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Nonprofiteer
← BELLIN MEMORIAL HOSPITAL INC

Form 990 for tax year 2024

Filed by BELLIN MEMORIAL HOSPITAL INC.

Totals

Total revenue
$906,558,005
Total expenses
$872,312,686
Contributions and grants received
$4,407,177
Grants paid
$383,893
Program service revenue
not reported
Investment income
not reported
Other revenue
not reported
Total assets, end of year
not reported
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
not reported
Program services expenses (Part IX)
$720,743,555
Management and general expenses
$151,569,131
Fundraising expenses
$0
Program service expenses (Part III)
$720,743,555

Program services were 82.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • CHRISTINE WOLESKE

    BOARD OF DIRECTORS, PRESIDENT (END 6.30.25)

    Total calculated
    $2,089,672
    From this org
    $1,888,539
    From related orgs
    $0
    Other
    $201,133
    Hours/week
    38 + 10 related

    Schedule J breakdown matched by us

    Base
    $947,182
    Bonus
    $728,601
    Other
    $212,756
    Deferred
    $185,351
    Nontaxable benefits
    $15,782
    Filer's total
    $2,089,672

  • LAURA HIEB

    BOARD OF DIRECTORS, CHIEF NURSING OFFICER

    Total calculated
    $533,668
    From this org
    $466,684
    From related orgs
    $0
    Other
    $66,984
    Hours/week
    42 + 6 related

    Schedule J breakdown matched by us

    Base
    $314,619
    Bonus
    $115,915
    Other
    $36,150
    Deferred
    $43,792
    Nontaxable benefits
    $23,192
    Filer's total
    $533,668

  • MICHAEL LANDRUM MD

    BOARD OF DIRECTORS, PHYSICIAN DIRECTOR

    Total calculated
    $532,663
    From this org
    $507,796
    From related orgs
    $0
    Other
    $24,867
    Hours/week
    42 + 6 related

    Schedule J breakdown matched by us

    Base
    $439,467
    Bonus
    $67,915
    Other
    $414
    Deferred
    $21,893
    Nontaxable benefits
    $2,974
    Filer's total
    $532,663

  • PETER VANDENHOUTEN

    BOD, SECRETARY, SR VP LEGAL COUNSEL

    Total calculated
    $715,069
    From this org
    $629,937
    From related orgs
    $0
    Other
    $85,132
    Hours/week
    34 + 16 related

    Schedule J breakdown matched by us

    Base
    $407,252
    Bonus
    $182,656
    Other
    $40,029
    Deferred
    $69,350
    Nontaxable benefits
    $15,782
    Filer's total
    $715,069

  • SCOTT RATHGABER MD

    BOARD OF DIRECTORS, CHAIR, CEO

    Total calculated
    $1,397,550
    From this org
    $0
    From related orgs
    $1,324,275
    Other
    $73,275
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,278,368 related
    Bonus
    $0
    Other
    $0 + $45,907 related
    Deferred
    $0 + $48,300 related
    Nontaxable benefits
    $0 + $24,975 related
    Filer's total
    $0 + $1,397,550 related

  • SHARLA BAENEN

    BOARD OF DIRECTORS, CHIEF OPERATING OFFICER

    Total calculated
    $747,350
    From this org
    $653,831
    From related orgs
    $0
    Other
    $93,519
    Hours/week
    42 + 6 related

    Schedule J breakdown matched by us

    Base
    $406,815
    Bonus
    $203,988
    Other
    $43,028
    Deferred
    $65,300
    Nontaxable benefits
    $28,219
    Filer's total
    $747,350

  • AMY DETTMAN

    VP PRIMARY CARE

    Total calculated
    $381,015
    From this org
    $339,283
    From related orgs
    $0
    Other
    $41,732
    Hours/week
    48 + 2 related

    Schedule J breakdown matched by us

    Base
    $242,590
    Bonus
    $94,407
    Other
    $2,286
    Deferred
    $18,498
    Nontaxable benefits
    $23,234
    Filer's total
    $381,015

  • CINDY LASECKI MD

    CHIEF CLINICAL OFFICER

    Total calculated
    $560,664
    From this org
    $507,647
    From related orgs
    $0
    Other
    $53,017
    Hours/week
    46 + 4 related

    Schedule J breakdown matched by us

    Base
    $392,261
    Bonus
    $114,612
    Other
    $774
    Deferred
    $49,237
    Nontaxable benefits
    $3,780
    Filer's total
    $560,664

  • DANIEL LILLY

    ASSISTANT SECRETARY, CHIEF LEGAL OFFICER

    Total calculated
    $692,102
    From this org
    $0
    From related orgs
    $617,635
    Other
    $74,467
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $514,649 related
    Bonus
    $0 + $97,000 related
    Other
    $0 + $5,986 related
    Deferred
    $0 + $48,300 related
    Nontaxable benefits
    $0 + $26,167 related
    Filer's total
    $0 + $692,102 related

  • HEATHER SCHIMMERS RN

    PRESIDENT

    Total calculated
    $914,152
    From this org
    $0
    From related orgs
    $841,877
    Other
    $72,275
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $638,010 related
    Bonus
    $0 + $198,913 related
    Other
    $0 + $4,954 related
    Deferred
    $0 + $48,300 related
    Nontaxable benefits
    $0 + $23,975 related
    Filer's total
    $0 + $914,152 related

  • JEN MACDONALD

    VP SPECIALTY SERVICES

    Total calculated
    $315,944
    From this org
    $277,553
    From related orgs
    $0
    Other
    $38,391
    Hours/week
    48 + 2 related

    Schedule J breakdown matched by us

    Base
    $191,362
    Bonus
    $74,622
    Other
    $11,569
    Deferred
    $10,167
    Nontaxable benefits
    $28,224
    Filer's total
    $315,944

  • JOHN CEELEN

    TREASURER, CHIEF FINANCIAL OFFICER

    Total calculated
    $782,368
    From this org
    $728,316
    From related orgs
    $0
    Other
    $54,052
    Hours/week
    20 + 30 related

    Schedule J breakdown matched by us

    Base
    $598,104
    Bonus
    $129,468
    Other
    $744
    Deferred
    $29,147
    Nontaxable benefits
    $24,905
    Filer's total
    $782,368

  • LEANNE ANDERSEN

    CHIEF PEOPLE OFFICER

    Total calculated
    $752,236
    From this org
    $0
    From related orgs
    $680,422
    Other
    $71,814
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $558,734 related
    Bonus
    $0 + $116,418 related
    Other
    $0 + $5,270 related
    Deferred
    $0 + $43,827 related
    Nontaxable benefits
    $0 + $27,987 related
    Filer's total
    $0 + $752,236 related

  • MICHAEL DOLAN MD

    CHIEF CLINICAL OFFICER

    Total calculated
    $815,309
    From this org
    $0
    From related orgs
    $737,919
    Other
    $77,390
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $636,335 related
    Bonus
    $0 + $100,000 related
    Other
    $0 + $1,584 related
    Deferred
    $0 + $48,300 related
    Nontaxable benefits
    $0 + $29,090 related
    Filer's total
    $0 + $815,309 related

  • MICHELLE MICKA

    ASST TREASURER, VP, FINANCE & ACCOUNTING

    Total calculated
    $451,686
    From this org
    $0
    From related orgs
    $379,411
    Other
    $72,275
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $374,568 related
    Bonus
    $0
    Other
    $0 + $4,843 related
    Deferred
    $0 + $48,300 related
    Nontaxable benefits
    $0 + $23,975 related
    Filer's total
    $0 + $451,686 related

  • PRAVEEN CHOPRA

    CHIEF DIGITAL AND INFORMATION OFFICER

    Total calculated
    $795,647
    From this org
    $0
    From related orgs
    $717,801
    Other
    $77,846
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $602,977 related
    Bonus
    $0 + $106,400 related
    Other
    $0 + $8,424 related
    Deferred
    $0 + $48,300 related
    Nontaxable benefits
    $0 + $29,546 related
    Filer's total
    $0 + $795,647 related

  • WILLIAM FARRELL

    CHIEF STRATEGY & INNOVATION OFFICER

    Total calculated
    $644,065
    From this org
    $0
    From related orgs
    $595,426
    Other
    $48,639
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $487,426 related
    Bonus
    $0 + $103,225 related
    Other
    $0 + $4,775 related
    Deferred
    $0 + $48,300 related
    Nontaxable benefits
    $0 + $339 related
    Filer's total
    $0 + $644,065 related

  • ANDREA WERNER

    CHIEF POPULATION HEALTH OFFICER

    Total calculated
    $443,536
    From this org
    $388,587
    From related orgs
    $0
    Other
    $54,949
    Hours/week
    46 + 4 related

    Schedule J breakdown matched by us

    Base
    $321,155
    Bonus
    $66,658
    Other
    $774
    Deferred
    $43,757
    Nontaxable benefits
    $11,192
    Filer's total
    $443,536

  • LISA HARTON

    CHIEF QUALITY OFFICER

    Total calculated
    $469,453
    From this org
    $407,895
    From related orgs
    $0
    Other
    $61,558
    Hours/week
    46 + 4 related

    Schedule J breakdown matched by us

    Base
    $336,819
    Bonus
    $70,662
    Other
    $414
    Deferred
    $47,759
    Nontaxable benefits
    $13,799
    Filer's total
    $469,453

  • DAVID STAMPFL MD

    PHYSICIAN

    Total calculated
    $1,870,656
    From this org
    $1,825,564
    From related orgs
    $0
    Other
    $45,092
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $996,891
    Bonus
    $827,485
    Other
    $1,188
    Deferred
    $21,755
    Nontaxable benefits
    $23,337
    Filer's total
    $1,870,656

  • JAMES BAILEY MD

    PHYSICIAN

    Total calculated
    $1,084,978
    From this org
    $1,043,854
    From related orgs
    $0
    Other
    $41,124
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $562,872
    Bonus
    $447,820
    Other
    $33,162
    Deferred
    $9,723
    Nontaxable benefits
    $31,401
    Filer's total
    $1,084,978

  • KANWAR ARORA MD

    PHYSICIAN

    Total calculated
    $1,114,601
    From this org
    $1,093,816
    From related orgs
    $0
    Other
    $20,785
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $543,317
    Bonus
    $549,725
    Other
    $774
    Deferred
    $19,132
    Nontaxable benefits
    $1,653
    Filer's total
    $1,114,601

  • KEVIN SHEPET MD

    PHYSICIAN

    Total calculated
    $1,836,322
    From this org
    $1,791,390
    From related orgs
    $0
    Other
    $44,932
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $616,148
    Bonus
    $1,175,080
    Other
    $162
    Deferred
    $18,416
    Nontaxable benefits
    $26,516
    Filer's total
    $1,836,322

  • MATTHEW KASPAR MD

    PHYSICIAN

    Total calculated
    $1,102,417
    From this org
    $1,061,991
    From related orgs
    $0
    Other
    $40,426
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $589,032
    Bonus
    $472,779
    Other
    $180
    Deferred
    $20,775
    Nontaxable benefits
    $19,651
    Filer's total
    $1,102,417

  • STEVE LITTLE

    FORMER CHIEF FINANCIAL OFFICER

    Total calculated
    $209,856
    From this org
    $0
    From related orgs
    $209,856
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $209,856 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $209,856 related

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

  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 1A HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES
BELLIN MEMORIAL HOSPITAL PAYS FOR A PORTION OF MEMBERSHIP DUES AT A LOCAL COUNTRY CLUB FOR CHRISTINE WOLESKE TO HOLD VARIOUS EVENTS AT THE CLUB. THIS BENEFIT IS TREATED AS TAXABLE COMPENSATION.
SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION
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.
SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN
CERTAIN INDIVIDUALS LISTED IN SCHEDULE J, PART II PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN TO WHICH THE ORGANIZATION MAKES ANNUAL CONTRIBUTION. THESE CONTRIBUTIONS ARE AT RISK AND DO NOT BECOME VESTED AND PAYABLE UNLESS AND UNTIL THE INDIVIDUAL SATISFIES A SUBSTANTIAL FUTURE SERVICE REQUIREMENT. THE FOLLOWING INDIVIDUALS HAD CONTRIBUTIONS MADE TO THE PLAN FOR CALENDAR YEAR 2024: CHRISTINE WOLESKE SHARLA BAENEN JOHN CEELEN LISA HARTON LAURA HIEB CINDY LASECKI, MD PETER VANDENHOUTEN ANDREA WERNER THE HOSPITAL HAS A DEFERRED COMPENSATION PLAN FOR SELECTED EXECUTIVES. LAURA HIEB, PETER VANDENHOUTEN, SHARLA BAENEN AND CHRISTINE WOLESKE PARTICIPATED IN THE 457(F) PLAN. THE FOLLOWING DISTRIBUTIONS WERE MADE DURING CALENDAR YEAR 2024: CHRISTINE WOLESKE $201,125 PETER VANDENHOUTEN $39,255 LAURA HIEB $32,940 SHARLA BAENEN $40,237
SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS
BELLIN MEMORIAL HOSPITAL PROVIDES ANNUAL LEADERSHIP BONUSES BASED ON OPERATIONAL GOALS THAT ARE DEPENDENT ON OUTCOME AND COMPLETION OF GOALS.
SCHEDULE J, PART I, LINE 3
ALL PERSONNEL SERVICES ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • ASHWAUBENON WEST PROPERTIES LLC

    REAL ESTATE · WI · income $0 · assets $0

    Directly controlled by BMH

  • WEST GB LLC

    REAL ESTATE · WI · income $0 · assets $0

    Directly controlled by BMH

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2024
IRS schema version
2024v5.1
Source object
202632269349300623

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