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Nonprofiteer
← ST CROIX VALLEY SHARED SERVICES INC

Form 990 for tax year 2022

Filed by ST CROIX VALLEY SHARED SERVICES INC.

Totals

Total revenue
$9,653,818
Total expenses
$9,636,556
Contributions and grants received
$316,002
Grants paid
$0
Program service revenue
$8,380,235
Investment income
$116,697
Other revenue
$840,884
Total assets, end of year
$3,940,594
Total liabilities, end of year
$1,398,337
Net assets or fund balances, end of year
$2,542,257
Program services expenses (Part IX)
$5,910,312
Management and general expenses
$3,000,221
Fundraising expenses
$726,023
Program service expenses (Part III)
$5,910,312

Program services were 61.3% 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.

  • 1a · Federated campaigns

    $1,708

  • 1c · Fundraising events

    $21,694

  • 1f · All other contributions, gifts and grants

    $292,600

  • 1g · Noncash contributions included above

    $94,421

  • 2a · Program service revenue: HOSPICE SERVICES

    total $5,388,027 · related or exempt $5,388,027

  • 2b · Program service revenue: HOME HEALTH SERVICES

    total $2,992,208 · related or exempt $2,992,208

  • 3 · Investment income

    total $10,556 · excluded $10,556

  • 7a · Gross sales of assets other than inventory

    other assets $109,197

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

    other assets $3,056

  • 7c · Gain or loss

    other assets $106,141

  • 7d · Net gain or loss

    total $106,141 · excluded $106,141

  • 8a · Fundraising events: gross income

    $0

  • 8a · Fundraising events: contributions included on line 1c

    $21,694

  • 8b · Fundraising events: direct expenses

    $8,902

  • 8c · Net income from fundraising events

    total -$8,902 · excluded -$8,902

  • 10a · Gross sales of inventory

    $944,207

  • 10b · Cost of goods sold

    $94,421

  • 10c · Net income from sales of inventory

    total $849,786 · excluded $849,786

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $149,708 · management and general $149,708

  • 7 · Other salaries and wages

    total $5,632,239 · program services $3,546,169 · management and general $1,656,793 · fundraising $429,277

  • 8 · Pension plan contributions

    total $79,175 · program services $52,749 · management and general $20,041 · fundraising $6,385

  • 9 · Other employee benefits

    total $468,819 · program services $296,322 · management and general $136,626 · fundraising $35,871

  • 10 · Payroll taxes

    total $416,552 · program services $256,333 · management and general $129,189 · fundraising $31,030

  • 11b · Fees: legal

    total $23,086 · management and general $23,086

  • 11c · Fees: accounting

    total $41,581 · management and general $41,581

  • 11f · Fees: investment management

    total $159 · management and general $159

  • 11g · Fees: other

    total $1,191,178 · program services $954,645 · management and general $233,652 · fundraising $2,881

  • 12 · Advertising and promotion

    total $22,649 · management and general $18,145 · fundraising $4,504

  • 13 · Office expenses

    total $56,763 · management and general $47,251 · fundraising $9,512

  • 14 · Information technology

    total $178,565 · program services $95,248 · management and general $83,317

  • 16 · Occupancy

    total $236,270 · program services $1,385 · management and general $115,603 · fundraising $119,282

  • 17 · Travel

    total $43,876 · management and general $37,295 · fundraising $6,581

  • 19 · Conferences, conventions and meetings

    total $4,449 · management and general $4,449

  • 20 · Interest

    total $16,891 · management and general $7,347 · fundraising $9,544

  • 22 · Depreciation, depletion and amortization

    total $106,949 · management and general $80,352 · fundraising $26,597

  • 23 · Insurance

    total $42,408 · management and general $42,408

  • 24a · Other expenses: MEDICINE

    total $341,705 · program services $341,705

  • 24b · Other expenses: EQUIPMENT RENTALS

    total $305,256 · program services $305,256

  • 24c · Other expenses: BAD DEBT

    total $59,860 · program services $59,860

  • 24d · Other expenses: MINOR EQUIPMENT

    total $59,037 · program services $535 · management and general $56,398 · fundraising $2,104

  • 24e · All other expenses

    total $159,381 · program services $105 · management and general $116,821 · fundraising $42,455

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $2,076,537 · end of year $2,094,160

  • 4 · Accounts receivable

    beginning of year $874,510 · end of year $949,900

  • 8 · Inventories for sale or use

    beginning of year $22,221 · end of year $11,815

  • 9 · Prepaid expenses and deferred charges

    beginning of year $60,790 · end of year $127,077

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

    $900,362

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

    $326,994

  • 10c · Land, buildings and equipment, net

    beginning of year $532,486 · end of year $573,368

  • 13 · Investments: program-related

    beginning of year $2,321 · end of year $2,248

  • 15 · Other assets

    beginning of year $0 · end of year $182,026

  • 17 · Accounts payable and accrued expenses

    beginning of year $627,484 · end of year $868,689

  • 19 · Deferred revenue

    beginning of year $112,581 · end of year $97,254

  • 23 · Secured mortgages and notes payable

    beginning of year $308,932 · end of year $235,279

  • 25 · Other liabilities

    beginning of year $0 · end of year $197,115

  • 27 · Net assets without donor restrictions

    beginning of year $2,221,637 · end of year $2,238,899

  • 28 · Net assets with donor restrictions

    beginning of year $298,231 · end of year $303,358

Mission and programs · 2022

Mission

ADORAY HOME HEALTH & HOSPICE IS A PROGRAM OF ST. CROIX VALLEY SHARED SERVICES, INC., YOUR LOCAL NOT-FOR-PROFIT HEALTHCARE PARTNER SINCE 1995. "PARTNERING TO IMPROVE THE QUALITY OF LIFE THROUGHOUT YOUR HEALTHCARE JOURNEY WHEREVER YOU CALL HOME" IS OUR MISSION. WE WORK TO MAKE EACH DAY A COMFORTABLE ONE. ONE THAT BRINGS DIGNITY, RELIEF FROM PAIN, AND CHOICE IN TREATMENT TO OUR PATIENTS AND THEIR FAMILIES.

Activities or mission (Part I)

PARTNERING TO IMPROVE THE QUALITY OF LIFE THROUGHOUT YOUR HEALTHCARE JOURNEY WHEREVER YOU CALL HOME.

  • ADORAY PROVIDED HOSPICE CARE TO PATIENTS FACING TERMINAL ILLNESS FOR WHOM CURATIVE CARE IS NO LONGER BENEFICIAL. 25,415 DAYS OF CARE WERE PROVIDED TO 991 INDIVIDUALS IN 2023.ADORAY PALLIATIVE CARE PROGRAM IN COLLABORATION WITH THE PATIENT'S PRIMARY CARE PROVIDER (PCP) AND PAYOR OFFERS PATIENT AND FAMILY CENTERED CARE INCLUDING ADVANCE CARE PLANNING, SYMPTOM MANAGEMENT, CARE COORDINATION, EDUCATION AND SUPPORT. CARE IS PROVIDED BY AN INTERDISCIPLINARY TEAM WITH A FOCUS ON PATIENT GOALS OF CARE TO EASE THE INDIVIDUAL'S SUFFERING AND IMPROVE QUALITY OF LIFE.

    Expenses $3,493,657 · Revenue $5,388,027

  • ADORAY PROVIDED HOME HEALTH SERVICES, INCLUDING SKILLED NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH PATHOLOGY, MEDICAL SOCIAL SERVICE, AND HOME HEALTH AIDE VISITS TO RESIDENTS OF WEST CENTRAL WISCONSIN RESIDING IN ST. CROIX, POLK, PIERCE, BURNETT, BARRON, AND WESTERN DUNN COUNTY. 16,536 VISITS WERE PROVIDED TO 809 INDIVIDUALS DURING 2023.

    Expenses $2,416,655 · Revenue $2,992,208

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Eilidh Pederson

    CHAIRPERSON

    Total calculated
    $401,158
    From this org
    $0
    From related orgs
    $362,393
    Other
    $38,765
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $307,395 related
    Bonus
    $0 + $53,788 related
    Other
    $0 + $1,210 related
    Deferred
    $0 + $7,548 related
    Nontaxable benefits
    $0 + $31,217 related
    Filer's total
    $0 + $401,158 related

  • Dave Dobosenski

    CHAIRPERSON (THRU FEBRUARY)

    Total calculated
    $0
    Hours/week
    0.5

  • Amanda Gustafson

    CEO

    Total calculated
    $149,708
    From this org
    $130,446
    From related orgs
    $0
    Other
    $19,262
    Hours/week
    40

  • Mike Youso

    VICE CHAIRPERSON

    Total calculated
    $0
    Hours/week
    40

  • Lea Kaiser

    TREASURER

    Total calculated
    $155,560
    From this org
    $0
    From related orgs
    $131,420
    Other
    $24,140
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $125,144 related
    Bonus
    $0 + $6,000 related
    Other
    $0 + $276 related
    Deferred
    $0 + $3,049 related
    Nontaxable benefits
    $0 + $21,091 related
    Filer's total
    $0 + $155,560 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

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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 II
EILIDH PEDERSON AND LEA KAISER WERE PAID FOR SERVICES AS CEO AND CFO, RESPECTIVELY, OF BALDWIN AREA MEDICAL CENTER, INC., A RELATED PARTY OF ST. CROIX VALLEY SHARED SERVICES, INC. BALDWIN AREA MEDICAL CENTER'S INDEPENDENT BOARD IS RESPONSIBLE FOR COMPENSATION POLICIES, DETERMINATION, REVIEW AND APPROVAL.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
14 August 2024
IRS schema version
2022v5.0
Source object
202442279349303179

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