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Nonprofiteer
← PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL INC

Form 990 for tax year 2022

Filed by PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL INC.

Totals

Total revenue
$131,571,009
Total expenses
$128,919,712
Contributions and grants received
$207,800
Grants paid
$0
Program service revenue
$130,984,914
Investment income
-$7,552
Other revenue
$385,847
Total assets, end of year
$114,962,435
Total liabilities, end of year
$110,805,309
Net assets or fund balances, end of year
$4,157,126
Program services expenses (Part IX)
$111,050,373
Management and general expenses
$17,869,339
Fundraising expenses
$0
Program service expenses (Part III)
$111,050,373

Program services were 86.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • SUSAN EDWARDS

    PRESIDENT AND CEO - PHC

    Total calculated
    $2,875,461
    From this org
    $0
    From related orgs
    $2,193,635
    Other
    $681,826
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,184,879 related
    Bonus
    $0 + $731,247 related
    Other
    $0 + $277,509 related
    Deferred
    $0 + $644,097 related
    Nontaxable benefits
    $0 + $37,729 related
    Filer's total
    $0 + $2,875,461 related

  • GARY BEYER

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    2 + 8 related

  • JOHN HALLETT

    VICE CHAIRPERSON

    Total calculated
    $0
    Hours/week
    2 + 8 related

  • ANDREW GUTIERREZ

    CHIEF FINANCIAL OFFICER

    Total calculated
    $657,600
    From this org
    $0
    From related orgs
    $515,387
    Other
    $142,213
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $342,349 related
    Bonus
    $0 + $173,038 related
    Other
    $0
    Deferred
    $0 + $96,614 related
    Nontaxable benefits
    $0 + $45,599 related
    Filer's total
    $0 + $657,600 related

  • KENNETH PRICE

    CHIEF OPERATING OFFICER

    Total calculated
    $1,198,176
    From this org
    $0
    From related orgs
    $886,988
    Other
    $311,188
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $498,039 related
    Bonus
    $0 + $280,082 related
    Other
    $0 + $108,867 related
    Deferred
    $0 + $257,829 related
    Nontaxable benefits
    $0 + $53,359 related
    Filer's total
    $0 + $1,198,176 related

  • SHARON REHNBERG

    MGR PATIENT CARE

    Total calculated
    $162,266
    From this org
    $137,402
    From related orgs
    $0
    Other
    $24,864
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $127,093
    Bonus
    $10,309
    Other
    $0
    Deferred
    $6,600
    Nontaxable benefits
    $18,264
    Filer's total
    $162,266

  • BENJAMIN DIAMADUROS

    PHARMACIST - INPATIENT

    Total calculated
    $170,852
    From this org
    $150,056
    From related orgs
    $0
    Other
    $20,796
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $130,304
    Bonus
    $19,752
    Other
    $0
    Deferred
    $7,564
    Nontaxable benefits
    $13,232
    Filer's total
    $170,852

  • TARA SCHWEFEL

    PHARMACIST - INPATIENT

    Total calculated
    $180,967
    From this org
    $174,538
    From related orgs
    $0
    Other
    $6,429
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $140,257
    Bonus
    $34,281
    Other
    $0
    Deferred
    $5,213
    Nontaxable benefits
    $1,216
    Filer's total
    $180,967

  • SHAWN RUTKA

    PHARMACIST - INPATIENT

    Total calculated
    $203,122
    From this org
    $152,152
    From related orgs
    $0
    Other
    $50,970
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $148,779
    Bonus
    $3,373
    Other
    $0
    Deferred
    $7,996
    Nontaxable benefits
    $42,974
    Filer's total
    $203,122

  • AARON RAABE

    PHARMACIST - INPATIENT

    Total calculated
    $254,878
    From this org
    $205,307
    From related orgs
    $0
    Other
    $49,571
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $157,871
    Bonus
    $47,436
    Other
    $0
    Deferred
    $7,575
    Nontaxable benefits
    $41,996
    Filer's total
    $254,878

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

  • 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)

PART I, LINE 3
THIS ENTITY RELIED ON A RELATED ORGANIZATION THAT USED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR OFFICERS AND DIRECTORS: 1. COMPENSATION COMMITTEE 2. COMPENSATION STUDY 3. APPROVAL OF THE BOARD ANNUALLY APPROVING COMPENSATION AMOUNTS 4. INDEPENDENT COMPENSATION CONSULTANT
PART I, LINE 4B
PROHEALTH CARE INC. (PHC) MAINTAINS A SUPPLEMENTAL RETIREMENT PLAN (SERP) FOR A SELECT GROUP OF EXECUTIVES OF PHC AND ITS AFFILIATED ENTITIES. THIS SERP IS AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION PLAN THAT IS INTENDED TO COMPLY WITH SECTION 457(F) OF THE INTERNAL REVENUE CODE. BENEFITS UNDER THIS SERP ARE TAXABLE TO THE PARTICIPATING EXECUTIVES WHEN SUCH AMOUNTS ARE VESTED. SERP PAYMENTS DURING THE YEAR ARE AS FOLLOWS: SUSAN EDWARDS: $277,509 KENNETH PRICE: $108,867
PART I, LINE 7
PROHEALTH CARE HAS A LEADERSHIP INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION AND RELATED ORGANIZATIONS (COLLECTIVELY THE "SYSTEM"). THE PLAN RELATES FINANCIAL REWARD TO THE SYSTEM'S ACHIEVEMENT OF CERTAIN FINANCIAL AND NON-FINANCIAL OBJECTIVES. THE PRIMARY PURPOSE OF THE PLAN IS TO SUPPORT THE SYSTEM'S MISSION TO ACHIEVE CONTINUED GROWTH AND DEMONSTRATE VALUE THROUGH: (1) A SEAMLESS CONTINUUM OF PATIENT CENTERED CARE; (2) NATIONALLY RECOGNIZED OUTCOMES; (3) RESPONSIBLE AND EFFICIENT USE OF HEALTH CARE RESOURCES; AND (4) A FOCUS ON THE HEALTH OF OUR COMMUNITY.

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 partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
26 July 2024
IRS schema version
2022v5.0
Source object
202422129349301212

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