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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