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Nonprofiteer
← ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC

Form 990 for tax year 2022

Filed by ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC.

Totals

Total revenue
$140,124,381
Total expenses
$133,483,030
Contributions and grants received
$1,007,597
Grants paid
$0
Program services expenses (Part IX)
$113,251,036
Management and general expenses
$20,231,994
Fundraising expenses
$0
Program service expenses (Part III)
$113,251,036

Program services were 84.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ANDREW J BAGNALL

    Wisconsin PRESIDENT & Division CEO - Wisconsin (UNTIL 11/1/22)

    Total calculated
    $875,624
    From this org
    $0
    From related orgs
    $842,889
    Other
    $32,735
    Hours/week
    13 + 47 related

    Schedule J breakdown matched by us

    Base
    $0 + $416,871 related
    Bonus
    $0 + $146,870 related
    Other
    $0 + $279,148 related
    Deferred
    $0 + $5,318 related
    Nontaxable benefits
    $0 + $27,417 related
    Filer's total
    $0 + $875,624 related

  • BRIAN CHARLIER

    President/CEO

    Total calculated
    $973,920
    From this org
    $418,501
    From related orgs
    $418,501
    Other
    $136,918
    Hours/week
    29.5 + 30.5 related

    Schedule J breakdown matched by us

    Base
    $303,419 + $303,419 related
    Bonus
    $51,660 + $51,659 related
    Other
    $63,422 + $63,423 related
    Deferred
    $55,847 + $55,846 related
    Nontaxable benefits
    $12,612 + $12,613 related
    Filer's total
    $486,960 + $486,960 related

  • Dennis Langenberg

    Chair

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Michael Wickman

    Secretary

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Nicole Schneider

    Vice Chair

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Jody Boes

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • KYLE MCCARTY MD

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MARCU PEREZ

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MITCH WECKOP

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • PAULA HAFEMAN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Sr Maureen Fagan OSF

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • Stephanie Bakey MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Kimberly Hodgkinson

    CFO/Foundation Treasurer

    Total calculated
    $566,249
    From this org
    $0
    From related orgs
    $508,183
    Other
    $58,066
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $338,668 related
    Bonus
    $0 + $40,000 related
    Other
    $0 + $129,515 related
    Deferred
    $0 + $46,924 related
    Nontaxable benefits
    $0 + $11,142 related
    Filer's total
    $0 + $566,249 related

  • PATRICIA ALLEN

    DIVISION CFO - WISCONSIN

    Total calculated
    $695,496
    From this org
    $0
    From related orgs
    $541,100
    Other
    $154,396
    Hours/week
    3 + 57 related

    Schedule J breakdown matched by us

    Base
    $0 + $414,598 related
    Bonus
    $0 + $44,684 related
    Other
    $0 + $81,818 related
    Deferred
    $0 + $126,563 related
    Nontaxable benefits
    $0 + $27,833 related
    Filer's total
    $0 + $695,496 related

  • TODD Smart

    Treasurer

    Total calculated
    $410,831
    From this org
    $0
    From related orgs
    $329,569
    Other
    $81,262
    Hours/week
    0.3 + 59.8 related

    Schedule J breakdown matched by us

    Base
    $0 + $267,686 related
    Bonus
    $0 + $38,335 related
    Other
    $0 + $23,548 related
    Deferred
    $0 + $45,254 related
    Nontaxable benefits
    $0 + $36,008 related
    Filer's total
    $0 + $410,831 related

  • Daniel DORAN

    DIVISIONAL DIRECTOR-CARDIOVASCULAR

    Total calculated
    $242,983
    From this org
    $207,588
    From related orgs
    $0
    Other
    $35,395
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $182,151
    Bonus
    $291
    Other
    $25,146
    Deferred
    $6,380
    Nontaxable benefits
    $29,015
    Filer's total
    $242,983

  • Gregory Laehn

    Pharmacist

    Total calculated
    $168,965
    From this org
    $153,268
    From related orgs
    $0
    Other
    $15,697
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $147,215
    Bonus
    $2,677
    Other
    $3,376
    Deferred
    $3,773
    Nontaxable benefits
    $11,924
    Filer's total
    $168,965

  • Jeffrey Jacobs

    Division Director- Facilities Management

    Total calculated
    $209,563
    From this org
    $176,323
    From related orgs
    $0
    Other
    $33,240
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $149,633
    Bonus
    $0
    Other
    $26,690
    Deferred
    $26,685
    Nontaxable benefits
    $6,555
    Filer's total
    $209,563

  • PAMELA MIELKE

    Pharmacist

    Total calculated
    $164,724
    From this org
    $139,527
    From related orgs
    $0
    Other
    $25,197
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $139,527
    Bonus
    $0
    Other
    $0
    Deferred
    $10,672
    Nontaxable benefits
    $14,525
    Filer's total
    $164,724

  • Sadie Johnsen

    Pharmacy Manager

    Total calculated
    $186,204
    From this org
    $154,058
    From related orgs
    $0
    Other
    $32,146
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $153,538
    Bonus
    $0
    Other
    $520
    Deferred
    $26,301
    Nontaxable benefits
    $5,845
    Filer's total
    $186,204

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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 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)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A IN SCHEDULE O.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
HSHS EXECUTIVES ELIGIBLE TO PARTICIPATE IN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ARE DEFINED IN THE SERP PLAN DOCUMENTS; THE SERP WAS ESTABLISHED TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO ENSURE REASONABLE MARKET COMPETITIVE BENEFITS IN ACCORDANCE WITH THE HSHS EXECUTIVE COMPENSATION PHILOSOPHY ESTABLISHED BY THE HSHS COMPENSATION COMMITTEE. THE PLAN PROVIDES A DEFINED RETIREMENT CONTRIBUTION TO PARTICIPANTS COMMENCING ON JANUARY 1, 2008, EQUAL TO A PERCENTAGE OF COMPENSATION AS DEFINED IN THE SERP PLAN DOCUMENTS FOR THE PLAN YEAR. PARTICIPANTS CONSTRUCTIVELY RECEIVE A DISTRIBUTION FROM THE PLAN NO LATER THAN MARCH 15TH OF THE CALENDAR YEAR FOLLOWING THE CALENDAR YEAR IN WHICH AN AMOUNT IS VESTED and TAXABLE PURSUANT TO A VESTING SCHEDULE AS SPECIFIED IN THE PLAN DOCUMENT. THE ACTUAL DISTRIBUTION OF THE VESTED BENEFIT UNDER THE PLAN IS PAID IN A SINGLE LUMP SUM TO THE PARTICIPANT OR THE PARTICIPANT'S BENEFICIARY UPON THE EARLIER OF THE PARTICIPANT'S TERMINATION OF EMPLOYMENT, DEATH, OR TOTAL AND PERMANENT DISABILITY. THE FOLLOWING INTERESTED PERSONS CONSTRUCTIVELY RECEIVED DEFERRALS TO THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2022; THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). Patricia Allen -- $37,240 Brian Charlier -- $69,233 Todd Smart -- $25,135 THE FOLLOWING INTERESTED PERSONS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2022; THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AND SCHEDULE J, PART II, COLUMN (F), AS APPLICABLE. Andrew Bagnall -- $134,905

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
10 May 2024
IRS schema version
2022v5.0
Source object
202411319349304976

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

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