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Nonprofiteer
← STOUGHTON HOSPITAL ASSOCIATION

Form 990 for tax year 2022

Filed by STOUGHTON HOSPITAL ASSOCIATION.

Totals

Total revenue
$69,336,291
Total expenses
$57,223,237
Contributions and grants received
$771,522
Grants paid
$0
Program service revenue
$66,775,300
Investment income
$1,701,572
Other revenue
$87,897
Total assets, end of year
$103,696,247
Total liabilities, end of year
$14,749,918
Net assets or fund balances, end of year
$88,946,329
Program services expenses (Part IX)
$47,096,950
Management and general expenses
$9,951,114
Fundraising expenses
$175,173
Program service expenses (Part III)
$47,096,950

Program services were 82.3% 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.

  • 1e · Government grants (contributions)

    $483,674

  • 1f · All other contributions, gifts and grants

    $287,848

  • 2a · Program service revenue: Patient Service Revenue

    total $64,921,073 · related or exempt $64,921,073

  • 2b · Program service revenue: Joint Venture Earnings

    total $388,375 · related or exempt $388,375

  • 2f · All other program service revenue

    total $1,465,852 · related or exempt $1,465,852

  • 3 · Investment income

    total $1,823,488 · excluded $1,823,488

  • 6a · Gross rents

    real property $484,415

  • 6b · Less rental expenses

    real property $396,518

  • 6c · Rental income or loss

    real property $87,897

  • 6d · Net rental income or loss

    total $87,897 · excluded $87,897

  • 7a · Gross sales of assets other than inventory

    securities $16,641,183 · other assets $31,913

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

    securities $16,775,929 · other assets $19,083

  • 7c · Gain or loss

    securities -$134,746 · other assets $12,830

  • 7d · Net gain or loss

    total -$121,916 · excluded -$121,916

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $2,576,292 · program services $1,549,528 · management and general $1,026,764

  • 7 · Other salaries and wages

    total $19,427,769 · program services $16,381,643 · management and general $2,927,856 · fundraising $118,270

  • 8 · Pension plan contributions

    total $624,090 · program services $532,687 · management and general $87,658 · fundraising $3,745

  • 9 · Other employee benefits

    total $2,751,770 · program services $2,275,275 · management and general $461,001 · fundraising $15,494

  • 10 · Payroll taxes

    total $1,497,014 · program services $1,223,281 · management and general $265,622 · fundraising $8,111

  • 11b · Fees: legal

    total $93,192 · management and general $93,192

  • 11c · Fees: accounting

    total $50,550 · management and general $45,900 · fundraising $4,650

  • 11d · Fees: lobbying

    total $13,469 · program services $13,469

  • 11g · Fees: other

    total $12,736,208 · program services $10,714,137 · management and general $2,009,920 · fundraising $12,151

  • 12 · Advertising and promotion

    total $700,359 · program services $54 · management and general $699,934 · fundraising $371

  • 13 · Office expenses

    total $1,597,622 · program services $727,879 · management and general $861,312 · fundraising $8,431

  • 16 · Occupancy

    total $412,979 · program services $393,009 · management and general $19,970

  • 17 · Travel

    total $45,527 · program services $12,289 · management and general $32,528 · fundraising $710

  • 19 · Conferences, conventions and meetings

    total $135,635 · program services $55,324 · management and general $79,614 · fundraising $697

  • 20 · Interest

    total $358,466 · program services $358,466

  • 22 · Depreciation, depletion and amortization

    total $2,992,729 · program services $2,332,891 · management and general $658,973 · fundraising $865

  • 23 · Insurance

    total $236,805 · management and general $236,805

  • 24a · Other expenses: Medical Supplies

    total $9,482,821 · program services $9,476,239 · management and general $6,582

  • 24b · Other expenses: Repairs and Maintenance

    total $1,020,222 · program services $706,676 · management and general $313,546

  • 24c · Other expenses: Food Costs

    total $372,248 · program services $340,557 · management and general $30,300 · fundraising $1,391

  • 24d · Other expenses: Medicaid Taxes

    total $92,534 · management and general $92,534

  • 24e · All other expenses

    total $4,936 · program services $3,546 · management and general $1,103 · fundraising $287

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,315 · end of year $1,355

  • 2 · Savings and temporary cash investments

    beginning of year $31,787,488 · end of year $45,980,975

  • 3 · Pledges and grants receivable

    beginning of year $21,389 · end of year $9,490

  • 4 · Accounts receivable

    beginning of year $6,935,566 · end of year $7,605,291

  • 5 · Loans and receivables from officers and key people

    end of year $23,945

  • 7 · Other notes and loans receivable

    beginning of year $126,859 · end of year $120,086

  • 8 · Inventories for sale or use

    beginning of year $742,411 · end of year $920,255

  • 9 · Prepaid expenses and deferred charges

    beginning of year $482,423 · end of year $677,280

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

    $68,166,267

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

    $40,660,359

  • 10c · Land, buildings and equipment, net

    beginning of year $25,938,609 · end of year $27,505,908

  • 11 · Investments: publicly traded securities

    beginning of year $21,017,955 · end of year $14,991,752

  • 12 · Investments: other securities

    beginning of year $1,191,232 · end of year $1,329,607

  • 15 · Other assets

    beginning of year $1,251,187 · end of year $4,530,303

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,155,119 · end of year $3,720,101

  • 19 · Deferred revenue

    beginning of year $104,527 · end of year $112,905

  • 20 · Tax-exempt bond liabilities

    beginning of year $9,737,663 · end of year $8,638,463

  • 21 · Escrow or custodial account liability

    beginning of year $33,516 · end of year $41,894

  • 23 · Secured mortgages and notes payable

    beginning of year $74,874 · end of year $0

  • 25 · Other liabilities

    beginning of year $2,254,269 · end of year $2,236,555

  • 27 · Net assets without donor restrictions

    beginning of year $72,890,626 · end of year $86,102,997

  • 28 · Net assets with donor restrictions

    beginning of year $1,245,840 · end of year $2,843,332

Mission and programs · 2022

Mission

The mission of Stoughton Hospital is to provide safe, quality health care with exceptional personalized service.

Activities or mission (Part I)

Provide quality health care to meet the changing health care needs of the communities we serve.

  • Stoughton Hospital Association is an acute care, critical access hospital, fully accredited by The Joint Commission, licensed by the state of Wisconsin and a member of the Wisconsin Hospital Association and Rural Wisconsin Health Cooperative. The Hospital provides inpatient and outpatient services to its patients. Inpatient services include medical/surgical telemetry, intensive care, inpatient rehabilitative care (commonly referred to as Swing Bed) and geriatric psychiatry care. In 2023, there were 3,852 inpatient days. In addition to inpatient services, the Hospital provides a variety of outpatient services including emergency room care, urgent care, medical imaging (including in-house MRI services), surgical services, ambulatory infusion center, occupational health, and rehabilitation services. In 2023, there were approximately 74,467 outpatient visits.To fulfill its mission of community service, the Hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Revenue from services to these patients is recorded in the accounting system at the established rates, but the Hospital does not pursue collection of the amounts. The resulting adjustments are recorded as adjustments to patient service revenue, depending on the timing of the charity determination.The Hospital maintains records to identify and monitor the level of charity care it provides. These records include the number of charges foregone for services and supplies furnished under its charity care policy. Total direct and indirect costs related to charity care charges foregone were $200,000. Total direct and indirect costs related to the discounts extended to uninsured patients were $208,000 for the year ended September 30, 2023.In addition, the Hospital provides services to other patients under certain government-reimbursed public aid programs. Such programs pay providers amounts which are less than established charges for the services provided to the recipients, and for some services the payments are less than the cost of rendering the services provided.The Hospital also commits significant time and resources to endeavors and critical services which meet otherwise unfulfilled community needs. Many of these activities are sponsored with the knowledge that they will not be self-supporting or financially viable.

    Expenses $47,096,950 · Revenue $66,775,300

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

Listed in Part VII

  • Donna Olson - Vice Chair

    then Chair - Nov 2022

    Total calculated
    $0
    Hours/week
    2
  • Tim Rusch - Director

    then Vice Chair - Nov 2022

    Total calculated
    $0
    Hours/week
    2
  • Steve Staton

    Secretary/Treasurer

    Total calculated
    $0
    Hours/week
    2
  • Tom Fendrick - Chair then

    Director - Nov 2022

    Total calculated
    $0
    Hours/week
    1
  • Kris Krentz

    Director

    Total calculated
    $0
    Hours/week
    1
  • Glenn Kruser

    Director

    Total calculated
    $0
    Hours/week
    1
  • Nick Probst

    Director

    Total calculated
    $0
    Hours/week
    1
  • Sue Vanderbilt

    Director

    Total calculated
    $0
    Hours/week
    2
  • Margo Francisco - Director

    Class IV - SSM - until 5/2023

    Total calculated
    $0
    Hours/week
    1
  • Matt Kinsella

    Director - Class IV - SSM

    Total calculated
    $0
    Hours/week
    1
  • Dawit Tesfasilassie - Director

    Class IV - SSM - as of 8/2023

    Total calculated
    $0
    Hours/week
    1
  • Dr Ashish Rawal

    Medical Staff Rep

    Total calculated
    $795,273
    From this org
    $755,822
    From related orgs
    $0
    Other
    $39,451
    Hours/week
    41

    Schedule J breakdown matched by us

    Base
    $740,712
    Bonus
    $14,660
    Other
    $450
    Deferred
    $11,104
    Nontaxable benefits
    $35,012
    Filer's total
    $801,938
  • Dr Aaron Schwaab

    Chief of Staff

    Total calculated
    $519,411
    From this org
    $481,532
    From related orgs
    $0
    Other
    $37,879
    Hours/week
    41

    Schedule J breakdown matched by us

    Base
    $405,150
    Bonus
    $75,692
    Other
    $690
    Deferred
    $10,388
    Nontaxable benefits
    $32,387
    Filer's total
    $524,307
  • Kyle Nondorf

    Alternate Class IV - SSM

    Total calculated
    $0
    Hours/week
    1
  • Daniel DeGroot

    President/CEO

    Total calculated
    $377,610
    From this org
    $364,982
    From related orgs
    $0
    Other
    $12,628
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $355,820
    Bonus
    $7,182
    Other
    $1,980
    Deferred
    $12,200
    Nontaxable benefits
    $5,081
    Filer's total
    $382,263
  • Michelle Abey

    CFO/ VP Financial Services

    Total calculated
    $222,678
    From this org
    $188,049
    From related orgs
    $0
    Other
    $34,629
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $175,851
    Bonus
    $11,748
    Other
    $450
    Deferred
    $7,818
    Nontaxable benefits
    $30,051
    Filer's total
    $225,918
  • Amy Hermes

    Chief Nursing Officer

    Total calculated
    $184,203
    From this org
    $167,891
    From related orgs
    $0
    Other
    $16,312
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $158,488
    Bonus
    $8,113
    Other
    $1,290
    Deferred
    $6,531
    Nontaxable benefits
    $12,689
    Filer's total
    $187,111
  • Teresa Lindfors

    Chief Strategy & Bus Dev Officer

    Total calculated
    $188,439
    From this org
    $181,476
    From related orgs
    $0
    Other
    $6,963
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $172,130
    Bonus
    $8,656
    Other
    $690
    Deferred
    $6,963
    Nontaxable benefits
    $2,999
    Filer's total
    $191,438
  • Christopher Schmitz

    VP HR, Facility Operations

    Total calculated
    $171,500
    From this org
    $155,825
    From related orgs
    $0
    Other
    $15,675
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $147,807
    Bonus
    $7,572
    Other
    $446
    Deferred
    $6,094
    Nontaxable benefits
    $12,267
    Filer's total
    $174,186
  • Pauline Cass

    Pharmacy Manager

    Total calculated
    $176,534
    From this org
    $151,070
    From related orgs
    $0
    Other
    $25,464
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $147,507
    Bonus
    $3,150
    Other
    $413
    Deferred
    $0
    Nontaxable benefits
    $27,301
    Filer's total
    $178,371
  • Deborah Dahlke

    Nurse Anesthetist

    Total calculated
    $287,550
    From this org
    $254,714
    From related orgs
    $0
    Other
    $32,836
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $249,527
    Bonus
    $5,187
    Other
    $0
    Deferred
    $10,502
    Nontaxable benefits
    $25,049
    Filer's total
    $290,265
  • Thomas Kostecki

    Pharmacist

    Total calculated
    $177,079
    From this org
    $149,197
    From related orgs
    $0
    Other
    $27,882
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $143,111
    Bonus
    $4,542
    Other
    $1,544
    Deferred
    $6,209
    Nontaxable benefits
    $23,944
    Filer's total
    $179,350
  • Kristine Nikolai

    Nurse Anesthetist

    Total calculated
    $299,743
    From this org
    $261,442
    From related orgs
    $0
    Other
    $38,301
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $247,088
    Bonus
    $13,064
    Other
    $1,290
    Deferred
    $10,003
    Nontaxable benefits
    $32,583
    Filer's total
    $304,028
  • Charles Smith

    Nurse Anesthetist

    Total calculated
    $317,077
    From this org
    $278,287
    From related orgs
    $0
    Other
    $38,790
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $265,230
    Bonus
    $11,077
    Other
    $1,980
    Deferred
    $9,999
    Nontaxable benefits
    $33,171
    Filer's total
    $321,457

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

  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 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 1a
The Hospital paid $605 in annual country club dues for Daniel DeGroot, President/CEO. The Board authorized this to be used for hospital recruitment purposes.

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.

  • Partners of Stoughton Hospital

    501(c)(3) · Provide support to Stoughton Hospital Association · WI · controlled entity

    Directly controlled by Stoughton Hospital Association

Provenance

Return type
form_990
Tax year
2022
Filed
14 August 2024
IRS schema version
2022v5.0
Source object
202402289349301870

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