Form 990 for tax year 2022
Filed by DOOR COUNTY MEMORIAL HOSPITAL FOUNDATION INC.
Totals
- Total revenue
- $1,231,074
- Total expenses
- $1,028,429
- Contributions and grants received
- $1,217,867
- Grants paid
- $984,168
- Program services expenses (Part IX)
- $984,168
- Management and general expenses
- $40,814
- Fundraising expenses
- $3,447
- Program service expenses (Part III)
- $984,168
Program services were 95.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
SALLY PFEIFER
PRESIDENT
- Total calculated
- $0
- Hours/week
- 0.3
-
COLLIN JEANQUART
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 0.3
-
RICHARD HAUSER
SECRETARY
- Total calculated
- $0
- Hours/week
- 0.3
-
STEVE ABRAHAMSON
TREASURER
- Total calculated
- $0
- Hours/week
- 0.3
-
SUE GUILETTE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.3
-
NELL HERLACHE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.3
-
JELAINE HORTON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.3
-
TYLER HUBBARD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.3
-
JACK JACKSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.3
-
BARB KLEZIEN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.3
-
KAAREN NORTHROP
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.3
-
TODD TRIMBERGER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.3
-
BRUCE SHEWCHUK
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.3
-
MICHAEL HERLACHE
EXECUTIVE DIRECTOR
- Total calculated
- $143,092
- From this org
- $0
- From related orgs
- $119,347
- Other
- $23,745
- Hours/week
- 40
-
BRIAN STEPHENS
DIRECTOR/CEO
- Total calculated
- $373,353
- From this org
- $0
- From related orgs
- $337,331
- Other
- $36,022
- Hours/week
- 0.3 + 41 related
Schedule J breakdown matched by us
- Base
- $0 + $328,149 related
- Bonus
- $0
- Other
- $0 + $9,182 related
- Deferred
- $0 + $18,159 related
- Nontaxable benefits
- $0 + $17,863 related
- Filer's total
- $0 + $373,353 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 — 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
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
-
$940,168
TO OFFSET THE COST OF BUILDING RENOVATION AND ADDITION TO THE HOSPITAL.
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) · HEALTHCARE SERVICES · WI · controlled entity
Directly controlled by DOOR COUNTY MEDICAL CORPORATION
-
DOOR COUNTY MEDICAL CORPORATION
501(C)(3) · SUPPORT OF RELATED HEALTHCARE ORGANIZATION · WI
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 8 December 2023
- IRS schema version
- 2022v5.0
- Source object
- 202313479349300116
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