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Nonprofiteer
← HSHS GOOD SHEPHERD HOSPITAL INC

Form 990 for tax year 2023

Filed by HSHS GOOD SHEPHERD HOSPITAL INC.

Totals

Total revenue
$18,938,981
Total expenses
$17,942,722
Contributions and grants received
$16,217
Grants paid
$0
Program service revenue
$18,533,289
Investment income
$299,194
Other revenue
$90,281
Total assets, end of year
$22,956,969
Total liabilities, end of year
$8,969,223
Net assets or fund balances, end of year
$13,987,746
Program services expenses (Part IX)
$15,590,106
Management and general expenses
$2,352,616
Fundraising expenses
$0
Program service expenses (Part III)
$15,590,106

Program services were 86.9% 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

    $2,913

  • 1e · Government grants (contributions)

    $13,304

  • 2a · Program service revenue: Patient Service Revenue

    total $18,402,250 · related or exempt $18,402,250

  • 2b · Program service revenue: Affiliate Rental Revenue

    total $80,881 · related or exempt $80,881

  • 2c · Program service revenue: Reference Lab

    total $50,158 · unrelated business $50,158

  • 2f · All other program service revenue

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

  • 3 · Investment income

    total $161,480 · excluded $161,480

  • 6a · Gross rents

    real property $41,673

  • 6b · Less rental expenses

    real property $61,218

  • 6c · Rental income or loss

    real property -$19,545 · personal property $0

  • 6d · Net rental income or loss

    total -$19,545 · excluded -$19,545

  • 7a · Gross sales of assets other than inventory

    securities $137,714

  • 7c · Gain or loss

    securities $137,714 · other assets $0

  • 7d · Net gain or loss

    total $137,714 · excluded $137,714

  • 11a · Other revenue: Other Income

    total $68,461 · related or exempt $68,461

  • 11b · Other revenue: Rebates

    total $34,885 · related or exempt $34,885

  • 11c · Other revenue: Cafeteria

    total $6,480 · excluded $6,480

  • 11d · All other revenue

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

  • 11e · Other revenue, total

    $109,826

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $288,688 · program services $279,943 · management and general $8,745

  • 7 · Other salaries and wages

    total $4,900,519 · program services $4,752,077 · management and general $148,442

  • 8 · Pension plan contributions

    total $212,632 · program services $206,191 · management and general $6,441

  • 9 · Other employee benefits

    total $1,013,168 · program services $982,478 · management and general $30,690

  • 10 · Payroll taxes

    total $383,809 · program services $372,183 · management and general $11,626

  • 11c · Fees: accounting

    total $4,574 · management and general $4,574

  • 11f · Fees: investment management

    total $33,889 · management and general $33,889

  • 11g · Fees: other

    total $2,871,843 · program services $2,798,454 · management and general $73,389 · fundraising $0

  • 12 · Advertising and promotion

    total $7,731 · management and general $7,731

  • 13 · Office expenses

    total $33,716 · program services $30,369 · management and general $3,347

  • 14 · Information technology

    total $62,933 · program services $62,933

  • 16 · Occupancy

    total $892,521 · program services $888,931 · management and general $3,590

  • 17 · Travel

    total $59,988 · program services $54,887 · management and general $5,101

  • 19 · Conferences, conventions and meetings

    total $37,058 · program services $11,700 · management and general $25,358

  • 20 · Interest

    total $119,362 · management and general $119,362

  • 22 · Depreciation, depletion and amortization

    total $967,940 · program services $965,190 · management and general $2,750

  • 23 · Insurance

    total $391,320 · program services $330,655 · management and general $60,665

  • 24a · Other expenses: Purchased Services

    total $3,712,933 · program services $1,964,446 · management and general $1,748,487

  • 24b · Other expenses: Supplies

    total $1,035,924 · program services $1,035,231 · management and general $693

  • 24c · Other expenses: Medicaid Assessment

    total $664,437 · program services $664,437

  • 24d · Other expenses: Equipment Rental

    total $7,822 · program services $7,822

  • 24e · All other expenses

    total $239,915 · program services $182,179 · management and general $57,736 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,182,468 · end of year $132,413

  • 4 · Accounts receivable

    beginning of year $1,967,282 · end of year $3,518,220

  • 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 $241,669 · end of year $175,055

  • 9 · Prepaid expenses and deferred charges

    beginning of year $9,175 · end of year $22,330

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

    $26,358,631

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

    $18,265,621

  • 10c · Land, buildings and equipment, net

    beginning of year $8,272,915 · end of year $8,093,010

  • 11 · Investments: publicly traded securities

    beginning of year $8,083,687 · end of year $10,767,161

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $1,411,433 · end of year $248,780

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,373,217 · end of year $2,846,713

  • 19 · Deferred revenue

    beginning of year $278,494 · end of year $288,674

  • 20 · Tax-exempt bond liabilities

    beginning of year $5,250,000 · end of year $4,991,762

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $438,920 · end of year $842,074

  • 27 · Net assets without donor restrictions

    beginning of year $13,827,998 · end of year $13,987,746

Mission and programs · 2023

Mission

TO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH OUR HIGH QUALITY FRANCISCAN HEALTH CARE MINISTRY.

  • Emergency Services: The Emergency Department at HSHS Good Shepherd Hospital stands as a comprehensive treatment facility, ensuring continuous care with a dedicated team of specially trained physicians, nurses, and technicians available 24/7. Our commitment to quality patient care spans a broad spectrum of concerns. Leveraging advanced telemedicine, we have access to a diverse array of specialists who contribute to diagnosis and treatment for those in need of elevated care. Equipped with cutting-edge technology, we efficiently process x-rays, CT scans, and various diagnostic tests, facilitating swift and accurate diagnosis and treatment across a spectrum of medical areas, including: Stroke, Heart attack, Shortness of breath, Motor vehicle and other accidents, Broken bones, Abdominal pain, Lacerations, and Mental health issues. During FY24 the emergency department seen 4640 patients of those 7% were admitted or placed in observation and 10% were transferred to a higher level of care.

    Expenses $6,222,489 · Revenue $5,423,920

  • Other: Good Shepherd Hospital provides a comprehensive range of other specialized healthcare services. The facility excels in advanced imaging, incorporating 3D mammography, and focuses on inpatient care through its swing bed program. Equipped with a modern laboratory and dedicated rehabilitation programs in cardiac, pulmonary, and general therapy services, the hospital prioritizes high-quality patient care. Services also include a specialized sleep center. Furthermore, a specialty clinic convenes expert providers in podiatry, cardiac, general medicine, and orthopedics, fortifying local access to specialized healthcare.

    Expenses $5,339,650 · Revenue $6,546,580

  • Outpatient Lab All Other: Good Shepherd team is highly qualified, experienced, and dedicated to ensuring that patients' experience is pleasant while maintaining the highest standards of safety and care. Our Laboratory Services are centered on meeting their needs, whether it's scheduling a convenient time for a blood draw or answering questions about specific tests. We are also committed to providing prompt results to the referring provider, understanding that the information we deliver is crucial in helping patients and their doctor progress with their care plan.

    Expenses $2,855,371 · Revenue $3,528,753

  • Outpatient Imaging: Good Shepherd Hospital Imaging is committed to delivering high-quality imaging services while ensuring patients experience comfort and convenience in a welcoming environment. We offer a range of procedures, including general radiography, 3D mammography, CT, MRI, ultrasound, and nuclear medicine. Our experienced, registered, and licensed technologists use the latest advanced technology to meet the imaging needs of our local community.

    Expenses $1,172,596 · Revenue $3,087,224

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Chad Markham

    President/CEO

    Total calculated
    $490,532
    From this org
    $201,844
    From related orgs
    $201,844
    Other
    $86,844
    Hours/week
    20 + 40 related

    Schedule J breakdown matched by us

    Base
    $157,409 + $157,409 related
    Bonus
    $42,449 + $42,449 related
    Other
    $1,986 + $1,986 related
    Deferred
    $28,667 + $28,667 related
    Nontaxable benefits
    $14,755 + $14,755 related
    Filer's total
    $245,266 + $245,266 related

  • Denise Bence

    Chair

    Total calculated
    $0
    Hours/week
    1

  • Josh Shallenberger

    Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • Elliott Uphoff

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Eric Forlines

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Kim Turner

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Paul Kay MD

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Shane Schuricht

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Sr Marybeth Culnan OSF

    Board Member (Until 10/31/23)

    Total calculated
    $0
    Hours/week
    1

  • Susan Koontz

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Travis Banfield

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Michael Scialdone

    Treasurer / HSHS SVP & CFO (began 01/08/24)

    Total calculated
    $0
    Hours/week
    0.3 + 59.7 related

  • Paige Toth

    Secretary (began 11/1/23)

    Total calculated
    $372,277
    From this org
    $0
    From related orgs
    $306,108
    Other
    $66,169
    Hours/week
    4.2 + 55.8 related

    Schedule J breakdown matched by us

    Base
    $0 + $283,016 related
    Bonus
    $0 + $23,092 related
    Other
    $0
    Deferred
    $0 + $33,609 related
    Nontaxable benefits
    $0 + $32,560 related
    Filer's total
    $0 + $372,277 related

  • Patricia Allen

    CFO - CARE DELIVERY

    Total calculated
    $773,133
    From this org
    $0
    From related orgs
    $649,506
    Other
    $123,627
    Hours/week
    3 + 57 related

    Schedule J breakdown matched by us

    Base
    $0 + $498,772 related
    Bonus
    $0 + $53,821 related
    Other
    $0 + $96,913 related
    Deferred
    $0 + $99,475 related
    Nontaxable benefits
    $0 + $24,152 related
    Filer's total
    $0 + $773,133 related

  • TODD Smart

    Treasurer (UNTIL 5/3/24)

    Total calculated
    $382,133
    From this org
    $0
    From related orgs
    $315,606
    Other
    $66,527
    Hours/week
    0.3 + 59.7 related

    Schedule J breakdown matched by us

    Base
    $0 + $275,819 related
    Bonus
    $0 + $37,512 related
    Other
    $0 + $2,275 related
    Deferred
    $0 + $46,882 related
    Nontaxable benefits
    $0 + $19,645 related
    Filer's total
    $0 + $382,133 related

  • Andrew Corzine

    Pharmacist

    Total calculated
    $191,268
    From this org
    $151,918
    From related orgs
    $0
    Other
    $39,350
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $149,016
    Bonus
    $0
    Other
    $2,902
    Deferred
    $9,454
    Nontaxable benefits
    $29,896
    Filer's total
    $191,268

  • Karla Dixon

    Director - Nursing

    Total calculated
    $154,889
    From this org
    $122,705
    From related orgs
    $0
    Other
    $32,184
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $122,680
    Bonus
    $0
    Other
    $25
    Deferred
    $0
    Nontaxable benefits
    $32,184
    Filer's total
    $154,889

  • Mary Theresa Thull

    ED House Supervisor

    Total calculated
    $127,655
    From this org
    $120,452
    From related orgs
    $0
    Other
    $7,203
    Hours/week
    40

  • Shelle Sloan

    Nurse Practitioner

    Total calculated
    $179,197
    From this org
    $146,697
    From related orgs
    $0
    Other
    $32,500
    Hours/week
    10

    Schedule J breakdown matched by us

    Base
    $136,697
    Bonus
    $10,000
    Other
    $0
    Deferred
    $3,427
    Nontaxable benefits
    $29,073
    Filer's total
    $179,197

  • Tammy Jo Sentel

    House Supervisor

    Total calculated
    $143,125
    From this org
    $123,113
    From related orgs
    $0
    Other
    $20,012
    Hours/week
    40

  • Aaron Puchbauer

    Former President/CEO

    Total calculated
    $419,038
    From this org
    $0
    From related orgs
    $356,839
    Other
    $62,199
    Hours/week
    0 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $234,808 related
    Bonus
    $0 + $56,608 related
    Other
    $0 + $65,423 related
    Deferred
    $0 + $30,617 related
    Nontaxable benefits
    $0 + $31,582 related
    Filer's total
    $0 + $419,038 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

  • 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 2023; THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). PATRICIA ALLEN -- $44,695 CHAD MARKHAM -- $40,834 AARON PUCHBAUER -- $30,148 TODD SMART -- $25,441 PAIGE TOTH -- $14,542 THE FOLLOWING INTERESTED PERSONS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2023; THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AND SCHEDULE J, PART II, COLUMN (F), AS APPLICABLE. PATRICIA ALLEN -- $34,179 AARON PUCHBAUER -- $22,341

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.

  • PRAIRIE HEART INSTITUTE MANAGEMENT COMPANY LLC

    Related · MEDICAL · IL · 100% owned · share of income $0 · share of assets $0 · general or managing partner

    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 $953,484 · share of assets $19,065,022 · 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 -$678,213 · share of assets $23,739,679 · 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 $204,854,765 · controlled entity

    Directly controlled by HSSI

Provenance

Return type
form_990
Tax year
2023
Filed
8 May 2025
IRS schema version
2023v6.0
Source object
202531289349302623

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