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Nonprofiteer
← MAPLE GROVE HOSPITAL CORPORATION

Form 990 for tax year 2024

Filed by MAPLE GROVE HOSPITAL CORPORATION.

Totals

Total revenue
$302,585,274
Total expenses
$258,795,078
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$226,290,541
Management and general expenses
$32,504,537
Fundraising expenses
$0
Program service expenses (Part III)
$226,290,541

Program services were 87.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • TREVOR SAWALLISH CEO

    BOARD CHAIR

    Total calculated
    $1,407,017
    From this org
    $0
    From related orgs
    $1,368,361
    Other
    $38,656
    Hours/week
    2 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,080,900 related
    Bonus
    $0 + $276,000 related
    Other
    $0 + $11,461 related
    Deferred
    $0 + $13,800 related
    Nontaxable benefits
    $0 + $24,856 related
    Filer's total
    $0 + $1,407,017 related
  • CAROLYN OGLAND MD

    DIRECTOR

    Total calculated
    $1,126,438
    From this org
    $0
    From related orgs
    $1,079,468
    Other
    $46,970
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $696,402 related
    Bonus
    $0 + $343,525 related
    Other
    $0 + $39,541 related
    Deferred
    $0 + $18,750 related
    Nontaxable benefits
    $0 + $28,220 related
    Filer's total
    $0 + $1,126,438 related
  • STEPHANIE GALE

    INTERIM CHIEF FINANCIAL OFFICER

    Total calculated
    $270,624
    From this org
    $0
    From related orgs
    $235,816
    Other
    $34,808
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $209,363 related
    Bonus
    $0 + $23,183 related
    Other
    $0 + $3,270 related
    Deferred
    $0 + $10,487 related
    Nontaxable benefits
    $0 + $24,321 related
    Filer's total
    $0 + $270,624 related
  • J KEVIN CROSTON MD

    CEO (THROUGH 2/2024)

    Total calculated
    $1,768,872
    From this org
    $0
    From related orgs
    $1,758,247
    Other
    $10,625
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $179,997 related
    Bonus
    $0
    Other
    $0 + $1,578,250 related
    Deferred
    $0 + $6,085 related
    Nontaxable benefits
    $0 + $4,540 related
    Filer's total
    $0 + $1,768,872 related
  • DAVID ALBRIGHT

    CFO (THROUGH 11/2024)

    Total calculated
    $772,340
    From this org
    $0
    From related orgs
    $735,975
    Other
    $36,365
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $638,376 related
    Bonus
    $0 + $78,899 related
    Other
    $0 + $18,700 related
    Deferred
    $0 + $18,750 related
    Nontaxable benefits
    $0 + $17,615 related
    Filer's total
    $0 + $772,340 related
  • ANNAMMA CHANDY

    PATIENT CARE FACILITATOR

    Total calculated
    $287,596
    From this org
    $253,313
    From related orgs
    $0
    Other
    $34,283
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $243,635
    Bonus
    $7,475
    Other
    $2,203
    Deferred
    $13,877
    Nontaxable benefits
    $20,406
    Filer's total
    $287,596
  • CATHY FEDDERSEN

    PATIENT CARE FACILITATOR

    Total calculated
    $237,138
    From this org
    $206,861
    From related orgs
    $0
    Other
    $30,277
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $192,788
    Bonus
    $13,753
    Other
    $320
    Deferred
    $10,008
    Nontaxable benefits
    $20,269
    Filer's total
    $237,138
  • JULISA ROESSLER

    PATIENT CARE FACILITATOR

    Total calculated
    $237,299
    From this org
    $208,327
    From related orgs
    $0
    Other
    $28,972
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $189,495
    Bonus
    $18,416
    Other
    $416
    Deferred
    $10,220
    Nontaxable benefits
    $18,752
    Filer's total
    $237,299
  • NICOLE MICHAUD

    PATIENT CARE FACILITATOR

    Total calculated
    $245,475
    From this org
    $214,007
    From related orgs
    $0
    Other
    $31,468
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $209,002
    Bonus
    $4,553
    Other
    $452
    Deferred
    $11,761
    Nontaxable benefits
    $19,707
    Filer's total
    $245,475
  • TIFFANY CORNELL

    REGISTERED NURSE

    Total calculated
    $241,146
    From this org
    $207,192
    From related orgs
    $0
    Other
    $33,954
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $198,701
    Bonus
    $8,035
    Other
    $456
    Deferred
    $10,635
    Nontaxable benefits
    $23,319
    Filer's total
    $241,146

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

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 CHIEF EXECUTIVE OFFICER IS AN EMPLOYEE OF NORTH MEMORIAL HEALTH CARE. OTHER BOARD MEMBERS LISTED WITH COMPENSATION FROM A RELATED ORGANIZATION ARE OFFICERS AND KEY EMPLOYEES OF NORTH MEMORIAL HEALTH CARE WHO PROVIDE SERVICES TO MAPLE GROVE HOSPITAL AS WELL AS TO ALL OR SOME RELATED ENTITIES AS IDENTIFIED ON SCHEDULE R. AS SUCH, THEIR COMPENSATION LEVELS INCORPORATE SERVICES PROVIDED TO MULTIPLE NORTH MEMORIAL ENTITIES. NORTH MEMORIAL HEALTH CARE USED A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANTS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH COMPENSATION.
PART I, LINE 4B
DR. KEVIN CROSTON RECEIVED THE PAYOUT OF HIS 457(F) PLAN OF $1,500,000 IN 2024. THE CONTRIBUTIONS TO THIS PLAN WERE REPORTED IN PRIOR YEARS' RETURNS AS NOTED IN COLUMN (F) OF SCHEDULE J, PART II.

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
2024
Filed
17 November 2025
IRS schema version
2024v5.2
Source object
202533219349323803

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