Totals
- Total revenue
- $317,277
- Total expenses
- $4,982,940
- Contributions and grants received
- $9,750
- Grants paid
- $0
- Program services expenses (Part IX)
- $4,441,838
- Management and general expenses
- $541,102
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $4,441,838
Program services were 89.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
BRETT C HAAKE MD
DIRECTOR
- Total calculated
- $843,622
- From this org
- $0
- From related orgs
- $730,568
- Other
- $113,054
- Hours/week
- 0.5 + 54.5 related
Schedule J breakdown matched by us
- Base
- $0 + $541,746 related
- Bonus
- $0 + $164,908 related
- Other
- $0 + $23,914 related
- Deferred
- $0 + $66,326 related
- Nontaxable benefits
- $0 + $46,728 related
- Filer's total
- $0 + $843,622 related
-
MIKE ANDERSON
DIRECTOR AND CHAIR
- Total calculated
- $0
- Hours/week
- 0.58
-
ELIZABETH BRADSHAW
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.58
-
JASON HOWARD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.58
-
SUE HEDLUND
DIRECTOR & VICE CHAIR
- Total calculated
- $0
- Hours/week
- 0.58
-
JOHN UPPGREN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.58
-
BRIAN L CRESS MD
DIRECTOR
- Total calculated
- $388,558
- From this org
- $0
- From related orgs
- $347,743
- Other
- $40,815
- Hours/week
- 0.5 + 44.5 related
Schedule J breakdown matched by us
- Base
- $0 + $257,279 related
- Bonus
- $0
- Other
- $0 + $90,464 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $40,815 related
- Filer's total
- $0 + $388,558 related
-
MICHAEL FUNK
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.58
-
PAHOUA HOFFMAN
DIRECTOR
- Total calculated
- $533,054
- From this org
- $0
- From related orgs
- $427,857
- Other
- $105,197
- Hours/week
- 0.5 + 49.5 related
Schedule J breakdown matched by us
- Base
- $0 + $298,112 related
- Bonus
- $0 + $123,833 related
- Other
- $0 + $5,912 related
- Deferred
- $0 + $62,902 related
- Nontaxable benefits
- $0 + $42,295 related
- Filer's total
- $0 + $533,054 related
-
ANNIE JACOBSEN MD
DIRECTOR
- Total calculated
- $639,157
- From this org
- $0
- From related orgs
- $569,641
- Other
- $69,516
- Hours/week
- 0.5 + 49.5 related
Schedule J breakdown matched by us
- Base
- $0 + $378,503 related
- Bonus
- $0
- Other
- $0 + $191,138 related
- Deferred
- $0 + $24,750 related
- Nontaxable benefits
- $0 + $44,766 related
- Filer's total
- $0 + $639,157 related
-
ALITA RISINGER
DIRECTOR
- Total calculated
- $686,286
- From this org
- $0
- From related orgs
- $574,234
- Other
- $112,052
- Hours/week
- 0.5 + 49.5 related
Schedule J breakdown matched by us
- Base
- $0 + $452,971 related
- Bonus
- $0 + $40,000 related
- Other
- $0 + $81,263 related
- Deferred
- $0 + $72,026 related
- Nontaxable benefits
- $0 + $40,026 related
- Filer's total
- $0 + $686,286 related
-
KHU THAO
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.58
-
STEVEN C HOUSH
DIRECTOR (JAN-APR)
- Total calculated
- $363,920
- From this org
- $0
- From related orgs
- $317,969
- Other
- $45,951
- Hours/week
- 0.5 + 49.5 related
Schedule J breakdown matched by us
- Base
- $0 + $195,879 related
- Bonus
- $0 + $111,847 related
- Other
- $0 + $10,243 related
- Deferred
- $0 + $17,247 related
- Nontaxable benefits
- $0 + $28,704 related
- Filer's total
- $0 + $363,920 related
-
SHARON TOLVA
DIRECTOR & TREASURER
- Total calculated
- $0
- Hours/week
- 0.58
-
KEVIN J BJORK MD
DIRECTOR (JAN-AUG)
- Total calculated
- $317,129
- From this org
- $0
- From related orgs
- $274,610
- Other
- $42,519
- Hours/week
- 0.5 + 15 related
Schedule J breakdown matched by us
- Base
- $0 + $138,805 related
- Bonus
- $0
- Other
- $0 + $135,805 related
- Deferred
- $0 + $20,689 related
- Nontaxable benefits
- $0 + $21,830 related
- Filer's total
- $0 + $317,129 related
-
PHAEDRA COFIELD
DIRECTOR (JAN-NOV)
- Total calculated
- $0
- Hours/week
- 0.58
-
PATRICK T COURNEYA MD
DIRECTOR (JAN-APR)
- Total calculated
- $571,235
- From this org
- $0
- From related orgs
- $494,297
- Other
- $76,938
- Hours/week
- 0.5 + 54.5 related
Schedule J breakdown matched by us
- Base
- $0 + $220,858 related
- Bonus
- $0 + $236,391 related
- Other
- $0 + $37,048 related
- Deferred
- $0 + $39,914 related
- Nontaxable benefits
- $0 + $37,024 related
- Filer's total
- $0 + $571,235 related
-
NICHOLAS MEYER MD
DIRECTOR (JAN-OCT)
- Total calculated
- $0
- Hours/week
- 0.58
-
DOUGLAS E JOHNSON
CFO
- Total calculated
- $647,904
- From this org
- $0
- From related orgs
- $603,783
- Other
- $44,121
- Hours/week
- 4 + 51 related
Schedule J breakdown matched by us
- Base
- $0 + $386,739 related
- Bonus
- $0 + $106,273 related
- Other
- $0 + $110,771 related
- Deferred
- $0 + $6,600 related
- Nontaxable benefits
- $0 + $37,521 related
- Filer's total
- $0 + $647,904 related
-
THOMAS S ANDERSON
VP MEDICAL AFFAIRS
- Total calculated
- $547,674
- From this org
- $0
- From related orgs
- $479,739
- Other
- $67,935
- Hours/week
- 0.5 + 44.5 related
Schedule J breakdown matched by us
- Base
- $0 + $379,108 related
- Bonus
- $0 + $22,500 related
- Other
- $0 + $78,131 related
- Deferred
- $0 + $24,750 related
- Nontaxable benefits
- $0 + $43,185 related
- Filer's total
- $0 + $547,674 related
-
MATTHEW A RICHIE
VP ADMINISTRATION
- Total calculated
- $450,666
- From this org
- $403,091
- From related orgs
- $0
- Other
- $47,575
- Hours/week
- 44.5 + 0.5 related
Schedule J breakdown matched by us
- Base
- $309,093
- Bonus
- $0
- Other
- $93,998
- Deferred
- $15,870
- Nontaxable benefits
- $31,705
- Filer's total
- $450,666
-
NANCY L EVERT
SEC. & GENERAL COUNSEL
- Total calculated
- $1,049,946
- From this org
- $0
- From related orgs
- $811,272
- Other
- $238,674
- Hours/week
- 0.5 + 54.5 related
Schedule J breakdown matched by us
- Base
- $0 + $503,395 related
- Bonus
- $0 + $251,362 related
- Other
- $0 + $56,515 related
- Deferred
- $0 + $206,367 related
- Nontaxable benefits
- $0 + $32,307 related
- Filer's total
- $0 + $1,049,946 related
-
BRANDI L LUNNEBORG
PRESIDENT
- Total calculated
- $811,412
- From this org
- $0
- From related orgs
- $671,461
- Other
- $139,951
- Hours/week
- 0.5 + 59.5 related
Schedule J breakdown matched by us
- Base
- $0 + $414,094 related
- Bonus
- $0 + $212,500 related
- Other
- $0 + $44,867 related
- Deferred
- $0 + $94,716 related
- Nontaxable benefits
- $0 + $45,235 related
- Filer's total
- $0 + $811,412 related
-
EMILIENNE ANDERSON
VP NURSING SERVICES & CNO
- Total calculated
- $279,531
- From this org
- $0
- From related orgs
- $253,764
- Other
- $25,767
- Hours/week
- 0.5 + 49.5 related
Schedule J breakdown matched by us
- Base
- $0 + $169,688 related
- Bonus
- $0 + $41,600 related
- Other
- $0 + $42,476 related
- Deferred
- $0 + $11,115 related
- Nontaxable benefits
- $0 + $14,652 related
- Filer's total
- $0 + $279,531 related
-
SONYA K STEINER
DIRECTOR VALLEY CLINIC
- Total calculated
- $211,011
- From this org
- $197,985
- From related orgs
- $0
- Other
- $13,026
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $164,287
- Bonus
- $0
- Other
- $33,698
- Deferred
- $0
- Nontaxable benefits
- $13,026
- Filer's total
- $211,011
-
MICHAEL MEYER
PHYSICIAN ASSISTANT
- Total calculated
- $198,968
- From this org
- $186,334
- From related orgs
- $0
- Other
- $12,634
- Hours/week
- 45
Schedule J breakdown matched by us
- Base
- $6,262
- Bonus
- $3,559
- Other
- $176,513
- Deferred
- $0
- Nontaxable benefits
- $12,634
- Filer's total
- $198,968
-
NICOLAS P WANNER
PHYSICIAN ASSISTANT
- Total calculated
- $301,563
- From this org
- $266,723
- From related orgs
- $0
- Other
- $34,840
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $239,892
- Bonus
- $200
- Other
- $26,631
- Deferred
- $4,707
- Nontaxable benefits
- $30,133
- Filer's total
- $301,563
-
LAURA J MEYER
NURSE PRACTITIONER
- Total calculated
- $261,311
- From this org
- $231,102
- From related orgs
- $0
- Other
- $30,209
- Hours/week
- 48
Schedule J breakdown matched by us
- Base
- $151,924
- Bonus
- $200
- Other
- $78,978
- Deferred
- $0
- Nontaxable benefits
- $30,209
- Filer's total
- $261,311
-
SAMUEL G JOHNSON
PHYSICIAN ASSISTANT
- Total calculated
- $233,278
- From this org
- $204,453
- From related orgs
- $0
- Other
- $28,825
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $8,348
- Bonus
- $22,898
- Other
- $173,207
- Deferred
- $0
- Nontaxable benefits
- $28,825
- Filer's total
- $233,278
-
ANDREW E DORWART MD
FORMER SMG PRESIDENT
- Total calculated
- $343,706
- From this org
- $0
- From related orgs
- $282,322
- Other
- $61,384
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $205,223 related
- Bonus
- $0
- Other
- $0 + $77,099 related
- Deferred
- $0 + $21,900 related
- Nontaxable benefits
- $0 + $39,484 related
- Filer's total
- $0 + $343,706 related
-
THEODORE WEGLEITNER
FORMER PRESIDENT
- Total calculated
- $283,494
- From this org
- $0
- From related orgs
- $269,652
- Other
- $13,842
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0
- Other
- $0 + $269,652 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $13,842 related
- Filer's total
- $0 + $283,494 related
-
NATHAN S PULSCHER
FORMER VP ANCILLARY SERVICES
- Total calculated
- $379,987
- From this org
- $0
- From related orgs
- $313,799
- Other
- $66,188
- Hours/week
- 0 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $261,957 related
- Bonus
- $0 + $45,121 related
- Other
- $0 + $6,721 related
- Deferred
- $0 + $28,036 related
- Nontaxable benefits
- $0 + $38,152 related
- Filer's total
- $0 + $379,987 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
- 4b · Supplemental nonqualified retirement plan
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
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
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- THE STILLWATER MEDICAL GROUP (SMG) PRESIDENT AND OTHER OFFICERS ARE EMPLOYED BY GROUP HEALTH PLAN, INC. (GHI), LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC. (THE HOSPITAL), BOTH OF WHICH ARE RELATED ORGANIZATIONS, OR SMG. GHI, THE HOSPITAL, AND SMG HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF THE SMG'S PRESIDENT AND OTHER OFFICERS.
- PART I, LINE 4B
- DEFERRED COMPENSATION IN COLUMN C OF SCHEDULE J, PART II INCLUDES AMOUNTS FROM A NONQUALIFIED 457(F) PLAN FOR THE FOLLOWING DIRECTORS AND OFFICERS: NANCY L. EVERT $ 54,148 BRANDI L. LUNNEBORG $23,255 ALITA R. RISINGER $34,771 PAHOUA HOFFMAN $30,366
- PART I, LINE 6
- SMG'S OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE EMPLOYED BY SMG, LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC. (THE HOSPITAL) OR BY GROUP HEALTH PLAN, INC. (GHI). THE HOSPITAL AND GHI ARE BOTH RELATED ORGANIZATIONS. COMPENSATION REPORTED IN FORM 990, PART VII INCLUDES ANY COMPENSATION DERIVED FROM EITHER SMG'S, THE HOSPITAL'S, OR GHI'S LEADER INCENTIVE PROGRAMS, WHICH INCENT AND REWARD BUSINESS LEADERS WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC FISCAL YEAR. THE PROGRAMS ARE A KEY ELEMENT OF THE PARTICIPANT'S TOTAL COMPENSATION PACKAGE. THE LEADER INCENTIVE PROGRAMS' REWARDS ARE BASED ON POSITION IN THE ORGANIZATION (E.G. SENIOR VICE PRESIDENT, VICE PRESIDENT, DIRECTOR, MANAGER, AND OTHER SPECIFICALLY IDENTIFIED LEADERS) AND THE ACHIEVEMENT OF BUSINESS AND HEALTH IMPROVEMENT GOALS ESTABLISHED IN A VARIETY OF AREAS. THESE AREAS MAY INCLUDE, BUT ARE NOT LIMITED TO, PATIENT SATISFACTION, EMPLOYEE SATISFACTION, WORK ENVIRONMENT, HEALTH EQUITY, HEALTHCARE AFFORDABILITY MEASURES, HEALTH PLAN AND CARE DELIVERY MARKET SHARE, STRATEGIC CAPABILITIES, HOSPITAL AND CLINIC QUALITY MEASURES, FINANCIAL PERFORMANCE (OPERATING INCOME), ETC., AND WILL BE DEFINED ANNUALLY FOR EACH YEAR'S PROGRAM. AN OPERATING INCOME THRESHOLD MUST BE MET FOR ANY PAYMENT TO BE MADE FROM THE PROGRAM AND THERE IS A CAP ON THE MAXIMUM INCENTIVE POTENTIALLY AVAILABLE TO EACH PARTICIPANT.
- 990, SCHEDULE J, PART II: PRIOR REPORTED COMPENSATION
- COLUMN (F) INCLUDES AMOUNTS PAID TO PARTICIPANTS IN THE CURRENT YEAR, WHICH WERE PREVIOUSLY REPORTED IN COLUMN (C) OF PRIOR YEARS' 990'S, AS RETIREMENT AND DEFERRED COMPENSATION, FOR THE FOLLOWING DIRECTORS AND OFFICERS: NANCY L. EVERT $ 36,575 BRANDI L. LUNNEBORG $ 2,556 THEODORE WEGLEITNER $ 269,652 ANY ANALYSIS OF EARNINGS FOR THE CURRENT YEAR, FOR THESE PARTICIPANTS OF THE PLAN, SHOULD EXCLUDE THE AMOUNT IN COLUMN F AS PART OF THE ANALYSIS SINCE THOSE EARNINGS WERE ALREADY REPORTED IN COLUMN (C) OF PREVIOUS YEARS' 990'S.
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.
-
501(C)(4) · HYBRID STAFF MODEL/NETWORK MODEL HEALTH MAINTENANCE ORGANIZATION · MN
-
501(C)(3) · CORPORATE PLANNING AND OVERSIGHT · MN
Directly controlled by HEALTHPARTNERS INC
-
501(C)(3) · STAFF MODEL HEALTH MAINTENANCE ORGANIZATION · MN
Directly controlled by HEALTHPARTNERS INC
-
501(C)(3) · CORPORATE PLANNING AND OVERSIGHT · WI
Directly controlled by HPI - RAMSEY
-
501(C)(3) · HEALTHCARE EDUCATION AND RESEARCH · MN
Directly controlled by HEALTHPARTNERS INC
-
CAPITOL VIEW TRANSITIONAL CARE CENTER
501(C)(3) · TRANSITIONAL CARE SERVICES, STEP DOWN FROM INPATIENT HOSPITAL · MN
Directly controlled by HPI - RAMSEY
-
501(C)(3) · HOSPITAL · MN
Directly controlled by HPI - RAMSEY
-
501(C)(3) · PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH · MN
Directly controlled by HPI - RAMSEY
-
501(C)(3) · HEALTHCARE STAFFING AND INTENSE REHAB SERVICES · MN
Directly controlled by HEALTHPARTNERS INC
-
501(C)(3) · HOSPITAL · WI
Directly controlled by RH-WISCONSIN INC
-
HUDSON HOSPITAL FOUNDATION INC
501(C)(3) · PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH · WI
Directly controlled by HUDSON HOSPITAL INC
-
501(C)(3) · PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH · MN
Directly controlled by LAKEVIEW HEALTH
-
LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC
501(C)(3) · HOSPITAL · MN
Directly controlled by LAKEVIEW HEALTH
-
501(C)(3) · CORPORATE PLANNING AND OVERSIGHT · MN
Directly controlled by HPI - RAMSEY
-
501(C)(3) · HOSPITAL · WI
Directly controlled by RH-WISCONSIN INC
-
WESTFIELDS HOSPITAL FOUNDATION INC
501(C)(3) · PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH · WI
Directly controlled by WESTFIELDS HOSPITAL INC
-
501(C)(3) · CORPORATE PLANNING AND OVERSIGHT · MN
Directly controlled by HEALTHPARTNERS INC
-
501(C)(3) · SUPPORT TO RELATED ENTITIES AND COMMUNITY HEALTH · MN
Directly controlled by PARK NICOLLET HEALTH SERVICES
-
PARK NICOLLET METHODIST HOSPITAL
501(C)(3) · HOSPITAL · MN
Directly controlled by PARK NICOLLET HEALTH SERVICES
-
PARK NICOLLET HEALTH CARE PRODUCTS
501(C)(3) · DURABLE MEDICAL EQUIPMENT, AND OTHER HEALTH CARE RETAIL SALES · MN
Directly controlled by PARK NICOLLET HEALTH SERVICES
-
501(C)(3) · CLINIC SERVICES · MN
Directly controlled by PARK NICOLLET HEALTH SERVICES
-
501(C)(3) · HEALTHCARE REAL ESTATE · MN
Directly controlled by PARK NICOLLET HEALTH SERVICES
-
AMERY REGIONAL MEDICAL CENTER INC
501(C)(3) · HOSPITAL · WI
Directly controlled by RH-WISCONSIN INC
-
AMERY REGIONAL MEDICAL CENTER FOUNDATION INC
501(C)(3) · PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH · WI
Directly controlled by AMERY REGIONAL MEDICAL CENTER INC
-
501(C)(3) · HOSPITAL · MN
Directly controlled by PARK NICOLLET HEALTH SERVICES
-
501(C)(3) · PROVIDE SUPPORT TO HOSPITAL · MN
Directly controlled by HUTCHINSON HEALTH
-
501(C)(3) · HOSPITAL · MN
Directly controlled by PARK NICOLLET HEALTH SERVICES
-
OLIVIA HOSPITAL & CLINIC FOUNDATION
501(C)(3) · PROVIDE SUPPORT TO HOSPITAL · MN
Directly controlled by HEALTHPARTNERS RC
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 13 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202413189349311581
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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