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Nonprofiteer
← MADISON SURGERY CENTER INC

Form 990 for tax year 2022

Filed by MADISON SURGERY CENTER INC.

Totals

Total revenue
$37,121,798
Total expenses
$26,452,697
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$37,121,798
Investment income
$0
Other revenue
$0
Total assets, end of year
$17,584,881
Total liabilities, end of year
$2,848,602
Net assets or fund balances, end of year
$14,736,279
Program services expenses (Part IX)
$23,842,858
Management and general expenses
$2,609,839
Fundraising expenses
$0
Program service expenses (Part III)
$23,842,858

Program services were 90.1% 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.

  • 2a · Program service revenue: Ambulatory Surgery Center

    total $37,103,579 · related or exempt $37,103,579

  • 2f · All other program service revenue

    total $18,219 · related or exempt $18,219

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $200,045 · management and general $200,045

  • 7 · Other salaries and wages

    total $6,803,011 · program services $6,220,213 · management and general $582,798

  • 8 · Pension plan contributions

    total $511,658 · program services $470,907 · management and general $40,751

  • 9 · Other employee benefits

    total $1,670,848 · program services $1,520,242 · management and general $150,606

  • 10 · Payroll taxes

    total $513,400 · program services $458,980 · management and general $54,420

  • 11a · Fees: management

    total $1,008,497 · management and general $1,008,497

  • 11c · Fees: accounting

    total $4,148 · management and general $4,148

  • 11g · Fees: other

    total $1,563,690 · program services $1,308,260 · management and general $255,430

  • 12 · Advertising and promotion

    total $665 · program services $665

  • 13 · Office expenses

    total $49,281 · program services $20,904 · management and general $28,377

  • 14 · Information technology

    total $21,544 · program services $19,260 · management and general $2,284

  • 16 · Occupancy

    total $1,859,453 · program services $1,662,351 · management and general $197,102

  • 17 · Travel

    total $16 · management and general $16

  • 19 · Conferences, conventions and meetings

    total $4,220 · program services $3,773 · management and general $447

  • 22 · Depreciation, depletion and amortization

    total $920,464 · program services $920,464

  • 23 · Insurance

    total $67,069 · program services $59,960 · management and general $7,109

  • 24a · Other expenses: Drugs & Patient Care

    total $10,259,563 · program services $10,259,563

  • 24b · Other expenses: Equip Repair/Maint

    total $676,927 · program services $605,173 · management and general $71,754

  • 24c · Other expenses: Small Equip/Furnish

    total $57,124 · program services $51,069 · management and general $6,055

  • 24d · Other expenses: Dues and Subscriptions

    total $4,068 · program services $4,068

  • 24e · All other expenses

    total $257,006 · program services $257,006

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $10,054,807 · end of year $10,012,811

  • 4 · Accounts receivable

    beginning of year $3,547,287 · end of year $3,673,948

  • 8 · Inventories for sale or use

    beginning of year $1,321,590 · end of year $1,131,270

  • 9 · Prepaid expenses and deferred charges

    beginning of year $80,386 · end of year $80,110

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

    $18,567,644

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

    $16,155,776

  • 10c · Land, buildings and equipment, net

    beginning of year $2,881,013 · end of year $2,411,868

  • 15 · Other assets

    beginning of year $326,328 · end of year $274,874

  • 17 · Accounts payable and accrued expenses

    beginning of year $348,547 · end of year $187,479

  • 19 · Deferred revenue

    beginning of year $878,967 · end of year $0

  • 25 · Other liabilities

    beginning of year $2,727,719 · end of year $2,661,123

  • 27 · Net assets without donor restrictions

    beginning of year $14,256,178 · end of year $14,736,279

Mission and programs · 2022

Mission

The Corporation's purposes are to (a) provide surgical services to patients not requiring hospitalization in furtherance of the needs of the community, (b) carry on educational activities related to rendering health care services to patients, (c) participate in any activity designed and carried on to promote and advance the general health and welfare of persons in the community, and (d) to do all other things necessary or convenient to accomplish its purposes.

Activities or mission (Part I)

The Corporation's goal is to provide quality health care services, facilitate training of medical students, and be committed to the community it serves.

  • Madison Surgery Center is a nonstock, nonprofit corporation organized in 1996. The organization is staffed by a comprehensive team of general and vascular surgeons, ophthalmologists, gynecologists, otolaryngologists, urologists, plastic surgeons, orthopedic surgeons, anesthesiologists, and interventional pain proceduralists. Madison Surgery Center served a total of 15,869 cases from July 2022 - June 2023.

    Expenses $23,842,858 · Revenue $37,121,798

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Kelsie Doty

    President

    Total calculated
    $392,636
    From this org
    $0
    From related orgs
    $331,511
    Other
    $61,125
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $254,907 related
    Bonus
    $0 + $73,083 related
    Other
    $0 + $3,521 related
    Deferred
    $0 + $46,444 related
    Nontaxable benefits
    $0 + $14,681 related
    Filer's total
    $0 + $392,636 related

  • Beth Erdman

    Vice President

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Mary Link

    Secretary

    Total calculated
    $500,107
    From this org
    $0
    From related orgs
    $406,446
    Other
    $93,661
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $301,218 related
    Bonus
    $0 + $90,074 related
    Other
    $0 + $15,154 related
    Deferred
    $0 + $53,595 related
    Nontaxable benefits
    $0 + $40,066 related
    Filer's total
    $0 + $500,107 related

  • Deborah Rusy

    Board Member

    Total calculated
    $439,623
    From this org
    $0
    From related orgs
    $377,187
    Other
    $62,436
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $377,187 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $61,000 related
    Nontaxable benefits
    $0 + $1,436 related
    Filer's total
    $0 + $439,623 related

  • Roland Vega

    Board Member

    Total calculated
    $524,245
    From this org
    $0
    From related orgs
    $477,081
    Other
    $47,164
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $477,081 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $45,750 related
    Nontaxable benefits
    $0 + $1,414 related
    Filer's total
    $0 + $524,245 related

  • James Arnett

    Board Member (Until 6/30/23)

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Aaron Prochaska

    Treasurer

    Total calculated
    $207,517
    From this org
    $0
    From related orgs
    $162,363
    Other
    $45,154
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $150,622 related
    Bonus
    $0 + $10,519 related
    Other
    $0 + $1,222 related
    Deferred
    $0 + $14,335 related
    Nontaxable benefits
    $0 + $30,819 related
    Filer's total
    $0 + $207,517 related

  • Dan Jordan

    Director of MSC

    Total calculated
    $200,046
    From this org
    $0
    From related orgs
    $155,315
    Other
    $44,731
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $133,189 related
    Bonus
    $0 + $20,356 related
    Other
    $0 + $1,770 related
    Deferred
    $0 + $15,084 related
    Nontaxable benefits
    $0 + $29,647 related
    Filer's total
    $0 + $200,046 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)

Part I, Line 3
Compensation is paid via a leasing agreement with members of the organization. Executive compensation is based on comparative data with like positions within the market.
Part I, Line 4b
Some members of the Board participate in supplemental, non-qualified retirement plans through their employers, which are related organizations to the filing entity. Those individuals participate in a 457(f) plan. In 2022, the following employer contributions were made: - Mary Link $31,330 - Kelsie Doty $6,938 In 2022, no distributions were made.

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

No itemized grants to organizations 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.

  • Chartwell Wisconsin Enterprises LLC

    Parent entity of CW and CMW-HR · WI

  • Madison Medical Center LLP

    Real Estate · WI

  • Northern Illinois Vein Clinic

    Outpatient Health Services · IL

  • Sixth Street Medical LLC

    Real Estate · WI

  • Three Rivers Partners LLC

    Information Technology Services · IL

Related corporations and trusts

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

  • Physician's Care Network

    C · Health Services · IL · controlled entity

  • Quartz Health Benefit Plans Corporation

    C · Health Maintenance Organization · WI · controlled entity

  • Quartz Health Insurance Corporation

    C · Health Maintenance Organization · WI · controlled entity

  • Quartz Health Solutions

    C · Insurance · WI · controlled entity

  • Quartz Holding Company

    C · Holding Company · WI · controlled entity

  • SARI Insurance Company

    C · Captive Insurance Company · VT · controlled entity

  • State & Charles Inc

    C · Holding Company · IL · controlled entity

  • SwedishAmerican Health Management Corp

    C · Management Services · IL · controlled entity

  • Wisconsin Dialysis Inc

    C · Dialysis Services · WI · controlled entity

Provenance

Return type
form_990
Tax year
2022
Filed
8 February 2024
IRS schema version
2022v5.0
Source object
202410459349302096

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