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Nonprofiteer
← ST CROIX REGIONAL MEDICAL CENTER

Form 990 for tax year 2023

Filed by ST CROIX REGIONAL MEDICAL CENTER.

Totals

Total revenue
$71,098,049
Total expenses
$67,407,168
Contributions and grants received
$400,808
Grants paid
$0
Program service revenue
$70,123,524
Investment income
$305,205
Other revenue
$268,512
Total assets, end of year
$97,943,269
Total liabilities, end of year
$16,085,150
Net assets or fund balances, end of year
$81,858,119
Program services expenses (Part IX)
$54,508,151
Management and general expenses
$12,899,017
Fundraising expenses
$0
Program service expenses (Part III)
$54,508,151

Program services were 80.9% 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.

  • 1e · Government grants (contributions)

    $400,308

  • 1f · All other contributions, gifts and grants

    $500

  • 2a · Program service revenue: PATIENT SERVICES

    total $60,136,424 · related or exempt $60,136,424

  • 2b · Program service revenue: FREDERIC PHARMACY

    total $2,948,086 · related or exempt $2,948,086

  • 2c · Program service revenue: SCF PHARMACY

    total $2,674,022 · related or exempt $2,674,022

  • 2d · Program service revenue: UNITY PHARMACY

    total $2,353,835 · related or exempt $2,353,835

  • 2e · Program service revenue: 340B PHARMACY

    total $868,639 · related or exempt $868,639

  • 2f · All other program service revenue

    total $1,142,518 · related or exempt $950,514 · excluded $192,004

  • 3 · Investment income

    total $335,306 · excluded $335,306

  • 6a · Gross rents

    real property $20,275

  • 6b · Less rental expenses

    real property $1,066

  • 6c · Rental income or loss

    real property $19,209

  • 6d · Net rental income or loss

    total $19,209 · related or exempt $19,209

  • 7a · Gross sales of assets other than inventory

    other assets $600

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

    other assets $30,701

  • 7c · Gain or loss

    other assets -$30,101

  • 7d · Net gain or loss

    total -$30,101 · excluded -$30,101

  • 11a · Other revenue: JOINT VENTURE REVENUE

    total $240,362 · related or exempt $68,010 · excluded $172,352

  • 11b · Other revenue: BAD DEBT RECOVERIES

    total $8,941 · excluded $8,941

  • 11e · Other revenue, total

    $249,303

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $567,192 · program services $162,843 · management and general $404,349

  • 7 · Other salaries and wages

    total $25,655,060 · program services $21,148,177 · management and general $4,506,883

  • 8 · Pension plan contributions

    total $711,113 · program services $540,269 · management and general $170,844

  • 9 · Other employee benefits

    total $5,229,563 · program services $3,943,363 · management and general $1,286,200

  • 10 · Payroll taxes

    total $1,531,510 · program services $1,151,055 · management and general $380,455

  • 11b · Fees: legal

    total $54,317 · program services $15,841 · management and general $38,476

  • 11c · Fees: accounting

    total $54,200 · management and general $54,200

  • 11d · Fees: lobbying

    total $485 · management and general $485

  • 11g · Fees: other

    total $9,739,785 · program services $7,883,702 · management and general $1,856,083

  • 12 · Advertising and promotion

    total $121,772 · management and general $121,772

  • 13 · Office expenses

    total $237,075 · program services $135,346 · management and general $101,729

  • 14 · Information technology

    total $2,048,170 · program services $634,035 · management and general $1,414,135

  • 16 · Occupancy

    total $638,659 · program services $588,754 · management and general $49,905

  • 17 · Travel

    total $21,711 · program services $13,751 · management and general $7,960

  • 19 · Conferences, conventions and meetings

    total $185,130 · program services $117,767 · management and general $67,363

  • 20 · Interest

    total $122,386 · program services $113,315 · management and general $9,071

  • 22 · Depreciation, depletion and amortization

    total $1,921,136 · program services $1,778,750 · management and general $142,386

  • 23 · Insurance

    total $290,358 · program services $155,986 · management and general $134,372

  • 24a · Other expenses: DRUGS AND MEDS

    total $11,194,060 · program services $11,194,060

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $5,196,553 · program services $3,299,974 · management and general $1,896,579

  • 24c · Other expenses: DUES AND PUBLICATIONS

    total $703,900 · program services $652,112 · management and general $51,788

  • 24d · Other expenses: REPAIRS AND MAINTENANCE

    total $428,614 · program services $397,425 · management and general $31,189

  • 24e · All other expenses

    total $754,419 · program services $581,626 · management and general $172,793

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $35,933 · end of year $30,926

  • 2 · Savings and temporary cash investments

    beginning of year $29,411,423 · end of year $26,759,900

  • 4 · Accounts receivable

    beginning of year $13,056,341 · end of year $15,722,841

  • 7 · Other notes and loans receivable

    beginning of year $402,303 · end of year $293,032

  • 8 · Inventories for sale or use

    beginning of year $4,108,806 · end of year $4,208,497

  • 9 · Prepaid expenses and deferred charges

    beginning of year $892,276 · end of year $1,019,688

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

    $82,201,718

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

    $49,934,490

  • 10c · Land, buildings and equipment, net

    beginning of year $34,251,620 · end of year $32,267,228

  • 12 · Investments: other securities

    beginning of year $1,865,781 · end of year $1,765,052

  • 14 · Intangible assets

    beginning of year $345,000 · end of year $316,250

  • 15 · Other assets

    beginning of year $20,053,647 · end of year $15,559,855

  • 17 · Accounts payable and accrued expenses

    beginning of year $15,019,118 · end of year $7,870,468

  • 19 · Deferred revenue

    beginning of year $308,776 · end of year $450,484

  • 23 · Secured mortgages and notes payable

    beginning of year $793,093 · end of year $648,498

  • 25 · Other liabilities

    beginning of year $10,134,905 · end of year $7,115,700

  • 27 · Net assets without donor restrictions

    beginning of year $78,167,238 · end of year $81,858,119

Mission and programs · 2023

Mission

WE HELP PEOPLE TO LIVE HEALTHIER, HAPPIER, AND LONGER LIVES.

  • OUTPATIENT SERVICES - SURGICAL, LABORATORY, BASIC, AND ADVANCED RADIOLOGY PROCEDURES. DURING JUL-DEC 2023, THERE WERE 5,742 EMERGENCY ROOM VISITS RECORDED, 2,302 OUTPATIENT SURGERIES, AND 26,069 HOSPITAL OUTPATIENT VISITS.INPATIENT SERVICES - OBSTETRIC, MEDICAL-SURGICAL, INTENSIVE CARE, AND SHORT STAY INPATIENT CARE. DURING JUL-DEC 2023, THERE WERE 93 BIRTHS, 906 INPATIENT ADMISSIONS, AND A TOTAL OF 2,346 INPATIENT DAYS FOR AN AVERAGE LENGTH OF 2.59 DAYS.

    Expenses $41,851,123 · Revenue $53,760,086

  • ST. CROIX VALLEY PHARMACIES PROVIDE LOCAL PHARMACY CARE TO THE SERVICE AREA OF ST. CROIX REGIONAL MEDICAL CENTER. ST. CROIX VALLEY PHARMACIES IS THE SOLE MEMBER OF THE FOLLOWING COMMUNITY PHARMACIES: UNITY PHARMACY LOCATED IN THE UNITY CLINIC BUILDING NEAR BALSAM LAKE, WI, FREDERIC PHARMACY LOCATED IN THE FREDERIC CLINIC BUILDING IN FREDERIC, WI, AND, ST. CROIX FALLS PHARMACY LOCATED IN THE ST. CROIX FALLS CLINIC BUILDING IN ST. CROIX FALLS, WI.

    Expenses $6,209,108 · Revenue $7,975,943

  • ST. CROIX REGIONAL MEDICAL CENTER OPERATES FOUR PROVIDER-BASED CLINICS AND ONE FREE STANDING CLINIC. TOGETHER, THE CLINICS STRIVE TO MEET THE HEALTHCARE NEEDS OF PATIENTS AND FAMILIES WHO LIVE AND WORK IN THE COMMUNITIES THEY SERVE. A TOTAL OF 53,126 CLINIC VISITS OCCURRED DURING JUL-DEC 2023.

    Expenses $5,771,702 · Revenue $7,414,071

  • CONTRACT PHARMACY - ST. CROIX REGIONAL MEDICAL CENTER BECAME ELIGIBLE TO PARTICIPATE IN THE 340B DRUG PRICING PROGRAM, WHICH IS MANAGED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) OFFICE OF PHARMACY AFFAIRS (OPA), RESULTING IN THE REALIZATION OF A CONTRACT PHARMACY SERVICE. PARTICIPATION IN THE 340B DRUG PRICING PROGRAM RESULTS IN SIGNIFICANT SAVINGS, ESTIMATED TO BE 20-50%, ON THE COST OF PHARMACEUTICALS FOR USE BY OUTPATIENTS OF THE FACILITY. THROUGH THIS PROGRAM, ST. CROIX REGIONAL MEDICAL CENTER IS ABLE TO REACH MORE ELIGIBLE PATIENTS AND PROVIDE MORE COMPREHENSIVE SERVICES.

    Expenses $676,218 · Revenue $868,639

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

Listed in Part VII

  • REBECCA LYMAN

    TRUSTEE/SCRMC PHYSICIAN

    Total calculated
    $283,822
    From this org
    $242,371
    From related orgs
    $0
    Other
    $41,451
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $240,049
    Bonus
    $0
    Other
    $2,322
    Deferred
    $14,380
    Nontaxable benefits
    $27,071
    Filer's total
    $283,822

  • JOHN DRISCOLL

    CHAIR/BOARD MEMBER (THRU 09/2023)

    Total calculated
    $4,153
    From this org
    $4,153
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5

  • TRUDY CANINE

    VICE CHAIR/CHAIR

    Total calculated
    $3,870
    From this org
    $3,870
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5

  • KAREN HAUER

    SECRETARY

    Total calculated
    $3,858
    From this org
    $3,858
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5

  • JOHN CUMMING

    TRUSTEE

    Total calculated
    $2,948
    From this org
    $2,948
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5

  • WILLIAM TIES

    TRUSTEE

    Total calculated
    $2,336
    From this org
    $2,336
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5

  • LISA EDSTROM

    TRUSTEE (THRU 11/2023)

    Total calculated
    $800
    From this org
    $800
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5

  • MICHAEL YOUSO

    CFO/CEO

    Total calculated
    $497,642
    From this org
    $463,733
    From related orgs
    $0
    Other
    $33,909
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $451,888
    Bonus
    $0
    Other
    $11,845
    Deferred
    $9,632
    Nontaxable benefits
    $24,277
    Filer's total
    $497,642

  • KIMBERLY ERICSON

    CFO

    Total calculated
    $177,531
    From this org
    $167,899
    From related orgs
    $0
    Other
    $9,632
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $166,749
    Bonus
    $0
    Other
    $1,150
    Deferred
    $0
    Nontaxable benefits
    $9,632
    Filer's total
    $177,531

  • DAVID NORDIN

    SCRMC PHYSICIAN

    Total calculated
    $909,605
    From this org
    $844,225
    From related orgs
    $0
    Other
    $65,380
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $843,685
    Bonus
    $0
    Other
    $540
    Deferred
    $30,181
    Nontaxable benefits
    $35,199
    Filer's total
    $909,605

  • JOHN KAMPA

    SCRMC PHYSICIAN

    Total calculated
    $653,073
    From this org
    $622,927
    From related orgs
    $0
    Other
    $30,146
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $622,441
    Bonus
    $0
    Other
    $486
    Deferred
    $7,640
    Nontaxable benefits
    $22,506
    Filer's total
    $653,073

  • VITTAL NAGAR

    SCRMC PHYSICIAN

    Total calculated
    $656,932
    From this org
    $606,941
    From related orgs
    $0
    Other
    $49,991
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $606,401
    Bonus
    $0
    Other
    $540
    Deferred
    $17,329
    Nontaxable benefits
    $32,662
    Filer's total
    $656,932

  • MUHAMMAD KHAN

    SCRMC PHYSICIAN

    Total calculated
    $646,329
    From this org
    $595,127
    From related orgs
    $0
    Other
    $51,202
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $594,587
    Bonus
    $0
    Other
    $540
    Deferred
    $19,288
    Nontaxable benefits
    $31,914
    Filer's total
    $646,329

  • CLAUDIO NUNES

    SCRMC PHYSICIAN

    Total calculated
    $589,143
    From this org
    $538,548
    From related orgs
    $0
    Other
    $50,595
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $537,738
    Bonus
    $0
    Other
    $810
    Deferred
    $19,800
    Nontaxable benefits
    $30,795
    Filer's total
    $589,143

  • PATRICK MCDONOUGH

    FORMER VC/SPORTS MED MD

    Total calculated
    $341,756
    From this org
    $295,319
    From related orgs
    $0
    Other
    $46,437
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $294,509
    Bonus
    $0
    Other
    $810
    Deferred
    $17,811
    Nontaxable benefits
    $28,626
    Filer's total
    $341,756

  • GURDESH BEDI

    FORMER TRUSTEE/SCRMC PHYSICIAN

    Total calculated
    $406,071
    From this org
    $392,219
    From related orgs
    $0
    Other
    $13,852
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $236,684
    Bonus
    $0
    Other
    $155,535
    Deferred
    $13,852
    Nontaxable benefits
    $0
    Filer's total
    $406,071

  • DAVE DOBOSENSKI

    FORMER CEO

    Total calculated
    $759,110
    From this org
    $742,340
    From related orgs
    $0
    Other
    $16,770
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $75,775
    Bonus
    $0
    Other
    $666,565
    Deferred
    $11,042
    Nontaxable benefits
    $5,728
    Filer's total
    $759,110

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 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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 3
THE BOARD OF DIRECTORS CONDUCTS AN ANNUAL PERFORMANCE EVALUATION, SOLICITS A COMPENSATION STUDY THROUGH AN INDEPENDENT COMPENSATION CONSULTANT, REVIEWS A LIST OF COMPARABLE ORGANIZATION'S 990 COMPENSATION DATA FOR CEO ROLE, AND FOLLOWS THE COMPENSATION AND PERFORMANCE REVIEW CLAUSE WITHIN THE CEO'S EMPLOYMENT CONTRACT. UPON COMPLETION OF PERFORMANCE REVIEW AND REVIEW OF COMPENSATION INFORMATION, THE BOARD REACHES CONSENSUS ON RATING AND PLACEMENT OF COMPENSATION IN COMPARISON TO MARKET RANKING, FOLLOWING THE REASONABLENESS STANDARD.
PART I, LINES 4A-B
DURING CALENDAR YEAR 2023, DAVE DOBOSENSKI RECEIVED A SEVERANCE PAYMENT OF $329,660. DAVE DOBOSENSKI, DR. REBECCA LYMAN, DR. PATRICK MCDONOUGH, DR. GURDESH BEDI, DR. MUHAMMAD KHAN, AND DR. CLAUDIA NUNES AND ARE ALL PARTICIPANTS IN A 457(F) PLAN. DURING 2023, THE FOLLOWING INDIVIDUALS RECEIVED DISTRIBUTIONS FROM THE PLAN: DAVE DOBOSENSKI - $195,346 GURDESH BEDI - $32,639

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • UNITY PHARMACY LLC

    PHARMACEUTICALS · WI · income $2,353,835 · assets $501,137

    Directly controlled by SCV PHARMACIES

  • FREDERIC PHARMACY LLC

    PHARMACEUTICALS · WI · income $2,948,086 · assets $975,005

    Directly controlled by SCV PHARMACIES

  • ST CROIX VALLEY PHARMACY LLC

    PHARMACEUTICALS · WI · income $7,514,492 · assets $2,514,455

    Directly controlled by ST CROIX REGIONAL MEDICAL CENTER

  • ST CROIX FALLS PHARMACY LLC

    PHARMACEUTICALS · WI · income $2,674,022 · assets $1,038,312

    Directly controlled by SCV PHARMACIES

  • WEBSTER DENTAL CLINIC LLC

    DENTAL SERVICES · WI · income $368,539 · assets $484,548

    Directly controlled by ST CROIX DENTAL HEALTH LLC

  • ST CROIX DENTAL HEALTH LLC

    DENTAL SERVICES · WI · income $368,539 · assets $484,548

    Directly controlled by ST CROIX REGIONAL MEDICAL CENTER

Provenance

Return type
form_990
Tax year
2023
Filed
13 November 2024
IRS schema version
2023v5.1
Source object
202413189349304556

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