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← DICKINSON COUNTY HEALTHCARE SYSTEM

Form 990 for tax year 2022

Filed by DICKINSON COUNTY HEALTHCARE SYSTEM.

Totals

Total revenue
$127,196,395
Total expenses
$122,645,520
Contributions and grants received
$1,801,176
Grants paid
$0
Program service revenue
$118,204,998
Investment income
$5,003,367
Other revenue
$2,186,854
Total assets, end of year
$80,915,306
Total liabilities, end of year
$57,151,834
Net assets or fund balances, end of year
$23,763,472
Program services expenses (Part IX)
$117,107,885
Management and general expenses
$5,537,635
Fundraising expenses
$0
Program service expenses (Part III)
$117,107,885

Program services were 95.5% 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.

  • 1e · Government grants (contributions)

    $1,799,838

  • 1f · All other contributions, gifts and grants

    $1,338

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

    total $107,829,753 · related or exempt $107,829,753

  • 2b · Program service revenue: MISC OTHER OPERATING REVENUE

    total $9,269,506 · related or exempt $9,269,506

  • 2c · Program service revenue: INTERCOMPANY REVENUE

    total $1,105,739 · related or exempt $1,105,739

  • 3 · Investment income

    total $4,498,724 · excluded $4,498,724

  • 6a · Gross rents

    real property $2,186,854

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $2,186,854

  • 6d · Net rental income or loss

    total $2,186,854 · excluded $2,186,854

  • 7a · Gross sales of assets other than inventory

    other assets $1,243,855

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

    other assets $739,212

  • 7c · Gain or loss

    other assets $504,643

  • 7d · Net gain or loss

    total $504,643 · excluded $504,643

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,000 · management and general $1,000

  • 7 · Other salaries and wages

    total $45,154,275 · program services $42,489,363 · management and general $2,664,912

  • 8 · Pension plan contributions

    total $1,404,676 · program services $1,404,676

  • 9 · Other employee benefits

    total $6,312,550 · program services $5,601,314 · management and general $711,236

  • 10 · Payroll taxes

    total $2,991,888 · program services $2,991,888

  • 11b · Fees: legal

    total $131,538 · management and general $131,538

  • 11c · Fees: accounting

    total $96,931 · management and general $96,931

  • 11g · Fees: other

    total $23,833,511 · program services $23,077,924 · management and general $755,587

  • 12 · Advertising and promotion

    total $347,439 · program services $347,439

  • 13 · Office expenses

    total $708,051 · program services $668,123 · management and general $39,928

  • 14 · Information technology

    total $1,777,012 · program services $1,777,012

  • 16 · Occupancy

    total $1,845,795 · program services $1,825,317 · management and general $20,478

  • 17 · Travel

    total $266,162 · program services $249,067 · management and general $17,095

  • 20 · Interest

    total $678,116 · program services $678,116

  • 22 · Depreciation, depletion and amortization

    total $5,311,446 · program services $5,311,446

  • 23 · Insurance

    total $688,620 · program services $688,620

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $25,645,827 · program services $25,645,009 · management and general $818

  • 24b · Other expenses: BAD DEBT EXPENSE

    total $2,953,029 · program services $2,953,029

  • 24c · Other expenses: DUES, SUBSCRIPTIONS, LI

    total $2,114,206 · program services $1,017,848 · management and general $1,096,358

  • 24d · Other expenses: EQUIP. REPAIRS & MAINT.

    total $293,211 · program services $291,457 · management and general $1,754

  • 24e · All other expenses

    total $90,237 · program services $90,237

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $12,813,353

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $520,000

  • 4 · Accounts receivable

    beginning of year $0 · end of year $21,583,137

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $3,985,634

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $1,460,030

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

    $41,453,395

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

    $4,720,858

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $36,732,537

  • 13 · Investments: program-related

    beginning of year $0 · end of year $882,581

  • 14 · Intangible assets

    beginning of year $0 · end of year $1,036,676

  • 15 · Other assets

    beginning of year $0 · end of year $1,901,358

  • 17 · Accounts payable and accrued expenses

    beginning of year $0 · end of year $14,279,077

  • 19 · Deferred revenue

    beginning of year $0 · end of year $101,014

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $1,861,386

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $39,449,484

  • 25 · Other liabilities

    beginning of year $0 · end of year $1,460,873

  • 27 · Net assets without donor restrictions

    beginning of year $0 · end of year $23,763,472

Mission and programs · 2022

Mission

WE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, COMPASSIONATE HEALTH CARE.

  • DICKINSON COUNTY HEALTHCARE SYSTEM (DCHS) INCLUDES A 49-BED, GENERAL MEDICAL AND SURGICAL HOSPITAL LOCATED IN IRON MOUNTAIN, MICHIGAN AND PRIMARY CARE CLINICS IN IRON MOUNTAIN, KINGSFORD AND NORWAY, MICHIGAN AND FLORENCE, WISCONSIN. DCHS SERVES COMMUNITIES IN MICHIGAN'S CENTRAL UPPER PENINSULA AND NORTHERN WISCONSIN BY PROVIDING A BROAD RANGE OF HIGH QUALITY ACUTE CARE INCLUDING INPATIENT, OUTPATIENT, DIAGNOSTIC, AND SPECIALTY SERVICES.

    Expenses $117,107,885 · Revenue $118,204,998

As filed on the 2022 return.

Listed in Part VII

  • Mark Bugher

    CHAIR

    Total calculated
    $26,500
    From this org
    $0
    From related orgs
    $26,500
    Other
    $0
    Hours/week
    1 + 9 related
  • Mark Bradley

    VICE CHAIR

    Total calculated
    $9,500
    From this org
    $0
    From related orgs
    $9,500
    Other
    $0
    Hours/week
    1 + 5 related
  • Ruwan Dissanayake MD

    SECRETARY

    Total calculated
    $582,871
    From this org
    $0
    From related orgs
    $528,556
    Other
    $54,315
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $398,039 related
    Bonus
    $0 + $103,133 related
    Other
    $0 + $27,384 related
    Deferred
    $0 + $21,612 related
    Nontaxable benefits
    $0 + $32,703 related
    Filer's total
    $0 + $582,871 related
  • John Baltus

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Doug Mathison

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Susan Turney MD

    BOARD MEMBER/MCHS CEO

    Total calculated
    $3,363,836
    From this org
    $0
    From related orgs
    $3,048,492
    Other
    $315,344
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,812,322 related
    Bonus
    $0 + $910,520 related
    Other
    $0 + $325,650 related
    Deferred
    $0 + $287,565 related
    Nontaxable benefits
    $0 + $27,779 related
    Filer's total
    $0 + $3,363,836 related
  • Colleen Hoerneman

    BOARD MEMBER

    Total calculated
    $7,500
    From this org
    $0
    From related orgs
    $7,500
    Other
    $0
    Hours/week
    1 + 2 related
  • William Melms MD

    BOARD MEMBER/MCHS CMO

    Total calculated
    $886,468
    From this org
    $0
    From related orgs
    $829,413
    Other
    $57,055
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $784,186 related
    Bonus
    $0 + $5,000 related
    Other
    $0 + $40,227 related
    Deferred
    $0 + $23,031 related
    Nontaxable benefits
    $0 + $34,024 related
    Filer's total
    $0 + $886,468 related
  • Margaret Minerick

    BOARD MEMBER

    Total calculated
    $1,000
    From this org
    $1,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    1 + 1 related
  • Gordon Edwards

    MCHS CFO/COO - PART YEAR

    Total calculated
    $861,397
    From this org
    $0
    From related orgs
    $829,645
    Other
    $31,752
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $560,115 related
    Bonus
    $0 + $166,037 related
    Other
    $0 + $103,493 related
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $22,602 related
    Filer's total
    $0 + $861,397 related
  • Kathy Bressler

    MCHS COO

    Total calculated
    $387,653
    From this org
    $0
    From related orgs
    $370,779
    Other
    $16,874
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $285,062 related
    Bonus
    $0 + $25,000 related
    Other
    $0 + $60,717 related
    Deferred
    $0 + $8,769 related
    Nontaxable benefits
    $0 + $8,105 related
    Filer's total
    $0 + $387,653 related
  • Jerard Jensen

    MCHS GENERAL COUNSEL

    Total calculated
    $1,124,135
    From this org
    $0
    From related orgs
    $1,058,880
    Other
    $65,255
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $801,522 related
    Bonus
    $0 + $202,859 related
    Other
    $0 + $54,499 related
    Deferred
    $0 + $23,031 related
    Nontaxable benefits
    $0 + $42,224 related
    Filer's total
    $0 + $1,124,135 related
  • Adina-Maria Anderson Dpm

    PHYSICIAN

    Total calculated
    $497,886
    From this org
    $480,836
    From related orgs
    $0
    Other
    $17,050
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $445,571
    Bonus
    $1,621
    Other
    $33,644
    Deferred
    $3,332
    Nontaxable benefits
    $13,718
    Filer's total
    $497,886
  • Maryam Hamidi MD

    PHYSICIAN

    Total calculated
    $675,747
    From this org
    $666,731
    From related orgs
    $0
    Other
    $9,016
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $626,731
    Bonus
    $40,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $9,016
    Filer's total
    $675,747
  • Eric Johnson MD

    PHYSICIAN

    Total calculated
    $589,814
    From this org
    $572,085
    From related orgs
    $0
    Other
    $17,729
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $483,509
    Bonus
    $18,000
    Other
    $70,576
    Deferred
    $0
    Nontaxable benefits
    $17,729
    Filer's total
    $589,814
  • Adam Ryan MD

    PHYSICIAN

    Total calculated
    $485,255
    From this org
    $478,644
    From related orgs
    $0
    Other
    $6,611
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $446,305
    Bonus
    $28,754
    Other
    $3,585
    Deferred
    $0
    Nontaxable benefits
    $6,611
    Filer's total
    $485,255
  • Sarah Venditti MD

    PHYSICIAN

    Total calculated
    $856,471
    From this org
    $840,539
    From related orgs
    $0
    Other
    $15,932
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $631,036
    Bonus
    $149,738
    Other
    $59,765
    Deferred
    $7,063
    Nontaxable benefits
    $8,869
    Filer's total
    $856,471

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 · Housing allowance or residence for personal use
  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 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)

PART I, LINE 3
THE MARSHFIELD CLINIC HEALTH SYSTEM'S (MCHS) INDEPENDENT COMPENSATION COMMITTEE (THE COMMITTEE) HAS FINAL AUTHORITY FOR APPROVING COMPENSATION AND BENEFITS OF ALL DISQUALIFIED PERSONS EMPLOYED BY ANY OF THE ORGANIZATIONS IN THE SYSTEM. THE COMMITTEE USES COMBINATIONS OF THE FOLLOWING TO EVALUATE COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, AND WRITTEN EMPLOYMENT CONTRACTS.
PART I, LINE 4B
THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED A DISTRIBUTION FROM OR HAD AMOUNTS VEST IN THE PLAN: SUSAN TURNEY, MD - 219,744 THE FOLLOWING INDIVIDUALS PARTICATED IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN BUT DID NOT RECEIVE A DISTRIBUTION OR HAVE AN AMOUNT VEST IN THE PLAN. UNDER THE PLAN, AMOUNTS DO NOT VEST UNTIL TWO YEARS AFTER SEPARATION FROM THE ORGANIZATION: RUWAN DISSANAYAKE, MD JERARD JENSEN GORDON EDWARDS WILLIAM MELMS, MD

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.

  • THE DIAGNOSTIC & TREATMENT CENTER LLC

    MEDICAL SVCS · WI

Provenance

Return type
form_990
Tax year
2022
Filed
8 November 2023
IRS schema version
2022v5.0
Source object
202333179349302143

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