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Nonprofiteer
← ST CROIX REGIONAL MEDICAL CENTER

Form 990 for tax year 2022

Filed by ST CROIX REGIONAL MEDICAL CENTER.

Totals

Total revenue
$139,540,022
Total expenses
$148,791,084
Contributions and grants received
$500,914
Grants paid
$0
Program service revenue
$138,237,202
Investment income
$341,673
Other revenue
$460,233
Total assets, end of year
$104,423,130
Total liabilities, end of year
$26,255,892
Net assets or fund balances, end of year
$78,167,238
Program services expenses (Part IX)
$123,807,102
Management and general expenses
$24,983,982
Fundraising expenses
$0
Program service expenses (Part III)
$123,807,102

Program services were 83.2% 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)

    $476,044

  • 1f · All other contributions, gifts and grants

    $24,870

  • 2a · Program service revenue: PATIENT SERVICES

    total $119,179,974 · related or exempt $119,179,974

  • 2b · Program service revenue: FREDERIC PHARMACY

    total $4,809,744 · related or exempt $4,506,730 · unrelated business $303,014

  • 2c · Program service revenue: SCF PHARMACY

    total $4,364,887 · related or exempt $4,089,899 · unrelated business $274,988

  • 2d · Program service revenue: UNITY PHARMACY

    total $3,542,917 · related or exempt $3,319,713 · unrelated business $223,204

  • 2e · Program service revenue: 340B PHARMACY

    total $2,856,289 · related or exempt $2,856,289

  • 2f · All other program service revenue

    total $3,483,391 · related or exempt $2,912,658 · excluded $570,733

  • 3 · Investment income

    total $370,736 · excluded $370,736

  • 6a · Gross rents

    real property $65,883

  • 6b · Less rental expenses

    real property $3,267

  • 6c · Rental income or loss

    real property $62,616

  • 6d · Net rental income or loss

    total $62,616 · related or exempt $62,616

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

    other assets $29,063

  • 7c · Gain or loss

    other assets -$29,063

  • 7d · Net gain or loss

    total -$29,063 · excluded -$29,063

  • 11a · Other revenue: JOINT VENTURE REVENUE

    total $397,617 · related or exempt $99,049 · excluded $298,568

  • 11e · Other revenue, total

    $397,617

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $2,152,506 · program services $1,300,172 · management and general $852,334

  • 7 · Other salaries and wages

    total $56,654,067 · program services $46,391,991 · management and general $10,262,076

  • 8 · Pension plan contributions

    total $2,250,000 · program services $1,838,190 · management and general $411,810

  • 9 · Other employee benefits

    total $9,079,033 · program services $7,462,571 · management and general $1,616,462

  • 10 · Payroll taxes

    total $3,473,057 · program services $2,842,153 · management and general $630,904

  • 11b · Fees: legal

    total $255,817 · program services $69,000 · management and general $186,817

  • 11c · Fees: accounting

    total $211,972 · management and general $211,972

  • 11d · Fees: lobbying

    total $11,478 · management and general $11,478

  • 11g · Fees: other

    total $22,669,327 · program services $18,613,135 · management and general $4,056,192

  • 12 · Advertising and promotion

    total $279,683 · program services $23,161 · management and general $256,522

  • 13 · Office expenses

    total $861,007 · program services $501,877 · management and general $359,130

  • 14 · Information technology

    total $5,573,576 · program services $1,488,564 · management and general $4,085,012

  • 16 · Occupancy

    total $1,658,419 · program services $1,530,917 · management and general $127,502

  • 17 · Travel

    total $70,218 · program services $38,417 · management and general $31,801

  • 19 · Conferences, conventions and meetings

    total $427,123 · program services $401,723 · management and general $25,400

  • 20 · Interest

    total $190,117 · program services $190,117

  • 22 · Depreciation, depletion and amortization

    total $4,438,084 · program services $4,438,084

  • 23 · Insurance

    total $537,816 · program services $260,956 · management and general $276,860

  • 24a · Other expenses: DRUGS AND MEDS

    total $17,313,158 · program services $17,313,158

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $16,769,891 · program services $16,005,396 · management and general $764,495

  • 24c · Other expenses: DUES AND PUBLICATIONS

    total $1,159,306 · program services $1,036,114 · management and general $123,192

  • 24d · Other expenses: REPAIRS AND MAINTENANCE

    total $980,063 · program services $946,927 · management and general $33,136

  • 24e · All other expenses

    total $1,775,366 · program services $1,114,479 · management and general $660,887

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,117,787 · end of year $35,933

  • 2 · Savings and temporary cash investments

    beginning of year $38,583,106 · end of year $29,411,423

  • 4 · Accounts receivable

    beginning of year $18,039,876 · end of year $13,056,341

  • 7 · Other notes and loans receivable

    beginning of year $380,583 · end of year $402,303

  • 8 · Inventories for sale or use

    beginning of year $3,748,483 · end of year $4,108,806

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,191,392 · end of year $892,276

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

    $83,825,854

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

    $49,574,234

  • 10c · Land, buildings and equipment, net

    beginning of year $30,347,159 · end of year $34,251,620

  • 12 · Investments: other securities

    beginning of year $1,624,910 · end of year $1,865,781

  • 14 · Intangible assets

    beginning of year $402,500 · end of year $345,000

  • 15 · Other assets

    beginning of year $12,818,397 · end of year $20,053,647

  • 17 · Accounts payable and accrued expenses

    beginning of year $12,782,173 · end of year $15,019,118

  • 19 · Deferred revenue

    beginning of year $560,969 · end of year $308,776

  • 23 · Secured mortgages and notes payable

    beginning of year $1,095,930 · end of year $793,093

  • 25 · Other liabilities

    beginning of year $6,396,821 · end of year $10,134,905

  • 27 · Net assets without donor restrictions

    beginning of year $87,418,300 · end of year $78,167,238

Mission and programs · 2022

Mission

WE HELP PEOPLE TO LIVE HEALTHIER, HAPPIER, AND LONGER LIVES.

  • OUTPATIENT SERVICES - SURGICAL, LABORATORY, BASIC, AND ADVANCED RADIOLOGY PROCEDURES. DURING FISCAL YEAR 2023, THERE WERE 11,912 EMERGENCY ROOM VISITS RECORDED, 4,307 OUTPATIENT SURGERIES, AND 54,392 HOSPITAL OUTPATIENT VISITS.INPATIENT SERVICES - OBSTETRIC, MEDICAL-SURGICAL, INTENSIVE CARE, AND SHORT STAY INPATIENT CARE. DURING FISCAL YEAR 2023, THERE WERE 228 BIRTHS, 1,626 INPATIENT ADMISSIONS, AND A TOTAL OF 5,644 INPATIENT DAYS FOR AN AVERAGE LENGTH OF 3.47 DAYS.

    Expenses $91,636,571 · Revenue $101,421,305

  • ST. CROIX REGIONAL MEDICAL CENTER OPERATES FOUR PROVIDER-BASED CLINICS AND ONE FREE STANDING CLINIC. TOGETHER, THE CLINICS STRIVE TO MEET THE HEALTHCARE NEEDS OF PATIENTS AND FAMILIES WHO LIVE AND WORK IN THE COMMUNITIES THEY SERVE. A TOTAL OF 108,562 CLINIC VISITS OCCURRED IN FISCAL YEAR 2023.

    Expenses $18,823,106 · Revenue $20,832,992

  • ST. CROIX VALLEY PHARMACIES PROVIDE LOCAL PHARMACY CARE TO THE SERVICE AREA OF ST. CROIX REGIONAL MEDICAL CENTER. ST. CROIX VALLEY PHARMACIES IS THE SOLE MEMBER OF THE FOLLOWING COMMUNITY PHARMACIES: UNITY PHARMACY LOCATED IN THE UNITY CLINIC BUILDING NEAR BALSAM, WI, FREDERIC PHARMACY LOCATED IN THE FREDERIC CLINIC BUILDING IN FREDERIC, WI, AND, ST. CROIX FALLS PHARMACY LOCATED IN THE ST. CROIX FALLS CLINIC BUILDING IN ST. CROIX FALLS, WI.

    Expenses $10,766,700 · Revenue $11,916,342

  • CONTRACT PHARMACY - ST. CROIX REGIONAL MEDICAL CENTER BECAME ELIGIBLE TO PARTICIPATE IN THE 340B DRUG PRICING PROGRAM, WHICH IS MANAGED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) OFFICE OF PHARMACY AFFAIRS (OPA), RESULTING IN THE REALIZATION OF A CONTRACT PHARMACY SERVICE. PARTICIPATION IN THE 340B DRUG PRICING PROGRAM RESULTS IN SIGNIFICANT SAVINGS, ESTIMATED TO BE 20-50%, ON THE COST OF PHARMACEUTICALS FOR USE BY OUTPATIENTS OF THE FACILITY. THROUGH THIS PROGRAM, ST. CROIX REGIONAL MEDICAL CENTER IS ABLE TO REACH MORE ELIGIBLE PATIENTS AND PROVIDE MORE COMPREHENSIVE SERVICES.

    Expenses $2,580,725 · Revenue $2,856,289

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

Listed in Part VII

  • John Driscoll

    CHAIR/BOARD MEMBER

    Total calculated
    $1,850
    From this org
    $1,850
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5

  • Trudy Canine

    VICE CHAIR/CHAIR

    Total calculated
    $1,650
    From this org
    $1,650
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5

  • Joseph White

    TREASURER (THRU APRIL 2023)

    Total calculated
    $1,500
    From this org
    $1,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5

  • Gurdesh Bedi

    TRUSTEE/PHYSICIAN OF SCRMC

    Total calculated
    $945,429
    From this org
    $925,664
    From related orgs
    $0
    Other
    $19,765
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $841,604
    Bonus
    $5,600
    Other
    $78,460
    Deferred
    $19,765
    Nontaxable benefits
    $0
    Filer's total
    $945,429

  • Karen Hauer

    SECRETARY

    Total calculated
    $1,450
    From this org
    $1,450
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5

  • John Cumming

    TRUSTEE (THRU FEB. 2023)

    Total calculated
    $1,050
    From this org
    $1,050
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5

  • Lisa Edstrom

    TRUSTEE

    Total calculated
    $950
    From this org
    $950
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5

  • Rebecca Lyman MD

    TRUSTEE/PHYSICIAN (THRU JUNE 2023)

    Total calculated
    $355,323
    From this org
    $316,338
    From related orgs
    $0
    Other
    $38,985
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $236,105
    Bonus
    $3,824
    Other
    $76,409
    Deferred
    $12,390
    Nontaxable benefits
    $26,595
    Filer's total
    $355,323

  • William Ties

    TRUSTEE

    Total calculated
    $1,650
    From this org
    $1,650
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5

  • Dave Dobosenski

    CEO (THRU FEB. 2023)

    Total calculated
    $553,352
    From this org
    $503,925
    From related orgs
    $0
    Other
    $49,427
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $417,677
    Bonus
    $82,000
    Other
    $4,248
    Deferred
    $21,498
    Nontaxable benefits
    $27,929
    Filer's total
    $553,352

  • Sally Bajak

    CFO (THRU JULY 2022)

    Total calculated
    $184,450
    From this org
    $154,575
    From related orgs
    $0
    Other
    $29,875
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $106,075
    Bonus
    $4,000
    Other
    $44,500
    Deferred
    $7,402
    Nontaxable benefits
    $22,473
    Filer's total
    $184,450

  • Kimberly Ericson

    CFO

    Total calculated
    $0
    Hours/week
    40

  • Michael Youso

    CFO/CEO

    Total calculated
    $122,366
    From this org
    $112,563
    From related orgs
    $0
    Other
    $9,803
    Hours/week
    40

  • John Kampa

    SCRMC PHYSICIAN

    Total calculated
    $771,464
    From this org
    $742,120
    From related orgs
    $0
    Other
    $29,344
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $731,165
    Bonus
    $5,600
    Other
    $5,355
    Deferred
    $7,964
    Nontaxable benefits
    $21,380
    Filer's total
    $771,464

  • Muhammad Khan

    SCRMC PHYSICIAN

    Total calculated
    $693,082
    From this org
    $643,846
    From related orgs
    $0
    Other
    $49,236
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $560,886
    Bonus
    $5,600
    Other
    $77,360
    Deferred
    $17,400
    Nontaxable benefits
    $31,836
    Filer's total
    $693,082

  • Vittal Nagar

    SCRMC PHYSICIAN

    Total calculated
    $625,573
    From this org
    $578,714
    From related orgs
    $0
    Other
    $46,859
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $567,754
    Bonus
    $5,600
    Other
    $5,360
    Deferred
    $16,409
    Nontaxable benefits
    $30,450
    Filer's total
    $625,573

  • Marisa Spencer

    SCRMC PHYSICIAN

    Total calculated
    $599,959
    From this org
    $581,005
    From related orgs
    $0
    Other
    $18,954
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $570,050
    Bonus
    $5,600
    Other
    $5,355
    Deferred
    $18,954
    Nontaxable benefits
    $0
    Filer's total
    $599,959

  • David Nordin

    SCRMC PHYSICIAN

    Total calculated
    $636,425
    From this org
    $604,468
    From related orgs
    $0
    Other
    $31,957
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $597,708
    Bonus
    $1,400
    Other
    $5,360
    Deferred
    $656
    Nontaxable benefits
    $31,301
    Filer's total
    $636,425

  • Patrick McDonough

    FORMER VC/SPORTS MED MD

    Total calculated
    $395,979
    From this org
    $352,689
    From related orgs
    $0
    Other
    $43,290
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $269,922
    Bonus
    $5,600
    Other
    $77,167
    Deferred
    $14,664
    Nontaxable benefits
    $28,626
    Filer's total
    $395,979

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)

PART I, LINE 4B
DAVE DOBOSENSKI, SALLY BAJAK, DR. REBECCA LYMAN, DR. PATRICK MCDONOUGH, DR. GURDESH BEDI, DR. MUHAMMAD KHAN, DR. CLAUDIA NUNES AND DR. JAMES WALLACE ARE ALL PARTICIPANTS IN A 457(F) PLAN. DEFERRALS DURING FISCAL YEAR 2023: GURDESH BEDI - $72,000 MUHAMMAD KHAN - $72,000 PATRICK MCDONOUGH - $72,000 REBECCA LYMAN - $72,000 DEFERRALS DURING CALENDAR YEAR 2022: GURDESH BEDI - $72,000 MUHAMMAD KHAN - $72,000 PATRICK MCDONOUGH - $72,000 REBECCA LYMAN - $72,000 DISTRIBUTIONS DURING FISCAL YEAR 2023: SALLY BAJAK - $44,500 DISTRIBUTIONS DURING CALENDAR YEAR 2022: SALLY BAJAK - $44,500

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • UNITY PHARMACY LLC

    PHARMACEUTICALS · WI · income $3,542,917 · assets $692,695

    Directly controlled by SCV PHARMACIES

  • FREDERIC PHARMACY LLC

    PHARMACEUTICALS · WI · income $4,809,744 · assets $1,228,159

    Directly controlled by SCV PHARMACIES

  • ST CROIX VALLEY PHARMACY LLC

    PHARMACEUTICALS · WI · income $0 · assets $5,480

    Directly controlled by ST CROIX REGIONAL MEDICAL CENTER

  • ST CROIX FALLS PHARMACY LLC

    PHARMACEUTICALS · WI · income $4,364,887 · assets $1,220,118

    Directly controlled by SCV PHARMACIES

  • WEBSTER DENTAL CLINIC LLC

    DENTAL SERVICES · WI · income $1,979,028 · assets $258,714

    Directly controlled by ST CROIX DENTAL HEALTH LLC

  • ST CROIX DENTAL HEALTH LLC

    DENTAL SERVICES · WI · income $0 · assets $0

    Directly controlled by ST CROIX REGIONAL MEDICAL CENTER

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202431369349312388

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