABASHA COUNTY, MINNESOTA, AND THE SURROUNDING COUNTIES IN A RURAL AREA OF EASTERN MINNESOTA AND WESTERN WISCONSIN. THE POPULATION OF WABASHA COUNTY IS APPROXIMATELY 21,000, WITH 7% OF RESIDENTS LIVING AT OR BELOW THE FEDERAL POVERTY THRESHOLD. THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $62,000. APPROXIMATELY 5% OF THE INDIVIDUALS LIVING IN THE COUNTY ARE UNINSURED AND 12.7% RECEIVE MEDICAID. WABASHA COUNTY IS A DESIGNATED PRIMARY CARE SHORTAGE AREA. THERE IS ONE HOSPITAL (SAINT ELIZABETH'S MEDICAL CENTER) IN WABASHA COUNTY. |
| SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH | THE ORGANIZATION STRIVES TO FURTHER ITS EXEMPT PURPOSES BY THE FOLLOWING: -THE ORGANIZATION'S GOVERNING BOARD CONSISTS OF A COMBINATION OF PERSONS WHO RESIDE WITHIN THE PRIMARY SERVICE AREA WHO ARE NOT EMPLOYEES OF THE ORGANIZATION, AS WELL AS REPRESENTATIVES AND EMPLOYEES OF OUR CORPORATE SPONSOR, GUNDERSEN HEALTH SYSTEM. -AS MENTIONED, THE ORGANIZATION PROVIDES SEVERAL SERVICES WHICH ARE NOT OTHERWISE AVAILABLE BEING IN A RURAL SETTING. -BASED ON THE ORGANIZATION'S MISSION, EMERGENCY ROOMS ARE MADE AVAILABLE TO ALL PATIENTS REGARDLESS OF THE ABILITY TO PAY. -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. EXAMPLES OF PROGRAMS THAT WERE ESTABLISHED IN THE TAX YEAR THAT RESPONDED TO COMMUNITY NEEDS INCLUDE: -THE FACILITY STRIVES TO BE A LOW-COST/LOW-CHARGE FACILITY. -ADVOCATE 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. - 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. BEYOND INPATIENT HOSPITALIZATIONS, WE PROVIDE LOCAL ACCESS TO DIALYSIS, DIAGNOSTICS, EMERGENCY SERVICES AND URGENT CARE, SURGICAL SERVICES, EXTENDED CARE, LABORATORY AND RADIOLOGY SERVICES, REHAB SERVICE, PRIMARY CARE, SPECIALTY MEDICINE, SLEEP ASSESSMENT SERVICES, RETAIL PHARMACY AND RESPIRATORY THERAPY SERVICES. |
| SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM | SAINT ELIZABETH'S HOSPITAL OF WABASHA, INC IS AFFILIATED WITH EMPLIFY. EMPLIFY IS AN INTEGRATED HEALTH CARE SYSTEM THAT PROVIDES COMPREHENSIVE MEDICAL CARE TO PATIENTS PRIMARILY IN WISCONSIN, AS WELL AS IN IOWA AND MINNESOTA, BY OPERATING HOSPITALS, CLINICS, HEALTH PLANS, LONG-TERM CARE FACILITIES, AMBULANCE SERVICES, A FOUNDATION, AND AN ENERGY-PRODUCING COMPANY, IN ADDITION TO PROVIDING MEDICAL AND HEALTH/WELLNESS EDUCATION AND COMMUNITY OUTREACH, AND CONDUCTING MEDICAL EDUCATION AND CLINICALLY BASED RESEARCH. AS PART OF ITS OVERALL STRATEGY, THE SYSTEM HAS AFFILIATED WITH SEVERAL CRITICAL ACCESS HOSPITALS (CAHS) THAT ENABLE HIGHLY TRAINED PHYSICIANS TO PROVIDE COMPREHENSIVE INPATIENT, OUTPATIENT, AND CLINICAL CARE SERVICES TO PATIENTS IN THEIR COMMUNITIES. |
| SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT | MN |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | CHARITY CARE | GrantTypeTxt |
| Recipient | 32 | RecipientCnt |
| Non Cash Assistance | $428,634 | NonCashAssistanceAmt |
| Valuation Method Used | BOOK | ValuationMethodUsedDesc |
| Non Cash Assistance | CHARITY CARE | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS | FormAndLineReferenceDesc |
| Explanation | THE FUNDS MADE TO INDIVIDUALS ARE GIVEN TO HELP PAY FOR MEDICAL BILLS OWED TO ST. ELIZABETH'S HOSPITAL THROUGH A CHARITY CARE APPLICATION PROCESS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL COENEN | ||||||||||||||
| BOARD OF DIRECTORS, ADMINISTRATOR | $0 | $133,985 | $0 | $0 | $0 | $31,464 | $0 | $23,568 | $0 | $24,154 | $0 | $213,171 | $0 | $0 |
| LLOYD HAAS | ||||||||||||||
| BOARD OF DIRECTORS, SOLUTION OWNER | $0 | $133,158 | $0 | $0 | $0 | $270 | $0 | $18,642 | $0 | $271 | $0 | $152,341 | $0 | $0 |
| REECE RYKAL | ||||||||||||||
| BOD, CLINICAL OPERATIONS DIRECTOR, GI SERVICES, GENERAL & TRAUMA SURGERY SERVICES, (BEG 1.1.25) | $0 | $109,315 | $0 | $0 | $0 | $2,927 | $0 | $14,458 | $0 | $23,559 | $0 | $150,259 | $0 | $0 |
| STEVE LITTLE | ||||||||||||||
| FORMER CHIEF FINANCIAL OFFICER | $0 | $209,856 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $209,856 | $0 | $0 |
| JOHN CEELEN | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $598,104 | $0 | $129,468 | $0 | $744 | $0 | $29,147 | $0 | $24,905 | $0 | $782,368 | $0 | $0 |
| SCOTT RATHGABER MD | ||||||||||||||
| CEO | $0 | $1,278,368 | $0 | $0 | $0 | $45,907 | $0 | $48,300 | $0 | $24,975 | $0 | $1,397,550 | $0 | $0 |
| JAMES ROOT | ||||||||||||||
| ADMINISTRATOR | $0 | $213,252 | $0 | $0 | $0 | $1,177 | $0 | $29,964 | $0 | $4,558 | $0 | $248,951 | $0 | $0 |
| JOHN WOLFE | ||||||||||||||
| FINANCE ADMINISTRATOR | $0 | $174,659 | $0 | $4,449 | $0 | $8,608 | $0 | $26,808 | $0 | $21,877 | $0 | $236,401 | $0 | $0 |
| KIMBERLY WOLTER | ||||||||||||||
| DIRECTOR, INPATIENT SERVICES - ST. ELIZABETH | $163,115 | $0 | $4,072 | $0 | $2,233 | $0 | $23,496 | $0 | $13,920 | $0 | $206,836 | $0 | $0 | $0 |
| KURT HENN | ||||||||||||||
| DIRECTOR, OUTPATIENT OPERATIONS & PHARMACY - ST. ELIZABETH | $202,953 | $0 | $4,858 | $0 | $737 | $0 | $29,094 | $0 | $1,467 | $0 | $239,109 | $0 | $0 | $0 |
| TRACY HENN | ||||||||||||||
| DIRECTOR, BUSINESS OPERATIONS - ST. ELIZABETH | $169,526 | $0 | $4,501 | $0 | $908 | $0 | $25,837 | $0 | $39,140 | $0 | $239,912 | $0 | $0 | $0 |
| STACY SASS | ||||||||||||||
| PHARMACIST - ST. ELIZABETH | $168,782 | $0 | $4,051 | $0 | $494 | $0 | $23,002 | $0 | $3,750 | $0 | $200,079 | $0 | $0 | $0 |
| AMANDA STERRY | ||||||||||||||
| CRNA - ST. ELIZABETH | $261,154 | $0 | $13,077 | $0 | $1,963 | $0 | $38,392 | $0 | $339 | $0 | $314,925 | $0 | $0 | $0 |
| MARK SWENSON | ||||||||||||||
| CRNA - ST. ELIZABETH | $240,704 | $0 | $0 | $0 | $1,970 | $0 | $30,529 | $0 | $9,447 | $0 | $282,650 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | CERTAIN INDIDVIDUALS LISTED IN SCHEDULE J, PART II, PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN TO WHICH THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS. THESE CONTRIBUTIONS ARE AT RISK AND DO NOT BECOME VESTED AND PAYABLE UNLESS AND UNTIL THE INDIVIDUAL SATISFIES A SUBSTANTIAL FUTURE SERVICE REQUIREMENT. THE FOLLOWING INDIVIDUALS HAD CONTRIBUTIONS MADE TO THE PLAN FOR CALENDAR YEAR 2024: JOHN CEELEN |
| SCHEDULE J, PART I, LINE 3 | ALL PERSONNEL SERVICES ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, LINE 15A | COMPENSATION IS DETERMINED BY A RELATED ORGANIZATION. COMPENSATION FOR THE CEO AND KEY EXECUTIVES ARE SET BY THE EXECUTIVE COMMITTEE OF THE BOARD SUPPORTED BY MARKET DATA FROM SURVEYS AND AN INDEPENDENT CONSULTANTS REPORT. THE COMPENSATION IS DETERMINED BY MEMBERS OF THE EXECUTIVE COMMITTEE WITHOUT CONFLICT AND IS DOCUMENTED. |
| FORM 990, PART VI, LINE 15B | SENIOR LEADERS: COMPENSATION IS DETERMINED BY A RELATED ORGANIZATION. COMPENSATION FOR THOSE WHO REPORT TO THE CEO IS TAKEN TO THE EXECUTIVE COMMITTEE FOR DISCUSSION/APPROVAL. |
| FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS | SAINT ELIZABETH'S HOSPITAL OF WABASHA, INC. HAS A SINGLE CORPORATE MEMBER, GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. |
| FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY | SAINT ELIZABETH'S HOSPITAL OF WABASHA, INC HAS A SINGLE CORPORATE MEMBER, GUNDERSEN LUTHERAN HEALTH SYSTEM, INC., WHO CAN ELECT MEMBERS TO THE GOVERNING BODY OF SAINT ELIZABETH'S HOSPITAL OF WABASHA, INC. |
| FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS | ALL DECISIONS THAT HAVE A MATERIAL IMPACT TO SAINT ELIZABETH'S HOSPITAL OF WABASHA, INC., FINANCIAL INFORMATION, OR CORPORATION ARE SUBJECT TO APPROVAL BY ITS SOLE CORPORATE MEMBER, GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. |
| FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY | THE FORM 990 IS REVIEWED BY THE ACCOUNTING MANAGER AND PRINCIPAL OFFICER. IT WILL BE MADE AVAILABLE FOR ALL BOARD MEMBERS BEFORE FILING. |
| FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY | GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. (GLAS) ANNUALLY REQUIRES EXECUTIVE LEADERSHIP (VICE PRESIDENTS AND ABOVE), BOARD MEMBERS, MEDICAL GOVERNORS AND FOUNDATION BOARD MEMBERS TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. COMPLETED DISCLOSURE STATEMENTS ARE REVIEWED BY A CONFLICT OF INTEREST REVIEW PANEL WHICH INCLUDES REPRESENTATIVES FROM LEGAL, COMPLIANCE, MEDICAL LEADERSHIP, HUMAN RESOURCES AND SUPPLY CHAIN. INDIVIDUALS REPORTING A POTENTIAL CONFLICT OF INTEREST ARE SENT A RESOLUTION THANKING THEM FOR THEIR SERVICE TO THE ORGANIZATION, ADVISING THEM OF ANY RESTRICTIONS RELATED TO THEIR CONFLICT (I.E. INDIVIDUALS WITH A RELATIONSHIP TO ANOTHER ORGANIZATION ARE ADVISED THAT THEY MUST ABSTAIN FROM DECISION MAKING THAT WOULD DIRECTLY AND SOLELY IMPACT GLAS) AND REMINDING THEM OF THEIR CONFIDENTIALITY OBLIGATIONS WITH RESPECT TO GLAS' HEALTHCARE, EMPLOYMENT AND PROPRIETARY INFORMATION. |
| FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC | REQUESTS FOR ALL DOCUMENTS ARE MADE THROUGH THE LEGAL DEPARTMENT AND THE APPROPRIATE DOCUMENTS ARE MADE AVAILABLE FOR INSPECTION IN THE LEGAL DEPARTMENT. |
| FORM 990, PART VIII, LINE 2F OTHER PROGRAM SERVICE REVENUE | COMMUNITY ED REVENUE - TOTAL REVENUE: 1200, RELATED OR EXEMPT FUNCTION REVENUE: 1200, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; |
| FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE | OTHER OPERATING REVENUE - TOTAL REVENUE: 19357, RELATED OR EXEMPT FUNCTION REVENUE: , UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: 19357; OTHER PURCHASED SERVICES REVENUE - TOTAL REVENUE: 15439, RELATED OR EXEMPT FUNCTION REVENUE: , UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: 15439; CONSULTING REVENUE - TOTAL REVENUE: 560, RELATED OR EXEMPT FUNCTION REVENUE: , UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: 560; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BELLIN GUNDERSEN HEALTH SYSTEM INC | ||||||||||
| 1836 SOUTH AVENUE | LA CROSSE | WI | 54601 | 920504278 | SUPPORT ORG | WI | 501(C)(3) | TYPE III-FI | NA | false |
| GUNDERSEN LUTHERAN HEALTH SYSTEM INC | ||||||||||
| 1836 SOUTH AVE | LA CROSSE | WI | 54601 | 391866425 | SUPPORT ORG | WI | 501(C)(3) | TYPE II | BGHS | false |
| GUNDERSEN LUTHERAN MEDICAL CENTER INC | ||||||||||
| 1910 SOUTH AVE | LA CROSSE | WI | 54601 | 390813416 | HEALTHCARE | WI | 501(C)(3) | 3 | GLHS | false |
| GUNDERSEN CLINIC LTD | ||||||||||
| 1836 SOUTH AVENUE | LA CROSSE | WI | 54601 | 391028657 | HEALTHCARE | WI | 501(C)(3) | 3 | GLHS | false |
| GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC | ||||||||||
| 1910 SOUTH AVE | LA CROSSE | WI | 54601 | 391606449 | SUPPORT ORG | WI | 501(C)(3) | TYPE II | GLHS | false |
| GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC | ||||||||||
| 1836 SOUTH AVENUE | LA CROSSE | WI | 54601 | 391249705 | FOUNDATION | WI | 501(C)(3) | 7 | GLHS | false |
| TRI-COUNTY MEMORIAL HOSPITAL INC | ||||||||||
| 18601 LINCOLN STREET | WHITEHALL | WI | 54773 | 390704510 | HEALTHCARE | WI | 501(C)(3) | 3 | GLHS | false |
| HARMONY COUMMUNITY HEALTHCARE INC | ||||||||||
| 815 MAIN AVE | SOUTH HARMONY | MN | 55939 | 410711606 | HEALTHCARE | WI | 501(C)(3) | 10 | GLHS | false |
| TWEETEN LUTHERAN HEALTHCARE CENTER INC | ||||||||||
| 125 FIFTH AVE SE | SPRING GROVE | MN | 55974 | 411565003 | HEALTHCARE | WI | 501(C)(3) | 10 | GLHS | false |
| TRI STATE AMBULANCE INC | ||||||||||
| 235 CAUSEWAY BOULEVARD | LA CROSSE | WI | 54603 | 391965415 | MEDICAL TRANSPORT | WI | 501(C)(3) | 3 | GLHS | false |
| TRI-STATE REGIONAL AMBULANCE INC | ||||||||||
| 235 CAUSEWAY BOULEVARD | LA CROSSE | WI | 54603 | 391962965 | MEDICAL TRANSPORT | WI | 501(C)(3) | 10 | GLHS | false |
| LUTHERAN REAL ESTATE HOLDING CORPORATION | ||||||||||
| 1910 SOUTH AVENUE | LA CROSSE | WI | 54601 | 391480826 | HOUSING | WI | 501(C)(3) | TYPE III-FI | GLHS | false |
| COMMUNITY HOUSING OF LA CROSSE INC | ||||||||||
| 1900 SOUTH AVENUE | LA CROSSE | WI | 54601 | 391586700 | INDEPENDENT LIVING | WI | 501(C)(3) | 10 | LREH CORP | false |
| LUTHERAN HOUSING OF LA CROSSE INC | ||||||||||
| 1900 SOUTH AVENUE | LA CROSSE | WI | 54601 | 391751934 | INDEPENDENT LIVING | WI | 501(C)(3) | 10 | LREH CORP | false |
| ST JOSEPH'S HEALTH SERVICES INC | ||||||||||
| 400 WATER AVE | HILLSBORO | WI | 54634 | 390929538 | HEALTHCARE | WI | 501(C)(3) | 3 | GLHS | false |
| ST JOSEPH MEMORIAL FOUNDATION INC | ||||||||||
| 400 WATER AVE | HILLSBORO | WI | 54634 | 391455787 | FOUNDATION | WI | 501(C)(3) | TYPE I | STJ HLTH SVC | false |
| TRI-COUNTY MEMORIAL FOUNDATION INC | ||||||||||
| 18601 LINCOLN STREET | WHITEHALL | WI | 54773 | 300093022 | FOUNDATION | WI | 501(C)(3) | TYPE I | TCH | false |
| MEMORIAL HOSPITAL OF BOSCOBEL | ||||||||||
| 205 PARKER STREET | BOSCOBEL | WI | 53805 | 390845590 | HEALTHCARE | WI | 501(C)(3) | 3 | GLHS | false |
| PALMER LUTHERAN HEALTH CENTER INC | ||||||||||
| 112 JEFFERSON STREET | WEST UNION | IA | 52175 | 421320763 | HEALTHCARE | WI | 501(C)(3) | 3 | GLHS | false |
| MOUNDVIEW MEMORIAL HOSPITALS AND CLINICS | ||||||||||
| 402 WEST LAKE STREET | FRIENDSHIP | WI | 53934 | 390944012 | HEALTHCARE | WI | 501(C)(3) | 3 | GLHS | false |
| MEMORIAL HEALTHCARE FOUNDATION INC (MOUNDVIEW) | ||||||||||
| 402 WEST LAKE STREET | FRIENDSHIP | WI | 53934 | 391775074 | FOUNDATION | WI | 501(C)(3) | TYPE I | MDV HOSP | false |
| BELLIN HEALTH SYSTEMS INC | ||||||||||
| 744 SOUTH WEBSTER AVE | GREEN BAY | WI | 54301 | 391512904 | SUPPORT ORG | WI | 501(C)(3) | TYPE II | BGHS | false |
| LAKE MICHIGAN HEALTH SERVICES INC | ||||||||||
| 744 SOUTH WEBSTER AVE | GREEN BAY | WI | 54301 | 391512903 | SUPPORT ORG | WI | 501(C)(3) | TYPE II | BHS | false |
| BELLIN COLLEGE INC | ||||||||||
| 3201 EATON ROAD | GREEN BAY | WI | 54311 | 391620530 | EDUCATION | WI | 501(C)(3) | 2 | BHS | false |
| BELLIN PSYCHIATRIC CENTER INC | ||||||||||
| PO BOX 23725 | GREEN BAY | WI | 54301 | 391657627 | HEALTHCARE | WI | 501(C)(3) | 3 | BHS | false |
| BELLIN MEMORIAL HOSPITAL INC | ||||||||||
| 744 SOUTH WEBSTER AVE | GREEN BAY | WI | 54301 | 390884478 | HEALTHCARE | WI | 501(C)(3) | 3 | BHS | false |
| THE BELLIN HEALTH FOUNDATION INC | ||||||||||
| PO BOX 23400 | GREEN BAY | WI | 54301 | 391809171 | FOUNDATION | WI | 501(C)(3) | 7 | BHS | false |
| OCONTO HOSPITAL & MEDICAL CENTER INC | ||||||||||
| 820 ARBUTUS AVENUE | OCONTO | WI | 54153 | 061745397 | HEALTHCARE | WI | 501(C)(3) | 3 | BMH | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BEL-REGIONAL HOME MEDICAL INC | |||||||||||||||
| 617 S ROOSEVELT | GREEN BAY | WI | 54301 | 391504766 | DURABLE MEDICAL EQUIPMENT, RETAIL PHARMACY, FITNESS | WI | NA | C CORPORATION | false | ||||||
| BG ASSURANCE COMPANY | |||||||||||||||
| SELF INSURANCE | NA | C CORPORATION | false | 20 GENESIS CLOSE PO BOX 30600 | GEORGE TOWN | GRAND CAYMAN | CJ | KY11203 | CJ | ||||||
| GUNDERSEN EDGE LLC | |||||||||||||||
| 1836 SOUTH AVENUE | LA CROSSE | WI | 54601 | 921783811 | INNOVATION | WI | NA | C CORPORATION | false | ||||||
| GUNDERSEN LUTHERAN ENVISION LLC | |||||||||||||||
| 1836 SOUTH AVENUE | LA CROSSE | WI | 54601 | 264706546 | RENEWABLE ENERGY | WI | NA | C CORPORATION | false | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Comments