Skip to content
Nonprofiteer
← HOSPITAL SISTERS HEALTHCARE-WEST INC

Form 990 for tax year 2023

Filed by HOSPITAL SISTERS HEALTHCARE-WEST INC.

Totals

Total revenue
$1,308,514
Total expenses
$669,203
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$841,822
Investment income
$466,692
Other revenue
$0
Total assets, end of year
$16,549,027
Total liabilities, end of year
$281,032
Net assets or fund balances, end of year
$16,267,995
Program services expenses (Part IX)
$623,129
Management and general expenses
$46,074
Fundraising expenses
$0
Program service expenses (Part III)
$623,129

Program services were 93.1% 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.

  • 2a · Program service revenue: RENTAL INCOME

    total $602,985 · related or exempt $602,985

  • 2b · Program service revenue: LEASE INCOME

    total $238,837 · related or exempt $238,837

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $239,291 · excluded $239,291

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    securities $227,401

  • 7c · Gain or loss

    securities $227,401 · other assets $0

  • 7d · Net gain or loss

    total $227,401 · excluded $227,401

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 9 · Other employee benefits

    total $16,947 · program services $16,947

  • 11f · Fees: investment management

    total $46,001 · management and general $46,001

  • 11g · Fees: other

    total $124,096 · program services $124,023 · management and general $73 · fundraising $0

  • 12 · Advertising and promotion

    total $12,869 · program services $12,869

  • 13 · Office expenses

    total $11,096 · program services $11,096

  • 16 · Occupancy

    total $140,105 · program services $140,105

  • 22 · Depreciation, depletion and amortization

    total $236,401 · program services $236,401

  • 23 · Insurance

    total $39,103 · program services $39,103

  • 24a · Other expenses: LICENSE & TAXES

    total $28,986 · program services $28,986

  • 24b · Other expenses: Meals & Food

    total $7,683 · program services $7,683

  • 24e · All other expenses

    total $5,916 · program services $5,916 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $132,562 · end of year $510,545

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

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

    $8,262,845

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

    $6,839,879

  • 10c · Land, buildings and equipment, net

    beginning of year $1,659,367 · end of year $1,422,966

  • 11 · Investments: publicly traded securities

    beginning of year $13,966,244 · end of year $14,615,516

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $88,678 · end of year $57,618

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $269,395 · end of year $223,414

  • 27 · Net assets without donor restrictions

    beginning of year $15,400,100 · end of year $16,267,995

Mission and programs · 2023

Mission

See Schedule O

Activities or mission (Part I)

TO PROMOTE AND SUPPORT, BY DONATION, LOAN, OR OTHERWISE, THE INTERESTS AND PURPOSE OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS

  • ST. FRANCIS APARTMENTS PROVIDES QUALITY, INDEPENDENT LIVING FACILITY FOR SENIORS 62 YEARS OF AGE AND OLDER. WE CONTINUE TO OFFER EXCELLENT CUSTOMER SERVICE TO ALL OF OUR TENANTS. WE CELEBRATE THE GREAT REPUTATION WE HAVE BUILT IN THE SENIOR HOUSING COMMUNITY AND ARE PROUD OF THIS CONTINUED SUCCESS. THE AVERAGE AGE OF OUR TENANTS IS 85 YEARS OF AGE WITH THE AVERAGE LENGTH OF OCCUPANCY AT 5.24 YEARS. WE HAVE MAINTAINED A 99% OCCUPANCY LEVEL.

    Expenses $423,231 · Revenue $602,985

  • LEASING OF L.E. PHILLIPS TREATMENT CENTER TO ST.JOSEPH'S HOSPITAL FOR IT TO PROVIDE ALCOHOL AND OTHER DRUG ABUSE TREATMENT AND MEDICAL OFFICE BUILDINGS TO INDEPENDENT CLINICS TO PROVIDE PRIMARY CARE HEALTHCARE SERVICES.

    Expenses $172,631 · Revenue $121,500

  • LEASING OF HEALTH CARE WEST MEDICAL OFFICE BUILDING TO PREVEA HEALTH TO PROVIDE MEDICAL OFFICE SPACE TO PROVIDE PATIENT HEALTHCARE SERVICES.

    Expenses $27,267 · Revenue $117,337

As filed on the 2023 return.

Listed in Part VII

  • John Wagner

    Chair / PRESIDENT/CEO - SJCF

    Total calculated
    $711,302
    From this org
    $0
    From related orgs
    $606,208
    Other
    $105,094
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $374,472 related
    Bonus
    $0 + $230,682 related
    Other
    $0 + $1,054 related
    Deferred
    $0 + $75,592 related
    Nontaxable benefits
    $0 + $29,502 related
    Filer's total
    $0 + $711,302 related

  • Patricia Allen

    CFO - CARE DELIVERY

    Total calculated
    $773,133
    From this org
    $0
    From related orgs
    $649,506
    Other
    $123,627
    Hours/week
    3 + 57 related

    Schedule J breakdown matched by us

    Base
    $0 + $498,772 related
    Bonus
    $0 + $53,821 related
    Other
    $0 + $96,913 related
    Deferred
    $0 + $99,475 related
    Nontaxable benefits
    $0 + $24,152 related
    Filer's total
    $0 + $773,133 related

  • Robert Erickson

    President (began 4/29/24)

    Total calculated
    $0
    Hours/week
    12 + 48 related

  • Brian Charlier

    Board Member (Until 6/30/24)

    Total calculated
    $843,706
    From this org
    $0
    From related orgs
    $734,140
    Other
    $109,566
    Hours/week
    0 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $601,984 related
    Bonus
    $0 + $113,230 related
    Other
    $0 + $18,926 related
    Deferred
    $0 + $88,086 related
    Nontaxable benefits
    $0 + $21,480 related
    Filer's total
    $0 + $843,706 related

  • Larry Gille

    Secretary (began 11/1/23)

    Total calculated
    $678,012
    From this org
    $0
    From related orgs
    $615,012
    Other
    $63,000
    Hours/week
    2 + 58 related

    Schedule J breakdown matched by us

    Base
    $0 + $560,298 related
    Bonus
    $0 + $53,424 related
    Other
    $0 + $1,290 related
    Deferred
    $0 + $30,000 related
    Nontaxable benefits
    $0 + $33,000 related
    Filer's total
    $0 + $678,012 related

  • Michael Scialdone

    Treasurer / HSHS SVP & CFO (began 01/08/24)

    Total calculated
    $0
    Hours/week
    0.2 + 59.8 related

  • TODD Smart

    Treasurer (UNTIL 5/3/24)

    Total calculated
    $382,133
    From this org
    $0
    From related orgs
    $315,606
    Other
    $66,527
    Hours/week
    0.2 + 59.8 related

    Schedule J breakdown matched by us

    Base
    $0 + $275,819 related
    Bonus
    $0 + $37,512 related
    Other
    $0 + $2,275 related
    Deferred
    $0 + $46,882 related
    Nontaxable benefits
    $0 + $19,645 related
    Filer's total
    $0 + $382,133 related

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
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A IN SCHEDULE O.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
HSHS EXECUTIVES ELIGIBLE TO PARTICIPATE IN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ARE DEFINED IN THE SERP PLAN DOCUMENTS. THE SERP WAS ESTABLISHED TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO ENSURE REASONABLE MARKET COMPETITIVE BENEFITS IN ACCORDANCE WITH THE HSHS EXECUTIVE COMPENSATION PHILOSOPHY ESTABLISHED BY THE HSHS COMPENSATION COMMITTEE. THE PLAN PROVIDES A DEFINED RETIREMENT CONTRIBUTION TO PARTICIPANTS COMMENCING ON JANUARY 1, 2008, EQUAL TO A PERCENTAGE OF COMPENSATION AS DEFINED IN THE SERP PLAN DOCUENTS FOR THE PLAN YEAR. PARTICIPANTS CONSTRUCTIVELY RECEIVE A DISTRIBUTION FROM THE PLAN NO LATER THAN MARCH 15TH OF THE CALENDAR YEAR FOLLOWING THE CALENDAR YEAR IN WHICH AN AMOUNT IS VESTED AND TAXABLE PURSUANT TO A VESTING SCHEDULE AS SPECIFIED IN THE PLAN DOCUMENT. THE ACTUAL DISTRIBUTION OF THE VESTED BENEFIT UNDER THE PLAN IS PAID IN A SINGLE LUMP SUM TO THE PARTICIPANT OR THE PARTICIPANT'S BENEFICIARY UPON THE EARLIER OF THE PARTICIPANT'S TERMINATION OF EMPLOYMENT, DEATH, OR TOTAL AND PERMANENT DISABILITY. THE FOLLOWING INTERESTED PERSONS CONSTRUCTIVELY RECEIVED DEFERRALS TO THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2023; THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). BRIAN CHARLIER -- $71,586 TODD SMART -- $25,441 PATRICIA ALLEN -- $44,695 JOHN WAGNER -- $46,024 THE FOLLOWING INTERESTED PERSONS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2023; THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AND SCHEDULE J, PART II, COLUMN (F), AS APPLICABLE. PATRICIA ALLEN -- $34,179

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.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • PRAIRIE HEART INSTITUTE MANAGEMENT COMPANY LLC

    Related · MEDICAL · IL · 100% owned · share of income $0 · share of assets $0 · general or managing partner

    Directly controlled by HSHS

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • KIARA INC

    C Corporation · HEALTHCARE · IL · 100% owned · share of income $953,484 · share of assets $19,065,022 · controlled entity

    Directly controlled by HSHS

  • LASANTE WISCONSIN INC

    C Corporation · HEALTHCARE · IL · controlled entity

    Directly controlled by KIARA INC

  • LASANTE INC

    C Corporation · HEALTHCARE · IL · controlled entity

    Directly controlled by KIARA INC

  • PREVEA HEALTH SERVICES INC

    C Corporation · HEALTHCARE · WI · 50% owned · share of income -$678,213 · share of assets $23,739,679 · controlled entity

    Directly controlled by HSSI

  • PREVEA CLINIC INC

    C Corporation · HEALTHCARE · WI · controlled entity

    Directly controlled by PHSI

  • RENAISSANCE QUALITY INSURANCE LTD

    C Corporation · INSURANCE · CJ · 100% owned · share of income $0 · share of assets $204,854,765 · controlled entity

    Directly controlled by HSSI

Provenance

Return type
form_990
Tax year
2023
Filed
9 May 2025
IRS schema version
2023v6.0
Source object
202501299349303025

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.