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Nonprofiteer
← ARMSTRONG COUNTY MEMORIAL HOSPITAL

Form 990 for tax year 2023

Filed by ARMSTRONG COUNTY MEMORIAL HOSPITAL.

Totals

Total revenue
$138,140,220
Total expenses
$130,312,391
Contributions and grants received
$2,488,376
Grants paid
$0
Program service revenue
$133,828,630
Investment income
$417,349
Other revenue
$1,405,865
Total assets, end of year
$69,523,443
Total liabilities, end of year
$35,842,720
Net assets or fund balances, end of year
$33,680,723
Program services expenses (Part IX)
$93,879,179
Management and general expenses
$36,433,212
Fundraising expenses
$0
Program service expenses (Part III)
$93,879,179

Program services were 72.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JAMES BACKSTROM

    CHIEF MEDICAL OFFICER END 02/2024

    Total calculated
    $335,395
    From this org
    $304,787
    From related orgs
    $0
    Other
    $30,608
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $296,479
    Bonus
    $0
    Other
    $8,308
    Deferred
    $1,500
    Nontaxable benefits
    $29,108
    Filer's total
    $335,395
  • MARY KRAULAND

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • NICHOLE GERACI

    COO END/CEO, PRESIDENT BEG 07/2023

    Total calculated
    $343,974
    From this org
    $298,448
    From related orgs
    $0
    Other
    $45,526
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $285,428
    Bonus
    $1,020
    Other
    $12,000
    Deferred
    $19,962
    Nontaxable benefits
    $25,564
    Filer's total
    $343,974
  • VOLKER ZAUN

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    3 + 1 related
  • W STEVEN DAVIS

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • CHAD SHAFFER MD

    DIRECTOR

    Total calculated
    $330,184
    From this org
    $295,748
    From related orgs
    $0
    Other
    $34,436
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $206,205
    Bonus
    $89,543
    Other
    $0
    Deferred
    $1,875
    Nontaxable benefits
    $32,561
    Filer's total
    $330,184
  • CHRIS DILICK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • COLLEEN MANTINI

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • DONALD TYLINSKI

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • ELIZABETH WHITE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • SAMUEL FRIEDE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • SANDY BRADIGAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • JOHN LEWIS

    PRESIDENT AND CEO END 07/2023

    Total calculated
    $353,649
    From this org
    $334,216
    From related orgs
    $0
    Other
    $19,433
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $223,712
    Bonus
    $0
    Other
    $110,504
    Deferred
    $2,625
    Nontaxable benefits
    $16,808
    Filer's total
    $353,649
  • JON BELASCO

    PHYSICIAN / ACTING CO-CMO BEG 02/2024

    Total calculated
    $380,836
    From this org
    $352,195
    From related orgs
    $0
    Other
    $28,641
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $350,125
    Bonus
    $2,070
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $28,641
    Filer's total
    $380,836
  • MATTHEW KOCIOLA

    CFO, VP OF FINANCE

    Total calculated
    $505,625
    From this org
    $441,793
    From related orgs
    $0
    Other
    $63,832
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $256,612
    Bonus
    $0
    Other
    $185,181
    Deferred
    $52,699
    Nontaxable benefits
    $11,133
    Filer's total
    $505,625
  • SARUN SUWAN

    PHYSICIAN / ACTING CO-CMO BEG 02/2024

    Total calculated
    $352,982
    From this org
    $320,421
    From related orgs
    $0
    Other
    $32,561
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $320,421
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $32,561
    Filer's total
    $352,982
  • ANNE REMALEY

    VP OF HUMAN RESOURCES

    Total calculated
    $230,651
    From this org
    $199,235
    From related orgs
    $0
    Other
    $31,416
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $187,235
    Bonus
    $0
    Other
    $12,000
    Deferred
    $2,625
    Nontaxable benefits
    $28,791
    Filer's total
    $230,651
  • ADAM AKERS

    PHYSICIAN

    Total calculated
    $447,852
    From this org
    $416,151
    From related orgs
    $0
    Other
    $31,701
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $325,741
    Bonus
    $90,410
    Other
    $0
    Deferred
    $1,500
    Nontaxable benefits
    $30,201
    Filer's total
    $447,852
  • CRAIG VITI

    PHYSICIAN

    Total calculated
    $561,315
    From this org
    $525,658
    From related orgs
    $0
    Other
    $35,657
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $506,908
    Bonus
    $18,750
    Other
    $0
    Deferred
    $1,500
    Nontaxable benefits
    $34,157
    Filer's total
    $561,315
  • MITCHELL PATTI

    PHYSICIAN

    Total calculated
    $557,550
    From this org
    $527,409
    From related orgs
    $0
    Other
    $30,141
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $508,659
    Bonus
    $18,750
    Other
    $0
    Deferred
    $1,500
    Nontaxable benefits
    $28,641
    Filer's total
    $557,550
  • RICHARD BERNAT

    PHYSICIAN

    Total calculated
    $448,348
    From this org
    $414,287
    From related orgs
    $0
    Other
    $34,061
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $393,425
    Bonus
    $2,376
    Other
    $18,486
    Deferred
    $1,500
    Nontaxable benefits
    $32,561
    Filer's total
    $448,348
  • SAGNIK ADHIKARI

    PHYSICIAN

    Total calculated
    $381,467
    From this org
    $368,280
    From related orgs
    $0
    Other
    $13,187
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $339,135
    Bonus
    $29,145
    Other
    $0
    Deferred
    $1,500
    Nontaxable benefits
    $11,687
    Filer's total
    $381,467

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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 5a · Pay contingent on this organization's revenues
  • 6a · Pay contingent on this organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5b · Pay contingent on a related organization's revenues
  • 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)

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) NONQUALIFIED RETIREMENT PLAN AND RECEIVED THE FOLLOWING 457(F) CONTRIBUTIONS OR DISTRIBUTIONS: DISTRIBUTIONS: - $55,000 JOHN I. LEWIS - $173,181 MATTHEW KOCIOLA CONTRIBUTIONS: - $51,199 MATTHEW KOCIOLA - $18,087 NICHOLE GERACI THE 457(F) PLAN THAT ARMSTRONG COUNTY MEMORIAL HOSPITAL ESTABLISHED FOR A SELECT GROUP OF MANAGEMENT INCLUDES THE FOLLOWING TERMS: A PARTICIPANT SHALL BECOME FULLY VESTED IN HIS DEFERRED COMPENSATION ACCOUNT AND INCOME, GAINS AND LOSSES ATTRIBUTABLE THERETO, IF HE REMAINS IN SERVICE WITH THE EMPLOYER UNTIL THE FIRST OF THE FOLLOWING EVENTS OCCUR: (A) THE DEATH OF THE PARTICIPANT; (B) THE DISABILITY OF THE PARTICIPANT; (C) THE DATE THE PARTICIPANT ATTAINS AGE 65; 0R (D) THE DATE A PARTICIPANT IS TERMINATED FROM EMPLOYMENT WITH THE EMPLOYER DUE TO A CHANGE OF CONTROL EVENT. (E) THE PARTICIPANT WILL BE VESTED AT 5 YEARS, AT WHICH TIME PAYMENTS WILL BEGIN. UPON VESTING, THE DEFERRED COMPENSATION ACCOUNT WILL BE INCLUDIBLE IN THE GROSS INCOME OF THE PARTICIPANT PURSUANT TO CODE SECTION 457(F).
Schedule J, Part I, Line 5a & 6A - COMPENSATION CONTINGENT ON REVENUES OF THE ORGANIZATION
MANAGEMENT USES MGMA PUBLISHED STANDARDS TO ESTABLISH A BASE SALARY FOR PROVIDERS. IN ADDITION TO THE BASE SALARY, PROVIDERS HAVE THE ABILITY TO EARN INCENTIVES BASED UPON THEIR PRODUCTIVITY AS REFLECTED IN WORK RVU MEASURES. IN ADDITION, THE CEO PRESENTS GOALS TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF WHAT THE ORGANIZATION HOPES TO ACHIEVE DURING EACH FISCAL YEAR. THESE GOALS ARE BASED ON REVENUES, NET EARNINGS, AND OTHER MEASURES. DEPENDING ON THE RESULTS, THE EXECUTIVE COMMITTEE OF THE BOARD, WITH INPUT FROM THE CEO, DETERMINES WHAT AMOUNT OF BONUSES (IF ANY) WILL BE PAID.

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
2023
Filed
15 May 2025
IRS schema version
2023v6.0
Source object
202521359349305802

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