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← DICKINSON COUNTY HEALTHCARE SYSTEM

Form 990 for tax year 2023

Filed by DICKINSON COUNTY HEALTHCARE SYSTEM.

Totals

Total revenue
$142,072,739
Total expenses
$142,253,668
Contributions and grants received
$335,795
Grants paid
$0
Program service revenue
$141,398,231
Investment income
$115,964
Other revenue
$222,749
Total assets, end of year
$64,236,890
Total liabilities, end of year
$54,025,114
Net assets or fund balances, end of year
$10,211,776
Program services expenses (Part IX)
$135,088,795
Management and general expenses
$7,164,873
Fundraising expenses
$0
Program service expenses (Part III)
$135,088,795

Program services were 95.0% 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)

    $282,741

  • 1f · All other contributions, gifts and grants

    $53,054

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

    total $139,482,462 · related or exempt $139,482,462

  • 2b · Program service revenue: INTERCOMPANY REVENUE

    total $829,742 · related or exempt $829,742

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

    total $827,854 · related or exempt $827,854

  • 2d · Program service revenue: CAFETERIA REVENUE

    total $258,173 · excluded $258,173

  • 3 · Investment income

    total $115,163 · excluded $115,163

  • 6a · Gross rents

    real property $222,749

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $222,749

  • 6d · Net rental income or loss

    total $222,749 · excluded $222,749

  • 7a · Gross sales of assets other than inventory

    other assets $801

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

    other assets $0

  • 7c · Gain or loss

    other assets $801

  • 7d · Net gain or loss

    total $801 · excluded $801

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $338,624 · management and general $338,624

  • 7 · Other salaries and wages

    total $54,913,255 · program services $52,654,153 · management and general $2,259,102

  • 8 · Pension plan contributions

    total $1,373,307 · program services $1,296,865 · management and general $76,442

  • 9 · Other employee benefits

    total $7,950,049 · program services $7,493,299 · management and general $456,750

  • 10 · Payroll taxes

    total $3,298,218 · program services $3,104,023 · management and general $194,195

  • 11b · Fees: legal

    total $99,753 · management and general $99,753

  • 11c · Fees: accounting

    total $75,687 · management and general $75,687

  • 11g · Fees: other

    total $19,345,903 · program services $17,921,545 · management and general $1,424,358

  • 12 · Advertising and promotion

    total $108,741 · program services $107,741 · management and general $1,000

  • 13 · Office expenses

    total $1,712,333 · program services $1,660,504 · management and general $51,829

  • 14 · Information technology

    total $2,539,873 · program services $2,508,624 · management and general $31,249

  • 16 · Occupancy

    total $2,748,866 · program services $2,391,703 · management and general $357,163

  • 17 · Travel

    total $208,707 · program services $181,518 · management and general $27,189

  • 20 · Interest

    total $2,002,326 · program services $2,002,326

  • 22 · Depreciation, depletion and amortization

    total $4,066,246 · program services $4,066,246

  • 23 · Insurance

    total $121,209 · program services $121,209

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $32,540,183 · program services $32,221,994 · management and general $318,189

  • 24b · Other expenses: BAD DEBT EXPENSE

    total $3,281,914 · program services $3,281,914

  • 24c · Other expenses: MI MEDICAID ACCESS TAX

    total $2,565,669 · program services $2,565,669

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

    total $983,961 · program services $944,688 · management and general $39,273

  • 24e · All other expenses

    total $1,978,844 · program services $564,774 · management and general $1,414,070

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $12,813,353 · end of year $9,185,243

  • 2 · Savings and temporary cash investments

    beginning of year $520,000 · end of year $960,000

  • 3 · Pledges and grants receivable

    end of year $10,659

  • 4 · Accounts receivable

    beginning of year $21,583,137 · end of year $2,094,670

  • 8 · Inventories for sale or use

    beginning of year $3,985,634 · end of year $5,886,791

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,460,030 · end of year $626,753

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

    $50,192,718

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

    $9,358,312

  • 10c · Land, buildings and equipment, net

    beginning of year $36,732,537 · end of year $40,834,406

  • 11 · Investments: publicly traded securities

    end of year $360

  • 13 · Investments: program-related

    beginning of year $882,581 · end of year $899,270

  • 14 · Intangible assets

    beginning of year $1,036,676 · end of year $503,085

  • 15 · Other assets

    beginning of year $1,901,358 · end of year $3,235,653

  • 17 · Accounts payable and accrued expenses

    beginning of year $14,279,077 · end of year $10,160,011

  • 19 · Deferred revenue

    beginning of year $101,014 · end of year $856,933

  • 20 · Tax-exempt bond liabilities

    beginning of year $1,861,386 · end of year $1,644,593

  • 23 · Secured mortgages and notes payable

    beginning of year $39,449,484 · end of year $38,900,361

  • 25 · Other liabilities

    beginning of year $1,460,873 · end of year $2,463,216

  • 27 · Net assets without donor restrictions

    beginning of year $23,763,472 · end of year $10,202,589

  • 28 · Net assets with donor restrictions

    end of year $9,187

Mission and programs · 2023

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 $135,088,795 · Revenue $141,140,058

As filed on the 2023 return.

Listed in Part VII

  • MARK BUGHER

    CHAIR - PART YEAR

    Total calculated
    $24,924
    From this org
    $0
    From related orgs
    $24,924
    Other
    $0
    Hours/week
    1 + 9 related

  • COLLEEN HOERNEMAN

    CHAIR

    Total calculated
    $6,500
    From this org
    $0
    From related orgs
    $6,500
    Other
    $0
    Hours/week
    1 + 9 related

  • MARK BRADLEY

    VICE CHAIR

    Total calculated
    $13,000
    From this org
    $0
    From related orgs
    $13,000
    Other
    $0
    Hours/week
    1 + 5 related

  • RUWAN DISSANAYAKE MD

    SECRETARY - PART YEAR

    Total calculated
    $395,013
    From this org
    $0
    From related orgs
    $370,856
    Other
    $24,157
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $240,464 related
    Bonus
    $0 + $114,060 related
    Other
    $0 + $16,332 related
    Deferred
    $0 + $3,614 related
    Nontaxable benefits
    $0 + $20,543 related
    Filer's total
    $0 + $395,013 related

  • JOHN BALTUS

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1

  • SUSAN TURNEY MD

    BOARD MEMBER/MCHS CEO - PART YEAR

    Total calculated
    $3,507,040
    From this org
    $0
    From related orgs
    $3,125,033
    Other
    $382,007
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,225,308 related
    Bonus
    $0 + $450,000 related
    Other
    $0 + $1,449,725 related
    Deferred
    $0 + $361,730 related
    Nontaxable benefits
    $0 + $20,277 related
    Filer's total
    $0 + $3,507,040 related

  • BRIAN HOERNEMAN MD

    BOARD MEMBER/INTERIM MCHS CEO

    Total calculated
    $888,868
    From this org
    $0
    From related orgs
    $848,741
    Other
    $40,127
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $741,668 related
    Bonus
    $0 + $73,943 related
    Other
    $0 + $33,130 related
    Deferred
    $0 + $9,900 related
    Nontaxable benefits
    $0 + $30,227 related
    Filer's total
    $0 + $888,868 related

  • WILLIAM MELMS MD

    BOARD MEMBER/MCHS CMO - PART YEAR

    Total calculated
    $1,074,914
    From this org
    $0
    From related orgs
    $1,053,823
    Other
    $21,091
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $206,266 related
    Bonus
    $0 + $152,673 related
    Other
    $0 + $694,884 related
    Deferred
    $0 + $9,900 related
    Nontaxable benefits
    $0 + $11,191 related
    Filer's total
    $0 + $1,074,914 related

  • SAMANTHA KLEBE DO

    BOARD MEMBER/MCHS CMO

    Total calculated
    $545,008
    From this org
    $0
    From related orgs
    $515,015
    Other
    $29,993
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $466,567 related
    Bonus
    $0 + $21,085 related
    Other
    $0 + $27,363 related
    Deferred
    $0 + $9,900 related
    Nontaxable benefits
    $0 + $20,093 related
    Filer's total
    $0 + $545,008 related

  • DOUG MATHISON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • EDWARD FERNANDEZ MD

    BOARD MEMBER

    Total calculated
    $579,436
    From this org
    $0
    From related orgs
    $536,206
    Other
    $43,230
    Hours/week
    1 + 56 related

    Schedule J breakdown matched by us

    Base
    $0 + $349,775 related
    Bonus
    $0 + $148,993 related
    Other
    $0 + $37,438 related
    Deferred
    $0 + $9,900 related
    Nontaxable benefits
    $0 + $33,330 related
    Filer's total
    $0 + $579,436 related

  • MARGARET MINERICK

    BOARD MEMBER - PART YEAR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • DAVID HOLMES

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • CATHY BUKOWSKI

    MCHS CFO - PART YEAR

    Total calculated
    $749,233
    From this org
    $0
    From related orgs
    $725,840
    Other
    $23,393
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $571,918 related
    Bonus
    $0 + $9,200 related
    Other
    $0 + $144,722 related
    Deferred
    $0 + $9,900 related
    Nontaxable benefits
    $0 + $13,493 related
    Filer's total
    $0 + $749,233 related

  • JEANETTE WOJTALEWICZ

    INTERIM MCHS CFO

    Total calculated
    $116,564
    From this org
    $0
    From related orgs
    $116,564
    Other
    $0
    Hours/week
    1 + 54 related

  • AMANDA SHELAST

    PRESIDENT MMC-DICKINSON

    Total calculated
    $338,624
    From this org
    $331,019
    From related orgs
    $0
    Other
    $7,605
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $283,154
    Bonus
    $27,006
    Other
    $20,859
    Deferred
    $6,124
    Nontaxable benefits
    $1,481
    Filer's total
    $338,624

  • ERIN DEPREKEL MD

    PHYSICIAN

    Total calculated
    $253,981
    From this org
    $252,656
    From related orgs
    $0
    Other
    $1,325
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $252,656
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $1,325
    Filer's total
    $253,981

  • BRIAN DONAHUE

    VP OF FINANCE/CFO MMC-DICKINSON

    Total calculated
    $278,373
    From this org
    $270,832
    From related orgs
    $0
    Other
    $7,541
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $210,822
    Bonus
    $60,010
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $7,541
    Filer's total
    $278,373

  • MARYAM HAMIDI MD

    PHYSICIAN

    Total calculated
    $281,104
    From this org
    $280,086
    From related orgs
    $0
    Other
    $1,018
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $253,244
    Bonus
    $0
    Other
    $26,842
    Deferred
    $0
    Nontaxable benefits
    $1,018
    Filer's total
    $281,104

  • ERIC JOHNSON MD

    PHYSICIAN

    Total calculated
    $436,800
    From this org
    $419,197
    From related orgs
    $0
    Other
    $17,603
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $357,997
    Bonus
    $18,000
    Other
    $43,200
    Deferred
    $0
    Nontaxable benefits
    $17,603
    Filer's total
    $436,800

  • DAVID VIAU MD

    PHYSICIAN

    Total calculated
    $356,500
    From this org
    $352,049
    From related orgs
    $0
    Other
    $4,451
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $342,049
    Bonus
    $10,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $4,451
    Filer's total
    $356,500

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
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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, LINES 4A-B
LINE 4A: IN 2023, SUSAN TURNEY, MD RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $614,466, WILLIAM MELMS, MD RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $610,615, AND CATHY BUKOWSKI RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $82,431. 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 - $275,424 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 SAMANTHA KLEBE, DO WILLIAM MELMS, MD BRIAN HOERNEMAN, MD EDWARD FERNANDEZ, MD CATHY BUKOWSKI

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.

Provenance

Return type
form_990
Tax year
2023
Filed
11 November 2024
IRS schema version
2023v5.1
Source object
202403189349304325

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