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Nonprofiteer
← MAXIS HEALTH SYSTEM

Form 990 for tax year 2022

Filed by MAXIS HEALTH SYSTEM.

Totals

Total revenue
$53,832
Total expenses
$3,505,289
Contributions and grants received
$73,814
Grants paid
$0
Program services expenses (Part IX)
$321,637
Management and general expenses
$3,183,652
Fundraising expenses
$0
Program service expenses (Part III)
$321,637

Program services were 9.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • MICHAEL SLUBOWSKI

    DIRECTOR; PRESIDENT & CEO

    Total calculated
    $5,340,424
    From this org
    $0
    From related orgs
    $5,208,972
    Other
    $131,452
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $2,229,123 related
    Bonus
    $0 + $2,185,000 related
    Other
    $0 + $794,849 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $113,152 related
    Filer's total
    $0 + $5,340,424 related

  • BENJAMIN CARTER

    FORMER OFFICER; TRINITY HLTH EVP,COO

    Total calculated
    $2,857,735
    From this org
    $0
    From related orgs
    $2,758,940
    Other
    $98,795
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,408,317 related
    Bonus
    $0 + $910,000 related
    Other
    $0 + $440,623 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $80,495 related
    Filer's total
    $0 + $2,857,735 related

  • DANIEL ISACKSEN JR

    TREASURER; EVP, CFO

    Total calculated
    $1,950,338
    From this org
    $0
    From related orgs
    $1,621,848
    Other
    $328,490
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $966,837 related
    Bonus
    $0 + $570,000 related
    Other
    $0 + $85,011 related
    Deferred
    $0 + $292,650 related
    Nontaxable benefits
    $0 + $35,840 related
    Filer's total
    $0 + $1,950,338 related

  • LINDA ROSS

    SECRETARY; EVP, CHIEF LEGAL OFFICER

    Total calculated
    $1,655,893
    From this org
    $0
    From related orgs
    $1,562,613
    Other
    $93,280
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $809,865 related
    Bonus
    $0 + $486,000 related
    Other
    $0 + $266,748 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $79,555 related
    Filer's total
    $0 + $1,655,893 related

  • ANTOINETTE PRATT

    ASSISTANT TREAS; SVP FIN REPORTING

    Total calculated
    $782,268
    From this org
    $0
    From related orgs
    $719,857
    Other
    $62,411
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $408,419 related
    Bonus
    $0 + $187,972 related
    Other
    $0 + $123,466 related
    Deferred
    $0 + $22,875 related
    Nontaxable benefits
    $0 + $39,536 related
    Filer's total
    $0 + $782,268 related

  • JOSHUA MOORE

    ASSISTANT SEC; VP MANAGING COUNSEL

    Total calculated
    $451,625
    From this org
    $0
    From related orgs
    $402,567
    Other
    $49,058
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $317,830 related
    Bonus
    $0 + $80,535 related
    Other
    $0 + $4,202 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $30,758 related
    Filer's total
    $0 + $451,625 related

  • CYNTHIA CLEMENCE

    FORMER OFFICER

    Total calculated
    $290,020
    From this org
    $0
    From related orgs
    $290,020
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $290,020 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $290,020 related

  • DAVID SOUTHWELL

    DIRECTOR; CHAIR THROUGH 12/22

    Total calculated
    $131,250
    From this org
    $0
    From related orgs
    $131,250
    Other
    $0
    Hours/week
    1 + 8 related

  • BARRETT HATCHES PHD

    DIRECTOR; CHAIR AS OF 1/23

    Total calculated
    $103,750
    From this org
    $0
    From related orgs
    $103,750
    Other
    $0
    Hours/week
    1 + 8 related

  • GEORGE PHILIP JD

    DIRECTOR

    Total calculated
    $93,750
    From this org
    $0
    From related orgs
    $93,750
    Other
    $0
    Hours/week
    1 + 4 related

  • ROBERTA WAITE EDD

    DIRECTOR THROUGH 12/22

    Total calculated
    $93,750
    From this org
    $0
    From related orgs
    $93,750
    Other
    $0
    Hours/week
    1 + 4 related

  • LARRY WARREN

    DIRECTOR; VICE CHAIR

    Total calculated
    $90,000
    From this org
    $0
    From related orgs
    $90,000
    Other
    $0
    Hours/week
    1 + 8 related

  • RITA BROGLEY

    DIRECTOR

    Total calculated
    $88,750
    From this org
    $0
    From related orgs
    $88,750
    Other
    $0
    Hours/week
    1 + 4 related

  • KEVIN BARNETT DRPH

    DIRECTOR

    Total calculated
    $68,750
    From this org
    $0
    From related orgs
    $68,750
    Other
    $0
    Hours/week
    1 + 4 related

  • JOSEPH BETANCOURT MD

    DIRECTOR THROUGH 12/22

    Total calculated
    $68,750
    From this org
    $0
    From related orgs
    $68,750
    Other
    $0
    Hours/week
    1 + 4 related

  • COURTNEY LANG JD

    DIRECTOR

    Total calculated
    $68,750
    From this org
    $0
    From related orgs
    $68,750
    Other
    $0
    Hours/week
    1 + 4 related

  • CARRIE RICH

    DIRECTOR

    Total calculated
    $68,750
    From this org
    $0
    From related orgs
    $68,750
    Other
    $0
    Hours/week
    1 + 4 related

  • CYNTHIA BARGINERE DNPRNFACHE

    DIRECTOR AS OF 1/23

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • LINDA FALQUETTE RSM

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • MARY FANNING RSM PHD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • JOAN MARIE STEADMAN CSC

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • PAUL TAHERI MD

    DIRECTOR AS OF 1/23

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • VERONIQUE WIEDOWER CSC

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 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 — 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

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
  • 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
MAXIS HEALTH SYSTEM IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. MAXIS HEALTH SYSTEM'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF MAXIS HEALTH SYSTEM'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4B
THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2022. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2022, AND THEIR NON-VESTED BENEFITS FOR 2022 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2022 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: BENJAMIN CARTER - $392,875 CYNTHIA CLEMENCE - $290,000 DANIEL ISACKSEN, JR. - $66,120 ANTOINETTE PRATT - $105,115 LINDA ROSS - $216,698 MICHAEL SLUBOWSKI - $714,875 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUAL FOR 2022 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: DANIEL ISACKSEN, JR. - $283,500 THE FOLLOWING IS A PARTICIPANT IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($305,000 FOR 2022). THE FOLLOWING PAYOUT FOR 2022 FOR THIS PLAN IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JOSHUA MOORE - $2,599

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
2022
Filed
14 May 2024
IRS schema version
2022v5.0
Source object
202421359349306412

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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