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← ST ALEXIUS MEDICAL CENTER

Form 990 for tax year 2022

Filed by ST ALEXIUS MEDICAL CENTER.

Totals

Total revenue
$255,945,757
Total expenses
$329,979,546
Contributions and grants received
$2,164,604
Grants paid
$633,262
Program services expenses (Part IX)
$288,829,357
Management and general expenses
$39,737,973
Fundraising expenses
$1,412,216
Program service expenses (Part III)
$288,829,357

Program services were 87.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JOHN HOYT

    PHYSICIAN

    Total calculated
    $1,085,014
    From this org
    $1,019,331
    From related orgs
    $0
    Other
    $65,683
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $630,900
    Bonus
    $355,167
    Other
    $33,264
    Deferred
    $30,750
    Nontaxable benefits
    $34,933
    Filer's total
    $1,085,014

  • CAMERON CHARCHENKO

    MD - UROLOGY

    Total calculated
    $1,027,715
    From this org
    $989,033
    From related orgs
    $0
    Other
    $38,682
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $685,772
    Bonus
    $285,775
    Other
    $17,486
    Deferred
    $25,575
    Nontaxable benefits
    $13,107
    Filer's total
    $1,027,715

  • KURT SCHLEY

    FORMER DIRECTOR & CEO

    Total calculated
    $990,999
    From this org
    $0
    From related orgs
    $971,230
    Other
    $19,769
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $152,022 related
    Bonus
    $0
    Other
    $0 + $819,208 related
    Deferred
    $0 + $14,513 related
    Nontaxable benefits
    $0 + $5,256 related
    Filer's total
    $0 + $990,999 related

  • PATRICK GRACE

    PHYSICIAN

    Total calculated
    $946,902
    From this org
    $922,658
    From related orgs
    $0
    Other
    $24,244
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $530,537
    Bonus
    $360,907
    Other
    $31,214
    Deferred
    $10,675
    Nontaxable benefits
    $13,569
    Filer's total
    $946,902

  • NICHOLAS BRADBURY

    MD - INTERVENTIONAL RADIOLOGY

    Total calculated
    $802,213
    From this org
    $774,163
    From related orgs
    $0
    Other
    $28,050
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $607,200
    Bonus
    $166,963
    Other
    $0
    Deferred
    $28,050
    Nontaxable benefits
    $0
    Filer's total
    $802,213

  • MICHAEL FLISAK

    PHYSICIAN

    Total calculated
    $782,015
    From this org
    $747,473
    From related orgs
    $0
    Other
    $34,542
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $629,059
    Bonus
    $95,995
    Other
    $22,419
    Deferred
    $4,783
    Nontaxable benefits
    $29,759
    Filer's total
    $782,015

  • KEVIN DAHMEN MD

    VICE CHAIR/SECRETARY/TREASURER (THROUGH 8/2/22)/PS

    Total calculated
    $648,477
    From this org
    $589,888
    From related orgs
    $0
    Other
    $58,589
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $313,376
    Bonus
    $274,580
    Other
    $1,932
    Deferred
    $26,275
    Nontaxable benefits
    $32,314
    Filer's total
    $648,477

  • TODD PRESZLER MD

    DIRECTOR/ANESTHESIOLOGIST

    Total calculated
    $629,260
    From this org
    $584,132
    From related orgs
    $0
    Other
    $45,128
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $517,840
    Bonus
    $62,680
    Other
    $3,612
    Deferred
    $12,814
    Nontaxable benefits
    $32,314
    Filer's total
    $629,260

  • J'PATRICK FAHN

    CHIEF MEDICAL OFFICER

    Total calculated
    $465,827
    From this org
    $425,583
    From related orgs
    $0
    Other
    $40,244
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $363,600
    Bonus
    $60,768
    Other
    $1,215
    Deferred
    $10,250
    Nontaxable benefits
    $29,994
    Filer's total
    $465,827

  • SHIRAZ HYDER

    DIRECTOR/NEUROLOGIST

    Total calculated
    $427,656
    From this org
    $373,445
    From related orgs
    $0
    Other
    $54,211
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $348,427
    Bonus
    $14,350
    Other
    $10,668
    Deferred
    $21,898
    Nontaxable benefits
    $32,314
    Filer's total
    $427,657

  • JULIE GOEBEL

    DIRECTOR/DIVISION SVP CHIEF OPERATING OFFICER

    Total calculated
    $386,593
    From this org
    $0
    From related orgs
    $365,482
    Other
    $21,111
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $290,611 related
    Bonus
    $0 + $45,000 related
    Other
    $0 + $29,871 related
    Deferred
    $0 + $810 related
    Nontaxable benefits
    $0 + $20,301 related
    Filer's total
    $0 + $386,593 related

  • TIM PLANTE

    PRESIDENT/CEO (INTERIM THROUGH 12/18/22)

    Total calculated
    $341,073
    From this org
    $0
    From related orgs
    $300,407
    Other
    $40,666
    Hours/week
    40 + 10 related

    Schedule J breakdown matched by us

    Base
    $0 + $252,505 related
    Bonus
    $0 + $46,846 related
    Other
    $0 + $1,056 related
    Deferred
    $0 + $7,229 related
    Nontaxable benefits
    $0 + $33,437 related
    Filer's total
    $0 + $341,073 related

  • DEBRA MOHESKY

    MARKET PRESIDENT/CEO (THROUGH 10/4/22)

    Total calculated
    $323,165
    From this org
    $321,199
    From related orgs
    $0
    Other
    $1,966
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $276,110
    Bonus
    $45,089
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $1,966
    Filer's total
    $323,165

  • NICK O'TOOL

    DIVISION VP FINANCE

    Total calculated
    $304,710
    From this org
    $0
    From related orgs
    $257,678
    Other
    $47,032
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $207,354 related
    Bonus
    $0 + $49,872 related
    Other
    $0 + $452 related
    Deferred
    $0 + $16,380 related
    Nontaxable benefits
    $0 + $30,652 related
    Filer's total
    $0 + $304,710 related

  • KEITH HORNER

    FORMER DIRECTOR OF PHARMACY & CLINICAL INFORMATICS

    Total calculated
    $290,756
    From this org
    $250,302
    From related orgs
    $0
    Other
    $40,454
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $208,128
    Bonus
    $41,109
    Other
    $1,065
    Deferred
    $9,058
    Nontaxable benefits
    $31,396
    Filer's total
    $290,756

  • JAMES SMITH

    VICE PRESIDENT OF OPERATIONAL FINANCE (THROUGH 4/1

    Total calculated
    $240,307
    From this org
    $228,539
    From related orgs
    $0
    Other
    $11,768
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $198,197
    Bonus
    $0
    Other
    $30,342
    Deferred
    $0
    Nontaxable benefits
    $11,768
    Filer's total
    $240,307

  • RAUMI KUDRNA

    VP PATIENT CARE SERVICES

    Total calculated
    $176,163
    From this org
    $164,243
    From related orgs
    $0
    Other
    $11,920
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $146,200
    Bonus
    $17,743
    Other
    $300
    Deferred
    $5,873
    Nontaxable benefits
    $6,047
    Filer's total
    $176,163

  • TIMOTHY BOPP MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • JOHN GIESE

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • SR NICOLE KUNZE

    SECRETARY/TREASURER (STARTING 8/3/22)

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • SR NANCY MILLER OSB

    VICE CHAIR (THROUGH 8/2/22)

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • JOHN MONGEON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MIKE WEISBECK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • SR ROSANNE ZASTOUPIL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • REED REYMAN

    PRESIDENT/CEO

    Total calculated
    $0
    Hours/week
    40 + 5 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 · 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
DURING A PORTION OF CALENDAR YEAR 2022, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY ALEGENT CREIGHTON HEALTH, A RELATED ORGANIZATION. ALEGENT CREIGHTON HEALTH, USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
SCHEDULE J, PART I, LINE 4A
CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY A NON-EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 WEEKS TO 52 WEEKS OF BASE COMPENSATION, DEPENDING ON THE EMPLOYEE'S POSITION AND TENURE, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE 2022 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUALS' W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J, PART II, COLUMN (B)(III): KURT SCHLEY, $771,398.
SCHEDULE J, PART I, LINE 4B
DURING THE 2022 CALENDAR YEAR, COMMONSPIRIT HEALTH ("COMMONSPIRIT") MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2022 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: KURT SCHLEY, $43,231. DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2022 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2022, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: KURT SCHLEY, $4,024.
SCHEDULE J, PART II
ST ALEXIUS MEDICAL CENTER FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND COMMONSPIRIT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL, AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2022.

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
13 May 2024
IRS schema version
2022v5.0
Source object
202401349349308335

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

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