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Nonprofiteer
← MADONNA REHABILITATION HOSPITAL

Form 990 for tax year 2022

Filed by MADONNA REHABILITATION HOSPITAL.

Totals

Total revenue
$186,066,087
Total expenses
$192,594,206
Contributions and grants received
$3,844,984
Grants paid
$0
Program services expenses (Part IX)
$171,454,499
Management and general expenses
$21,139,707
Fundraising expenses
$0
Program service expenses (Part III)
$171,454,499

Program services were 89.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • PAUL A DONGILLI

    PRESIDENT AND CHIEF EXECUTIVE OFFICER

    Total calculated
    $698,019
    From this org
    $655,382
    From related orgs
    $0
    Other
    $42,637
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $655,382
    Bonus
    $0
    Other
    $0
    Deferred
    $38,600
    Nontaxable benefits
    $4,037
    Filer's total
    $698,019

  • ADAM T KAFKA

    PHYSICIAN MEDICAL DIRECTOR

    Total calculated
    $674,911
    From this org
    $641,349
    From related orgs
    $0
    Other
    $33,562
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $641,349
    Bonus
    $0
    Other
    $0
    Deferred
    $24,100
    Nontaxable benefits
    $9,462
    Filer's total
    $674,911

  • JIAXIN J TRAN

    STAFF PHYSIATRIST

    Total calculated
    $471,410
    From this org
    $444,480
    From related orgs
    $0
    Other
    $26,930
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $444,480
    Bonus
    $0
    Other
    $0
    Deferred
    $24,791
    Nontaxable benefits
    $2,139
    Filer's total
    $471,410

  • MORGAN T LAHOLT

    STAFF PHYSIATRIST

    Total calculated
    $463,599
    From this org
    $432,704
    From related orgs
    $0
    Other
    $30,895
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $432,704
    Bonus
    $0
    Other
    $0
    Deferred
    $24,100
    Nontaxable benefits
    $6,795
    Filer's total
    $463,599

  • PAUL L KRABBENHOFT

    STAFF PHYSIATRIST

    Total calculated
    $400,769
    From this org
    $367,585
    From related orgs
    $0
    Other
    $33,184
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $367,585
    Bonus
    $0
    Other
    $0
    Deferred
    $24,100
    Nontaxable benefits
    $9,084
    Filer's total
    $400,769

  • MATTHEW DRIEWER

    STAFF HOSPITALIST

    Total calculated
    $398,756
    From this org
    $364,850
    From related orgs
    $0
    Other
    $33,906
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $364,850
    Bonus
    $0
    Other
    $0
    Deferred
    $28,720
    Nontaxable benefits
    $5,186
    Filer's total
    $398,756

  • MICHAEL J HEDDERMAN

    VICE PRESIDENT AND CHIEF FINANCIAL OFFICER

    Total calculated
    $321,667
    From this org
    $293,675
    From related orgs
    $0
    Other
    $27,992
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $293,675
    Bonus
    $0
    Other
    $0
    Deferred
    $25,006
    Nontaxable benefits
    $2,986
    Filer's total
    $321,667

  • CHRISTOPHER A LEE

    VICE PRESIDENT AND CHIEF OPERATIONS OFFICER

    Total calculated
    $319,866
    From this org
    $290,390
    From related orgs
    $0
    Other
    $29,476
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $290,390
    Bonus
    $0
    Other
    $0
    Deferred
    $23,687
    Nontaxable benefits
    $5,789
    Filer's total
    $319,866

  • LOU A MANSKE

    VICE PRESIDENT AND CHIEF HUMAN RESOURCES OFFICER

    Total calculated
    $291,876
    From this org
    $267,739
    From related orgs
    $0
    Other
    $24,137
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $267,739
    Bonus
    $0
    Other
    $0
    Deferred
    $24,929
    Nontaxable benefits
    -$792
    Filer's total
    $291,876

  • DANIEL GRIESS

    VP FACILITIES MANAGEMENT SYSTEM & ANCILLARY SERVICES

    Total calculated
    $263,917
    From this org
    $239,010
    From related orgs
    $0
    Other
    $24,907
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $239,010
    Bonus
    $0
    Other
    $0
    Deferred
    $22,807
    Nontaxable benefits
    $2,100
    Filer's total
    $263,917

  • TERASA M FARLIN

    VICE PRESIDENT PATIENT CARE AND CNO

    Total calculated
    $239,670
    From this org
    $204,751
    From related orgs
    $0
    Other
    $34,919
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $204,751
    Bonus
    $0
    Other
    $0
    Deferred
    $28,129
    Nontaxable benefits
    $6,790
    Filer's total
    $239,670

  • LYNN R HALLOWELL-GOTTSLEBEN

    VICE PRESIDENT REHABILITATION

    Total calculated
    $217,675
    From this org
    $195,414
    From related orgs
    $0
    Other
    $22,261
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $195,414
    Bonus
    $0
    Other
    $0
    Deferred
    $19,205
    Nontaxable benefits
    $3,056
    Filer's total
    $217,675

  • JEFF GROMOWSKY

    VP & PHYSICIAN PRACTICE ADMINISTRATOR

    Total calculated
    $215,842
    From this org
    $187,081
    From related orgs
    $0
    Other
    $28,761
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $187,081
    Bonus
    $0
    Other
    $0
    Deferred
    $21,117
    Nontaxable benefits
    $7,644
    Filer's total
    $215,842

  • LINDA S SUNDELL-SULLIVAN

    VICE PRESIDENT REFERRAL RELATIONS

    Total calculated
    $210,685
    From this org
    $186,595
    From related orgs
    $0
    Other
    $24,090
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $186,595
    Bonus
    $0
    Other
    $0
    Deferred
    $20,617
    Nontaxable benefits
    $3,473
    Filer's total
    $210,685

  • RENAE M W FEILMEIER

    VICE PRESIDENT AND CHIEF HUMAN RESOURCES OFFICER

    Total calculated
    $60,889
    From this org
    $53,360
    From related orgs
    $0
    Other
    $7,529
    Hours/week
    40

  • LAUREN PUGLIESE

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • TERRY ZACH MD

    VICE CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1

  • JOHN SULLIVAN FR

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • DAN VOKOUN

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • WILL DOUGLAS

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • SCOTT BECKER CPA

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SCOTT CASSELS

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • MARK FAHLESON JD

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • DAVID GANNON MD

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • KACEY LEMPKA

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • BRAD NIETFELDT

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • GARY PERKINS

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • PATRICK SPETHMAN

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • GREG VASEK

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SARAH WALKER PHD

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • KEVIN WERTS

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • NICK WILWERDING

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • MARIA LIGHTHALL

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 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 — 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
  • 5a · Pay contingent on this organization's revenues
  • 6a · Pay contingent on this organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5b · Pay contingent on a related organization's revenues
  • 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 I, Line 5
All hospital managers, approximately eighty, are eligible participants of the hospital's Management Incentive Compensation Plan. The Plan provides a structure for measuring the hospital's overall quality and financial performance. This plan allows for recognition and compensation when the hospital's performance exceeds baseline criteria. Upon achievement of an established quality benchmark, compensation is determined based upon a fixed formula encompassing revenues, earnings and participants' wages. The formula is applied equally to all participants.
Schedule J, Part I, Line 6
See explanation for Line 5.

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.

  • MADONNA FOUNDATION

    501 (c)(3) · FUNDRAISING SUPPORT · NE · controlled entity

    Directly controlled by MADONNA REHABILITATION HOSPITALS

  • MADONNA INC

    501 (c)(3) · 5401 SOUTH ST · NE · controlled entity

    Directly controlled by MADONNA REHABILITATION HOSPITALS

Provenance

Return type
form_990
Tax year
2022
Filed
14 May 2024
IRS schema version
2022v5.0
Source object
202441359349310839

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