Form 990 for tax year 2022
Filed by MEMORIAL HEALTHCARE FOUNDATION INC.
Totals
- Total revenue
- $96,826
- Total expenses
- $40,503
- Contributions and grants received
- $63,651
- Grants paid
- $40,503
- Program services expenses (Part IX)
- $40,503
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $40,503
Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
FRANK PEREZ-GUERRA
VICE CHAIR & CEO GMHC
- Total calculated
- $222,331
- From this org
- $0
- From related orgs
- $190,450
- Other
- $31,881
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $190,450 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $7,737 related
- Nontaxable benefits
- $0 + $24,144 related
- Filer's total
- $0 + $222,331 related
-
GREG HUTCHESON
DIRECTOR
- Total calculated
- $196,144
- From this org
- $0
- From related orgs
- $168,330
- Other
- $27,814
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $168,330 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $6,320 related
- Nontaxable benefits
- $0 + $21,494 related
- Filer's total
- $0 + $196,144 related
-
LORI WITTIG
DIRECTOR
- Total calculated
- $126,531
- From this org
- $0
- From related orgs
- $118,688
- Other
- $7,843
- Hours/week
- 1 + 40 related
-
MANDY RICHARDSON
DIRECTOR
- Total calculated
- $118,814
- From this org
- $0
- From related orgs
- $93,783
- Other
- $25,031
- Hours/week
- 1 + 40 related
-
CARRIE EASTERLY
DIRECTOR
- Total calculated
- $75,266
- From this org
- $0
- From related orgs
- $54,025
- Other
- $21,241
- Hours/week
- 1 + 40 related
-
KEVIN MOORE
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
JASON HOHENSTEIN
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
JESSE SCHABLE
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
RICHARD STERNHAGEN
EX-OFFICIO
- Total calculated
- $0
- Hours/week
- 1 + 2.5 related
-
LIZ HENDRICKSEN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
LAURIE INDA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
BONNIE NACHREINER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
TOM WERMUTH
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
KARA WORMET
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
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
-
FUNDING OF MEDICAL EQUIPMENT AND CAPITAL PROJECTS
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) · NURSING AND RADIOLOGIC SCIENCE COLLEGE · WI · controlled entity
Directly controlled by BELLIN HEALTH SYSTEMS INC
-
BELLIN GUNDERSEN HEALTH SYSTEM INC
501(C)(3) · PARENT · WI
-
501(C)(3) · SUPPORT OF HEALTHCARE ORGANIZATIONS · WI · controlled entity
Directly controlled by BELLIN GUNDERSEN HEALTH SYSTEMS INC
-
501(C)(3) · HEALTH CARE · WI · controlled entity
Directly controlled by BELLIN HEALTH SYSTEMS INC
-
501(C)(3) · PSYCHIATRIC HOSPITAL · WI · controlled entity
Directly controlled by BELLIN HEALTH SYSTEMS INC
-
COMMUNITY HOUSING OF LA CROSSE INC
501(C)(3) · INDEPENDENT LIVING · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
501(C)(3) · HEALTHCARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
GUNDERSEN LUTHERAN ADMINSTRATIVE SVC
501(C)(3) · SUPPORTING ORG · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
GUNDERSEN LUTHERAN CREDENTIALING SVC INC
501(C)(3) · CREDENTIALING · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
GUNDERSEN LUTHERAN HEALTH SYSTEM INC
501(C)(3) · SUPPORTING ORG · WI
-
GUNDERSEN LUTHERAN MEDICAL CENTER INC
501(C)(3) · HEALTHCARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC
501(C)(3) · FOUNDATION · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
HARMONY COMMUNITY HEALTHCARE INC
501(C)(3) · HEALTHCARE · MN · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
LAKE MICHIGAN HEALTH SERVICES INC
501(C)(3) · SUPPORT PURPOSES OF BELLIN MEMORIAL HOSPITAL · WI · controlled entity
Directly controlled by BELLIN HEALTH SYSTEMS INC
-
501(C)(3) · INDEPENDENT LIVING · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
LUTHERAN REAL ESTATE HOLDING CORP
501(C)(3) · HOUSING · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
501(C)(3) · HEALTHCARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
MOUNDVIEW MEMORIAL HOSPITAL & CLINICS
501(C)(3) · HOSPITAL · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
OCONTO HOSPITAL & MEDICAL CENTER INC
501(C)(3) · HEALTH CARE · WI · controlled entity
Directly controlled by BELLIN MEMORIAL HOSPITAL INC
-
501(C)(3) · HEALTHCARE · IA · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
SAINT ELIZABETH'S HOSPITAL OF WABASHA
501(C)(3) · HEALTHCARE · MN · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
ST JOSEPH'S HEALTH SERVICES INC
501(C)(3) · HEALTHCARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
ST JOSEPH'S MEMORIAL FOUNDATION INC
501(C)(3) · FOUNDATION · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
THE BELLIN HEALTH FOUNDATION INC
501(C)(3) · FOUNDATION · WI · controlled entity
Directly controlled by BELLIN HEALTH SYSTEMS INC
-
TRI-COUNTY MEMORIAL FOUNDATION INC
501(C)(3) · FOUNDATION · WI · controlled entity
Directly controlled by TRI-COUNTY MEMORIAL HOSPITAL
-
501(C)(3) · HEALTHCARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
501(C)(3) · MEDICAL TRANSPORT · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
TRI-STATE REGIONAL AMBULANCE INC
501(C)(3) · MEDICAL TRANSPORT · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
-
TWEETEN LUTHERAN HEALTHCARE CENTER INC
501(C)(3) · HEALTHCARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 17 October 2023
- IRS schema version
- 2022v5.0
- Source object
- 202323189349305072
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