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Nonprofiteer
← WHITE COUNTY PHYSICIAN GROUP

Form 990 for tax year 2022

Filed by WHITE COUNTY PHYSICIAN GROUP.

Totals

Total revenue
$16,940,947
Total expenses
$16,940,947
Contributions and grants received
$16,940,947
Grants paid
$0
Program services expenses (Part IX)
$16,940,947
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$16,940,947

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

  • CLEVE TREAT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • JANET HINES

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • LEAH MILLER

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • MARVIN DELK

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • NATHAN RUTLEDGE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • RAYMOND MONTGOMERY

    PART YEAR CEO/PRESIDENT AN

    Total calculated
    $377,306
    From this org
    $0
    From related orgs
    $363,460
    Other
    $13,846
    Hours/week
    1 + 43 related

    Schedule J breakdown matched by us

    Base
    $0 + $363,460 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $13,846 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $377,306 related

  • SCOTT ROSE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • LADONNA JOHNSTON

    VICE PRESIDENT PATIENT CAR

    Total calculated
    $277,956
    From this org
    $0
    From related orgs
    $243,518
    Other
    $34,438
    Hours/week
    1 + 43 related

    Schedule J breakdown matched by us

    Base
    $0 + $215,992 related
    Bonus
    $0 + $26,526 related
    Other
    $0 + $1,000 related
    Deferred
    $0 + $14,651 related
    Nontaxable benefits
    $0 + $19,787 related
    Filer's total
    $0 + $277,956 related

  • STUART HILL

    VICE PRESIDENT/TREASURER

    Total calculated
    $378,477
    From this org
    $0
    From related orgs
    $349,273
    Other
    $29,204
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $322,747 related
    Bonus
    $0 + $26,526 related
    Other
    $0
    Deferred
    $0 + $18,750 related
    Nontaxable benefits
    $0 + $10,454 related
    Filer's total
    $0 + $378,477 related

  • JAMES CITTY

    PHYSICIAN

    Total calculated
    $813,238
    From this org
    $787,802
    From related orgs
    $0
    Other
    $25,436
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $543,057
    Bonus
    $244,745
    Other
    $0
    Deferred
    $8,000
    Nontaxable benefits
    $17,436
    Filer's total
    $813,238

  • KD GREEN

    PHYSICIAN

    Total calculated
    $789,252
    From this org
    $762,404
    From related orgs
    $0
    Other
    $26,848
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $722,904
    Bonus
    $39,500
    Other
    $0
    Deferred
    $8,000
    Nontaxable benefits
    $18,848
    Filer's total
    $789,252

  • KYLE BLICKENSTAFF

    PHYSICIAN

    Total calculated
    $1,015,524
    From this org
    $993,227
    From related orgs
    $0
    Other
    $22,297
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $786,114
    Bonus
    $202,421
    Other
    $4,692
    Deferred
    $8,000
    Nontaxable benefits
    $14,297
    Filer's total
    $1,015,524

  • RYAN KOCH

    PHYSICIAN

    Total calculated
    $870,821
    From this org
    $842,370
    From related orgs
    $0
    Other
    $28,451
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $411,800
    Bonus
    $430,570
    Other
    $0
    Deferred
    $8,000
    Nontaxable benefits
    $20,451
    Filer's total
    $870,821

  • THOMAS DAY

    PHYSICIAN

    Total calculated
    $799,205
    From this org
    $772,004
    From related orgs
    $0
    Other
    $27,201
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $669,613
    Bonus
    $102,391
    Other
    $0
    Deferred
    $8,000
    Nontaxable benefits
    $19,201
    Filer's total
    $799,205

  • STEVEN WEBB

    PRESIDENT/CEO - FORMER

    Total calculated
    $453,888
    From this org
    $0
    From related orgs
    $399,374
    Other
    $54,514
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $391,469 related
    Bonus
    $0 + $7,635 related
    Other
    $0 + $270 related
    Deferred
    $0 + $39,880 related
    Nontaxable benefits
    $0 + $14,634 related
    Filer's total
    $0 + $453,888 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

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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

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
2022
Filed
14 August 2024
IRS schema version
2022v5.0
Source object
202442289349301409

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