Form 990 for tax year 2022
Filed by HARMONY COMMUNITY HEALTHCARE INC.
Totals
- Total revenue
- $3,704,656
- Total expenses
- $4,443,691
- Contributions and grants received
- $359,256
- Grants paid
- $0
- Program services expenses (Part IX)
- $3,905,378
- Management and general expenses
- $538,313
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $3,905,378
Program services were 87.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
BRENDA MOSER
FINANCE ADMINISTRATOR
- Total calculated
- $213,566
- From this org
- $0
- From related orgs
- $166,265
- Other
- $47,301
- Hours/week
- 4 + 36 related
Schedule J breakdown matched by us
- Base
- $0 + $159,798 related
- Bonus
- $0 + $5,347 related
- Other
- $0 + $1,120 related
- Deferred
- $0 + $24,607 related
- Nontaxable benefits
- $0 + $22,694 related
- Filer's total
- $0 + $213,566 related
-
VICKI BAKALARS
PRESIDENT
- Total calculated
- $186,676
- From this org
- $0
- From related orgs
- $141,983
- Other
- $44,693
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $138,991 related
- Bonus
- $0 + $401 related
- Other
- $0 + $2,591 related
- Deferred
- $0 + $21,199 related
- Nontaxable benefits
- $0 + $23,494 related
- Filer's total
- $0 + $186,676 related
-
CHUCK JOHNSON
VICE PRESIDENT
- Total calculated
- $183,427
- From this org
- $0
- From related orgs
- $134,297
- Other
- $49,130
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $127,121 related
- Bonus
- $0 + $216 related
- Other
- $0 + $6,960 related
- Deferred
- $0 + $20,636 related
- Nontaxable benefits
- $0 + $28,494 related
- Filer's total
- $0 + $183,427 related
-
MICHELLE BORRESON
ADMINISTRATOR/CEO
- Total calculated
- $178,300
- From this org
- $0
- From related orgs
- $124,613
- Other
- $53,687
- Hours/week
- 20 + 20 related
Schedule J breakdown matched by us
- Base
- $0 + $124,102 related
- Bonus
- $0 + $511 related
- Other
- $0
- Deferred
- $0 + $19,185 related
- Nontaxable benefits
- $0 + $34,502 related
- Filer's total
- $0 + $178,300 related
-
JEN BERENDES
DIRECTOR
- Total calculated
- $167,968
- From this org
- $0
- From related orgs
- $129,072
- Other
- $38,896
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $123,104 related
- Bonus
- $0 + $3,962 related
- Other
- $0 + $2,006 related
- Deferred
- $0 + $18,269 related
- Nontaxable benefits
- $0 + $20,627 related
- Filer's total
- $0 + $167,968 related
-
MANDI PERICAK
DIRECTOR
- Total calculated
- $145,201
- From this org
- $0
- From related orgs
- $107,767
- Other
- $37,434
- Hours/week
- 0.5 + 39.5 related
-
SARA CARPENTER
DIRECTOR (THRU APR)
- Total calculated
- $66,757
- From this org
- $0
- From related orgs
- $51,243
- Other
- $15,514
- Hours/week
- 0.5 + 39.5 related
-
LINDA KASTANTIN
DIRECTOR (THRU APR)
- Total calculated
- $46,732
- From this org
- $0
- From related orgs
- $40,442
- Other
- $6,290
- Hours/week
- 0.5 + 39.5 related
-
CHRIS SKAALEN
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 0.5
-
BOB PETERS
DIRECTOR (THRU FEB)
- Total calculated
- $0
- Hours/week
- 0.5
-
MICHELLE GATZKE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
DONNA SCHEEVEL
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
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)
- PART I, 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.
-
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) · NURSING AND RADIOLOGIC SCIENCE COLLEGE · WI · controlled entity
Directly controlled by BELLIN HEALTH SYSTEMS INC
-
LAKE MICHIGAN HEALTH SERVICES INC
501(C)(3) · SUPPORT PURPOSES OF BELLIN MEMORIAL HOSPITAL · WI · controlled entity
Directly controlled by BELLIN HEALTH SYSTEMS INC
-
THE BELLIN HEALTH FOUNDATION INC
501(C)(3) · FOUNDATION · 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
-
501(C)(3) · HEALTH CARE · WI · controlled entity
Directly controlled by BELLIN HEALTH SYSTEMS INC
-
OCONTO HOSPITAL & MEDICAL CENTER INC
501(C)(3) · HEALTH CARE · WI · controlled entity
Directly controlled by BELLIN MEMORIAL HOSPITAL INC
-
GUNDERSEN LUTHERAN HEALTH SYSTEM INC
501(C)(3) · SUPPORTING ORGANIZATION · WI · controlled entity
Directly controlled by BELLIN GUNDERSEN HEALTH SYSTEMS INC
-
GUNDERSEN LUTHERAN MEDICAL CENTER INC
501(C)(3) · HEALTH CARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
501(C)(3) · HEALTH CARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC
501(C)(3) · SUPPORTING ORGANIZATION · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC
501(C)(3) · FOUNDATION · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
GUNDERSEN LUTHERAN CREDENTIALING SERVICES INC
501(C)(3) · CREDENTIALING SERVICE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
TWEETEN LUTHERAN HEALTHCARE CENTER INC
501(C)(3) · HEALTH CARE · MN · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
501(C)(3) · MEDICAL TRANSPORTATION · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
TRI-STATE REGIONAL AMBULANCE INC
501(C)(3) · MEDICAL TRANSPORTATION · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
LUTHERAN REAL ESTATE HOLDING CORP
501(C)(3) · HOUSING · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
COMMUNITY HOUSING OF LA CROSSE INC
501(C)(3) · INDEPENDENT LIVING · WI · controlled entity
Directly controlled by LUTHERAN REAL ESTATE HOLDING CORP
-
LUTHERAN HOUSING OF LA CROSSE INC
501(C)(3) · INDEPENDENT LIVING · WI · controlled entity
Directly controlled by LUTHERAN REAL ESTATE HOLDING CORP
-
ST JOSEPH'S MEMORIAL FOUNDATION INC
501(C)(3) · FOUNDATION · WI · controlled entity
Directly controlled by ST JOSEPH'S HEALTH SERVICES INC
-
TRI-COUNTY MEMORIAL HOSPITAL INC
501(C)(3) · HEALTH CARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
TRI-COUNTY MEMORIAL FOUNDATION INC
501(C)(3) · FOUNDATION · WI · controlled entity
Directly controlled by TRI-COUNTY MEMORIAL HOSPITAL INC
-
501(C)(3) · HEALTH CARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
501(C)(3) · HEALTH CARE · IA · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
MEMORIAL HEALTHCARE FOUNDATION INC
501(C)(3) · FOUNDATION · WI · controlled entity
Directly controlled by MOUNDVIEW MEMORIAL HOSPITAL & CLINICS INC
-
MOUNDVIEW MEMORIAL HOSPITAL & CLINICS INC
501(C)(3) · HEALTH CARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
SAINT ELIZABETH'S HOSPITAL OF WABASHA
501(C)(3) · HEALTH CARE · MN · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
501(C)(3) · HEALTH CARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 2 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202333079349301868
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