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Nonprofiteer
← UPPER VALLEY MEDICAL CENTER

Form 990 for tax year 2024

Filed by UPPER VALLEY MEDICAL CENTER.

Totals

Total revenue
$179,955,208
Total expenses
$154,511,276
Contributions and grants received
$1,004,477
Grants paid
$7,815,624
Program service revenue
$171,873,664
Investment income
$5,880,883
Other revenue
$1,196,184
Total assets, end of year
$405,463,495
Total liabilities, end of year
$110,100,100
Net assets or fund balances, end of year
$295,363,395
Program services expenses (Part IX)
$148,683,639
Management and general expenses
$5,827,637
Fundraising expenses
$0
Program service expenses (Part III)
$148,683,639

Program services were 96.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $1,004,477

  • 1g · Noncash contributions included above

    $877,102

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $90,833,180 · related or exempt $90,833,180

  • 2b · Program service revenue: MEDICARE / MEDICAID

    total $80,874,154 · related or exempt $80,874,154

  • 2c · Program service revenue: ATHLETIC TRAINING

    total $137,000 · related or exempt $137,000

  • 2d · Program service revenue: MEDICAL RECORDS

    total $26,909 · related or exempt $26,909

  • 2e · Program service revenue: HOSP FRANCHISE TAX RECOVERIES

    total $2,421 · related or exempt $2,421

  • 3 · Investment income

    total $2,162,893 · excluded $2,162,893

  • 6a · Gross rents

    real property $4,048,675

  • 6b · Less rental expenses

    real property $2,977,366

  • 6c · Rental income or loss

    real property $1,071,309

  • 6d · Net rental income or loss

    total $1,071,309 · excluded $1,071,309

  • 7a · Gross sales of assets other than inventory

    securities $62,559,092 · other assets $348,133

  • 7b · Less cost or other basis and sales expenses

    securities $58,955,929 · other assets $233,306

  • 7c · Gain or loss

    securities $3,603,163 · other assets $114,827

  • 7d · Net gain or loss

    total $3,717,990 · excluded $3,717,990

  • 10a · Gross sales of inventory

    $213,923

  • 10b · Cost of goods sold

    $213,922

  • 10c · Net income from sales of inventory

    total $1 · excluded $1

  • 11a · Other revenue: FEMA REVENUE

    total $73,991 · excluded $73,991

  • 11b · Other revenue: STERILE PROCESSING

    total $20,590 · excluded $20,590

  • 11c · Other revenue: EMS EDUCATION

    total $9,353 · excluded $9,353

  • 11d · All other revenue

    total $20,940 · excluded $20,940

  • 11e · Other revenue, total

    $124,874

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $7,815,624 · program services $7,815,624

  • 5 · Compensation of officers, directors and key employees

    total $1,246,487 · program services $1,039,862 · management and general $206,625

  • 7 · Other salaries and wages

    total $52,553,992 · program services $49,721,829 · management and general $2,832,163

  • 8 · Pension plan contributions

    total $10,995,931 · program services $10,374,853 · management and general $621,078

  • 9 · Other employee benefits

    total $4,225,767 · program services $3,987,085 · management and general $238,682

  • 10 · Payroll taxes

    total $3,858,126 · program services $3,640,209 · management and general $217,917

  • 11a · Fees: management

    total $155,222 · program services $155,222

  • 11b · Fees: legal

    total $7,362 · management and general $7,362

  • 11d · Fees: lobbying

    total $4,404 · management and general $4,404

  • 11f · Fees: investment management

    total $304,381 · management and general $304,381

  • 11g · Fees: other

    total $30,409,158 · program services $29,690,384 · management and general $718,774

  • 12 · Advertising and promotion

    total $176,098 · program services $176,098

  • 13 · Office expenses

    total $490,358 · program services $225,367 · management and general $264,991

  • 14 · Information technology

    total $856,654 · program services $685,480 · management and general $171,174

  • 16 · Occupancy

    total $4,683,763 · program services $4,606,263 · management and general $77,500

  • 17 · Travel

    total $45,159 · program services $38,114 · management and general $7,045

  • 20 · Interest

    total $1,648,901 · program services $1,648,901

  • 22 · Depreciation, depletion and amortization

    total $9,813,853 · program services $9,813,853

  • 23 · Insurance

    total $181,251 · program services $157,748 · management and general $23,503

  • 24a · Other expenses: OPERATING SUPPLIES

    total $18,974,939 · program services $18,974,939

  • 24b · Other expenses: HOSPITAL FRANCHISE TAX

    total $4,464,366 · program services $4,464,366

  • 24c · Other expenses: REPAIRS AND MAINTENANCE

    total $1,138,290 · program services $1,136,012 · management and general $2,278

  • 24d · Other expenses: MINOR EQUIPMENT

    total $189,627 · program services $188,842 · management and general $785

  • 24e · All other expenses

    total $271,563 · program services $142,588 · management and general $128,975

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,560 · end of year $555

  • 2 · Savings and temporary cash investments

    beginning of year $616,219 · end of year $587,186

  • 4 · Accounts receivable

    beginning of year $24,688,757 · end of year $22,245,381

  • 7 · Other notes and loans receivable

    beginning of year $1,230,000 · end of year $1,140,333

  • 8 · Inventories for sale or use

    beginning of year $1,211,605 · end of year $1,100,303

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,840,737 · end of year $1,409,022

  • 10a · Land, buildings and equipment: cost or other basis

    $239,548,469

  • 10b · Land, buildings and equipment: accumulated depreciation

    $160,344,374

  • 10c · Land, buildings and equipment, net

    beginning of year $75,977,719 · end of year $79,204,095

  • 11 · Investments: publicly traded securities

    beginning of year $62,847,819 · end of year $208,381,167

  • 12 · Investments: other securities

    beginning of year $26,716,606 · end of year $90,841,340

  • 15 · Other assets

    beginning of year $617,443 · end of year $554,113

  • 17 · Accounts payable and accrued expenses

    beginning of year $11,984,777 · end of year $11,397,139

  • 18 · Grants payable

    beginning of year $813,277 · end of year $5,012,930

  • 20 · Tax-exempt bond liabilities

    beginning of year $53,652,265 · end of year $52,892,426

  • 23 · Secured mortgages and notes payable

    beginning of year $537,668 · end of year $1,290,452

  • 25 · Other liabilities

    beginning of year $52,279,842 · end of year $39,507,153

  • 27 · Net assets without donor restrictions

    beginning of year $76,481,636 · end of year $295,363,395

Mission and programs · 2024

Mission

WE CARE. WE TEACH. WE INNOVATE. WE SERVE.

Activities or mission (Part I)

SEE PART III, LINE 1

  • THE PRIMARY EXEMPT PURPOSE OF UPPER VALLEY MEDICAL CENTER IS TO PROVIDE COMPREHENSIVE INPATIENT, OUTPATIENT, AND EMERGENCY HEALTH CARE SERVICES TO THE RESIDENTS OF CHAMPAIGN, DARKE, MIAMI, AND SHELBY COUNTIES. THE HOSPITAL FURTHERS ITS TAX-EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY IN MANY WAYS. SEE SCHEDULE H FOR MORE INFORMATION.

    Expenses $148,683,639 · Grants $7,815,624 · Revenue $171,873,664

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Michael C Riordan

    PREMIER PRES & CEO

    Total calculated
    $1,579,749
    From this org
    $0
    From related orgs
    $1,543,400
    Other
    $36,349
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,375,311 related
    Bonus
    $0 + $25,000 related
    Other
    $0 + $143,089 related
    Deferred
    $0 + $10,954 related
    Nontaxable benefits
    $0 + $25,395 related
    Filer's total
    $0 + $1,579,749 related
  • Kevin W Harlan

    PRESIDENT

    Total calculated
    $855,717
    From this org
    $0
    From related orgs
    $834,770
    Other
    $20,947
    Hours/week
    19 + 20.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $514,770 related
    Bonus
    $0 + $240,926 related
    Other
    $0 + $79,074 related
    Deferred
    $0 + $11,274 related
    Nontaxable benefits
    $0 + $9,673 related
    Filer's total
    $0 + $855,717 related
  • Robert M Kohut MD

    TRUSTEE

    Total calculated
    $728,218
    From this org
    $0
    From related orgs
    $712,770
    Other
    $15,448
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $673,483 related
    Bonus
    $0 + $19,265 related
    Other
    $0 + $20,022 related
    Deferred
    $0 + $10,971 related
    Nontaxable benefits
    $0 + $4,477 related
    Filer's total
    $0 + $728,218 related
  • Lakmali C Ranathunga

    TRUSTEE & CMO

    Total calculated
    $576,932
    From this org
    $549,113
    From related orgs
    $0
    Other
    $27,819
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $438,915
    Bonus
    $109,023
    Other
    $1,175
    Deferred
    $14,148
    Nontaxable benefits
    $13,671
    Filer's total
    $576,932
  • Trisha L Wackler

    TRUSTEEE & CNO

    Total calculated
    $462,930
    From this org
    $430,205
    From related orgs
    $0
    Other
    $32,725
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $284,539
    Bonus
    $122,489
    Other
    $23,177
    Deferred
    $16,796
    Nontaxable benefits
    $15,929
    Filer's total
    $462,930
  • Jigar Patel MD

    TRUSTEE

    Total calculated
    $402,515
    From this org
    $0
    From related orgs
    $369,939
    Other
    $32,576
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $327,314 related
    Bonus
    $0 + $41,800 related
    Other
    $0 + $825 related
    Deferred
    $0 + $9,564 related
    Nontaxable benefits
    $0 + $23,012 related
    Filer's total
    $0 + $402,515 related
  • Scott Swabb Do

    TRUSTEE

    Total calculated
    $75,000
    From this org
    $0
    From related orgs
    $75,000
    Other
    $0
    Hours/week
    0.5
  • April Anderson MD

    TRUSTEE

    Total calculated
    $35,300
    From this org
    $0
    From related orgs
    $35,300
    Other
    $0
    Hours/week
    0.5
  • Ebba Rajab MD

    BOARD CHAIR

    Total calculated
    $1,100
    From this org
    $0
    From related orgs
    $1,100
    Other
    $0
    Hours/week
    0.5
  • Dianne Ruhenkamp

    BOARD TREASURER

    Total calculated
    $206,625
    From this org
    $178,175
    From related orgs
    $0
    Other
    $28,450
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $135,603
    Bonus
    $41,375
    Other
    $1,197
    Deferred
    $10,729
    Nontaxable benefits
    $17,721
    Filer's total
    $206,625
  • Elizabeth D Wilfong

    BOARD SECRETARY

    Total calculated
    $189,111
    From this org
    $0
    From related orgs
    $187,502
    Other
    $1,609
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $174,677 related
    Bonus
    $0 + $12,500 related
    Other
    $0 + $325 related
    Deferred
    $0 + $707 related
    Nontaxable benefits
    $0 + $902 related
    Filer's total
    $0 + $189,111 related
  • Keith D Bricking MD

    EVP & CHIEF CLINICAL OFFICER

    Total calculated
    $1,235,967
    From this org
    $0
    From related orgs
    $1,168,492
    Other
    $67,475
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $705,465 related
    Bonus
    $0 + $437,442 related
    Other
    $0 + $25,585 related
    Deferred
    $0 + $32,340 related
    Nontaxable benefits
    $0 + $35,135 related
    Filer's total
    $0 + $1,235,967 related
  • Mary M Clancy

    CHIEF DIGITAL & INFORMATION OFFICER

    Total calculated
    $789,057
    From this org
    $0
    From related orgs
    $730,195
    Other
    $58,862
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $488,227 related
    Bonus
    $0 + $228,389 related
    Other
    $0 + $13,579 related
    Deferred
    $0 + $24,309 related
    Nontaxable benefits
    $0 + $34,553 related
    Filer's total
    $0 + $789,057 related
  • J Michael Sims

    SYS VP & CORPORATE CONTROLLER

    Total calculated
    $686,420
    From this org
    $0
    From related orgs
    $635,424
    Other
    $50,996
    Hours/week
    9 + 31 related

    Schedule J breakdown matched by us

    Base
    $0 + $407,084 related
    Bonus
    $0 + $165,482 related
    Other
    $0 + $62,858 related
    Deferred
    $0 + $23,409 related
    Nontaxable benefits
    $0 + $27,587 related
    Filer's total
    $0 + $686,420 related
  • Lisa M Gossett

    VP NURSING/CNO/PATIENT EXP-PH

    Total calculated
    $650,958
    From this org
    $0
    From related orgs
    $614,633
    Other
    $36,325
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $417,540 related
    Bonus
    $0 + $192,965 related
    Other
    $0 + $4,128 related
    Deferred
    $0 + $20,707 related
    Nontaxable benefits
    $0 + $15,618 related
    Filer's total
    $0 + $650,958 related
  • Cara W Powers

    CHIEF LEGAL OFFICER

    Total calculated
    $640,532
    From this org
    $0
    From related orgs
    $588,710
    Other
    $51,822
    Hours/week
    9 + 31 related

    Schedule J breakdown matched by us

    Base
    $0 + $447,726 related
    Bonus
    $0 + $138,596 related
    Other
    $0 + $2,388 related
    Deferred
    $0 + $24,120 related
    Nontaxable benefits
    $0 + $27,702 related
    Filer's total
    $0 + $640,532 related
  • Amanda K Adkins-Ricci

    SYSTEM VP REVENUE CYCLE

    Total calculated
    $419,097
    From this org
    $0
    From related orgs
    $393,531
    Other
    $25,566
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $281,216 related
    Bonus
    $0 + $111,699 related
    Other
    $0 + $616 related
    Deferred
    $0 + $16,317 related
    Nontaxable benefits
    $0 + $9,249 related
    Filer's total
    $0 + $419,097 related
  • Duanna R Osting

    PRES/EXEC DIR-UVMC FOUNDATION

    Total calculated
    $238,478
    From this org
    $211,930
    From related orgs
    $0
    Other
    $26,548
    Hours/week
    10

    Schedule J breakdown matched by us

    Base
    $155,429
    Bonus
    $55,075
    Other
    $1,426
    Deferred
    $7,024
    Nontaxable benefits
    $19,524
    Filer's total
    $238,478
  • Denise R Herkins

    DIR-NURSING-SURGERY/TELE-UVMC

    Total calculated
    $236,374
    From this org
    $208,073
    From related orgs
    $0
    Other
    $28,301
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $158,946
    Bonus
    $48,366
    Other
    $761
    Deferred
    $12,149
    Nontaxable benefits
    $16,152
    Filer's total
    $236,374
  • Teresa A Gulker

    DIR NRS-WMS SRVC-BEH HLTH-UVMC

    Total calculated
    $236,360
    From this org
    $212,930
    From related orgs
    $0
    Other
    $23,430
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $162,380
    Bonus
    $48,366
    Other
    $2,184
    Deferred
    $14,790
    Nontaxable benefits
    $8,640
    Filer's total
    $236,360
  • Ryan E McEldowney

    CLINICAL STAFF PHARMACIST I

    Total calculated
    $234,142
    From this org
    $198,038
    From related orgs
    $0
    Other
    $36,104
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $197,385
    Bonus
    $0
    Other
    $653
    Deferred
    $12,735
    Nontaxable benefits
    $23,369
    Filer's total
    $234,142
  • Miki L Gillespie

    RESP THERP III - REG

    Total calculated
    $225,004
    From this org
    $193,143
    From related orgs
    $0
    Other
    $31,861
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $192,964
    Bonus
    $0
    Other
    $179
    Deferred
    $6,240
    Nontaxable benefits
    $25,621
    Filer's total
    $225,004
  • Fayez D Abboud MD

    FORMER TRUSTEE & OFFICER

    Total calculated
    $727,361
    From this org
    $0
    From related orgs
    $692,827
    Other
    $34,534
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $573,282 related
    Bonus
    $0 + $88,295 related
    Other
    $0 + $31,250 related
    Deferred
    $0 + $12,311 related
    Nontaxable benefits
    $0 + $22,223 related
    Filer's total
    $0 + $727,361 related
  • Geoffrey P Walker

    FORMER KEY EMPLOYEE

    Total calculated
    $774,019
    From this org
    $0
    From related orgs
    $739,507
    Other
    $34,512
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $301,836 related
    Bonus
    $0 + $233,995 related
    Other
    $0 + $203,676 related
    Deferred
    $0 + $20,971 related
    Nontaxable benefits
    $0 + $13,541 related
    Filer's total
    $0 + $774,019 related
  • Elaine Lainie M Dean

    FORMER KEY EMPLOYEE

    Total calculated
    $702,733
    From this org
    $0
    From related orgs
    $658,980
    Other
    $43,753
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $299,150 related
    Bonus
    $0 + $206,389 related
    Other
    $0 + $153,441 related
    Deferred
    $0 + $31,363 related
    Nontaxable benefits
    $0 + $12,390 related
    Filer's total
    $0 + $702,733 related
  • Billie L Lucente-Baker

    FORMER KEY EMPLOYEE

    Total calculated
    $407,067
    From this org
    $0
    From related orgs
    $370,826
    Other
    $36,241
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $256,251 related
    Bonus
    $0 + $113,026 related
    Other
    $0 + $1,549 related
    Deferred
    $0 + $22,822 related
    Nontaxable benefits
    $0 + $13,419 related
    Filer's total
    $0 + $407,067 related
  • Marc R Belcastro MD

    FORMER KEY EMPLOYEE

    Total calculated
    $372,510
    From this org
    $0
    From related orgs
    $361,466
    Other
    $11,044
    Hours/week
    0 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $361,466 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $11,044 related
    Filer's total
    $0 + $372,510 related
  • Gary G Ginter

    FORMER KEY EMPLOYEE

    Total calculated
    $242,952
    From this org
    $0
    From related orgs
    $232,887
    Other
    $10,065
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $232,887 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $10,065 related
    Filer's total
    $0 + $242,952 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

  • 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
COMPENSATION FOR UPPER VALLEY'S CEO IS REVIEWED AND APPROVED BY PREMIER, WITH WHICH UPPER VALLEY IS AN AFFILIATE. SEE EXPLANATION ON SCHEDULE O FOR FORM 990, PART VI, SECTION B, LINE 15.
PART I, LINE 4A:
THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE: MARC BELCASTRO, DO. $324,324; ELAINE DEAN $131,034; GARY GINTER $219,618.
PART I, LINE 4B:
DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE, CERTAIN PERSONS ARE LIMITED IN THE AMOUNT OF BENEFIT THAT CAN BE EARNED UNDER A QUALIFIED RETIREMENT PLAN. LIKE MANY EMPLOYERS, UPPER VALLEY MEDICAL CENTER (UPPER VALLEY) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. UPPER VALLEY SUPPLEMENTS THE AFFECTED EXECUTIVES THROUGH A PENSION RESTORATION PLAN OR A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE BENEFITS UNDER THESE SUPPLEMENTAL NONQUALIFIED PLANS ARE SUBJECT TO MULTI-YEAR VESTING AND A PARTICIPANT CAN FORFEIT BENEFITS EARNED IF VESTING REQUIREMENTS ARE NOT SATISFIED. UNDER THE TERMS OF THE SUPPLEMENTAL PLANS, AND BECAUSE OF TAX RULES PERTAINING TO TAXATION OF THE EARNED BENEFITS UPON VESTING, CERTAIN INDIVIDUALS RECEIVED A PAYOUT OF THE CUMULATIVE VESTED BENEFITS UNDER THEIR SUPPLEMENTAL PLAN DURING 2024. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN RECEIVED THE ASSOCIATED PAYMENT IN 2024: MARY CLANCY $8,646; J. MICHAEL SIMS $56,017; GEOFFREY WALKER $194,485. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PLAN PAYMENT 2024: MARC BELCASTRO, M.D. $41,167; GARY GINTER $15,527; KEVIN HARLAN $47,900; MICHAEL RIORDAN $93,572. IN ADDITION, THE FOLLOWING SERP AMOUNTS WERE DEFERRED ON THE PARTICIPANTS' BEHALF DURING THE YEAR AND WILL BE HELD UNTIL THE INCREMENTAL AMOUNTS ARE VESTED: KEITH BRICKING, M.D. $21,279; ELAINE DEAN $18,136; LISA GOSSETT $9,078; SCOTT KANAGY, M.D. $19,629; BILLIE LUCENTE-BAKER $711; CARA POWERS $7,753; TRISHA WACKLER $2,960. BASED ON THE GUIDANCE PROVIDED IN THE INSTRUCTIONS TO THE FORM 990, ANY PAYMENTS TO THE PARTICIPANTS RELATED TO THESE PLANS THAT WERE MADE WITHIN 2-1/2 MONTHS AFTER THE END OF THE ORGANIZATION'S TAX YEAR ARE AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES NOT TREATED AS DEFERRED COMPENSATION FOR PURPOSES OF SCHEDULE J. SUCH WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES.

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

The 10 largest by cash amount. The API serves every itemized grant.

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.

  • SWEITZER STREET LLC

    EXCLUDED · REAL ESTATE · OH

    Directly controlled by MVHE INC

  • SWEITZER MOB LLC

    EXCLUDED · REAL ESTATE · OH

    Directly controlled by MVHE INC

Related corporations and trusts

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

  • MVHE INC

    C · PHYSICIAN SVCS · OH

    Directly controlled by PREMIER HEALTH HOLDING CO

  • PREMIER HEALTH SPECIALISTS

    C · PHYSICIAN SVCS · OH

    Directly controlled by PREMIER HEALTH HOLDING CO

  • SAMARITAN FAMILY CARE

    C · PHYSICIAN SVCS · OH

    Directly controlled by PREMIER HEALTH HOLDING CO

  • AFTER HOURS FAMILY CARE

    C · HEALTH CARE · OH

    Directly controlled by UPPER VALLEY PROFESSIONAL CORP

  • UVMC MANAGEMENT CORP

    C · MANAGEMENT COMPANY · OH

    Directly controlled by PREMIER HEALTH

  • PREMIER HEALTH URGENT CARE INC

    C · URGENT CARE · OH

    Directly controlled by PREMIER HEALTH HOLDING CO

  • PREMIER HEALTH PLAN INC

    C · HEALTH INSURANCE · OH

    Directly controlled by PREMIER HEALTH INSURING CO

  • GOOD SAMARITAN HOSPITAL

    C · HOSPITAL · OH

    Directly controlled by PREMIER HEALTH

  • PREMIER HEALTH INT'L INSURANCE

    C · INSURANCE · BD

    Directly controlled by PREMIER HEALTH

  • PREMIER HEALTH ACO OF OHIO

    C · MEDICARE ACO · OH

    Directly controlled by PREMIER HEALTH

  • PREMIER HEALTH HOLDING CO

    C · HOLDING CO · OH

    Directly controlled by PREMIER HEALTH

  • PREMIER HEALTH INSURING CO

    C · HEALTH INSURANCE · OH

    Directly controlled by PREMIER HEALTH

Provenance

Return type
form_990
Tax year
2024
Filed
6 November 2025
IRS schema version
2024v5.2
Source object
202523109349303217

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