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Nonprofiteer
← LAKE VIEW MEMORIAL HOSPITAL INC

Form 990 for tax year 2022

Filed by LAKE VIEW MEMORIAL HOSPITAL INC.

Totals

Total revenue
$24,788,142
Total expenses
$22,281,833
Contributions and grants received
$307,543
Grants paid
$499
Program service revenue
not reported
Investment income
not reported
Other revenue
not reported
Total assets, end of year
not reported
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
not reported
Program services expenses (Part IX)
$19,612,475
Management and general expenses
$2,669,358
Fundraising expenses
$0
Program service expenses (Part III)
$19,612,475

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

  • ERIC LOHN TREASURER ST

    ST. LUKE'S HOSP CO-PRESIDENT & CFO

    Total calculated
    $1,207,284
    From this org
    $0
    From related orgs
    $1,010,981
    Other
    $196,303
    Hours/week
    2 + 38 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

  • SHAWN MCMAHON MD

    DIRECTOR & PHYSICIAN

    Total calculated
    $193,313
    From this org
    $171,160
    From related orgs
    $0
    Other
    $22,153
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $169,180
    Bonus
    $0
    Other
    $1,980
    Deferred
    $3,897
    Nontaxable benefits
    $18,256
    Filer's total
    $193,313

  • JANELLE JONES

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • KEVIN BEARDSLEY

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • CHRIS BRELIE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • RICK HOGENSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • WADE LEBLANC

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JOYCE SCOTT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KIERA WILSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • NICHOLAS VAN DEELEN MD

    ST. LUKE'S HOSPITAL CMO

    Total calculated
    $1,066,238
    From this org
    $0
    From related orgs
    $867,010
    Other
    $199,228
    Hours/week
    2 + 38 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

    PRESIDENT/CEO

    Total calculated
    $359,121
    From this org
    $0
    From related orgs
    $282,804
    Other
    $76,317
    Hours/week
    35 + 5 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

  • ELIZABETH FEIST MD

    PHYSICIAN

    Total calculated
    $235,026
    From this org
    $202,150
    From related orgs
    $0
    Other
    $32,876
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $201,910
    Bonus
    $0
    Other
    $240
    Deferred
    $4,340
    Nontaxable benefits
    $28,536
    Filer's total
    $235,026

  • E TOLGA HANHAN MD

    PHYSICIAN

    Total calculated
    $226,823
    From this org
    $204,751
    From related orgs
    $0
    Other
    $22,072
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $204,301
    Bonus
    $0
    Other
    $450
    Deferred
    $4,533
    Nontaxable benefits
    $17,539
    Filer's total
    $226,823

  • KELSEY SCHULTZ MD

    PHYSICIAN

    Total calculated
    $191,969
    From this org
    $186,909
    From related orgs
    $0
    Other
    $5,060
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $186,639
    Bonus
    $0
    Other
    $270
    Deferred
    $3,782
    Nontaxable benefits
    $1,278
    Filer's total
    $191,969

  • ELIZABETH EGAN

    DIRECTOR

    Total calculated
    $143,544
    From this org
    $133,466
    From related orgs
    $0
    Other
    $10,078
    Hours/week
    40

  • BAMBI DECHANTAL

    RN

    Total calculated
    $149,847
    From this org
    $131,698
    From related orgs
    $0
    Other
    $18,149
    Hours/week
    40

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 CEO OF LAKE VIEW MEMORIAL HOSPITAL 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

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.

Provenance

Return type
form_990
Tax year
2022
Filed
2 November 2023
IRS schema version
2022v5.0
Source object
202333179349300818

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

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