Form 990 for tax year 2024
Filed by CENTRAL MINNESOTA DIAGNOSTIC INC.
Totals
- Total revenue
- $53,328,827
- Total expenses
- $35,265,220
- Contributions and grants received
- $0
- Grants paid
- $0
- Program services expenses (Part IX)
- $33,873,508
- Management and general expenses
- $1,391,712
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $33,873,508
Program services were 96.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
Randy Ulseth
Chair
- Total calculated
- $0
- Hours/week
- 0.5
-
Rick Breuer
Vice Chair
- Total calculated
- $0
- Hours/week
- 0.5
-
Adam Paulson
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
Amanda Reed
Director, New Jan 2023
- Total calculated
- $0
- Hours/week
- 0.5
-
Amy Hart
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Ben Davis
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
Ben Koppelman
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Brad Burris
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Carrie Allex
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Chelsie Falk
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Chuck Hofius
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Craig Henneman
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Dara Bartels
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
Dave Nelson
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Dr Allan Ross
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
Eilidh Pederson
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
Gordy Lewis
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Jason Petik
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
Jean MacDonell
Director
- Total calculated
- $658,456
- From this org
- $0
- From related orgs
- $568,690
- Other
- $89,766
- Hours/week
- 0.5 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $411,164 related
- Bonus
- $0 + $126,585 related
- Other
- $0 + $30,941 related
- Deferred
- $0 + $88,249 related
- Nontaxable benefits
- $0 + $1,517 related
- Filer's total
- $0 + $658,456 related
-
Jenn Tschida
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
Jim Lyons
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Joel Beiswenger
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Jose Alba
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Ken Westman
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Kirk Stensrud
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Lisa Bjerga
Director, new May 2023
- Total calculated
- $0
- Hours/week
- 0.5
-
Mary Ellen Wells
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
Melisa McGinity-Thompson
Director, New Jan 2023
- Total calculated
- $0
- Hours/week
- 0.5
-
Michael Coyle
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Nathan Hough
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
Nathan Pulscher
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
Rick Ash
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Rob Cunningham
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Robb Pastor
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Sam Barney
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
Shelby Medina
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Steve Smith
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Teresa Debevec
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Terry Anderson
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
Treg Vyzourek
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
Trina Lower
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Chad Cooper
President
- Total calculated
- $628,128
- From this org
- $0
- From related orgs
- $519,844
- Other
- $108,284
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $393,603 related
- Bonus
- $0 + $79,518 related
- Other
- $0 + $46,723 related
- Deferred
- $0 + $84,314 related
- Nontaxable benefits
- $0 + $23,970 related
- Filer's total
- $0 + $628,128 related
-
Caity Eggen
VP
- Total calculated
- $232,693
- From this org
- $0
- From related orgs
- $200,984
- Other
- $31,709
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $172,727 related
- Bonus
- $0 + $28,011 related
- Other
- $0 + $246 related
- Deferred
- $0 + $7,319 related
- Nontaxable benefits
- $0 + $24,390 related
- Filer's total
- $0 + $232,693 related
-
Brent Heemstra
MRI Tech
- Total calculated
- $168,324
- From this org
- $0
- From related orgs
- $138,854
- Other
- $29,470
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $138,036 related
- Bonus
- $0 + $750 related
- Other
- $0 + $68 related
- Deferred
- $0 + $6,114 related
- Nontaxable benefits
- $0 + $23,356 related
- Filer's total
- $0 + $168,324 related
-
Holly Carter
Business Development Managet
- Total calculated
- $160,634
- From this org
- $0
- From related orgs
- $153,226
- Other
- $7,408
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $120,203 related
- Bonus
- $0 + $28,250 related
- Other
- $0 + $4,773 related
- Deferred
- $0 + $6,123 related
- Nontaxable benefits
- $0 + $1,285 related
- Filer's total
- $0 + $160,634 related
-
Jered Nyquist
MRI Tech
- Total calculated
- $184,055
- From this org
- $0
- From related orgs
- $167,634
- Other
- $16,421
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $166,440 related
- Bonus
- $0 + $750 related
- Other
- $0 + $444 related
- Deferred
- $0 + $6,845 related
- Nontaxable benefits
- $0 + $9,576 related
- Filer's total
- $0 + $184,055 related
-
Shana Benson
Ultrasound Supervisor
- Total calculated
- $206,582
- From this org
- $0
- From related orgs
- $188,127
- Other
- $18,455
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $186,901 related
- Bonus
- $0 + $750 related
- Other
- $0 + $476 related
- Deferred
- $0 + $7,654 related
- Nontaxable benefits
- $0 + $10,801 related
- Filer's total
- $0 + $206,582 related
-
Spencer Feldt
Nuc Medicine Supervisor
- Total calculated
- $172,008
- From this org
- $0
- From related orgs
- $164,073
- Other
- $7,935
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $143,407 related
- Bonus
- $0 + $15,750 related
- Other
- $0 + $4,916 related
- Deferred
- $0 + $6,528 related
- Nontaxable benefits
- $0 + $1,407 related
- Filer's total
- $0 + $172,008 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
- 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 4b Supplemental nonqualified retirement plan
- THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN: CHAD COOPER, JEAN MACDONELL DUE TO A VESTING EVENT, THE FOLLOWING INDIVIDUALS HAD INCOME IN PART VII AND SCHEDULE J RELATED TO A NONQUALIFIED RETIREMENT PLAN: CHAD COOPER $45,712 JEAN MACDONELL $29,940
- Schedule J, Part I, Line 7 Non-fixed payments
- Fairview Health Services provides lump sum financial awards based on system-wide, business unit and/or departments financial and quality measures. Annual goals, specifically tied to productivity and quality indicators, are set for the year and an incentive paid out annually if key goals and measures are achieved.
- Schedule J, Part I, Line 3 Related Org to establish compensation
- THE ORGANIZATION IS PART OF THE FAIRVIEW HEALTH SERVICES SYSTEM AND FAIRVIEW HEALTH SERVICES HUMAN RESOURCES USES COMPARABLES TO ESTABLISH COMPENSATION FOR THE CEO/EXECUTIVE DIRECTOR ACCORDING TO MARKET STANDARDS.
- Schedule J, Part I, Line 4b OTHER ADDITIONAL INFORMATION
- The non-qualified plan (the plan) is only open to a select group of highly compensated employees. The plan contributes the difference of what 403(b) employer contributions were missed for participants who earn more than the IRS limit on eligible compensation for qualitied retirement plans. Participants may not elect to defer compensation. Contributions will be made in the form of a credit to the participant's account, within 60 days after a participant becomes vested in a contribution. The plan shall pay to the participant an amount equal to the amount the participant is required to pay federal, state, local and foreign income taxes and employment taxes due to the vesting. The remaining amount in the participant's account shall not be paid until the separation from services payment date. A participant's account shall be distributed in cash. The plan complies with Section 457(f) of the IRS code.
- Schedule J, Part III Other Additional Information
- The Plan is only open to a select group of highly compensated employees. The Plan contributes the difference of what 403(b) employer contributions were missed for participants who earn more than the IRS limit on eligible compensation for qualified retirement plans. The contribution is unfunded. The Plan complies with section 457(f) of the Code.
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.
-
501(c)(3) · Health Care · MN
Directly controlled by NA
Provenance
- Return type
- form_990
- Tax year
- 2024
- Filed
- 10 November 2025
- IRS schema version
- 2024v5.1
- Source object
- 202503149349302735
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