Form 990 for tax year 2022
Filed by FROEDTERT WEST BEND HOSPITAL FOUNDATION INC.
Totals
- Total revenue
- $1,017,022
- Total expenses
- $551,663
- Contributions and grants received
- $193,752
- Grants paid
- $286,125
- Program service revenue
- $0
- Investment income
- $789,753
- Other revenue
- $33,517
- Total assets, end of year
- $23,330,780
- Total liabilities, end of year
- $402,357
- Net assets or fund balances, end of year
- $22,928,423
- Program services expenses (Part IX)
- $289,425
- Management and general expenses
- $29,905
- Fundraising expenses
- $232,333
- Program service expenses (Part III)
- $289,425
Program services were 52.5% 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.
-
1c · Fundraising events
$68,692
-
1d · Related organizations
$25,000
-
1f · All other contributions, gifts and grants
$100,060
-
1g · Noncash contributions included above
$4,524
-
3 · Investment income
total $638,633 · excluded $638,633
-
7a · Gross sales of assets other than inventory
securities $7,919,032
-
7b · Less cost or other basis and sales expenses
securities $7,767,912
-
7c · Gain or loss
securities $151,120
-
7d · Net gain or loss
total $151,120 · excluded $151,120
-
8a · Fundraising events: gross income
$48,491
-
8a · Fundraising events: contributions included on line 1c
$68,692
-
8b · Fundraising events: direct expenses
$14,974
-
8c · Net income from fundraising events
total $33,517 · excluded $33,517
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $227,000 · program services $227,000
-
2 · Grants to domestic individuals
total $59,125 · program services $59,125
-
7 · Other salaries and wages
total $184,748 · management and general $18,475 · fundraising $166,273
-
9 · Other employee benefits
total $13,368 · management and general $1,337 · fundraising $12,031
-
13 · Office expenses
total $1,990 · management and general $199 · fundraising $1,791
-
24a · Other expenses: MINOR EQUIPMENT
total $25,463 · management and general $2,546 · fundraising $22,917
-
24b · Other expenses: HOSPITAL SUPPORT
total $14,255 · management and general $1,286 · fundraising $12,969
-
24c · Other expenses: PRINTING & PUBLICATIONS
total $12,976 · management and general $1,298 · fundraising $11,678
-
24d · Other expenses: ALL OTHER EXPENSE
total $7,545 · program services $3,300 · management and general $4,245
-
24e · All other expenses
total $5,193 · management and general $519 · fundraising $4,674
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $332,197 · end of year $251,578
-
2 · Savings and temporary cash investments
beginning of year $0 · end of year $0
-
3 · Pledges and grants receivable
beginning of year $38,664 · end of year $21,862
-
4 · Accounts receivable
beginning of year $800 · end of year $800
-
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
-
7 · Other notes and loans receivable
beginning of year $0 · end of year $0
-
8 · Inventories for sale or use
beginning of year $0 · end of year $0
-
9 · Prepaid expenses and deferred charges
beginning of year $0 · end of year $0
-
10a · Land, buildings and equipment: cost or other basis
$27,248
-
10b · Land, buildings and equipment: accumulated depreciation
$27,248
-
10c · Land, buildings and equipment, net
beginning of year $0 · end of year $0
-
11 · Investments: publicly traded securities
beginning of year $21,399,973 · end of year $23,056,540
-
12 · Investments: other securities
beginning of year $0 · end of year $0
-
13 · Investments: program-related
beginning of year $0 · end of year $0
-
14 · Intangible assets
beginning of year $0 · end of year $0
-
15 · Other assets
beginning of year $0 · end of year $0
-
17 · Accounts payable and accrued expenses
beginning of year $0 · end of year $0
-
18 · Grants payable
beginning of year $0 · end of year $0
-
19 · Deferred revenue
beginning of year $0 · end of year $0
-
20 · Tax-exempt bond liabilities
beginning of year $0 · end of year $0
-
21 · Escrow or custodial account liability
beginning of year $0 · end of year $0
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
23 · Secured mortgages and notes payable
beginning of year $0 · end of year $0
-
24 · Unsecured notes and loans payable
beginning of year $0 · end of year $0
-
25 · Other liabilities
beginning of year $604,585 · end of year $402,357
-
27 · Net assets without donor restrictions
beginning of year $20,771,572 · end of year $22,507,946
-
28 · Net assets with donor restrictions
beginning of year $395,477 · end of year $420,477
Mission and programs · 2022
Mission
TO IMPROVE THE HEALTH, WELLNESS AND EDUCATION OF THE COMMUNITY THROUGH THE DEVELOPMENT AND STEWARDSHIP OF PHILANTHROPIC RESOURCES IN SUPPORT OF ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND.
-
SEE SCHEDULE O
Expenses $230,300 · Grants $227,000
-
ST. JOSEPH'S COMMUNITY FOUNDATION, INC. ISSUES SCHOLARSHIPS EACH YEAR FROM MONEY DONATED TO THE FOUNDATION FROM AN OUTSIDE DONOR. CURRENT YEAR SCHOLARSHIP EXPENSES TOTALED $59,125.
Expenses $59,125 · Grants $59,125
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Ericson AllenERICSON ALLEN
DIRECTOR & SJH PRESIDENT
- Total calculated
- $1,641,225
- From this org
- $0
- From related orgs
- $1,476,512
- Other
- $164,713
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $533,946 related
- Bonus
- $0 + $791,959 related
- Other
- $0 + $150,607 related
- Deferred
- $0 + $129,558 related
- Nontaxable benefits
- $0 + $35,155 related
- Filer's total
- $0 + $1,641,225 related
-
Breuer JohnBREUER JOHN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Chlupp ChrisCHLUPP CHRIS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Feltz ChadFELTZ CHAD
DIRECTOR (START JUL22)
- Total calculated
- $0
- Hours/week
- 1
-
Gambucci JacciGAMBUCCI JACCI
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Hanson TroyHANSON TROY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Herdrich GaryHERDRICH GARY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Sievers DarenSIEVERS DAREN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Smith AustinSMITH AUSTIN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Zuern TomZUERN TOM
DIRECTOR (START JUL22)
- Total calculated
- $0
- Hours/week
- 1
-
Dahlberg AmyDAHLBERG AMY
DIRECTOR & BOD V.CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Miller DanMILLER DAN
DIRECTOR & BOD CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Malzewski MichaelMALZEWSKI MICHAEL
TREASURER (TERM JUN23)
- Total calculated
- $395,741
- From this org
- $0
- From related orgs
- $352,212
- Other
- $43,529
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $256,759 related
- Bonus
- $0 + $67,118 related
- Other
- $0 + $28,335 related
- Deferred
- $0 + $20,750 related
- Nontaxable benefits
- $0 + $22,779 related
- Filer's total
- $0 + $395,741 related
-
Alatalo DarcyALATALO DARCY
FORMER - OFFICER (TREAS)
- Total calculated
- $196,110
- From this org
- $0
- From related orgs
- $165,323
- Other
- $30,787
- Hours/week
- 0 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $141,978 related
- Bonus
- $0 + $22,081 related
- Other
- $0 + $1,264 related
- Deferred
- $0 + $9,677 related
- Nontaxable benefits
- $0 + $21,110 related
- Filer's total
- $0 + $196,110 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
- 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 PRESIDENT/CEO'S PERFORMANCE IS REVIEWED BY THE BOARD CHAIR ANNUALLY. THE BOARD OF ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND, INC. APPROVES ANY SALARY AND/OR BENEFIT CHANGES. SALARIES ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE FROEDTERT HEALTH, INC. (A RELATED ORGANIZATION) BOARD OF DIRECTORS, UTILIZING VARIOUS COMPENSATION STUDIES AND COMPARATIVE DATA.
- PART I, LINE 4B
- 457(F) DISTRIBUTIONS: ERICSON, ALLEN - $125,130 457(F) PLAN PARTICIPANTS: ERICSON, ALLEN
- PART II, COLUMN (B)(II):
- BONUS AND INCENTIVE COMPENSATION AMOUNTS INCLUDE INCENTIVE COMPENSATION PAID.
- PART II, COLUMN (B)(III):
- OTHER REPORTABLE COMPENSATION INCLUDES 457(F) DEFERRED COMPENSATION PLAN DISTRIBUTIONS PAID TO INDIVIDUALS, AND OTHER MISCELLANEOUS COMPENSATION.
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
-
$55,000
HEALTHY SMILES CHANGE LIVES
-
CASA GUADALUPE EDUCATION CENTER
$40,000
HEALTHY LATINOS, HEALTHY FUTURES
-
$30,000
DENTAL CARE FOR CHILDREN
-
HEALTHY AGING IN PLACE
-
$20,000
SUBSTANCE ABUSE DIVERSION PROGRAM
-
THE YOUTH AND FAMILY PROJECT INC
$15,000
CROSSROADS YOUTH PROGRAM OUTREACH
-
$12,000
MENTAL HEALTH AT THE Y
-
$10,000
OUTREACH & PREVENTION(SEX ASSAULT/LGBTQ)
-
HEALTHY MINDS & BODY INITIATIVE
-
$10,000
HEALTH SERVICES AND HOUSING FOR HOMELESS
The 10 largest by cash amount. The API serves every itemized grant.
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.
-
501(C)3 · MGMT SERVICES · WI
-
ST JOSEPH'S COMMUNITY HOSPITAL-WEST BEND
501(C)3 · HOSPITAL · WI
Directly controlled by FH INC
-
FROEDTERT HOSPITAL FOUNDATION INC
501(C)3 · HEALTH PROMO · WI
Directly controlled by FMLH
-
501(C)3 · HEALTH PROMO · WI
Directly controlled by CMH
-
FROEDTERT MEMORIAL LUTHERAN HOSPITAL
501(C)3 · HOSPITAL · WI
Directly controlled by FH INC
-
COMMUNITY MEMORIAL HOSPITAL OF MF INC
501(C)3 · HOSPITAL · WI
Directly controlled by FH INC
-
COMMUNITY OUTPATIENT HEALTH SERVICES
501(C)3 · O/P SERVICES · WI
Directly controlled by CMH
-
501(C)3 · HLTHCARE SRVS · WI
Directly controlled by FH INC
-
501(C)3 · HOSPITAL · WI
Directly controlled by FH INC
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 7 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202421289349300517
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