Skip to content
Nonprofiteer
← SAINT ELIZABETHS HOSPITAL OF WABASHA INC

Form 990 for tax year 2022

Filed by SAINT ELIZABETHS HOSPITAL OF WABASHA INC.

Totals

Total revenue
$43,697,880
Total expenses
$43,731,144
Contributions and grants received
$846,731
Grants paid
$0
Program service revenue
$42,712,482
Investment income
$16,345
Other revenue
$122,322
Total assets, end of year
$24,045,078
Total liabilities, end of year
$6,148,367
Net assets or fund balances, end of year
$17,896,711
Program services expenses (Part IX)
$37,463,607
Management and general expenses
$6,267,537
Fundraising expenses
$0
Program service expenses (Part III)
$37,463,607

Program services were 85.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ANDREA L HAUSER

    ADMINISTRATOR DIRECTOR

    Total calculated
    $295,145
    From this org
    $0
    From related orgs
    $244,113
    Other
    $51,032
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $240,231 related
    Bonus
    $0
    Other
    $0 + $3,882 related
    Deferred
    $0 + $33,786 related
    Nontaxable benefits
    $0 + $17,246 related
    Filer's total
    $0 + $295,145 related

  • KIMBERLY A BESELER

    DIRECTOR

    Total calculated
    $141,955
    From this org
    $0
    From related orgs
    $108,881
    Other
    $33,074
    Hours/week
    1 + 40 related

  • LLOYD HAAS

    DIRECTOR

    Total calculated
    $131,214
    From this org
    $0
    From related orgs
    $112,579
    Other
    $18,635
    Hours/week
    1 + 40 related

  • DR MICHAEL EBERSOLD

    DIRECTOR

    Total calculated
    $112,200
    From this org
    $0
    From related orgs
    $112,200
    Other
    $0
    Hours/week
    1 + 40 related

  • PAUL FISCH

    DIRECTOR

    Total calculated
    $56,773
    From this org
    $0
    From related orgs
    $46,800
    Other
    $9,973
    Hours/week
    1 + 40 related

  • RICHARD ZABEL

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • DARLENE THEISMANN

    VICE-CHAIR

    Total calculated
    $0
    Hours/week
    1

  • CINDY DENK

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • LEIGHTON J WILKIE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • JOHN WOLFE

    FINANCE ADMINISTRATOR

    Total calculated
    $220,285
    From this org
    $0
    From related orgs
    $180,215
    Other
    $40,070
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $169,012 related
    Bonus
    $0 + $5,200 related
    Other
    $0 + $6,003 related
    Deferred
    $0 + $25,109 related
    Nontaxable benefits
    $0 + $14,961 related
    Filer's total
    $0 + $220,285 related

  • JIM ROOT

    ADMINISTRATOR

    Total calculated
    $218,280
    From this org
    $0
    From related orgs
    $187,085
    Other
    $31,195
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $184,729 related
    Bonus
    $0 + $100 related
    Other
    $0 + $2,256 related
    Deferred
    $0 + $27,167 related
    Nontaxable benefits
    $0 + $4,028 related
    Filer's total
    $0 + $218,280 related

  • KURT L HENN

    MANAGER, PHARM, & PROV LIASION

    Total calculated
    $178,255
    From this org
    $168,936
    From related orgs
    $0
    Other
    $9,319
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $168,903
    Bonus
    $0
    Other
    $33
    Deferred
    $6,855
    Nontaxable benefits
    $2,464
    Filer's total
    $178,255

  • KIMBERLY D WOLTER

    DIRECTOR, NURSING

    Total calculated
    $161,293
    From this org
    $151,434
    From related orgs
    $0
    Other
    $9,859
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $151,320
    Bonus
    $0
    Other
    $114
    Deferred
    $6,199
    Nontaxable benefits
    $3,660
    Filer's total
    $161,293

  • DENNIS SPANO

    PHYSICIAN

    Total calculated
    $598,468
    From this org
    $0
    From related orgs
    $540,333
    Other
    $58,135
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $535,199 related
    Bonus
    $0
    Other
    $0 + $5,134 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $13,910 related
    Filer's total
    $0 + $598,468 related

  • RUTH TIFFAULT

    PHYSICIAN

    Total calculated
    $485,546
    From this org
    $0
    From related orgs
    $421,280
    Other
    $64,266
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $417,633 related
    Bonus
    $0
    Other
    $0 + $3,647 related
    Deferred
    $0 + $42,772 related
    Nontaxable benefits
    $0 + $21,494 related
    Filer's total
    $0 + $485,546 related

  • PHILLIP SCHWEND

    SURGEON

    Total calculated
    $435,070
    From this org
    $0
    From related orgs
    $375,886
    Other
    $59,184
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $375,801 related
    Bonus
    $0
    Other
    $0 + $85 related
    Deferred
    $0 + $43,237 related
    Nontaxable benefits
    $0 + $15,947 related
    Filer's total
    $0 + $435,070 related

  • AMANDA J STERRY

    APRN

    Total calculated
    $278,802
    From this org
    $268,082
    From related orgs
    $0
    Other
    $10,720
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $267,991
    Bonus
    $0
    Other
    $91
    Deferred
    $10,720
    Nontaxable benefits
    $0
    Filer's total
    $278,802

  • MARK SWENSON

    CRNA

    Total calculated
    $234,395
    From this org
    $219,843
    From related orgs
    $0
    Other
    $14,552
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $219,649
    Bonus
    $0
    Other
    $194
    Deferred
    $9,008
    Nontaxable benefits
    $5,544
    Filer's total
    $234,395

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 · Tax indemnification and gross-up payments
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 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)

PART I, LINE 1A
GROSS-UP PAYMENTS RELATED TO EMPLOYEE RECOGNITION, FOR JIM ROOT, JOHN WOLFE, PHILLIP SCHWEND, RUTH TIFFAULT, DENNIS SPANO, AMANDA STERRY, MARK SWENSON, KURT HENN, KIMBERLY WOLTER, KRISTI PETERSON, ANDREA HAUSER, PAUL FISCH, KIMBERLY BESELER, LLOYD HAAS, INCLUDED IN TAXABLE COMPENSATION
PART I, LINE 3
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.
PART I, LINE 4B
ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990. SCHEDULE J, PART II, COLUMN B. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS.

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.

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.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
19 October 2023
IRS schema version
2022v5.0
Source object
202343039349301274

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.