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Nonprofiteer
← LADD MEMORIAL HOSPITAL

Form 990 for tax year 2022

Filed by LADD MEMORIAL HOSPITAL.

Totals

Total revenue
$53,420,765
Total expenses
$47,583,250
Contributions and grants received
$653,161
Grants paid
$0
Program service revenue
$52,475,633
Investment income
$163,385
Other revenue
$128,586
Total assets, end of year
$55,634,810
Total liabilities, end of year
$15,948,495
Net assets or fund balances, end of year
$39,686,315
Program services expenses (Part IX)
$39,155,268
Management and general expenses
$8,300,847
Fundraising expenses
$127,135
Program service expenses (Part III)
$39,155,268

Program services were 82.3% 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

    $133,137

  • 1e · Government grants (contributions)

    $258,199

  • 1f · All other contributions, gifts and grants

    $261,825

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

    total $52,221,927 · related or exempt $49,573,186 · unrelated business $2,648,741

  • 2b · Program service revenue: FITNESS CENTER

    total $253,706 · related or exempt $253,706

  • 3 · Investment income

    total $167,985 · excluded $167,985

  • 6a · Gross rents

    real property $4,076

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $4,076

  • 6d · Net rental income or loss

    total $4,076 · excluded $4,076

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

    other assets $4,600

  • 7c · Gain or loss

    other assets -$4,600

  • 7d · Net gain or loss

    total -$4,600 · excluded -$4,600

  • 11a · Other revenue: GIFT SHOP

    total $33,300 · excluded $33,300

  • 11d · All other revenue

    total $91,210 · excluded $91,210

  • 11e · Other revenue, total

    $124,510

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $955,029 · management and general $955,029

  • 7 · Other salaries and wages

    total $14,006,828 · program services $10,619,149 · management and general $3,297,362 · fundraising $90,317

  • 8 · Pension plan contributions

    total $345,135 · program services $264,683 · management and general $78,201 · fundraising $2,251

  • 9 · Other employee benefits

    total $2,284,638 · program services $1,668,827 · management and general $601,618 · fundraising $14,193

  • 10 · Payroll taxes

    total $1,017,395 · program services $725,971 · management and general $285,250 · fundraising $6,174

  • 11b · Fees: legal

    total $19,608 · management and general $19,608

  • 11g · Fees: other

    total $12,453,382 · program services $12,159,894 · management and general $293,488

  • 12 · Advertising and promotion

    total $128,017 · program services $123,337 · management and general $4,680

  • 13 · Office expenses

    total $427,708 · program services $312,378 · management and general $114,779 · fundraising $551

  • 14 · Information technology

    total $1,637,790 · program services $74,633 · management and general $1,563,157

  • 16 · Occupancy

    total $648,486 · program services $459,447 · management and general $189,039

  • 17 · Travel

    total $24,171 · program services $21,574 · management and general $2,597

  • 20 · Interest

    total $276,079 · program services $220,823 · management and general $53,088 · fundraising $2,168

  • 22 · Depreciation, depletion and amortization

    total $1,462,320 · program services $1,169,645 · management and general $281,194 · fundraising $11,481

  • 23 · Insurance

    total $76,981 · management and general $76,981

  • 24a · Other expenses: DRUGS

    total $4,468,693 · program services $4,468,137 · management and general $556

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $4,093,656 · program services $4,091,216 · management and general $2,440

  • 24c · Other expenses: BAD DEBT EXPENSE

    total $1,808,156 · program services $1,808,156

  • 24d · Other expenses: EQUIPMENT RENTAL AND MA

    total $438,443 · program services $419,043 · management and general $19,400

  • 24e · All other expenses

    total $1,010,735 · program services $548,355 · management and general $462,380

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $14,375,832 · end of year $17,772,368

  • 2 · Savings and temporary cash investments

    beginning of year $9,696,213 · end of year $9,226,035

  • 4 · Accounts receivable

    beginning of year $6,308,693 · end of year $5,892,598

  • 8 · Inventories for sale or use

    beginning of year $942,205 · end of year $1,094,594

  • 9 · Prepaid expenses and deferred charges

    beginning of year $408,366 · end of year $520,801

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

    $37,752,007

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

    $21,204,813

  • 10c · Land, buildings and equipment, net

    beginning of year $17,064,933 · end of year $16,547,194

  • 11 · Investments: publicly traded securities

    beginning of year $49,780 · end of year $44,765

  • 12 · Investments: other securities

    beginning of year $901,224 · end of year $915,670

  • 14 · Intangible assets

    beginning of year $490,916 · end of year $420,785

  • 15 · Other assets

    beginning of year $0 · end of year $3,200,000

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,794,211 · end of year $5,076,098

  • 19 · Deferred revenue

    beginning of year $2,192 · end of year $325,810

  • 20 · Tax-exempt bond liabilities

    beginning of year $10,843,996 · end of year $9,752,619

  • 23 · Secured mortgages and notes payable

    beginning of year $910,691 · end of year $793,968

  • 25 · Other liabilities

    beginning of year $95,989 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $34,591,083 · end of year $39,686,315

Mission and programs · 2022

Mission

TO INSPIRE AND IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY THROUGH HOME-TOWN CUSTOMER SERVICE, QUALITY HEALTHCARE AND STRATEGIC PARTNERSHIPS.

Activities or mission (Part I)

ASPIRE TO DELIVER THE BEST COMPREHENSIVE AND RELIABLE COMMUNITY HEALTHCARE.

  • DURING 2022, LADD MEMORIAL HOSPITAL PROVIDED INPATIENT, OUTPATIENT, AND CLINICAL CARE SERVICES TO THE RESIDENTS OF THE GREATER OSCEOLA AREA, REGARDLESS OF ABILITY TO PAY.INPATIENT SERVICES WERE PROVIDED TO 394 PATIENTS AND TOTALED 1,686 DAYS OF SERVICE. INPATIENT SERVICES INCLUDED GENERAL MEDICINE, SURGERY, PEDIATRIC, AND OBSTETRIC.OUTPATIENT SERVICES INCLUDED 3,993 EMERGENCY ROOM VISITS, AND 1,687 OP SURGERIES. CLINICAL CARE SERVICES INCLUDED 25,070 CLINIC VISITS, 8,877 WALK IN VISITS, TOTALING 33,947.

    Expenses $39,155,268 · Revenue $49,826,892

As filed on the 2022 return.

Listed in Part VII

  • Kimberly Ericson

    CFO

    Total calculated
    $226,406
    From this org
    $209,077
    From related orgs
    $0
    Other
    $17,329
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $208,377
    Bonus
    $700
    Other
    $0
    Deferred
    $6,494
    Nontaxable benefits
    $10,835
    Filer's total
    $226,406

  • Misty Charlier

    CAO

    Total calculated
    $212,930
    From this org
    $172,850
    From related orgs
    $0
    Other
    $40,080
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $172,150
    Bonus
    $700
    Other
    $0
    Deferred
    $5,436
    Nontaxable benefits
    $34,644
    Filer's total
    $212,930

  • Jeanette Boissy

    REGISTERED NURSE

    Total calculated
    $191,155
    From this org
    $163,976
    From related orgs
    $0
    Other
    $27,179
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $163,976
    Bonus
    $0
    Other
    $0
    Deferred
    $4,615
    Nontaxable benefits
    $22,564
    Filer's total
    $191,155

  • Matt Forge

    CEO (THRU JULY 2022)

    Total calculated
    $173,022
    From this org
    $162,303
    From related orgs
    $0
    Other
    $10,719
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $162,303
    Bonus
    $0
    Other
    $0
    Deferred
    $4,673
    Nontaxable benefits
    $6,046
    Filer's total
    $173,022

  • William Ryan

    PHYSICIAN ASSISTANT

    Total calculated
    $170,303
    From this org
    $149,415
    From related orgs
    $0
    Other
    $20,888
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $120,283
    Bonus
    $29,132
    Other
    $0
    Deferred
    $4,167
    Nontaxable benefits
    $16,721
    Filer's total
    $170,303

  • Natalia Cropper

    NURSE PRACTITONER

    Total calculated
    $161,722
    From this org
    $124,447
    From related orgs
    $0
    Other
    $37,275
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $123,745
    Bonus
    $702
    Other
    $0
    Deferred
    $3,969
    Nontaxable benefits
    $33,306
    Filer's total
    $161,722

  • Megan Sandren

    CRO

    Total calculated
    $143,998
    From this org
    $139,465
    From related orgs
    $0
    Other
    $4,533
    Hours/week
    40

  • Erycca Osterbauer

    REGISTERED NURSE

    Total calculated
    $143,494
    From this org
    $138,266
    From related orgs
    $0
    Other
    $5,228
    Hours/week
    36

  • Kimberly Wellumson

    SURGICAL NURSE NAVIGATOR

    Total calculated
    $133,255
    From this org
    $129,254
    From related orgs
    $0
    Other
    $4,001
    Hours/week
    36

  • Kelsey Derrick

    COO

    Total calculated
    $121,888
    From this org
    $117,472
    From related orgs
    $0
    Other
    $4,416
    Hours/week
    40

  • Kelly Macken-Marble

    CEO (FROM SEP 2022)

    Total calculated
    $76,785
    From this org
    $73,963
    From related orgs
    $0
    Other
    $2,822
    Hours/week
    40 + 1 related

  • Anne Marie Pueshner

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1

  • Peter Manship

    VICE-CHAIRPERSON (THRU DEC 2022)

    Total calculated
    $0
    Hours/week
    1

  • Deborah Peters

    VICE-CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1

  • Becky Styles

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Penny Austad

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Felix Blanco MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • John Clark

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Mark Erickson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • John Gearin

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Kiersten Justinger

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • Greg Kumlien Dc

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Tyler Schmidtz

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Erik Severson MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Amin Udden DDS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

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 · Form 990 of other organizations
  • 3 · Written employment contract
  • 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

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.

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202323199349319447

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