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← MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER INC

Form 990 for tax year 2023

Filed by MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER INC.

Totals

Total revenue
$33,407,720
Total expenses
$36,522,333
Contributions and grants received
$0
Grants paid
$421,674
Program service revenue
$33,259,865
Investment income
$0
Other revenue
$147,855
Total assets, end of year
$108,515,172
Total liabilities, end of year
$111,629,785
Net assets or fund balances, end of year
-$3,114,613
Program services expenses (Part IX)
$29,461,539
Management and general expenses
$7,060,794
Fundraising expenses
$0
Program service expenses (Part III)
$29,461,539

Program services were 80.7% 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.

  • 2a · Program service revenue: PATIENT REVENUE

    total $28,577,280 · related or exempt $28,577,280

  • 2b · Program service revenue: MEDICARE

    total $3,974,479 · related or exempt $3,974,479

  • 2c · Program service revenue: MEDICAID

    total $708,106 · related or exempt $708,106

  • 10a · Gross sales of inventory

    $199,337

  • 10b · Cost of goods sold

    $189,076

  • 10c · Net income from sales of inventory

    total $10,261 · related or exempt $34,578 · unrelated business -$24,317

  • 11a · Other revenue: CAFETERIA

    total $124,694 · excluded $124,694

  • 11b · Other revenue: MISCELLANEOUS

    total $8,161 · excluded $8,161

  • 11c · Other revenue: REBATES

    total $4,739 · excluded $4,739

  • 11e · Other revenue, total

    $137,594

Functional expenses

Part IX, the statement of functional expenses.

  • 2 · Grants to domestic individuals

    total $421,674 · program services $421,674

  • 7 · Other salaries and wages

    total $15,735,595 · program services $12,304,940 · management and general $3,430,655

  • 9 · Other employee benefits

    total $2,480,919 · program services $1,107,590 · management and general $1,373,329

  • 10 · Payroll taxes

    total $1,359,215 · program services $1,125,575 · management and general $233,640

  • 11b · Fees: legal

    total $45,899 · management and general $45,899

  • 11c · Fees: accounting

    total $16,727 · program services $1,269 · management and general $15,458

  • 11g · Fees: other

    total $1,064,354 · program services $595,060 · management and general $469,294

  • 12 · Advertising and promotion

    total $83,753 · management and general $83,753

  • 13 · Office expenses

    total $4,633,337 · program services $4,477,971 · management and general $155,366

  • 14 · Information technology

    total $367,959 · program services $37,053 · management and general $330,906

  • 16 · Occupancy

    total $1,361,323 · program services $1,184,039 · management and general $177,284

  • 17 · Travel

    total $93,842 · program services $73,059 · management and general $20,783

  • 19 · Conferences, conventions and meetings

    total $10,612 · program services $3,158 · management and general $7,454

  • 22 · Depreciation, depletion and amortization

    total $2,157,461 · program services $1,725,969 · management and general $431,492

  • 23 · Insurance

    total $142,697 · program services $114,158 · management and general $28,539

  • 24a · Other expenses: PHYSICIAN LOCUM FEES

    total $4,489,011 · program services $4,489,011

  • 24b · Other expenses: BAD DEBT

    total $1,531,290 · program services $1,531,290

  • 24c · Other expenses: MISCELLANEOUS EXPENSES

    total $409,011 · program services $166,120 · management and general $242,891

  • 24d · Other expenses: MEDICAID TAX

    total $63,021 · program services $63,021

  • 24e · All other expenses

    total $54,633 · program services $40,582 · management and general $14,051

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $2,160,986

  • 4 · Accounts receivable

    beginning of year $0 · end of year $9,955,258

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $2,029,684

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

    $95,562,157

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

    $2,157,461

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $93,404,696

  • 15 · Other assets

    beginning of year $0 · end of year $964,548

  • 17 · Accounts payable and accrued expenses

    beginning of year $0 · end of year $2,053,680

  • 25 · Other liabilities

    beginning of year $0 · end of year $109,576,105

  • 27 · Net assets without donor restrictions

    beginning of year $0 · end of year -$3,114,613

Mission and programs · 2023

Mission

THE MISSION OF MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER, INC. (CLH) IS "EXCEPTIONAL HEALTH CARE SERVICES WITH A PASSION FOR MAKING LIVES BETTER". WITH A VISION OF QUALITY: EXCELLENCE IN PATIENT CARE; SERVICE: EXCEPTIONAL PATIENT AND CUSTOMER CARE; PARTNERING: BEST PLACE TO WORK; AND COST: COST-EFFECTIVE CARE ALONG WITH A COMMITMENT TO THE VALUES OF: HEALING IN THE BROADEST SENSE, PATIENTS COME FIRST, TREAT EACH OTHER LIKE FAMILY AND ALWAYS SEEK EXCELLENCE.

Activities or mission (Part I)

TO IMPROVE AND PROTECT THE HEALTH AND WELFARE OF THE COMMUNITY IN ACCORDANCE WITH OUR MISSION, THE MISSION OF MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER, INC. (CLH) IS "EXCEPTIONAL HEALTH CARE SERVICES WITH A PASSION FOR MAKING LIVES BETTER". THE FOUNDATION OF THIS MISSION IS BASED ON A VISION OF QUALITY: EXCELLENCE IN PATIENT CARE; SERVICE: EXCEPTIONAL PATIENT AND CUSTOMER CARE; PARTNERING: BEST PLACE TO WORK; AND COST: COST-EFFECTIVE CARE ALONG WITH A COMMITMENT TO THE VALUES OF: HEALING IN THE BROADEST SENSE, PATIENTS COME FIRST, TREAT EACH OTHER LIKE FAMILY AND ALWAYS SEEK EXCELLENCE.

  • MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER, INC. (CLH) IS A NOT-FOR-PROFIT CHARITABLE HEALTHCARE INSTITUTION THAT FUNCTIONS IN ACCORDANCE WITH ALL APPLICABLE LAWS AND REGULATIONS. IN THE COURSE OF OPERATIONS, CLH IS COMMITTED TO PROVIDING SUPERIOR CARE EVERY DAY FOR ALL ITS PATIENTS. CLH FEATURES 13 INPATIENT BEDS AND TWO INTENSIVE CARE SUITES, SURGERY SUITES, EMERGENCY CARE AND DIAGNOSTIC SERVICES, AS WELL PRIMARY AND SPECIALTY CARE PHYSICIAN OFFICESIN FISCAL YEAR 2024, PATIENT CARE WAS RENDERED TO 306 INDIVIDUALS WHO PRESENTED THEMSELVES FOR INPATIENT SERVICES, AND 131 INPATIENT SURGERIES ALONG WITH SUPPORTING 9,011 EMERGENCY ROOM VISITS.CLH HAS AN IN-HOUSE LABORATORY THAT PROVIDES TESTING FOR ALL WHO PRESENT THEMSELVES AT THE HOSPITAL FOR TREATMENT. CLH PROVIDED 59,388 LABORATORY TESTS.

    Expenses $29,461,539 · Grants $421,674 · Revenue $33,294,443

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

Listed in Part VII

  • Todd Anderson

    VP/CFO (TERM 01/2025)

    Total calculated
    $978,066
    From this org
    $0
    From related orgs
    $890,535
    Other
    $87,531
    Hours/week
    1 + 62 related

    Schedule J breakdown matched by us

    Base
    $0 + $583,582 related
    Bonus
    $0 + $298,099 related
    Other
    $0 + $8,854 related
    Deferred
    $0 + $49,833 related
    Nontaxable benefits
    $0 + $37,698 related
    Filer's total
    $0 + $978,066 related
  • Kimberly Scaccia

    VP - REVENUE CYCLE

    Total calculated
    $605,673
    From this org
    $0
    From related orgs
    $545,085
    Other
    $60,588
    Hours/week
    1 + 62 related

    Schedule J breakdown matched by us

    Base
    $0 + $364,549 related
    Bonus
    $0 + $174,918 related
    Other
    $0 + $5,618 related
    Deferred
    $0 + $28,911 related
    Nontaxable benefits
    $0 + $31,677 related
    Filer's total
    $0 + $605,673 related
  • Mark L Goelzer MD

    DIRECTOR/PHYSICIAN

    Total calculated
    $514,572
    From this org
    $0
    From related orgs
    $481,051
    Other
    $33,521
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $246,712 related
    Bonus
    $0 + $227,923 related
    Other
    $0 + $6,416 related
    Deferred
    $0 + $15,657 related
    Nontaxable benefits
    $0 + $17,864 related
    Filer's total
    $0 + $514,572 related
  • Thomas Garrity

    PHYSICIAN

    Total calculated
    $355,886
    From this org
    $352,298
    From related orgs
    $0
    Other
    $3,588
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $146,750
    Bonus
    $200,000
    Other
    $5,548
    Deferred
    $3,216
    Nontaxable benefits
    $372
    Filer's total
    $355,886
  • Nicholas Ventocilla

    ADVANCED PRACTICE CONTRACT PROVIDER

    Total calculated
    $131,597
    From this org
    $117,948
    From related orgs
    $0
    Other
    $13,649
    Hours/week
    40
  • Gregory Zankle

    ADVANCED PRACTICE CONTRACT PROVIDER

    Total calculated
    $115,438
    From this org
    $113,947
    From related orgs
    $0
    Other
    $1,491
    Hours/week
    40
  • Javon Bea

    PRESIDENT/CEO (SEE PAGES 49-54)

    Total calculated
    $22,757,779
    From this org
    $0
    From related orgs
    $16,001,686
    Other
    $6,756,093
    Hours/week
    1 + 67 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,816,003 related
    Bonus
    $0
    Other
    $0 + $14,185,683 related
    Deferred
    $0 + $6,738,431 related
    Nontaxable benefits
    $0 + $17,662 related
    Filer's total
    $0 + $22,757,779 related
  • Rowland J McClellan

    CHAIR & DIRECTOR

    Total calculated
    $23,157
    From this org
    $0
    From related orgs
    $23,157
    Other
    $0
    Hours/week
    1 + 7 related
  • Wesley M Jost

    DIRECTOR

    Total calculated
    $13,858
    From this org
    $0
    From related orgs
    $13,858
    Other
    $0
    Hours/week
    1 + 7 related
  • Katherine A Schack

    DIRECTOR

    Total calculated
    $13,663
    From this org
    $0
    From related orgs
    $13,663
    Other
    $0
    Hours/week
    1 + 7 related
  • Thomas R Pool

    VICE CHAIR & DIRECTOR

    Total calculated
    $13,500
    From this org
    $0
    From related orgs
    $13,500
    Other
    $0
    Hours/week
    1 + 7 related
  • Thomas D Budd

    SECRETARY & TREASURER

    Total calculated
    $13,500
    From this org
    $0
    From related orgs
    $13,500
    Other
    $0
    Hours/week
    1 + 7 related
  • Dave L Syverson

    DIRECTOR

    Total calculated
    $12,932
    From this org
    $0
    From related orgs
    $12,932
    Other
    $0
    Hours/week
    1 + 7 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

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE CEO IS PAID FROM A RELATED ORGANIZATION, MERCY HEALTH SYSTEM CORPORATION (MHSC). MHSC USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE CEO: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATION, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. THE MHSC COMPENSATION COMMITTEE IS COMPRISED OF THE BOARD CHAIRPERSON, VICE CHAIR, AND SECRETARY/TREASURER. THE COMPENSATION COMMITTEE IS ASSISTED BY INDEPENDENT LEGAL COUNSEL AND AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE, LEGAL COUNSEL, AND THE COMPENSATION CONSULTANT MEET THROUGHOUT THE YEAR AND REPORT DIRECTLY TO THE FULL BOARD OF DIRECTORS ANNUALLY. THIS PROCESS WAS COMPLETED FOR 2023.
PART I, LINE 4B
INCENTIVE PLAN DISTRIBUTION: JAVON R. BEA - $8,510,830
PART I, LINE 7
BONUSES RECEIVED BY THE OFFICERS FOR MHSC ARE BASED UPON TWO CRITERIA: 1) FINANCIAL PERFORMANCE - UP TO 25% OF BASE SALARY WILL BE PAID BASED ON MEETING BUDGETARY GOALS. 2) LONG TERM INCENTIVE - BASED UPON STRATEGIC IMPLEMENTATION. EMPLOYEES CAN EARN UP TO ANOTHER 25% OF BASE SALARY TO BE PAID OUT OVER 3 YEARS AND IS BASED ON RETENTION AND LONG TERM GOALS.
PART II, LINE 1:
JAVON R. BEA DEFERRED COMPENSATION PAYMENT MR. BEA HAS BEEN EMPLOYED BY MHSC AS PRESIDENT AND CEO OVER THE PAST 36 YEARS. DURING THIS TIME, MR. BEA HAS LED AN INCREDIBLE TRANSFORMATION TAKING A SMALL, SINGLE, STAND-ALONE COMMUNITY HOSPITAL AND CREATING A VERTICALLY INTEGRATED HEALTH SYSTEM WITH 89 FACILITIES IN 50 COMMUNITIES THROUGHOUT SOUTHERN WISCONSIN AND NORTHERN ILLINOIS, INCREASING GROSS REVENUE FROM $33 MILLION TO OVER $4.1 BILLION IN FY2024. THIS HAS ALLOWED THE HEALTH SYSTEM TO GO FROM SERVING 89,000 PATIENTS IN 1989 TO OVER 1.9 MILLION PATIENTS TODAY WORKING TOGETHER WITH OVER 7,500+ PARTNERS IN HEALTH CARE AND OVER 800 EMPLOYED PHYSICIANS. TODAY, MHSC HAS BECOME THE LARGEST EMPLOYER IN SOUTHERN WISCONSIN AND NORTHERN ILLINOIS. THIS GROWTH CAN BE ATTRIBUTED TO MR. BEA'S VISIONARY LEADERSHIP. LEADERSHIP THAT OVER THE YEARS HAS LED TO MHSC RECEIVING NUMEROUS NATIONAL RECOGNIZED AWARDS INCLUDING BEING NAMED THE FIRST FULLY INTEGRATED HEALTH SYSTEM TO RECEIVE THE MALCOLM BALDRIGE NATIONAL QUALITY AWARD FROM THE PRESIDENT OF THE UNITED STATES IN THE OVAL OFFICE, THE MAGNET RECOGNITION AWARD, BEING RANKED #1 AND #2 ON AARP'S TOP 100 BEST PLACES TO WORK FOR WORKERS OVER 50, AND BEING RANKED IN THE TOP 25 ON THE TOP 100 INTEGRATED HEALTHCARE NETWORKS LIST BY MODERN HEALTHCARE. THE TURNAROUND OF MHSC IMPLEMENTED BY MR. BEA IS UNPARALLELED. BY PIONEERING A "PARTNERSHIP MODEL" OF COMPENSATION AND DESIGNING A CUSTOM CULTURE OF EXCELLENCE, MR. BEA IS VITAL TO THE DECADES-LONG AND CONTINUING GROWTH AT MHSC. THIS SUCCESS HAS MADE MR. BEA A HIGHLY SOUGHT AFTER SPEAKER AND CONSULTANT AS HE IS NOW WELL-RENOWNED FOR HIS INNOVATIONS IN THE AREAS OF INTEGRATED HEALTHCARE AND PHYSICIAN PARTNERSHIP MODELS. THE TREMENDOUS SUCCESS OF MHSC UNDER THE LEADERSHIP OF MR. BEA HAS ALLOWED HIM TO RECEIVE PAYOUTS FROM A DEFERRED COMPENSATION PACKAGE WHICH MHSC HAS BEEN PAYING INTO OVER MANY YEARS. THESE PAYMENTS ONLY BECAME PAYABLE IF MHSC ATTAINED CERTAIN DEFINED FINANCIAL AND STRATEGIC GOALS AND THE AMOUNTS ARE AT RISK EVERY SINGLE YEAR. AS INDICATED ABOVE, MANY OF THESE GOALS WERE ACHIEVED WITHIN THE PAST FEW YEARS RESULTING IN A RELEASE OF THESE DEFERRED PAYMENTS WHICH IMPACTED MR. BEA'S COMPENSATION REPORTING. THE SETTING OF THESE GOALS WERE LAID OUT BY THE BOARD OF DIRECTORS IN COOPERATION WITH NATIONALLY RECOGNIZED COMPENSATION ATTORNEYS AND CONSULTANTS TO MAKE SURE ALL FACTORS WERE TAKEN INTO CONSIDERATION. MR. BEA'S COMPENSATION HAS ALSO BEEN SCRUTINIZED BY NUMEROUS OUTSIDE ORGANIZATIONS AND MOST IMPORTANTLY, THE INTERNAL REVENUE SERVICE; AND HAS PASSED INSPECTION IN EACH CASE. TOTAL COMPENSATION IS APPROVED ANNUALLY BY THE BOARD OF DIRECTORS OF MHSC.

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.

  • ROCKFORD HEALTH INSURANCE LTD

    C · INSURANCE · BD

  • JANESVILLE MEDICAL CENTER INC

    C · MANAGEMENT OF UNION EMPLOYEES · WI

  • MERCYCARE INSURANCE COMPANY

    C · INSURANCE · WI

  • MERCYCARE HMO INC - CONSOLIDATED WITH MERCYCARE INSURANCE CO

    C · INSURANCE · WI

Provenance

Return type
form_990
Tax year
2023
Filed
15 May 2025
IRS schema version
2023v6.0
Source object
202511359349316156

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