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Nonprofiteer
← FAYETTE PHYSICIAN NETWORK INC

Form 990 for tax year 2022

Filed by FAYETTE PHYSICIAN NETWORK INC.

Totals

Total revenue
$62,914,180
Total expenses
$62,765,925
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$62,974,121
Investment income
-$65,004
Other revenue
$5,063
Total assets, end of year
$17,656,182
Total liabilities, end of year
$17,019,441
Net assets or fund balances, end of year
$636,741
Program services expenses (Part IX)
$62,765,925
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$62,765,925

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Albert Wright

    Director - WVUHS President/CEO

    Total calculated
    $2,707,633
    From this org
    $0
    From related orgs
    $2,323,142
    Other
    $384,491
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $1,480,677 related
    Bonus
    not reported + $815,255 related
    Other
    not reported + $27,210 related
    Deferred
    not reported + $356,068 related
    Nontaxable benefits
    not reported + $28,423 related
    Filer's total
    not reported + $2,707,633 related

  • Ari Pressman MD

    Physician - Orthopedics

    Total calculated
    $1,821,605
    From this org
    $1,779,602
    From related orgs
    $0
    Other
    $42,003
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,242,860
    Bonus
    $310,000
    Other
    $226,742
    Deferred
    $13,725
    Nontaxable benefits
    $28,278
    Filer's total
    $1,821,605

  • Peter Kochupura MD

    Physician - Pulmonary

    Total calculated
    $1,009,377
    From this org
    $966,024
    From related orgs
    $0
    Other
    $43,353
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $565,079
    Bonus
    $285,448
    Other
    $115,497
    Deferred
    $13,725
    Nontaxable benefits
    $29,628
    Filer's total
    $1,009,377

  • Michael Grace

    President/CEO

    Total calculated
    $985,750
    From this org
    $0
    From related orgs
    $848,290
    Other
    $137,460
    Hours/week
    5 + 61 related

    Schedule J breakdown matched by us

    Base
    not reported + $687,673 related
    Bonus
    not reported + $159,375 related
    Other
    not reported + $1,242 related
    Deferred
    not reported + $115,725 related
    Nontaxable benefits
    not reported + $21,735 related
    Filer's total
    not reported + $985,750 related

  • David Hess

    Director

    Total calculated
    $805,834
    From this org
    $0
    From related orgs
    $682,954
    Other
    $122,880
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    not reported + $440,903 related
    Bonus
    not reported + $236,710 related
    Other
    not reported + $5,341 related
    Deferred
    not reported + $93,742 related
    Nontaxable benefits
    not reported + $29,138 related
    Filer's total
    not reported + $805,834 related

  • Mukul Patil MD

    Physician - Urology

    Total calculated
    $664,792
    From this org
    $635,254
    From related orgs
    $0
    Other
    $29,538
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $484,942
    Bonus
    $150,000
    Other
    $312
    Deferred
    $13,223
    Nontaxable benefits
    $16,315
    Filer's total
    $664,792

  • Sunil Savarirayan MD

    Physician - Urology

    Total calculated
    $642,005
    From this org
    $621,645
    From related orgs
    $0
    Other
    $20,360
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $470,305
    Bonus
    $150,000
    Other
    $1,340
    Deferred
    $5,119
    Nontaxable benefits
    $15,241
    Filer's total
    $642,005

  • Josef Vanek MD

    Physician - Surgery

    Total calculated
    $604,300
    From this org
    $561,802
    From related orgs
    $0
    Other
    $42,498
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $381,214
    Bonus
    $177,024
    Other
    $3,564
    Deferred
    $13,725
    Nontaxable benefits
    $28,773
    Filer's total
    $604,300

  • Barbara Weiss

    Treasurer - Uniontown CFO

    Total calculated
    $309,067
    From this org
    $0
    From related orgs
    $288,240
    Other
    $20,827
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    not reported + $228,803 related
    Bonus
    not reported + $57,140 related
    Other
    not reported + $2,297 related
    Deferred
    not reported + $10,197 related
    Nontaxable benefits
    not reported + $10,630 related
    Filer's total
    not reported + $309,067 related

  • Darin Rogers

    Vice Chairperson

    Total calculated
    $290,077
    From this org
    $0
    From related orgs
    $239,704
    Other
    $50,373
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $194,303 related
    Bonus
    not reported + $44,240 related
    Other
    not reported + $1,161 related
    Deferred
    not reported + $35,948 related
    Nontaxable benefits
    not reported + $14,425 related
    Filer's total
    not reported + $290,077 related

  • Brandon Koehler

    VP of Finance - Provider Network Services through August 2022

    Total calculated
    $243,706
    From this org
    $33,597
    From related orgs
    $190,382
    Other
    $19,727
    Hours/week
    6 + 34 related

    Schedule J breakdown matched by us

    Base
    $23,875 + $135,290 related
    Bonus
    $8,987 + $50,927 related
    Other
    $735 + $4,165 related
    Deferred
    $2,858 + $16,195 related
    Nontaxable benefits
    $101 + $573 related
    Filer's total
    $36,556 + $207,150 related

  • Judie Charlton

    Chairperson/Executive Director

    Total calculated
    $0
    Hours/week
    4 + 36 related

  • Thomas Marshall

    Secretary

    Total calculated
    $0
    Hours/week
    1 + 39 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
  • 6a · Pay contingent on this organization's net earnings
  • 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
  • 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 Line 4b
During 2022, certain individuals reported in Part VII participated in a nonqualified retirement plan. The following is a list of those individuals, plan types and amounts.
Part I Line 4b
During 2022, the following individuals were able to defer compensation under a nonqualified plan. The amounts reported here are included in Part II Column C of the Schedule J. Darin Rogers received deferred contributions of 29,086 Albert Wright received deferred contributions of 342,343 Brandon Koehler received deferred contributions of 12,100 David Hess received deferred contributions of 78,253 and Michael Grace received deferred contributions of 102,000. Column C can and does include amounts that were contributed as a part of the standard retirement package if it was available to the employee during the year.

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
14 November 2023
IRS schema version
2022v5.0
Source object
202333189349306853

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