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Nonprofiteer
← SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP INC

Form 990 for tax year 2022

Filed by SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP INC.

Totals

Total revenue
$18,528,460
Total expenses
$28,702,948
Contributions and grants received
$6,248
Grants paid
$0
Program service revenue
$17,325,926
Investment income
-$1,110
Other revenue
$1,197,396
Total assets, end of year
$12,300,598
Total liabilities, end of year
$22,257,870
Net assets or fund balances, end of year
-$9,957,272
Program services expenses (Part IX)
$26,315,774
Management and general expenses
$2,387,174
Fundraising expenses
$0
Program service expenses (Part III)
$26,315,774

Program services were 91.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DAVID B BURMEISTER DO

    PRESIDENT / TRUSTEE

    Total calculated
    $875,654
    From this org
    $0
    From related orgs
    $840,583
    Other
    $35,071
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $590,716 related
    Bonus
    $0 + $211,397 related
    Other
    $0 + $38,470 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $35,071 related
    Filer's total
    $0 + $875,654 related

  • JENNIFER L STEPHENS DO

    VICE CHAIRPERSON

    Total calculated
    $645,762
    From this org
    $0
    From related orgs
    $622,609
    Other
    $23,153
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $458,581 related
    Bonus
    $0 + $119,273 related
    Other
    $0 + $44,755 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $23,153 related
    Filer's total
    $0 + $645,762 related

  • JOSEPH D DEFULVIO DO

    CHAIRPERSON / TREASURER

    Total calculated
    $561,118
    From this org
    $0
    From related orgs
    $540,293
    Other
    $20,825
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $440,000 related
    Bonus
    $0 + $101,023 related
    Other
    $0 + -$730 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $20,825 related
    Filer's total
    $0 + $561,118 related

  • AMMAR S ABBASI MD FAAPMR

    SECRETARY / TRUSTEE

    Total calculated
    $450,368
    From this org
    $0
    From related orgs
    $439,992
    Other
    $10,376
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $332,862 related
    Bonus
    $0 + $122,362 related
    Other
    $0 + -$15,232 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $10,376 related
    Filer's total
    $0 + $450,368 related

  • JAMES N DEMOPOULOS SR MHA

    TRUSTEE (NON-VOTING)

    Total calculated
    $611,131
    From this org
    $0
    From related orgs
    $590,692
    Other
    $20,439
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $430,409 related
    Bonus
    $0 + $104,512 related
    Other
    $0 + $55,771 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $20,439 related
    Filer's total
    $0 + $611,131 related

  • AMANDA B FLICKER MD

    TRUSTEE

    Total calculated
    $639,720
    From this org
    $0
    From related orgs
    $629,873
    Other
    $9,847
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $472,063 related
    Bonus
    $0 + $118,888 related
    Other
    $0 + $38,922 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $9,847 related
    Filer's total
    $0 + $639,720 related

  • RONALD S FREUDENBERGER MD

    TRUSTEE

    Total calculated
    $967,432
    From this org
    $0
    From related orgs
    $936,411
    Other
    $31,021
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $705,372 related
    Bonus
    $0 + $179,550 related
    Other
    $0 + $51,489 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $31,021 related
    Filer's total
    $0 + $967,432 related

  • TIMOTHY J FRIEL MD

    TRUSTEE

    Total calculated
    $783,361
    From this org
    $0
    From related orgs
    $752,592
    Other
    $30,769
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $562,870 related
    Bonus
    $0 + $138,353 related
    Other
    $0 + $51,369 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $30,769 related
    Filer's total
    $0 + $783,361 related

  • GRANT M GREENBERG MD

    TRUSTEE

    Total calculated
    $484,292
    From this org
    $0
    From related orgs
    $449,135
    Other
    $35,157
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $348,018 related
    Bonus
    $0 + $87,060 related
    Other
    $0 + $14,057 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $35,157 related
    Filer's total
    $0 + $484,292 related

  • J NATHAN HAGSTROM MD

    TRUSTEE

    Total calculated
    $632,647
    From this org
    $0
    From related orgs
    $600,040
    Other
    $32,607
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $456,005 related
    Bonus
    $0 + $115,479 related
    Other
    $0 + $28,556 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $32,607 related
    Filer's total
    $0 + $632,647 related

  • ROBERT X MURPHY JR MD MS

    TRUSTEE

    Total calculated
    $1,424,448
    From this org
    $0
    From related orgs
    $1,390,927
    Other
    $33,521
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $804,196 related
    Bonus
    $0 + $403,176 related
    Other
    $0 + $183,555 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $33,521 related
    Filer's total
    $0 + $1,424,448 related

  • SURESH G NAIR MD

    TRUSTEE

    Total calculated
    $806,614
    From this org
    $0
    From related orgs
    $779,589
    Other
    $27,025
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $624,307 related
    Bonus
    $0 + $112,550 related
    Other
    $0 + $42,732 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $27,025 related
    Filer's total
    $0 + $806,614 related

  • MICHAEL D PASQUALE MD

    TRUSTEE

    Total calculated
    $1,151,307
    From this org
    $0
    From related orgs
    $1,116,486
    Other
    $34,821
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $851,391 related
    Bonus
    $0 + $206,685 related
    Other
    $0 + $58,410 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $34,821 related
    Filer's total
    $0 + $1,151,307 related

  • MICHAEL A ROSSI MD MBA

    TRUSTEE

    Total calculated
    $1,441,004
    From this org
    $0
    From related orgs
    $1,417,395
    Other
    $23,609
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $790,434 related
    Bonus
    $0 + $403,176 related
    Other
    $0 + $223,785 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $23,609 related
    Filer's total
    $0 + $1,441,004 related

  • ROBERT ZIMMERMAN

    PHYSICIAN

    Total calculated
    $569,578
    From this org
    $538,809
    From related orgs
    $0
    Other
    $30,769
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $434,136
    Bonus
    $102,976
    Other
    $1,697
    Deferred
    $0
    Nontaxable benefits
    $30,769
    Filer's total
    $569,578

  • KARL HELMOLD

    PHYSICIAN

    Total calculated
    $568,643
    From this org
    $537,688
    From related orgs
    $0
    Other
    $30,955
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $453,010
    Bonus
    $80,243
    Other
    $4,435
    Deferred
    $0
    Nontaxable benefits
    $30,955
    Filer's total
    $568,643

  • DAVID KREWSON

    PHYSICIAN

    Total calculated
    $530,336
    From this org
    $499,653
    From related orgs
    $0
    Other
    $30,683
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $405,727
    Bonus
    $97,285
    Other
    -$3,359
    Deferred
    $0
    Nontaxable benefits
    $30,683
    Filer's total
    $530,336

  • CRISTIN A WEICKER

    PHYSICIAN

    Total calculated
    $476,576
    From this org
    $456,458
    From related orgs
    $0
    Other
    $20,118
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $290,960
    Bonus
    $169,616
    Other
    -$4,118
    Deferred
    $0
    Nontaxable benefits
    $20,118
    Filer's total
    $476,576

  • JAMES C XENOPHON

    PHYSICIAN

    Total calculated
    $389,803
    From this org
    $369,164
    From related orgs
    $0
    Other
    $20,639
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $352,615
    Bonus
    $15,150
    Other
    $1,399
    Deferred
    $0
    Nontaxable benefits
    $20,639
    Filer's total
    $389,803

  • ANTHONY P BUONANNO MD

    FORMER TRUSTEE

    Total calculated
    $515,749
    From this org
    $0
    From related orgs
    $481,892
    Other
    $33,857
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $399,678 related
    Bonus
    $0 + $85,844 related
    Other
    $0 + -$3,630 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $33,857 related
    Filer's total
    $0 + $515,749 related

  • DIANE C DOYNE

    FORMER ASSISTANT SECRETARY

    Total calculated
    $85,176
    From this org
    $0
    From related orgs
    $64,317
    Other
    $20,859
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $65,785 related
    Bonus
    $0 + $1,000 related
    Other
    $0 + -$2,468 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $20,859 related
    Filer's total
    $0 + $85,176 related

  • MICHAEL W EVANS MD

    FORMER SECRETARY / TRUSTEE

    Total calculated
    $605,186
    From this org
    $0
    From related orgs
    $574,503
    Other
    $30,683
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $430,000 related
    Bonus
    $0 + $147,504 related
    Other
    $0 + -$3,001 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $30,683 related
    Filer's total
    $0 + $605,186 related

  • WILLIAM J REPPY

    FORMER PRESIDENT

    Total calculated
    $395,770
    From this org
    $0
    From related orgs
    $395,770
    Other
    $0
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $347,280 related
    Bonus
    $0
    Other
    $0 + $48,490 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $395,770 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

  • 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
COMPENSATION FOR THE CEO IS DETERMINED BY A RELATED ORGANIZATION USING THE FOLLOWING METHODS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION STUDY, AND APPROVAL BY THE BOARD AND COMPENSATION COMMITTEE.
PART I, LINE 4B
THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY PHYSICIAN GROUP, A RELATED ORGANIZATION, AND RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2022: DAVID B. BURMEISTER, DO, PRESIDENT/TRUSTEE - $ 45,808 JENNIFER L. STEPHENS, DO, VICE CHAIRPERSON - $ 51,548 JAMES N. DEMOPOULOS, SR, MHA, TRUSTEE (NON-VOTING) - $ 53,492 AMANDA B. FLICKER, MD, TRUSTEE - $ 37,821 TIMOTHY J. FRIEL, MD, TRUSTEE - $ 43,476 GRANT M. GREENBERG, MD, TRUSTEE - $ 21,754 J. NATHAN HAGSTROM, MD, TRUSTEE - $ 33,682 ROBERT X. MURPHY, JR., MD MS, TRUSTEE - $ 180,971 MICHAEL D. PASQUALE, MD, TRUSTEE - $ 62,415 THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY HOSPITAL, A RELATED ORGANIZATION, AND RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2022: RONALD S. FREUDENBERGER, MD, TRUSTEE - $ 53,506 SURESH G. NAIR, MD, TRUSTEE - $ 43,463 MICHAEL A. ROSSI, MD MBA, TRUSTEE - $ 210,076 THE FOLLOWING INDIVIDUAL PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY HOSPITAL - SCHUYLKILL, A RELATED ORGANIZATION, AND RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2022: WILLIAM J. REPPY, FORMER PRESIDENT - $ 34,728

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
9 May 2024
IRS schema version
2022v5.0
Source object
202411349349304741

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