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Nonprofiteer
← ST MARYS MEDICAL CENTER

Form 990 for tax year 2022

Filed by ST MARYS MEDICAL CENTER.

Totals

Total revenue
$506,418,791
Total expenses
$510,786,332
Contributions and grants received
$1,100,116
Grants paid
$3,276,338
Program service revenue
not reported
Investment income
not reported
Other revenue
not reported
Total assets, end of year
not reported
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
not reported
Program services expenses (Part IX)
$432,546,770
Management and general expenses
$78,239,562
Fundraising expenses
$0
Program service expenses (Part III)
$432,546,770

Program services were 84.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • BRADLEY BEARD

    CHIEF OPERATING OFFICER

    Total calculated
    $1,069,895
    From this org
    $0
    From related orgs
    $932,410
    Other
    $137,485
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $600,630 related
    Bonus
    $0 + $256,508 related
    Other
    $0 + $75,272 related
    Deferred
    $0 + $98,483 related
    Nontaxable benefits
    $0 + $39,002 related
    Filer's total
    $0 + $1,069,895 related
  • ANNE STEPHEN MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $983,815
    From this org
    $0
    From related orgs
    $876,444
    Other
    $107,371
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $456,170 related
    Bonus
    $0 + $197,482 related
    Other
    $0 + $222,792 related
    Deferred
    $0 + $75,729 related
    Nontaxable benefits
    $0 + $31,642 related
    Filer's total
    $0 + $983,815 related
  • TROY DUININCK MD

    BOARD DIRECTOR

    Total calculated
    $682,354
    From this org
    $0
    From related orgs
    $622,239
    Other
    $60,115
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $621,080 related
    Bonus
    $0
    Other
    $0 + $1,159 related
    Deferred
    $0 + $24,400 related
    Nontaxable benefits
    $0 + $35,715 related
    Filer's total
    $0 + $682,354 related
  • JANICE SCHADE

    ADMINISTRATOR

    Total calculated
    $629,756
    From this org
    $0
    From related orgs
    $541,628
    Other
    $88,128
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $353,161 related
    Bonus
    $0 + $154,116 related
    Other
    $0 + $34,351 related
    Deferred
    $0 + $59,011 related
    Nontaxable benefits
    $0 + $29,117 related
    Filer's total
    $0 + $629,756 related
  • RHONDA KAZIK

    CHIEF NURSING OFFICER

    Total calculated
    $629,127
    From this org
    $0
    From related orgs
    $538,327
    Other
    $90,800
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $381,088 related
    Bonus
    $0 + $151,426 related
    Other
    $0 + $5,813 related
    Deferred
    $0 + $64,447 related
    Nontaxable benefits
    $0 + $26,353 related
    Filer's total
    $0 + $629,127 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
  • LAURA TROMBINO MD

    BOARD DIRECTOR THRU 12/22

    Total calculated
    $510,080
    From this org
    $0
    From related orgs
    $457,846
    Other
    $52,234
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $454,498 related
    Bonus
    $0
    Other
    $0 + $3,348 related
    Deferred
    $0 + $24,400 related
    Nontaxable benefits
    $0 + $27,834 related
    Filer's total
    $0 + $510,080 related
  • JAN BALDWIN MD

    BOARD DIRECTOR

    Total calculated
    $348,086
    From this org
    $0
    From related orgs
    $297,388
    Other
    $50,698
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $293,731 related
    Bonus
    $0
    Other
    $0 + $3,657 related
    Deferred
    $0 + $23,000 related
    Nontaxable benefits
    $0 + $27,698 related
    Filer's total
    $0 + $348,086 related
  • GRETA JOHNSON

    PERFUSIONIST SUPERVISOR

    Total calculated
    $308,885
    From this org
    $254,836
    From related orgs
    $0
    Other
    $54,049
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $251,463
    Bonus
    $0
    Other
    $3,373
    Deferred
    $13,449
    Nontaxable benefits
    $40,600
    Filer's total
    $308,885
  • JOSEPH THOMPSON

    REGISTERED NURSE

    Total calculated
    $251,095
    From this org
    $205,922
    From related orgs
    $0
    Other
    $45,173
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $200,868
    Bonus
    $0
    Other
    $5,054
    Deferred
    $10,765
    Nontaxable benefits
    $34,408
    Filer's total
    $251,095
  • STACY LUND

    OPERATIONS SENIOR DIRECTOR

    Total calculated
    $250,727
    From this org
    $204,296
    From related orgs
    $0
    Other
    $46,431
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $192,371
    Bonus
    $11,500
    Other
    $425
    Deferred
    $10,736
    Nontaxable benefits
    $35,695
    Filer's total
    $250,727
  • MATTHEW DAVIS

    PERFUSIONIST

    Total calculated
    $245,921
    From this org
    $195,678
    From related orgs
    $0
    Other
    $50,243
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $195,378
    Bonus
    $0
    Other
    $300
    Deferred
    $9,834
    Nontaxable benefits
    $40,409
    Filer's total
    $245,921
  • RONALD SIEBERT

    OPERATIONS SENIOR DIRECTOR

    Total calculated
    $244,561
    From this org
    $220,919
    From related orgs
    $0
    Other
    $23,642
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $207,653
    Bonus
    $12,000
    Other
    $1,266
    Deferred
    $10,588
    Nontaxable benefits
    $13,054
    Filer's total
    $244,561
  • CYNTHIA KENT

    FORMER SNR VP, NURSING EXCELLENCE

    Total calculated
    $230,366
    From this org
    $0
    From related orgs
    $222,503
    Other
    $7,863
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $222,503 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $7,863 related
    Filer's total
    $0 + $230,366 related
  • JOSEPH MIHALEK

    BOARD CHAIR

    Total calculated
    $8,800
    From this org
    $0
    From related orgs
    $8,800
    Other
    $0
    Hours/week
    2 + 12 related
  • THOMAS RENIER

    BOARD VICE CHAIR THRU 12/22

    Total calculated
    $8,600
    From this org
    $0
    From related orgs
    $8,600
    Other
    $0
    Hours/week
    2 + 12 related
  • ALAN ROCK

    BOARD DIRECTOR

    Total calculated
    $8,000
    From this org
    $0
    From related orgs
    $8,000
    Other
    $0
    Hours/week
    1 + 3 related
  • ANTHONY SERTICH

    BOARD DIRECTOR

    Total calculated
    $7,800
    From this org
    $0
    From related orgs
    $7,800
    Other
    $0
    Hours/week
    1 + 5 related
  • HOWARD KLATZKY

    BOARD DIRECTOR THRU 12/22

    Total calculated
    $7,000
    From this org
    $0
    From related orgs
    $7,000
    Other
    $0
    Hours/week
    1 + 3 related
  • JOSEPH LEONI

    BOARD DIRECTOR THRU 12/22

    Total calculated
    $6,800
    From this org
    $0
    From related orgs
    $6,800
    Other
    $0
    Hours/week
    1 + 4 related
  • RENEE WACHTER

    BOARD VICE CHAIR

    Total calculated
    $6,400
    From this org
    $0
    From related orgs
    $6,400
    Other
    $0
    Hours/week
    2 + 12 related
  • HARA CHARLIER

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • SISTER BEVERLY RAWAY

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • SISTER JEANNE ANN WEBER

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • SISTER THERESE CARSON

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • THOMAS JAMAR

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • TONY YUNG

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 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, 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

  • 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
ESTABLISHING CEO'S COMPENSATION: ESSENTIA HEALTH, AS A RELATED ORGANIZATION, USED THE FOLLOWING METHODS TO ESTABLISH ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER'S ADMINISTRATOR'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: FORMER KEY EMPLOYEE CYNTHIA KENT RECEIVED PAYMENTS TOTALING $222,503 IN CALENDAR YEAR 2022 RELATED TO A TERMINATION AGREEMENT. UNDER THE TERMS OF THE AGREEMENT, KENT WILL RECEIVE PAY TOTALING $461,635 & BENEFITS TOTALING $38,623 FROM FEBRUARY 1, 2021 TO AUGUST 1, 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: BRADLEY BEARD $63,788 ANNE STEPHEN, MD $211,981 JANICE SCHADE $25,995 KEVIN BOREN $32,212 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: BRADLEY BEARD $74,083 ANNE STEPHEN, MD $51,329 JANICE SCHADE $34,611 RHONDA KAZIK $40,047 KEVIN BOREN $24,669

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

The 10 largest by cash amount. The API serves every itemized grant.

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.

  • ESSENTIA HEALTH INSURANCE SERVICES SPC LTD

    C · SELF INSURANCE · CJ · controlled entity

  • MID DAKOTA CLINIC INC

    C · CLINIC OPERATIONS CEASED 9/30/22 · ND · controlled entity

Provenance

Return type
form_990
Tax year
2022
Filed
8 May 2024
IRS schema version
2022v5.0
Source object
202431299349300043

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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