Skip to content
Nonprofiteer
← HOLY NAME HEALTH PHYSICIANS

Form 990 for tax year 2023

Filed by HOLY NAME HEALTH PHYSICIANS.

Totals

Total revenue
$1,757,603
Total expenses
$1,759,703
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$1,540,680
Management and general expenses
$219,023
Fundraising expenses
$0
Program service expenses (Part III)
$1,540,680

Program services were 87.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Michael Maron

    Secretary

    Total calculated
    $2,402,083
    From this org
    $0
    From related orgs
    $2,346,088
    Other
    $55,995
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $1,425,964 related
    Bonus
    $0 + $900,000 related
    Other
    $0 + $20,124 related
    Deferred
    $0 + $35,700 related
    Nontaxable benefits
    $0 + $20,295 related
    Filer's total
    $0 + $2,402,083 related

  • Ryan Kennedy CPA

    Treasurer

    Total calculated
    $921,230
    From this org
    $0
    From related orgs
    $756,534
    Other
    $164,696
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $541,050 related
    Bonus
    $0 + $200,000 related
    Other
    $0 + $15,484 related
    Deferred
    $0 + $131,458 related
    Nontaxable benefits
    $0 + $33,238 related
    Filer's total
    $0 + $921,230 related

  • Joseph I Petrsoric MD

    Neurologist

    Total calculated
    $810,686
    From this org
    $788,136
    From related orgs
    $0
    Other
    $22,550
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $787,672
    Bonus
    $0
    Other
    $464
    Deferred
    $13,200
    Nontaxable benefits
    $9,350
    Filer's total
    $810,686

  • RONALD WHITE MD

    President - Trustee

    Total calculated
    $743,890
    From this org
    $0
    From related orgs
    $694,601
    Other
    $49,289
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $613,248 related
    Bonus
    $0 + $75,000 related
    Other
    $0 + $6,353 related
    Deferred
    $0 + $29,886 related
    Nontaxable benefits
    $0 + $19,403 related
    Filer's total
    $0 + $743,890 related

  • Jeanne Rolle

    Anesthesiologist

    Total calculated
    $574,281
    From this org
    $555,048
    From related orgs
    $0
    Other
    $19,233
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $534,611
    Bonus
    $20,000
    Other
    $437
    Deferred
    $8,570
    Nontaxable benefits
    $10,663
    Filer's total
    $574,281

  • Deniece Boothe MD

    Physician

    Total calculated
    $406,806
    From this org
    $362,948
    From related orgs
    $0
    Other
    $43,858
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $355,690
    Bonus
    $6,920
    Other
    $338
    Deferred
    $11,873
    Nontaxable benefits
    $31,985
    Filer's total
    $406,806

  • Steven Talbot DO

    Physician

    Total calculated
    $388,878
    From this org
    $339,867
    From related orgs
    $0
    Other
    $49,011
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $323,680
    Bonus
    $15,680
    Other
    $507
    Deferred
    $9,177
    Nontaxable benefits
    $39,834
    Filer's total
    $388,878

  • Ryan McCloskey

    Physician

    Total calculated
    $363,192
    From this org
    $335,889
    From related orgs
    $0
    Other
    $27,303
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $327,170
    Bonus
    $8,415
    Other
    $304
    Deferred
    $7,642
    Nontaxable benefits
    $19,661
    Filer's total
    $363,192

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 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I; QUESTION 4B
THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN THE INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RYAN KENNEDY, CPA, $81,006.
SCHEDULE J, PART I; QUESTION 7
CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2023 WHICH WAS INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

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
2023
Filed
15 May 2024
IRS schema version
2023v5.1
Source object
202443199349317824

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

The source document this was parsed from is served over the API, which is where bulk and document access live.