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← DOOR COUNTY MEMORIAL HOSPITAL

Form 990 for tax year 2023

Filed by DOOR COUNTY MEMORIAL HOSPITAL.

Totals

Total revenue
$120,137,048
Total expenses
$115,147,585
Contributions and grants received
$631,969
Grants paid
$12,500
Program service revenue
$115,477,729
Investment income
$3,915,002
Other revenue
$112,348
Total assets, end of year
$160,046,648
Total liabilities, end of year
$15,722,750
Net assets or fund balances, end of year
$144,323,898
Program services expenses (Part IX)
$100,731,385
Management and general expenses
$14,416,200
Fundraising expenses
$0
Program service expenses (Part III)
$100,731,385

Program services were 87.5% 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.

  • 1d · Related organizations

    $496,969

  • 1e · Government grants (contributions)

    $135,000

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $112,383,696 · related or exempt $112,383,696

  • 2b · Program service revenue: THERAPY OTHER REVENUES

    total $484,530 · related or exempt $484,530

  • 2c · Program service revenue: MOB RENTAL INCOME

    total $299,203 · related or exempt $299,203

  • 2d · Program service revenue: CAFETERIA REVENUES

    total $290,464 · excluded $290,464

  • 2e · Program service revenue: OCCUPATIONAL HEALTH AND WELLNESS

    total $31,145 · related or exempt $31,145

  • 2f · All other program service revenue

    total $1,988,691 · related or exempt $1,988,691

  • 3 · Investment income

    total $2,057,823 · excluded $2,057,823

  • 6a · Gross rents

    real property $132,740

  • 6b · Less rental expenses

    real property $20,392

  • 6c · Rental income or loss

    real property $112,348

  • 6d · Net rental income or loss

    total $112,348 · excluded $112,348

  • 7a · Gross sales of assets other than inventory

    securities $22,756,118 · other assets $63,000

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

    securities $20,961,939 · other assets $0

  • 7c · Gain or loss

    securities $1,794,179 · other assets $63,000

  • 7d · Net gain or loss

    total $1,857,179 · excluded $1,857,179

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $12,500 · program services $12,500

  • 5 · Compensation of officers, directors and key employees

    total $2,322,346 · program services $2,064,794 · management and general $257,552

  • 7 · Other salaries and wages

    total $56,531,339 · program services $50,261,917 · management and general $6,269,422

  • 8 · Pension plan contributions

    total $2,783,647 · program services $2,474,936 · management and general $308,711

  • 9 · Other employee benefits

    total $9,003,631 · program services $8,005,113 · management and general $998,518

  • 10 · Payroll taxes

    total $3,514,100 · program services $3,124,380 · management and general $389,720

  • 11b · Fees: legal

    total $176,463 · program services $79,389 · management and general $97,074

  • 11c · Fees: accounting

    total $74,045 · program services $13,492 · management and general $60,553

  • 11d · Fees: lobbying

    total $16,522 · management and general $16,522

  • 11f · Fees: investment management

    total $222,353 · management and general $222,353

  • 11g · Fees: other

    total $13,093,922 · program services $11,830,113 · management and general $1,263,809

  • 12 · Advertising and promotion

    total $855,835 · program services $25,980 · management and general $829,855

  • 13 · Office expenses

    total $1,962,001 · program services $1,653,548 · management and general $308,453

  • 14 · Information technology

    total $2,685,703 · program services $746,985 · management and general $1,938,718

  • 16 · Occupancy

    total $1,908,063 · program services $1,763,257 · management and general $144,806

  • 17 · Travel

    total $524,324 · program services $378,489 · management and general $145,835

  • 20 · Interest

    total $221,166 · program services $208,712 · management and general $12,454

  • 22 · Depreciation, depletion and amortization

    total $4,517,598 · program services $4,263,202 · management and general $254,396

  • 23 · Insurance

    total $566,193 · program services $162,285 · management and general $403,908

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $7,093,712 · program services $7,093,712

  • 24b · Other expenses: PHARMACEUTICALS

    total $4,180,456 · program services $4,180,456

  • 24c · Other expenses: BAD DEBT EXPENSE

    total $1,335,302 · program services $1,335,302

  • 24d · Other expenses: EQUIPMENT RENTAL

    total $209,863 · program services $209,863

  • 24e · All other expenses

    total $1,336,501 · program services $842,960 · management and general $493,541

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $3,375 · end of year $3,378

  • 2 · Savings and temporary cash investments

    beginning of year $8,388,103 · end of year $10,386,875

  • 4 · Accounts receivable

    beginning of year $13,528,749 · end of year $15,458,072

  • 7 · Other notes and loans receivable

    beginning of year $436,708 · end of year $764,478

  • 8 · Inventories for sale or use

    beginning of year $1,966,456 · end of year $1,926,129

  • 9 · Prepaid expenses and deferred charges

    beginning of year $2,648,861 · end of year $2,080,404

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

    $77,806,253

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

    $25,219,353

  • 10c · Land, buildings and equipment, net

    beginning of year $53,682,885 · end of year $52,586,900

  • 11 · Investments: publicly traded securities

    beginning of year $63,404,643 · end of year $70,342,584

  • 15 · Other assets

    beginning of year $6,250,114 · end of year $6,497,828

  • 17 · Accounts payable and accrued expenses

    beginning of year $10,192,196 · end of year $7,935,750

  • 20 · Tax-exempt bond liabilities

    beginning of year $4,908,058 · end of year $4,444,737

  • 23 · Secured mortgages and notes payable

    beginning of year $1,383,541 · end of year $758,897

  • 25 · Other liabilities

    beginning of year $1,924,972 · end of year $2,583,366

  • 27 · Net assets without donor restrictions

    beginning of year $131,104,059 · end of year $141,429,908

  • 28 · Net assets with donor restrictions

    beginning of year $797,068 · end of year $2,893,990

Mission and programs · 2023

Mission

OUR MISSION AS A HEALTH CARE SYSTEM IS TO FURTHER THE HEALING MINISTRY OF JESUS CHRIST BY IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITY, ESPECIALLY THOSE IN NEED.

Activities or mission (Part I)

DELIVERING COMPASSIONATE, QUALITY CARE THAT INSPIRES A HEALTHY COMMUNITY.

  • DOOR COUNTY MEMORIAL HOSPITAL ("THE HOSPITAL") IS A FULLY ACCREDITED, ACUTE-CARE HOSPITAL AND OUTPATIENT MEDICAL CENTER, WITH 25 LICENSED BEDS. THE HOSPITAL OFFERS A FULL RANGE OF SERVICES AND SPECIALTIES, INCLUDING HOME HEALTH, A SKILLED NURSING FACILITY FOR LONG-TERM CARE AND REHABILITATION SERVICES, A REHAB SERVICES DEPARTMENT AND NORTH SHORE MEDICAL CLINIC. DURING FISCAL 2024, THE HOSPITAL COUNTED 3,555 INPATIENT DAYS, INCLUDING SWING BED. THE HOSPITAL'S OUTPATIENT FACILITIES, WHICH INCLUDE ITS REHABILITATION AGENCY, 32 BED EXTENDED CARE FACILITY, EMERGENCY ROOM, NORTH SHORE MEDICAL CLINIC SERVED 211,962 VISITS, AND THE NORTH SHORE MEDICAL CLINIC, INCLUDING ITS URGENT CARE FACILITY SERVED 80,029 VISITS. SEE SCHEDULE H FOR FURTHER DETAILS REGARDING THE COMMUNITY BENEFITS THE HOSPITAL PROVIDES.

    Expenses $100,731,385 · Grants $12,500 · Revenue $115,187,265

As filed on the 2023 return.

Listed in Part VII

  • Brian Stephens

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $402,041
    From this org
    $358,219
    From related orgs
    $0
    Other
    $43,822
    Hours/week
    40 + 1.3 related

    Schedule J breakdown matched by us

    Base
    $353,848
    Bonus
    $0
    Other
    $4,371
    Deferred
    $19,666
    Nontaxable benefits
    $24,156
    Filer's total
    $402,041
  • Patricia Vickman

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Drew Richmond

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Jamie Alberts

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Corwin Dahl

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Dr James Heise

    PHYSICIAN/MED STAFF PRESIDENT

    Total calculated
    $530,581
    From this org
    $482,137
    From related orgs
    $0
    Other
    $48,444
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $389,869
    Bonus
    $0
    Other
    $92,268
    Deferred
    $19,800
    Nontaxable benefits
    $28,644
    Filer's total
    $530,581
  • Dr Dorene Dempster

    BOARD MEMBER/PHYSICIAN

    Total calculated
    $424,173
    From this org
    $374,008
    From related orgs
    $0
    Other
    $50,165
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $361,255
    Bonus
    $0
    Other
    $12,753
    Deferred
    $19,800
    Nontaxable benefits
    $30,365
    Filer's total
    $424,173
  • Dr Richard Hogan

    BOARD MEMBER/PHYSICIAN (THRU 12/23)

    Total calculated
    $406,062
    From this org
    $359,330
    From related orgs
    $0
    Other
    $46,732
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $340,983
    Bonus
    $0
    Other
    $18,347
    Deferred
    $19,800
    Nontaxable benefits
    $26,932
    Filer's total
    $406,062
  • Dr Amy Fogarty

    MED STAFF PRESIDENT ELECT

    Total calculated
    $298,386
    From this org
    $259,588
    From related orgs
    $0
    Other
    $38,798
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $253,111
    Bonus
    $0
    Other
    $6,477
    Deferred
    $10,679
    Nontaxable benefits
    $28,119
    Filer's total
    $298,386
  • Patty Allen

    CLASS H MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Bradley Andreae

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Brian Charlier

    CLASS H MEMBER (THRU 4/24)

    Total calculated
    $0
    Hours/week
    1
  • Bernadette Conroy

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Robert Erickson

    CLASS H MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Polly Helm

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Erin Helgeson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Jon Jarosh

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Joel Kitchens

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • William Mundy

    MEMBER AT LARGE (THRU 12/23)

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Jeff Rabas

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Dr Ashok Rai

    CLASS H MEMBER (THRU 5/24)

    Total calculated
    $0
    Hours/week
    1
  • Megan Sarkis

    BOARD MEMBER (THRU 12/23)

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Marti Spittell Ziegelbauer

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Scot Wederquist

    MEMBER AT LARGE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Andrew Laluzerne

    CHIEF FINANCIAL OFFICER

    Total calculated
    $248,032
    From this org
    $206,210
    From related orgs
    $0
    Other
    $41,822
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $194,346
    Bonus
    $0
    Other
    $11,864
    Deferred
    $13,093
    Nontaxable benefits
    $28,729
    Filer's total
    $248,032
  • Daniel Tomaszewski

    PHYSICIAN

    Total calculated
    $1,297,540
    From this org
    $1,258,946
    From related orgs
    $0
    Other
    $38,594
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,225,117
    Bonus
    $0
    Other
    $33,829
    Deferred
    $13,200
    Nontaxable benefits
    $25,394
    Filer's total
    $1,297,540
  • Marc Binard

    PHYSICIAN

    Total calculated
    $768,692
    From this org
    $720,774
    From related orgs
    $0
    Other
    $47,918
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $693,350
    Bonus
    $0
    Other
    $27,424
    Deferred
    $19,800
    Nontaxable benefits
    $28,118
    Filer's total
    $768,692
  • Martin Finck

    PHYSICIAN

    Total calculated
    $576,941
    From this org
    $527,932
    From related orgs
    $0
    Other
    $49,009
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $497,682
    Bonus
    $0
    Other
    $30,250
    Deferred
    $19,800
    Nontaxable benefits
    $29,209
    Filer's total
    $576,941
  • Michael Bruno

    PHYSICIAN

    Total calculated
    $585,898
    From this org
    $541,720
    From related orgs
    $0
    Other
    $44,178
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $508,600
    Bonus
    $0
    Other
    $33,120
    Deferred
    $19,800
    Nontaxable benefits
    $24,378
    Filer's total
    $585,898
  • Brian Matysiak

    PHYSICIAN

    Total calculated
    $571,171
    From this org
    $523,315
    From related orgs
    $0
    Other
    $47,856
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $500,786
    Bonus
    $0
    Other
    $22,529
    Deferred
    $19,800
    Nontaxable benefits
    $28,056
    Filer's total
    $571,171

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 · Travel for companions
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 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
PHYSICIANS ARE ALLOWED UP TO $1,000 FOR SPOUSE TRAVEL TO CONFERENCES. SUPPORTING DOCUMENTATION OF THE EXPENSES IS MAINTAINED AND TRACKED BY THE PHYSICIANS. SPOUSE TRAVEL AMOUNTS ARE INCLUDED IN TAXABLE COMPENSATION.

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

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.

Provenance

Return type
form_990
Tax year
2023
Filed
13 March 2025
IRS schema version
2023v6.0
Source object
202500769349300840

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