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 AndersonTODD 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 ScacciaKIMBERLY 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 MDMARK 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 GarrityTHOMAS 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 VentocillaNICHOLAS 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 ZankleGREGORY 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 BeaJAVON 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 McClellanROWLAND 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 JostWESLEY 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 SchackKATHERINE 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 PoolTHOMAS 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 BuddTHOMAS 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 SyversonDAVE 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.
-
501(C)(3) · HEALTHCARE · IL
Directly controlled by MERCY HEALTH CORPORATION
-
MERCYHEALTH DEVELOPMENT FOUNDATION
501(C)(3) · SUPPORT OF HEALTHCARE · IL
Directly controlled by MERCY HEALTH CORPORATION
-
501(C)(3) · HEALTHCARE · IL
Directly controlled by MERCY HEALTH CORPORATION
-
MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS
501(C)(3) · SUPPORT OF HEALTHCARE · WI
Directly controlled by MERCY HEALTH SYSTEM CORPORATION
-
MERCY HEALTH SYSTEM CORPORATION
501(C)(3) · HEALTHCARE · WI
Directly controlled by MERCY HEALTH CORPORATION
-
501(C)(3) · HEALTHCARE · WI
Directly controlled by MERCY HEALTH CORPORATION
-
501(C)(3) · HEALTHCARE · IL
Directly controlled by MERCY HEALTH CORPORATION
-
MERCYHEALTH VISITING NURSES ASSOCIATION INC
501(C)(3) · HEALTHCARE · IL
Directly controlled by MERCY HEALTH CORPORATION
-
501(C)(3) · SUPPORT OF HEALTHCARE · IL
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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