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Nonprofiteer
← MOSES CONE PHYSICIAN SERVICES INC

Form 990 for tax year 2022

Filed by MOSES CONE PHYSICIAN SERVICES INC.

Totals

Total revenue
$84,578,401
Total expenses
$135,133,408
Contributions and grants received
$153,996
Grants paid
$0
Program services expenses (Part IX)
$121,620,066
Management and general expenses
$13,513,342
Fundraising expenses
$0
Program service expenses (Part III)
$121,620,066

Program services were 90.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Cagle MD Mary Jo

    Director

    Total calculated
    $1,732,949
    From this org
    $0
    From related orgs
    $1,671,452
    Other
    $61,497
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,093,417 related
    Bonus
    $0 + $412,527 related
    Other
    $0 + $165,508 related
    Deferred
    $0 + $57,515 related
    Nontaxable benefits
    $0 + $3,982 related
    Filer's total
    $0 + $1,732,949 related

  • Dew MD Jason

    Physician

    Total calculated
    $1,290,609
    From this org
    $1,240,607
    From related orgs
    $0
    Other
    $50,002
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $575,258
    Bonus
    $663,393
    Other
    $1,956
    Deferred
    $41,630
    Nontaxable benefits
    $8,372
    Filer's total
    $1,290,609

  • Bartle MD Bryan

    Physician

    Total calculated
    $1,240,731
    From this org
    $1,182,418
    From related orgs
    $0
    Other
    $58,313
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $798,388
    Bonus
    $375,853
    Other
    $8,177
    Deferred
    $50,278
    Nontaxable benefits
    $8,035
    Filer's total
    $1,240,731

  • Hendrickson MD Steven

    Physician

    Total calculated
    $1,234,903
    From this org
    $1,174,685
    From related orgs
    $0
    Other
    $60,218
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $807,580
    Bonus
    $358,928
    Other
    $8,177
    Deferred
    $53,688
    Nontaxable benefits
    $6,530
    Filer's total
    $1,234,903

  • Kowalski MD David

    Physician

    Total calculated
    $1,216,128
    From this org
    $1,174,686
    From related orgs
    $0
    Other
    $41,442
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,169,925
    Bonus
    $0
    Other
    $4,761
    Deferred
    $29,772
    Nontaxable benefits
    $11,670
    Filer's total
    $1,216,128

  • Xu MD Naiping

    Physician

    Total calculated
    $1,071,745
    From this org
    $1,042,849
    From related orgs
    $0
    Other
    $28,896
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $698,034
    Bonus
    $343,069
    Other
    $1,746
    Deferred
    $20,920
    Nontaxable benefits
    $7,976
    Filer's total
    $1,071,745

  • Priest MD Marlon

    Director

    Total calculated
    $1,060,949
    From this org
    $0
    From related orgs
    $964,587
    Other
    $96,362
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $711,496 related
    Bonus
    $0 + $110,922 related
    Other
    $0 + $142,169 related
    Deferred
    $0 + $90,275 related
    Nontaxable benefits
    $0 + $6,087 related
    Filer's total
    $0 + $1,060,949 related

  • Portillo MD Martin

    President

    Total calculated
    $884,387
    From this org
    $843,929
    From related orgs
    $0
    Other
    $40,458
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $576,793
    Bonus
    $192,196
    Other
    $74,940
    Deferred
    $37,015
    Nontaxable benefits
    $3,443
    Filer's total
    $884,387

  • Barrow Andrew

    Director

    Total calculated
    $850,569
    From this org
    $0
    From related orgs
    $787,781
    Other
    $62,788
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $581,368 related
    Bonus
    $0 + $142,930 related
    Other
    $0 + $63,483 related
    Deferred
    $0 + $47,512 related
    Nontaxable benefits
    $0 + $15,276 related
    Filer's total
    $0 + $850,569 related

  • Anderson Steven

    Vice President

    Total calculated
    $433,108
    From this org
    $374,816
    From related orgs
    $0
    Other
    $58,292
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $230,080
    Bonus
    $104,508
    Other
    $40,228
    Deferred
    $49,322
    Nontaxable benefits
    $8,970
    Filer's total
    $433,108

  • Cleveland Beverly

    Chief Financial Officer

    Total calculated
    $393,585
    From this org
    $357,149
    From related orgs
    $0
    Other
    $36,436
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $268,326
    Bonus
    $60,858
    Other
    $27,965
    Deferred
    $33,421
    Nontaxable benefits
    $3,015
    Filer's total
    $393,585

  • Brown Christopher

    Vice President

    Total calculated
    $359,440
    From this org
    $325,239
    From related orgs
    $0
    Other
    $34,201
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $245,621
    Bonus
    $61,455
    Other
    $18,163
    Deferred
    $21,094
    Nontaxable benefits
    $13,107
    Filer's total
    $359,440

  • Jones Jeffrey

    Director, Treasurer & Assistan

    Total calculated
    $130,996
    From this org
    $0
    From related orgs
    $128,831
    Other
    $2,165
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $49,305 related
    Other
    $0 + $79,526 related
    Deferred
    $0 + $1,187 related
    Nontaxable benefits
    $0 + $978 related
    Filer's total
    $0 + $130,996 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 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 5b · Pay contingent on a related organization's revenues
  • 6b · Pay contingent on a related organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

EARNINGS CONTINGENT COMP
FORM 990, SCHEDULE J, PART I, LINE 5B OFFICERS ARE PAID BY MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION, INC. AND PARTICIPATE IN THE MANAGEMENT INCENTIVE COMPENSATION PROGRAM. UNDER THIS PROGRAM, A PORTION OF THE SALARY OF THOSE AT A LEVEL OF DEPARTMENT DIRECTOR AND HIGHER IS SET ASIDE AND IS CONTINGENT UPON THE HEALTH SYSTEM'S PERFORMANCE ON SEVERAL MEASURES, INCLUDING REVENUES. NOTE: IF THESE MEASURES ARE NOT MET, THEIR COMPENSATION WILL BE BELOW THE MARKET LEVEL FOR THEIR JOB.
EARNINGS CONTINGENT COMP
FORM 990, SCHEDULE J, PART I, LINE 6 OFFICERS ARE PAID BY MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION, INC. AND PARTICIPATE IN THE MANAGEMENT INCENTIVE COMPENSATION PROGRAM. UNDER THIS PROGRAM, A PORTION OF THE SALARY OF THOSE AT A LEVEL OF DEPARTMENT DIRECTOR AND HIGHER IS SET ASIDE AND IS CONTINGENT UPON THE HEALTH SYSTEM'S PERFORMANCE ON SEVERAL MEASURES, INCLUDING NET EARNINGS. NOTE: IF THESE MEASURES ARE NOT MET, THEIR COMPENSATION WILL BE BELOW THE MARKET LEVEL FOR THEIR JOB.

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
8 August 2024
IRS schema version
2022v5.0
Source object
202422279349302262

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

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