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← LAKE VIEW MEMORIAL HOSPITAL FOUNDATION OF NORTHEAST MN

Form 990 for tax year 2022

Filed by LAKE VIEW MEMORIAL HOSPITAL FOUNDATION OF NORTHEAST MN.

Totals

Total revenue
$134,129
Total expenses
$10,952
Contributions and grants received
$55,604
Grants paid
$10,575
Program service revenue
$0
Investment income
$78,525
Other revenue
$0
Total assets, end of year
$798,038
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$798,038
Program services expenses (Part IX)
$10,575
Management and general expenses
$377
Fundraising expenses
$0
Program service expenses (Part III)
$10,575

Program services were 96.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $55,604

  • 3 · Investment income

    total $78,525 · excluded $78,525

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $8,575 · program services $8,575

  • 2 · Grants to domestic individuals

    total $2,000 · program services $2,000

  • 13 · Office expenses

    total $275 · management and general $275

  • 24a · Other expenses: OTHER EXPENSES

    total $102 · management and general $102

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $164,703 · end of year $204,077

  • 2 · Savings and temporary cash investments

    beginning of year $15,797 · end of year $15,805

  • 11 · Investments: publicly traded securities

    beginning of year $727,560 · end of year $578,156

  • 27 · Net assets without donor restrictions

    beginning of year $908,060 · end of year $798,038

Mission and programs · 2022

Mission

PROVIDES CHARITABLE FINANCIAL SUPPORT TO LAKE VIEW MEMORIAL HOSPITAL, INC. TO ADVANCE COMPASSIONATE PATIENT CARE AND IMPROVE THE HEALTH OF THE COMMUNITY.

Activities or mission (Part I)

PROVIDE CHARITABLE FINANCIAL SUPPORT FOR LAKE VIEW MEMORIAL HOSPITAL.

  • CHARITABLE SUPPORT TO LAKE VIEW MEMORIAL HOSPITAL, TO ADVANCE COMPASSIONATE AND HIGH-QUALITY PATIENT CARE AND IMPROVE THE HEALTH OF THE COMMUNITY.

    Expenses $10,575 · Grants $10,575

As filed on the 2022 return.

Listed in Part VII

  • Eric Lohn

    ST. LUKE'S CO-PRESIDENT/CEO & CFO

    Total calculated
    $1,207,284
    From this org
    $0
    From related orgs
    $1,010,981
    Other
    $196,303
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $819,897 related
    Bonus
    $0 + $189,842 related
    Other
    $0 + $1,242 related
    Deferred
    $0 + $6,975 related
    Nontaxable benefits
    $0 + $189,328 related
    Filer's total
    $0 + $1,207,284 related

  • Nicholas Van Deelen MD

    ST. LUKE'S CMO

    Total calculated
    $1,066,238
    From this org
    $0
    From related orgs
    $867,010
    Other
    $199,228
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $785,026 related
    Bonus
    $0 + $77,982 related
    Other
    $0 + $4,002 related
    Deferred
    $0 + $9,900 related
    Nontaxable benefits
    $0 + $189,328 related
    Filer's total
    $0 + $1,066,238 related

  • Greg Ruberg

    LAKE VIEW PRESIDENT/CEO

    Total calculated
    $359,121
    From this org
    $0
    From related orgs
    $282,804
    Other
    $76,317
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $238,409 related
    Bonus
    $0 + $43,712 related
    Other
    $0 + $683 related
    Deferred
    $0 + $6,743 related
    Nontaxable benefits
    $0 + $69,574 related
    Filer's total
    $0 + $359,121 related

  • Nathan Cavallin

    LAKE VIEW FINANCE DIRECTOR

    Total calculated
    $120,468
    From this org
    $0
    From related orgs
    $91,824
    Other
    $28,644
    Hours/week
    1 + 39 related

  • Shelley Fredrickson

    CHAIR

    Total calculated
    $4,578
    From this org
    $0
    From related orgs
    $4,450
    Other
    $128
    Hours/week
    1

  • Lareesa Sandretsky

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Laurie Kragseth

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Roland Kane

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Charlie Michels

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Sandi Pillsbury-Gredzens

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

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

  • 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
THE PRESIDENT/CEO OF LAKE VIEW MEMORIAL HOSPITAL AND FOUNDATION IS AN EMPLOYEE OF ST. LUKE'S HOSPITAL OF DULUTH, A 501(C)(3) RELATED ORGANIZATION. THE FOLLOWING METHODS ARE USED BY ST. LUKE'S WHEN DETERMINING THE CEO'S COMPENSATION: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. WRITTEN EMPLOYMENT CONTRACT 4. COMPENSATION SURVEY OR STUDY 5. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4B
ST. LUKE'S HOSPITAL OF DULUTH MAINTAINS 457(F) NONQUALIFIED DEFERRED COMPENSATION PLANS FOR ELIGIBLE EMPLOYEES. IN 2022, CONTRIBUTIONS TO THE 457(F) PLANS WERE: ERIC LOHN - $163,015 NICHOLAS VAN DEELEN - $163,015 GREG RUBERG - $40,567 IN 2022, DISTRIBUTIONS FROM THE 457(F) PLAN WERE: ERIC LOHN - $189,842 NICHOLAS VAN DEELEN - $77,982 GREG RUBERG - $43,712

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
2022
Filed
10 November 2023
IRS schema version
2022v5.0
Source object
202343179349307729

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