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Nonprofiteer
← BETHESDA FAMILY PRACTICE CENTER

Form 990 for tax year 2022

Filed by BETHESDA FAMILY PRACTICE CENTER.

Totals

Total revenue
$0
Total expenses
$0
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$0
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Listed in Part VII

  • SR SALLY DUFFY

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • RALPH MICHAEL

    VICE CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • ROBERT COLLINS MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • MARK CLEMENT

    PRESIDENT/CEO

    Total calculated
    $2,317,728
    From this org
    $0
    From related orgs
    $2,238,265
    Other
    $79,463
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,519,500 related
    Bonus
    $0 + $527,124 related
    Other
    $0 + $191,641 related
    Deferred
    $0 + $55,675 related
    Nontaxable benefits
    $0 + $23,788 related
    Filer's total
    $0 + $2,317,728 related

  • PHILLIP CASTELLINI

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • KATHY KELLY

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • THEODORE TORBECK

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • PHILIP FOSTER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • QUINT STUDER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • RANCE DUKE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • CYNTHIA BOOTH

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • KRISTIN COPPAGE MD

    MED STAFF PRESIDENT-GOOD SAM

    Total calculated
    $1,037,948
    From this org
    $0
    From related orgs
    $940,721
    Other
    $97,227
    Hours/week
    1 + 3 related

    Schedule J breakdown matched by us

    Base
    $0 + $886,848 related
    Bonus
    $0 + $6,251 related
    Other
    $0 + $47,622 related
    Deferred
    $0 + $60,135 related
    Nontaxable benefits
    $0 + $37,092 related
    Filer's total
    $0 + $1,037,948 related

  • LORRAINE STEPHENS MD

    MED STAFF PRESIDENT-BETHESDA

    Total calculated
    $318,015
    From this org
    $0
    From related orgs
    $244,008
    Other
    $74,007
    Hours/week
    1 + 3 related

    Schedule J breakdown matched by us

    Base
    $0 + $186,842 related
    Bonus
    $0 + $6,037 related
    Other
    $0 + $51,129 related
    Deferred
    $0 + $36,849 related
    Nontaxable benefits
    $0 + $37,158 related
    Filer's total
    $0 + $318,015 related

  • ANDREW DEVOE

    ASST TREASURER/EVP CFO

    Total calculated
    $1,379,857
    From this org
    $0
    From related orgs
    $1,284,173
    Other
    $95,684
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $738,138 related
    Bonus
    $0 + $488,508 related
    Other
    $0 + $57,527 related
    Deferred
    $0 + $58,175 related
    Nontaxable benefits
    $0 + $37,509 related
    Filer's total
    $0 + $1,379,857 related

  • STEVE GRACEY

    ASST SECRETARY/SVP LEGAL

    Total calculated
    $760,046
    From this org
    $0
    From related orgs
    $675,796
    Other
    $84,250
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $500,083 related
    Bonus
    $0 + $140,225 related
    Other
    $0 + $35,488 related
    Deferred
    $0 + $47,484 related
    Nontaxable benefits
    $0 + $36,766 related
    Filer's total
    $0 + $760,046 related

  • HELEN KOSELKA MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $871,023
    From this org
    $0
    From related orgs
    $770,817
    Other
    $100,206
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $575,564 related
    Bonus
    $0 + $148,657 related
    Other
    $0 + $46,596 related
    Deferred
    $0 + $62,752 related
    Nontaxable benefits
    $0 + $37,454 related
    Filer's total
    $0 + $871,023 related

  • JOHN WARD

    SVP-BETHESDA REGION

    Total calculated
    $864,564
    From this org
    $0
    From related orgs
    $775,177
    Other
    $89,387
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $586,982 related
    Bonus
    $0 + $152,196 related
    Other
    $0 + $35,999 related
    Deferred
    $0 + $58,486 related
    Nontaxable benefits
    $0 + $30,901 related
    Filer's total
    $0 + $864,564 related

  • TERRI HANLON-BREMER

    CHIEF OPERATING OFFICER

    Total calculated
    $910,005
    From this org
    $0
    From related orgs
    $830,439
    Other
    $79,566
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $594,629 related
    Bonus
    $0 + $164,565 related
    Other
    $0 + $71,245 related
    Deferred
    $0 + $58,558 related
    Nontaxable benefits
    $0 + $21,008 related
    Filer's total
    $0 + $910,005 related

  • KEVIN JOSEPH MD

    FORMER KEY EMPLOYEE

    Total calculated
    $706,754
    From this org
    $0
    From related orgs
    $660,175
    Other
    $46,579
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $28,084 related
    Bonus
    $0
    Other
    $0 + $632,091 related
    Deferred
    $0 + $37,234 related
    Nontaxable benefits
    $0 + $9,345 related
    Filer's total
    $0 + $706,754 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

  • 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, LINES 4A-B
ELIGIBLE EXECUTIVES (GENERALLY VICE PRESIDENTS AND ABOVE) PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NONE OF THE INDIVIDUAL(S) LISTED IN SCHEDULE J, PART II, RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WHICH WAS TREATED AS TAXABLE COMPENSATION BY TRIHEALTH, INC.
PART I, LINE 3
TRIHEALTH, INC., A RELATED ORGANIZATION OF BETHESDA FAMILY PRACTICE CENTER, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD/COMPENSATION COMMITTEE.
PART I, LINE 4A
THE REPORTABLE INDIVIDUALS OF BETHESDA FAMILY PRACTICE CENTER ARE PAID BY TRIHEALTH, INC., A RELATED ORGANIZATION, RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3). TRIHEALTH, INC. HAS A STANDARD EMPLOYEE SEVERANCE PACKAGE. GENERAL SEVERANCE PAY IS BASED ON LENGTH OF SERVICE. IN ADDITION, NOTICE PAY, IF APPLICABLE UNDER TRIHEALTH, INC. POLICY, MAY BE ADDED TO THE SEVERANCE PACKAGE AND THE AMOUNT OF NOTICE PAY WILL BE DETERMINED BY HUMAN RESOURCES IN ACCORDANCE WITH TRIHEALTH, INC. POLICY. PAYMENTS OF SEVERANCE ARE CONDITIONED UPON SIGNING A SEPARATION AND RELEASE AGREEMENT. DURING THE 2022 CALENDAR YEAR, THE FOLLOWING REPORTABLE INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC. KEVIN JOSEPH, MD - $572,594

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
13 May 2024
IRS schema version
2022v5.0
Source object
202401349349303125

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