Form 990 for tax year 2023
Filed by MOUNDVIEW MEMORIAL HOSPITAL & CLINICS INC.
This return was superseded by a later amendment. matched by us It is kept because history is preserved rather than replaced.
What the amendment changed
Compared with the latest return for 2023 , filed 12 August 2025. matched by us Only the return's totals, a 990-PF's accounting method and the names listed in Part VII (Part VIII on a 990-PF) are compared. We relate returns by organization, tax year and form, and order them by each return's own timestamp; the filer's own "amended return" checkbox is a separate fact.
- Total revenue
- $25,535,565 changed to $36,901,407
- Total expenses
- $24,246,342 changed to $34,469,139
- Contributions and grants received
- $92,084 changed to $122,479
- Grants paid
- $0 changed to $600
- Program service revenue
- $24,924,368 changed to $35,884,432
- Investment income
- $359,449 changed to $699,809
- Other revenue
- $159,664 changed to $194,687
- Total assets, end of year
- $21,024,749 changed to $24,370,099
- Total liabilities, end of year
- $2,702,190 changed to $3,618,761
- Net assets or fund balances, end of year
- $18,322,559 changed to $20,751,338
- Program services expenses
- $21,182,750 changed to $30,321,711
- Management and general expenses
- $3,063,592 changed to $4,147,428
- Program service expenses (Part III)
- $21,182,750 changed to $30,321,711
Listed only on the earlier return
- Richard SternhagenRICHARD STERNHAGEN
Listed only on the later return
- Brad ShawBRAD SHAW
- David BrownDAVID BROWN
- Deena KedrowskiDEENA KEDROWSKI
- John CeelenJOHN CEELEN
- Neil DonnerNEIL DONNER
- Preston PietrzakPRESTON PIETRZAK
Listed under a different title
- Gerald OetzelGERALD OETZEL: CFO-GHS (THRU 08/23) then FORMER CFO-BGHS
- Scott RathgaberSCOTT RATHGABER: CEO-GHS then CEO-BGHS
- Steve LittleSTEVE LITTLE: CFO-GHS (BEG 08/23) then CFO-BGHS (THRU 02/2024)
Totals
- Total revenue
- $25,535,565
- Total expenses
- $24,246,342
- Contributions and grants received
- $92,084
- Grants paid
- $0
- Program service revenue
- $24,924,368
- Investment income
- $359,449
- Other revenue
- $159,664
- Total assets, end of year
- $21,024,749
- Total liabilities, end of year
- $2,702,190
- Net assets or fund balances, end of year
- $18,322,559
- Program services expenses (Part IX)
- $21,182,750
- Management and general expenses
- $3,063,592
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $21,182,750
Program services were 87.4% 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
$78,481
-
1e · Government grants (contributions)
$13,444
-
1f · All other contributions, gifts and grants
$159
-
2a · Program service revenue: NET PATIENT SERVICE REVENUE
total $15,799,104 · related or exempt $15,799,104
-
2b · Program service revenue: PHARMACY
total $9,079,838 · related or exempt $9,079,838
-
2c · Program service revenue: MEDICAL BUILDING RENT
total $38,798 · related or exempt $38,798
-
2f · All other program service revenue
total $6,628 · related or exempt $6,628
-
3 · Investment income
total $359,449 · excluded $359,449
-
6a · Gross rents
real property $13,406
-
6b · Less rental expenses
real property $10,003
-
6c · Rental income or loss
real property $3,403
-
6d · Net rental income or loss
total $3,403 · excluded $3,403
-
11a · Other revenue: E.H.R INCENTIVE
total $44,239 · related or exempt $44,239
-
11b · Other revenue: CAFETERIA
total $25,480 · excluded $25,480
-
11d · All other revenue
total $86,542 · excluded $86,542
-
11e · Other revenue, total
$156,261
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $166,748 · management and general $166,748
-
7 · Other salaries and wages
total $6,641,752 · program services $5,640,051 · management and general $1,001,701
-
8 · Pension plan contributions
total $105,937 · program services $84,251 · management and general $21,686
-
9 · Other employee benefits
total $1,040,268 · program services $834,017 · management and general $206,251
-
10 · Payroll taxes
total $445,589 · program services $360,891 · management and general $84,698
-
11c · Fees: accounting
total $8,950 · management and general $8,950
-
11d · Fees: lobbying
total $4,304 · management and general $4,304
-
11g · Fees: other
total $7,109,136 · program services $5,913,367 · management and general $1,195,769
-
12 · Advertising and promotion
total $38,820 · program services $4,834 · management and general $33,986
-
13 · Office expenses
total $412,561 · program services $303,409 · management and general $109,152
-
14 · Information technology
total $15,294 · program services $14,460 · management and general $834
-
16 · Occupancy
total $281,694 · program services $254,149 · management and general $27,545
-
17 · Travel
total $132,827 · program services $130,948 · management and general $1,879
-
19 · Conferences, conventions and meetings
total $24,746 · program services $12,390 · management and general $12,356
-
20 · Interest
total $4,699 · program services $4,486 · management and general $213
-
22 · Depreciation, depletion and amortization
total $398,882 · program services $332,969 · management and general $65,913
-
23 · Insurance
total $53,314 · program services $1,722 · management and general $51,592
-
24a · Other expenses: MEDICAL SUPPLIES
total $6,594,924 · program services $6,594,924
-
24b · Other expenses: PHARMACY DRUGS AND VACC
total $264,780 · program services $264,780
-
24c · Other expenses: EQUIPMENT REPAIRS AND M
total $227,363 · program services $219,771 · management and general $7,592
-
24d · Other expenses: BAD DEBT EXPENSE
total $142,249 · program services $142,249
-
24e · All other expenses
total $131,505 · program services $69,082 · management and general $62,423
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $875 · end of year $1,175
-
2 · Savings and temporary cash investments
beginning of year $9,233,752 · end of year $10,781,880
-
4 · Accounts receivable
beginning of year $2,492,118 · end of year $3,049,390
-
8 · Inventories for sale or use
beginning of year $635,752 · end of year $702,338
-
9 · Prepaid expenses and deferred charges
beginning of year $59,090 · end of year $80,154
-
10a · Land, buildings and equipment: cost or other basis
$9,164,809
-
10b · Land, buildings and equipment: accumulated depreciation
$3,571,254
-
10c · Land, buildings and equipment, net
beginning of year $5,670,130 · end of year $5,593,555
-
14 · Intangible assets
beginning of year $744,167 · end of year $731,667
-
15 · Other assets
beginning of year $318,703 · end of year $84,590
-
17 · Accounts payable and accrued expenses
beginning of year $1,349,717 · end of year $1,559,189
-
19 · Deferred revenue
beginning of year $41,076 · end of year $3,658
-
23 · Secured mortgages and notes payable
beginning of year $226,262 · end of year $201,991
-
25 · Other liabilities
beginning of year $504,196 · end of year $937,352
-
27 · Net assets without donor restrictions
beginning of year $16,500,336 · end of year $17,783,559
-
28 · Net assets with donor restrictions
beginning of year $533,000 · end of year $539,000
Mission and programs · 2023
Mission
TOGETHER, WE INSPIRE YOUR BEST LIFE BY RELENTLESSLY CARING, LEARNING AND INNOVATING.
-
THE HOSPITAL IS A GENERAL MEDICAL CRITICAL ACCESS HOSPITAL LICENSE FOR 25 BEDS. DURING FISCAL YEAR 2023, THE HOSPITAL HAD 440 ACUTE PATIENT DAYS AND 870 SWING BED DAYS. THE HOSPITAL ALSO HAD 6,285 EMERGENCY ROOM/URGENT VISITS AND 8,455 CLINIC VISITS.
Expenses $13,297,712 · Revenue $15,888,769
-
THE HOSPITAL ALSO HAS AN OUTPATIENT PHARMACY THAT IS THE ONLY IN IT'S COUNTY (ADAMS, WI), AND IN 2023 FILLED 52,239 PRESCRIPTIONS.
Expenses $7,885,038 · Revenue $9,079,838
As filed on the 2023 return.
Listed in Part VII
-
Scott RathgaberSCOTT RATHGABER
CEO-GHS
- Total calculated
- $0
- Hours/week
- 1 + 40 related
-
Gerald OetzelGERALD OETZEL
CFO-GHS (THRU 08/23)
- Total calculated
- $0
- Hours/week
- 1 + 40 related
-
Steve LittleSTEVE LITTLE
CFO-GHS (BEG 08/23)
- Total calculated
- $0
- Hours/week
- 1 + 40 related
-
Frank Perez-GuerraFRANK PEREZ-GUERRA
CEO
- Total calculated
- $0
- Hours/week
- 40 + 1 related
-
Tadd WormetTADD WORMET
CHAIR
- Total calculated
- $0
- Hours/week
- 2.5
-
Richard SternhagenRICHARD STERNHAGEN
CHAIR (TERMED JAN)
- Total calculated
- $0
- Hours/week
- 2.5 + 1 related
-
Paul FischPAUL FISCH
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 2.5 + 40 related
-
Sarah RossmanSARAH ROSSMAN
TREASURER/SECRETARY
- Total calculated
- $0
- Hours/week
- 2.5 + 40 related
-
Stephanie CarrollSTEPHANIE CARROLL
BOARD TRUSTEE/MD HOSPITALIST
- Total calculated
- $0
- Hours/week
- 2.5 + 40 related
-
Bryan ErdmannBRYAN ERDMANN
BOARD TRUSTEE/COO
- Total calculated
- $0
- Hours/week
- 2.5 + 40 related
-
Laurie IndaLAURIE INDA
BOARD TRUSTEE
- Total calculated
- $0
- Hours/week
- 2.5
-
Karen MillerKAREN MILLER
BOARD TRUSTEE
- Total calculated
- $0
- Hours/week
- 2.5
-
Roxanne PottsROXANNE POTTS
BOARD TRUSTEE/CLINICAL OPS. DIRECTOR
- Total calculated
- $0
- Hours/week
- 2.5 + 40 related
-
Joe TheisenJOE THEISEN
BOARD TRUSTEE
- Total calculated
- $0
- Hours/week
- 2.5
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.
Schedule J
Answered yes
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 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
- PURSUANT TO IRS FORM 990 INSTRUCTIONS, THIS SHORT PERIOD RETURN COVERS THE DATES 01/01/2023 THROUGH 09/30/2023 AND THERE IS NO CALENDAR YEAR ENDING WITHIN THE PERIOD AND THUS NO REPORTABLE 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.
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.
-
501(C)(3) · NURSING AND RADIOLOGIC SCIENCE COLLEGE · WI · controlled entity
Directly controlled by BELLIN HEALTH SYSTEMS INC
-
BELLIN GUNDERSEN HEALTH SYSTEM INC
501(C)(3) · PARENT · WI
-
501(C)(3) · SUPPORT OF HEALTHCARE ORGANIZATIONS · WI · controlled entity
Directly controlled by BELLIN GUNDERSEN HEALTH SYSTEMS INC
-
501(C)(3) · HEALTH CARE · WI · controlled entity
Directly controlled by BELLIN HEALTH SYSTEMS INC
-
501(C)(3) · PSYCHIATRIC HOSPITAL · WI · controlled entity
Directly controlled by BELLIN HEALTH SYSTEMS INC
-
COMMUNITY HOUSING OF LA CROSSE INC
501(C)(3) · INDEPENDENT LIVING · WI · controlled entity
Directly controlled by LUTHERAN REAL ESTATE HOLDING CORP
-
501(C)(3) · HEALTHCARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
GUNDERSEN LUTHERAN ADMINISTRATIVE SVC
501(C)(3) · SUPPORTING ORG · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
GUNDERSEN LUTHERAN HEALTH SYSTEM INC
501(C)(3) · SUPPORTING ORG · WI · controlled entity
Directly controlled by BELLIN GUNDERSEN HEALTH SYSTEM INC
-
GUNDERSEN LUTHERAN MEDICAL CENTER INC
501(C)(3) · HEALTHCARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC
501(C)(3) · FOUNDATION · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
HARMONY COMMUNITY HEALTHCARE INC
501(C)(3) · HEALTHCARE · MN · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
LAKE MICHIGAN HEALTH SERVICES INC
501(C)(3) · SUPPORT PURPOSES OF BELLIN MEMORIAL HOSPITAL · WI · controlled entity
Directly controlled by BELLIN HEALTH SYSTEMS INC
-
501(C)(3) · INDEPENDENT LIVING · WI · controlled entity
Directly controlled by LUTHERAN REAL ESTATE HOLDING CORP
-
LUTHERAN REAL ESTATE HOLDING CORP
501(C)(3) · HOUSING · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
MEMORIAL HEALTHCARE FOUNDATION INC
501(C)(3) · FOUNDATION · WI · controlled entity
Directly controlled by MOUNDVIEW MEMORIAL HOSPITALS AND CLINICS
-
501(C)(3) · HEALTHCARE · WI · controlled entity
Directly controlled by GUNDERSENT LUTHERAN HEALTH SYSTEM
-
OCONTO HOSPITAL & MEDICAL CENTER INC
501(C)(3) · HEALTH CARE · WI · controlled entity
Directly controlled by BELLIN MEMORIAL HOSPITAL INC
-
PALMER LUTHERAN HEALTH CENTER INC
501(C)(3) · HEALTHCARE · IA · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
SAINT ELIZABETH'S HOSPITAL OF WABASHA
501(C)(3) · HEALTHCARE · MN · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
ST JOSEPH'S HEALTH SERVICES INC
501(C)(3) · HEALTHCARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
ST JOSEPH'S MEMORIAL FOUNDATION INC
501(C)(3) · FOUNDATION · WI · controlled entity
Directly controlled by ST JOSEPH'S HEALTH SERVICES
-
THE BELLIN HEALTH FOUNDATION INC
501(C)(3) · FOUNDATION · WI · controlled entity
Directly controlled by BELLIN HEALTH SYSTEMS INC
-
TRI-COUNTY MEMORIAL FOUNDATION INC
501(C)(3) · FOUNDATION · WI · controlled entity
Directly controlled by TRI-COUNTY MEMORIAL HOSPITAL
-
501(C)(3) · HEALTHCARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
501(C)(3) · MEDICAL TRANSPORT · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
TRI-STATE REGIONAL AMBULANCE INC
501(C)(3) · MEDICAL TRANSPORT · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
TWEETEN LUTHERAN HEALTHCARE CENTER INC
501(C)(3) · HEALTHCARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
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 corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
BEL-REGIONAL HOME MEDICAL INC
C · DURABLE MEDICAL EQUIPMENT, RETAIL PHARMACY, FITNESS · WI
-
GUNDERSEN LUTHERAN ENVISION LLC
C · RENEWABLE ENERGY · WI
-
GUNDERSEN EDGE LLC
C · INNOVATION · WI
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 30 July 2024
- IRS schema version
- 2023v5.1
- Source object
- 202432209349300518
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