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Nonprofiteer
← HEALTHY WISCONSIN ALLIANCE INC

Form 990 for tax year 2022

Filed by HEALTHY WISCONSIN ALLIANCE INC.

Totals

Total revenue
$227,500
Total expenses
$286,669
Contributions and grants received
$227,500
Grants paid
$0
Program services expenses (Part IX)
$246,930
Management and general expenses
$39,739
Fundraising expenses
$0
Program service expenses (Part III)
$246,930

Program services were 86.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ERIC BORGERDING

    PRESIDENT

    Total calculated
    $1,254,776
    From this org
    $0
    From related orgs
    $1,207,607
    Other
    $47,169
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $735,442 related
    Bonus
    $0 + $223,700 related
    Other
    $0 + $248,465 related
    Deferred
    $0 + $25,341 related
    Nontaxable benefits
    $0 + $21,828 related
    Filer's total
    $0 + $1,254,776 related

  • BRIAN POTTER

    SECRETARY/TREASURER

    Total calculated
    $336,195
    From this org
    $0
    From related orgs
    $316,610
    Other
    $19,585
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $271,650 related
    Bonus
    $0 + $39,382 related
    Other
    $0 + $5,578 related
    Deferred
    $0 + $17,952 related
    Nontaxable benefits
    $0 + $1,633 related
    Filer's total
    $0 + $336,195 related

  • MONICA HILT

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • ROBERT VAN MEETEREN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • LUKE BEIRL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

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

  • 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
WISCONSIN HOSPITAL ASSOCIATION, INC., A RELATED PARTY OF HEALTHY WISCONSIN ALLIANCE, INC., HAS A 457(F) RETIREMENT PLAN IN WHICH ERIC BORGERDING PARTICIPATES. IN 2022 WISCONSIN HOSPITAL ASSOCIATION, INC. CONTRIBUTED $220,997 TO THE PLAN FOR ERIC BORGERDING.

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
29 August 2023
IRS schema version
2022v5.0
Source object
202332569349301773

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