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Nonprofiteer
← BRAINERD LAKES INTEGRATED HEALTH SYSTEM

Form 990 for tax year 2022

Filed by BRAINERD LAKES INTEGRATED HEALTH SYSTEM.

Totals

Total revenue
$0
Total expenses
$0
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$0
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Listed in Part VII

  • JON PRYOR MD

    PRESIDENT THRU 1/23

    Total calculated
    $1,169,165
    From this org
    $0
    From related orgs
    $1,131,335
    Other
    $37,830
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $785,922 related
    Bonus
    $0 + $331,316 related
    Other
    $0 + $14,097 related
    Deferred
    $0 + $24,400 related
    Nontaxable benefits
    $0 + $13,430 related
    Filer's total
    $0 + $1,169,165 related

  • WILLIAM HEEGAARD MD

    PRESIDENT

    Total calculated
    $1,040,506
    From this org
    $0
    From related orgs
    $902,097
    Other
    $138,409
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $623,417 related
    Bonus
    $0 + $267,196 related
    Other
    $0 + $11,484 related
    Deferred
    $0 + $101,311 related
    Nontaxable benefits
    $0 + $37,098 related
    Filer's total
    $0 + $1,040,506 related

  • KEVIN CASEY MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $947,309
    From this org
    $0
    From related orgs
    $816,807
    Other
    $130,502
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $633,232 related
    Bonus
    $0 + $168,938 related
    Other
    $0 + $14,637 related
    Deferred
    $0 + $107,120 related
    Nontaxable benefits
    $0 + $23,382 related
    Filer's total
    $0 + $947,309 related

  • PETER HENRY MD

    CHIEF MEDICAL OFFICER THRU 6/22

    Total calculated
    $671,881
    From this org
    $0
    From related orgs
    $611,303
    Other
    $60,578
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $297,901 related
    Bonus
    $0 + $239,408 related
    Other
    $0 + $73,994 related
    Deferred
    $0 + $46,852 related
    Nontaxable benefits
    $0 + $13,726 related
    Filer's total
    $0 + $671,881 related

  • KEVIN BOREN

    VICE PRESIDENT, FINANCE

    Total calculated
    $617,463
    From this org
    $0
    From related orgs
    $528,452
    Other
    $89,011
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $394,711 related
    Bonus
    $0 + $85,550 related
    Other
    $0 + $48,191 related
    Deferred
    $0 + $49,069 related
    Nontaxable benefits
    $0 + $39,942 related
    Filer's total
    $0 + $617,463 related

  • KRISTA SKORUPA MD

    INTERIM PRESIDENT

    Total calculated
    $603,239
    From this org
    $0
    From related orgs
    $533,408
    Other
    $69,831
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $336,583 related
    Bonus
    $0 + $143,215 related
    Other
    $0 + $53,610 related
    Deferred
    $0 + $54,798 related
    Nontaxable benefits
    $0 + $15,033 related
    Filer's total
    $0 + $603,239 related

  • MICHAEL LARSON

    SENIOR VP, OPERATIONS THRU 6/23

    Total calculated
    $547,493
    From this org
    $0
    From related orgs
    $471,133
    Other
    $76,360
    Hours/week
    55 + 5 related

    Schedule J breakdown matched by us

    Base
    $0 + $311,357 related
    Bonus
    $0 + $132,526 related
    Other
    $0 + $27,250 related
    Deferred
    $0 + $50,689 related
    Nontaxable benefits
    $0 + $25,671 related
    Filer's total
    $0 + $547,493 related

  • NATHAN LAPOSKY MD

    BOARD DIRECTOR

    Total calculated
    $533,537
    From this org
    $0
    From related orgs
    $472,744
    Other
    $60,793
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $472,180 related
    Bonus
    $0
    Other
    $0 + $564 related
    Deferred
    $0 + $24,400 related
    Nontaxable benefits
    $0 + $36,393 related
    Filer's total
    $0 + $533,537 related

  • JARED REESE MD

    BOARD DIRECTOR

    Total calculated
    $378,881
    From this org
    $0
    From related orgs
    $319,049
    Other
    $59,832
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $318,749 related
    Bonus
    $0
    Other
    $0 + $300 related
    Deferred
    $0 + $24,210 related
    Nontaxable benefits
    $0 + $35,622 related
    Filer's total
    $0 + $378,881 related

  • SANDY ZUTZ-WICZEK

    VICE PRESIDENT, CLINIC OPERATIONS

    Total calculated
    $285,447
    From this org
    $0
    From related orgs
    $252,295
    Other
    $33,152
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $219,816 related
    Bonus
    $0 + $23,803 related
    Other
    $0 + $8,676 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $33,152 related
    Filer's total
    $0 + $285,447 related

  • MELISSA MCKAY

    REGIONAL NURSING DIRECTOR

    Total calculated
    $271,993
    From this org
    $0
    From related orgs
    $227,716
    Other
    $44,277
    Hours/week
    58 + 2 related

    Schedule J breakdown matched by us

    Base
    $0 + $217,511 related
    Bonus
    $0 + $10,000 related
    Other
    $0 + $205 related
    Deferred
    $0 + $11,773 related
    Nontaxable benefits
    $0 + $32,504 related
    Filer's total
    $0 + $271,993 related

  • JESSICA TABATT MD

    BOARD DIRECTOR

    Total calculated
    $238,720
    From this org
    $0
    From related orgs
    $219,592
    Other
    $19,128
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $219,419 related
    Bonus
    $0
    Other
    $0 + $173 related
    Deferred
    $0 + $17,610 related
    Nontaxable benefits
    $0 + $1,518 related
    Filer's total
    $0 + $238,720 related

  • JOHN SPERRAZZA

    SENIOR VP, OPERATIONS THRU 5/22

    Total calculated
    $211,772
    From this org
    $0
    From related orgs
    $207,200
    Other
    $4,572
    Hours/week
    57 + 3 related

    Schedule J breakdown matched by us

    Base
    $0 + $128,275 related
    Bonus
    $0
    Other
    $0 + $78,925 related
    Deferred
    $0 + $4,016 related
    Nontaxable benefits
    $0 + $556 related
    Filer's total
    $0 + $211,772 related

  • MARK RONNEI

    BOARD CHAIR

    Total calculated
    $21,500
    From this org
    $0
    From related orgs
    $21,500
    Other
    $0
    Hours/week
    2 + 7 related

  • GINNY KNUDSON

    BOARD SECRETARY

    Total calculated
    $1,500
    From this org
    $0
    From related orgs
    $1,500
    Other
    $0
    Hours/week
    2 + 4 related

  • KRISTA SOUKUP

    BOARD VICE CHAIR

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

  • GEORGE LOBAN

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • HARA CHARLIER

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • MIKE PAULUS

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • SISTER BEVERLY HORN

    BOARD TREASURER

    Total calculated
    $0
    Hours/week
    2 + 3 related

  • SISTER DANILE LYNCH

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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
METHODS USED TO ESTABLISH CEO'S COMPENSATION: ESSENTIA HEALTH, AS A RELATED ORGANIZATION, USED THE FOLLOWING METHODS TO ESTABLISH BRAINERD LAKES INTEGRATED HEALTH SYSTEM'S PRESIDENT'S COMPENSATION: A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINES 4A-B
SEVERANCE PAYMENT: KEY EMPLOYEE JOHN SPERRAZZA RECEIVED PAYMENTS TOTALING $72,504 IN CALENDAR YEAR 2022 RELATED TO A TERMINATION AGREEMENT. UNDER THE TERMS OF THE AGREEMENT, SPERRAZZA RECEIVED ALL SEVERANCE PAYMENTS DURING CALENDAR YEAR 2022. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: ESSENTIA HEALTH'S NONQUALIFIED RETIREMENT PLAN IS OFFERED TO DESIGNATED ESSENTIA HEALTH EXECUTIVES. THERE IS A MINIMUM FOUR YEAR VESTING DATE, OR VESTING IS AUTOMATIC UPON REACHING RETIREMENT AGE, DEATH, DISABILITY OR INVOLUNTARY TERMINATION WITHOUT CAUSE. BENEFITS ARE SUBJECT TO INCOME TAXES UPON VESTING AND PAYABLE FROM ESSENTIA HEALTH'S GENERAL ASSETS. REPORTED AS OTHER REPORTABLE COMPENSATION IN SCHEDULE J, PART II, COLUMN B (III), THE FOLLOWING INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A RECEIVED PAYMENT OF THE VESTED BENEFIT FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR: PETER HENRY, MD $66,403 KEVIN BOREN $32,212 MICHAEL LARSON $20,200 REPORTED AS RETIREMENT AND OTHER DEFERRED COMPENSATION IN SCHEDULE J, PART II, COLUMN C, ESSENTIA HEALTH MADE CONTRIBUTIONS, SUBJECT TO THE VESTING TERMS, DURING THE YEAR INTO THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ON BEHALF OF THE FOLLOWING INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A: WILLIAM HEEGAARD, MD $78,203 KEVIN CASEY, MD $107,120 PETER HENRY, MD $22,946 KEVIN BOREN $24,669 KRISTA SKORUPA, MD $30,398 MICHAEL LARSON $26,289

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 May 2024
IRS schema version
2022v5.0
Source object
202441299349301309

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