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Nonprofiteer
← ST MARYS HOSPITAL OF SUPERIOR

Form 990 for tax year 2022

Filed by ST MARYS HOSPITAL OF SUPERIOR.

Totals

Total revenue
$106,390,981
Total expenses
$84,139,848
Contributions and grants received
$451,252
Grants paid
$49,581
Program services expenses (Part IX)
$69,424,880
Management and general expenses
$14,714,968
Fundraising expenses
$0
Program service expenses (Part III)
$69,424,880

Program services were 82.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • BRADLEY BEARD

    CHIEF OPERATING OFFICER

    Total calculated
    $1,069,895
    From this org
    $0
    From related orgs
    $932,410
    Other
    $137,485
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $600,630 related
    Bonus
    $0 + $256,508 related
    Other
    $0 + $75,272 related
    Deferred
    $0 + $98,483 related
    Nontaxable benefits
    $0 + $39,002 related
    Filer's total
    $0 + $1,069,895 related
  • ANNE STEPHEN MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $983,815
    From this org
    $0
    From related orgs
    $876,444
    Other
    $107,371
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $456,170 related
    Bonus
    $0 + $197,482 related
    Other
    $0 + $222,792 related
    Deferred
    $0 + $75,729 related
    Nontaxable benefits
    $0 + $31,642 related
    Filer's total
    $0 + $983,815 related
  • TROY DUININCK MD

    BOARD DIRECTOR

    Total calculated
    $682,354
    From this org
    $0
    From related orgs
    $622,239
    Other
    $60,115
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $621,080 related
    Bonus
    $0
    Other
    $0 + $1,159 related
    Deferred
    $0 + $24,400 related
    Nontaxable benefits
    $0 + $35,715 related
    Filer's total
    $0 + $682,354 related
  • JANICE SCHADE

    SENIOR VICE PRESIDENT, OPERATIONS

    Total calculated
    $629,756
    From this org
    $0
    From related orgs
    $541,628
    Other
    $88,128
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $353,161 related
    Bonus
    $0 + $154,116 related
    Other
    $0 + $34,351 related
    Deferred
    $0 + $59,011 related
    Nontaxable benefits
    $0 + $29,117 related
    Filer's total
    $0 + $629,756 related
  • RHONDA KAZIK

    CHIEF NURSING OFFICER

    Total calculated
    $629,127
    From this org
    $0
    From related orgs
    $538,327
    Other
    $90,800
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $381,088 related
    Bonus
    $0 + $151,426 related
    Other
    $0 + $5,813 related
    Deferred
    $0 + $64,447 related
    Nontaxable benefits
    $0 + $26,353 related
    Filer's total
    $0 + $629,127 related
  • KEVIN BOREN

    VICE PRESIDENT, FINANCE

    Total calculated
    $617,463
    From this org
    $0
    From related orgs
    $528,452
    Other
    $89,011
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $394,711 related
    Bonus
    $0 + $85,550 related
    Other
    $0 + $48,191 related
    Deferred
    $0 + $49,069 related
    Nontaxable benefits
    $0 + $39,942 related
    Filer's total
    $0 + $617,463 related
  • TAMMY KRITZER

    SENIOR VICE PRESIDENT, OPERATIONS

    Total calculated
    $533,962
    From this org
    $0
    From related orgs
    $468,127
    Other
    $65,835
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $326,304 related
    Bonus
    $0 + $139,215 related
    Other
    $0 + $2,608 related
    Deferred
    $0 + $50,738 related
    Nontaxable benefits
    $0 + $15,097 related
    Filer's total
    $0 + $533,962 related
  • LAURA TROMBINO MD

    BOARD DIRECTOR THRU 12/22

    Total calculated
    $510,080
    From this org
    $0
    From related orgs
    $457,846
    Other
    $52,234
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $454,498 related
    Bonus
    $0
    Other
    $0 + $3,348 related
    Deferred
    $0 + $24,400 related
    Nontaxable benefits
    $0 + $27,834 related
    Filer's total
    $0 + $510,080 related
  • JAN BALDWIN MD

    BOARD DIRECTOR

    Total calculated
    $348,086
    From this org
    $0
    From related orgs
    $297,388
    Other
    $50,698
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $293,731 related
    Bonus
    $0
    Other
    $0 + $3,657 related
    Deferred
    $0 + $23,000 related
    Nontaxable benefits
    $0 + $27,698 related
    Filer's total
    $0 + $348,086 related
  • SARAH KARL

    ADVANCED PRACTICE - SECTION CHAIR

    Total calculated
    $243,097
    From this org
    $196,850
    From related orgs
    $0
    Other
    $46,247
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $166,201
    Bonus
    $25,500
    Other
    $5,149
    Deferred
    $9,778
    Nontaxable benefits
    $36,469
    Filer's total
    $243,097
  • CYNTHIA KENT

    FORMER SNR VP, NURSING EXCELLENCE

    Total calculated
    $230,366
    From this org
    $0
    From related orgs
    $222,503
    Other
    $7,863
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $222,503 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $7,863 related
    Filer's total
    $0 + $230,366 related
  • KIM PEARSON

    ADMINISTRATOR

    Total calculated
    $228,127
    From this org
    $190,443
    From related orgs
    $0
    Other
    $37,684
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $175,323
    Bonus
    $9,000
    Other
    $6,120
    Deferred
    $9,446
    Nontaxable benefits
    $28,238
    Filer's total
    $228,127
  • JULIE ARNETT

    NURSE PRACTITIONER

    Total calculated
    $221,048
    From this org
    $173,423
    From related orgs
    $0
    Other
    $47,625
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $152,915
    Bonus
    $20,400
    Other
    $108
    Deferred
    $8,065
    Nontaxable benefits
    $39,560
    Filer's total
    $221,048
  • OLGA TER-GRIGORYAN

    NURSE PRACTITIONER

    Total calculated
    $212,339
    From this org
    $187,524
    From related orgs
    $0
    Other
    $24,815
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $161,295
    Bonus
    $25,500
    Other
    $729
    Deferred
    $9,049
    Nontaxable benefits
    $15,766
    Filer's total
    $212,339
  • CATHERINE ORLANDI

    REGISTERED NURSE

    Total calculated
    $205,261
    From this org
    $182,904
    From related orgs
    $0
    Other
    $22,357
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $179,928
    Bonus
    $0
    Other
    $2,976
    Deferred
    $9,326
    Nontaxable benefits
    $13,031
    Filer's total
    $205,261
  • TINA ANVID

    REGISTERED NURSE

    Total calculated
    $187,060
    From this org
    $168,319
    From related orgs
    $0
    Other
    $18,741
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $168,166
    Bonus
    $0
    Other
    $153
    Deferred
    $8,463
    Nontaxable benefits
    $10,278
    Filer's total
    $187,060
  • JOSEPH MIHALEK

    BOARD CHAIR

    Total calculated
    $8,800
    From this org
    $0
    From related orgs
    $8,800
    Other
    $0
    Hours/week
    2 + 12 related
  • THOMAS RENIER

    BOARD VICE CHAIR THRU 12/22

    Total calculated
    $8,600
    From this org
    $0
    From related orgs
    $8,600
    Other
    $0
    Hours/week
    2 + 12 related
  • ALAN ROCK

    BOARD DIRECTOR

    Total calculated
    $8,000
    From this org
    $0
    From related orgs
    $8,000
    Other
    $0
    Hours/week
    1 + 3 related
  • ANTHONY SERTICH

    BOARD DIRECTOR

    Total calculated
    $7,800
    From this org
    $0
    From related orgs
    $7,800
    Other
    $0
    Hours/week
    1 + 5 related
  • HOWARD KLATZKY

    BOARD DIRECTOR THRU 12/22

    Total calculated
    $7,000
    From this org
    $0
    From related orgs
    $7,000
    Other
    $0
    Hours/week
    1 + 3 related
  • JOSEPH LEONI

    BOARD DIRECTOR THRU 12/22

    Total calculated
    $6,800
    From this org
    $0
    From related orgs
    $6,800
    Other
    $0
    Hours/week
    1 + 4 related
  • RENEE WACHTER

    BOARD VICE CHAIR

    Total calculated
    $6,400
    From this org
    $0
    From related orgs
    $6,400
    Other
    $0
    Hours/week
    2 + 12 related
  • HARA CHARLIER

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • SISTER BEVERLY RAWAY

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • SISTER JEANNE ANN WEBER

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • SISTER THERESE CARSON

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • THOMAS JAMAR

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • TONY YUNG

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 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
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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 ST. MARY'S HOSPITAL-SUPERIOR'S ADMINISTRATOR'S COMPENSATION: A COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINES 4A-B
SEVERANCE PAYMENT: FORMER KEY EMPLOYEE CYNTHIA KENT RECEIVED PAYMENTS TOTALING $222,503 IN CALENDAR YEAR 2022 RELATED TO A TERMINATION AGREEMENT. UNDER THE TERMS OF THE AGREEMENT, KENT WILL RECEIVE PAY TOTALING $461,635 & BENEFITS TOTALING $38,623 FROM FEBRUARY 1, 2021 TO AUGUST 1, 2022. 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: BRADLEY BEARD $63,788 ANNE STEPHEN, MD $211,981 JANICE SCHADE $25,995 KEVIN BOREN $32,212 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: BRADLEY BEARD $74,083 ANNE STEPHEN, MD $51,329 JANICE SCHADE $34,611 RHONDA KAZIK $40,047 KEVIN BOREN $24,669 TAMMY KRITZER $28,674

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
2022
Filed
8 May 2024
IRS schema version
2022v5.0
Source object
202421299349300722

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

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