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Nonprofiteer
← ST CLARE MEMORIAL HOSPITAL INC

Form 990 for tax year 2024

Filed by ST CLARE MEMORIAL HOSPITAL INC.

Totals

Total revenue
$42,730,446
Total expenses
$41,412,156
Contributions and grants received
$45,751
Grants paid
$48,946
Program services expenses (Part IX)
$36,265,773
Management and general expenses
$5,146,383
Fundraising expenses
$0
Program service expenses (Part III)
$36,265,773

Program services were 87.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • John L Wagner

    PRESIDENT/CEO (began 8/1/24)

    Total calculated
    $607,307
    From this org
    $245,425
    From related orgs
    $271,058
    Other
    $90,824
    Hours/week
    28.2 + 31.8 related

    Schedule J breakdown matched by us

    Base
    $154,991 + $267,026 related
    Bonus
    $0 + $3,065 related
    Other
    $90,434 + $967 related
    Deferred
    $0 + $59,986 related
    Nontaxable benefits
    $14,233 + $16,605 related
    Filer's total
    $259,658 + $347,649 related

  • LORI DUFEK

    Vice Chair

    Total calculated
    $0
    Hours/week
    1.5

  • MICHAEL NELESSEN

    Chair

    Total calculated
    $0
    Hours/week
    2.5

  • Robert Erickson

    PRESIDENT/CEO (until 7/31/24)

    Total calculated
    $567,810
    From this org
    $0
    From related orgs
    $486,708
    Other
    $81,102
    Hours/week
    2 + 58 related

    Schedule J breakdown matched by us

    Base
    $0 + $440,186 related
    Bonus
    $0 + $5,000 related
    Other
    $0 + $41,522 related
    Deferred
    $0 + $61,830 related
    Nontaxable benefits
    $0 + $19,272 related
    Filer's total
    $0 + $567,810 related

  • CARA PETERSON

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Elora Blum

    Board Member (began 11/1/24)

    Total calculated
    $0
    Hours/week
    1

  • Ginny O'Harrow

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Kimberly Pytleski

    Board Member (began 11/1/24)

    Total calculated
    $0
    Hours/week
    1

  • ROBERT CUTLAN MD

    Board Member (until 10/31/24)

    Total calculated
    $0
    Hours/week
    2

  • RON CHRISTENSEN

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Stacee Goedtel Birr DO

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Larry Gille

    Secretary

    Total calculated
    $0
    Hours/week
    0.3 + 2.3 related

  • Michael Scialdone

    Treasurer / HSHS SVP & CFO

    Total calculated
    $912,947
    From this org
    $0
    From related orgs
    $780,312
    Other
    $132,635
    Hours/week
    0.3 + 59.8 related

    Schedule J breakdown matched by us

    Base
    $0 + $727,132 related
    Bonus
    $0 + $5,000 related
    Other
    $0 + $48,180 related
    Deferred
    $0 + $112,411 related
    Nontaxable benefits
    $0 + $20,224 related
    Filer's total
    $0 + $912,947 related

  • PATRICIA ALLEN

    CFO - CARE DELIVERY (until 4/30/25)

    Total calculated
    $649,158
    From this org
    $0
    From related orgs
    $559,236
    Other
    $89,922
    Hours/week
    3 + 57 related

    Schedule J breakdown matched by us

    Base
    $0 + $531,646 related
    Bonus
    $0 + $4,240 related
    Other
    $0 + $23,350 related
    Deferred
    $0 + $63,815 related
    Nontaxable benefits
    $0 + $26,107 related
    Filer's total
    $0 + $649,158 related

  • CHERYL BURKEL EMMERS

    CRNA

    Total calculated
    $318,607
    From this org
    $260,325
    From related orgs
    $0
    Other
    $58,282
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $247,990
    Bonus
    $7,410
    Other
    $4,925
    Deferred
    $24,244
    Nontaxable benefits
    $34,038
    Filer's total
    $318,607

  • Glenn White

    CRNA

    Total calculated
    $306,593
    From this org
    $271,531
    From related orgs
    $0
    Other
    $35,062
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $260,781
    Bonus
    $6,000
    Other
    $4,750
    Deferred
    $13,892
    Nontaxable benefits
    $21,170
    Filer's total
    $306,593

  • Heidi Marie Cole

    Supervisor - Pharmacy

    Total calculated
    $184,931
    From this org
    $155,279
    From related orgs
    $0
    Other
    $29,652
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $151,341
    Bonus
    $905
    Other
    $3,033
    Deferred
    $9,460
    Nontaxable benefits
    $20,192
    Filer's total
    $184,931

  • Mary Lynn Thompson

    House Supervisor

    Total calculated
    $194,558
    From this org
    $164,736
    From related orgs
    $0
    Other
    $29,822
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $161,320
    Bonus
    $1,089
    Other
    $2,327
    Deferred
    $8,518
    Nontaxable benefits
    $21,304
    Filer's total
    $194,558

  • Maura May White

    CRNA

    Total calculated
    $295,188
    From this org
    $251,601
    From related orgs
    $0
    Other
    $43,587
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $244,116
    Bonus
    $7,410
    Other
    $75
    Deferred
    $15,677
    Nontaxable benefits
    $27,910
    Filer's total
    $295,188

  • CHRISTOPHER BRABANT

    Former PRESIDENT/CEO

    Total calculated
    $369,959
    From this org
    $336,244
    From related orgs
    $0
    Other
    $33,715
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $110,028
    Bonus
    $2,023
    Other
    $224,193
    Deferred
    $2,365
    Nontaxable benefits
    $31,350
    Filer's total
    $369,959

  • TODD Smart

    Former Treasurer

    Total calculated
    $132,566
    From this org
    $0
    From related orgs
    $116,976
    Other
    $15,590
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $106,706 related
    Bonus
    $0 + $9,754 related
    Other
    $0 + $516 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $15,590 related
    Filer's total
    $0 + $132,566 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

  • 1a · Tax indemnification and gross-up payments
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 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)

Schedule J, Part I, Line 1a Tax indemnification and gross-up payments
DURING THE YEAR, THE FOLLOWING INTERESTED PERSONS RECEIVED A TAX GROSS-UP PAYMENT. THE RELATED AMOUNTS WERE TREATED AS TAXABLE COMPENSATION TO THE RECIPIENT. John Wagner
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A IN SCHEDULE O.
Schedule J, Part I, Line 4a Severance or change-of-control payment
ORGANIZATION: ST. CLARE MEMORIAL HOSPITAL, INC. EIN: 39-0848401 INTERESTED PERSON: CHRISTOPHER BRABANT AMOUNT: 140,922 TERMS: COMPENSATION PAID AS A RESULT OF A SEVERANCE
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
HSHS EXECUTIVES ELIGIBLE TO PARTICIPATE IN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ARE DEFINED IN THE SERP PLAN DOCUMENTS. THE SERP WAS ESTABLISHED TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO ENSURE REASONABLE MARKET COMPETITIVE BENEFITS IN ACCORDANCE WITH THE HSHS EXECUTIVE COMPENSATION PHILOSOPHY ESTABLISHED BY THE HSHS COMPENSATION COMMITTEE. THE PLAN PROVIDES A DEFINED RETIREMENT CONTRIBUTION TO PARTICIPANTS COMMENCING ON JANUARY 1, 2008, EQUAL TO A PERCENTAGE OF COMPENSATION AS DEFINED IN THE SERP PLAN DOCUENTS FOR THE PLAN YEAR. PARTICIPANTS CONSTRUCTIVELY RECEIVE A DISTRIBUTION FROM THE PLAN NO LATER THAN MARCH 15TH OF THE CALENDAR YEAR FOLLOWING THE CALENDAR YEAR IN WHICH AN AMOUNT IS VESTED AND TAXABLE PURSUANT TO A VESTING SCHEDULE AS SPECIFIED IN THE PLAN DOCUMENT. THE ACTUAL DISTRIBUTION OF THE VESTED BENEFIT UNDER THE PLAN IS PAID IN A SINGLE LUMP SUM TO THE PARTICIPANT OR THE PARTICIPANT'S BENEFICIARY UPON THE EARLIER OF THE PARTICIPANT'S TERMINATION OF EMPLOYMENT, DEATH, OR TOTAL AND PERMANENT DISABILITY. THE FOLLOWING INTERESTED PERSONS CONSTRUCTIVELY RECEIVED DEFERRALS TO THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2024. THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). PATRICIA ALLEN - $43,115 MICHAEL SCIALDONE - $87,924 JOHN WAGNER - $42,736 THE FOLLOWING INTERESTED PERSONS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2024. THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AND SCHEDULE J, PART II, COLUMN (F), AS APPLICABLE. PATRICIA ALLEN - $21,130 CHRISTOPHER BRABANT - $69,246

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

  • Unity Hospice

    no cash amount reported

    Caring for patients in residence

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
2024
Filed
6 May 2026
IRS schema version
2024v5.1
Source object
202621269349303237

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