Skip to content
Nonprofiteer
← SARTORI MEMORIAL HOSPITAL INC

Form 990 for tax year 2023

Filed by SARTORI MEMORIAL HOSPITAL INC.

Totals

Total revenue
$42,776,424
Total expenses
$36,029,684
Contributions and grants received
$471,800
Grants paid
$169,955
Program services expenses (Part IX)
$30,033,696
Management and general expenses
$5,995,988
Fundraising expenses
$0
Program service expenses (Part III)
$30,033,696

Program services were 83.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JACK DUSENBERY

    FORMER OFFICER

    Total calculated
    $1,738,750
    From this org
    $0
    From related orgs
    $764,091
    Other
    $974,659
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $260,984 related
    Bonus
    $0
    Other
    $0 + $503,107 related
    Deferred
    $0 + $949,587 related
    Nontaxable benefits
    $0 + $25,072 related
    Filer's total
    $0 + $1,738,750 related

  • MICHAEL WEGNER

    DIR 8-12/23; PRES MERCY IA THR 12/23

    Total calculated
    $1,084,868
    From this org
    $0
    From related orgs
    $1,018,938
    Other
    $65,930
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $994,809 related
    Bonus
    $0
    Other
    $0 + $24,129 related
    Deferred
    $0 + $23,828 related
    Nontaxable benefits
    $0 + $42,102 related
    Filer's total
    $0 + $1,084,868 related

  • MATTHEW SOJKA MD

    VP, MEDICAL AFFAIRS

    Total calculated
    $550,680
    From this org
    $0
    From related orgs
    $501,683
    Other
    $48,997
    Hours/week
    6 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $412,586 related
    Bonus
    $0 + $84,535 related
    Other
    $0 + $4,562 related
    Deferred
    $0 + $14,850 related
    Nontaxable benefits
    $0 + $34,147 related
    Filer's total
    $0 + $550,680 related

  • RACHELLE MAKINDE MD

    DIRECTOR; PHYSICIAN

    Total calculated
    $513,745
    From this org
    $0
    From related orgs
    $464,239
    Other
    $49,506
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $463,792 related
    Bonus
    $0
    Other
    $0 + $447 related
    Deferred
    $0 + $12,285 related
    Nontaxable benefits
    $0 + $37,221 related
    Filer's total
    $0 + $513,745 related

  • BRIAN BURNETT MD

    DIRECTOR; PHYSICIAN

    Total calculated
    $457,837
    From this org
    $0
    From related orgs
    $394,031
    Other
    $63,806
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $393,121 related
    Bonus
    $0
    Other
    $0 + $910 related
    Deferred
    $0 + $24,750 related
    Nontaxable benefits
    $0 + $39,056 related
    Filer's total
    $0 + $457,837 related

  • RYAN MEYER

    COO

    Total calculated
    $425,787
    From this org
    $0
    From related orgs
    $355,257
    Other
    $70,530
    Hours/week
    6 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $246,465 related
    Bonus
    $0 + $85,000 related
    Other
    $0 + $23,792 related
    Deferred
    $0 + $41,172 related
    Nontaxable benefits
    $0 + $29,358 related
    Filer's total
    $0 + $425,787 related

  • KELLY RICHARDS

    CHIEF NURSING OFFICER

    Total calculated
    $393,416
    From this org
    $0
    From related orgs
    $337,146
    Other
    $56,270
    Hours/week
    7 + 43 related

    Schedule J breakdown matched by us

    Base
    $0 + $256,098 related
    Bonus
    $0 + $56,767 related
    Other
    $0 + $24,281 related
    Deferred
    $0 + $24,750 related
    Nontaxable benefits
    $0 + $31,520 related
    Filer's total
    $0 + $393,416 related

  • TIMOTHY HUBER

    ASSISTANT TREASURER; VP OF FINANCE

    Total calculated
    $376,966
    From this org
    $0
    From related orgs
    $312,625
    Other
    $64,341
    Hours/week
    6 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $254,798 related
    Bonus
    $0 + $53,731 related
    Other
    $0 + $4,096 related
    Deferred
    $0 + $24,497 related
    Nontaxable benefits
    $0 + $39,844 related
    Filer's total
    $0 + $376,966 related

  • JILL GROTH

    VP, SITE ADMINISTRATOR

    Total calculated
    $249,117
    From this org
    $0
    From related orgs
    $205,411
    Other
    $43,706
    Hours/week
    35 + 15 related

    Schedule J breakdown matched by us

    Base
    $0 + $166,191 related
    Bonus
    $0 + $35,568 related
    Other
    $0 + $3,652 related
    Deferred
    $0 + $16,345 related
    Nontaxable benefits
    $0 + $27,361 related
    Filer's total
    $0 + $249,117 related

  • BRENT NELSON

    REGISTERED NURSE

    Total calculated
    $199,399
    From this org
    $174,150
    From related orgs
    $0
    Other
    $25,249
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $172,099
    Bonus
    $150
    Other
    $1,901
    Deferred
    $5,391
    Nontaxable benefits
    $19,858
    Filer's total
    $199,399

  • NERMINA SCHULTZ

    HOUSE SUPERVISOR

    Total calculated
    $162,608
    From this org
    $118,453
    From related orgs
    $0
    Other
    $44,155
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $118,357
    Bonus
    $50
    Other
    $46
    Deferred
    $7,878
    Nontaxable benefits
    $36,277
    Filer's total
    $162,608

  • ALEX HANSEN

    PHARMACIST

    Total calculated
    $148,375
    From this org
    $106,769
    From related orgs
    $0
    Other
    $41,606
    Hours/week
    40

  • MICHELL BRUNNING

    REGISTERED NURSE

    Total calculated
    $144,275
    From this org
    $115,037
    From related orgs
    $0
    Other
    $29,238
    Hours/week
    40

  • MELISSA HOULE

    PATIENT CARE MANAGER

    Total calculated
    $130,584
    From this org
    $108,782
    From related orgs
    $0
    Other
    $21,802
    Hours/week
    40

  • NANCY SCHAEFER

    ASSISTANT SECRETARY; EXEC ASSISTANT

    Total calculated
    $73,990
    From this org
    $0
    From related orgs
    $68,374
    Other
    $5,616
    Hours/week
    1 + 39 related

  • DAVID DEAVER

    DIRECTOR; CHAIR

    Total calculated
    $0
    Hours/week
    1 + 3.5 related

  • SANDRA BENAK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3.5 related

  • TIMOTHY BOETTGER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • ALAN KRUGER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • CAROL TOUSLEY

    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 — 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

  • 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
SARTORI MEMORIAL HOSPITAL IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SARTORI MEMORIAL HOSPITAL'S COO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF SARTORI MEMORIAL HOSPITAL'S COO: - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY
PART I, LINES 4A-B
THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2023. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JACK DUSENBERY - $432,166 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/23: JACK DUSENBERY - $935,054 ($680,992 PAID IN 2024 AND $254,062 TO BE PAID IN 2025) THE FOLLOWING IS A PARTICIPANT 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 ACCRUAL FOR 2023 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: RYAN MEYER - $28,333

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
202511349349303721

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

The source document this was parsed from is served over the API, which is where bulk and document access live.