Totals
- Total revenue
- $11,365,160
- Total expenses
- $11,965,030
- Contributions and grants received
- $3,797,577
- Grants paid
- $0
- Program service revenue
- $7,626,368
- Investment income
- $49,359
- Other revenue
- -$108,144
- Total assets, end of year
- $9,451,883
- Total liabilities, end of year
- $5,119,526
- Net assets or fund balances, end of year
- $4,332,357
- Program services expenses (Part IX)
- $9,964,576
- Management and general expenses
- $1,816,812
- Fundraising expenses
- $183,642
- Program service expenses (Part III)
- $9,964,576
Program services were 83.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
AMY HERBST
MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
ANNETTE LECHNIR
MEMBER LEFT IN 2022
- Total calculated
- $0
- Hours/week
- 3
-
DAVID VANDER ZANDEN
MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
GAIL OSTRANDER
SECRETARY
- Total calculated
- $0
- Hours/week
- 2
-
JULIE MEYER
TREASURER
- Total calculated
- $0
- Hours/week
- 4
-
MICHAEL BERGMANN
MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
SHAUN GUNDERSON
CHAIR
- Total calculated
- $0
- Hours/week
- 3
-
WENDY BARTON
MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
HEATHER HOEFFLER
MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
PAUL KLISTER
MEMBER LEFT IN 2022
- Total calculated
- $0
- Hours/week
- 2
-
CARRIE PENOVICH
COO & FINANCIAL LEADER LEFT IN 2022
- Total calculated
- $74,210
- From this org
- $71,881
- From related orgs
- $0
- Other
- $2,329
- Hours/week
- 40
-
MARY DOWNS
CEO LEFT IN 2022
- Total calculated
- $34,225
- From this org
- $33,571
- From related orgs
- $0
- Other
- $654
- Hours/week
- 40
-
SCOTT RADTKE
CHIEF CLINICAL OFFICER
- Total calculated
- $222,390
- From this org
- $173,602
- From related orgs
- $0
- Other
- $48,788
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $135,487
- Bonus
- $22,890
- Other
- $15,225
- Deferred
- $7,378
- Nontaxable benefits
- $41,410
- Filer's total
- $222,390
-
TRACY GUIOU
PRESIDENT AND CEO
- Total calculated
- $252,449
- From this org
- $218,889
- From related orgs
- $0
- Other
- $33,560
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $218,889
- Bonus
- $0
- Other
- $0
- Deferred
- $5,192
- Nontaxable benefits
- $28,368
- Filer's total
- $252,449
-
BRENDA GLODOWSKI
FINANCIAL LEADER
- Total calculated
- $54,000
- From this org
- $54,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
ERIN VANDERLANGENBERG
PSYCHOLOGIST
- Total calculated
- $217,759
- From this org
- $170,057
- From related orgs
- $0
- Other
- $47,702
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $125,834
- Bonus
- $40,271
- Other
- $3,952
- Deferred
- $6,445
- Nontaxable benefits
- $41,257
- Filer's total
- $217,759
-
JANELLE JENSON
ADV PRACTICE NURSE PRESCRIBER
- Total calculated
- $240,795
- From this org
- $207,048
- From related orgs
- $0
- Other
- $33,747
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $101,903
- Bonus
- $105,145
- Other
- $0
- Deferred
- $8,238
- Nontaxable benefits
- $25,509
- Filer's total
- $240,795
-
JILLIAN SCHUH
PEDIATRIC NEUROPSYCHOLOGIS
- Total calculated
- $199,909
- From this org
- $147,773
- From related orgs
- $0
- Other
- $52,136
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $118,376
- Bonus
- $25,503
- Other
- $3,894
- Deferred
- $5,557
- Nontaxable benefits
- $46,579
- Filer's total
- $199,909
-
LISA ENGELHARDT
ADV PRACTICE NURSE PRESCRIBER
- Total calculated
- $209,809
- From this org
- $165,866
- From related orgs
- $0
- Other
- $43,943
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $88,588
- Bonus
- $71,333
- Other
- $5,945
- Deferred
- $6,913
- Nontaxable benefits
- $37,030
- Filer's total
- $209,809
-
MARK ROVICK
PSYCHIATRIST
- Total calculated
- $335,631
- From this org
- $287,990
- From related orgs
- $0
- Other
- $47,641
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $218,004
- Bonus
- $69,101
- Other
- $885
- Deferred
- $0
- Nontaxable benefits
- $47,641
- Filer's total
- $335,631
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
- 3 · Compensation committee
- 3 · Written employment contract
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 7 · Other non-fixed payments
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
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 7
- THE CEO DETERMINED THE BONUS AMOUNT FOR THE OTHER OFFICERS (NONFIXED PAYMENTS) BASED ON SET BENCHMARKS APPROVED BY THE BOARD. HIGHLY COMPENSATED EMPLOYEES RECEIVED BONUSES DURING THE YEAR BASED ON FORMULAS WHICH CONSIDER WORK RELATIVE VALUE UNITS (WRVU) EXCEEDING PRODUCTION BENCHMARKS.
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.
-
501(C)(3) · FAMILY MEDICINE RESIDENCY CLINIC · WI
-
GOLD CROSS AMBULANCE SERVICES INC
501(C)(3) · AMBULANCE SERVICES · WI
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 14 September 2023
- IRS schema version
- 2022v5.0
- Source object
- 202312639349300521
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.