Totals
- Total revenue
- $1,471,452
- Total expenses
- $2,259,794
- Contributions and grants received
- $812,413
- Grants paid
- $408,166
- Program services expenses (Part IX)
- $2,226,858
- Management and general expenses
- $32,936
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $2,226,858
Program services were 98.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
J KEVIN CROSTON MD
DIRECTOR
- Total calculated
- $2,285,767
- From this org
- $0
- From related orgs
- $1,741,361
- Other
- $544,406
- Hours/week
- 2 + 44 related
Schedule J breakdown matched by us
- Base
- $0 + $1,326,539 related
- Bonus
- $0 + $386,500 related
- Other
- $0 + $28,322 related
- Deferred
- $0 + $518,000 related
- Nontaxable benefits
- $0 + $26,406 related
- Filer's total
- $0 + $2,285,767 related
-
PAMELA DOORENBOS MD
DIRECTOR
- Total calculated
- $434,500
- From this org
- $0
- From related orgs
- $399,284
- Other
- $35,216
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $320,535 related
- Bonus
- $0 + $68,750 related
- Other
- $0 + $9,999 related
- Deferred
- $0 + $18,000 related
- Nontaxable benefits
- $0 + $17,216 related
- Filer's total
- $0 + $434,500 related
-
BETH MEJIA
DIRECTOR
- Total calculated
- $100,260
- From this org
- $0
- From related orgs
- $86,670
- Other
- $13,590
- Hours/week
- 1 + 40 related
-
SCOTT HEMENWAY
BOARD CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
JANDEEN BOONE
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
JIM BYRNE
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
DANA GARRETT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
DAVID HANCOX
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
BRUCE QUAM
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
DIANE NILSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
TROY REDING
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
MICHAEL OPAT
DIRECTOR
- Total calculated
- $253,110
- From this org
- $0
- From related orgs
- $227,548
- Other
- $25,562
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $198,095 related
- Bonus
- $0 + $21,667 related
- Other
- $0 + $7,786 related
- Deferred
- $0 + $11,417 related
- Nontaxable benefits
- $0 + $14,145 related
- Filer's total
- $0 + $253,110 related
-
ERIC SKALLAND
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
MIKE STEINHAUSER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
KENT SPAULDING
VICE PRESIDENT
- Total calculated
- $329,818
- From this org
- $0
- From related orgs
- $306,047
- Other
- $23,771
- Hours/week
- 2 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $249,423 related
- Bonus
- $0 + $52,188 related
- Other
- $0 + $4,436 related
- Deferred
- $0 + $17,865 related
- Nontaxable benefits
- $0 + $5,906 related
- Filer's total
- $0 + $329,818 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
- 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 OF NORTH MEMORIAL PROVIDES SERVICES TO NORTH MEMORIAL HEALTH CARE AS WELL AS TO ALL RELATED ENTITIES AS IDENTIFIED ON SCHEDULE R. AS SUCH, HIS COMPENSATION LEVEL INCORPORATES SERVICES PROVIDED TO MULTIPLE NORTH MEMORIAL ENTITIES. THE CEO OF NORTH MEMORIAL HEALTH CARE HAS A PERMANENT SPOT ON THE BOARD OF THE NORTH MEMORIAL FOUNDATION.
- PART I, LINE 4B
- DR. KEVIN CROSTON RECIEVED A CONTRIBUTION TO HIS 457(F) PLAN OF $500,000 DURING THE TAX YEAR. THIS AMOUNT IS INCLUDED IN COLUMN (C) OF SCHEDULE J, PART II. THE AMOUNT WAS UNVESTED AS OF THE END OF THE TAX YEAR.
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
-
$264,021
TO SUPPORT COVID-19 EMERGENCY, INPATIENT MENTAL HEALTH SERVICES, OTHER PATIENT AND EMPLOYEE NEEDS
-
$33,397
TO SUPPORT MGH NICU, OTHER PATIENT AND EMPLOYEE NEEDS
-
$24,969
TO SUPPORT HOSPICE SERVICES, OTHER PATIENT AND EMPLOYEE NEEDS
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)(3) · ACUTE CARE · MN
Directly controlled by NORTH MEMORIAL
-
501(C)(3) · INSURANCE · BD
Directly controlled by NORTH MEMORIAL
-
MAPLE GROVE HOSPITAL CORPORATION
501(C)(3) · ACUTE CARE · MN
Directly controlled by NORTH MEMORIAL
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 15 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202333199349321283
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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