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Nonprofiteer
← ATRIUM MEDICAL CENTER

Form 990 for tax year 2022

Filed by ATRIUM MEDICAL CENTER.

Totals

Total revenue
$254,990,934
Total expenses
$227,482,487
Contributions and grants received
$547,802
Grants paid
$268,416
Program service revenue
$238,428,922
Investment income
$3,194,643
Other revenue
$12,819,567
Total assets, end of year
$308,989,785
Total liabilities, end of year
$302,223,275
Net assets or fund balances, end of year
$6,766,510
Program services expenses (Part IX)
$220,245,268
Management and general expenses
$7,237,219
Fundraising expenses
$0
Program service expenses (Part III)
$220,245,268

Program services were 96.8% 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.

  • 1e · Government grants (contributions)

    $313,231

  • 1f · All other contributions, gifts and grants

    $234,571

  • 1g · Noncash contributions included above

    $54,976

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

    total $122,509,219 · related or exempt $122,509,219

  • 2b · Program service revenue: MEDICARE/MEDICAID PAYMENTS

    total $115,372,760 · related or exempt $115,372,760

  • 2c · Program service revenue: HOSPITAL FRANCHISE TAX RECOVERIES

    total $491,283 · related or exempt $491,283

  • 2d · Program service revenue: ATHLETIC TRAINING

    total $51,334 · related or exempt $51,334

  • 2e · Program service revenue: MEDICAL RECORDS

    total $4,158 · related or exempt $4,158

  • 2f · All other program service revenue

    total $168 · related or exempt $168

  • 3 · Investment income

    total $1,395,848 · excluded $1,395,848

  • 6a · Gross rents

    real property $2,849,927

  • 6b · Less rental expenses

    real property $3,008,004

  • 6c · Rental income or loss

    real property -$158,077

  • 6d · Net rental income or loss

    total -$158,077 · excluded -$158,077

  • 7a · Gross sales of assets other than inventory

    securities $294,165,479 · other assets $374,566

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

    securities $292,578,250 · other assets $163,000

  • 7c · Gain or loss

    securities $1,587,229 · other assets $211,566

  • 7d · Net gain or loss

    total $1,798,795 · excluded $1,798,795

  • 10a · Gross sales of inventory

    $273,272

  • 10b · Cost of goods sold

    $134,137

  • 10c · Net income from sales of inventory

    total $139,135 · excluded $139,135

  • 11a · Other revenue: GAIN ON INTEREST SWAP ADJ

    total $11,449,526 · excluded $11,449,526

  • 11b · Other revenue: PENSION INCOME

    total $819,521 · excluded $819,521

  • 11c · Other revenue: FEMA REVENUE

    total $462,981 · excluded $462,981

  • 11d · All other revenue

    total $106,481 · excluded $106,481

  • 11e · Other revenue, total

    $12,838,509

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $268,416 · program services $268,416

  • 5 · Compensation of officers, directors and key employees

    total $2,268,893 · program services $1,120,734 · management and general $1,148,159

  • 7 · Other salaries and wages

    total $67,964,832 · program services $65,093,475 · management and general $2,871,357

  • 8 · Pension plan contributions

    total $2,895,726 · program services $2,730,002 · management and general $165,724

  • 9 · Other employee benefits

    total $6,846,514 · program services $6,454,684 · management and general $391,830

  • 10 · Payroll taxes

    total $5,025,296 · program services $4,740,433 · management and general $284,863

  • 11a · Fees: management

    total $100,903 · program services $100,903

  • 11b · Fees: legal

    total $17,655 · management and general $17,655

  • 11c · Fees: accounting

    total $4,005 · management and general $4,005

  • 11d · Fees: lobbying

    total $236,760 · management and general $236,760

  • 11g · Fees: other

    total $53,656,772 · program services $52,361,453 · management and general $1,295,319

  • 12 · Advertising and promotion

    total $339,303 · program services $339,303

  • 13 · Office expenses

    total $689,265 · program services $345,972 · management and general $343,293

  • 14 · Information technology

    total $1,446,848 · program services $1,355,979 · management and general $90,869

  • 16 · Occupancy

    total $7,062,469 · program services $6,958,035 · management and general $104,434

  • 17 · Travel

    total $28,607 · program services $21,592 · management and general $7,015

  • 20 · Interest

    total $8,108,325 · program services $8,108,325

  • 22 · Depreciation, depletion and amortization

    total $16,207,645 · program services $16,207,645

  • 23 · Insurance

    total $783,211 · program services $756,665 · management and general $26,546

  • 24a · Other expenses: OPERATING SUPPLIES

    total $38,895,487 · program services $38,895,487

  • 24b · Other expenses: HOSPITAL FRANCHISE TAX

    total $6,863,537 · program services $6,863,537

  • 24c · Other expenses: ASSET IMPAIRMENT

    total $5,814,880 · program services $5,814,880

  • 24d · Other expenses: REPAIRS AND MAINTENANCE

    total $833,183 · program services $833,183

  • 24e · All other expenses

    total $1,123,955 · program services $874,565 · management and general $249,390

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $6,205 · end of year $6,205

  • 2 · Savings and temporary cash investments

    beginning of year $9,496,978 · end of year $11,096,343

  • 4 · Accounts receivable

    beginning of year $38,963,434 · end of year $41,337,669

  • 7 · Other notes and loans receivable

    beginning of year $59,751 · end of year $65,681

  • 8 · Inventories for sale or use

    beginning of year $2,110,347 · end of year $2,134,326

  • 9 · Prepaid expenses and deferred charges

    beginning of year $3,653,492 · end of year $1,339,872

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

    $392,049,916

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

    $256,742,201

  • 10c · Land, buildings and equipment, net

    beginning of year $156,980,035 · end of year $135,307,715

  • 11 · Investments: publicly traded securities

    beginning of year $101,701,620 · end of year $69,459,724

  • 12 · Investments: other securities

    beginning of year $37,342,288 · end of year $32,254,813

  • 14 · Intangible assets

    beginning of year $8,657,463 · end of year $9,075,896

  • 15 · Other assets

    beginning of year $1,432,442 · end of year $6,911,541

  • 17 · Accounts payable and accrued expenses

    beginning of year $19,951,170 · end of year $18,293,729

  • 18 · Grants payable

    beginning of year $1,801,945 · end of year $260,357

  • 19 · Deferred revenue

    beginning of year $218,798 · end of year $218,798

  • 20 · Tax-exempt bond liabilities

    beginning of year $186,295,962 · end of year $185,397,036

  • 23 · Secured mortgages and notes payable

    beginning of year $25,023,766 · end of year $23,749,625

  • 25 · Other liabilities

    beginning of year $67,712,416 · end of year $74,303,730

  • 27 · Net assets without donor restrictions

    beginning of year $59,268,658 · end of year $6,635,170

  • 28 · Net assets with donor restrictions

    beginning of year $131,340 · end of year $131,340

Mission and programs · 2022

Mission

WE WILL IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH-QUALITY, COST-COMPETITIVE HEALTHCARE SERVICES.

Activities or mission (Part I)

SEE PART III, LINE 1

  • THE PRIMARY EXEMPT PURPOSE OF ATRIUM MEDICAL CENTER IS TO PROVIDE COMPREHENSIVE INPATIENT, OUTPATIENT, AND EMERGENCY HEALTH CARE SERVICES TO THE RESIDENTS OF BUTLER AND WARREN 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 $220,245,268 · Grants $268,416 · Revenue $238,428,922

As filed on the 2022 return.

Listed in Part VII

  • Mary H Boosalis

    TRUSTEE / PREMIER CEO (TO JAN)

    Total calculated
    $2,291,841
    From this org
    $0
    From related orgs
    $2,267,077
    Other
    $24,764
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $243,179 related
    Bonus
    $0 + $1,799,215 related
    Other
    $0 + $224,683 related
    Deferred
    $0 + $18,855 related
    Nontaxable benefits
    $0 + $5,909 related
    Filer's total
    $0 + $2,291,841 related
  • Michael C Riordan

    TRUSTEE / PREMIER CEO (FROM JAN)

    Total calculated
    $1,308,572
    From this org
    $0
    From related orgs
    $1,280,440
    Other
    $28,132
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,067,901 related
    Bonus
    $0
    Other
    $0 + $212,539 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $28,132 related
    Filer's total
    $0 + $1,308,572 related
  • Keith D Bricking MD

    PRESIDENT (TO OCT) / SYS VP - CHIEF CLINICAL OFFIC

    Total calculated
    $849,780
    From this org
    $782,373
    From related orgs
    $0
    Other
    $67,407
    Hours/week
    9.5 + 30.5 related

    Schedule J breakdown matched by us

    Base
    $571,733
    Bonus
    $199,778
    Other
    $10,862
    Deferred
    $34,979
    Nontaxable benefits
    $32,428
    Filer's total
    $849,780
  • Joshua J Ordway MD

    TRUSTEE

    Total calculated
    $725,162
    From this org
    $0
    From related orgs
    $686,346
    Other
    $38,816
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $467,640 related
    Bonus
    $0 + $217,194 related
    Other
    $0 + $1,512 related
    Deferred
    $0 + $10,518 related
    Nontaxable benefits
    $0 + $28,298 related
    Filer's total
    $0 + $725,162 related
  • Kevin W Harlan

    PRESIDENT (FROM OCT)

    Total calculated
    $577,668
    From this org
    $90,541
    From related orgs
    $457,330
    Other
    $29,797
    Hours/week
    37 + 2.5 related

    Schedule J breakdown matched by us

    Base
    $85,638 + $316,920 related
    Bonus
    $0 + $126,734 related
    Other
    $4,903 + $13,676 related
    Deferred
    $3,633 + $15,259 related
    Nontaxable benefits
    $2,097 + $8,808 related
    Filer's total
    $96,271 + $481,397 related
  • Kimberly A Hensley

    COO & CNO

    Total calculated
    $410,608
    From this org
    $383,667
    From related orgs
    $0
    Other
    $26,941
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $298,282
    Bonus
    $82,551
    Other
    $2,834
    Deferred
    $16,160
    Nontaxable benefits
    $10,781
    Filer's total
    $410,608
  • Andre T Harris MD

    TRUSTEE & VP OPERATIONS / CMO

    Total calculated
    $405,664
    From this org
    $365,544
    From related orgs
    $0
    Other
    $40,120
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $262,568
    Bonus
    $101,705
    Other
    $1,271
    Deferred
    $12,864
    Nontaxable benefits
    $27,256
    Filer's total
    $405,664
  • Rhonda L Seidenschmidt

    TRUSTEE & VP OPERATIONS

    Total calculated
    $309,971
    From this org
    $273,952
    From related orgs
    $0
    Other
    $36,019
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $215,111
    Bonus
    $57,788
    Other
    $1,053
    Deferred
    $8,482
    Nontaxable benefits
    $27,537
    Filer's total
    $309,971
  • William Andrew MD

    TRUSTEE

    Total calculated
    $213,405
    From this org
    $0
    From related orgs
    $213,405
    Other
    $0
    Hours/week
    0.5

    Schedule J breakdown matched by us

    Base
    $0 + $213,405 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $213,405 related
  • Percy David Mitchell Jr MD

    TRUSTEE / CHIEF OF STAFF

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

    TRUSTEE

    Total calculated
    $30,200
    From this org
    $0
    From related orgs
    $30,200
    Other
    $0
    Hours/week
    0.5
  • Gregory W Siewny MD

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    0.5
  • Anuj Goyal MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5
  • Benjamin A Watson Esq

    BOARD SECRETARY

    Total calculated
    $228,296
    From this org
    $0
    From related orgs
    $212,206
    Other
    $16,090
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $175,577 related
    Bonus
    $0 + $36,299 related
    Other
    $0 + $330 related
    Deferred
    $0 + $6,107 related
    Nontaxable benefits
    $0 + $9,983 related
    Filer's total
    $0 + $228,296 related
  • Lyndsey A Pittman

    BOARD TREASURER & FINANCE DIRECTOR

    Total calculated
    $204,708
    From this org
    $196,956
    From related orgs
    $0
    Other
    $7,752
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $149,402
    Bonus
    $47,221
    Other
    $333
    Deferred
    $5,363
    Nontaxable benefits
    $2,389
    Filer's total
    $204,708
  • Geoffrey P Walker

    SYS VP - CHIEF LEGAL OFFICER

    Total calculated
    $990,981
    From this org
    $0
    From related orgs
    $942,545
    Other
    $48,436
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $483,803 related
    Bonus
    $0 + $150,928 related
    Other
    $0 + $307,814 related
    Deferred
    $0 + $18,871 related
    Nontaxable benefits
    $0 + $29,565 related
    Filer's total
    $0 + $990,981 related
  • Marc R Belcastro Do

    VP MEDICAL AFFAIRS & PREMIER CMO

    Total calculated
    $871,096
    From this org
    $0
    From related orgs
    $834,885
    Other
    $36,211
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $598,103 related
    Bonus
    $0 + $181,805 related
    Other
    $0 + $54,977 related
    Deferred
    $0 + $10,475 related
    Nontaxable benefits
    $0 + $25,736 related
    Filer's total
    $0 + $871,096 related
  • Mary M Clancy

    CHIEF DIGITAL OFFICER

    Total calculated
    $756,956
    From this org
    $0
    From related orgs
    $704,534
    Other
    $52,422
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $470,691 related
    Bonus
    $0 + $150,789 related
    Other
    $0 + $83,054 related
    Deferred
    $0 + $19,693 related
    Nontaxable benefits
    $0 + $32,729 related
    Filer's total
    $0 + $756,956 related
  • J Michael Sims

    SYS VP - CORPORATE CONTROLLER

    Total calculated
    $727,946
    From this org
    $0
    From related orgs
    $677,602
    Other
    $50,344
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $355,741 related
    Bonus
    $0 + $138,119 related
    Other
    $0 + $183,742 related
    Deferred
    $0 + $19,235 related
    Nontaxable benefits
    $0 + $31,109 related
    Filer's total
    $0 + $727,946 related
  • Margaret Peggy W Mark

    VP NURSING/CNO/PATIENT EXP-PH (TO APR)

    Total calculated
    $746,384
    From this org
    $0
    From related orgs
    $566,116
    Other
    $180,268
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $127,686 related
    Bonus
    $0 + $133,099 related
    Other
    $0 + $305,331 related
    Deferred
    $0 + $154,451 related
    Nontaxable benefits
    $0 + $25,817 related
    Filer's total
    $0 + $746,384 related
  • Amanda K Adkins-Ricci

    SYS VP - REVENUE CYCLE

    Total calculated
    $310,301
    From this org
    $0
    From related orgs
    $287,332
    Other
    $22,969
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $241,887 related
    Bonus
    $0 + $44,970 related
    Other
    $0 + $475 related
    Deferred
    $0 + $11,512 related
    Nontaxable benefits
    $0 + $11,457 related
    Filer's total
    $0 + $310,301 related
  • Lisa M Gossett

    VP NURSING/CNO/PATIENT EXP (FROM JUN)

    Total calculated
    $215,250
    From this org
    $0
    From related orgs
    $202,745
    Other
    $12,505
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $200,746 related
    Bonus
    $0
    Other
    $0 + $1,999 related
    Deferred
    $0 + $2,855 related
    Nontaxable benefits
    $0 + $9,650 related
    Filer's total
    $0 + $215,250 related
  • Anthony J Thompson

    CLINICAL NURSE-CN-SUPP

    Total calculated
    $355,265
    From this org
    $351,611
    From related orgs
    $0
    Other
    $3,654
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $351,611
    Bonus
    $0
    Other
    $0
    Deferred
    $3,654
    Nontaxable benefits
    $0
    Filer's total
    $355,265
  • Joanne R Morgan

    SYSTEM VP - PHARMACY OPS

    Total calculated
    $341,723
    From this org
    $317,159
    From related orgs
    $0
    Other
    $24,564
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $227,211
    Bonus
    $68,215
    Other
    $21,733
    Deferred
    $12,705
    Nontaxable benefits
    $11,859
    Filer's total
    $341,723
  • Robyn S Myers

    DIR QUALITY & SYS PATIENT SAFTEY

    Total calculated
    $237,848
    From this org
    $216,361
    From related orgs
    $0
    Other
    $21,487
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $171,662
    Bonus
    $35,663
    Other
    $9,036
    Deferred
    $8,186
    Nontaxable benefits
    $13,301
    Filer's total
    $237,848
  • Jacob L Froehlich

    DIR-NURSING CRIT CARE & BEHAVIORAL HEALTH

    Total calculated
    $220,620
    From this org
    $187,522
    From related orgs
    $0
    Other
    $33,098
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $149,632
    Bonus
    $37,480
    Other
    $410
    Deferred
    $6,427
    Nontaxable benefits
    $26,671
    Filer's total
    $220,620
  • Mandi L Alcorn

    DIR NSG-ER SVS & RESP

    Total calculated
    $212,924
    From this org
    $183,681
    From related orgs
    $0
    Other
    $29,243
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $147,335
    Bonus
    $35,855
    Other
    $491
    Deferred
    $6,370
    Nontaxable benefits
    $22,873
    Filer's total
    $212,924
  • Michael R Uhl

    FORMER OFFICER

    Total calculated
    $663,928
    From this org
    $0
    From related orgs
    $629,989
    Other
    $33,939
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $344,188 related
    Bonus
    $0 + $274,802 related
    Other
    $0 + $10,999 related
    Deferred
    $0 + $19,572 related
    Nontaxable benefits
    $0 + $14,367 related
    Filer's total
    $0 + $663,928 related
  • Marquita L Turner

    FORMER OFFICER

    Total calculated
    $413,366
    From this org
    $0
    From related orgs
    $383,421
    Other
    $29,945
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $295,671 related
    Bonus
    $0 + $84,912 related
    Other
    $0 + $2,838 related
    Deferred
    $0 + $16,415 related
    Nontaxable benefits
    $0 + $13,530 related
    Filer's total
    $0 + $413,366 related
  • Barbara A Johnson

    FORMER KEY EMPLOYEE

    Total calculated
    $1,191,910
    From this org
    $0
    From related orgs
    $1,165,699
    Other
    $26,211
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $779,540 related
    Bonus
    $0 + $297,335 related
    Other
    $0 + $88,824 related
    Deferred
    $0 + $14,063 related
    Nontaxable benefits
    $0 + $12,148 related
    Filer's total
    $0 + $1,191,910 related
  • Gary G Ginter

    FORMER KEY EMPLOYEE

    Total calculated
    $864,000
    From this org
    $0
    From related orgs
    $814,929
    Other
    $49,071
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $450,593 related
    Bonus
    $0 + $126,517 related
    Other
    $0 + $237,819 related
    Deferred
    $0 + $19,235 related
    Nontaxable benefits
    $0 + $29,836 related
    Filer's total
    $0 + $864,000 related
  • Jennifer J Hauler Do

    FORMER KEY EMPLOYEE

    Total calculated
    $784,507
    From this org
    $0
    From related orgs
    $765,079
    Other
    $19,428
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $557,482 related
    Bonus
    $0 + $184,044 related
    Other
    $0 + $23,553 related
    Deferred
    $0 + $17,044 related
    Nontaxable benefits
    $0 + $2,384 related
    Filer's total
    $0 + $784,507 related
  • Elaine Lainie M Dean

    FORMER KEY EMPLOYEE

    Total calculated
    $586,099
    From this org
    $0
    From related orgs
    $560,347
    Other
    $25,752
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $407,817 related
    Bonus
    $0 + $129,774 related
    Other
    $0 + $22,756 related
    Deferred
    $0 + $11,065 related
    Nontaxable benefits
    $0 + $14,687 related
    Filer's total
    $0 + $586,099 related
  • Billie L Lucente-Baker

    FORMER KEY EMPLOYEE

    Total calculated
    $351,034
    From this org
    $0
    From related orgs
    $319,191
    Other
    $31,843
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $241,999 related
    Bonus
    $0 + $76,411 related
    Other
    $0 + $781 related
    Deferred
    $0 + $16,655 related
    Nontaxable benefits
    $0 + $15,188 related
    Filer's total
    $0 + $351,034 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 ATRIUM MEDICAL CENTER'S (AMC) CEO IS REVIEWED AND APPROVED BY PREMIER, WITH WHICH AMC 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 IN 2022: MARY BOOSALIS RECEIVED $218,596 AND MARGARET MARK RECEIVED $273,306.
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, ATRIUM MEDICAL CENTER (AMC) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. AMC SUPPLEMENTS THE AFFECTED EXECUTIVES THROUGH A PENSION RESTORATION PLAN AND 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 2022. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN RECEIVED THE ASSOCIATED PAYMENT IN 2022: MARY CLANCY $78,305; J. MICHAEL SIMS $156,921; GEOFFREY WALKER $300,385. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PLAN PAYMENT 2022: MARK BELCASTRO, M.D. $43,756; GARY GINTER $230,909; BARBARA JOHNSON $74,090; MARGARET MARK $17,830. 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 $25,383; KEVIN HARLAN $8,946; ANDRE HARRIS, M.D. $4,123; JENNIFER HAULER, M.D. $7,358; KIMBERLY HENSLEY $1,387; BILLIE LUCENTE-BAKER $1,828; MARQUITA TURNER $1,283; MICHAEL UHL $8,385. 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 NOT TREATED AS DEFERRED COMPENSATION FOR PURPOSES OF SCHEDULE J. SUCH AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES 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

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
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202333189349311168

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