Civic Intelligence

Columbia Health System Inc

EIN 39-1494977 • 501(c)3 • Mequon, WI

Profile

To be organized and operated exclusively for the benefit of, perform the functions of, and carry out the purposes of columbia center, inc., columbia st. Mary's foundation, inc., and columbia st. Mary's, inc. And its subsidiaries.

13125 N Port Washington RdMequon, WI 53097

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

89th percentile

0.52x

Higher debt load relative to assets than 89% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2018

Liabilities / Revenue

92nd percentile

0.52x

Higher debt load relative to revenue than 92% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2018

Net Margin

80th percentile

28%

Higher net margin than 80% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2018

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

97th percentile

239%

Faster asset growth than 97% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2017 to 2018

Revenue Growth

71st percentile

18%

Faster revenue growth than 71% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2017 to 2018

Assets

Down

$0

Down $472,897 (-100%) from 2018

Liabilities

Down

$0

Down $245,577 (-100%) from 2018

Net Assets

Down

$0

Down $227,320 (-100%) from 2018

Revenue

Down

$0

Down $474,742 (-100%) from 2018

Expenses

Down

$227,320

Down $114,639 (-34%) from 2018

Net Income

Down

-$227,320

Down $360,103 (-271%) from 2018

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$600K$400K$200K$0-$200K-$400KAssets 2010: $5,270Liabilities 2010: $86,003Net Assets 2010: -$80,7332010Assets 2011: $0Liabilities 2011: $128,754Net Assets 2011: -$128,7542011Assets 2012: $0Liabilities 2012: $163,126Net Assets 2012: -$163,1262012Assets 2013: $0Liabilities 2013: $176,089Net Assets 2013: -$176,0892013Assets 2014: $0Liabilities 2014: $215,859Net Assets 2014: -$215,8592014Assets 2015: $0Liabilities 2015: $110,529Net Assets 2015: -$110,5292015Assets 2016: $80,004Liabilities 2016: $95,384Net Assets 2016: -$15,3802016Assets 2017: $139,583Liabilities 2017: $45,046Net Assets 2017: $94,5372017Assets 2018: $472,897Liabilities 2018: $245,577Net Assets 2018: $227,3202018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019

Highlighted filing

2019

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$600K$400K$200K$0-$200K-$400KExpenses 2010: $359,8202010Expenses 2011: $368,0382011Expenses 2012: $354,3882012Revenue 2013: $320,016Expenses 2013: $332,979Net Income 2013: -$12,9632013Revenue 2014: $320,016Expenses 2014: $359,786Net Income 2014: -$39,7702014Revenue 2015: $465,818Expenses 2015: $360,488Net Income 2015: $105,3302015Revenue 2016: $360,782Expenses 2016: $265,633Net Income 2016: $95,1492016Revenue 2017: $403,295Expenses 2017: $293,378Net Income 2017: $109,9172017Revenue 2018: $474,742Expenses 2018: $341,959Net Income 2018: $132,7832018Revenue 2019: $0Expenses 2019: $227,320Net Income 2019: -$227,3202019

Highlighted filing

2019

Revenue$0
Expenses$227,320
Net Income-$227,320

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Mar 1, 2018 to Feb 28, 2019
Signed
Jul 10, 2019
Return Version
2018v3.1
Gross Receipts
$0
Mission and Program Overview

Mission

To be organized and operated exclusively for the benefit of, perform the functions of, and carry out the purposes of columbia center, inc., columbia st. Mary's foundation, inc., and columbia st. Mary's, inc. And its subsidiaries.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$472,897$0▼ $472,897
Cash and Non-Interest-Bearing Accounts-$0-
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$472,897$0▼ $472,897
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$244,474$0▼ $244,474
Other Liabilities$1,103$0▼ $1,103
Total Liabilities$245,577$0▼ $245,577
Net Assets / Fund Balance
Unrestricted Net Assets$227,320$0▼ $227,320
Total Net Assets Fund Balance$227,320$0▼ $227,320
Total Liabilities and Net Assets / Fund Balance$472,897$0▼ $472,897
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Elizabeth K SheplerCrnaPT$69,261$79,004$148,265
Vicki L PhillipsCrnaFT$97,035$27,394$124,429
Karen J CaseyPresident & CEOFT$112,046$9,508$121,554
James E TalleyCrnaFT$86,016$28,332$114,348
Jeffrey P TushausCrnaFT$88,500$16,744$105,244
Phillip H RohdeCrnaPT$70,241$9,257$79,498

Board Members and Trustees

NameTitle
Don S SchoonenbergBoard Member
Roberta M DrewsSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-227,320
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$227,320
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$227,320--$227,320
Total Functional Expenses$227,320$0$0$227,320
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
COLUMBIA ST MARY'S HOSPITAL OZAUKEE INCMequon, WI501(c)(3)Hospital Support-
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

Effective july 1, 2018, columbia health system, inc. Ceased all operations and transferred all assets to columbia st. Mary's hospital ozaukee, inc. The majority of the board of directors was terminated by december 2018 and will not review the final form 990 prior to filing with the internal revenue service.

Form 990, Part VI, Section B, Line 12C

Columbia health system, inc. Has a written conflict of interest policy. Effective july 1, 2018, columbia health system, inc. Ceased all operations and transferred all assets to columbia st. Mary's hospital ozaukee, inc. The majority of the board of directors was terminated by december 2018 and a conflict of interest survey was not given this year.

Form 990, Part VI, Section B, Line 15

15a & b. In determining compensation of the organization's ceo, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The compensation committee reviewed and approved the compensation. In the review of the compensation, the ceo was compared to other hospitals of similar size and scope in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in a memo from the board chair to the ceo. The ceo was not present when her compensation was decided. No other individuals are considered key employees or officers of the organization.

Form 990, Part VI, Section C, Line 19

The organization will provide governing documents, conflict of interest policy, and financial statements open to public inspection upon request.

Filing and Contact Details

Filer

Filer Name
Columbia Health System Inc
EIN
39-1494977
Phone
2629577370
Address
13125 N PORT WASHINGTON RD, MEQUON, WI 53097

Signing Officer

Name
Karen J Casey
Title
President & CEO
Phone
2629577370
Signed
2019-07-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Karen J Casey
Formed
2001
Legal Domicile
Wi
Voting Board Members
2
Independent Board Members
2
Employees
72
Volunteers
2

Preparer

Firm
Wipfli Llp
Address
PO BOX 12237, GREEN BAY, WI 54307-2237
Preparer
Terri Rexrode CPA Mst
Phone
9206620016
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

Effective july 1, 2018, columbia health system, inc. Ceased all operations and transferred all assets to columbia st. Mary's hospital ozaukee, inc.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/TitleTxt2PRESIDENT & CEO
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IRS990ScheduleI/RecipientTable/NonCashAssistanceDesc0ASSETS
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0HOSPITAL SUPPORT
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC
IRS990ScheduleI/RecipientTable/RecipientEIN0390807063
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt013111 N PORT WASHINGTON ROAD
IRS990ScheduleI/RecipientTable/USAddress/CityNm0MEQUON
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0WI
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd053097
IRS990ScheduleI/RecipientTable/ValuationMethodUsedDesc0BOOK VALUE
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/CompensationCommitteeInd0X
IRS990ScheduleJ/CompensationSurveyInd0X
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt0112046
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt197035
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt270241
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt386016
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt488500
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount118262
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount316436
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount416436
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt213697
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt3100
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0135343
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt141836
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2113692
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt383852
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt486804
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt03398
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt12950
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt22149
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt32434
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt012175
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt12762
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt25491
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt35272
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt44303
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt05475
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt15636
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt27008
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt39397
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt05627
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt12835
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt211056
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt312153
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt4522
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt0635
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt1546
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt2100
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt365
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt4308
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt03669
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt1365
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt249
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt364
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt4425
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0KAREN J CASEY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1VICKI L PHILLIPS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2PHILLIP H ROHDE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3JAMES E TALLEY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm4JEFFREY P TUSHAUS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT & CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1CRNA
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2CRNA
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3CRNA
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt4CRNA
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt0121554
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt1124429
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt279498
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt3114348
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt4105244
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0156814
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt147798
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt2143985
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt3101441
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt492054
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990ScheduleJ/WrittenEmploymentContractInd0X
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd01
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0NET ASSETS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt0COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02018-07-01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0390807063
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt0227320
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0BOOK VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt013111 N PORT WASHINGTON ROAD
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0MEQUON
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0WI
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd053097
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd01
IRS990ScheduleN/RequiredToNotifyAGInd01
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0PERSON(S) INVOLVED: KAREN CASEY
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt1EXPLANATION OF INVOLVEMENT: KAREN CASEY, PRESIDENT AND CEO, REMAINED EMPLOYED AFTER 2/28/19 IN A LIMITED CAPACITY, AND WILL COLLECT SEVERANCE THROUGH SEPTEMBER 30, 2020.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2E:
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 2E:
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0EFFECTIVE JULY 1, 2018, COLUMBIA HEALTH SYSTEM, INC. CEASED ALL OPERATIONS AND TRANSFERRED ALL ASSETS TO COLUMBIA ST. MARY'S HOSPITAL OZAUKEE, INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1EFFECTIVE JULY 1, 2018, COLUMBIA HEALTH SYSTEM, INC. CEASED ALL OPERATIONS AND TRANSFERRED ALL ASSETS TO COLUMBIA ST. MARY'S HOSPITAL OZAUKEE, INC. THE MAJORITY OF THE BOARD OF DIRECTORS WAS TERMINATED BY DECEMBER 2018 AND WILL NOT REVIEW THE FINAL FORM 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2COLUMBIA HEALTH SYSTEM, INC. HAS A WRITTEN CONFLICT OF INTEREST POLICY. EFFECTIVE JULY 1, 2018, COLUMBIA HEALTH SYSTEM, INC. CEASED ALL OPERATIONS AND TRANSFERRED ALL ASSETS TO COLUMBIA ST. MARY'S HOSPITAL OZAUKEE, INC. THE MAJORITY OF THE BOARD OF DIRECTORS WAS TERMINATED BY DECEMBER 2018 AND A CONFLICT OF INTEREST SURVEY WAS NOT GIVEN THIS YEAR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt315A & B. IN DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO WAS COMPARED TO OTHER HOSPITALS OF SIMILAR SIZE AND SCOPE IN THE AREA THAT HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN A MEMO FROM THE BOARD CHAIR TO THE CEO. THE CEO WAS NOT PRESENT WHEN HER COMPENSATION WAS DECIDED. NO OTHER INDIVIDUALS ARE CONSIDERED KEY EMPLOYEES OR OFFICERS OF THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ORGANIZATION WILL PROVIDE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART III, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00

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