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Nonprofiteer
← MEMORIAL HOSPITAL OF BOSCOBEL

Form 990 for tax year 2022

Filed by MEMORIAL HOSPITAL OF BOSCOBEL.

Totals

Total revenue
$29,338,830
Total expenses
$26,733,602
Contributions and grants received
$1,250,948
Grants paid
$0
Program services expenses (Part IX)
$22,249,075
Management and general expenses
$4,484,527
Fundraising expenses
$0
Program service expenses (Part III)
$22,249,075

Program services were 83.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ANDY NAHAS

    VICE PRESIDENT/GHS OPTOMETRIST

    Total calculated
    $288,399
    From this org
    $0
    From related orgs
    $228,466
    Other
    $59,933
    Hours/week
    0.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $188,393 related
    Bonus
    $0 + $27,137 related
    Other
    $0 + $12,936 related
    Deferred
    $0 + $33,783 related
    Nontaxable benefits
    $0 + $26,150 related
    Filer's total
    $0 + $288,399 related

  • KEITH FRYE

    SECRETARY/ADMIN DIR - LAB

    Total calculated
    $198,484
    From this org
    $0
    From related orgs
    $146,381
    Other
    $52,103
    Hours/week
    0.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $117,862 related
    Bonus
    $0 + $28,119 related
    Other
    $0 + $400 related
    Deferred
    $0 + $21,526 related
    Nontaxable benefits
    $0 + $30,577 related
    Filer's total
    $0 + $198,484 related

  • JERRY BERGE

    PRESIDENT

    Total calculated
    $0
    Hours/week
    0.5

  • SCOTT KNIPRATH

    VICE PRESIDENT/EXEC DIR (THRU JAN)

    Total calculated
    $6,125
    From this org
    $0
    From related orgs
    $3,998
    Other
    $2,127
    Hours/week
    0.5 + 40 related

  • ALAN EBER

    BOARD MEMBER/DIR OF BUS. SERV.

    Total calculated
    $201,988
    From this org
    $0
    From related orgs
    $147,001
    Other
    $54,987
    Hours/week
    0.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $132,438 related
    Bonus
    $0 + $14,379 related
    Other
    $0 + $184 related
    Deferred
    $0 + $21,663 related
    Nontaxable benefits
    $0 + $33,324 related
    Filer's total
    $0 + $201,988 related

  • MARILU BINTZ MD

    BOARD MEMBER/MED VP GHS

    Total calculated
    $705,088
    From this org
    $0
    From related orgs
    $620,762
    Other
    $84,326
    Hours/week
    0.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $532,663 related
    Bonus
    $0 + $58,268 related
    Other
    $0 + $29,831 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $40,101 related
    Filer's total
    $0 + $705,088 related

  • KRAIG SCHUSTER

    BOARD MEMBER/VP GHS

    Total calculated
    $365,357
    From this org
    $0
    From related orgs
    $284,169
    Other
    $81,188
    Hours/week
    0.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $241,057 related
    Bonus
    $0 + $38,595 related
    Other
    $0 + $4,517 related
    Deferred
    $0 + $40,632 related
    Nontaxable benefits
    $0 + $40,556 related
    Filer's total
    $0 + $365,357 related

  • JAMES KLOCK

    BOARD MEMBER/DIR OF REG IS

    Total calculated
    $220,371
    From this org
    $0
    From related orgs
    $163,144
    Other
    $57,227
    Hours/week
    0.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $136,612 related
    Bonus
    $0 + $26,294 related
    Other
    $0 + $238 related
    Deferred
    $0 + $24,127 related
    Nontaxable benefits
    $0 + $33,100 related
    Filer's total
    $0 + $220,371 related

  • DAWN THORSTEN

    BOARD MEMBER/QUALITY DIRECTOR

    Total calculated
    $170,876
    From this org
    $0
    From related orgs
    $118,335
    Other
    $52,541
    Hours/week
    0.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $106,381 related
    Bonus
    $0 + $10,084 related
    Other
    $0 + $1,870 related
    Deferred
    $0 + $17,946 related
    Nontaxable benefits
    $0 + $34,595 related
    Filer's total
    $0 + $170,876 related

  • GARY BOUGHTON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • PETE ESSER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • CYNDE LARSEN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • MICHELLE MUELLER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • THERESA BRAUDT

    ADMINISTRATOR

    Total calculated
    $244,290
    From this org
    $0
    From related orgs
    $181,200
    Other
    $63,090
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $156,640 related
    Bonus
    $0 + $20,537 related
    Other
    $0 + $4,023 related
    Deferred
    $0 + $26,361 related
    Nontaxable benefits
    $0 + $36,729 related
    Filer's total
    $0 + $244,290 related

  • JENNIFER BOIGENZAHN

    FINANCE ADMINISTRATOR

    Total calculated
    $172,198
    From this org
    $0
    From related orgs
    $140,983
    Other
    $31,215
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $120,013 related
    Bonus
    $0 + $18,495 related
    Other
    $0 + $2,475 related
    Deferred
    $0 + $19,960 related
    Nontaxable benefits
    $0 + $11,255 related
    Filer's total
    $0 + $172,198 related

  • MICHELLE PETERSON APNP

    FAMILY MEDICINE

    Total calculated
    $120,326
    From this org
    $113,657
    From related orgs
    $0
    Other
    $6,669
    Hours/week
    40

  • TARA WOOD

    PHARMACIST

    Total calculated
    $191,305
    From this org
    $160,892
    From related orgs
    $0
    Other
    $30,413
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $131,471
    Bonus
    $29,421
    Other
    $0
    Deferred
    $6,708
    Nontaxable benefits
    $23,705
    Filer's total
    $191,305

  • LISA WITTER

    PHARMACIST

    Total calculated
    $154,749
    From this org
    $126,537
    From related orgs
    $0
    Other
    $28,212
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $115,137
    Bonus
    $10,230
    Other
    $1,170
    Deferred
    $5,308
    Nontaxable benefits
    $22,904
    Filer's total
    $154,749

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

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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 1, LINE 3
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.

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
31 October 2023
IRS schema version
2022v5.0
Source object
202313139349302306

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

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