Form 990 for tax year 2023
Filed by AMERY REGIONAL MEDICAL CENTER INC.
Totals
- Total revenue
- $81,893,978
- Total expenses
- $75,640,271
- Contributions and grants received
- $4,193,584
- Grants paid
- $5,794
- Program service revenue
- $76,458,992
- Investment income
- $1,114,592
- Other revenue
- $126,810
- Total assets, end of year
- $61,891,041
- Total liabilities, end of year
- $20,099,408
- Net assets or fund balances, end of year
- $41,791,633
- Program services expenses (Part IX)
- $66,777,342
- Management and general expenses
- $8,862,929
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $66,777,342
Program services were 88.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
RICK DADO
DIRECTOR & SECRETARY
- Total calculated
- $1,200
- From this org
- $1,200
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1.75 + 0.25 related
-
CHUCK WILLIAMSON
DIRECTOR
- Total calculated
- $1,200
- From this org
- $1,200
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1.75 + 0.25 related
-
JAMES A LEADHOLM JR
DIRECTOR & CHAIR
- Total calculated
- $1,200
- From this org
- $1,200
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1.75 + 0.25 related
-
MAI XIA HER-WARNER
DIRECTOR
- Total calculated
- $1,200
- From this org
- $1,200
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1.75 + 0.25 related
-
JANE JOHNSON
DIRECTOR
- Total calculated
- $1,200
- From this org
- $1,200
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1.75 + 0.25 related
-
CHRIS PETERSEN
DIRECTOR
- Total calculated
- $1,200
- From this org
- $1,200
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1.75 + 0.25 related
-
ORALEE SCHOCK
DIRECTOR & VICE CHAIR
- Total calculated
- $1,200
- From this org
- $1,200
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1.75 + 0.25 related
-
ROSS R BULLARD
DIRECTOR & TREASURER
- Total calculated
- $426,163
- From this org
- $0
- From related orgs
- $325,068
- Other
- $101,095
- Hours/week
- 2 + 48 related
Schedule J breakdown matched by us
- Base
- $0 + $253,460 related
- Bonus
- $0 + $65,727 related
- Other
- $0 + $5,881 related
- Deferred
- $0 + $59,880 related
- Nontaxable benefits
- $0 + $41,215 related
- Filer's total
- $0 + $426,163 related
-
STEVEN J LONG MD
DIRECTOR
- Total calculated
- $465,992
- From this org
- $0
- From related orgs
- $420,867
- Other
- $45,125
- Hours/week
- 0.25 + 43.75 related
Schedule J breakdown matched by us
- Base
- $0 + $293,646 related
- Bonus
- $0 + $44,000 related
- Other
- $0 + $83,221 related
- Deferred
- $0 + $2,846 related
- Nontaxable benefits
- $0 + $42,279 related
- Filer's total
- $0 + $465,992 related
-
MARTIN E RICHARDS MD
DIRECTOR
- Total calculated
- $585,700
- From this org
- $0
- From related orgs
- $517,093
- Other
- $68,607
- Hours/week
- 0.25 + 39.75 related
Schedule J breakdown matched by us
- Base
- $0 + $425,399 related
- Bonus
- $0 + $25,000 related
- Other
- $0 + $66,694 related
- Deferred
- $0 + $24,750 related
- Nontaxable benefits
- $0 + $43,857 related
- Filer's total
- $0 + $585,700 related
-
MARYANN SCOGLIO APRN
DIRECTOR
- Total calculated
- $232,975
- From this org
- $0
- From related orgs
- $182,919
- Other
- $50,056
- Hours/week
- 0.25 + 59.75 related
Schedule J breakdown matched by us
- Base
- $0 + $125,032 related
- Bonus
- $0
- Other
- $0 + $57,887 related
- Deferred
- $0 + $14,180 related
- Nontaxable benefits
- $0 + $35,876 related
- Filer's total
- $0 + $232,975 related
-
BRIAN H RANK MD
DIRECTOR
- Total calculated
- $342,049
- From this org
- $0
- From related orgs
- $259,817
- Other
- $82,232
- Hours/week
- 0.25 + 19.75 related
Schedule J breakdown matched by us
- Base
- $0 + $140,281 related
- Bonus
- $0
- Other
- $0 + $119,536 related
- Deferred
- $0 + $60,073 related
- Nontaxable benefits
- $0 + $22,159 related
- Filer's total
- $0 + $342,049 related
-
RONDA D DAVIS MD
DIRECTOR
- Total calculated
- $330,225
- From this org
- $0
- From related orgs
- $269,763
- Other
- $60,462
- Hours/week
- 0.25 + 31.75 related
Schedule J breakdown matched by us
- Base
- $0 + $166,866 related
- Bonus
- $0
- Other
- $0 + $102,897 related
- Deferred
- $0 + $20,563 related
- Nontaxable benefits
- $0 + $39,899 related
- Filer's total
- $0 + $330,225 related
-
DEBRA A RUDQUIST
DIRECTOR & PRESIDENT
- Total calculated
- $474,745
- From this org
- $0
- From related orgs
- $409,934
- Other
- $64,811
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $0 + $307,131 related
- Bonus
- $0 + $91,223 related
- Other
- $0 + $11,580 related
- Deferred
- $0 + $26,592 related
- Nontaxable benefits
- $0 + $38,219 related
- Filer's total
- $0 + $474,745 related
-
PATRICK D SURA MD
DIR & CHIEF MED OFFICER
- Total calculated
- $528,241
- From this org
- $0
- From related orgs
- $460,519
- Other
- $67,722
- Hours/week
- 0.25 + 54.75 related
Schedule J breakdown matched by us
- Base
- $0 + $413,024 related
- Bonus
- $0 + $14,000 related
- Other
- $0 + $33,495 related
- Deferred
- $0 + $24,750 related
- Nontaxable benefits
- $0 + $42,972 related
- Filer's total
- $0 + $528,241 related
-
DOUGLAS E JOHNSON
CFO
- Total calculated
- $647,904
- From this org
- $0
- From related orgs
- $603,783
- Other
- $44,121
- Hours/week
- 13.75 + 41.25 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
-
KEVIN M JUST
VP PATIENT CARE SERVICES
- Total calculated
- $235,987
- From this org
- $214,397
- From related orgs
- $0
- Other
- $21,590
- Hours/week
- 0.25 + 44.25 related
Schedule J breakdown matched by us
- Base
- $194,818
- Bonus
- $18,901
- Other
- $678
- Deferred
- $8,549
- Nontaxable benefits
- $13,041
- Filer's total
- $235,987
-
JAMES G ERICKSON
REGISTERED NURSE SUPERVISOR
- Total calculated
- $188,383
- From this org
- $144,466
- From related orgs
- $0
- Other
- $43,917
- Hours/week
- 42
Schedule J breakdown matched by us
- Base
- $134,552
- Bonus
- $500
- Other
- $9,414
- Deferred
- $6,146
- Nontaxable benefits
- $37,771
- Filer's total
- $188,383
-
STEVEN L ROZENBLOOM
FINANCE DIRECTOR
- Total calculated
- $236,588
- From this org
- $189,950
- From related orgs
- $0
- Other
- $46,638
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $168,683
- Bonus
- $17,170
- Other
- $4,097
- Deferred
- $7,766
- Nontaxable benefits
- $38,872
- Filer's total
- $236,588
-
JOLLEEN M NICHOLS
PROVIDER-APNP
- Total calculated
- $168,543
- From this org
- $150,978
- From related orgs
- $0
- Other
- $17,565
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $135,757
- Bonus
- $500
- Other
- $14,721
- Deferred
- $6,015
- Nontaxable benefits
- $11,550
- Filer's total
- $168,543
-
VICTORIA R STUDTMANN
PROVIDER-APNP
- Total calculated
- $186,836
- From this org
- $143,208
- From related orgs
- $0
- Other
- $43,628
- Hours/week
- 36
Schedule J breakdown matched by us
- Base
- $114,208
- Bonus
- $450
- Other
- $28,550
- Deferred
- $5,954
- Nontaxable benefits
- $37,674
- Filer's total
- $186,836
-
SARAH L KNUTSON
NURSE PRACTITIONER
- Total calculated
- $194,737
- From this org
- $151,383
- From related orgs
- $0
- Other
- $43,354
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $124,151
- Bonus
- $500
- Other
- $26,732
- Deferred
- $6,398
- Nontaxable benefits
- $36,956
- Filer's total
- $194,737
-
JASON J LUHRS
FORMER CFO
- Total calculated
- $413,398
- From this org
- $0
- From related orgs
- $347,590
- Other
- $65,808
- Hours/week
- 0 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $264,872 related
- Bonus
- $0 + $76,091 related
- Other
- $0 + $6,627 related
- Deferred
- $0 + $24,750 related
- Nontaxable benefits
- $0 + $41,058 related
- Filer's total
- $0 + $413,398 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, 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
- 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
- 4b · Supplemental nonqualified retirement plan
- 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
- AMERY'S PRESIDENT AND ITS OFFICERS ARE EMPLOYED BY REGIONS HOSPITAL (REGIONS) OR BY GROUP HEALTH PLAN, INC. (GHI), OR LAKEVIEW HOSPITAL, ALL OF WHICH ARE RELATED ORGANIZATIONS, OR BY AMERY. GHI, REGIONS, LAKEVIEW AND AMERY HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF AMERY'S PRESIDENT AND OTHER OFFICERS.
- PART I, LINE 6
- AMERY'S OFFICERS, DIRECTORS AND HIGHEST COMPENSATED EMPLOYEES ARE EMPLOYED BY REGIONS HOSPITAL (REGIONS),GROUP HEALTH PLAN, INC. (GHI), OR LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION (LAKEVIEW), RELATED ORGANIZATIONS, OR BY AMERY. COMPENSATION REPORTED IN FORM 990, PART VIII INCLUDES ANY COMPENSATION DERIVED FROM REGIONS, GHI, LAKEVIEW OR AMERY'S LEADERSHIP 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 LEADERSHIP INCENTIVE PROGRAMS' REWARDS ARE BASED ON POSITION IN THE ORGANIZATION (E.G. VICE PRESIDENT, DIRECTOR, MANAGER, OTHER SPECIFICALLY IDENTIFIED LEADERS) AND THE ACHIEVEMENT OF BUSINESS AND HEALTH IMPROVEMENT GOALS ESTABLISHED IN A VARIETY OF AREAS. GOALS WILL BE RELATED TO THE ORGANIZATION'S STRATEGIC PLAN AND WILL BE BALANCED. 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. A OPERATING MARGIN 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.
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) · CLINIC STAFF AND FACILITIES · 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 FOUNDATION INC
501(C)(3) · PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH · WI · controlled entity
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
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
HEALTHPARTNERS ADMINISTRATORS INC
C · THIRD PARTY ADMINISTRATOR · MN
Directly controlled by HEALTHPARTNERS INC
-
C · MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT · MN
Directly controlled by HEALTHPARTNERS ADMINISTRATORS INC
-
C · MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT · MN
Directly controlled by HEALTHPARTNERS ADMINISTRATORS INC
-
HEALTHPARTNERS INSURANCE COMPANY
C · MEDICAL AND DENTAL INSURANCE · MN
Directly controlled by HEALTHPARTNERS ADMINISTRATORS INC
-
C · PROFESSIONAL DENTAL SERVICES · MN
Directly controlled by HEALTHPARTNERS ADMINISTRATORS INC
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 13 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202423189349310787
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