Totals
- Total revenue
- $0
- Total expenses
- $238,181
- Contributions and grants received
- $0
- Grants paid
- $0
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $238,181
- Fundraising expenses
- $0
- Program service expenses (Part III)
- not reported
Program services were 0.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
PAUL HILTZ
PRESIDENT/CEO/TRUSTEE
- Total calculated
- $1,488,059
- From this org
- $0
- From related orgs
- $1,452,983
- Other
- $35,076
- Hours/week
- 1 + 44 related
Schedule J breakdown matched by us
- Base
- $0 + $1,018,212 related
- Bonus
- $0 + $254,760 related
- Other
- $0 + $180,011 related
- Deferred
- $0 + $12,200 related
- Nontaxable benefits
- $0 + $22,876 related
- Filer's total
- $0 + $1,488,059 related
-
KRISTIN MASCOTTI MD
CHIEF MEDICAL OFFICER
- Total calculated
- $972,744
- From this org
- $0
- From related orgs
- $865,028
- Other
- $107,716
- Hours/week
- 1 + 44 related
Schedule J breakdown matched by us
- Base
- $0 + $691,426 related
- Bonus
- $0 + $150,480 related
- Other
- $0 + $23,122 related
- Deferred
- $0 + $90,205 related
- Nontaxable benefits
- $0 + $17,511 related
- Filer's total
- $0 + $972,744 related
-
RICK WYLES TERM 0523
CFO/ASSISTANT TREASURER
- Total calculated
- $824,326
- From this org
- $0
- From related orgs
- $792,528
- Other
- $31,798
- Hours/week
- 1 + 44 related
Schedule J breakdown matched by us
- Base
- $0 + $545,968 related
- Bonus
- $0 + $135,432 related
- Other
- $0 + $111,128 related
- Deferred
- $0 + $12,200 related
- Nontaxable benefits
- $0 + $19,598 related
- Filer's total
- $0 + $824,326 related
-
PHILLIP DUTCHER TERM 0721
FORMER CHIEF OPERATING OFFICER
- Total calculated
- $822,754
- From this org
- $0
- From related orgs
- $812,978
- Other
- $9,776
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $27,107 related
- Bonus
- $0 + $161,040 related
- Other
- $0 + $624,831 related
- Deferred
- $0 + $7,409 related
- Nontaxable benefits
- $0 + $2,367 related
- Filer's total
- $0 + $822,754 related
-
JONATHAN KLING
CHIEF OPERATING OFFICER SYSTEM
- Total calculated
- $758,139
- From this org
- $0
- From related orgs
- $661,330
- Other
- $96,809
- Hours/week
- 1 + 44 related
Schedule J breakdown matched by us
- Base
- $0 + $534,984 related
- Bonus
- $0 + $103,224 related
- Other
- $0 + $23,122 related
- Deferred
- $0 + $72,794 related
- Nontaxable benefits
- $0 + $24,015 related
- Filer's total
- $0 + $758,139 related
-
CARLOS B QUINTERO MD
CHIEF QUALITY OFFICER
- Total calculated
- $712,848
- From this org
- $0
- From related orgs
- $646,667
- Other
- $66,181
- Hours/week
- 1 + 44 related
Schedule J breakdown matched by us
- Base
- $0 + $544,548 related
- Bonus
- $0 + $79,969 related
- Other
- $0 + $22,150 related
- Deferred
- $0 + $39,163 related
- Nontaxable benefits
- $0 + $27,018 related
- Filer's total
- $0 + $712,848 related
-
MARGARET DIMOND TERM 1123
CHIEF ADMINISTRATIVE OFFICER
- Total calculated
- $693,500
- From this org
- $0
- From related orgs
- $679,876
- Other
- $13,624
- Hours/week
- 1 + 44 related
Schedule J breakdown matched by us
- Base
- $0 + $571,226 related
- Bonus
- $0
- Other
- $0 + $108,650 related
- Deferred
- $0 + $921 related
- Nontaxable benefits
- $0 + $12,703 related
- Filer's total
- $0 + $693,500 related
-
JIM MAHON
SENIOR VICE PRESIDENT
- Total calculated
- $605,880
- From this org
- $0
- From related orgs
- $592,970
- Other
- $12,910
- Hours/week
- 1 + 44 related
Schedule J breakdown matched by us
- Base
- $0 + $400,154 related
- Bonus
- $0 + $98,984 related
- Other
- $0 + $93,832 related
- Deferred
- $0 + $12,200 related
- Nontaxable benefits
- $0 + $710 related
- Filer's total
- $0 + $605,880 related
-
RENEE M THIGPEN
CHIEF HR OFFICER
- Total calculated
- $564,541
- From this org
- $0
- From related orgs
- $532,535
- Other
- $32,006
- Hours/week
- 1 + 44 related
Schedule J breakdown matched by us
- Base
- $0 + $361,327 related
- Bonus
- $0 + $90,024 related
- Other
- $0 + $81,184 related
- Deferred
- $0 + $12,200 related
- Nontaxable benefits
- $0 + $19,806 related
- Filer's total
- $0 + $564,541 related
-
GINA TEEGARDEN RN
CHIEF NURSING EXECUTIVE
- Total calculated
- $370,583
- From this org
- $0
- From related orgs
- $333,974
- Other
- $36,609
- Hours/week
- 1 + 44 related
Schedule J breakdown matched by us
- Base
- $0 + $291,119 related
- Bonus
- $0 + $20,870 related
- Other
- $0 + $21,985 related
- Deferred
- $0 + $26,881 related
- Nontaxable benefits
- $0 + $9,728 related
- Filer's total
- $0 + $370,583 related
-
ANDREW COOPER
CHIEF INFORMATION OFFICER
- Total calculated
- $343,033
- From this org
- $0
- From related orgs
- $307,604
- Other
- $35,429
- Hours/week
- 1 + 44 related
Schedule J breakdown matched by us
- Base
- $0 + $263,593 related
- Bonus
- $0 + $36,637 related
- Other
- $0 + $7,374 related
- Deferred
- $0 + $17,255 related
- Nontaxable benefits
- $0 + $18,174 related
- Filer's total
- $0 + $343,033 related
-
ILIA ECHEVARRIA
CHIEF NURSING OFFICER NNH
- Total calculated
- $303,805
- From this org
- $0
- From related orgs
- $279,981
- Other
- $23,824
- Hours/week
- 1 + 44 related
Schedule J breakdown matched by us
- Base
- $0 + $239,548 related
- Bonus
- $0 + $20,490 related
- Other
- $0 + $19,943 related
- Deferred
- $0 + $11,262 related
- Nontaxable benefits
- $0 + $12,562 related
- Filer's total
- $0 + $303,805 related
-
MATTHEW STACELL
CHIEF PERFORMANCE MANAGEMENT OFFICER
- Total calculated
- $285,318
- From this org
- $0
- From related orgs
- $245,888
- Other
- $39,430
- Hours/week
- 1 + 44 related
Schedule J breakdown matched by us
- Base
- $0 + $215,247 related
- Bonus
- $0 + $19,271 related
- Other
- $0 + $11,370 related
- Deferred
- $0 + $13,096 related
- Nontaxable benefits
- $0 + $26,334 related
- Filer's total
- $0 + $285,318 related
-
NOBLE ARRINGTON START 0123
CFO/ASSISTANT TREASURER
- Total calculated
- $267,045
- From this org
- $0
- From related orgs
- $231,945
- Other
- $35,100
- Hours/week
- 1 + 44 related
Schedule J breakdown matched by us
- Base
- $0 + $190,401 related
- Bonus
- $0 + $20,270 related
- Other
- $0 + $21,274 related
- Deferred
- $0 + $9,470 related
- Nontaxable benefits
- $0 + $25,630 related
- Filer's total
- $0 + $267,045 related
-
ERIN RANEY START 0323
CHIEF ADMINISTRATIVE OFFICER
- Total calculated
- $220,124
- From this org
- $0
- From related orgs
- $188,441
- Other
- $31,683
- Hours/week
- 1 + 44 related
Schedule J breakdown matched by us
- Base
- $0 + $170,856 related
- Bonus
- $0 + $17,405 related
- Other
- $0 + $180 related
- Deferred
- $0 + $7,682 related
- Nontaxable benefits
- $0 + $24,001 related
- Filer's total
- $0 + $220,124 related
-
MICHAEL RILEY TERM 1120
FORMER CHIEF STRATEGY OFFICER
- Total calculated
- $116,598
- From this org
- $0
- From related orgs
- $116,598
- Other
- $0
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $106,213 related
- Bonus
- $0 + $10,385 related
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $116,598 related
-
SCOTT LUTGERT
CHAIRMAN
- Total calculated
- $0
- Hours/week
- 0.5 + 2 related
-
KEVIN BEEBE
1ST VICE CHAIRMAN/SECRETARY
- Total calculated
- $0
- Hours/week
- 0.5 + 2 related
-
MICHAEL WYNN
2ND VICE CHAIRMAN
- Total calculated
- $0
- Hours/week
- 0.5 + 2 related
-
DAVEY SCOON
TREASURER
- Total calculated
- $0
- Hours/week
- 0.5 + 2 related
-
JAY BAKER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5 + 2 related
-
KERRY EDWARDS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5 + 2 related
-
ALAN EINHORN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5 + 2 related
-
ANNE MCNULTY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5 + 2 related
-
BILL PEREZ
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5 + 2 related
-
LAURIE COWAN PHILLIPS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5 + 2 related
-
JANICE TEAL
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5 + 2 related
-
BLAKE GABLE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5 + 2 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
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 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
- PART I, LINE 4A: CHIEF OPERATING OFFICER RESIGNED 07/21 AND RECEIVED A SEVERANCE PAYMENT OF $609,999 FOR CALENDAR YEAR 2022. PART I, LINE 4B: THE FOLLOWING EXECUTIVES PARTICIPATED IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: PAUL HILTZ PRESIDENT AND CEO RICK WYLES CHIEF FINANCIAL OFFICER KRISTIN MASCOTTI, M.D. CHIEF MEDICAL OFFICER JONATHAN KLING CHIEF OPERATING OFFICER JIM MAHON SENIOR VICE PRESIDENT RENEE THIGPEN CHIEF HR OFFICER CARLOS QUINTERO, M.D. CHIEF QUALITY OFFICER MARGARET DIMOND CHIEF ADMINISTRATIVE OFFICER GINA TEEGARDEN, R.N. CHIEF NURSING EXECUTIVE ANDREW COOPER CHIEF INFORMATION OFFICER MATTHEW STACELL CHIEF PERFORMANCE MANAGEMENT OFFICER NOBLE ARRINGTON CHIEF FINANCIAL OFFICER ERIN RANEY CHIEF ADMINISTRATIVE OFFICER THE FOLLOWING EXECUTIVES RECEIVED A DISTRIBUTION FROM THE 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN IN CALENDAR YEAR 2022. PAUL HILTZ PRESIDENT AND CEO $151,987 RICK WYLES CHIEF FINANCIAL OFFICER $ 83,104 JIM MAHON SENIOR VICE PRESIDENT $ 58,500 RENEE THIGPEN CHIEF HR OFFICER $ 55,243 MARGARET DIMOND CHIEF ADMINISTRATIVE OFFICER $ 82,652
- PART I, LINE 7
- PROVISION OF NON-FIXED PAYMENTS THIS ORGANIZATION IS AN AFFILIATE OF NCH HEALTHCARE SYSTEM, INC. ("THE SYSTEM"). THE SYSTEM MAY PROVIDE DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. COMPENSATION PAYMENTS FOR ALL EMPLOYEES EXCLUDING THE CEO AND SENIOR LEADERSHIP TEAM IS DETERMINED BY THE SYSTEM BOARD OF TRUSTEES HUMAN RESOURCES COMMITTEE AND/OR CEO. COMPENSATION PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE SYSTEM THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15.
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.
-
501(C)(3) · HOLDING COMPANY · FL
-
501(C)(3) · HEALTHCARE · FL · controlled entity
Directly controlled by NCH SYSTEM
-
501(C)(3) · HEALTHCARE · FL · controlled entity
Directly controlled by NCH SYSTEM
-
501(C)(3) · HEALTHCARE · FL · controlled entity
Directly controlled by NCH SYSTEM
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 8 August 2024
- IRS schema version
- 2022v5.0
- Source object
- 202412259349301456
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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