Skip to content
Nonprofiteer
← ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC

Form 990 for tax year 2022

Filed by ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC.

Totals

Total revenue
$113,799,043
Total expenses
$162,242,510
Contributions and grants received
$23,914
Grants paid
$0
Program services expenses (Part IX)
$137,040,479
Management and general expenses
$25,202,031
Fundraising expenses
$0
Program service expenses (Part III)
$137,040,479

Program services were 84.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • CAROL OPGENORTH

    SECRETARY/TREASURER (START 10/2022)

    Total calculated
    $418,164
    From this org
    $0
    From related orgs
    $389,265
    Other
    $28,899
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $322,525 related
    Bonus
    $0 + $64,200 related
    Other
    $0 + $2,540 related
    Deferred
    $0 + $6,100 related
    Nontaxable benefits
    $0 + $22,799 related
    Filer's total
    $0 + $418,164 related

  • MARK D HORNEFFER MD

    CHAIR (END 4/2023)

    Total calculated
    $317,400
    From this org
    $0
    From related orgs
    $274,038
    Other
    $43,362
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $238,007 related
    Bonus
    $0 + $8,239 related
    Other
    $0 + $27,792 related
    Deferred
    $0 + $16,521 related
    Nontaxable benefits
    $0 + $26,841 related
    Filer's total
    $0 + $317,400 related

  • PATRICIA GOLDEN MD

    INTERIM PRESIDENT (START 11/2022)

    Total calculated
    $539,284
    From this org
    $0
    From related orgs
    $493,178
    Other
    $46,106
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $386,472 related
    Bonus
    $0 + $80,000 related
    Other
    $0 + $26,706 related
    Deferred
    $0 + $14,367 related
    Nontaxable benefits
    $0 + $31,739 related
    Filer's total
    $0 + $539,284 related

  • THERESA K HAYSSEN MD

    VICE CHAIR

    Total calculated
    $428,286
    From this org
    $0
    From related orgs
    $386,706
    Other
    $41,580
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $346,110 related
    Bonus
    $0 + $36,358 related
    Other
    $0 + $4,238 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $24,805 related
    Filer's total
    $0 + $428,286 related

  • VIREN BAVISHI DO

    PRESIDENT (END 11/2022)

    Total calculated
    $586,203
    From this org
    $0
    From related orgs
    $566,652
    Other
    $19,551
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $423,501 related
    Bonus
    $0 + $98,000 related
    Other
    $0 + $45,151 related
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $10,401 related
    Filer's total
    $0 + $586,203 related

  • CHAD MICHAEL CRAIG MD

    DIRECTOR

    Total calculated
    $676,395
    From this org
    $0
    From related orgs
    $629,808
    Other
    $46,587
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $475,049 related
    Bonus
    $0 + $115,526 related
    Other
    $0 + $39,233 related
    Deferred
    $0 + $14,708 related
    Nontaxable benefits
    $0 + $31,879 related
    Filer's total
    $0 + $676,395 related

  • CHRISTY RENEE WEIBEL-LYNN APRN

    DIRECTOR/APRN

    Total calculated
    $149,983
    From this org
    $128,765
    From related orgs
    $0
    Other
    $21,218
    Hours/week
    50

  • GREGORY BRUSKO DO

    DIRECTOR (END 9/2022)

    Total calculated
    $1,271,038
    From this org
    $0
    From related orgs
    $1,230,484
    Other
    $40,554
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $442,959 related
    Bonus
    $0 + $531,000 related
    Other
    $0 + $256,525 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $23,779 related
    Filer's total
    $0 + $1,271,038 related

  • JENNIFER J BRITTIG MD

    DIRECTOR

    Total calculated
    $359,836
    From this org
    $0
    From related orgs
    $342,994
    Other
    $16,842
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $326,565 related
    Bonus
    $0 + $4,798 related
    Other
    $0 + $11,631 related
    Deferred
    $0 + $11,515 related
    Nontaxable benefits
    $0 + $5,327 related
    Filer's total
    $0 + $359,836 related

  • MONICA A HILT

    DIRECTOR (END 3/2023)

    Total calculated
    $1,146,845
    From this org
    $0
    From related orgs
    $1,091,377
    Other
    $55,468
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $575,655 related
    Bonus
    $0 + $426,511 related
    Other
    $0 + $89,211 related
    Deferred
    $0 + $19,684 related
    Nontaxable benefits
    $0 + $35,784 related
    Filer's total
    $0 + $1,146,845 related

  • PAUL T MASON

    DIRECTOR (END 11/2022)

    Total calculated
    $493,466
    From this org
    $0
    From related orgs
    $452,174
    Other
    $41,292
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $306,372 related
    Bonus
    $0 + $111,000 related
    Other
    $0 + $34,802 related
    Deferred
    $0 + $19,825 related
    Nontaxable benefits
    $0 + $21,467 related
    Filer's total
    $0 + $493,466 related

  • MATTHEW TYLER HANSELMAN

    CFO, MINISTRY MARKET/INTERIM CEO, MINISTRY MARKET (START 5/2023)

    Total calculated
    $682,503
    From this org
    $0
    From related orgs
    $634,732
    Other
    $47,771
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $390,659 related
    Bonus
    $0 + $120,000 related
    Other
    $0 + $124,073 related
    Deferred
    $0 + $18,015 related
    Nontaxable benefits
    $0 + $29,756 related
    Filer's total
    $0 + $682,503 related

  • ANTHONY P ZEIMEET MD

    PHYSICIAN

    Total calculated
    $900,260
    From this org
    $853,014
    From related orgs
    $0
    Other
    $47,246
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $675,239
    Bonus
    $158,621
    Other
    $19,154
    Deferred
    $16,775
    Nontaxable benefits
    $30,471
    Filer's total
    $900,260

  • JOSEPH C NEILITZ MD

    PHYSICIAN

    Total calculated
    $2,676,505
    From this org
    $2,616,553
    From related orgs
    $0
    Other
    $59,952
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $680,685
    Bonus
    $1,920,057
    Other
    $15,811
    Deferred
    $18,300
    Nontaxable benefits
    $41,652
    Filer's total
    $2,676,505

  • MICHELE A HOLDER MD

    PHYSICIAN

    Total calculated
    $1,433,152
    From this org
    $1,375,410
    From related orgs
    $0
    Other
    $57,742
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $1,366,700
    Bonus
    $3,808
    Other
    $4,902
    Deferred
    $19,825
    Nontaxable benefits
    $37,917
    Filer's total
    $1,433,152

  • SUDEEP S SODHI MD

    PHYSICIAN

    Total calculated
    $1,363,197
    From this org
    $1,316,530
    From related orgs
    $0
    Other
    $46,667
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $768,972
    Bonus
    $542,656
    Other
    $4,902
    Deferred
    $10,675
    Nontaxable benefits
    $35,992
    Filer's total
    $1,363,197

  • VIKAS KHULLAR MD

    PHYSICIAN

    Total calculated
    $921,803
    From this org
    $868,346
    From related orgs
    $0
    Other
    $53,457
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $797,798
    Bonus
    $69,522
    Other
    $1,026
    Deferred
    $16,775
    Nontaxable benefits
    $36,682
    Filer's total
    $921,803

  • DOUGLAS REDING MD

    FORMER KEY EMPLOYEE (END 12/2017)

    Total calculated
    $438,844
    From this org
    $0
    From related orgs
    $418,033
    Other
    $20,811
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $379,855 related
    Bonus
    $0 + $27,800 related
    Other
    $0 + $10,378 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $4,036 related
    Filer's total
    $0 + $438,844 related

  • GREG P HENN

    FORMER KEY EMPLOYEE (END 6/2017)

    Total calculated
    $203,072
    From this org
    $0
    From related orgs
    $165,683
    Other
    $37,389
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $147,578 related
    Bonus
    $0 + $17,373 related
    Other
    $0 + $732 related
    Deferred
    $0 + $10,496 related
    Nontaxable benefits
    $0 + $26,893 related
    Filer's total
    $0 + $203,072 related

  • JONATHAN SOHN

    FORMER OFFICER (END 9/2021)

    Total calculated
    $1,343,939
    From this org
    $0
    From related orgs
    $1,289,649
    Other
    $54,290
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $536,290 related
    Bonus
    $0 + $660,000 related
    Other
    $0 + $93,359 related
    Deferred
    $0 + $19,825 related
    Nontaxable benefits
    $0 + $34,465 related
    Filer's total
    $0 + $1,343,939 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

  • 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)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY, AND -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.
Schedule J, Part I, Line 4a Severance or change-of-control payment
THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING CALENDAR YEAR 2022: GREGORY BRUSKO - $142,962
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS.

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
8 May 2024
IRS schema version
2022v5.0
Source object
202421299349302187

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.