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 BoosalisMARY 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 RiordanMICHAEL 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 MDKEITH 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 MDJOSHUA 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 HarlanKEVIN 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 HensleyKIMBERLY 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 MDANDRE 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 SeidenschmidtRHONDA 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 MDWILLIAM 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 MDPERCY 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 MDJILL 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 MDGREGORY W SIEWNY MD
BOARD CHAIR
- Total calculated
- $0
- Hours/week
- 0.5
-
Anuj Goyal MDANUJ GOYAL MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5
-
Benjamin A Watson EsqBENJAMIN 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 PittmanLYNDSEY 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 WalkerGEOFFREY 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 DoMARC 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 ClancyMARY 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 SimsJ 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 MarkMARGARET 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-RicciAMANDA 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 GossettLISA 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 ThompsonANTHONY 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 MorganJOANNE 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 MyersROBYN 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 FroehlichJACOB 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 AlcornMANDI 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 UhlMICHAEL 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 TurnerMARQUITA 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 JohnsonBARBARA 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 GinterGARY 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 DoJENNIFER 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 DeanELAINE 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-BakerBILLIE 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
-
$140,000
SUPPORT
-
$55,210
SUPPORT
-
$8,373
SUPPORT
-
$7,350
SUPPORT
-
SUPPORT
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.
-
501(C)(3) · PARENT · OH
-
501(C)(3) · SUPPORT ORG · OH
-
501(C)(3) · HOSPITAL · OH
Directly controlled by PREMIER HEALTH
-
MIAMI VALLEY HOSPITAL FOUNDATION
501(C)(3) · FOUNDATION · OH
Directly controlled by PREMIER HEALTH
-
501(C)(3) · HOME HEALTH · OH
Directly controlled by PREMIER HEALTH
-
501(C)(3) · HEALTH EDUCATION · OH
Directly controlled by FIDELITY HEALTH CARE
-
GOOD SAMARITAN FOUNDATION - DAYTON
501(C)(3) · FOUNDATION · OH
Directly controlled by PREMIER HEALTH
-
501(C)(3) · SUPPORT ORG · OH
-
501(C)(3) · SUPPORT ORG · OH
-
501(C)(3) · HOSPITAL · OH
Directly controlled by PREMIER HEALTH
-
UPPER VALLEY PROFESSIONAL CORP
501(C)(3) · HEALTH CARE · OH
Directly controlled by PREMIER HEALTH HOLDING CO
-
501(C)(3) · HEALTH CARE · OH
Directly controlled by PREMIER HEALTH HOLDING CO
-
501(C)(3) · NURSING HOME · OH
Directly controlled by PREMIER HEALTH
-
COMPUNET CLINICAL LABORATORIES LLC
501(C)(3) · LAB · OH
Directly controlled by PREMIER HEALTH
-
SAMARITAN BEHAVIORAL HEALTH INC
501(C)(3) · BEHAVIORAL HEALTH · OH
Directly controlled by PREMIER HEALTH
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
-
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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