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← ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F

Form 990 for tax year 2022

Filed by ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F.

Totals

Total revenue
$47,539,847
Total expenses
$48,582,155
Contributions and grants received
$538,147
Grants paid
$0
Program service revenue
$44,653,151
Investment income
$2,363,664
Other revenue
-$15,115
Total assets, end of year
$149,836,923
Total liabilities, end of year
$17,932,781
Net assets or fund balances, end of year
$131,904,142
Program services expenses (Part IX)
$40,034,049
Management and general expenses
$8,548,106
Fundraising expenses
$0
Program service expenses (Part III)
$40,034,049

Program services were 82.4% 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

    $27,954

  • 1e · Government grants (contributions)

    $510,193

  • 1f · All other contributions, gifts and grants

    $0

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $44,613,303 · related or exempt $44,613,303

  • 2b · Program service revenue: Reference Lab

    total $39,848 · unrelated business $39,848

  • 2f · All other program service revenue

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

  • 3 · Investment income

    total $1,937,620 · excluded $1,937,620

  • 6a · Gross rents

    real property $920,757

  • 6b · Less rental expenses

    real property $1,180,267

  • 6c · Rental income or loss

    real property -$259,510 · personal property $0

  • 6d · Net rental income or loss

    total -$259,510 · excluded -$259,510

  • 7a · Gross sales of assets other than inventory

    securities $436,623 · other assets $92,283

  • 7b · Less cost or other basis and sales expenses

    other assets $102,862

  • 7c · Gain or loss

    securities $436,623 · other assets -$10,579

  • 7d · Net gain or loss

    total $426,044 · excluded $426,044

  • 11a · Other revenue: OTHER OPERATING REVENUE

    total $206,204 · excluded $206,204

  • 11b · Other revenue: GIFT SHOP REVENUE

    total $38,191 · excluded $38,191

  • 11d · All other revenue

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

  • 11e · Other revenue, total

    $244,395

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $495,914 · program services $478,036 · management and general $17,878

  • 7 · Other salaries and wages

    total $15,552,829 · program services $14,992,150 · management and general $560,679

  • 8 · Pension plan contributions

    total $1,006,470 · program services $970,137 · management and general $36,333

  • 9 · Other employee benefits

    total $2,721,714 · program services $2,623,461 · management and general $98,253

  • 10 · Payroll taxes

    total $1,283,161 · program services $1,236,839 · management and general $46,322

  • 11b · Fees: legal

    total $0 · management and general $0

  • 11f · Fees: investment management

    total $1,497,443 · management and general $1,497,443

  • 11g · Fees: other

    total $5,796,885 · program services $3,609,657 · management and general $2,187,228 · fundraising $0

  • 12 · Advertising and promotion

    total $12,000 · program services $12,000

  • 13 · Office expenses

    total $3,994,760 · program services $3,949,992 · management and general $44,768

  • 14 · Information technology

    total $35,307 · program services $35,307

  • 16 · Occupancy

    total $1,269,760 · program services $1,257,193 · management and general $12,567

  • 17 · Travel

    total $260,175 · program services $244,952 · management and general $15,223

  • 19 · Conferences, conventions and meetings

    total $70,169 · program services $57,928 · management and general $12,241

  • 20 · Interest

    total $204,024 · management and general $204,024

  • 22 · Depreciation, depletion and amortization

    total $1,739,582 · program services $1,726,788 · management and general $12,794

  • 23 · Insurance

    total $191,722 · program services $72,541 · management and general $119,181

  • 24a · Other expenses: PURCHASED SERVICES

    total $6,946,070 · program services $3,353,011 · management and general $3,593,059

  • 24b · Other expenses: ISC Management Fee

    total $4,161,732 · program services $4,161,732

  • 24c · Other expenses: MEDICAL ASSESSMENT

    total $585,740 · program services $585,740

  • 24d · Other expenses: EQUIPMENT RENTAL

    total $577,620 · program services $577,620

  • 24e · All other expenses

    total $179,078 · program services $88,965 · management and general $90,113 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $141,762 · end of year $235,269

  • 4 · Accounts receivable

    beginning of year $5,975,123 · end of year $5,870,312

  • 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

  • 8 · Inventories for sale or use

    beginning of year $447,596 · end of year $372,131

  • 9 · Prepaid expenses and deferred charges

    beginning of year $191,357 · end of year $131,637

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

    $72,077,075

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

    $50,861,566

  • 10c · Land, buildings and equipment, net

    beginning of year $22,003,509 · end of year $21,215,509

  • 11 · Investments: publicly traded securities

    beginning of year $119,456,568 · end of year $117,517,114

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $642,283 · end of year $4,494,951

  • 17 · Accounts payable and accrued expenses

    beginning of year $8,235,001 · end of year $4,440,837

  • 20 · Tax-exempt bond liabilities

    beginning of year $12,815,382 · end of year $11,939,612

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $2,054,269 · end of year $1,552,332

  • 27 · Net assets without donor restrictions

    beginning of year $125,753,546 · end of year $131,904,142

Mission and programs · 2022

Mission

THE MISSION OF ST. JOSEPH'S HOSPITAL IS TO REVEAL AND EMBODY CHRIST'S PEOPLE IN NEED. REFLECTING OUR HIGH REGARD FOR ONE ANOTHER AS INSPIRED BY OUR FRANCISCAN TRADITION, ST. JOSEPH'S GOAL IS TO BE THE PREFERRED CHOICE FOR HEALTH CARE IN THE CHIPPEWA VALLEY.

Activities or mission (Part I)

ST. JOSEPH'S MISSION IS TO DELIVER COMPASSIONATE HEALTH CARE TO PEOPLE IN NEED AND TO BE THE PREFERRED CHOICE FOR HEALTH CARE IN THE CHIPPEWA VALLEY.

  • EMERGENCY ROOM SERVICES St. Joseph's Hospital operates an Emergency Department that is staffed 24/7 by doctors and Advanced Practice Providers experienced in Emergency Medicine. It is the only one of its kind in the area, providing emergency and trauma services. Like all hospital services, emergency care is provided regardless of race, creed, or ability to pay, and financial assistance is available after care is provided for those in need.

    Expenses $12,452,995 · Revenue $10,090,505

  • PSYCHIATRY St. Joseph's Hospital provides behavioral health inpatient services for adults 18 years and older. Substance Use Withdrawal Services and High Intensity Substance Use Residential Treatment Services are available at St. Joseph's Hospital - L.E. Phillips Libertas Treatment Center. In a time of crisis when people are faced with a substance use challenge, they can turn to St. Joseph's for dignified, confidential and compassionate care they need.

    Expenses $7,041,168 · Revenue $7,066,373

  • SURGICAL SERVICES Surgical services at St. Joseph's Hospital are comprised of central processing, anesthesia, surgery, and pre/post op surgery. This includes 5 operating suites and two endoscopy suites. Services are available during traditional business hours and include both inpatient and outpatient procedures. In FY23, over 650 surgical procedures were performed. Surgical procedures include general orthopedic, urology, oral - maxillofacial, dental, ophthalmology, podiatry, gastroenterology, and general surgery. Anesthesia and central processing also provide hospital-wide services to inpatient nursing, and the emergency department.

    Expenses $5,176,899 · Revenue $4,153,851

  • Other Program Services Other program services at St. Joseph Hospital are comprised of Radiology, Wound Care, Pharmacy, Laboratory, Respiratory Therapy, Rehabilitation, Drug/Alcohol Abuse Services, and other services.

    Expenses $15,362,987 · Revenue $23,302,574

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

Listed in Part VII

  • Andrew J Bagnall

    Wisconsin PRESIDENT & Division CEO - Wisconsin (UNTIL 11/1/22)

    Total calculated
    $875,624
    From this org
    $0
    From related orgs
    $842,889
    Other
    $32,735
    Hours/week
    8 + 52 related

    Schedule J breakdown matched by us

    Base
    $0 + $416,871 related
    Bonus
    $0 + $146,870 related
    Other
    $0 + $279,148 related
    Deferred
    $0 + $5,318 related
    Nontaxable benefits
    $0 + $27,417 related
    Filer's total
    $0 + $875,624 related

  • John Wagner

    CEO/PRESIDENT - SJCF

    Total calculated
    $495,914
    From this org
    $396,392
    From related orgs
    $0
    Other
    $99,522
    Hours/week
    58 + 2 related

    Schedule J breakdown matched by us

    Base
    $286,504
    Bonus
    $80,804
    Other
    $29,084
    Deferred
    $67,058
    Nontaxable benefits
    $32,464
    Filer's total
    $495,914

  • Patti Darley

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Andy Barth

    Board Member/ SHEC President (UNTIL 10/14/22)

    Total calculated
    $392,203
    From this org
    $0
    From related orgs
    $363,636
    Other
    $28,567
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $279,589 related
    Bonus
    $0 + $62,804 related
    Other
    $0 + $21,243 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $28,567 related
    Filer's total
    $0 + $392,203 related

  • Fr Dan Oudenhoven

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Greg Heiler MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Laura Talley

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Michelle Farrow

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Molly Bushman

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Robert Maslonkowski MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Patricia Allen

    DIVISION CFO - WISCONSIN

    Total calculated
    $695,496
    From this org
    $0
    From related orgs
    $541,100
    Other
    $154,396
    Hours/week
    3 + 57 related

    Schedule J breakdown matched by us

    Base
    $0 + $414,598 related
    Bonus
    $0 + $44,684 related
    Other
    $0 + $81,818 related
    Deferred
    $0 + $126,563 related
    Nontaxable benefits
    $0 + $27,833 related
    Filer's total
    $0 + $695,496 related

  • TODD Smart

    Treasurer

    Total calculated
    $410,831
    From this org
    $0
    From related orgs
    $329,569
    Other
    $81,262
    Hours/week
    0.3 + 59.8 related

    Schedule J breakdown matched by us

    Base
    $0 + $267,686 related
    Bonus
    $0 + $38,335 related
    Other
    $0 + $23,548 related
    Deferred
    $0 + $45,254 related
    Nontaxable benefits
    $0 + $36,008 related
    Filer's total
    $0 + $410,831 related

  • Beth Stokka

    MANAGER - PHARMACY

    Total calculated
    $187,218
    From this org
    $170,913
    From related orgs
    $0
    Other
    $16,305
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $167,564
    Bonus
    $3,349
    Other
    $0
    Deferred
    $4,064
    Nontaxable benefits
    $12,241
    Filer's total
    $187,218

  • Kraig Kraft

    Pharmacist

    Total calculated
    $188,131
    From this org
    $167,506
    From related orgs
    $0
    Other
    $20,625
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $167,326
    Bonus
    $0
    Other
    $180
    Deferred
    $1,954
    Nontaxable benefits
    $18,671
    Filer's total
    $188,131

  • Peter Pokrzywinski

    Pharmacist

    Total calculated
    $175,867
    From this org
    $168,879
    From related orgs
    $0
    Other
    $6,988
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $166,009
    Bonus
    $2,870
    Other
    $0
    Deferred
    $6,013
    Nontaxable benefits
    $975
    Filer's total
    $175,867

  • Rhonda Adler

    PHARMACIST

    Total calculated
    $230,480
    From this org
    $212,480
    From related orgs
    $0
    Other
    $18,000
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $208,403
    Bonus
    $3,432
    Other
    $645
    Deferred
    $4,637
    Nontaxable benefits
    $13,363
    Filer's total
    $230,480

  • Sara Jorgenson

    PHARMACIST

    Total calculated
    $197,302
    From this org
    $183,899
    From related orgs
    $0
    Other
    $13,403
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $180,077
    Bonus
    $3,432
    Other
    $390
    Deferred
    $0
    Nontaxable benefits
    $13,403
    Filer's total
    $197,302

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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 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
PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A IN SCHEDULE O.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
HSHS EXECUTIVES ELIGIBLE TO PARTICIPATE IN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ARE DEFINED IN THE SERP PLAN DOCUMENTS. THE SERP WAS ESTABLISHED TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO ENSURE REASONABLE MARKET COMPETITIVE BENEFITS IN ACCORDANCE WITH THE HSHS EXECUTIVE COMPENSATION PHILOSOPHY ESTABLISHED BY THE HSHS COMPENSATION COMMITTEE. THE PLAN PROVIDES A DEFINED RETIREMENT CONTRIBUTION TO PARTICIPANTS COMMENCING ON JANUARY 1, 2008, EQUAL TO A PERCENTAGE OF COMPENSATION AS DEFINED IN THE SERP PLAN DOCUENTS FOR THE PLAN YEAR. PARTICIPANTS CONSTRUCTIVELY RECEIVE A DISTRIBUTION FROM THE PLAN NO LATER THAN MARCH 15TH OF THE CALENDAR YEAR FOLLOWING THE CALENDAR YEAR IN WHICH AN AMOUNT IS VESTED AND TAXABLE PURSUANT TO A VESTING SCHEDULE AS SPECIFIED IN THE PLAN DOCUMENT. THE ACTUAL DISTRIBUTION OF THE VESTED BENEFIT UNDER THE PLAN IS PAID IN A SINGLE LUMP SUM TO THE PARTICIPANT OR THE PARTICIPANT'S BENEFICIARY UPON THE EARLIER OF THE PARTICIPANT'S TERMINATION OF EMPLOYMENT, DEATH, OR TOTAL AND PERMANENT DISABILITY. THE FOLLOWING INTERESTED PERSONS CONSTRUCTIVELY RECEIVED DEFERRALS TO THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2022 THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). Patricia Allen -- $37,240 Todd Smart -- $25,135 John Wagner -- $34,987 THE FOLLOWING INTERESTED PERSONS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2022 THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AND SCHEDULE J, PART II, COLUMN (F), AS APPLICABLE. Andy Bagnall -- $134,905

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • KIARA CLINICAL INTEGRATION NETWORK LLC

    HEALTHCARE · IL · income -$105,950 · assets $447,864

    Directly controlled by HSSI

  • PHYSICIAN CLINICAL INTEGRATION NETWORK LLC

    HEALTHCARE · IL · income $554,315 · assets $15,980,466

    Directly controlled by KCIN

  • HSHS ACO LLC

    HEALTHCARE & SOCIAL ASSISTANCE · IL · income $1,805,698 · assets $3,189,003

    Directly controlled by KCIN

Related partnerships

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

  • SPRINGFIELD URGENT CARE REAL ESTATE LLC

    N/A · RENTAL REAL ESTATE · IL · 0% owned

    Directly controlled by LASANTE INC

  • PRAIRIE HEART INSTITUTE MANAGEMENT COMPANY LLC

    Related · MEDICAL · IL · 100% owned · share of income -$7,032 · share of assets $12,572 · general or managing partner

    Directly controlled by HSHS

  • SOUTHWEST ILLINOIS HEALTH SERVICES REAL ESTATE LLP

    Related · REAL ESTATE · IL · 50% owned · share of income -$126,650 · share of assets $1,434,911

    Directly controlled by St John's

  • REHABILITATION HOSPITAL OF WESTERN WISCONSIN LLC

    Related · Medical · DE · 50% owned · share of income -$80,505 · share of assets $4,187,830

    Directly controlled by HSHS

Related corporations and trusts

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

  • KIARA INC

    C Corporation · HEALTHCARE · IL · 100% owned · share of income $601,904 · share of assets $18,670,450 · controlled entity

    Directly controlled by HSHS

  • LASANTE WISCONSIN INC

    C Corporation · HEALTHCARE · IL · controlled entity

    Directly controlled by KIARA INC

  • LASANTE INC

    C Corporation · HEALTHCARE · IL · controlled entity

    Directly controlled by KIARA INC

  • PREVEA HEALTH SERVICES INC

    C Corporation · HEALTHCARE · WI · 50% owned · share of income -$1,641,640 · share of assets $24,425,128 · controlled entity

    Directly controlled by HSSI

  • PREVEA CLINIC INC

    C Corporation · HEALTHCARE · WI · controlled entity

    Directly controlled by PHSI

  • RENAISSANCE QUALITY INSURANCE LTD

    C Corporation · INSURANCE · CJ · 100% owned · share of income $0 · share of assets $156,895,227 · controlled entity

    Directly controlled by HSSI

  • OJV INC

    C Corporation · HEALTHCARE · IL · controlled entity

    Directly controlled by LASANTE INC

Provenance

Return type
form_990
Tax year
2022
Filed
10 May 2024
IRS schema version
2022v5.0
Source object
202401319349305105

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