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Nonprofiteer
← NORTHERN PINES MEDICAL CENTER

Form 990 for tax year 2023

Filed by NORTHERN PINES MEDICAL CENTER.

Totals

Total revenue
$25,458,802
Total expenses
$22,749,225
Contributions and grants received
$132,183
Grants paid
$30,060
Program services expenses (Part IX)
$18,010,673
Management and general expenses
$4,738,552
Fundraising expenses
$0
Program service expenses (Part III)
$18,010,673

Program services were 79.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • TRACI MORRIS

    TREASURER/REL ORG CHIEF FINCL OFF

    Total calculated
    $1,026,042
    From this org
    $0
    From related orgs
    $900,190
    Other
    $125,852
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $669,563 related
    Bonus
    $0 + $146,723 related
    Other
    $0 + $83,904 related
    Deferred
    $0 + $123,590 related
    Nontaxable benefits
    $0 + $2,262 related
    Filer's total
    $0 + $1,026,042 related

  • MICHAEL WATTERS

    SECRETARY/REL ORG CHIEF LEGAL OFF

    Total calculated
    $778,653
    From this org
    $0
    From related orgs
    $645,998
    Other
    $132,655
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $489,927 related
    Bonus
    $0 + $111,318 related
    Other
    $0 + $44,753 related
    Deferred
    $0 + $93,066 related
    Nontaxable benefits
    $0 + $39,589 related
    Filer's total
    $0 + $778,653 related

  • TROY DUININCK MD

    BD DIRECTOR/REL ORG PHYS & DIV CHAIR

    Total calculated
    $634,689
    From this org
    $0
    From related orgs
    $569,417
    Other
    $65,272
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $567,968 related
    Bonus
    $0
    Other
    $0 + $1,449 related
    Deferred
    $0 + $26,400 related
    Nontaxable benefits
    $0 + $38,872 related
    Filer's total
    $0 + $634,689 related

  • THOMAS WITT MD

    FORMER PHYSICIAN LEADER

    Total calculated
    $557,515
    From this org
    $0
    From related orgs
    $518,295
    Other
    $39,220
    Hours/week
    0 + 25 related

    Schedule J breakdown matched by us

    Base
    $0 + $245,033 related
    Bonus
    $0 + $92,206 related
    Other
    $0 + $181,056 related
    Deferred
    $0 + $30,819 related
    Nontaxable benefits
    $0 + $8,401 related
    Filer's total
    $0 + $557,515 related

  • TAMMY KRITZER

    SENIOR VICE PRESIDENT, OPERATIONS

    Total calculated
    $529,408
    From this org
    $0
    From related orgs
    $447,009
    Other
    $82,399
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $335,917 related
    Bonus
    $0 + $75,563 related
    Other
    $0 + $35,529 related
    Deferred
    $0 + $66,370 related
    Nontaxable benefits
    $0 + $16,029 related
    Filer's total
    $0 + $529,408 related

  • JAN BALDWIN MD

    BOARD DIRECTOR/RELATED ORG PHYSICIAN

    Total calculated
    $365,955
    From this org
    $0
    From related orgs
    $314,140
    Other
    $51,815
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $312,229 related
    Bonus
    $0
    Other
    $0 + $1,911 related
    Deferred
    $0 + $24,138 related
    Nontaxable benefits
    $0 + $27,677 related
    Filer's total
    $0 + $365,955 related

  • SARA LOKSTAD MD

    ASSOCIATE CHIEF MEDICAL OFFICER

    Total calculated
    $341,222
    From this org
    $0
    From related orgs
    $320,356
    Other
    $20,866
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $319,869 related
    Bonus
    $0
    Other
    $0 + $487 related
    Deferred
    $0 + $19,234 related
    Nontaxable benefits
    $0 + $1,632 related
    Filer's total
    $0 + $341,222 related

  • LAURA ACKMAN

    ADMINISTRATOR

    Total calculated
    $217,565
    From this org
    $205,258
    From related orgs
    $0
    Other
    $12,307
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $204,018
    Bonus
    $0
    Other
    $1,240
    Deferred
    $10,235
    Nontaxable benefits
    $2,072
    Filer's total
    $217,565

  • JASON LENZ

    NURSE PRACTITIONER

    Total calculated
    $214,455
    From this org
    $170,039
    From related orgs
    $0
    Other
    $44,416
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $169,844
    Bonus
    $0
    Other
    $195
    Deferred
    $8,943
    Nontaxable benefits
    $35,473
    Filer's total
    $214,455

  • JOSHUA SENGER

    FINANCE DIRECTOR

    Total calculated
    $208,891
    From this org
    $0
    From related orgs
    $197,979
    Other
    $10,912
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $197,802 related
    Bonus
    $0
    Other
    $0 + $177 related
    Deferred
    $0 + $9,890 related
    Nontaxable benefits
    $0 + $1,022 related
    Filer's total
    $0 + $208,891 related

  • JESSICA LINSTEN

    NURSE PRACTITIONER

    Total calculated
    $201,401
    From this org
    $187,267
    From related orgs
    $0
    Other
    $14,134
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $187,064
    Bonus
    $0
    Other
    $203
    Deferred
    $9,514
    Nontaxable benefits
    $4,620
    Filer's total
    $201,401

  • PETER MATTSON

    PHARMACY SITE SUPERVISOR

    Total calculated
    $196,613
    From this org
    $162,684
    From related orgs
    $0
    Other
    $33,929
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $161,770
    Bonus
    $0
    Other
    $914
    Deferred
    $8,432
    Nontaxable benefits
    $25,497
    Filer's total
    $196,613

  • BROOKE PETTINELLI

    NURSE PRACTITIONER

    Total calculated
    $186,842
    From this org
    $163,466
    From related orgs
    $0
    Other
    $23,376
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $163,340
    Bonus
    $0
    Other
    $126
    Deferred
    $7,902
    Nontaxable benefits
    $15,474
    Filer's total
    $186,842

  • RICHARD JACKSON

    MEDICAL LABORATORY TECHNICNICIAN

    Total calculated
    $177,083
    From this org
    $149,121
    From related orgs
    $0
    Other
    $27,962
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $149,067
    Bonus
    $0
    Other
    $54
    Deferred
    $7,716
    Nontaxable benefits
    $20,246
    Filer's total
    $177,083

  • JOSEPH MIHALEK

    BOARD CHAIR

    Total calculated
    $12,700
    From this org
    $0
    From related orgs
    $12,700
    Other
    $0
    Hours/week
    2 + 24 related

  • ALAN ROCK

    BOARD DIRECTOR

    Total calculated
    $10,100
    From this org
    $0
    From related orgs
    $10,100
    Other
    $0
    Hours/week
    1 + 11 related

  • ANOTHNY SERTICH

    BOARD DIRECTOR

    Total calculated
    $10,100
    From this org
    $0
    From related orgs
    $10,100
    Other
    $0
    Hours/week
    1 + 13 related

  • RENEE WACHTER

    BOARD VICE CHAIR THRU 12/23

    Total calculated
    $8,700
    From this org
    $0
    From related orgs
    $8,700
    Other
    $0
    Hours/week
    2 + 24 related

  • THOMAS JAMAR

    BOARD DIRECTOR

    Total calculated
    $7,200
    From this org
    $0
    From related orgs
    $7,200
    Other
    $0
    Hours/week
    1 + 11 related

  • TONY YUNG

    BOARD DIRECTOR

    Total calculated
    $7,200
    From this org
    $0
    From related orgs
    $7,200
    Other
    $0
    Hours/week
    1 + 11 related

  • AMY BERGSTROM

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 11 related

  • GEORGE LOBAN

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 11 related

  • HARA CHARLIER

    BOARD DIRECTOR THRU 12/23

    Total calculated
    $0
    Hours/week
    1 + 11 related

  • SISTER BEVERLY RAWAY

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 14 related

  • SISTER JEANNE ANN WEBER

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 11 related

  • SISTER THERESE CARSON

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 11 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

  • 3 · Compensation committee
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 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
ESTABLISHING CEO'S COMPENSATION: ESSENTIA HEALTH, AS A RELATED ORGANIZATION, USED THE FOLLOWING METHODS TO ESTABLISH ESSENTIA HEALTH NORTHERN PINES' ADMINISTRATOR'S COMPENSATION: A COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4B
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: ESSENTIA HEALTH'S NONQUALIFIED RETIREMENT PLAN IS OFFERED TO DESIGNATED ESSENTIA HEALTH EXECUTIVES. THERE IS A MINIMUM FOUR YEAR VESTING DATE, OR VESTING IS AUTOMATIC UPON REACHING RETIREMENT AGE, DEATH, DISABILITY OR INVOLUNTARY TERMINATION WITHOUT CAUSE. BENEFITS ARE SUBJECT TO INCOME TAXES UPON VESTING AND PAYABLE FROM ESSENTIA HEALTH'S GENERAL ASSETS. REPORTED AS OTHER REPORTABLE COMPENSATION IN SCHEDULE J, PART II, COLUMN B (III), THE FOLLOWING INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A RECEIVED PAYMENT OF THE VESTED BENEFIT FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR: TRACI MORRIS $79,902 MICHAEL WATTERS $33,314 THOMAS WITT, MD $171,792 TAMMY KRITZER $32,833 REPORTED AS RETIREMENT AND OTHER DEFERRED COMPENSATION IN SCHEDULE J, PART II, COLUMN C, ESSENTIA HEALTH MADE CONTRIBUTIONS, SUBJECT TO THE VESTING TERMS, DURING THE YEAR INTO THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ON BEHALF OF THE FOLLOWING INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A: TRACI MORRIS $97,190 MICHAEL WATTERS $68,732 THOMAS WITT, MD $6,384 TAMMY KRITZER $42,418

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
9 May 2025
IRS schema version
2023v6.0
Source object
202531299349300918

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

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