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Nonprofiteer
← ASCENSION SE WISCONSIN HOSPITAL INC

Form 990 for tax year 2023

Filed by ASCENSION SE WISCONSIN HOSPITAL INC.

Totals

Total revenue
$388,395,661
Total expenses
$408,192,710
Contributions and grants received
$2,113,148
Grants paid
$645,348
Program service revenue
$384,012,459
Investment income
$5,896
Other revenue
$2,264,158
Total assets, end of year
$293,310,267
Total liabilities, end of year
$95,384,537
Net assets or fund balances, end of year
$197,925,730
Program services expenses (Part IX)
$309,863,329
Management and general expenses
$98,329,381
Fundraising expenses
$0
Program service expenses (Part III)
$309,863,329

Program services were 75.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $221,339

  • 1e · Government grants (contributions)

    $1,891,809

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $375,733,470 · related or exempt $375,733,470

  • 2b · Program service revenue: PHARMACY REVENUE

    total $4,736,001 · related or exempt $4,736,001

  • 2c · Program service revenue: SERVICES TO AFFILIATES

    total $3,515,286 · related or exempt $3,515,286

  • 2d · Program service revenue: CONTRACTED SERVICES REVENUE

    total $25,000 · related or exempt $25,000

  • 2e · Program service revenue: EXTERNAL PARTY REVENUE

    total $2,702 · related or exempt $2,702

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6a · Gross rents

    real property $819,208

  • 6c · Rental income or loss

    real property $819,208 · personal property $0

  • 6d · Net rental income or loss

    total $819,208 · excluded $819,208

  • 7a · Gross sales of assets other than inventory

    other assets $5,896

  • 7c · Gain or loss

    securities $0 · other assets $5,896

  • 7d · Net gain or loss

    total $5,896 · excluded $5,896

  • 10a · Gross sales of inventory

    $67,826

  • 10b · Cost of goods sold

    $24,054

  • 10c · Net income from sales of inventory

    total $43,772 · excluded $43,772

  • 11a · Other revenue: CAFETERIA/VENDING REVENUE

    total $1,237,166 · excluded $1,237,166

  • 11b · Other revenue: EDUCATION REVENUE

    total $111,888 · related or exempt $111,888

  • 11c · Other revenue: OTHER MISCELLANEOUS REVENUE

    total $52,660 · excluded $52,660

  • 11d · All other revenue

    total -$536 · related or exempt $12,276 · unrelated business $0 · excluded -$12,812

  • 11e · Other revenue, total

    $1,401,178

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $645,348 · program services $645,348

  • 5 · Compensation of officers, directors and key employees

    total $1,068,879 · management and general $1,068,879

  • 7 · Other salaries and wages

    total $112,608,643 · program services $99,736,921 · management and general $12,871,722

  • 8 · Pension plan contributions

    total $1,911,273 · program services $1,692,805 · management and general $218,468

  • 9 · Other employee benefits

    total $17,489,719 · program services $15,490,558 · management and general $1,999,161

  • 10 · Payroll taxes

    total $8,135,939 · program services $7,144,430 · management and general $991,509

  • 11a · Fees: management

    total $14,752 · program services $7,914 · management and general $6,838

  • 11c · Fees: accounting

    total $11,665 · management and general $11,665

  • 11d · Fees: lobbying

    total $20,346 · management and general $20,346

  • 11g · Fees: other

    total $21,089,671 · program services $18,057,952 · management and general $3,031,719 · fundraising $0

  • 12 · Advertising and promotion

    total $11,001 · program services $3,888 · management and general $7,113

  • 13 · Office expenses

    total $552,493 · program services $406,597 · management and general $145,896

  • 14 · Information technology

    total $51,815 · program services $51,815

  • 16 · Occupancy

    total $10,024,903 · program services $8,803,190 · management and general $1,221,713

  • 17 · Travel

    total $204,068 · program services $197,183 · management and general $6,885

  • 19 · Conferences, conventions and meetings

    total $95,762 · program services $92,572 · management and general $3,190

  • 22 · Depreciation, depletion and amortization

    total $12,729,255 · program services $11,177,969 · management and general $1,551,286

  • 23 · Insurance

    total $57,353 · program services $56,281 · management and general $1,072

  • 24a · Other expenses: PURCHASED SERVICES

    total $67,571,873 · program services $42,503,856 · management and general $25,068,017

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $62,123,188 · program services $61,205,129 · management and general $918,059

  • 24c · Other expenses: MANAGEMENT FEE TO AFFILIATE

    total $47,806,074 · management and general $47,806,074

  • 24d · Other expenses: MEDICAL FEES TO AFFILIATES

    total $26,336,880 · program services $26,336,880

  • 24e · All other expenses

    total $17,631,810 · program services $16,252,041 · management and general $1,379,769 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $13,884 · end of year $11,520

  • 2 · Savings and temporary cash investments

    beginning of year $465,431 · end of year $472,158

  • 3 · Pledges and grants receivable

    beginning of year $6,396 · end of year $201,467

  • 4 · Accounts receivable

    beginning of year $44,276,932 · end of year $64,445,098

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $11,208,477 · end of year $11,048,045

  • 9 · Prepaid expenses and deferred charges

    beginning of year $622,018 · end of year $1,206,060

  • 10a · Land, buildings and equipment: cost or other basis

    $313,761,383

  • 10b · Land, buildings and equipment: accumulated depreciation

    $129,564,313

  • 10c · Land, buildings and equipment, net

    beginning of year $194,497,450 · end of year $184,197,070

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $202,414 · end of year $312,103

  • 15 · Other assets

    beginning of year $45,248,737 · end of year $31,416,746

  • 17 · Accounts payable and accrued expenses

    beginning of year $17,025,134 · end of year $20,491,343

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $74,937,751 · end of year $74,893,194

  • 27 · Net assets without donor restrictions

    beginning of year $204,160,415 · end of year $197,436,563

  • 28 · Net assets with donor restrictions

    beginning of year $418,439 · end of year $489,167

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $0 · end of year $0

Mission and programs · 2023

Mission

ROOTED IN THE LOVING MINISTRY OF JESUS AS HEALER, WE COMMIT OURSELVES TO SERVING ALL PERSONS WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. OUR CATHOLIC HEALTH MINISTRY IS DEDICATED TO SPIRITUALLY-CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS.

Activities or mission (Part I)

TO IMPROVE THE HEALTH AND WELL-BEING OF ALL PEOPLE IN THE COMMUNITIES WE SERVE.

  • THE FILING ORGANIZATION IS A PART OF THE ASCENSION CATHOLIC HEALTH MINISTRY. ASCENSION IS A FAITH-BASED HEALTHCARE ORGANIZATION THAT DELIVERS PERSONALIZED, COMPASSIONATE CARE TO ALL, ESPECIALLY TO THOSE WHO NEED IT THE MOST. ASCENSION SE WISCONSIN HOSPITAL, INC. PROVIDES SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. INCLUDED IN ASCENSION SE WISCONSIN HOPISTAL, INC.'S LOCATIONS ARE: ELMBROOK MEMORIAL HOSPITAL - A 122 BED CAMPUS, FRANKLIN HOSPITAL - A 52 BED CAMPUS, AND ST. JOSEPH HOSPITAL - A 167 BED CAMPUS. DURING FISCAL YEAR 2004, ASCENSION SE WISCONSIN HOSPITAL, INC. TREATED 10,837 ADULTS AND CHILDREN FOR A TOTAL OF 51,501 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 358,720 OUTPATIENT VISITS, WHICH INCLUDED 6,586 OUTPATIENT SURGERIES AND 90,451 EMERGENCY ROOM VISITS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS.

    Expenses $309,863,329 · Grants $645,348 · Revenue $384,136,623

As filed on the 2023 return.

Listed in Part VII

  • Daniel W Jackson

    EX-OFFICIO/CEO, MINISTRY MARKET EXECUTIVE (START 8/2023)

    Total calculated
    $586,408
    From this org
    $0
    From related orgs
    $547,015
    Other
    $39,393
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $439,478 related
    Bonus
    $0 + $90,635 related
    Other
    $0 + $16,902 related
    Deferred
    $0 + $16,259 related
    Nontaxable benefits
    $0 + $23,134 related
    Filer's total
    $0 + $586,408 related

  • Kurt Ronald Schley

    EX-OFFICIO/PRESIDENT, ELMBROOK CAMPUS (START 1/2024)

    Total calculated
    $0
    Hours/week
    0 + 50 related

  • Lynne Briggs

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • Peter Stamas MD

    EX-OFFICIO/PRESIDENT, ST. JOSEPH CAMPUS

    Total calculated
    $666,868
    From this org
    $618,744
    From related orgs
    $0
    Other
    $48,124
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $423,200
    Bonus
    $131,325
    Other
    $64,219
    Deferred
    $19,800
    Nontaxable benefits
    $28,324
    Filer's total
    $666,868

  • Robert Vanhimbergen

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • Andre Storey

    EX-OFFICIO (START 12/2023)

    Total calculated
    $82,802
    From this org
    $0
    From related orgs
    $82,802
    Other
    $0
    Hours/week
    0 + 50 related

  • Bhagath Siripurapu MD

    EX-OFFICIO

    Total calculated
    $464,184
    From this org
    $0
    From related orgs
    $417,653
    Other
    $46,531
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $402,290 related
    Bonus
    $0 + $12,458 related
    Other
    $0 + $2,905 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $26,731 related
    Filer's total
    $0 + $464,184 related

  • Gerald J Nora MD

    EX-OFFICIO (END 9/2023)

    Total calculated
    $229,040
    From this org
    $0
    From related orgs
    $205,079
    Other
    $23,961
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $201,938 related
    Bonus
    $0 + $931 related
    Other
    $0 + $2,210 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $23,961 related
    Filer's total
    $0 + $229,040 related

  • Jerry Suriano MD

    EX-OFFICIO

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • John Joyce

    EX-OFFICIO

    Total calculated
    $670,612
    From this org
    $0
    From related orgs
    $626,275
    Other
    $44,337
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $426,902 related
    Bonus
    $0 + $154,000 related
    Other
    $0 + $45,373 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $27,837 related
    Filer's total
    $0 + $670,612 related

  • Jonathan H Berkoff MD

    EX-OFFICIO

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • Jonathon Matuszewski

    EX-OFFICIO

    Total calculated
    $326,990
    From this org
    $90,794
    From related orgs
    $193,613
    Other
    $42,583
    Hours/week
    50 + 50 related

    Schedule J breakdown matched by us

    Base
    $88,855 + $146,316 related
    Bonus
    $0 + $47,000 related
    Other
    $1,939 + $297 related
    Deferred
    $6,723 + $6,827 related
    Nontaxable benefits
    $9,778 + $19,255 related
    Filer's total
    $107,295 + $219,695 related

  • Joseph P Regan MD

    EX-OFFICIO

    Total calculated
    $63,863
    From this org
    $0
    From related orgs
    $63,863
    Other
    $0
    Hours/week
    1 + 9 related

  • Kaye-Eileen Willard MD

    EX-OFFICIO

    Total calculated
    $436,782
    From this org
    $0
    From related orgs
    $387,911
    Other
    $48,871
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $375,913 related
    Bonus
    $0
    Other
    $0 + $11,998 related
    Deferred
    $0 + $21,450 related
    Nontaxable benefits
    $0 + $27,421 related
    Filer's total
    $0 + $436,782 related

  • Kristin A McManmon

    EX-OFFICIO

    Total calculated
    $705,546
    From this org
    $0
    From related orgs
    $660,547
    Other
    $44,999
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $448,066 related
    Bonus
    $0 + $161,000 related
    Other
    $0 + $51,481 related
    Deferred
    $0 + $18,150 related
    Nontaxable benefits
    $0 + $26,849 related
    Filer's total
    $0 + $705,546 related

  • Mark T Catherall MD

    EX-OFFICIO

    Total calculated
    $409,977
    From this org
    $0
    From related orgs
    $354,173
    Other
    $55,804
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $319,522 related
    Bonus
    $0 + $30,240 related
    Other
    $0 + $4,411 related
    Deferred
    $0 + $21,051 related
    Nontaxable benefits
    $0 + $34,753 related
    Filer's total
    $0 + $409,977 related

  • Matthew Mokrohisky MD

    EX-OFFICIO

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • Sheila S Bhat MD

    EX-OFFICIO (START 10/2023 - END 3/2024)

    Total calculated
    $277,398
    From this org
    $0
    From related orgs
    $250,345
    Other
    $27,053
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $248,399 related
    Bonus
    $0
    Other
    $0 + $1,946 related
    Deferred
    $0 + $7,711 related
    Nontaxable benefits
    $0 + $19,342 related
    Filer's total
    $0 + $277,398 related

  • David A Mannes

    VP, FINANCE - ST. JOSEPH CAMPUS (START 2/2024)

    Total calculated
    $454,881
    From this org
    $0
    From related orgs
    $400,989
    Other
    $53,892
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $303,029 related
    Bonus
    $0 + $94,554 related
    Other
    $0 + $3,406 related
    Deferred
    $0 + $21,450 related
    Nontaxable benefits
    $0 + $32,442 related
    Filer's total
    $0 + $454,881 related

  • Elzbieta Trabinski

    FINANCE DIRECTOR - ELMBROOK CAMPUS (START 1/2024)

    Total calculated
    $202,315
    From this org
    $0
    From related orgs
    $168,166
    Other
    $34,149
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $151,912 related
    Bonus
    $0 + $15,935 related
    Other
    $0 + $319 related
    Deferred
    $0 + $8,871 related
    Nontaxable benefits
    $0 + $25,278 related
    Filer's total
    $0 + $202,315 related

  • Matthew Tyler Hanselman

    CFO, MINISTRY MARKET/INTERIM CEO, MINISTRY MARKET (END 8/2023)

    Total calculated
    $755,581
    From this org
    $0
    From related orgs
    $703,679
    Other
    $51,902
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $428,666 related
    Bonus
    $0 + $223,320 related
    Other
    $0 + $51,693 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $32,102 related
    Filer's total
    $0 + $755,581 related

  • Mary Jo Kohout RN

    VP, NURSING

    Total calculated
    $294,716
    From this org
    $260,297
    From related orgs
    $0
    Other
    $34,419
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $211,913
    Bonus
    $44,000
    Other
    $4,384
    Deferred
    $16,163
    Nontaxable benefits
    $18,256
    Filer's total
    $294,716

  • Bryan G Tollenaar

    PHYSICIST

    Total calculated
    $308,712
    From this org
    $261,541
    From related orgs
    $0
    Other
    $47,171
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $259,739
    Bonus
    $600
    Other
    $1,202
    Deferred
    $15,980
    Nontaxable benefits
    $31,191
    Filer's total
    $308,712

  • Julie A Giese RN

    RN, HOUSE SUPERVISOR

    Total calculated
    $334,795
    From this org
    $318,379
    From related orgs
    $0
    Other
    $16,416
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $312,819
    Bonus
    $5,500
    Other
    $60
    Deferred
    $15,479
    Nontaxable benefits
    $937
    Filer's total
    $334,795

  • Kenneth J Olszewski

    PHARMACIST

    Total calculated
    $206,310
    From this org
    $174,636
    From related orgs
    $0
    Other
    $31,674
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $172,700
    Bonus
    $900
    Other
    $1,036
    Deferred
    $11,765
    Nontaxable benefits
    $19,909
    Filer's total
    $206,310

  • Lovereet Sekhon RN

    REGISTERED NURSE

    Total calculated
    $195,576
    From this org
    $191,741
    From related orgs
    $0
    Other
    $3,835
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $191,741
    Bonus
    $0
    Other
    $0
    Deferred
    $3,835
    Nontaxable benefits
    $0
    Filer's total
    $195,576

  • Mohammad H Sawah

    SUPERVISOR, SLEEP LAB

    Total calculated
    $232,065
    From this org
    $201,627
    From related orgs
    $0
    Other
    $30,438
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $200,978
    Bonus
    $500
    Other
    $149
    Deferred
    $13,571
    Nontaxable benefits
    $16,867
    Filer's total
    $232,065

  • Jerry M Hardacre MD

    FORMER OFFICER (END 6/2020)

    Total calculated
    $535,702
    From this org
    $0
    From related orgs
    $486,002
    Other
    $49,700
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $426,406 related
    Bonus
    $0 + $49,650 related
    Other
    $0 + $9,946 related
    Deferred
    $0 + $21,450 related
    Nontaxable benefits
    $0 + $28,250 related
    Filer's total
    $0 + $535,702 related

  • Jonathan Sohn

    FORMER OFFICER (END 9/2021)

    Total calculated
    $1,510,234
    From this org
    $0
    From related orgs
    $1,448,615
    Other
    $61,619
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $532,198 related
    Bonus
    $0 + $820,765 related
    Other
    $0 + $95,652 related
    Deferred
    $0 + $21,450 related
    Nontaxable benefits
    $0 + $40,169 related
    Filer's total
    $0 + $1,510,234 related

  • Sheila D Gansemer RN

    FORMER KEY EMPLOYEE (END 12/2022)

    Total calculated
    $279,344
    From this org
    $0
    From related orgs
    $251,932
    Other
    $27,412
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $246,415 related
    Bonus
    $0 + $500 related
    Other
    $0 + $5,017 related
    Deferred
    $0 + $16,282 related
    Nontaxable benefits
    $0 + $11,130 related
    Filer's total
    $0 + $279,344 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY, AND -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • AHA HEALTHBRIDGE PARTNERS LLC

    N/A · SPECIALTY HOSPITAL · DE

    Directly controlled by NA

  • ALEXIAN REHABILITATION SERVICES LLC

    N/A · REHABILITATION HOSPITAL · IL

    Directly controlled by NA

  • ALLEGAN GENERAL HOSPITAL PAIN ADMINISTRATION SERVICES LLC

    N/A · PAIN MANAGEMENT · MI

    Directly controlled by NA

  • ALVERNO CLINICAL LABORATORIES LLC

    N/A · MEDICAL SERVICE · IN

    Directly controlled by NA

  • AMBULATORY SURGERY CENTER LP

    N/A · SURGERY CENTER · KS

    Directly controlled by NA

  • ASCENSION ALABAMA-REGENT ASC JV LLC

    N/A · HOLDING COMPANY FOR AMBULATORY SURGERY CENTER INVESTMENT · DE

    Directly controlled by NA

  • ASCENSION ALPHA FUND LLC

    N/A · INVESTMENTS · MO

    Directly controlled by NA

  • ASCENSION ATHO CARRY LP

    N/A · INVESTMENTS · DE

    Directly controlled by NA

  • ASCENSION BALTIMORE-REGENT ASC JV LLC

    N/A · HOLDING COMPANY FOR AMBULATORY SURGERY CENTER INVESTMENT · DE

    Directly controlled by NA

  • ASCENSION BINGHAMTON-REGENT ASC JV LLC

    N/A · HOLDING COMPANY FOR AMBULATORY SURGERY CENTER INVESTMENT · DE

    Directly controlled by NA

  • ASCENSION FLORIDA AND GULF COAST-REGENT ASC JV LLC

    N/A · HOLDING COMPANY FOR AMBULATORY SURGERY CENTER INVESTMENT · DE

    Directly controlled by NA

  • ASCENSION HEALTH AT HOME LLC

    N/A · INVESTMENTS · DE

    Directly controlled by NA

  • ASCENSION INDIANA-REGENT ASC JV LLC

    N/A · HOLDING COMPANY FOR AMBULATORY SURGERY CENTER INVESTMENT · DE

    Directly controlled by NA

  • ASCENSION KANSAS-REGENT ASC JV LLC

    N/A · HOLDING COMPANY FOR AMBULATORY SURGERY CENTER INVESTMENT · DE

    Directly controlled by NA

  • ASCENSION MEDICAL GROUP ST JOHN LLC

    N/A · MEDICAL GROUP · OK

    Directly controlled by NA

  • ASCENSION MICHIGAN-REGENT ASC JV LLC

    N/A · HOLDING COMPANY FOR AMBULATORY SURGERY CENTER INVESTMENT · DE

    Directly controlled by NA

  • ASCENSION OKLAHOMA-REGENT ASC JV LLC

    N/A · HOLDING COMPANY FOR AMBULATORY SURGERY CENTER INVESTMENT · DE

    Directly controlled by NA

  • ASCENSION TEXAS-REGENT ASC JV LLC

    N/A · HOLDING COMPANY FOR AMBULATORY SURGERY CENTER INVESTMENT · DE

    Directly controlled by NA

  • ASCENSION TOWERBROOK HEALTHCARE OPPORTUNITIES LP

    N/A · INVESTMENTS · NY

    Directly controlled by NA

  • ASCENSION VIA CHRISTI IMAGING MANHATTAN LLC

    N/A · RADIOLOGY SERVICES · KS

    Directly controlled by NA

  • ASCENSION WISCONSIN EMERUS JV LLC

    N/A · ACUTE CARE HOSPITALS · WI

    Directly controlled by NA

  • ASCENSION WISCONSIN-REGENT ASC JV LLC

    N/A · HOLDING COMPANY FOR AMBULATORY SURGERY CENTER INVESTMENT · DE

    Directly controlled by NA

  • AUSTIN CENTER FOR OUTPATIENT SURGERY LP

    N/A · ACUTE CARE HOSPITAL · TX

    Directly controlled by NA

  • BAPTIST WOMEN'S HEALTH CENTER LLC

    N/A · OWNS AND OPERATES SPECIALTY HOSPITAL · TN

    Directly controlled by NA

  • BELMONTHARLEM SURGERY CENTER LLC

    N/A · MEDICAL SERVICE · IL

    Directly controlled by NA

  • BONAVENTURE MEDICAL FOUNDATION LLC

    N/A · MANAGES MANAGED CARE CONTRACTS · DE

    Directly controlled by NA

  • BORGESS HEALTH PARTNERS LLC

    N/A · MANAGED CARE · MI

    Directly controlled by NA

  • CARMEL AMBULATORY SURGERY CENTER LLC

    N/A · AMBULATORY SURGERY CENTER · IN

    Directly controlled by NA

  • CB-AH PARALLEL FUND II LP

    N/A · INVESTMENTS · MA

    Directly controlled by NA

  • CEDAR PARK JV PARTNERS LLC

    N/A · HOLDING COMPANY FOR AMBULATORY SURGERY CENTER INVESTMENT · TX

    Directly controlled by NA

  • CENTRAL TEXAS LAUNDRY LLC

    N/A · LAUNDRY SERVICES · TX

    Directly controlled by NA

  • CHV II LP

    N/A · INVESTMENTS · DE

    Directly controlled by NA

  • CHV III LP

    N/A · INVESTMENTS · DE

    Directly controlled by NA

  • CHV IV LP

    N/A · INVESTMENTS · DE

    Directly controlled by NA

  • COLLABORATIVE HEALTH VENTURES V LP

    N/A · INVESTMENTS · DE

    Directly controlled by NA

  • CUMBERLAND BEHAVIORAL HEALTH LLC

    N/A · BEHAVIORAL CLINIC OPERATIONS · TN

    Directly controlled by NA

  • ENDOSCOPY CENTER LLC

    N/A · ENDOSCOPY CENTER · IN

    Directly controlled by NA

  • HAYS JV PARTNERS LLC

    N/A · HOLDING COMPANY FOR AMBULATORY SURGERY CENTER INVESTMENT · TX

    Directly controlled by NA

  • HOFFMAN ESTATES SURGERY CENTER LLC

    N/A · SURGERY CENTER · IL

    Directly controlled by NA

  • KANSAS SURGERY AND RECOVERY CENTER LLC

    N/A · SURGERY CENTER · KS

    Directly controlled by NA

  • KENOSHA DIGESTIVE HEALTH CENTER

    N/A · DIGESTIVE HEALTH · WI

    Directly controlled by NA

  • LOURDES HEALTH SUPPORT LLC

    N/A · MEDICAL EQUIPMENT PROVIDER · NY

    Directly controlled by NA

  • MIDDLE TENNESSEE IMAGING LLC

    N/A · DIAGNOSTIC IMAGING CENTER · TN

    Directly controlled by NA

  • MURFREESBORO DIAGNOSTIC IMAGING LLC

    N/A · DIAGNOSTIC IMAGING CENTER · TN

    Directly controlled by NA

  • NAAB ROAD SURGERY CENTER LLC

    N/A · AMBULATORY SURGERY CENTER · IN

    Directly controlled by NA

  • NEW YORK HOLDCO LLC

    N/A · AMBULATORY SURGERY CENTER · DE

    Directly controlled by NA

  • NORTHWEST HILLS JV PARTNERS LLC

    N/A · HOLDING COMPANY FOR ACUTE CARE HOSPITAL · TX

    Directly controlled by NA

  • OKLAHOMA CANCER SPECIALISTS REAL ESTATE COMPANY LLC

    N/A · REAL ESTATE HOLDING · OK

    Directly controlled by NA

  • OPEN MRI OF MICHIGAN

    N/A · MRI CENTER · MI

    Directly controlled by NA

  • ORTHOPEDIC SURGERY CENTER OF THE FOX VALLEY LLC

    N/A · SURGERY CENTER · WI

    Directly controlled by NA

  • PABHS-UCM RADONC JV LLC

    N/A · RADIATION ONCOLOGY SERVICES · IL

    Directly controlled by NA

  • PCAC GI JV LLC

    N/A · AMBULATORY SURGERY CENTER · IL

    Directly controlled by NA

  • PET LLC

    N/A · MEDICAL SERVICES · FL

    Directly controlled by NA

  • PFC ASSOCIATES LLC

    N/A · MEDICAL SERVICES · DC

    Directly controlled by NA

  • PREMIER RADIOLOGY WISCONSIN LLC

    N/A · RADIOLOGY · WI

    Directly controlled by NA

  • PRESENCE LAKESHORE GASTROENTEROLOGY LLC

    N/A · MEDICAL SERVICE · IL

    Directly controlled by NA

  • PROFESSIONAL CLINICAL LABORATORIES LLC

    N/A · MEDICAL SERVICES · IN

    Directly controlled by NA

  • RACINE DIGESTIVE HEALTH CENTER LLC

    N/A · DIGESTIVE HEALTH · WI

    Directly controlled by NA

  • RADS OF AMERICA LLC

    N/A · AMBULATORY SURGERY CENTER · TN

    Directly controlled by NA

  • SAINT THOMAS HOME RECOVERY CARE LLC

    N/A · MEDICAL AND REHABILITATION SERVICES · TN

    Directly controlled by NA

  • SAINT THOMAS REHABILITATION HOSPITAL LLC

    N/A · REHABILITATION HOSPITAL · KY

    Directly controlled by NA

  • SAINT THOMASUSP SURGERY CENTERS III LLC

    N/A · HOLDING COMPANY FOR AMBULATORY SURGERY CENTER INVESTMENT · TN

    Directly controlled by NA

  • SOUTH COAST REAL ESTATE VENTURE LLC

    N/A · OWN REAL ESTATE FOR A PHYSICIAN OFFICE BUILDING · MS

    Directly controlled by NA

  • ST VINCENT HEART CENTER OF INDIANA LLC

    N/A · HEART HOSPITAL · IN

    Directly controlled by NA

  • ST VINCENT'S OUTPATIENT SURGERY SERVICES LLC

    N/A · OUTPATIENT SURGERY · AL

    Directly controlled by NA

  • ST VINCENT'S SLEEP DISORDER CENTER LLC

    N/A · SLEEP DISORDER CENTER · AL

    Directly controlled by NA

  • STHS SLEEP CENTER LLC

    N/A · OPERATES A SLEEP CENTER · TN

    Directly controlled by NA

  • STONEGATE JV PARTNERS LLC

    N/A · HOLDING COMPANY FOR AMBULATORY SURGERY CENTER INVESTMENT · TX

    Directly controlled by NA

  • SVHS-SCA EMERALD COAST JV LLC

    N/A · HOLDING COMPANY FOR AMBULATORY SURGERY CENTER INVESTMENT · FL

    Directly controlled by NA

  • SVHS-SCA FLORIDA JV LLC

    N/A · HOLDING COMPANY FOR AMBULATORY SURGERY CENTER INVESTMENT · FL

    Directly controlled by NA

  • TOWNE CENTRE SURGERY CENTER LLC

    N/A · OUTPATIENT SERVICES · MI

    Directly controlled by NA

  • VIA CHRISTI MERCY CLINIC LLC

    N/A · MEDICAL SERVICES · KS

    Directly controlled by NA

  • WOODBRIDGE CENTER LLC

    N/A · AMBULATORY SURGERY CENTER · MI

    Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • AFFILIATED HEALTH SERVICES INC

    C Corporation · MEDICAL SERVICES · MI · controlled entity

    Directly controlled by NA

  • AFFILIATED MEDICAL SERVICES LABORATORY INC

    C Corporation · MEDICAL LABORATORY · KS · controlled entity

    Directly controlled by NA

  • AH INCUBATIONS ACCELERATOR INC

    C Corporation · MEDICAL SERVICE · MO · controlled entity

    Directly controlled by NA

  • ALEXIAN BROTHERS CORPUS CHRISTI HOUSING PROJECT LLC

    C Corporation · HOUSING · MO · controlled entity

    Directly controlled by NA

  • ALEXIAN BROTHERS HEALTH PROVIDERS ASSOCIATION INC

    C Corporation · MESSENGER MODEL IPA · IL · controlled entity

    Directly controlled by NA

  • ALEXIAN VILLAGE OF ELK GROVE

    C Corporation · Tax credit financed housing · IL · controlled entity

    Directly controlled by NA

  • AMITA HEALTH CLINICALLY INTEGRATED NETWORK LLC

    C Corporation · MANAGED CARE · IL · controlled entity

    Directly controlled by NA

  • ASCENSION CAPITAL UK LIMITED

    C Corporation · INSURANCE · UK · controlled entity

    Directly controlled by NA

  • ASCENSION CARE MANAGEMENT HEALTH PARTNERS TENNESSEE

    C Corporation · ACCOUNTABLE CARE ORGANIZATION · TN · controlled entity

    Directly controlled by NA

  • ASCENSION CARE MANAGEMENT HEALTH PARTNERS INC

    C Corporation · MEDICAL SERVICE · MO · controlled entity

    Directly controlled by NA

  • ASCENSION CARE MANAGEMENT HOLDINGS LTD AND SUBSIDIARIES

    C Corporation · INSURANCE AND TPA · MI · controlled entity

    Directly controlled by NA

  • ASCENSION HEALTH INSURANCE LIMITED

    C Corporation · INSURANCE · CJ · controlled entity

    Directly controlled by NA

  • ASCENSION HEALTH RISK PURCHASING GROUP INC

    C Corporation · SUPPORTING ORGANIZATION · MO · controlled entity

    Directly controlled by NA

  • ASCENSION MEDICAL GROUP VIA CHRISTI PA

    C Corporation · PROFESSIONAL ASSOCIATION · KS · controlled entity

    Directly controlled by NA

  • ASCENSION VENTURES CORPORATION

    C Corporation · MISC HEALTHCARE SERVICES · AL · controlled entity

    Directly controlled by NA

  • ASV ST JOHN'S COUNTY INC

    C Corporation · ACUTE CARE HOSPITAL · FL · controlled entity

    Directly controlled by NA

  • BAPTIST HEALTH CARE VENTURES INC

    C Corporation · HOLDING COMPANY · TN · controlled entity

    Directly controlled by NA

  • BAYLEY CONDOMINIUM ASSOCIATION

    C Corporation · CONDOMINIUM ASSOCIATION · AL · controlled entity

    Directly controlled by NA

  • BEECHER BALLENGER SERVICES INC AND SUBSIDIARIES

    C Corporation · HOLDING COMPANY · MI · controlled entity

    Directly controlled by NA

  • CARONDELET MEDICAL GROUP INC

    C Corporation · MEDICAL GROUP · AZ · controlled entity

    Directly controlled by NA

  • CARONDELET SPECIALIST GROUP INC

    C Corporation · PHYSICIAN PRACTICE · AZ · controlled entity

    Directly controlled by NA

  • CHV V CP BLOCKER CORP

    C Corporation · INVESTMENT · DE · controlled entity

    Directly controlled by NA

  • CLINICAL HOLDINGS CORPORATION

    C Corporation · HOLDING COMPANY · MO · controlled entity

    Directly controlled by NA

  • CONSOLIDATED PHARMACY SERVICES INC AND SUBSIDIARIES

    C Corporation · RETAIL PHARMACY & PATIENT TRANSPORT · FL · controlled entity

    Directly controlled by NA

  • CORBETT CORPORATION

    C Corporation · Property Management · NY · controlled entity

    Directly controlled by NA

  • CRITTENTON DEVELOPMENT CORPORATION AND SUBSIDIARIES

    C Corporation · REAL ESTATE · MI · controlled entity

    Directly controlled by NA

  • DELL CHILDREN'S HEALTH ALLIANCE

    C Corporation · HEALTH SERVICES · TX · controlled entity

    Directly controlled by NA

  • FAMILY MEDICINE CENTER CONDOMINIUM ASSOCIATION INC

    C Corporation · CONDOMINIUM ASSOCIATION · FL · controlled entity

    Directly controlled by NA

  • FRANKLIN MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION INC

    C Corporation · CONDO ASSOCIATION · WI · controlled entity

    Directly controlled by NA

  • GULF COAST DIVERSIFIED INC

    C Corporation · INVESTMENT · FL · controlled entity

    Directly controlled by NA

  • INDIAN CREEK CENTER INC

    C Corporation · MANAGEMENT · MO · controlled entity

    Directly controlled by NA

  • INTEGRATED HEALTHCARE SYSTEMS INC

    C Corporation · CLINIC SERVICES · KS · controlled entity

    Directly controlled by NA

  • MADISON MEDICAL AFFILIATES INC

    C Corporation · HEALTHCARE · WI · controlled entity

    Directly controlled by NA

  • MID-STATE PROPERTIES INC

    C Corporation · INACTIVE · TN · controlled entity

    Directly controlled by NA

  • MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC

    C Corporation · HEALTHCARE SERVICES · MS · controlled entity

    Directly controlled by NA

  • PRESENCE SERVICE CORPORATION

    C Corporation · MEDICAL · IL · controlled entity

    Directly controlled by NA

  • PRESENCE VENTURES INC and SUBSIDIARY

    C Corporation · MEDICAL · IL · controlled entity

    Directly controlled by NA

  • PROVIDENCE PARK INC

    C Corporation · REAL ESTATE · AL · controlled entity

    Directly controlled by NA

  • RESOURCE PHARMACIES INC

    C Corporation · RETAIL PHARMACY · DC · controlled entity

    Directly controlled by NA

  • SETON HEALTH ALLIANCE

    C Corporation · HEALTH SERVICES · TX · controlled entity

    Directly controlled by NA

  • SETON HEALTH PLAN INC

    C Corporation · HMO · TX · controlled entity

    Directly controlled by NA

  • SETON INSURANCE COMPANY

    C Corporation · HEALTH SERVICES · TX · controlled entity

    Directly controlled by NA

  • SETON MSO INC

    C Corporation · HEALTH SERVICES · TX · controlled entity

    Directly controlled by NA

  • SETON PHYSICIAN HOSPITAL NETWORK AND SUBSIDIARIES

    C Corporation · HEALTH SERVICES · TX · controlled entity

    Directly controlled by NA

  • SOVA INC

    C Corporation · HEALTH SERVICES · TN · controlled entity

    Directly controlled by NA

  • ST AGNES HEALTH VENTURES INC

    C Corporation · HOLDING COMPANY · MD · controlled entity

    Directly controlled by NA

  • ST JOSEPH HEALTH ENTERPRISES INC

    C Corporation · OTHER MEDICAL · MI · controlled entity

    Directly controlled by NA

  • ST MARY'S MEDICAL GROUP INC

    C Corporation · INVESTMENT · IN · controlled entity

    Directly controlled by NA

  • SUNFLOWER ASSURANCE LTD

    C Corporation · INSURANCE · CJ · controlled entity

    Directly controlled by NA

  • TEXTILE SYSTEMS INC

    C Corporation · LAUNDRY SERVICES · MI · controlled entity

    Directly controlled by NA

  • THE PROSPECT MEDICAL COMMONS CONDOMINIUM ASSOCIATION INC

    C Corporation · CONDO ASSOCIATION · WI · controlled entity

    Directly controlled by NA

  • THELEN CORPORATION

    C Corporation · OWNS/LEASES PROPERTY; JOINT VENTURE PARTNER · IL · controlled entity

    Directly controlled by NA

  • TRAVEL SERVICES CORPORATION

    C Corporation · TRAVEL SERVICES · MO · controlled entity

    Directly controlled by NA

  • UTICA SERVICES INC AND SUBSIDIARIES

    C Corporation · MEDICAL SERVICES · OK · controlled entity

    Directly controlled by NA

  • VCH IOWA PC

    C Corporation · PROFESSIONAL ASSOCIATION · IA · controlled entity

    Directly controlled by NA

  • VCH IOWA PC TRUST

    Trust · BENEFICIARY TRUST · IA · controlled entity

    Directly controlled by NA

  • VIA CHRISTI CLINIC SERVICES INC

    C Corporation · CLINIC SERVICES · KS · controlled entity

    Directly controlled by NA

  • VIA CHRISTI HEALTH ALLIANCE IN ACCOUNTABLE CARE INC

    C Corporation · ACO · KS · controlled entity

    Directly controlled by NA

  • VINCENTIAN VENTURES OF NORTH ALABAMA INC AND SUBSIDIARIES

    C Corporation · MISC HEALTHCARE SERVICES · AL · controlled entity

    Directly controlled by NA

  • WHEATON FRANCISCAN PROVIDER NETWORK INC

    C Corporation · PROVIDER CONTRACT · WI · controlled entity

    Directly controlled by NA

  • WHEATON WAY CONDOMINIUM OWNERS ASSOCIATION INC

    C Corporation · CONDO ASSOCIATION · WI · controlled entity

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2023
Filed
13 May 2025
IRS schema version
2023v6.0
Source object
202501339349305010

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