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← ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F

Form 990 for tax year 2023

Filed by ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F.

Totals

Total revenue
$27,274,948
Total expenses
$60,547,089
Contributions and grants received
$672,602
Grants paid
$0
Program service revenue
$23,158,849
Investment income
$3,750,075
Other revenue
-$306,578
Total assets, end of year
$113,039,274
Total liabilities, end of year
$14,458,228
Net assets or fund balances, end of year
$98,581,046
Program services expenses (Part IX)
$29,992,278
Management and general expenses
$30,554,811
Fundraising expenses
$0
Program service expenses (Part III)
$29,992,278

Program services were 49.5% 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

    $184,829

  • 1e · Government grants (contributions)

    $487,773

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $23,140,250 · related or exempt $23,140,250

  • 2b · Program service revenue: Reference Lab

    total $18,599 · unrelated business $18,599

  • 2f · All other program service revenue

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

  • 3 · Investment income

    total $1,905,050 · excluded $1,905,050

  • 6a · Gross rents

    real property $505,521

  • 6b · Less rental expenses

    real property $993,441

  • 6c · Rental income or loss

    real property -$487,920 · personal property $0

  • 6d · Net rental income or loss

    total -$487,920 · excluded -$487,920

  • 7a · Gross sales of assets other than inventory

    securities $1,846,850 · other assets $414,768

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

    other assets $416,593

  • 7c · Gain or loss

    securities $1,846,850 · other assets -$1,825

  • 7d · Net gain or loss

    total $1,845,025 · excluded $1,845,025

  • 11a · Other revenue: OTHER OPERATING REVENUE

    total $131,249 · related or exempt $131,249

  • 11b · Other revenue: GIFT SHOP REVENUE

    total $50,093 · excluded $50,093

  • 11d · All other revenue

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

  • 11e · Other revenue, total

    $181,342

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $355,651 · program services $345,631 · management and general $10,020

  • 7 · Other salaries and wages

    total $13,991,209 · program services $13,597,039 · management and general $394,170

  • 8 · Pension plan contributions

    total $445,134 · program services $432,593 · management and general $12,541

  • 9 · Other employee benefits

    total $3,705,313 · program services $3,600,924 · management and general $104,389

  • 10 · Payroll taxes

    total $1,279,382 · program services $1,243,338 · management and general $36,044

  • 11f · Fees: investment management

    total $436,584 · management and general $436,584

  • 11g · Fees: other

    total $6,131,070 · program services $5,119,854 · management and general $1,011,216 · fundraising $0

  • 12 · Advertising and promotion

    total $2,454 · program services $2,454

  • 13 · Office expenses

    total $21,317 · program services $20,462 · management and general $855

  • 14 · Information technology

    total $28,086 · program services $28,086

  • 16 · Occupancy

    total $1,181,234 · program services $1,003,443 · management and general $177,791

  • 17 · Travel

    total $159,055 · program services $144,738 · management and general $14,317

  • 19 · Conferences, conventions and meetings

    total $56,994 · program services $51,721 · management and general $5,273

  • 20 · Interest

    total $194,951 · management and general $194,951

  • 22 · Depreciation, depletion and amortization

    total $19,887,103 · program services $1,839,156 · management and general $18,047,947

  • 23 · Insurance

    total $188,778 · program services $77,023 · management and general $111,755

  • 24a · Other expenses: CORPORATE ALLOCATION

    total $9,944,325 · program services $23,410 · management and general $9,920,915

  • 24b · Other expenses: SUPPLIES

    total $1,571,266 · program services $1,558,103 · management and general $13,163

  • 24c · Other expenses: MEDICAL ASSESSMENT

    total $433,088 · program services $433,088

  • 24d · Other expenses: EQUIPMENT RENTAL

    total $304,005 · program services $304,005

  • 24e · All other expenses

    total $230,090 · program services $167,210 · management and general $62,880 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $235,269 · end of year $279,622

  • 4 · Accounts receivable

    beginning of year $5,870,312 · end of year $593,614

  • 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

  • 8 · Inventories for sale or use

    beginning of year $372,131 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $131,637 · end of year $0

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

    $47,766,010

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

    $47,766,010

  • 10c · Land, buildings and equipment, net

    beginning of year $21,215,509 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $117,517,114 · end of year $111,754,958

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $4,494,951 · end of year $411,080

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,440,837 · end of year $3,147,362

  • 20 · Tax-exempt bond liabilities

    beginning of year $11,939,612 · end of year $10,949,594

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $1,552,332 · end of year $361,272

  • 27 · Net assets without donor restrictions

    beginning of year $131,904,142 · end of year $98,581,046

Mission and programs · 2023

Mission

THE MISSION OF ST. JOSEPH'S HOSPITAL IS TO REVEAL AND EMBODY CHRIST'S PEOPLE IN NEED. REFLECTING OUR HIGH REGARD FOR ONE ANOTHER AS INSPIRED BY OUR FRANCISCAN TRADITION, ST. JOSEPH'S GOAL IS TO BE THE PREFERRED CHOICE FOR HEALTH CARE IN THE CHIPPEWA VALLEY.

Activities or mission (Part I)

ST. JOSEPH'S MISSION IS TO DELIVER COMPASSIONATE HEALTH CARE TO PEOPLE IN NEED AND TO BE THE PREFERRED CHOICE FOR HEALTH CARE IN THE CHIPPEWA VALLEY.

  • EMERGENCY ROOM SERVICES St. Joseph's Hospital operates an Emergency Department that is staffed 24/7 by doctors and Advanced Practice Providers experienced in Emergency Medicine. It is the only one of its kind in the area, providing emergency and trauma services. Like all hospital services, emergency care is provided regardless of race, creed, or ability to pay, and financial assistance is available after care is provided for those in need. St. Joseph's Hospital ended operations March 22, 2024.

    Expenses $11,902,403 · Revenue $5,953,096

  • HOME HEALTH - St. Joseph's Hospital provides home health and hospice services throughout western Wisconsin. We provide services from birth to death. Specialty services include but not limited to advanced wound care, cardiac rehab, fall risk assessment, pain management, pediatric care and stroke care. Home care provides care/education to the patients on service. Skilled nurses evaluate, monitor and teach patients about their medical conditions and assist with administering IV medications, tube feedings, wound care. Home health aides provide assistance with personal care and light housework within the homes. Hospice provides support and care for individuals and their loved ones as they face the last phases of life - limiting illness. The goal of our hospice team is to make patients physically, emotionally and spiritually comfortable so they remain at home as long as possible with minimal disruption to normal activities. The hospice team can help with and offer nursing care, advanced nurse practitioners, medical equipment, home health aide services, medication symptom control and pain relief, short term hospital care as needed, spiritual needs and grief counseling 13 months after the date of death. St. Joseph's Hospital ended operations March 22, 2024.

    Expenses $7,701,599 · Revenue $4,070,711

  • PSYCHIATRY St. Joseph's Hospital provides behavioral health inpatient services for adults 18 years and older. Substance Use Withdrawal Services and High Intensity Substance Use Residential Treatment Services are available at St. Joseph's Hospital - L.E. Phillips Libertas Treatment Center. In a time of crisis when people are faced with a substance use challenge, they can turn to St. Joseph's for dignified, confidential and compassionate care they need. St. Joseph's Hospital ended operations March 22, 2024.

    Expenses $6,663,867 · Revenue $3,996,560

  • Other Program Services Other program services at St. Joseph Hospital are comprised of Radiology, Wound Care, Pharmacy, Laboratory, Respiratory Therapy, Rehabilitation, Drug/Alcohol Abuse Services, and other services. St. Joseph's Hospital ended operations March 22, 2024.

    Expenses $3,724,409 · Revenue $9,251,132

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

Listed in Part VII

  • John Wagner

    CEO/President

    Total calculated
    $711,302
    From this org
    $303,104
    From related orgs
    $303,104
    Other
    $105,094
    Hours/week
    29.5 + 30.5 related

    Schedule J breakdown matched by us

    Base
    $187,236 + $187,236 related
    Bonus
    $115,341 + $115,341 related
    Other
    $527 + $527 related
    Deferred
    $37,796 + $37,796 related
    Nontaxable benefits
    $14,751 + $14,751 related
    Filer's total
    $355,651 + $355,651 related

  • Michelle Farrow

    Chair

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Patti Darley

    Vice Chair

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Fr Dan Oudenhoven

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Greg Heiler MD

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Laura Talley

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Molly Bushman

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Robert Maslonkowski MD

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 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
    3 + 57 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
    0.3 + 59.7 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

  • 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
    0.3 + 59.7 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

  • Bethany Bridget Schilling

    Advanced Practice RN

    Total calculated
    $153,039
    From this org
    $152,335
    From related orgs
    $0
    Other
    $704
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $135,893
    Bonus
    $0
    Other
    $16,442
    Deferred
    $0
    Nontaxable benefits
    $704
    Filer's total
    $153,039

  • Kelli M Olson

    Nursing Manager

    Total calculated
    $152,384
    From this org
    $140,544
    From related orgs
    $0
    Other
    $11,840
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $107,302
    Bonus
    $0
    Other
    $33,242
    Deferred
    $0
    Nontaxable benefits
    $11,840
    Filer's total
    $152,384

  • Rhonda Adler

    Pharmacist

    Total calculated
    $252,631
    From this org
    $208,669
    From related orgs
    $0
    Other
    $43,962
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $208,644
    Bonus
    $0
    Other
    $25
    Deferred
    $32,015
    Nontaxable benefits
    $11,947
    Filer's total
    $252,631

  • Sara Jorgenson

    Pharmacist

    Total calculated
    $223,857
    From this org
    $198,272
    From related orgs
    $0
    Other
    $25,585
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $194,974
    Bonus
    $0
    Other
    $3,298
    Deferred
    $11,038
    Nontaxable benefits
    $14,547
    Filer's total
    $223,857

  • Stephanie A Root

    Pharmacy Supervisor

    Total calculated
    $185,335
    From this org
    $167,371
    From related orgs
    $6,092
    Other
    $11,872
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $164,058 + $6,092 related
    Bonus
    $0
    Other
    $3,313
    Deferred
    $0
    Nontaxable benefits
    $11,415 + $457 related
    Filer's total
    $178,786 + $6,549 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

  • 1a · Tax indemnification and gross-up payments
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 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 1a Tax indemnification and gross-up payments
DURING THE YEAR, THE FOLLOWING INTERESTED PERSONS RECEIVED A TAX GROSS-UP PAYMENT. THE RELATED AMOUNTS WERE TREATED AS TAXABLE COMPENSATION TO THE RECIPIENT. KELLI M OLSON
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). PATRICIA ALLEN -- $44,695 JOHN WAGNER -- $46,024 TODD SMART -- $25,441 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
202501299349303100

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