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Nonprofiteer
← THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO DTD 01251995

Form 990 for tax year 2022

Filed by THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO DTD 01251995.

Totals

Total revenue
$889,207,864
Total expenses
$785,057,490
Contributions and grants received
$2,360,341
Grants paid
$2,071,181
Program service revenue
$875,575,123
Investment income
$6,146,290
Other revenue
$5,126,110
Total assets, end of year
$1,071,989,843
Total liabilities, end of year
$179,277,840
Net assets or fund balances, end of year
$892,712,003
Program services expenses (Part IX)
$643,607,922
Management and general expenses
$141,449,568
Fundraising expenses
$0
Program service expenses (Part III)
$643,607,922

Program services were 82.0% 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.

  • 1d · Related organizations

    $1,001,885

  • 1f · All other contributions, gifts and grants

    $1,358,456

  • 2a · Program service revenue: PATIENT SERVICES

    total $844,668,661 · related or exempt $844,668,661

  • 2b · Program service revenue: PHARMACY REVENUE

    total $41,376,053 · related or exempt $41,376,053

  • 2c · Program service revenue: AFFILIATED ORG. RENTAL

    total $7,699,411 · excluded $7,699,411

  • 2d · Program service revenue: INVESTMENT IN JV

    total $5,772,253 · related or exempt $5,033,270 · unrelated business $738,983

  • 2e · Program service revenue: MEDICAL RESEARCH

    total $1,046,559 · related or exempt $1,046,559

  • 2f · All other program service revenue

    total -$24,987,814 · related or exempt -$25,294,301 · unrelated business $306,487

  • 3 · Investment income

    total $5,515,463 · excluded $5,515,463

  • 6a · Gross rents

    real property $1,320,741

  • 6b · Less rental expenses

    real property $221,164

  • 6c · Rental income or loss

    real property $1,099,577

  • 6d · Net rental income or loss

    total $1,099,577 · excluded $1,099,577

  • 7a · Gross sales of assets other than inventory

    securities $629,622 · other assets $1,205

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

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $629,622 · other assets $1,205

  • 7d · Net gain or loss

    total $630,827 · excluded $630,827

  • 11a · Other revenue: CAFETERIA

    total $2,756,531 · excluded $2,756,531

  • 11b · Other revenue: EVENT CARE SERVICES

    total $896,872 · related or exempt $896,872

  • 11c · Other revenue: MEDICAL RECORDS

    total $60,790 · related or exempt $60,790

  • 11d · All other revenue

    total $312,340 · related or exempt $312,340

  • 11e · Other revenue, total

    $4,026,533

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $2,071,181 · program services $2,071,181

  • 5 · Compensation of officers, directors and key employees

    total $4,554,236 · management and general $4,554,236

  • 6 · Compensation of disqualified persons

    total $1,681,126 · management and general $1,681,126

  • 7 · Other salaries and wages

    total $254,116,522 · program services $204,362,078 · management and general $49,754,444

  • 8 · Pension plan contributions

    total $17,168,142 · program services $14,339,799 · management and general $2,828,343

  • 9 · Other employee benefits

    total $38,268,464 · program services $27,397,049 · management and general $10,871,415

  • 10 · Payroll taxes

    total $20,257,705 · program services $16,187,119 · management and general $4,070,586

  • 11a · Fees: management

    total $5,406,821 · program services $5,406,821

  • 11b · Fees: legal

    total $1,860,866 · program services $52,125 · management and general $1,808,741

  • 11c · Fees: accounting

    total $428,202 · program services $13,506 · management and general $414,696

  • 11f · Fees: investment management

    total $832,960 · management and general $832,960

  • 11g · Fees: other

    total $51,488,919 · program services $36,942,732 · management and general $14,546,187

  • 12 · Advertising and promotion

    total $5,875,592 · program services $166,732 · management and general $5,708,860

  • 13 · Office expenses

    total $11,253,088 · program services $5,819,792 · management and general $5,433,296

  • 14 · Information technology

    total $13,320,788 · program services $2,027,192 · management and general $11,293,596

  • 16 · Occupancy

    total $22,860,710 · program services $20,176,269 · management and general $2,684,441

  • 17 · Travel

    total $569,630 · program services $295,929 · management and general $273,701

  • 19 · Conferences, conventions and meetings

    total $402,820 · program services $282,859 · management and general $119,961

  • 20 · Interest

    total $3,587,510 · program services $3,432,153 · management and general $155,357

  • 21 · Payments to affiliates

    total $8,817,923 · management and general $8,817,923

  • 22 · Depreciation, depletion and amortization

    total $33,577,501 · program services $21,587,633 · management and general $11,989,868

  • 23 · Insurance

    total $5,015,119 · program services $2,634,223 · management and general $2,380,896

  • 24a · Other expenses: MEDICAL/DIETARY SUPPLY

    total $241,630,525 · program services $241,426,618 · management and general $203,907

  • 24b · Other expenses: OHIO HOSPITAL FEE

    total $26,514,630 · program services $26,514,630

  • 24c · Other expenses: EQUIPMENT AND REPAIR

    total $11,739,913 · program services $11,222,443 · management and general $517,470

  • 24d · Other expenses: DUES AND SUBSCRIPTIONS

    total $465,109 · program services $465,109

  • 24e · All other expenses

    total $1,291,488 · program services $783,930 · management and general $507,558

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $11,357 · end of year $11,359

  • 4 · Accounts receivable

    beginning of year $93,141,189 · end of year $94,897,696

  • 8 · Inventories for sale or use

    beginning of year $15,897,049 · end of year $17,412,427

  • 9 · Prepaid expenses and deferred charges

    beginning of year $172,592 · end of year $134,086

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

    $708,738,593

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

    $508,971,842

  • 10c · Land, buildings and equipment, net

    beginning of year $181,605,040 · end of year $199,766,751

  • 11 · Investments: publicly traded securities

    beginning of year $7,826,130 · end of year $6,095,925

  • 12 · Investments: other securities

    beginning of year $436,103,574 · end of year $392,992,098

  • 13 · Investments: program-related

    beginning of year $272,980,298 · end of year $259,518,738

  • 14 · Intangible assets

    beginning of year $11,767,646 · end of year $10,086,554

  • 15 · Other assets

    beginning of year $58,065,463 · end of year $91,074,209

  • 17 · Accounts payable and accrued expenses

    beginning of year $62,436,117 · end of year $58,566,649

  • 19 · Deferred revenue

    beginning of year $81,253 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $34,014,760 · end of year $30,916,654

  • 25 · Other liabilities

    beginning of year $100,008,744 · end of year $89,794,537

  • 27 · Net assets without donor restrictions

    beginning of year $871,203,729 · end of year $884,616,548

  • 28 · Net assets with donor restrictions

    beginning of year $9,825,735 · end of year $8,095,455

Mission and programs · 2022

Mission

SEE SCHEDULE O

Activities or mission (Part I)

THE ORGANIZATION'S MISSION IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY IT SERVES.

  • SEE SCHEDULE H

    Expenses $643,607,922 · Grants $2,071,181 · Revenue $876,845,125

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Sr Sally Duffy

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • Ralph Michael

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • Robert Collins MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • Mark Clement

    PRESIDENT/CEO

    Total calculated
    $2,317,728
    From this org
    $0
    From related orgs
    $2,238,265
    Other
    $79,463
    Hours/week
    25 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,519,500 related
    Bonus
    $0 + $527,124 related
    Other
    $0 + $191,641 related
    Deferred
    $0 + $55,675 related
    Nontaxable benefits
    $0 + $23,788 related
    Filer's total
    $0 + $2,317,728 related

  • Phillip Castellini

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • Kathy Kelly

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • Theodore Torbeck

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • Philip Foster

    TRUSTEE

    Total calculated
    $1,225,425
    From this org
    $0
    From related orgs
    $1,179,422
    Other
    $46,003
    Hours/week
    1 + 3 related

    Schedule J breakdown matched by us

    Base
    $0 + $610,137 related
    Bonus
    $0 + $510,815 related
    Other
    $0 + $58,470 related
    Deferred
    $0 + $17,925 related
    Nontaxable benefits
    $0 + $28,078 related
    Filer's total
    $0 + $1,225,425 related

  • Quint Studer

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • Rance Duke

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • Cynthia Booth

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • Kristin Coppage MD

    MED STAFF PRESIDENT-GOOD SAM

    Total calculated
    $1,037,948
    From this org
    $45,000
    From related orgs
    $895,721
    Other
    $97,227
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $886,848 related
    Bonus
    $0 + $6,251 related
    Other
    $45,000 + $2,622 related
    Deferred
    $0 + $60,135 related
    Nontaxable benefits
    $0 + $37,092 related
    Filer's total
    $45,000 + $992,948 related

  • Lorraine Stephens MD

    MED STAFF PRESIDENT-BETHESDA

    Total calculated
    $318,015
    From this org
    $0
    From related orgs
    $244,008
    Other
    $74,007
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $186,842 related
    Bonus
    $0 + $6,037 related
    Other
    $0 + $51,129 related
    Deferred
    $0 + $36,849 related
    Nontaxable benefits
    $0 + $37,158 related
    Filer's total
    $0 + $318,015 related

  • Andrew Devoe

    ASST TREASURER/EVP CFO

    Total calculated
    $1,379,857
    From this org
    $0
    From related orgs
    $1,284,173
    Other
    $95,684
    Hours/week
    25 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $738,138 related
    Bonus
    $0 + $488,508 related
    Other
    $0 + $57,527 related
    Deferred
    $0 + $58,175 related
    Nontaxable benefits
    $0 + $37,509 related
    Filer's total
    $0 + $1,379,857 related

  • Steve Gracey

    ASST SECRETARY/SVP LEGAL

    Total calculated
    $760,046
    From this org
    $0
    From related orgs
    $675,796
    Other
    $84,250
    Hours/week
    25 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $500,083 related
    Bonus
    $0 + $140,225 related
    Other
    $0 + $35,488 related
    Deferred
    $0 + $47,484 related
    Nontaxable benefits
    $0 + $36,766 related
    Filer's total
    $0 + $760,046 related

  • David Cook

    SVP-CHIEF HR OFFICER (END 9/22)

    Total calculated
    $729,695
    From this org
    $0
    From related orgs
    $592,888
    Other
    $136,807
    Hours/week
    25 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $369,091 related
    Bonus
    $0 + $124,174 related
    Other
    $0 + $99,623 related
    Deferred
    $0 + $117,733 related
    Nontaxable benefits
    $0 + $19,074 related
    Filer's total
    $0 + $729,695 related

  • Jenny Skinner

    SVP-CHIEF NURSING EXECUTIV

    Total calculated
    $623,010
    From this org
    $0
    From related orgs
    $555,853
    Other
    $67,157
    Hours/week
    25 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $411,320 related
    Bonus
    $0 + $106,058 related
    Other
    $0 + $38,475 related
    Deferred
    $0 + $43,403 related
    Nontaxable benefits
    $0 + $23,754 related
    Filer's total
    $0 + $623,010 related

  • Marla Silliman

    SVP-GOOD SAM REGION

    Total calculated
    $898,401
    From this org
    $0
    From related orgs
    $828,602
    Other
    $69,799
    Hours/week
    55 + 5 related

    Schedule J breakdown matched by us

    Base
    $0 + $598,682 related
    Bonus
    $0 + $152,579 related
    Other
    $0 + $77,341 related
    Deferred
    $0 + $58,175 related
    Nontaxable benefits
    $0 + $11,624 related
    Filer's total
    $0 + $898,401 related

  • Helen Koselka MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $871,023
    From this org
    $0
    From related orgs
    $770,817
    Other
    $100,206
    Hours/week
    25 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $575,564 related
    Bonus
    $0 + $148,657 related
    Other
    $0 + $46,596 related
    Deferred
    $0 + $62,752 related
    Nontaxable benefits
    $0 + $37,454 related
    Filer's total
    $0 + $871,023 related

  • Terri Hanlon-Bremer

    CHIEF OPERATING OFFICER

    Total calculated
    $910,005
    From this org
    $0
    From related orgs
    $830,439
    Other
    $79,566
    Hours/week
    25 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $594,629 related
    Bonus
    $0 + $164,565 related
    Other
    $0 + $71,245 related
    Deferred
    $0 + $58,558 related
    Nontaxable benefits
    $0 + $21,008 related
    Filer's total
    $0 + $910,005 related

  • Kelvin Hangar

    PRESIDENT & COO-GOOD SAM

    Total calculated
    $553,039
    From this org
    $0
    From related orgs
    $482,206
    Other
    $70,833
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $0 + $372,124 related
    Bonus
    $0 + $81,712 related
    Other
    $0 + $28,370 related
    Deferred
    $0 + $34,618 related
    Nontaxable benefits
    $0 + $36,215 related
    Filer's total
    $0 + $553,039 related

  • Maria Ashdown

    CNO-GOOD SAM

    Total calculated
    $346,050
    From this org
    $0
    From related orgs
    $283,866
    Other
    $62,184
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $0 + $224,716 related
    Bonus
    $0 + $43,036 related
    Other
    $0 + $16,114 related
    Deferred
    $0 + $36,558 related
    Nontaxable benefits
    $0 + $25,626 related
    Filer's total
    $0 + $346,050 related

  • Edouard Feghali MD

    PHYSICIAN

    Total calculated
    $328,609
    From this org
    $242,204
    From related orgs
    $0
    Other
    $86,405
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $238,657
    Bonus
    $0
    Other
    $3,547
    Deferred
    $60,654
    Nontaxable benefits
    $25,751
    Filer's total
    $328,609

  • John Beary MD

    PHYSICIAN

    Total calculated
    $240,627
    From this org
    $225,525
    From related orgs
    $0
    Other
    $15,102
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $171,775
    Bonus
    $50,000
    Other
    $3,750
    Deferred
    $14,415
    Nontaxable benefits
    $687
    Filer's total
    $240,627

  • Nima Patel MD

    PHYSICIAN

    Total calculated
    $584,027
    From this org
    $514,211
    From related orgs
    $0
    Other
    $69,816
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $511,947
    Bonus
    $0
    Other
    $2,264
    Deferred
    $58,175
    Nontaxable benefits
    $11,641
    Filer's total
    $584,027

  • Christopher Ruhnke MD

    PHYSICIAN

    Total calculated
    $1,050,829
    From this org
    $954,179
    From related orgs
    $0
    Other
    $96,650
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $949,277
    Bonus
    $0
    Other
    $4,902
    Deferred
    $58,549
    Nontaxable benefits
    $38,101
    Filer's total
    $1,050,829

  • Kevin Reilly MD

    PHYSICIAN

    Total calculated
    $966,119
    From this org
    $870,457
    From related orgs
    $0
    Other
    $95,662
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $865,555
    Bonus
    $0
    Other
    $4,902
    Deferred
    $58,000
    Nontaxable benefits
    $37,662
    Filer's total
    $966,119

  • Will Groneman

    FORMER KEY EMPLOYEE

    Total calculated
    $486,400
    From this org
    $0
    From related orgs
    $408,837
    Other
    $77,563
    Hours/week
    0 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $251,279 related
    Bonus
    $0
    Other
    $0 + $157,558 related
    Deferred
    $0 + $54,235 related
    Nontaxable benefits
    $0 + $23,328 related
    Filer's total
    $0 + $486,400 related

  • Gail Donovan

    FORMER KEY EMPLOYEE

    Total calculated
    $582,038
    From this org
    $0
    From related orgs
    $582,038
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $582,038 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $582,038 related

  • Kevin Joseph MD

    FORMER KEY EMPLOYEE

    Total calculated
    $706,754
    From this org
    $0
    From related orgs
    $660,175
    Other
    $46,579
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $28,084 related
    Bonus
    $0
    Other
    $0 + $632,091 related
    Deferred
    $0 + $37,234 related
    Nontaxable benefits
    $0 + $9,345 related
    Filer's total
    $0 + $706,754 related

  • Susan Macy

    FORMER KEY EMPLOYEE

    Total calculated
    $412,240
    From this org
    $0
    From related orgs
    $357,891
    Other
    $54,349
    Hours/week
    0 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $285,757 related
    Bonus
    $0 + $60,206 related
    Other
    $0 + $11,928 related
    Deferred
    $0 + $37,500 related
    Nontaxable benefits
    $0 + $16,849 related
    Filer's total
    $0 + $412,240 related

  • Jeremiah Kirkland

    FORMER KEY EMPLOYEE

    Total calculated
    $556,317
    From this org
    $0
    From related orgs
    $466,839
    Other
    $89,478
    Hours/week
    0 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $359,294 related
    Bonus
    $0 + $86,254 related
    Other
    $0 + $21,291 related
    Deferred
    $0 + $57,766 related
    Nontaxable benefits
    $0 + $31,712 related
    Filer's total
    $0 + $556,317 related

  • Jaime Easterling

    FORMER KEY EMPLOYEE

    Total calculated
    $572,919
    From this org
    $0
    From related orgs
    $495,552
    Other
    $77,367
    Hours/week
    0 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $378,549 related
    Bonus
    $0 + $81,712 related
    Other
    $0 + $35,291 related
    Deferred
    $0 + $55,176 related
    Nontaxable benefits
    $0 + $22,191 related
    Filer's total
    $0 + $572,919 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
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINES 4A-B
TRIHEALTH ELIGIBLE EXECUTIVES (GENERALLY VICE PRESIDENTS AND ABOVE) PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. THE FOLLOWING INDIVIDUAL(S) LISTED IN SCHEDULE J, PART II, RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WHICH WAS TREATED AS TAXABLE COMPENSATION BY THEIR RESPECTIVE EMPLOYERS: GAIL DONOVAN - $582,038 WILL GRONEMAN - $55,510 COMMONSPIRIT DURING THE 2022 CALENDAR YEAR, COMMONSPIRIT HEALTH ("COMMONSPIRIT") MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. NO REPORTABLE INDIVIDUALS RECEIVED DISTRIBUTIONS FROM THE COMMONSPIRIT DEFERRED COMPENSATION PLAN DURING 2022. DUE TO THE "SUPER" VESTING RULES UNDER THE DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2022 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2022, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES, PHILIP FOSTER, $54,858. COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)).
PART I, LINE 7
A PHYSICIAN HAS A BASE SALARY BUT IS ALSO ELIGIBLE FOR A BONUS. THE BONUS IS CONTINGENT ON THE PROFITABILITY OF HIS OR HER PRACTICE. ESSENTIALLY, THE PROFITABILITY OF HIS OR HER PRACTICE GETS PAID TO THE PHYSICIAN AS A BONUS UP TO A MAXIMUM OF $100,000.
PART I, LINE 3:
TRIHEALTH, INC., A RELATED ORGANIZATION OF THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO, WHO PAID THE INDIVIDUAL, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: * COMPENSATION COMMITTEE; * INDEPENDENT COMPENSATION CONSULTANT; * COMPENSATION SURVEY OR STUDY; AND * APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4A:
THE REPORTABLE INDIVIDUALS OF THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO ARE PAID BY TRIHEALTH, INC., A RELATED ORGANIZATION, RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3). TRIHEALTH, INC. HAS A STANDARD EMPLOYEE SEVERANCE PACKAGE. GENERAL SEVERANCE PAY IS BASED ON LENGTH OF SERVICE. IN ADDITION, NOTICE PAY, IF APPLICABLE UNDER TRIHEALTH, INC. POLICY, MAY BE ADDED TO THE SEVERANCE PACKAGE AND THE AMOUNT OF NOTICE PAY WILL BE DETERMINED BY HUMAN RESOURCES IN ACCORDANCE WITH TRIHEALTH, INC. POLICY. PAYMENTS OF SEVERANCE ARE CONDITIONED UPON SIGNING A SEPARATION AND RELEASE AGREEMENT. DURING THE 2022 CALENDAR YEAR, THE FOLLOWING REPORTABLE INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC. KEVIN JOSEPH, MD - $572,594 WILL GRONEMAN - $89,632
PART II - PHILIP FOSTER
THE EXECUTIVE COMPENSATION PHILOSOPHY OF COMMONSPIRIT HEALTH ("COMMONSPIRIRT") IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND COMMONSPIRIT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL, AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2022.

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.

  • AMERICAN MERCY HOME CARE LLC

    HOME HEALTH · OH · general or managing partner

  • ARIZONA CARE NETWORK - NEXT LLC

    CARE NETWORK · AZ · general or managing partner

  • ARIZONA CARE NETWORK LLC (ACN LLC)

    CARE NETWORK · AZ · general or managing partner

  • ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC

    DIAGNOSTIC SERVICES · CA

  • ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC

    DIAGNOSTIC SERVICES · CA

  • AUDUBON LAND COMPANY LLC

    REAL ESTATE · CO

  • BAYLOR CHI ST LUKES HEALTH SERVICES LLC

    HEALTHCARE SRVC · TX · general or managing partner

  • BERGAN MERCY SURGERY CENTER LLC

    AMBUL SURG CTR · NE

  • BERYWOOD OFFICE PROPERTIES LLC

    PHYS OFFICE · TN · general or managing partner

  • BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD

    HEALTH SERVICES · HK · general or managing partner

  • BLUEGRASS REGIONAL IMAGING CENTER

    DIAGNOSTIC IMAGING · KY

  • CBCC OUTSMARTING CANCER LLC

    RADIATION / ONCOLOGY · CA · general or managing partner

  • CENTRAL NEBRASKA REHABILITATION SERVICES LLC

    PHYSICAL THERAPY · NE

  • CENTURA SUMMIT ORTHOPEDICS LLC

    HEALTHCARE SRVC · CO

  • CHICAMSURG SURGERY CENTERS LLC

    SURGERY CENTER · CO

  • COLORADO SPRINGS CK LEASING LLC

    REAL ESTATE · CO

  • COMMUNITY MERCY HOME CARE SERVICES OF SPRINGFIELD LLC

    HOME HEALTH · OH · general or managing partner

  • DE JV LLC

    EMERGENCY CARE · NV

  • DHHP SURGERY CENTERS LLC

    SURGERY · CA · general or managing partner

  • DHRT HOLDINGS LLC

    HOLDING COMPANY · DE · general or managing partner

  • DIGNITY- GOHEALTHURGENT CARE MANAGEMENT LLC

    MANAGEMENT SERVICES · DE

  • DIGNITY HEALTH AT HOME LLC

    HEALTHCARE SRVC · DE

  • DIGNITY HEALTH SPECIALTY PHARMACY LLC

    SPECIALTY PHARMACY SERVICES · DE · general or managing partner

  • DIGNITY HOME RECOVERY CARE LLC

    HOME RECOVERY PROGRAM · DE

  • DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC

    SURGERY · TX

  • DIGNITYUSP NORCAL SURGERY CENTERS LLC

    SURGERY · TX

  • DIGNITYUSP PHOENIX SURGERY CENTERS LLC

    SURGERY · TX

  • DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC

    SURGERY · TX

  • DIGNITY-ABRAZO HEALTH NETWORK LLC

    MANAGEMENT SERVICES · AZ

  • DOMINICAN MAGNETIC RESONANCE IMAGING CENTER

    IMAGING CENTER · CA · general or managing partner

  • ECCS ACQUISITION COMPANY LLC

    AMBUL SURG CTR · CO

  • ENDOSCOPY CENTER OF ARKANSAS

    DIAGNOSTIC SERVICES · AR

  • FOLSOM SIERRA ENDOSCOPY CENTER LP

    ENDOSCOPY · CA · general or managing partner

  • FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC

    REAL ESTATE · WA · general or managing partner

  • FRANCISCAN SPECIALTY CARE LLC

    HEALTHCARE SRVC · WA

  • GOOD SAMARITAN HOME CARE SERVICES OF VINCENNE IN LLC

    HOME HEALTH · OH · general or managing partner

  • HC SL VINTAGE I LLC

    PROPERTY HOLDING · WI

  • HEALTH AT HOME HOLDCO LLC

    HOME HEALTH · OH

  • HEALTHCARE SUPPORT SERVICES LLC

    LAUNDRY · NE

  • HEARTLAND ONCOLOGY LLC

    ONCOLOGY · KS

  • LAKESIDE AMBULATORY SURGICAL CENTER LLC

    AMBUL SURG CTR · NE · general or managing partner

  • LAKESIDE ENDOSCOPY CENTER LLC

    ENDOSCOPY SRVC · NE

  • LEXINGTON MBO PARTNERS LTD

    REAL ESTATE · CO

  • LINCOLN CK LEASING LLC

    REAL ESTATE · NE · general or managing partner

  • MEMORIAL MEDICAL PLAZA

    REAL ESTATE · CA · general or managing partner

  • MERCY DAVIS CANCER CENTER MANAGEMENT CO LLC

    MANAGEMENT OF CANCER CENTER · CA · general or managing partner

  • MERCY REHABILITATION HOSPITAL LLC

    HEALTHCARE SRVC · TX

  • MILITARY ROAD PROPERTIES LLC

    REAL ESTATE · WA · general or managing partner

  • MOUNTAIN MEDICAL IMAGING LLC

    MEDICAL IMAGING · TX

  • NEBRASKA SPINE HOSPITAL LLC

    SPINE HOSPITAL · NE · general or managing partner

  • NICU OPERATING CO OF SANTA CRUZ LLC

    NEONATAL HEALTHCARE · CA

  • NORTH RIVER SURGERY CENTER LLC

    AMBUL SURG CTR · AR

  • NORTHERN PLAINS LABORATORY LLC

    DIAGNOSTIC SERVICES · ND · general or managing partner

  • NSC CHANNEL ISLANDS LLC

    AMBULATORY SURGICAL CENTER · CA · general or managing partner

  • ORTHOCOLORADO LLC

    ORTHO HOSPITAL · CO · general or managing partner

  • PARK RAPIDS AREA HEALTH CARE

    HEALTHCARE SRVC · MN · general or managing partner

  • PENINSULA RADIATION ONCOLOGY CENTER LLC

    HEALTHCARE SRVC · WA

  • PENRAD IMAGING LLC

    MEDICAL IMAGING · CO

  • PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SVSC LLC

    HOLDING COMPANY · WA · general or managing partner

  • PLAZA SURGERY CENTER LP

    SURGERY · CA · general or managing partner

  • PLAZA SURGERY CENTER LP

    SURGERY · CA · general or managing partner

  • PMC HOSPITAL LLC

    HOSPITAL · TX · general or managing partner

  • PRECISION MEDICINE ALLIANCE LLC

    DIAGNOSTIC SERVICES · CO

  • RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY

    IMAGING · CA · general or managing partner

  • RBR MANAGEMENT LLC

    AMBULANCE · NV

  • REID-ANC HOME CARE SERVICES LLC

    HOME HEALTH · IN · general or managing partner

  • SAINT JOSEPH - SCA HOLDINGS LLC

    INACTIVE · DE · general or managing partner

  • SAINT JOSEPH HEALTH ASC LLC

    SURGERY · KY · general or managing partner

  • SAINT JOSEPH-ANC HOME CARE SERVICES

    HOME HEALTH · KY · general or managing partner

  • SANTA CRUZ COMPREHENSIVE IMAGING LLC

    IMAGING · CA · general or managing partner

  • SANTA CRUZ LAND & BUILDING LP

    REAL ESTATE · CA · general or managing partner

  • SANTA CRUZ SURGERY CENTER LLC

    SURGERY · CA · general or managing partner

  • SEVEN OAKS SURGERY CENTER LLC

    SURGERY · CA · general or managing partner

  • SOUTHEASTERN HOME CARE LLC

    HOME HEALTH · OH · general or managing partner

  • ST JOSEPH'S SURGERY CENTER LP

    SURGERY · TX · general or managing partner

  • ST ELIZABETH HOME CARE SERVICES LLC

    HOME HEALTH · KY · general or managing partner

  • ST FRANCIS LAND COMPANY

    REAL ESTATE · CO

  • ST LUKE'S DIAGNOSTIC CATH LAB LLP

    DIAGNOSTIC SERVICES · TX · general or managing partner

  • ST LUKE'S LAKESIDE HOSPITAL LLC

    HOSPITAL · TX · general or managing partner

  • ST LUKE'S THE WOODLANDS SLEEP CENTER LLC

    DIAGNOSTIC SERVICES · TX · general or managing partner

  • TEMPLETON SURGERY CENTER LLC

    SURGERY · CA · general or managing partner

  • THE MEDICAL PAVILION AT ST JOHN'S

    REAL ESTATE · CA · general or managing partner

  • THE VASCULAR CENTER OF COLORADO LLC

    MEDICAL SERVCS · CO

    Directly controlled by CHIC

  • THREE SPRING IMAGING LLC

    HEALTHCARE SRVC · CO

  • TIA ARIZONA LLC

    CLINIC · AZ · general or managing partner

  • TOPTOLIFE LLC

    RETAIL · CO

    Directly controlled by CSH

  • VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC

    SURGERY · CA · general or managing partner

  • WEST LAKES SURGERY CENTER LLC

    HEALTHCARE SRVC · IA

  • HEALTHCARE SOLUTIONS NETWORK LLC

    PHYSICIAN HOSPITAL ORGANIZATION · OH

  • PREFERRED LAB PARTNERS LLC

    LABORATORY SERVICES · KY

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC

    C · MANAGED CARE · NE

  • ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY INC

    C · HEALTHCARE · TX

  • ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC

    C · MANAGEMENT SERVICES · CO

  • AMERICAN NURSING CARE INC

    C · HOME HEALTH · OH

  • AMERIMED INC

    C · HOME HEALTH · OH

  • BC HOLDING COMPANY INC

    C · INACTIVE · KY

  • BRAZOSPORT HEALTH ALLIANCE

    C · HEALTHCARE · TX

  • CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH

    C · LAB SERVICES · CO

  • CHI ST LUKE'S HEALTH - MEMORIAL CONDOMINIUM ASSOCIATION INC

    C · CONDO ASSOC · TX

  • COASTAL SURGICAL SPECIALISTS INC

    S · AMBULATORY SURGERY CENTER · CA

  • CONSOLIDATED HEALTH SERVICES

    C · HOME HEALTH · OH

  • DES MOINES MEDICAL CENTER INC

    C · REAL ESTATE · IA

  • DIGNITY HEALTH HOLDING CORPORATION

    C · HOLDING CO · NV

  • DIGNITY HEALTH INSURANCE LTD (CAYMAN ISLAND CORPORATION)

    C · CAPTIVE INSURANCE · CJ

  • DIGNITY HEALTH PROVIDER RESOURCES INC

    C · HEALTH PLAN · CA

  • DIVERSIFIED HEALTH RESOURCES INC

    C · HEALTHCARE · TX

  • FRANCISCAN SERVICES INC

    C · HOLDING CO · CO

  • GALLERIA PAVILION OWNERS'ASSOCIATION

    C · REAL ESTATE · NV

  • GOOD SAMARITAN OUTREACH SERVICES

    C · MEDICAL CLINIC · NE

  • HARVESTPLAINS HEALTH OF IOWA

    C · INSURANCE · WA

  • HEALTH AT HOME BLOCKER LLC

    C · HOME HEALTH · CO

  • HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC

    C · HEALTH SERVICES · CA

  • HEALTH SYSTEMS ENTERPRISES INC

    C · MGMT · NE

  • HEALTHCARE MGMT SERVICES ORGANIZATION INC

    C · INACTIVE · WA

  • HEARTLANDPLAINS HEALTH

    C · INSURANCE · NE

  • HIGHLINE MEDICAL GROUP

    C · MEDICAL SERVICES · WA

  • INTEGRATED MEDICAL SERVICES

    C · MULTI-SPECIALTY PHYSICIANS GROUP · AZ

  • MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC

    C · REAL ESTATE · AR

  • MEDQUEST

    C · SALE OF DME · ND

  • MEMORIAL CV SERVICE LINE MANAGEMENT COMPANY LLC

    C · INACTIVE · TX

  • MERCY SERVICES CORP

    C · RETAIL SALES · OR

  • MHI CLINICAL SERVICES

    C · HEALTHCARE · TX

  • MILLENIUM SURGERY CENTER INC

    S · OUTPATIENT SURGERY SERVICES · CA

  • MOUNTAIN MANAGEMENT SERVICES INC

    C · MGMT SVC ORG · TN

  • NORTH CENTRAL HEALTH CARE ALLIANCE

    C · HEALTHCARE · ND

  • QUALCHOICE HEALTH PLAN SERVICES INC

    C · ADMIN SERVICES · CO

  • QUALCHOICE HEALTH INC

    C · HOLDING CO · CO

  • QUALCHOICE HOLDINGS INC

    C · HOLDING CO · AR

  • RIVERLINK HEALTH

    C · INSURANCE · OH

  • ROSS PARK PHARMACY INC

    C · PHARMACY · OH

  • SAINT CLARE'S PRIMARY CARE INC

    C · INACTIVE · NJ

  • SJH SERVICES CORPORATION

    C · INACTIVE · CO

  • SJL PHYSICIAN MANAGEMENT SERVICES INC

    C · INACTIVE · KY

  • SOUNDPATH HEALTH INC

    C · INSURANCE · WA

  • ST MARY HEALTH VENTURES INC

    C · RETAIL PHARMACY · CA

  • ST ANTHONY DEVELOPMENT COMPANY

    C · ATHLETIC CLUB · OR

  • ST JOSEPH DEVELOPMENT COMPANY INC

    C · RENTAL · WA

  • ST LUKE'S HEALTH SYSTEM HOLDINGS INC

    C · HOLDING CO · TX

  • ST VINCENT COMMUNITY HEALTH SERVICES INC

    C · HEALTHCARE · AR

  • STE HOLDINGS

    C · HOLDING CO · TX

  • TOWSON MANAGEMENT INC

    C · INACTIVE · MD

  • TRINITY MANAGEMENT SERVICES ORGANIZATION

    C · MGMT SERVICES · OH

  • UNITED MEDICAL BUILDING CONDOMINIUM ASSOCIATION

    C · REAL ESTATE · CO

  • TRIHEALTH PHYSICIAN SOLUTIONS INC

    C · CLAIMS ADMINISTRATION · OH

  • TRIHEALTH PHYSICIANS OF INDIANA INC

    C · PHYSICIAN PRACTICES · OH

  • TRIHEALTH CIPHO INC

    C · PHO · OH

  • PREMIERE MEDICAL OWNERS ASSOCIATION

    C · CONDO ASSOC · OH

  • SERVE INSURANCE LTD

    C · ALTERNATIVE RISK FINANCING · CJ

Provenance

Return type
form_990
Tax year
2022
Filed
13 May 2024
IRS schema version
2022v5.0
Source object
202421349349303127

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