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Nonprofiteer
← OCONTO HOSPITAL & MEDICAL CENTER INC

Form 990 for tax year 2022

Filed by OCONTO HOSPITAL & MEDICAL CENTER INC.

Totals

Total revenue
$93,348,418
Total expenses
$84,257,972
Contributions and grants received
$721,329
Grants paid
$0
Program service revenue
$90,124,476
Investment income
-$81
Other revenue
$2,502,694
Total assets, end of year
$53,844,202
Total liabilities, end of year
$29,969,205
Net assets or fund balances, end of year
$23,874,997
Program services expenses (Part IX)
$76,225,580
Management and general expenses
$8,032,392
Fundraising expenses
$0
Program service expenses (Part III)
$76,225,580

Program services were 90.5% 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)

    $668,622

  • 1f · All other contributions, gifts and grants

    $52,707

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $88,554,540 · related or exempt $88,554,540

  • 2b · Program service revenue: CONTRACTED SERVICES

    total $1,421,444 · related or exempt $1,421,444

  • 2c · Program service revenue: RENT FROM AFFILIATES

    total $120,000 · related or exempt $120,000

  • 2f · All other program service revenue

    total $28,492 · excluded $28,492

  • 3 · Investment income

    total $8 · excluded $8

  • 6a · Gross rents

    real property $75,879

  • 6b · Less rental expenses

    real property $58,217

  • 6c · Rental income or loss

    real property $17,662

  • 6d · Net rental income or loss

    total $17,662 · excluded $17,662

  • 7a · Gross sales of assets other than inventory

    other assets $36,000

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

    other assets $36,089

  • 7c · Gain or loss

    other assets -$89

  • 7d · Net gain or loss

    total -$89 · excluded -$89

  • 11a · Other revenue: INCENTIVE PAYMENTS

    total $2,485,032 · related or exempt $2,485,032

  • 11e · Other revenue, total

    $2,485,032

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $612,190 · program services $404,870 · management and general $207,320

  • 7 · Other salaries and wages

    total $34,552,640 · program services $34,038,311 · management and general $514,329

  • 8 · Pension plan contributions

    total $1,706,898 · program services $1,673,354 · management and general $33,544

  • 9 · Other employee benefits

    total $3,003,534 · program services $2,955,613 · management and general $47,921

  • 10 · Payroll taxes

    total $2,098,871 · program services $2,047,665 · management and general $51,206

  • 11c · Fees: accounting

    total $7,875 · management and general $7,875

  • 11g · Fees: other

    total $3,971,926 · program services $3,932,642 · management and general $39,284

  • 12 · Advertising and promotion

    total $1,011 · program services $986 · management and general $25

  • 13 · Office expenses

    total $585,816 · program services $521,379 · management and general $64,437

  • 14 · Information technology

    total $229,408 · program services $228,250 · management and general $1,158

  • 16 · Occupancy

    total $4,079,781 · program services $4,033,646 · management and general $46,135

  • 17 · Travel

    total $481,554 · program services $463,581 · management and general $17,973

  • 19 · Conferences, conventions and meetings

    total $100,992 · program services $94,903 · management and general $6,089

  • 20 · Interest

    total $1,174,916 · program services $117,785 · management and general $1,057,131

  • 22 · Depreciation, depletion and amortization

    total $4,094,624 · program services $4,043,127 · management and general $51,497

  • 23 · Insurance

    total $69,537 · program services $30,904 · management and general $38,633

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $22,155,670 · program services $16,477,034 · management and general $5,678,636

  • 24b · Other expenses: EQUIPMENT RENT/REPAIRS

    total $2,514,383 · program services $2,514,358 · management and general $25

  • 24c · Other expenses: BAD DEBT EXPENSE

    total $2,255,754 · program services $2,255,754

  • 24d · Other expenses: DUES & SUBSCRIPTIONS

    total $271,088 · program services $171,390 · management and general $99,698

  • 24e · All other expenses

    total $289,504 · program services $220,028 · management and general $69,476

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $3,220,569 · end of year $5,377,016

  • 4 · Accounts receivable

    beginning of year $8,999,862 · end of year $9,278,661

  • 8 · Inventories for sale or use

    beginning of year $1,592,892 · end of year $1,627,448

  • 9 · Prepaid expenses and deferred charges

    beginning of year $5,328 · end of year $3,285

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

    $58,521,228

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

    $33,476,010

  • 10c · Land, buildings and equipment, net

    beginning of year $26,842,109 · end of year $25,045,218

  • 15 · Other assets

    beginning of year $17,257,844 · end of year $12,512,574

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,345,364 · end of year $3,583,938

  • 19 · Deferred revenue

    beginning of year $675,885 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $9,419,779 · end of year $9,004,500

  • 25 · Other liabilities

    beginning of year $29,807,201 · end of year $17,380,767

  • 27 · Net assets without donor restrictions

    beginning of year $13,836,622 · end of year $22,927,068

  • 28 · Net assets with donor restrictions

    beginning of year $833,753 · end of year $947,929

Mission and programs · 2022

Mission

THE MISSION OF OCONTO HOSPITAL & MEDICAL CENTER IS TO PROVIDE 24-HOUR LOCAL ACCESS TO EFFECTIVE, EFFICIENT HEALTH, WELLNESS AND PREVENTATIVE SERVICES TO OCONTO AND THE SURROUNDING RURAL COMMUNITIES. TOWARD THIS PURPOSE OCONTO HOSPITAL & MEDICAL CENTER WORKS IN PARTNERSHIP WITH THE COMMUNITY, AND BELLIN HEALTH.

Activities or mission (Part I)

OCONTO HOSPITAL & MEDICAL CENTER, INC. (THE ORGANIZATION) IS YOUR HOMETOWN HEALTHCARE SERVICE PROVIDER, CREATED TO MAKE OUTSTANDING HEALTHCARE CONVENIENT. BACKED BY THE RESOURCES OF BELLIN HEALTH, THE ORGANIZATION OFFERS OUTSTANDING HOSPITAL-BASED, EMERGENCY AND PRIMARY CARE SERVICES. THE ORGANIZATION OFFERS THE CARE YOU NEED WHERE YOU WANT IT.

  • OCONTO HOSPITAL AND MEDICAL CENTER OPERATES A 10-BED CRITICAL ACCESS HOSPITAL (CAH) WHICH PROVIDES BOTH INPATIENT AND OUTPATIENT MEDICAL AND SURGICAL SERVICES. THE OCONTO HOSPITAL & MEDICAL CENTER ALSO OPERATES A MULTISPECIALTY CLINIC IN MARINETTE WISCONSIN. SERVICES OFFERED AT THE MARINETTE LOCATION INCLUDE PRIMARY CARE SERVICES, RADIATION ONCOLOGY SERVICES, CHEMOTHERAPY, AND INFUSION SERVICES. IN ADDITION, THE ORGANIZATION HAS PRIMARY CARE CLINICS IN OCONTO, OCONTO FALLS, CRIVITZ, LAKEWOOD, SURING, AND PESHTIGO WISCONSIN, AND DAGGETT AND MENOMINEE MICHIGAN. THESE PROGRAM SERVICES PROVIDED 18,233 URGENT CARE VISITS, 86,093 PRIMARY CARE VISITS AND 40,213 SPECIALTY PROVIDER VISITS TO THESE COMMUNITIES DURING THE PERIOD OF OCTOBER 1, 2022 TO SEPTEMBER 30, 2023.

    Expenses $50,207,871 · Revenue $55,092,004

  • AS A KEY REGIONAL ASSET, THE ORGANIZATION IS A NOT-FOR-PROFIT HEALTHCARE PROVIDER. THE ORGANIZATION PROVIDES ACUTE HOSPITAL, EMERGENCY AND URGENT CARE TO RESIDENTS OF OCONTO, WISCONSIN, AND THE SURROUNDING COMMUNITIES. DURING THE PERIOD OF OCTOBER 1, 2022 TO SEPTEMBER 30, 2023, 230 INPATIENT DAYS WERE PROVIDED AND 1,597 SWING BED DAYS WERE PROVIDED. THE NUMBER OF OUTPATIENTS REGISTERED DURING THE SAME 12 MONTH PERIOD WAS 24,690.

    Expenses $26,017,709 · Revenue $37,489,012

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

Listed in Part VII

  • DAVE HONISH

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    0.5

  • ROD JOHNSON

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    0.5

  • CRAIG ALWIN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • SHARLA BAENEN

    BMH COO

    Total calculated
    $496,947
    From this org
    $0
    From related orgs
    $457,331
    Other
    $39,616
    Hours/week
    0.5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $366,586 related
    Bonus
    $0 + $60,000 related
    Other
    $0 + $30,745 related
    Deferred
    $0 + $14,581 related
    Nontaxable benefits
    $0 + $25,035 related
    Filer's total
    $0 + $496,947 related

  • LAURA HIEB

    BOARD MEMBER/SVP - CNO

    Total calculated
    $358,810
    From this org
    $0
    From related orgs
    $333,362
    Other
    $25,448
    Hours/week
    0.5 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $298,065 related
    Bonus
    $0
    Other
    $0 + $35,297 related
    Deferred
    $0 + $13,665 related
    Nontaxable benefits
    $0 + $11,783 related
    Filer's total
    $0 + $358,810 related

  • SARA ARNDT

    BOARD MEMBER

    Total calculated
    $124,469
    From this org
    $0
    From related orgs
    $93,399
    Other
    $31,070
    Hours/week
    0.5 + 45 related

  • CHARLES HEYKA MD

    PRESIDENT OF MEDICAL STAFF

    Total calculated
    $412,009
    From this org
    $365,420
    From related orgs
    $0
    Other
    $46,589
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $333,556
    Bonus
    $29,578
    Other
    $2,286
    Deferred
    $18,879
    Nontaxable benefits
    $27,710
    Filer's total
    $412,009

  • JULIE BIEBER

    VP - OCONTO HOSPITAL

    Total calculated
    $198,380
    From this org
    $173,704
    From related orgs
    $0
    Other
    $24,676
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $144,975
    Bonus
    $16,500
    Other
    $12,229
    Deferred
    $12,411
    Nontaxable benefits
    $12,265
    Filer's total
    $198,380

  • STEVE LITTLE

    BMH CFO (START 08/2023)

    Total calculated
    $0
    Hours/week
    0.5 + 45 related

  • GERALD OETZEL

    BMH CFO (THRU 08/2023)

    Total calculated
    $0
    Hours/week
    0.5 + 45 related

  • SCOTT RATHGABER

    BGHS CEO

    Total calculated
    $1,088,135
    From this org
    $0
    From related orgs
    $1,020,916
    Other
    $67,219
    Hours/week
    0.5 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,015,579 related
    Bonus
    $0 + $180 related
    Other
    $0 + $5,157 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $22,994 related
    Filer's total
    $0 + $1,088,135 related

  • JAMES DIETSCHE

    BOARD MEMBER (THRU 12/2022)

    Total calculated
    $659,221
    From this org
    $0
    From related orgs
    $624,652
    Other
    $34,569
    Hours/week
    0.5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $514,542 related
    Bonus
    $0 + $50,000 related
    Other
    $0 + $60,110 related
    Deferred
    $0 + $6,962 related
    Nontaxable benefits
    $0 + $27,607 related
    Filer's total
    $0 + $659,221 related

  • PAWNEET SINGH MD

    PHYSICIAN

    Total calculated
    $551,702
    From this org
    $526,407
    From related orgs
    $0
    Other
    $25,295
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $523,020
    Bonus
    $3,207
    Other
    $180
    Deferred
    $15,337
    Nontaxable benefits
    $9,958
    Filer's total
    $551,702

  • DAVID HOYER MD

    PHYSICIAN

    Total calculated
    $557,597
    From this org
    $513,127
    From related orgs
    $0
    Other
    $44,470
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $511,713
    Bonus
    $1,000
    Other
    $414
    Deferred
    $19,435
    Nontaxable benefits
    $25,035
    Filer's total
    $557,597

  • JON SIMMONS MD

    PHYSICIAN

    Total calculated
    $384,565
    From this org
    $357,533
    From related orgs
    $0
    Other
    $27,032
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $353,792
    Bonus
    $2,967
    Other
    $774
    Deferred
    $16,023
    Nontaxable benefits
    $11,009
    Filer's total
    $384,565

  • MICHAEL BRENNER MD

    PHYSICIAN

    Total calculated
    $407,550
    From this org
    $361,220
    From related orgs
    $0
    Other
    $46,330
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $327,101
    Bonus
    $33,939
    Other
    $180
    Deferred
    $18,620
    Nontaxable benefits
    $27,710
    Filer's total
    $407,550

  • IVY VACHON MD

    PHYSICIAN

    Total calculated
    $373,256
    From this org
    $331,589
    From related orgs
    $0
    Other
    $41,667
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $309,919
    Bonus
    $21,508
    Other
    $162
    Deferred
    $16,632
    Nontaxable benefits
    $25,035
    Filer's total
    $373,256

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 · Independent compensation consultant
  • 3 · Written employment contract
  • 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)

PART I, LINE 4B
BELLIN MEMORIAL HOSPITAL, A RELATED PARTY, HAS A DEFERRED COMPENSATION PLAN FOR SELECTED EXECUTIVES. JAMES DIETSCHE, SHARLA BAENEN, AND LAURA HIEB PARTICIPATED IN THE 457(F) PLAN. THE FOLLOWING DISTRIBUTIONS WERE MADE DURING CALENDAR YEAR 2022: JAMES DIETSCHE $49,313 LAURA HIEB $28,553 SHARLA BAENEN $20,236

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 corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
13 August 2024
IRS schema version
2022v5.0
Source object
202442279349300919

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