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Nonprofiteer
← SETON MEDICAL MANAGEMENT

Form 990 for tax year 2022

Filed by SETON MEDICAL MANAGEMENT.

Totals

Total revenue
$9,034,836
Total expenses
$9,873,153
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$7,595,337
Management and general expenses
$2,277,816
Fundraising expenses
$0
Program service expenses (Part III)
$7,595,337

Program services were 76.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • APRIL R MURRAY

    SECRETARY/TREASURER

    Total calculated
    $163,325
    From this org
    $0
    From related orgs
    $129,095
    Other
    $34,230
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $116,299 related
    Bonus
    $0 + $12,434 related
    Other
    $0 + $362 related
    Deferred
    $0 + $9,003 related
    Nontaxable benefits
    $0 + $25,227 related
    Filer's total
    $0 + $163,325 related
  • THOMAS JAMES BUSH III

    VICE CHAIR

    Total calculated
    $205,107
    From this org
    $0
    From related orgs
    $181,807
    Other
    $23,300
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $164,860 related
    Bonus
    $0 + $16,600 related
    Other
    $0 + $347 related
    Deferred
    $0 + $9,935 related
    Nontaxable benefits
    $0 + $13,365 related
    Filer's total
    $0 + $205,107 related
  • TODD STEVEN KENNEDY

    CHAIR/PRESIDENT, PROVIDENCE HOSPITAL

    Total calculated
    $650,627
    From this org
    $0
    From related orgs
    $598,804
    Other
    $51,823
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $361,558 related
    Bonus
    $0 + $186,622 related
    Other
    $0 + $50,624 related
    Deferred
    $0 + $19,825 related
    Nontaxable benefits
    $0 + $31,998 related
    Filer's total
    $0 + $650,627 related
  • JUSTIN H LABRATO MD

    DIRECTOR

    Total calculated
    $439,390
    From this org
    $0
    From related orgs
    $398,652
    Other
    $40,738
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $289,235 related
    Bonus
    $0 + $88,740 related
    Other
    $0 + $20,677 related
    Deferred
    $0 + $10,675 related
    Nontaxable benefits
    $0 + $30,063 related
    Filer's total
    $0 + $439,390 related
  • JALIMA TRANK

    CFO, MINISTRY MARKET (START 3/2023)

    Total calculated
    $0
    Hours/week
    0 + 50 related
  • STEPHAN F QUIRICONI

    CFO, MINISTRY MARKET (END 11/2022)

    Total calculated
    $774,349
    From this org
    $0
    From related orgs
    $741,819
    Other
    $32,530
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $430,877 related
    Bonus
    $0 + $226,218 related
    Other
    $0 + $84,724 related
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $23,380 related
    Filer's total
    $0 + $774,349 related
  • IJAZ IQBAL MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $520,795
    From this org
    $470,873
    From related orgs
    $0
    Other
    $49,922
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $360,672
    Bonus
    $74,000
    Other
    $36,201
    Deferred
    $18,300
    Nontaxable benefits
    $31,622
    Filer's total
    $520,795
  • ALI RIZA NAZARI MD

    PHYSICIAN

    Total calculated
    $360,506
    From this org
    $327,788
    From related orgs
    $0
    Other
    $32,718
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $193,696
    Bonus
    $27,400
    Other
    $106,692
    Deferred
    $7,959
    Nontaxable benefits
    $24,759
    Filer's total
    $360,506
  • FRANK J PITRUZZELLO MD

    PHYSICIAN

    Total calculated
    $594,964
    From this org
    $546,224
    From related orgs
    $0
    Other
    $48,740
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $494,146
    Bonus
    $37,600
    Other
    $14,478
    Deferred
    $19,825
    Nontaxable benefits
    $28,915
    Filer's total
    $594,964
  • PATRICK REGAN BARBER MD

    PHYSICIAN

    Total calculated
    $370,868
    From this org
    $330,821
    From related orgs
    $0
    Other
    $40,047
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $304,467
    Bonus
    $16,050
    Other
    $10,304
    Deferred
    $12,350
    Nontaxable benefits
    $27,697
    Filer's total
    $370,868
  • RYAN CHARLES ROSS MD

    PHYSICIAN

    Total calculated
    $390,894
    From this org
    $357,552
    From related orgs
    $0
    Other
    $33,342
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $314,943
    Bonus
    $41,900
    Other
    $709
    Deferred
    $6,100
    Nontaxable benefits
    $27,242
    Filer's total
    $390,894
  • SAEEDA KAUSAR MALIK MD

    PHYSICIST-MEDICAL

    Total calculated
    $353,713
    From this org
    $319,227
    From related orgs
    $0
    Other
    $34,486
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $311,727
    Bonus
    $7,500
    Other
    $0
    Deferred
    $15,250
    Nontaxable benefits
    $19,236
    Filer's total
    $353,713
  • BRANDON MICHAEL WILLIAMS

    FORMER OFFICER (END 6/2020)

    Total calculated
    $694,183
    From this org
    $0
    From related orgs
    $646,348
    Other
    $47,835
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $400,223 related
    Bonus
    $0 + $200,750 related
    Other
    $0 + $45,375 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $31,060 related
    Filer's total
    $0 + $694,183 related
  • JASON P ALEXANDER FACHE

    FORMER OFFICER (END 6/2020)

    Total calculated
    $1,509,320
    From this org
    $0
    From related orgs
    $1,455,771
    Other
    $53,549
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $665,328 related
    Bonus
    $0 + $678,000 related
    Other
    $0 + $112,443 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $35,249 related
    Filer's total
    $0 + $1,509,320 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

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

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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY, AND -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.
Schedule J, Part I, Line 4a Severance or change-of-control payment
The following individual(s) received severance payments from the organization or a related organization DURING CALENDAR YEAR 2022: STEPHAN F. QUIRICONI: $15,577
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS.

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
11 May 2024
IRS schema version
2022v5.0
Source object
202441319349305129

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