Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $115,349

• 1e · Government grants (contributions)

  $300,459

• 1f · All other contributions, gifts and grants

  $99,629

• 2a · Program service revenue: Patient Revenue

  total $73,680,552 · related or exempt $73,680,552

• 2b · Program service revenue: Clinic Revenue

  total $15,153,509 · related or exempt $15,153,509

• 2c · Program service revenue: Retail pharmacies

  total $13,442,977 · related or exempt $7,575,243 · unrelated business $5,867,734

• 2d · Program service revenue: Skilled/LTC revenue

  total $10,579,314 · related or exempt $10,579,314

• 2f · All other program service revenue

  total $1,657,644 · related or exempt $1,657,644

• 3 · Investment income

  total $235,120 · excluded $235,120

• 6a · Gross rents

  real property $890,431

• 6b · Less rental expenses

  real property $432,331

• 6c · Rental income or loss

  real property $458,100

• 6d · Net rental income or loss

  total $458,100 · related or exempt $95,299 · excluded $362,801

• 7a · Gross sales of assets other than inventory

  securities $16,981,194 · other assets $47,389

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

  securities $16,576,877 · other assets $47,266

• 7c · Gain or loss

  securities $404,317 · other assets $123

• 7d · Net gain or loss

  total $404,440 · excluded $404,440

• 10a · Gross sales of inventory

  $3,093,961

• 10b · Cost of goods sold

  $2,564,399

• 10c · Net income from sales of inventory

  total $529,562 · related or exempt $529,562

Functional expenses

Part IX, the statement of functional expenses.

• 5 · Compensation of officers, directors and key employees

  total $2,929,322 · program services $2,289,894 · management and general $639,428

• 6 · Compensation of disqualified persons

  total $278,403 · program services $278,403

• 7 · Other salaries and wages

  total $53,242,981 · program services $48,057,328 · management and general $5,185,653

• 8 · Pension plan contributions

  total $1,486,291 · program services $1,323,158 · management and general $163,133

• 9 · Other employee benefits

  total $7,243,632 · program services $6,055,496 · management and general $1,188,136

• 10 · Payroll taxes

  total $3,170,200 · program services $2,795,003 · management and general $375,197

• 11b · Fees: legal

  total $107,129 · management and general $107,129

• 11c · Fees: accounting

  total $115,057 · management and general $115,057

• 11g · Fees: other

  total $5,914,622 · program services $3,601,514 · management and general $2,313,108

• 12 · Advertising and promotion

  total $476,887 · program services $31,477 · management and general $445,410

• 13 · Office expenses

  total $4,774,098 · program services $4,634,137 · management and general $139,961

• 14 · Information technology

  total $2,624,187 · program services $1,651 · management and general $2,622,536

• 16 · Occupancy

  total $3,033,769 · program services $1,916,394 · management and general $1,117,375

• 17 · Travel

  total $108,641 · program services $95,871 · management and general $12,770

• 19 · Conferences, conventions and meetings

  total $254,611 · program services $254,611

• 20 · Interest

  total $2,414,839 · program services $2,105,360 · management and general $309,479

• 22 · Depreciation, depletion and amortization

  total $3,276,134 · program services $2,856,859 · management and general $419,275

• 23 · Insurance

  total $1,221,413 · program services $1,221,413

• 24a · Other expenses: Medical supplies

  total $22,500,457 · program services $22,500,457

• 24b · Other expenses: Repairs and Maintenance

  total $882,927 · program services $510,846 · management and general $372,081

• 24c · Other expenses: Food

  total $641,537 · program services $619,965 · management and general $21,572

• 24d · Other expenses: Dues & subscriptions

  total $406,376 · program services $198,004 · management and general $208,372

• 24e · All other expenses

  total $210,395 · program services $135,227 · management and general $75,168

Balance sheet

Part X, book values.

• 2 · Savings and temporary cash investments

  beginning of year $17,935,672 · end of year $22,206,324

• 4 · Accounts receivable

  beginning of year $20,103,387 · end of year $17,141,483

• 8 · Inventories for sale or use

  beginning of year $4,353,067 · end of year $4,162,153

• 9 · Prepaid expenses and deferred charges

  beginning of year $1,286,182 · end of year $246,280

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

  $103,955,009

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

  $69,449,153

• 10c · Land, buildings and equipment, net

  beginning of year $27,032,525 · end of year $34,505,856

• 11 · Investments: publicly traded securities

  beginning of year $35,482,018 · end of year $27,647,874

• 14 · Intangible assets

  beginning of year $1,929,000 · end of year $1,929,000

• 15 · Other assets

  beginning of year $2,460,802 · end of year $6,486,299

• 17 · Accounts payable and accrued expenses

  beginning of year $8,375,794 · end of year $11,593,391

• 19 · Deferred revenue

  beginning of year $9,477,055 · end of year $10,367,642

• 20 · Tax-exempt bond liabilities

  beginning of year $48,452,080 · end of year $47,724,715

• 21 · Escrow or custodial account liability

  beginning of year $29,000 · end of year $31,000

• 23 · Secured mortgages and notes payable

  beginning of year $333,228 · end of year $300,000

• 25 · Other liabilities

  beginning of year $610,910 · end of year $0

• 27 · Net assets without donor restrictions

  beginning of year $43,204,657 · end of year $44,271,785

• 28 · Net assets with donor restrictions

  beginning of year $99,929 · end of year $36,736

The filer's explanations (Part III)

Part I, Line 7

Mile Bluff Medical Center provided incentives to the following individuals. Provider incentives are volume driven. Gross charges for certain physician procedures are added up quarterly, and a percentage of those gross charges are paid out as an incentive. A series of 3 to 5 goals must also be met beyond financial indicators. Some of the provider's incentives are based on an wRVU module. They must reach a certain wRVU threshold in order to receive an incentive. Timothy Napier, MD 457,693 James Grannell, DO 25,000 Brian Schultz, MD 20,000 Brian Myers, MD 137,446 Michael Pech, MD 20,000 Cassondra Kovach, MD 151,675 Jenna Sebranek, MD 21,356 Scott Kniprath 3,375 Rhonda Larson 2,735 Dan Kattenbraker, MD 164,135 Tim Bjelland, MD 39,056

Part II:

Providers that are on the Board of Directors do not receive compensation for being on the board. The compensation listed reflects the providers' practice. Provider incentive reflects pay based upon care provided to patients.

Disregarded entities

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

• MBMC Mauston Phillips LLC dba Phillips Pharmacy

  Retail Pharmacy · WI · income $13,442,977 · assets $1,836,844

  Directly controlled by Mile Bluff Medical Center Inc