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Nonprofiteer
← FLAMBEAU HOSPITAL INC

Form 990 for tax year 2022

Filed by FLAMBEAU HOSPITAL INC.

Totals

Total revenue
$41,045,125
Total expenses
$39,508,611
Contributions and grants received
$774,357
Grants paid
$1,000
Program services expenses (Part IX)
$32,349,594
Management and general expenses
$7,159,017
Fundraising expenses
$0
Program service expenses (Part III)
$32,349,594

Program services were 81.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • MARK BUGHER

    CHAIR

    Total calculated
    $26,500
    From this org
    $0
    From related orgs
    $26,500
    Other
    $0
    Hours/week
    1 + 9 related

  • MARK BRADLEY

    VICE CHAIR

    Total calculated
    $9,500
    From this org
    $0
    From related orgs
    $9,500
    Other
    $0
    Hours/week
    1 + 5 related

  • RUWAN DISSANAYAKE MD

    SECRETARY

    Total calculated
    $582,871
    From this org
    $0
    From related orgs
    $528,556
    Other
    $54,315
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $398,039 related
    Bonus
    $0 + $103,133 related
    Other
    $0 + $27,384 related
    Deferred
    $0 + $21,612 related
    Nontaxable benefits
    $0 + $32,703 related
    Filer's total
    $0 + $582,871 related

  • JOHN BALTUS

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • DOUG MATHISON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • SUSAN TURNEY MD

    BOARD MEMBER/MCHS CEO

    Total calculated
    $3,363,836
    From this org
    $0
    From related orgs
    $3,048,492
    Other
    $315,344
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,812,322 related
    Bonus
    $0 + $910,520 related
    Other
    $0 + $325,650 related
    Deferred
    $0 + $287,565 related
    Nontaxable benefits
    $0 + $27,779 related
    Filer's total
    $0 + $3,363,836 related

  • COLLEEN HOERNEMAN

    BOARD MEMBER

    Total calculated
    $7,500
    From this org
    $0
    From related orgs
    $7,500
    Other
    $0
    Hours/week
    1 + 2 related

  • WILLIAM MELMS MD

    BOARD MEMBER/MCHS CMO

    Total calculated
    $886,468
    From this org
    $0
    From related orgs
    $829,413
    Other
    $57,055
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $784,186 related
    Bonus
    $0 + $5,000 related
    Other
    $0 + $40,227 related
    Deferred
    $0 + $23,031 related
    Nontaxable benefits
    $0 + $34,024 related
    Filer's total
    $0 + $886,468 related

  • MARGARET MINERICK

    BOARD MEMBER

    Total calculated
    $1,000
    From this org
    $0
    From related orgs
    $1,000
    Other
    $0
    Hours/week
    1 + 1 related

  • GORDON EDWARDS

    MCHS CFO/COO - PART YEAR

    Total calculated
    $861,397
    From this org
    $0
    From related orgs
    $829,645
    Other
    $31,752
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $560,115 related
    Bonus
    $0 + $166,037 related
    Other
    $0 + $103,493 related
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $22,602 related
    Filer's total
    $0 + $861,397 related

  • KATHY BRESSLER

    MCHS COO

    Total calculated
    $387,653
    From this org
    $0
    From related orgs
    $370,779
    Other
    $16,874
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $285,062 related
    Bonus
    $0 + $25,000 related
    Other
    $0 + $60,717 related
    Deferred
    $0 + $8,769 related
    Nontaxable benefits
    $0 + $8,105 related
    Filer's total
    $0 + $387,653 related

  • JERARD JENSEN

    MCHS GENERAL COUNSEL

    Total calculated
    $1,124,135
    From this org
    $0
    From related orgs
    $1,058,880
    Other
    $65,255
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $801,522 related
    Bonus
    $0 + $202,859 related
    Other
    $0 + $54,499 related
    Deferred
    $0 + $23,031 related
    Nontaxable benefits
    $0 + $42,224 related
    Filer's total
    $0 + $1,124,135 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

  • 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)

PART I, LINE 3
THE MARSHFIELD CLINIC HEALTH SYSTEM'S (MCHS) INDEPENDENT COMPENSATION COMMITTEE (THE COMMITTEE) HAS FINAL AUTHORITY FOR APPROVING COMPENSATION AND BENEFITS OF ALL DISQUALIFIED PERSONS EMPLOYED BY ANY OF THE ORGANIZATIONS IN THE SYSTEM. THE COMMITTEE USES COMBINATIONS OF THE FOLLOWING TO EVALUATE COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, AND WRITTEN EMPLOYMENT CONTRACTS.
PART I, LINE 4B
THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED A DISTRIBUTION FROM OR HAD AMOUNTS VEST IN THE PLAN: SUSAN TURNEY, MD - $219,744 THE FOLLOWING INDIVIDUALS PARTICATED IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN BUT DID NOT RECEIVE A DISTRIBUTION OR HAVE AN AMOUNT VEST IN THE PLAN. UNDER THE PLAN, AMOUNTS DO NOT VEST UNTIL TWO YEARS AFTER SEPARATION FROM THE ORGANIZATION: RUWAN DISSANAYAKE, MD JERARD JENSEN GORDON EDWARDS WILLIAM MELMS, MD

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
8 November 2023
IRS schema version
2022v5.0
Source object
202323179349303072

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