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Nonprofiteer
← SAINT ALPHONSUS MEDICAL CENTER BAKER CITY INC

Form 990 for tax year 2023

Filed by SAINT ALPHONSUS MEDICAL CENTER BAKER CITY INC.

Totals

Total revenue
$37,354,396
Total expenses
$39,138,875
Contributions and grants received
$50,469
Grants paid
$143,822
Program services expenses (Part IX)
$34,457,154
Management and general expenses
$4,681,721
Fundraising expenses
$0
Program service expenses (Part III)
$34,457,154

Program services were 88.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ODETTE BOLANO

    DIRECTOR; PRES SAHS; CEO WEST REGION

    Total calculated
    $1,598,874
    From this org
    $0
    From related orgs
    $1,331,386
    Other
    $267,488
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $805,254 related
    Bonus
    $0 + $389,250 related
    Other
    $0 + $136,882 related
    Deferred
    $0 + $237,371 related
    Nontaxable benefits
    $0 + $30,117 related
    Filer's total
    $0 + $1,598,874 related

  • MICHAEL BALLANTYNE

    DIRECTOR; CHAIR

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • ADAM RICHINS

    DIRECTOR; VICE CHAIR AS OF 1/24

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • TONI NIELSEN

    DIRECTOR; VICE CHAIR THROUGH 12/23

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • DINA ELLWANGER

    DIRECTOR; PRESIDENT, EASTERN OREGON

    Total calculated
    $451,190
    From this org
    $0
    From related orgs
    $359,258
    Other
    $91,932
    Hours/week
    20 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $278,281 related
    Bonus
    $0 + $72,250 related
    Other
    $0 + $8,727 related
    Deferred
    $0 + $66,040 related
    Nontaxable benefits
    $0 + $25,892 related
    Filer's total
    $0 + $451,190 related

  • BEA BLACK

    DIRECTOR AS OF 1/24

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • SUZANNE BRENNAN CSC

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 6 related

  • MICHAEL COUGHLIN MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • GERALDINE HOYLER CSC

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • BETH INECK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • KIRK JACOBSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • ROBERT LADENBURGER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • SUSAN MORRIS

    DIRECTOR THROUGH 12/23

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • JUDGE ROBERT OLIVER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 6 related

  • ANABEL ORTIZ-CHAVOLLA

    DIRECTOR THROUGH 12/23

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • LUIS SANTANA

    DIRECTOR 7/23 THROUGH 12/23

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • ANGELA TAYLOR

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • RON WATHEN

    DIRECTOR AS OF 1/24

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • STEPHANIE WILLIAMS

    DIRECTOR AS OF 1/24

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • MARIE GUADALUPE WISSEL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • STEPHANIE WESTERMEIER

    SECRETARY; SAHS VP & MANAGING CNSL

    Total calculated
    $616,447
    From this org
    $0
    From related orgs
    $499,613
    Other
    $116,834
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $354,826 related
    Bonus
    $0 + $90,222 related
    Other
    $0 + $54,565 related
    Deferred
    $0 + $82,831 related
    Nontaxable benefits
    $0 + $34,003 related
    Filer's total
    $0 + $616,447 related

  • B LANNIE CHECKETTS

    TREASURER; SAHS CFO

    Total calculated
    $668,711
    From this org
    $0
    From related orgs
    $604,005
    Other
    $64,706
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $420,998 related
    Bonus
    $0 + $102,232 related
    Other
    $0 + $80,775 related
    Deferred
    $0 + $24,750 related
    Nontaxable benefits
    $0 + $39,956 related
    Filer's total
    $0 + $668,711 related

  • TONY SWART

    VP FINANCE AND OPERATIONS

    Total calculated
    $205,796
    From this org
    $174,627
    From related orgs
    $0
    Other
    $31,169
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $151,114
    Bonus
    $23,398
    Other
    $115
    Deferred
    $5,403
    Nontaxable benefits
    $25,766
    Filer's total
    $205,796

  • SAMUEL CAPRA MD

    ORTHOPEDIC SURGEON

    Total calculated
    $542,527
    From this org
    $524,779
    From related orgs
    $0
    Other
    $17,748
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $517,631
    Bonus
    $0
    Other
    $7,148
    Deferred
    $14,850
    Nontaxable benefits
    $2,898
    Filer's total
    $542,527

  • DAVID RICHARDS MD

    EMERGENCY MEDICINE PHYSICIAN

    Total calculated
    $528,985
    From this org
    $473,896
    From related orgs
    $0
    Other
    $55,089
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $471,873
    Bonus
    $0
    Other
    $2,023
    Deferred
    $24,750
    Nontaxable benefits
    $30,339
    Filer's total
    $528,985

  • DEREK ZICKGRAF DO

    FAMILY PHYSICIAN

    Total calculated
    $510,115
    From this org
    $465,103
    From related orgs
    $0
    Other
    $45,012
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $464,657
    Bonus
    $0
    Other
    $446
    Deferred
    $14,615
    Nontaxable benefits
    $30,397
    Filer's total
    $510,115

  • JOSHUA SIRUCEK DO

    EMERGENCY MEDICINE PHYSICIAN

    Total calculated
    $444,902
    From this org
    $420,213
    From related orgs
    $0
    Other
    $24,689
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $374,852
    Bonus
    $45,000
    Other
    $361
    Deferred
    $11,921
    Nontaxable benefits
    $12,768
    Filer's total
    $444,902

  • KAARE TINGELSTAD DO

    EMERGENCY MEDICINE PHYSICIAN

    Total calculated
    $343,603
    From this org
    $293,227
    From related orgs
    $0
    Other
    $50,376
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $292,228
    Bonus
    $0
    Other
    $999
    Deferred
    $13,739
    Nontaxable benefits
    $36,637
    Filer's total
    $343,603

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

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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY (SAMC-BAKER CITY) IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SAMC-BAKER CITY'S PRESIDENT IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF SAMC-BAKER CITY'S PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4B
THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2023. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2023, AND THEIR NON-VESTED BENEFITS FOR 2023 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2023 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ODETTE BOLANO - $105,784 B. LANNIE CHECKETTS - $62,816 STEPHANIE WESTERMEIER - $43,108 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUALS FOR 2023 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: ODETTE BOLANO - $222,521 DINA ELLWANGER - $46,240 STEPHANIE WESTERMEIER - $58,081 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($330,000 FOR 2023). THE FOLLOWING PAYOUTS FOR 2023 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: B. LANNIE CHECKETTS - $0 DINA ELLWANGER - $399

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
2023
Filed
14 May 2025
IRS schema version
2023v6.0
Source object
202541349349302294

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