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Nonprofiteer
← FIDELITY HEALTH CARE INC

Form 990 for tax year 2022

Filed by FIDELITY HEALTH CARE INC.

Totals

Total revenue
$49,590,010
Total expenses
$47,925,898
Contributions and grants received
$55,806
Grants paid
$0
Program service revenue
$46,337,169
Investment income
$0
Other revenue
$3,197,035
Total assets, end of year
$32,531,727
Total liabilities, end of year
$2,995,826
Net assets or fund balances, end of year
$29,535,901
Program services expenses (Part IX)
$39,181,208
Management and general expenses
$8,744,690
Fundraising expenses
$0
Program service expenses (Part III)
$39,181,208

Program services were 81.8% 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.

  • 1d · Related organizations

    $27,567

  • 1e · Government grants (contributions)

    $25,913

  • 1f · All other contributions, gifts and grants

    $2,326

  • 1g · Noncash contributions included above

    $2,198

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $46,337,169 · related or exempt $46,146,741 · unrelated business $190,428

  • 6a · Gross rents

    real property $388,456

  • 6b · Less rental expenses

    real property $78,551

  • 6c · Rental income or loss

    real property $309,905

  • 6d · Net rental income or loss

    total $309,905 · excluded $309,905

  • 10a · Gross sales of inventory

    $15,892,758

  • 10b · Cost of goods sold

    $13,331,137

  • 10c · Net income from sales of inventory

    total $2,561,621 · related or exempt $2,561,621

  • 11a · Other revenue: MEDICAL ANSWERING SERVICE

    total $298,050 · excluded $298,050

  • 11b · Other revenue: PURCHASE DISCOUNTS

    total $13,145 · excluded $13,145

  • 11c · Other revenue: MEDICAL RECORDS

    total $4,502 · excluded $4,502

  • 11d · All other revenue

    total $9,812 · excluded $9,812

  • 11e · Other revenue, total

    $325,509

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $454,254 · management and general $454,254

  • 7 · Other salaries and wages

    total $29,217,825 · program services $24,304,968 · management and general $4,912,857

  • 8 · Pension plan contributions

    total $355,478 · program services $291,179 · management and general $64,299

  • 9 · Other employee benefits

    total $3,071,193 · program services $2,515,673 · management and general $555,520

  • 10 · Payroll taxes

    total $2,489,510 · program services $2,049,161 · management and general $440,349

  • 11d · Fees: lobbying

    total $1,490 · management and general $1,490

  • 11g · Fees: other

    total $1,966,898 · program services $704,508 · management and general $1,262,390

  • 12 · Advertising and promotion

    total $112,526 · program services $112,526

  • 13 · Office expenses

    total $759,806 · program services $649,666 · management and general $110,140

  • 14 · Information technology

    total $1,098,806 · program services $763,686 · management and general $335,120

  • 16 · Occupancy

    total $551,298 · program services $451,579 · management and general $99,719

  • 17 · Travel

    total $929,429 · program services $761,313 · management and general $168,116

  • 20 · Interest

    total $12,035 · program services $12,035

  • 22 · Depreciation, depletion and amortization

    total $904,930 · program services $904,930

  • 23 · Insurance

    total $143,649 · management and general $143,649

  • 24a · Other expenses: OPERATING SUPPLIES

    total $4,916,269 · program services $4,916,269

  • 24b · Other expenses: TRAINING AND EDUCATION

    total $307,206 · program services $299,639 · management and general $7,567

  • 24c · Other expenses: DUES AND SUBSCRIPTIONS

    total $205,132 · program services $160,219 · management and general $44,913

  • 24d · Other expenses: REPAIRS AND MAINTENANCE

    total $198,509 · program services $97,370 · management and general $101,139

  • 24e · All other expenses

    total $229,655 · program services $186,487 · management and general $43,168

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,171 · end of year $2,171

  • 2 · Savings and temporary cash investments

    beginning of year $14,928,324 · end of year $13,762,607

  • 4 · Accounts receivable

    beginning of year $7,851,341 · end of year $7,112,363

  • 8 · Inventories for sale or use

    beginning of year $1,289,487 · end of year $1,472,066

  • 9 · Prepaid expenses and deferred charges

    beginning of year $26,639 · end of year $14,906

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

    $10,351,140

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

    $5,969,029

  • 10c · Land, buildings and equipment, net

    beginning of year $4,703,220 · end of year $4,382,111

  • 15 · Other assets

    beginning of year $4,873,757 · end of year $5,785,503

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,497,196 · end of year $2,032,561

  • 23 · Secured mortgages and notes payable

    beginning of year $1,280,377 · end of year $963,265

  • 25 · Other liabilities

    beginning of year $25,577 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $27,871,789 · end of year $29,535,901

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 HEALTH SERVICES.

Activities or mission (Part I)

SEE PART III, LINE 1

  • FIDELITY HEALTH CARE PERFORMED 245,139 VISITS AND 7,567 HOURS OF SERVICE. FIDELITY HEALTH CARE SERVED 813 INFUSION PATIENTS, 1,800 OXYGEN PATIENTS AND PROVIDED $92,593 IN CHARITY CARE.

    Expenses $37,031,683 · Revenue $46,334,724

  • FIDELITY HEALTH CARE OPERATED A RETAIL PHARMACY IN FIVE LOCATIONS WITHIN PREMIER HEALTH AFFILIATED HOSPITALS AND HEALTH CENTERS. THE PHARMACIES PRIMARILY SERVE PATIENTS RECEIVING HEALTH CARE SERVICES AT THESE LOCATIONS.

    Expenses $2,138,638 · Revenue $2,483,755

  • EXPRESSIONS OF HOPE (EOH) IS A SERVICE FOR WOMEN OFFERED BY FIDELITY HEALTH CARE. EOH SERVICES ARE DESIGNED TO OFFER WOMEN A WIDE RANGE OF POST MASTECTOMY AND LUMPECTOMY PRODUCTS.

    Expenses $10,887 · Revenue $80,311

As filed on the 2022 return.

Listed in Part VII

  • JENNIFER J HAULER DO

    TRUSTEE

    Total calculated
    $784,507
    From this org
    $0
    From related orgs
    $765,079
    Other
    $19,428
    Hours/week
    0.5 + 39.5 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

  • MICHAEL R UHL

    TRUSTEE (TO JUN)

    Total calculated
    $663,928
    From this org
    $0
    From related orgs
    $629,989
    Other
    $33,939
    Hours/week
    0.5 + 39.5 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

  • JOSEPH P ALLEN MD

    BOARD CHAIR

    Total calculated
    $497,110
    From this org
    $0
    From related orgs
    $471,583
    Other
    $25,527
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $345,979 related
    Bonus
    $0 + $104,887 related
    Other
    $0 + $20,717 related
    Deferred
    $0 + $9,774 related
    Nontaxable benefits
    $0 + $15,753 related
    Filer's total
    $0 + $497,110 related

  • PAULA J THOMPSON

    PRESIDENT & CEO

    Total calculated
    $454,254
    From this org
    $403,600
    From related orgs
    $0
    Other
    $50,654
    Hours/week
    24 + 16 related

    Schedule J breakdown matched by us

    Base
    $305,139
    Bonus
    $84,654
    Other
    $13,807
    Deferred
    $19,273
    Nontaxable benefits
    $31,381
    Filer's total
    $454,254

  • RENEE L MOCK

    BOARD TREASURER

    Total calculated
    $358,685
    From this org
    $0
    From related orgs
    $332,383
    Other
    $26,302
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $261,654 related
    Bonus
    $0 + $69,911 related
    Other
    $0 + $818 related
    Deferred
    $0 + $11,624 related
    Nontaxable benefits
    $0 + $14,678 related
    Filer's total
    $0 + $358,685 related

  • 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

  • ERIC D NAPIER

    DIRECTOR RETAIL PHARMACY

    Total calculated
    $232,355
    From this org
    $210,309
    From related orgs
    $0
    Other
    $22,046
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $172,566
    Bonus
    $36,935
    Other
    $808
    Deferred
    $8,714
    Nontaxable benefits
    $13,332
    Filer's total
    $232,355

  • DARIN S TAYLOR

    VP, CHIEF NURSING OFFICER

    Total calculated
    $220,604
    From this org
    $206,364
    From related orgs
    $0
    Other
    $14,240
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $168,456
    Bonus
    $37,814
    Other
    $94
    Deferred
    $4,371
    Nontaxable benefits
    $9,869
    Filer's total
    $220,604

  • SANDRA R HAIG

    DIRECTOR, IT, CONTRACTING & REV CYCLE

    Total calculated
    $201,905
    From this org
    $182,369
    From related orgs
    $0
    Other
    $19,536
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $150,892
    Bonus
    $31,204
    Other
    $273
    Deferred
    $9,464
    Nontaxable benefits
    $10,072
    Filer's total
    $201,905

  • CHERYL A WHITE

    DIRECTOR, EMPLOYER AND CONSUMER RELATIONS

    Total calculated
    $194,665
    From this org
    $160,170
    From related orgs
    $0
    Other
    $34,495
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $130,846
    Bonus
    $28,872
    Other
    $452
    Deferred
    $10,334
    Nontaxable benefits
    $24,161
    Filer's total
    $194,665

  • SHELIA M GRUBB

    MANAGER, HOME HEALTH COMPLIANCE

    Total calculated
    $191,204
    From this org
    $168,888
    From related orgs
    $0
    Other
    $22,316
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $162,073
    Bonus
    $4,070
    Other
    $2,745
    Deferred
    $6,907
    Nontaxable benefits
    $15,409
    Filer's total
    $191,204

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 FIDELITY HEALTH CARE'S (FHC) CEO IS REVIEWED AND APPROVED BY PREMIER, WITH WHICH FHC IS AN AFFILIATE. SEE EXPLANATION ON SCHEDULE O FOR FORM 990, PART VI.
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, FIDELITY HEALTH CARE (FHC) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. FHC 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 INDIVIDUAL LISTED BELOW HAS MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PAYMENT IN 2022: PAULA THOMPSON $7,455. THE FOLLOWING SERP AMOUNTS WERE DEFERRED ON THE PARTICIPANTS' BEHALF DURING THE YEAR AND WILL BE HELD UNTIL THE INCREMENTAL AMOUNTS ARE VESTED: JENNIFER HAULER $7,358; 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

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

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
14 November 2023
IRS schema version
2022v5.0
Source object
202313189349311611

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