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Nonprofiteer
← ST FRANCIS REGIONAL MEDICAL CENTER

Form 990 for tax year 2022

Filed by ST FRANCIS REGIONAL MEDICAL CENTER.

Totals

Total revenue
$205,186,335
Total expenses
$190,136,343
Contributions and grants received
$1,487,023
Grants paid
$132,608
Program services expenses (Part IX)
$176,752,895
Management and general expenses
$13,040,936
Fundraising expenses
$342,512
Program service expenses (Part III)
$176,752,895

Program services were 93.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • AMY JERDEE

    DIRECTOR/PRESIDENT

    Total calculated
    $503,011
    From this org
    $414,000
    From related orgs
    $0
    Other
    $89,011
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $321,864
    Bonus
    $77,712
    Other
    $14,424
    Deferred
    $57,446
    Nontaxable benefits
    $31,565
    Filer's total
    $503,011

  • SETH VOGEL MD

    DIRECTOR

    Total calculated
    $392,853
    From this org
    $0
    From related orgs
    $342,988
    Other
    $49,865
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $331,966 related
    Bonus
    $0
    Other
    $0 + $11,022 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $31,565 related
    Filer's total
    $0 + $392,853 related

  • KEITH OLSON DO

    DIRECTOR

    Total calculated
    $379,752
    From this org
    $0
    From related orgs
    $340,743
    Other
    $39,009
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $264,052 related
    Bonus
    $0 + $50,201 related
    Other
    $0 + $26,490 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $22,234 related
    Filer's total
    $0 + $379,752 related

  • NANCY O'CONNOR

    DIRECTOR

    Total calculated
    $314,911
    From this org
    $0
    From related orgs
    $264,502
    Other
    $50,409
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $236,284 related
    Bonus
    $0
    Other
    $0 + $28,218 related
    Deferred
    $0 + $16,094 related
    Nontaxable benefits
    $0 + $34,315 related
    Filer's total
    $0 + $314,911 related

  • JOANNA BRYANT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • MARK DANAHY MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • SR KATHLEEN DEL MONTE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • JENNIFER DESCHAINE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • AMY DEWANE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • AYESHA DOWNS DDS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • SHARI DUGSTAD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • KIMBERLY EGAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • DANA HARDIE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • SR KATHLEEN HOFER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • YANNICK MIAFFO

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • DEBORAH PAULY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • REV DAN POFFENBERGER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • MARK SANNES MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • RYAN TRANBY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • CYNTHIA VINCENT

    VP FINANCE

    Total calculated
    $217,549
    From this org
    $197,731
    From related orgs
    $0
    Other
    $19,818
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $70,416
    Bonus
    $43,708
    Other
    $83,607
    Deferred
    $7,691
    Nontaxable benefits
    $12,127
    Filer's total
    $217,549

  • ANGELA GUTZMER

    FINANCE DIRECTOR

    Total calculated
    $215,883
    From this org
    $181,323
    From related orgs
    $0
    Other
    $34,560
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $161,444
    Bonus
    $18,221
    Other
    $1,658
    Deferred
    $12,187
    Nontaxable benefits
    $22,373
    Filer's total
    $215,883

  • SUE MILLER

    VP PATIENT CARE SVCS.

    Total calculated
    $269,523
    From this org
    $245,448
    From related orgs
    $0
    Other
    $24,075
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $89,499
    Bonus
    $51,685
    Other
    $104,264
    Deferred
    $9,236
    Nontaxable benefits
    $14,839
    Filer's total
    $269,523

  • LAURA RANDGAARD

    VP PATIENT CARE SVCS.

    Total calculated
    $239,963
    From this org
    $198,129
    From related orgs
    $0
    Other
    $41,834
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $176,272
    Bonus
    $20,546
    Other
    $1,311
    Deferred
    $10,269
    Nontaxable benefits
    $31,565
    Filer's total
    $239,963

  • KARYN BARRY

    CRNA

    Total calculated
    $271,497
    From this org
    $239,231
    From related orgs
    $0
    Other
    $32,266
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $232,285
    Bonus
    $0
    Other
    $6,946
    Deferred
    $0
    Nontaxable benefits
    $32,266
    Filer's total
    $271,497

  • DEAN TEBRAKE

    CRNA

    Total calculated
    $254,449
    From this org
    $233,987
    From related orgs
    $0
    Other
    $20,462
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $224,179
    Bonus
    $1,900
    Other
    $7,908
    Deferred
    $0
    Nontaxable benefits
    $20,462
    Filer's total
    $254,449

  • CHRISTY MCGUFFEE

    CRNA

    Total calculated
    $245,946
    From this org
    $222,396
    From related orgs
    $0
    Other
    $23,550
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $215,290
    Bonus
    $0
    Other
    $7,106
    Deferred
    $0
    Nontaxable benefits
    $23,550
    Filer's total
    $245,946

  • FARAH PIEPER

    CRNA

    Total calculated
    $243,157
    From this org
    $242,635
    From related orgs
    $0
    Other
    $522
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $237,960
    Bonus
    $500
    Other
    $4,175
    Deferred
    $0
    Nontaxable benefits
    $522
    Filer's total
    $243,157

  • COLEEN HELBERG

    CRNA

    Total calculated
    $240,906
    From this org
    $240,468
    From related orgs
    $0
    Other
    $438
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $236,091
    Bonus
    $100
    Other
    $4,277
    Deferred
    $0
    Nontaxable benefits
    $438
    Filer's total
    $240,906

  • MONTE JOHNSON MD

    FORMER DIRECTOR/VP MEDICAL

    Total calculated
    $574,339
    From this org
    $283,707
    From related orgs
    $189,139
    Other
    $101,493
    Hours/week
    24 + 16 related

    Schedule J breakdown matched by us

    Base
    $211,731 + $141,154 related
    Bonus
    $52,036 + $34,691 related
    Other
    $19,940 + $13,294 related
    Deferred
    $39,931 + $26,621 related
    Nontaxable benefits
    $20,965 + $13,976 related
    Filer's total
    $344,603 + $229,736 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

  • 2 · Substantiation required before reimbursing expenses
  • 4b · Supplemental nonqualified retirement plan
  • 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
  • 9 · Followed the rebuttable-presumption procedure

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
  • 7 · Other non-fixed payments

The filer's explanations (Part III)

PART I, LINE 4B
4(B): AMY JERDEE - $12,274; NANCY O'CONNOR - $7,384; CYNTHIA VINCENT - $69,765; SUE MILLER - $82,365; SETH VOGEL, MD - $9,576; MONTE JOHNSON, MD - $30,781.
PART I, LINE 6
DEFERRED COMPENSATION PLANS TERMS AND CONDITIONS: SEE SCHEDULE O RELATED TO FORM 990, PART VI, SECTION B, LINE 15 FOR A STATEMENT ON ALLINA HEALTH SYSTEM (ALLINA) PROVIDING ST. FRANCIS REGIONAL MEDICAL CENTER (ST. FRANCIS) STAFFING. ALLINA INCENTIVE PLAN ALLINA PROVIDES AN ANNUAL INCENTIVE COMPENSATION OPPORTUNITY FOR EXECUTIVES, MANAGEMENT AND KEY INDIVIDUAL CONTRIBUTOR STAFF. UNDER THIS PLAN, THE TARGET AWARD IS EXPRESSED AS A FUNCTION OF THE PARTICIPANT'S SALARY PAID DURING THE CALENDAR YEAR AND REQUIRES AT LEAST FOUR MONTHS OF SERVICE IN AN ELIGIBLE POSITION DURING THE YEAR. ACTUAL AWARDS CAN RANGE FROM 0% TO 150% OF THE TARGET AWARD, BASED ON ALLINA'S FINANCIAL AND NON-FINANCIAL PERFORMANCE OVER THE CALENDAR YEAR. NON-FINANCIAL PERFORMANCE MEASURES INCLUDE PATIENT & EMPLOYEE SAFETY, QUALITY, PATIENT EXPERIENCE AND FINANCIAL HEALTH. NO AWARDS ARE PROVIDED UNLESS THRESHOLD FINANCIAL PERFORMANCE IS ACHIEVED. PARTICIPANTS WHO HAVE LEFT EMPLOYMENT PRIOR TO THE END OF THE YEAR AS THE RESULT OF VOLUNTARY TERMINATION OR TERMINATION FOR POOR PERFORMANCE ARE NOT ELIGIBLE FOR AN AWARD.
PART I, LINE 8
CERTAIN AMOUNTS REPORTED ON FORM 990, PART VII WERE PAID OR ACCRUED PURSUANT TO A CONTRACT THAT WAS SUBJECT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGULATION SECTION 53.4958-4(A)(3). FROM TIME TO TIME, ST. FRANCIS REGIONAL MEDICAL CENTER ENTERS INTO CONTRACTUAL ARRANGEMENTS THAT MAY QUALIFY FOR THE INITIAL CONTRACT EXCEPTION BASED ON THE TERMS AND UNDERSTANDINGS OF THE CONTRACTUAL AGREEMENTS.
SCHEDULE J, LINE 4(A) & (B)
ADDITIONAL COMPENSATION DISCLOSURE: DEFERRED COMPENSATION PLANS TERMS AND CONDITIONS: ALLINA DEFINED CONTRIBUTION SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THIS PLAN WAS AMENDED AND FROZEN EFFECTIVE DECEMBER 31, 2008, SUCH THAT NO FUTURE BENEFITS ACCRUE FOR SERVICE AFTER THAT DATE. THIS PLAN WAS REPLACED WITH THE EXECUTIVE RETIREMENT BENEFIT RESTORATION PLAN (ERBRP) EFFECTIVE JANUARY 1, 2009, AND IS NOW FROZEN AS OF DECEMBER 31, 2018. ELIGIBLE ALLINA EXECUTIVES PARTICIPATED IN A DEFINED CONTRIBUTION SERP. EMPLOYER CREDITS WERE MADE EACH YEAR TO THEIR DC SERP BALANCE ACCORDING TO THE FOLLOWING SCHEDULE: EXEC YRS OF SERVICE CONTRIBUTION % OF PENSIONABLE EARNINGS 0-5 2.75% 6-10 3.50% 11+ 4.75% EXECUTIVES WERE ALSO CREDITED AN AMOUNT EQUAL TO THE EXCESS AMOUNT THAT WOULD HAVE BEEN CREDITED TO THE PENSION ACCOUNT PLAN WERE IT NOT FOR THE QUALIFIED PLAN COMPENSATION LIMITS. DEPOSITS EARN THE INVESTMENT RATE OF RETURN EQUAL TO THE PENSION ACCOUNT PLAN CREDITING RATE AS DECLARED BY ALLINA. THE CURRENT RATE IS 4%. THE PARTICIPANT VESTS AFTER THREE YEARS OF EXECUTIVE SERVICE PROVIDED THAT IF THE PARTICIPANT TERMINATES EMPLOYMENT WITH ALLINA PRIOR TO AGE 65 FOR ANY REASON OTHER THAN ELIMINATION OF POSITION, THE PARTICIPANT MUST FULFILL THE TERMS OF A COVENANT NOT TO COMPETE, BENEFITS ARE PAID AS A SINGLE LUMP-SUM AMOUNT UPON AGE 65, RETIREMENT OR JOB POSITION ELIMINATION. IN THE CASE OF OTHER VOLUNTARY TERMINATIONS, PAYMENT IS DELAYED UNTIL COMPLETION OF THE TWO-YEAR NON-COMPETE PERIOD. THE DC SERP IS PAYABLE FROM ALLINA'S GENERAL ASSETS. IF ALLINA BECOMES INSOLVENT, THE PARTICIPANT WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO PRIORITY CLAIM TO ANY ASSETS. ALLINA EXECUTIVE RETIREMENT BENEFIT RESTORATION PLAN (ERBRP) ELIGIBLE ALLINA EXECUTIVES PARTICIPATE IN A DEFERRED COMPENSATION RETIREMENT PLAN. EXECUTIVES ARE CREDITED AN AMOUNT EQUAL TO THE EXCESS AMOUNT THAT WOULD HAVE BEEN CREDITED TO THE ALLINA RETIREMENT SAVINGS PLAN WERE IT NOT FOR THE QUALIFIED PLAN COMPENSATION LIMITS. EMPLOYER CREDITS ARE MADE EACH YEAR TO THEIR ACCOUNT BALANCE ACCORDING TO THE FOLLOWING SCHEDULE AS OF THE END OF THE PLAN YEAR: PARTICIPANT'S YEARS OF VESTING SERVICE APPLICABLE PERCENTAGE LESS THAN 1 0% 1-5 5.0% 6-10 5.5% 11-15 6.0% 16 OR MORE 6.5% DEPOSITS EARN THE INVESTMENT RATE OF RETURN EQUAL TO THE INVESTMENT OPTIONS SELECTED BY THE PARTICIPANT WHICH ARE THE SAME OPTIONS AVAILABLE UNDER THE QUALIFIED PLAN. A PARTICIPANT WHO HAS COMPLETED AT LEAST TWO YEARS OF SERVICE BECOMES VESTED IN THE PORTION OF HIS OR HER ACCOUNT ATTRIBUTABLE TO THE ANNUAL CREDIT FOR A PARTICULAR YEAR AS OF JANUARY 15 OF THE YEAR FOLLOWING THE CALENDAR YEAR IN WHICH THE ANNUAL CREDIT IS EARNED. IN THE EVENT OF TERMINATION (OTHER THAN BECAUSE OF DEATH) PRIOR TO AGE 67, THE DISTRIBUTION DATE SHALL BE AS SOON AS ADMINISTRATIVELY POSSIBLE AFTER TERMINATION IN THE FORM OF A LUMP SUM PAYMENT. THE PLAN IS PAYABLE FROM ALLINA'S GENERAL ASSETS. IF ALLINA BECOMES INSOLVENT, THE PARTICIPANT WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO PRIORITY CLAIM TO ANY ASSETS. THIS PLAN WAS EFFECTIVE JANUARY 1, 2009 AND IS NOW FROZEN AS OF DECEMBER 31, 2018. EXECUTIVE SEVERANCE PLAN ALLINA PROVIDES SALARY CONTINUATION FOR EXECUTIVES WHOSE EMPLOYMENT HAS BEEN INVOLUNTARILY TERMINATED FOR REASONS OTHER THAN CAUSE OR POOR PERFORMANCE. THE LENGTH OF THE SEVERANCE PAY PERIOD IS DEFINED BY THE PLAN AND DEPENDS ON THE LEVEL OF THE EXECUTIVE POSITION. UNDER THE PLAN THE SEVERED EXECUTIVE ALSO COULD CONTINUE CERTAIN BENEFITS FOR A LIMITED PERIOD OF TIME. IN 2009 THE PLAN WAS AMENDED TO FURTHER RESTRICT SEVERANCE BENEFITS IN THE CASE THAT THE EXECUTIVE OBTAINS OTHER EMPLOYMENT DURING THE SEVERANCE PERIOD. SUPPLEMENTAL PHYSICIAN AND EXECUTIVE SAVINGS PLAN THIS PLAN'S PURPOSE IS TO PROVIDE A SELECT GROUP OF PHYSICIANS AND EXECUTIVES WITH ADDITIONAL DEFERRED COMPENSATION. AMOUNTS DEFERRED UNDER THE PLAN ARE INTENDED TO BE EXEMPT FROM CODE SECTION 409A AND 457(F). ANNUAL CONTRIBUTIONS ARE MADE EACH FEBRUARY AND ARE BASED ON PREVIOUS YEAR'S ELIGIBLE COMPENSATION. PARTICIPANT'S APPLICABLE CONTRIBUTION PERCENTAGE FOLLOWS: PARTICIPANT APPLICABLE PERCENTAGE PHYSICIANS 5% VP'S 12% SVP | EVP 15% CEO 20% OF BASE SALARY + 10% OF BASE SALARY OVER IRS PAY LIMIT IF PARTICIPANT IS FULLY VESTED, THE CONTRIBUTION IS PAID DIRECTLY TO PARTICIPANT, LESS TAXES IN LATE JANUARY. IF PARTICIPANT IS UNVESTED, THE CONTRIBUTION IS DEPOSITED WITH FIDELITY. THE VESTING SCHEDULE FOR THIS PLAN FOLLOWS: FOR 2019 CONTRIBUTION, ONLY - IT WAS DEPOSITED IN FEBRUARY 2020, 50% VESTING AFTER 2 YEARS - I.E. 2021, PAID OUT 01/2021; AND, 50% VESTING IN 2022, PAID OUT 01/2022. FOR 2020 CONTRIBUTIONS AND AFTER - VESTING OCCURS AFTER 3 YEARS - I.E. 2020 CONTRIBUTION VESTS IN 2023, THE 2021 CONTRIBUTION VESTS IN 2024, ETC. PARTICIPANTS ARE 100% VESTED AT THE EARLIER OF AT LEAST AGE 60 WITH 7 YEARS OF SERVICE OR AGE 65. GRANDFATHERED PROVISION - FOR THOSE AGE 54 OR OLDER AND EMPLOYED AS OF 12/31/2018: EARLIER OF AT LEAST AGE 60 WITH 3 YEARS OF SERVICE OR AGE 65. THIS PLAN WAS EFFECTIVE JANUARY 1, 2019. A NON-COMPETE CLAUSE DOES NOT APPLY TO THIS PLAN. ALLINA HEALTH PHYSICIAN DEFERRED AWARD PLAN ALLINA HEALTH ESTABLISHED THIS EMPLOYEE BENEFIT PLAN TO PROVIDE DESIGNATED PHYSICIANS WITH ADDITIONAL DEFERRED COMPENSATION TO PROVIDE LONG TERM INCENTIVES TO REMAIN WITH THE COMPANY AND CONTRIBUTE TO ITS' SUCCESSFUL PERFORMANCE. SELECT PHYSICIANS ARE ELIGIBLE TO PARTICIPATE AFTER ONE FULL CALENDAR YEAR OF EMPLOYMENT AND BE WORKING A .5 FTE OR GREATER AS OF THE DECEMBER 31ST OF THE PLAN YEAR FOR WHICH THE CONTRIBUTION IS PROVIDED. THE PLAN ANNUAL FUNDING AWARD POOL IS DISCRETIONARY AND WILL BE DETERMINED AT THE END OF THE PLAN YEAR AND MUST BE APPROVED BY THE ALLINA HEALTH BOARD COMPENSATION COMMITTEE. ONCE THE AWARD POOL IS DETERMINED, THE AMOUNTS WILL BE ALLOCATED EQUALLY WITH ADJUSTMENTS MADE BASED ON THE PARTICIPANT'S FTE STATUS. A PARTICIPANT'S ACCOUNT SHALL BECOME VESTED AND NON-FORFEITABLE UPON THE EARLIEST OF THE FOLLOWING: THE DATE THE PARTICIPANT HAS ATTAINED AGE 65 THE DATE A TERMINATED PARTICIPANT HAS REACHED AGE 55, COMPLETED TEN YEARS OF VESTING SERVICE AND SATISFIED A TWO-YEAR NON-COMPETE RESTRICTION THE DATE OF THE PARTICIPANT'S DEATH.

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

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
10 November 2023
IRS schema version
2022v5.0
Source object
202343149349302734

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