St Croix Valley Shared Services Inc, Heartland Home Care Network in Baldwin, Wisconsin (WI)

St Croix Valley Shared Services Inc, Heartland Home Care Network
Employer Identification Number (EIN)	391791601
Name of Organization	St Croix Valley Shared Services Inc
Secondary Name	Heartland Home Care Network
Address	2231 Hwy 12 Ste 201, Baldwin, WI 54002
Activities	Cooperative hospital service organization
Subsection	Charitable Organization
Ruling Date	03/1996
Deductibility	Contributions are deductible
Foundation	Organization that normally receives no more than one third of its support from gross investment income and unrelated business income and at the same time more than one third of its support from contributions, fees, and gross receipts related to exempt purposes
Organization	Corporation
Exempt Organization Status	Unconditional Exemption
Tax Period	12/2013
Assets	$1,000,000 to $4,999,999
Income	$5,000,000 to $9,999,999
Filing Requirement	990 (all other) or 990EZ return
Asset Amount	$1,462,969
Amount of Income	$5,343,208
Form 990 Revenue Amount	$5,343,208
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Community Health Systems

Non-representatives - add comments:

Amount of income in 2013: $5,343,208 (it was $4,320,320 in 2012)

St Croix Valley Shared Services Inc, Heartland Home Care Network:	$5,343,208
Other organizations performing similar types of work:	$1,843,198

Assets in 2013: $1,462,969 (it was $1,428,880 in 2012)

This organization:	$1,462,969
Other organizations performing similar types of work:	$2,785,898

Expenses in 2013: $5,218,298

St Croix Valley Shared Services Inc, Heartland Home Care Network:	$5,218,298
Other organizations performing similar types of work:	$976,340

Income to expenses ratio in 2013: 1.0

St Croix Valley Shared Services Inc, Heartland Home Care Network:	1.0
Other organizations performing similar types of work:	3.2

Number of employees in 2013: 98

St Croix Valley Shared Services Inc, Heartland Home Care Network:	98
Other organizations performing similar types of work:	2

Employees paid over $100,000 in 2013: 1.0%

St Croix Valley Shared Services Inc, Heartland Home Care Network:	1.0%
Other organizations performing similar types of work:	0.0%

Grants share in income in 2013: 12.8%

This organization:	12.8%
Other organizations performing similar types of work:	86.3%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

Support schedule

	2012	2013
Checklist
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?	Yes	Yes
Is the organization required to complete Schedule B, Schedule of Contributors?	Yes	Yes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?	No	No
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?	No	No
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?	No	No
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?	No	No
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?	No	No
Did the organization maintain collections of works of art, historical treasures, or other similar assets?	No	No
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?	No	No
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?	No	No
Did the organization report an amount for land, buildings, and equipment?	Yes	Yes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?	No	No
Did the organization report an amount for investments-program related that is 5% or more of its total assets?	No	No
Did the organization report an amount for other assets that is 5% or more of its total assets?	No	No
Did the organization report an amount for other liabilities?	No	No
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?	Yes	Yes
Did the organization obtain separate, independent audited financial statements for the tax year?	Yes	Yes
Was the organization included in consolidated, independent audited financial statements for the tax year?	No	No
Is the organization a school described in section 170(b)(1)(A)(ii)?	No	No
Did the organization maintain an office, employees, or agents outside of the United States?	No	No
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?	No	No
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?	No	No
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?	No	No
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?	No	No
Did the organization report more than $15,000 total of fundraising event gross income and contributions?	No	No
Did the organization report more than $15,000 of gross income from gaming activities?	No	No
Did the organization operate one or more hospital facilities?	No	No
Did the organization attach a copy of its audited financial statements?	No	No
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?	No	No
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?	No	No
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?	No	Yes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?	No	No
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?	No	No
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?	No	No
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?	No	No
Did the organization engage in an excess benefit transaction with a disqualified person during the year?	No	No
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?	No	No
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?	No	No
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?	No	No
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?	No	No
A family member of a current or former officer, director, trustee, or key employee?	No	No
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?	No	No
Did the organization receive more than $25,000 in non-cash contributions?	Yes	Yes
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?	No	No
Did the organization liquidate, terminate, or dissolve and cease operations?	No	No
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?	No	Yes
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?	No	No
Was the organization related to any tax-exempt or taxable entity?	No	Yes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?	No	No
Did the organization make any transfers to an exempt non-charitable related organization?	No	No
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?	No	No

	2011	2012	2013
Statements Regarding Other IRS Filings and Tax Compliance
The number reported in Box 3 of Form 1096		9	14
The number of Forms W-2G		0	0
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?		Yes	No
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return		79	98
Did the organization file all required federal employment tax returns?		Yes	Yes
Did the organization have unrelated business gross income of $1,000 or more during the year?	No	No	No
Has it filed a Form 990-T for this year?		No	No
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?		No	No
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?		No	No
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?		No	No
Did the organization file Form 8886-T?		No	No
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?		No	No
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?		No	No
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?		No	No
Did the organization notify the donor of the value of the goods or services provided?		No	No
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?		No	No
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?		No	No
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?		No	No
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?		No	No
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?		No	No
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?		No	No
Did the sponsoring organization make any taxable distributions under section 4966?		No	No
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?		No	No
Initiation fees and capital contributions	$0	$0	$0
Gross receipts for public use of club facilities	$0	$0	$0
Gross income from members or shareholders	$0	$0	$0
Gross income from other sources	$0	$0	$0
Is the organization filing Form 990 in lieu of Form 1041?		No	No
The amount of tax-exempt interest received or accrued during the year		$0	$0
Is the organization licensed to issue qualified health plans in more than one state?		No	No
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans		$0	$0
The amount of reserves on hand		$0	$0
Did the organization receive any payments for indoor tanning services during the tax year?		No	No
Has it filed a Form 720 to report these payments?		No	No

	2012	2013
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization	$185,389	$189,560
Total reportable compensation from related organizations	$0	$375,247
Total estimated amount of other compensation from the organization and related organizations	$5,988	$52,523
Total number of individuals who received more than $100,000 of reportable compensation from the organization	1	1
Total number of independent contractors who received more than $100,000 of compensation from the organization	0	0

	2011	2012	2013
Statement of Revenue
Total revenue	$3,644,323	$4,320,320	$5,343,208
Contributions, Gifts, Grants and Other Similar Amounts	$42,225	$41,972	$682,709
Program Service Revenue	$3,592,586	$4,267,712	$4,651,980
Home Health Care Services		$1,931,028	$2,166,821
Home Health Care Services		$1,725,505	$1,852,555
Used Merchandise Stores		$610,526	$629,980
All other program service revenue		$653	$2,624
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$699	$702	$748
Income from investment of tax-exempt bond proceeds	$0	$0	$0
Royalties	$0	$0	$0
Net rental income	$0	$0	$0
Net gain/loss from sales of assets other than inventory	$0	$0	$0
Net income/loss from fundraising events	$8,813	$9,934	$7,771
Gross income from fundraising events	$8,813	$9,934	$7,771
Less: direct expenses	$0	$0	$0
Net income/loss from gaming activities	$0	$0	$0
Net income/loss from sales of inventory	$0	$0	$0
Miscellaneous Revenue	$0	$0	$0

	2011	2012	2013
Statement of Functional Expenses
Total functional expenses	$3,596,057	$4,079,349	$5,218,298
Grants and other assistance to domestic organizations and domestic governments		$0	$0
Grants and other assistance to domestic individuals		$0	$0
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals		$0	$0
Benefits paid to or for members		$0	$0
Compensation of current officers, directors, trustees, and key employees	$174,105	$191,377	$196,684
Compensation not included above, to disqualified persons		$0	$0
Other salaries and wages	$2,100,420	$2,409,758	$2,756,591
Pension plan accruals and contributions		$14,931	$20,751
Other employee benefits		$141,188	$169,417
Payroll taxes	$176,696	$199,593	$217,527
Fees for services (non-employees)
Management		$0	$0
Legal		$0	$0
Accounting		$0	$0
Lobbying		$0	$0
Professional fundraising services	$0	$0	$0
Investment management fees		$0	$0
Other		$275,722	$292,610
Advertising and promotion		$18,591	$32,097
Office expenses		$133,142	$30,057
Information technology		$0	$0
Royalties		$0	$0
Occupancy		$254,596	$165,516
Travel		$162,904	$193,237
Payments of travel or entertainment expenses for any federal, state, or local public officials		$0	$0
Conferences, conventions, and meetings		$20,246	$24,201
Interest		$0	$0
Payments to affiliates		$0	$0
Depreciation, depletion, and amortization		$0	$70,780
Insurance		$2,400	$22,875
Other expenses		$191,470	$637,751
Other expenses		$32,178	$213,548
Other expenses		$26,998	$92,040
Other expenses		$4,255	$40,355
Other expenses		$0	$42,261

	2011	2012	2013
Balance Sheet
Total assets	$1,087,061	$1,428,880	$1,462,969
Cash - non-interest-bearing		$0	$0
Savings and temporary cash investments		$680,381	$710,812
Pledges and grants receivable, net		$0	$0
Accounts receivable, net		$432,168	$459,360
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees		$0	$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations		$0	$0
Notes and loans receivable, net		$0	$0
Inventories for sale or use		$12,101	$12,846
Prepaid expenses and deferred charges		$49,834	$48,192
Land, buildings, and equipment: cost or other basis		$254,396	$231,759
Investments - publicly traded securities		$0	$0
Investments - other securities		$0	$0
Investments - program-related		$0	$0
Intangible assets		$0	$0
Other assets		$0	$0
Total liabilities	$391,404	$492,252	$701,431
Accounts payable and accrued expenses		$387,987	$476,405
Grants payable		$0	$0
Deferred revenue		$0	$0
Tax-exempt bond liabilities	$0	$0	$0
Escrow or custodial account liability		$0	$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons		$0	$0
Secured mortgages and notes payable to unrelated third parties	$96,339	$104,265	$225,026
Unsecured notes and loans payable to unrelated third parties	$0	$0	$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)		$0	$0
Total net assets or fund balances	$695,657	$936,628	$761,538
Unrestricted net assets		$936,628	$761,538
Temporarily restricted net assets		$0	$0
Permanently restricted net assets		$0	$0
Capital stock or trust principal, or current funds		$0	$0
Paid-in or capital surplus, or land, building, or equipment fund		$0	$0
Retained earnings, endowment, accumulated income, or other funds	$0	$0	$0

Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:	An organization that normally receives: (1) more than 33 1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975
Number of organizations supported	0
Sum of amounts of support	$0

	2009 - 2013 Total
Support Schedule for Organizations Described in Section 509(a)(2) (for 2009 - 2013)
Public support	$19,352,112
Subtotal	$19,352,112
Gifts, grants, contributions, and membership fees received	$215,219
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose	$16,031,190
Gross receipts from activities that are not an unrelated trade or business under section 513	$3,105,703
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf	$0
The value of services or facilities furnished by a governmental unit to the organization without charge	$0
Less	$0
Amounts received from disqualified persons	$0
Amounts received from other than disqualified persons that exceed the greater of $5,000 or 1% of the total support	$0
Total support	$19,356,919
Public support	$19,352,112
Subtotal	$4,807
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources	$4,807
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975	$0
Net income from unrelated business activities, whether or not the business is regularly carried on	$0
Other income	$0

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Id	Name	Address	State	Established	Total Income
Organizations performing similar types of work
1	University Hospitals Geauga Medical Center	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$84,760,000
2	U T Physicians	6431 Fannin Street Jjl 475, Houston, TX 77030-1501	TX	1997-03	$82,127,003
3	Torrance Memorial Medical Center Health Care Foundation	3330 Lomita Blvd, Torrance, CA 90505-5002	CA	1981-02	$44,276,076
4	Saginaw Cooperative Hospitals Inc, Cmu Medical Education Partners	1000 Houghton Ave, Saginaw, MI 48602-5303	MI	1970-03	$26,782,121
5	Suburban Hospital Foundation Inc	8600 Old Georgetown Rd, Bethesda, MD 20814-1497	MD	1997-12	$24,784,011
6	Southeast Regional Primary Care Corporation	PO BOX 1048, Vidalia, GA 30475-1048	GA	1996-07	$23,679,018
7	St Vincent Jennings Hospital Inc	301 Henry St, North Vernon, IN 47265-1030	IN	1946-03	$21,809,413
8	Sacred Heart Healthcare System	421 Chew St, Allentown, PA 18102-3406	PA	1987-06	$18,963,617
9	Milwaukee Regional Medical Center Inc	2661 Aviation Rd, Waukesha, WI 53188-6903	WI	1972-02	$18,647,282
10	Unihealth Foundation	800 Wilshire Blvd Ste 1300, Los Angeles, CA 90017-2665	CA	1985-07	$18,614,951
11	Unity Health System Inc	89 Genesee St, Rochester, NY 14611-3201	NY	1985-01	$16,924,985
12	Gundersen Lutheran Health System Inc	1836 South Ave M/S Gbi-001, La Crosse, WI 54601	WI	1997-02	$11,691,527
13	Howard Young Health Care Inc	11925 W Lake Park Drive, Milwaukee, WI 53224-3002	WI	1987-02	$10,809,270
14	Touchstone Innovare	100 Cherry St Se, Grand Rapids, MI 49503-4526	MI	1989-06	$10,552,351
15	South Yarmouth Management Systems Inc	PO BOX 2489, Pittsfield, MA 01202-2489	MA	1992-02	$9,476,008
16	United Health Services Inc	10-42 Mitchell Ave, Binghamton, NY 13903-1617	NY	1986-12	$8,342,005
17	Wellspan Health Care Services	PO BOX 2767, York, PA 17405-2767	PA	1987-11	$6,900,000
18	Stillwater Hospital Association Inc	PO BOX 959, Columbus, MT 59019-0959	MT	1969-06	$5,748,631
19	St Croix Valley Shared Services Inc, Heartland Home Care Network	2231 Hwy 12 Ste 201, Baldwin, WI 54002	WI	1996-03	$5,343,208
20	Seton Health Corporation Of Wisconsin	2320 N Lake Dr Ste 1700a, Milwaukee, WI 53211-4507	WI	1946-03	$0

Number of organizations performing similar types of work

Alaska	1
Alabama	4
Arkansas	4
Arizona	2
California	17
Colorado	8
Connecticut	9
District of Columbia	1
Delaware	1
Florida	5
Georgia	6
Hawaii	1
Iowa	3
Illinois	16
Indiana	7
Kansas	5
Kentucky	4
Louisiana	4
Massachusetts	21
Maryland	6
Maine	4
Michigan	12
Minnesota	7
Missouri	2

Mississippi	5
Montana	3
North Carolina	7
Nebraska	5
New Hampshire	5
New Jersey	12
New Mexico	1
Nevada	2
New York	24
Ohio	37
Oklahoma	7
Oregon	1
Pennsylvania	33
Rhode Island	1
South Carolina	3
South Dakota	3
Tennessee	6
Texas	11
Utah	1
Virginia	9
Vermont	2
Washington	4
Wisconsin	5
West Virginia	2

Total

339

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