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Nonprofiteer
← ST LUKES MEDICAL GROUP

Form 990 for tax year 2022

Filed by ST LUKES MEDICAL GROUP.

Totals

Total revenue
$89,428,696
Total expenses
$132,416,489
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$128,178,629
Management and general expenses
$4,237,860
Fundraising expenses
$0
Program service expenses (Part III)
$128,178,629

Program services were 96.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • MARTHA FLEISCHMANN

    SENIOR VICE PRESIDENT & CFO

    Total calculated
    $484,165
    From this org
    $0
    From related orgs
    $447,129
    Other
    $37,036
    Hours/week
    20 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $414,052 related
    Bonus
    $0 + $10,000 related
    Other
    $0 + $23,077 related
    Deferred
    $0 + $28,212 related
    Nontaxable benefits
    $0 + $8,824 related
    Filer's total
    $0 + $484,165 related

  • ANDREW BAGNALL

    PRESIDENT & CEO (START 8/22)

    Total calculated
    $398,277
    From this org
    $0
    From related orgs
    $390,162
    Other
    $8,115
    Hours/week
    12 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $259,287 related
    Bonus
    $0 + $100,000 related
    Other
    $0 + $30,875 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $8,115 related
    Filer's total
    $0 + $398,277 related

  • DON MILLER

    NTWK VP FACILITIES & SUPPORT

    Total calculated
    $374,166
    From this org
    $0
    From related orgs
    $339,657
    Other
    $34,509
    Hours/week
    9 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $311,655 related
    Bonus
    $0 + $10,000 related
    Other
    $0 + $18,002 related
    Deferred
    $0 + $19,062 related
    Nontaxable benefits
    $0 + $15,447 related
    Filer's total
    $0 + $374,166 related

  • GARY OLSON

    INTERIM PRES & CEO (THRU 8/22)

    Total calculated
    $373,923
    From this org
    $0
    From related orgs
    $373,923
    Other
    $0
    Hours/week
    12 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $348,923 related
    Bonus
    $0 + $25,000 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $373,923 related

  • DARREN HASKELL MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $588,827
    From this org
    $543,522
    From related orgs
    $0
    Other
    $45,305
    Hours/week
    30 + 20 related

    Schedule J breakdown matched by us

    Base
    $509,013
    Bonus
    $34,509
    Other
    $0
    Deferred
    $22,112
    Nontaxable benefits
    $23,193
    Filer's total
    $588,827

  • JAMES SNIDER

    VP PHYSICIAN NETWORK

    Total calculated
    $323,926
    From this org
    $0
    From related orgs
    $294,541
    Other
    $29,385
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $284,541 related
    Bonus
    $0 + $10,000 related
    Other
    $0
    Deferred
    $0 + $11,166 related
    Nontaxable benefits
    $0 + $18,219 related
    Filer's total
    $0 + $323,926 related

  • JEREMY LEIDENFROST MD

    CARDIOTHORACIC SURGEON

    Total calculated
    $1,717,383
    From this org
    $1,681,585
    From related orgs
    $0
    Other
    $35,798
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $1,681,585
    Bonus
    $0
    Other
    $0
    Deferred
    $12,962
    Nontaxable benefits
    $22,836
    Filer's total
    $1,717,383

  • JASON EDWARDS MD

    RADIATION ONCOLOGIST

    Total calculated
    $1,480,799
    From this org
    $1,467,836
    From related orgs
    $0
    Other
    $12,963
    Hours/week
    55 + 1 related

    Schedule J breakdown matched by us

    Base
    $1,467,836
    Bonus
    $0
    Other
    $0
    Deferred
    $12,963
    Nontaxable benefits
    $0
    Filer's total
    $1,480,799

  • MICHAEL REIDY MD

    CARDIOTHORACIC SURGEON

    Total calculated
    $1,448,057
    From this org
    $1,422,390
    From related orgs
    $0
    Other
    $25,667
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $1,402,390
    Bonus
    $20,000
    Other
    $0
    Deferred
    $11,437
    Nontaxable benefits
    $14,230
    Filer's total
    $1,448,057

  • MICHAEL OGAWA MD

    ONCOLOGIST

    Total calculated
    $1,261,643
    From this org
    $1,237,039
    From related orgs
    $0
    Other
    $24,604
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $1,197,039
    Bonus
    $40,000
    Other
    $0
    Deferred
    $11,438
    Nontaxable benefits
    $13,166
    Filer's total
    $1,261,643

  • CHRISTIAN SIKORSKI MD

    NEUROSURGEON

    Total calculated
    $1,229,270
    From this org
    $1,194,749
    From related orgs
    $0
    Other
    $34,521
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $1,194,749
    Bonus
    $0
    Other
    $0
    Deferred
    $9,912
    Nontaxable benefits
    $24,609
    Filer's total
    $1,229,270

  • SHANE M CERONE

    FORMER PRESIDENT AND CEO

    Total calculated
    $966,340
    From this org
    $0
    From related orgs
    $966,340
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $239,707 related
    Bonus
    $0 + $125,000 related
    Other
    $0 + $601,633 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $966,340 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 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 5b · Pay contingent on a related organization's revenues

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this 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, LINES 4A-B:
THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2022: SHANE M. CERONE, $346,154. CERTAIN EMPLOYEES PARTICIPATE IN A SUPPMENTAL NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT. THE FOLLOWING INDIVIDUALS RECEIVED A DISTRIBUTION DURING CALENDAR 2022: SHANE M. CERONE, $138,050
PART I, LINE 5
THE FILING ORGANIZATION IS A MEMBER OF A REGIONAL HEALTHCARE SYSTEM CONTROLLED BY ST. LUKE'S HEALTH CORPORATION. THE EXECUTIVE INCENTIVE COMPENSATION PLAN RECOGNIZES AND REINFORCES THE HOSPITAL'S STRATEGIC BALANCED SCORECARD OBJECTIVES. THE INCENTIVE COMPENSATION PLAN IS DETERMINED BY A FIXED FORMULA BASED ON ACHIEVING CERTAIN GOALS AND OBJECTIVES EACH YEAR. THE OBJECTIVES ARE BUILT AROUND FOUR PERSPECTIVES, INCLUDING: 1. PATIENT/PHYSICIAN/COMMUNITY 2. EMPLOYEE 3. INTERNAL BUSINESS 4. FINANCIAL THE INCENTIVE PAY IS BASED ON MEASURABLE RESULTS AGAINST PRE-DETERMINED GOALS FOR THE OFFICERS, VICE PRESIDENTS, AND DEPARTMENT DIRECTORS OF THE HOSPITAL.

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
7 May 2024
IRS schema version
2022v5.0
Source object
202411349349302166

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