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Nonprofiteer
← RIDGEVIEW CLINICS

Form 990 for tax year 2022

Filed by RIDGEVIEW CLINICS.

Totals

Total revenue
$22,739,282
Total expenses
$22,739,282
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$21,602,319
Management and general expenses
$1,136,963
Fundraising expenses
$0
Program service expenses (Part III)
$21,602,319

Program services were 95.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • MICHAEL PHELPS

    BOARD CHAIR

    Total calculated
    $1,338,223
    From this org
    $0
    From related orgs
    $1,274,183
    Other
    $64,040
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,270,809 related
    Bonus
    $0
    Other
    $0 + $3,374 related
    Deferred
    $0 + $26,074 related
    Nontaxable benefits
    $0 + $37,966 related
    Filer's total
    $0 + $1,338,223 related

  • NIMA ADIMI

    PHYSICIAN

    Total calculated
    $1,100,071
    From this org
    $1,031,377
    From related orgs
    $0
    Other
    $68,694
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $562,655
    Bonus
    $468,236
    Other
    $486
    Deferred
    $35,600
    Nontaxable benefits
    $33,094
    Filer's total
    $1,100,071

  • BRIAN GOOTZEIT

    PHYSICIAN

    Total calculated
    $1,051,731
    From this org
    $973,729
    From related orgs
    $0
    Other
    $78,002
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $690,048
    Bonus
    $281,839
    Other
    $1,842
    Deferred
    $35,600
    Nontaxable benefits
    $42,402
    Filer's total
    $1,051,731

  • SABINA KHAN

    PHYSICIAN

    Total calculated
    $958,416
    From this org
    $869,001
    From related orgs
    $0
    Other
    $89,415
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $687,448
    Bonus
    $180,953
    Other
    $600
    Deferred
    $29,263
    Nontaxable benefits
    $60,152
    Filer's total
    $958,416

  • MUSTAFA TIEWALA

    PHYSICIAN

    Total calculated
    $812,045
    From this org
    $734,145
    From related orgs
    $0
    Other
    $77,900
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $692,779
    Bonus
    $39,956
    Other
    $1,410
    Deferred
    $32,942
    Nontaxable benefits
    $44,958
    Filer's total
    $812,045

  • SIDNEY JONES

    PHYSICIAN

    Total calculated
    $579,209
    From this org
    $507,796
    From related orgs
    $0
    Other
    $71,413
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $369,576
    Bonus
    $135,298
    Other
    $2,922
    Deferred
    $32,023
    Nontaxable benefits
    $39,390
    Filer's total
    $579,209

  • AARON BLOOMQUIST

    CFO

    Total calculated
    $552,467
    From this org
    $0
    From related orgs
    $490,798
    Other
    $61,669
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $488,856 related
    Bonus
    $0
    Other
    $0 + $1,942 related
    Deferred
    $0 + $14,169 related
    Nontaxable benefits
    $0 + $47,500 related
    Filer's total
    $0 + $552,467 related

  • TIM MEYER MD

    VICE CHAIR (AS OF APRIL 2022)

    Total calculated
    $420,064
    From this org
    $0
    From related orgs
    $361,975
    Other
    $58,089
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $359,653 related
    Bonus
    $0
    Other
    $0 + $2,322 related
    Deferred
    $0 + $26,485 related
    Nontaxable benefits
    $0 + $31,604 related
    Filer's total
    $0 + $420,064 related

  • BENJAMIN NIELSON

    CEO, TREASURER & SECRETARY

    Total calculated
    $381,798
    From this org
    $0
    From related orgs
    $363,774
    Other
    $18,024
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $338,638 related
    Bonus
    $0
    Other
    $0 + $25,136 related
    Deferred
    $0 + $17,240 related
    Nontaxable benefits
    $0 + $784 related
    Filer's total
    $0 + $381,798 related

  • MICHAEL LANO

    VICE CHAIR (THROUGH MARCH 2022)

    Total calculated
    $269,128
    From this org
    $0
    From related orgs
    $230,881
    Other
    $38,247
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $219,157 related
    Bonus
    $0
    Other
    $0 + $11,724 related
    Deferred
    $0 + $15,776 related
    Nontaxable benefits
    $0 + $22,471 related
    Filer's total
    $0 + $269,128 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
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings

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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE PRESIDENT/CEO IS COMPENSATED BY RIDGEVIEW MEDICAL CENTER, THE SOLE MEMBER. THE FOLLOWING WERE USED BY RIDGEVIEW MEDICAL CENTER TO DETERMINE THE PRESIDENT/CEO'S COMPENSATION: 1) COMPENSATION COMMITTEE (EXECUTIVE COMMITTEE) 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACT 5) COMPENSATION SURVEY OR STUDY 6) APROVAL BY THE BOARD OR COMPENSATION COMMITTEE (EXECUTIVE COMMITTEE)
PART I, LINE 4B
MICHAEL PHELPS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AT RIDGEVIEW MEDICAL CENTER. DURING 2022, $397,642 WAS CONTRIBUTED TO THE PLAN, $68,254 ACCRUED WITHIN THE PLAN, AND $0 WAS PAID OUT OF THE PLAN. AARON BLOOMQUIST PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AT RIDGEVIEW MEDICAL CENTER. DURING 2022, $125,556 WAS CONTRIBUTED TO THE PLAN, $0 ACCRUED WITHIN THE PLAN, AND $0 WAS PAID OUT OF THE PLAN. THESE DEFERRED COMPENSATION AMOUNTS ARE REPORTED ON A PRO-RATA BASIS WITHOUT REGARD TO THE INDIVIDUAL'S VESTING SCHEDULE. CURRENTLY, THE MAJORITY OF DEFERRED COMPENSATION IS NOT VESTED.
PART I, LINE 6
THE OFFICERS OF RIDGEVIEW MEDICAL CENTER AND AFFILIATES RECEIVE BONUSES CONTINGENT ON THE NET EARNINGS OF THE CONSOLIDATED ENTITY AND GOALS ACHIEVED. BONUSES WERE EARNED IN 2022 AND PAID IN 2023.

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
11 November 2023
IRS schema version
2022v5.0
Source object
202313189349304266

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

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