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Nonprofiteer
← CHI MEMORIAL HOSPITAL - GEORGIA

Form 990 for tax year 2022

Filed by CHI MEMORIAL HOSPITAL - GEORGIA.

Totals

Total revenue
$21,466,162
Total expenses
$26,920,213
Contributions and grants received
$646,440
Grants paid
$2,500
Program service revenue
not reported
Investment income
not reported
Other revenue
not reported
Total assets, end of year
not reported
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
not reported
Program services expenses (Part IX)
$25,115,491
Management and general expenses
$1,804,722
Fundraising expenses
$0
Program service expenses (Part III)
$25,115,491

Program services were 93.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • LARRY SCHUMACHER

    SR VP OF OPERATIONS, SE DIVISION/FORMER CEO

    Total calculated
    $2,782,336
    From this org
    $0
    From related orgs
    $2,744,155
    Other
    $38,181
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,172,822 related
    Bonus
    $0 + $1,129,494 related
    Other
    $0 + $441,839 related
    Deferred
    $0 + $17,444 related
    Nontaxable benefits
    $0 + $20,737 related
    Filer's total
    $0 + $2,782,336 related

  • JAMES ZELLNER MD

    BOARD MEMBER/CARDIOVASCULAR SURGEON

    Total calculated
    $1,420,262
    From this org
    $0
    From related orgs
    $1,371,640
    Other
    $48,622
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,185,897 related
    Bonus
    $0 + $178,384 related
    Other
    $0 + $7,359 related
    Deferred
    $0 + $18,183 related
    Nontaxable benefits
    $0 + $30,439 related
    Filer's total
    $0 + $1,420,262 related

  • JANELLE REILLY

    MARKET CEO

    Total calculated
    $1,187,529
    From this org
    $0
    From related orgs
    $1,133,117
    Other
    $54,412
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $630,819 related
    Bonus
    $0 + $369,019 related
    Other
    $0 + $133,279 related
    Deferred
    $0 + $17,925 related
    Nontaxable benefits
    $0 + $36,487 related
    Filer's total
    $0 + $1,187,529 related

  • TROY HAMMETT

    DIVISION SVP/CFO

    Total calculated
    $1,109,588
    From this org
    $0
    From related orgs
    $1,003,751
    Other
    $105,837
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $609,773 related
    Bonus
    $0 + $300,789 related
    Other
    $0 + $93,189 related
    Deferred
    $0 + $73,425 related
    Nontaxable benefits
    $0 + $32,412 related
    Filer's total
    $0 + $1,109,588 related

  • WILLIAM WARREN MD

    FORMER CHAIR

    Total calculated
    $901,525
    From this org
    $0
    From related orgs
    $845,582
    Other
    $55,943
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $619,965 related
    Bonus
    $0 + $221,870 related
    Other
    $0 + $3,747 related
    Deferred
    $0 + $17,750 related
    Nontaxable benefits
    $0 + $38,193 related
    Filer's total
    $0 + $901,525 related

  • ALLEN ATCHLEY MD

    BOARD MEMBER

    Total calculated
    $901,195
    From this org
    $0
    From related orgs
    $844,660
    Other
    $56,535
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $619,715 related
    Bonus
    $0 + $221,870 related
    Other
    $0 + $3,075 related
    Deferred
    $0 + $17,925 related
    Nontaxable benefits
    $0 + $38,610 related
    Filer's total
    $0 + $901,195 related

  • DAVID DENMAN MD

    BOARD MEMBER / CHIEF OF MEDICAL STAFF

    Total calculated
    $614,931
    From this org
    $0
    From related orgs
    $561,590
    Other
    $53,341
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $490,713 related
    Bonus
    $0 + $67,890 related
    Other
    $0 + $2,987 related
    Deferred
    $0 + $17,750 related
    Nontaxable benefits
    $0 + $35,591 related
    Filer's total
    $0 + $614,931 related

  • MARK ANDERSON MD

    BOARD MEMBER/PHYSICIAN

    Total calculated
    $403,241
    From this org
    $0
    From related orgs
    $349,148
    Other
    $54,093
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $342,357 related
    Bonus
    $0
    Other
    $0 + $6,791 related
    Deferred
    $0 + $17,750 related
    Nontaxable benefits
    $0 + $36,343 related
    Filer's total
    $0 + $403,241 related

  • MICHAEL SUTTON

    FORMER CFO/TREASURER (PARTIAL YEAR)

    Total calculated
    $388,138
    From this org
    $0
    From related orgs
    $356,741
    Other
    $31,397
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $316,784 related
    Bonus
    $0 + $38,176 related
    Other
    $0 + $1,781 related
    Deferred
    $0 + $17,750 related
    Nontaxable benefits
    $0 + $13,647 related
    Filer's total
    $0 + $388,138 related

  • HANY NAGGAR MD PHD

    BOARD MEMBER

    Total calculated
    $356,457
    From this org
    $0
    From related orgs
    $300,262
    Other
    $56,195
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $298,186 related
    Bonus
    $0
    Other
    $0 + $2,076 related
    Deferred
    $0 + $17,585 related
    Nontaxable benefits
    $0 + $38,610 related
    Filer's total
    $0 + $356,457 related

  • DHARMIN DESAI

    PHYSICIST

    Total calculated
    $253,269
    From this org
    $210,918
    From related orgs
    $0
    Other
    $42,351
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $209,368
    Bonus
    $400
    Other
    $1,150
    Deferred
    $13,093
    Nontaxable benefits
    $29,258
    Filer's total
    $253,269

  • JOHN GORDON

    RN

    Total calculated
    $244,072
    From this org
    $228,586
    From related orgs
    $3,750
    Other
    $11,736
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $227,971 + $3,750 related
    Bonus
    $400
    Other
    $215
    Deferred
    $0 + $11,736 related
    Nontaxable benefits
    $0
    Filer's total
    $228,586 + $15,486 related

  • CRAIG NIELSEN

    BOARD TREASURER/INTERIM CFO

    Total calculated
    $230,858
    From this org
    $0
    From related orgs
    $183,895
    Other
    $46,963
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $170,255 related
    Bonus
    $0 + $13,263 related
    Other
    $0 + $377 related
    Deferred
    $0 + $11,398 related
    Nontaxable benefits
    $0 + $35,565 related
    Filer's total
    $0 + $230,858 related

  • VICKI FRIERSON

    RN

    Total calculated
    $213,779
    From this org
    $5,967
    From related orgs
    $174,890
    Other
    $32,922
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $5,967 + $172,920 related
    Bonus
    $0 + $400 related
    Other
    $0 + $1,570 related
    Deferred
    $0 + $7,735 related
    Nontaxable benefits
    $361 + $24,826 related
    Filer's total
    $6,328 + $207,451 related

  • MARY ZGLAV

    RN

    Total calculated
    $172,004
    From this org
    $1,795
    From related orgs
    $165,521
    Other
    $4,688
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $1,795 + $160,042 related
    Bonus
    $0
    Other
    $0 + $5,479 related
    Deferred
    $0 + $4,688 related
    Nontaxable benefits
    $0
    Filer's total
    $1,795 + $170,209 related

  • ANDREA CARPENTER

    RN

    Total calculated
    $169,298
    From this org
    $558
    From related orgs
    $164,346
    Other
    $4,394
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $558 + $159,831 related
    Bonus
    $0 + $400 related
    Other
    $0 + $4,115 related
    Deferred
    $0 + $4,017 related
    Nontaxable benefits
    $5 + $372 related
    Filer's total
    $563 + $168,735 related

  • JILL APLIN

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • DAVEY DANIEL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • MARILYN HELMS MD

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • DOROTHY JACKSON SCN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • MARYSTEWART LEWIS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • JEFFREY WILSON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • JUDITH JUDY RALEY SCN

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • MICHAEL WEBB

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • ELIZABETH MCCRIGHT

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • TRACY WOOD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • STEVEN DOWLEN MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SR CHRISTINE KUNZE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • STEPHEN ROWND

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • RHONDA MCCABE

    INTERIM CFO

    Total calculated
    $0
    Hours/week
    10 + 40 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, and on a Form 990-PF Part VIII's — 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
COMPENSATION FOR CHI MEMORIAL HOSPITAL - GA'S TOP MANGEMENT OFFICAL IS PAID BY MEMORIAL HEALTH CARE SYSTEM, A RELATED ORGANIZATION. ON AN ANNUAL BASIS MHCS ENGAGES AN EXTERNAL CONSULTANT TO REVIEW THE COMPENSATION OF ITS EXECUTIVES. THE REVIEW IS PERFORMED TO ENSURE THAT EXECUTIVE SALARIES ARE WITHIN COMPARABLE MARKET RANGES FOR THAT POSITION. THE RESULTS OF THE REVIEW ARE PRESENTED TO THE EXECUTIVE COMPENSATION HUMAN ESOURCES COMMITTEE FOR REVIEW AND RECOMMENDATION TO THE BOARD OF DIRECTORS OR APPROVAL.
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: LARRY SCHUMACHER, $247,481; JANELLE REILLY, $71,631; TROY HAMMETT, $89,460 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: LARRY SCHUMACHER, $177,414; JANELLE REILLY, $58,037
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.
PART II
CHI MEMORIAL HOSPITAL - GA 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

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
13 May 2024
IRS schema version
2022v5.0
Source object
202421349349303742

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