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← RIDGEVIEW INSURANCE COMPANY

Form 990 for tax year 2022

Filed by RIDGEVIEW INSURANCE COMPANY.

Totals

Total revenue
$6,005,320
Total expenses
$3,831,485
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$5,612,036
Investment income
$393,284
Other revenue
$0
Total assets, end of year
$16,773,903
Total liabilities, end of year
$958,520
Net assets or fund balances, end of year
$15,815,383
Program services expenses (Part IX)
$3,732,850
Management and general expenses
$98,635
Fundraising expenses
$0
Program service expenses (Part III)
$3,732,850

Program services were 97.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • MICHAEL PHELPS

    VICE PRESIDENT

    Total calculated
    $1,338,223
    From this org
    $0
    From related orgs
    $1,274,183
    Other
    $64,040
    Hours/week
    1 + 49 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

  • GORDON GABLENZ

    PRESIDENT

    Total calculated
    $883,584
    From this org
    $0
    From related orgs
    $794,145
    Other
    $89,439
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $789,842 related
    Bonus
    $0
    Other
    $0 + $4,303 related
    Deferred
    $0 + $28,440 related
    Nontaxable benefits
    $0 + $60,999 related
    Filer's total
    $0 + $883,584 related

  • SARAH HASTINGS

    SECRETARY

    Total calculated
    $328,656
    From this org
    $0
    From related orgs
    $265,282
    Other
    $63,374
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $245,738 related
    Bonus
    $0
    Other
    $0 + $19,544 related
    Deferred
    $0 + $26,015 related
    Nontaxable benefits
    $0 + $37,359 related
    Filer's total
    $0 + $328,656 related

  • BRENT WORDELMAN

    TREASURER

    Total calculated
    $280,701
    From this org
    $0
    From related orgs
    $240,710
    Other
    $39,991
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $222,797 related
    Bonus
    $0
    Other
    $0 + $17,913 related
    Deferred
    $0 + $24,806 related
    Nontaxable benefits
    $0 + $15,185 related
    Filer's total
    $0 + $280,701 related

  • ANN WICK

    ASSISTANT SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • KEN BIRRELL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

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
  • 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 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. GORDON GABLENZ PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AT RIDGEVIEW MEDICAL CENTER. DURING 2022, $395,053 WAS CONTRIBUTED TO THE PLAN, $50,590 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.

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
11 November 2023
IRS schema version
2022v5.0
Source object
202323179349310337

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