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← DOOR COUNTY MEMORIAL HOSPITAL

Form 990 for tax year 2022

Filed by DOOR COUNTY MEMORIAL HOSPITAL.

Totals

Total revenue
$113,608,399
Total expenses
$110,755,657
Contributions and grants received
$1,003,071
Grants paid
$12,500
Program service revenue
$110,207,817
Investment income
$2,282,357
Other revenue
$115,154
Total assets, end of year
$150,309,894
Total liabilities, end of year
$18,408,767
Net assets or fund balances, end of year
$131,901,127
Program services expenses (Part IX)
$96,819,989
Management and general expenses
$13,935,668
Fundraising expenses
$0
Program service expenses (Part III)
$96,819,989

Program services were 87.4% 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

    $940,168

  • 1e · Government grants (contributions)

    $47,901

  • 1f · All other contributions, gifts and grants

    $15,002

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

    total $107,524,311 · related or exempt $107,524,311

  • 2b · Program service revenue: THERAPY OTHER REVENUES

    total $441,373 · related or exempt $441,373

  • 2c · Program service revenue: MOB RENTAL INCOME

    total $316,631 · related or exempt $316,631

  • 2d · Program service revenue: CAFETERIA REVENUES

    total $276,354 · excluded $276,354

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

    total $69,797 · related or exempt $69,797

  • 2f · All other program service revenue

    total $1,579,351 · related or exempt $1,579,351

  • 3 · Investment income

    total $1,409,145 · excluded $1,409,145

  • 6a · Gross rents

    real property $127,387

  • 6b · Less rental expenses

    real property $12,233

  • 6c · Rental income or loss

    real property $115,154

  • 6d · Net rental income or loss

    total $115,154 · excluded $115,154

  • 7a · Gross sales of assets other than inventory

    securities $25,622,579 · other assets $699,292

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

    securities $24,830,579 · other assets $618,080

  • 7c · Gain or loss

    securities $792,000 · other assets $81,212

  • 7d · Net gain or loss

    total $873,212 · excluded $873,212

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 $2,358,798 · program services $1,722,760 · management and general $636,038

  • 7 · Other salaries and wages

    total $55,408,122 · program services $49,843,362 · management and general $5,564,760

  • 8 · Pension plan contributions

    total $2,503,543 · program services $2,258,881 · management and general $244,662

  • 9 · Other employee benefits

    total $8,224,131 · program services $7,383,560 · management and general $840,571

  • 10 · Payroll taxes

    total $3,070,227 · program services $2,743,209 · management and general $327,018

  • 11b · Fees: legal

    total $271,323 · program services $220,982 · management and general $50,341

  • 11c · Fees: accounting

    total $86,879 · program services $39,483 · management and general $47,396

  • 11d · Fees: lobbying

    total $14,003 · management and general $14,003

  • 11f · Fees: investment management

    total $202,321 · management and general $202,321

  • 11g · Fees: other

    total $11,943,522 · program services $10,930,008 · management and general $1,013,514

  • 12 · Advertising and promotion

    total $945,805 · program services $13,536 · management and general $932,269

  • 13 · Office expenses

    total $2,737,300 · program services $2,269,897 · management and general $467,403

  • 14 · Information technology

    total $3,180,798 · program services $816,993 · management and general $2,363,805

  • 16 · Occupancy

    total $2,054,791 · program services $1,978,475 · management and general $76,316

  • 17 · Travel

    total $600,449 · program services $438,203 · management and general $162,246

  • 20 · Interest

    total $88,694 · program services $83,766 · management and general $4,928

  • 22 · Depreciation, depletion and amortization

    total $3,938,974 · program services $3,720,126 · management and general $218,848

  • 23 · Insurance

    total $488,723 · program services $111,998 · management and general $376,725

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $10,134,757 · program services $10,134,757

  • 24b · Other expenses: BAD DEBT EXPENSE

    total $1,294,647 · program services $1,294,647

  • 24c · Other expenses: DUES & SUBSCRIPTIONS

    total $198,206 · program services $83,892 · management and general $114,314

  • 24d · Other expenses: EQUIPMENT RENTAL

    total $125,053 · program services $125,053

  • 24e · All other expenses

    total $872,091 · program services $593,901 · management and general $278,190

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

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

  • 2 · Savings and temporary cash investments

    beginning of year $22,476,900 · end of year $8,388,103

  • 4 · Accounts receivable

    beginning of year $14,062,031 · end of year $13,528,749

  • 5 · Loans and receivables from officers and key people

    beginning of year $75,319

  • 7 · Other notes and loans receivable

    beginning of year $226,750 · end of year $436,708

  • 8 · Inventories for sale or use

    beginning of year $2,147,413 · end of year $1,966,456

  • 9 · Prepaid expenses and deferred charges

    beginning of year $2,580,745 · end of year $2,648,861

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

    $76,828,336

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

    $23,145,451

  • 10c · Land, buildings and equipment, net

    beginning of year $41,957,458 · end of year $53,682,885

  • 11 · Investments: publicly traded securities

    beginning of year $57,563,051 · end of year $63,404,643

  • 15 · Other assets

    beginning of year $3,968,955 · end of year $6,250,114

  • 17 · Accounts payable and accrued expenses

    beginning of year $7,601,289 · end of year $10,192,196

  • 19 · Deferred revenue

    beginning of year $400,000 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $5,371,378 · end of year $4,908,058

  • 23 · Secured mortgages and notes payable

    beginning of year $1,985,132 · end of year $1,383,541

  • 25 · Other liabilities

    beginning of year $4,435,809 · end of year $1,924,972

  • 27 · Net assets without donor restrictions

    beginning of year $124,733,719 · end of year $131,104,059

  • 28 · Net assets with donor restrictions

    beginning of year $534,673 · end of year $797,068

Mission and programs · 2022

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 2023, THE HOSPITAL COUNTED 4,497 INPATIENT DAYS, INCLUDING SWING BED. THE HOSPITAL'S OUTPATIENT FACILITIES, WHICH INCLUDE ITS REHABILITATION AGENCY, 30 BED EXTENDED CARE FACILITY, EMERGENCY ROOM, NORTH SHORE MEDICAL CLINIC SERVED 206,754 VISITS, AND THE NORTH SHORE MEDICAL CLINIC, INCLUDING ITS URGENT CARE FACILITY SERVED 78,672 VISITS. SEE SCHEDULE H FOR FURTHER DETAILS REGARDING THE COMMUNITY BENEFITS THE HOSPITAL PROVIDES.

    Expenses $96,819,989 · Grants $12,500 · Revenue $109,931,463

As filed on the 2022 return.

Listed in Part VII

  • Dr James Heise

    PHYSICIAN/MED STAFF PRESIDENT

    Total calculated
    $711,082
    From this org
    $667,975
    From related orgs
    $0
    Other
    $43,107
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $367,521
    Bonus
    $0
    Other
    $300,454
    Deferred
    $13,239
    Nontaxable benefits
    $29,868
    Filer's total
    $711,082
  • Dr Dorene Dempster

    BOARD MEMBER/PHYSICIAN

    Total calculated
    $413,685
    From this org
    $366,885
    From related orgs
    $0
    Other
    $46,800
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $356,238
    Bonus
    $0
    Other
    $10,647
    Deferred
    $18,300
    Nontaxable benefits
    $28,500
    Filer's total
    $413,685
  • Dr Richard Hogan

    BOARD MEMBER/PHYSICIAN

    Total calculated
    $401,494
    From this org
    $357,867
    From related orgs
    $0
    Other
    $43,627
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $337,010
    Bonus
    $0
    Other
    $20,857
    Deferred
    $17,761
    Nontaxable benefits
    $25,866
    Filer's total
    $401,494
  • Brian Stephens

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $378,098
    From this org
    $337,331
    From related orgs
    $0
    Other
    $40,767
    Hours/week
    40 + 1.3 related

    Schedule J breakdown matched by us

    Base
    $332,989
    Bonus
    $0
    Other
    $4,342
    Deferred
    $14,772
    Nontaxable benefits
    $25,995
    Filer's total
    $378,098
  • Dr Amy Fogarty

    MED STAFF PRESIDENT ELECT

    Total calculated
    $291,978
    From this org
    $255,038
    From related orgs
    $0
    Other
    $36,940
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $250,364
    Bonus
    $0
    Other
    $4,674
    Deferred
    $10,487
    Nontaxable benefits
    $26,453
    Filer's total
    $291,978
  • Patricia Vickman

    BOARD CHAIR

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

    VICE CHAIR

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

    TREASURER

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

    SECRETARY

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

    BOARD MEMBER

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

    CLASS H MEMBER (THRU AUG 22)

    Total calculated
    $0
    Hours/week
    1
  • Dr Paul Board

    BRD MEM/PHYSICIAN (THRU JAN 23)

    Total calculated
    $351,868
    From this org
    $305,206
    From related orgs
    $0
    Other
    $46,662
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $212,872
    Bonus
    $0
    Other
    $92,334
    Deferred
    $18,300
    Nontaxable benefits
    $28,362
    Filer's total
    $351,868
  • Brian Charlier

    CLASS H MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Bernadette Conroy

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Rev James Gomez

    BOARD MEMBER (THRU DEC 22)

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Polly Helm

    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

    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

    Total calculated
    $0
    Hours/week
    1
  • Megan Sarkis

    BOARD MEMBER

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

    BOARD MEMBER

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

    CHIEF FINANCIAL OFFICER

    Total calculated
    $222,366
    From this org
    $184,267
    From related orgs
    $0
    Other
    $38,099
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $178,313
    Bonus
    $0
    Other
    $5,954
    Deferred
    $11,696
    Nontaxable benefits
    $26,403
    Filer's total
    $222,366
  • Dr Daniel Tomaszewski

    PHYSICIAN

    Total calculated
    $1,254,777
    From this org
    $1,218,621
    From related orgs
    $0
    Other
    $36,156
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,210,121
    Bonus
    $0
    Other
    $8,500
    Deferred
    $12,200
    Nontaxable benefits
    $23,956
    Filer's total
    $1,254,777
  • Dr Marc Binard

    PHYSICIAN

    Total calculated
    $776,449
    From this org
    $731,696
    From related orgs
    $0
    Other
    $44,753
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $701,575
    Bonus
    $0
    Other
    $30,121
    Deferred
    $18,300
    Nontaxable benefits
    $26,453
    Filer's total
    $776,449
  • Dr Martin Finck

    PHYSICIAN

    Total calculated
    $565,716
    From this org
    $520,963
    From related orgs
    $0
    Other
    $44,753
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $489,628
    Bonus
    $0
    Other
    $31,335
    Deferred
    $18,300
    Nontaxable benefits
    $26,453
    Filer's total
    $565,716
  • Dr Michael Bruno

    PHYSICIAN

    Total calculated
    $563,564
    From this org
    $519,846
    From related orgs
    $0
    Other
    $43,718
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $487,778
    Bonus
    $0
    Other
    $32,068
    Deferred
    $18,300
    Nontaxable benefits
    $25,418
    Filer's total
    $563,564
  • Dr Brian Matysiak

    PHYSICIAN

    Total calculated
    $562,216
    From this org
    $517,761
    From related orgs
    $0
    Other
    $44,455
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $512,288
    Bonus
    $0
    Other
    $5,473
    Deferred
    $18,300
    Nontaxable benefits
    $26,155
    Filer's total
    $562,216

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
2022
Filed
9 April 2024
IRS schema version
2022v5.0
Source object
202401029349301040

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