Skip to content
Nonprofiteer
← FROEDTERT WEST BEND HOSPITAL FOUNDATION INC

Form 990 for tax year 2024

Filed by FROEDTERT WEST BEND HOSPITAL FOUNDATION INC.

Totals

Total revenue
$1,274,891
Total expenses
$561,514
Contributions and grants received
$241,272
Grants paid
$302,075
Program services expenses (Part IX)
$309,834
Management and general expenses
$34,507
Fundraising expenses
$217,173
Program service expenses (Part III)
$309,834

Program services were 55.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Allen Ericson

    Director & FWBH President

    Total calculated
    $1,294,408
    From this org
    $0
    From related orgs
    $1,114,216
    Other
    $180,192
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $570,318 related
    Bonus
    $0 + $365,694 related
    Other
    $0 + $178,204 related
    Deferred
    $0 + $140,575 related
    Nontaxable benefits
    $0 + $39,617 related
    Filer's total
    $0 + $1,294,408 related

  • Chad Feltz

    Director & BOD V.Chair (eff 7/1/24)

    Total calculated
    $0
    Hours/week
    1

  • Dan Miller

    Director & BOD Chair

    Total calculated
    $0
    Hours/week
    1

  • Nooriya Farheen

    Director & Treasurer

    Total calculated
    $253,416
    From this org
    $0
    From related orgs
    $210,117
    Other
    $43,299
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $174,888 related
    Bonus
    $0 + $34,888 related
    Other
    $0 + $341 related
    Deferred
    $0 + $9,882 related
    Nontaxable benefits
    $0 + $33,417 related
    Filer's total
    $0 + $253,416 related

  • Troy Hanson

    Director & BOD Secr (eff 1/23/25)

    Total calculated
    $0
    Hours/week
    1

  • Ann Johnson

    Director & Executive Director

    Total calculated
    $218,510
    From this org
    $0
    From related orgs
    $176,530
    Other
    $41,980
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $146,304 related
    Bonus
    $0 + $29,035 related
    Other
    $0 + $1,191 related
    Deferred
    $0 + $9,969 related
    Nontaxable benefits
    $0 + $32,011 related
    Filer's total
    $0 + $218,510 related

  • Austin Smith

    Director

    Total calculated
    $0
    Hours/week
    1

  • Bryce Gartland MD

    Director (eff 5/1/25)

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • Chris Chlupp

    Director

    Total calculated
    $0
    Hours/week
    1

  • Imran Andrabi MD

    Director & FTCH President/CEO (eff 7/1/24; term 5/1/25)

    Total calculated
    $5,238,377
    From this org
    $0
    From related orgs
    $4,591,338
    Other
    $647,039
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,794,100 related
    Bonus
    $0 + $2,564,672 related
    Other
    $0 + $232,566 related
    Deferred
    $0 + $620,140 related
    Nontaxable benefits
    $0 + $26,899 related
    Filer's total
    $0 + $5,238,377 related

  • Jacci Gambucci

    Director

    Total calculated
    $0
    Hours/week
    1

  • John Breuer

    Director

    Total calculated
    $0
    Hours/week
    1

  • Peter Rettler

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Tom Zuern

    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)

Schedule J, Part I, Line 3
THE PRESIDENT/CEO'S PERFORMANCE IS REVIEWED BY THE BOARD CHAIR ANNUALLY. THE BOARD OF ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND, INC. APPROVES ANY SALARY AND/OR BENEFIT CHANGES. SALARIES ARE REVIEWED AND APPROVED BY THE TALENT STRATEGY AND COMPENSATION COMMITTEE OF THE FROEDTERT THEDACARE HEALTH, INC. (A RELATED ORGANIZATION) BOARD OF DIRECTORS, UTILIZING VARIOUS COMPENSATION STUDIES AND COMPARATIVE DATA.
Schedule J, Part I, Line 4b SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN
457(f) distributions: Andrabi, Imran - $216,027 Ericson, Allen - $150,044 457(f) plan participants: Andrabi, Imran Ericson, Allen
Schedule J, Part I, Line 7
BONUS COMPENSATION IS PAID BASED UPON ATTAINMENT OF SPECIFIC GOALS RELATED TO THE ORGANIZATION'S STRATEGY, SERVICE, QUALITY, AND FINANCIAL STRENGTH. THE AMOUNT OF COMPENSATION IS CALCULATED USING SPECIFIED PERCENTAGES OF BASE SALARY FOR ACHIEVEMENT OF PARTICULAR GOAL LEVELS. HOWEVER, THE FROEDTERT THEDACARE HEALTH SYSTEM BOARD COMMITTEE WHICH ADMINISTERS THE BONUS COMPENSATION PROGRAM HAS DISCRETION OVER WHETHER TO PAY THE BONUS IN ANY GIVEN YEAR OR TO AMEND, CHANGE, OR TERMINATE THE PROGRAM AT ANY TIME.
Schedule J, Part II, Column (B)(ii)
BONUS AND INCENTIVE COMPENSATION AMOUNTS INCLUDE INCENTIVE COMPENSATION PAID.
Schedule J, Part II, Column (B)(iii)
OTHER REPORTABLE COMPENSATION INCLUDES 457(F) DEFERRED COMPENSATION PLAN DISTRIBUTIONS PAID TO INDIVIDUALS, AMOUNTS PAID IN LIEU OF 457(F) DEFERRED COMPENSATION PLAN CONTRIBUTIONS, AND OTHER MISCELLANEOUS COMPENSATION.
Schedule J, Part II, Column (F)
ON JANUARY 1, 2024, THE FROEDTERT HEALTH SYSTEM MERGED WITH THE THEDACARE HEALTH SYSTEM. AS OF THIS DATE, FROEDTERT HEALTH, INC. WAS RENAMED TO FROEDTERT THEDACARE HEALTH, INC. ("FTCH") AND BECAME THE SOLE CORPORATE MEMBER OF THEDACARE, INC. ("TC"). IN DOING SO, FTCH BECAME THE COMMON LAW EMPLOYER WITH RESPECT TO TC EMPLOYEES. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE LEGACY TC SECTION 457(F) DEFERRED COMPENSATION PLAN ("THEDACARE PLAN"). AS SUCH, ANY DEFERRED AMOUNTS IN PRIOR TAX YEARS UNDER THE THEDACARE PLAN WERE REPORTED ON THE RESPECTIVE TC FORM 990. NOW, AS COMMON LAW EMPLOYER OF THE TC EMPLOYEES, FTCH HAS INCLUDED ANY CURRENT YEAR COMPENSATION RELATED TO THESE PREVIOUSLY DEFERRED AMOUNTS IN COLUMN (B). THEREFORE, THESE AMOUNTS ARE ALSO APPROPRIATELY REPORTED IN COLUMN (F). ANDRABI, IMRAN

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

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
2024
Filed
12 May 2026
IRS schema version
2024v5.1
Source object
202601329349306485

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.