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← PROTESTANT MEMORIAL MEDICAL CENTER INC SELF-INSURANCE PROGRAM

Form 990 for tax year 2022

Filed by PROTESTANT MEMORIAL MEDICAL CENTER INC SELF-INSURANCE PROGRAM.

Totals

Total revenue
-$142,351
Total expenses
$8,588
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
-$142,351
Other revenue
$0
Total assets, end of year
$8,260,233
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$8,260,233
Program services expenses (Part IX)
$0
Management and general expenses
$8,588
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.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 3 · Investment income

    total $282,681 · excluded $282,681

  • 7a · Gross sales of assets other than inventory

    securities $4,390,465

  • 7b · Less cost or other basis and sales expenses

    securities $4,815,497

  • 7c · Gain or loss

    securities -$425,032

  • 7d · Net gain or loss

    total -$425,032 · excluded -$425,032

Functional expenses

Part IX, the statement of functional expenses.

  • 11f · Fees: investment management

    total $8,588 · management and general $8,588

Balance sheet

Part X, book values.

  • 11 · Investments: publicly traded securities

    beginning of year $2,093,268 · end of year $2,276,831

  • 12 · Investments: other securities

    beginning of year $6,013,482 · end of year $5,983,402

  • 27 · Net assets without donor restrictions

    beginning of year $8,106,750 · end of year $8,260,233

Mission and programs · 2022

Mission

PROTESTANT MEMORIAL MEDICAL CENTER, INC.,SELF-INSURANCE PROGRAM PROVIDES FOR THE FUNDING OF MEDICAL MALPRACTICE CLAIMS AND EXPENSES AGAINST PROTESTANT MEMORIAL MEDICAL CENTER, INC. A RELATED SEC. 501(C)(3)ORGANIZATION.

Activities or mission (Part I)

PROTESTANT MEMORIAL MEDICAL CENTER, INC.,SELF-INSURANCE PROGRAM PROVIDES FUNDING OF MEDICAL MALPRACTICE CLAIMS AND EXPENSES FOR PROTESTANT MEMORIAL MEDICAL CENTER, INC., A RELATED SEC.501(C)(3) ORGANIZATION.

  • FUNDING OF MEDICAL MALPRACTICE CLAIMS AND EXPENSES

As filed on the 2022 return.

Listed in Part VII

  • Moosa Hans MD

    DIRECTOR

    Total calculated
    $925,573
    From this org
    $0
    From related orgs
    $914,018
    Other
    $11,555
    Hours/week
    1 + 4 related

    Schedule J breakdown matched by us

    Base
    $0 + $853,292 related
    Bonus
    $0 + $53,868 related
    Other
    $0 + $6,858 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $11,555 related
    Filer's total
    $0 + $925,573 related

  • McManus Michael

    PRESIDENT, DIRECTOR

    Total calculated
    $625,540
    From this org
    $0
    From related orgs
    $577,525
    Other
    $48,015
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $376,865 related
    Bonus
    $0 + $195,309 related
    Other
    $0 + $5,351 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $48,015 related
    Filer's total
    $0 + $625,540 related

  • Ramos-Pardo Beatriz MD

    DIRECTOR

    Total calculated
    $308,889
    From this org
    $0
    From related orgs
    $299,031
    Other
    $9,858
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $239,729 related
    Bonus
    $0 + $55,935 related
    Other
    $0 + $3,367 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $9,858 related
    Filer's total
    $0 + $308,889 related

  • Cook Keith

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Dyer Rob Rev

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Hoering Edward

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Jackson Rachel

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Oliver Staci

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Schroeder Kurt

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Schwebke Jane

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Stephens Ronald

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Weld Martha

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Boyer Geri

    VICE CHAIRMAN, DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Eckert Chris

    VICE CHAIRMAN, DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Gasser Susan

    VICE CHAIRMAN, DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Thaxton Valerie

    CHAIRMAN, DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Barto Nick

    SR VICE PRESIDENT & CFO

    Total calculated
    $2,199,938
    From this org
    $0
    From related orgs
    $2,030,111
    Other
    $169,827
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,098,932 related
    Bonus
    $0 + $882,766 related
    Other
    $0 + $48,413 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $169,827 related
    Filer's total
    $0 + $2,199,938 related

  • Gusmano Jane

    VP FINANCE, SECRETARY TERM 7/22

    Total calculated
    $298,011
    From this org
    $0
    From related orgs
    $276,203
    Other
    $21,808
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $169,723 related
    Bonus
    $0 + $104,029 related
    Other
    $0 + $2,451 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $21,808 related
    Filer's total
    $0 + $298,011 related

  • Koesterer Susan

    VP FINANCE, SECRETARY BEG 7/22

    Total calculated
    $388,142
    From this org
    $0
    From related orgs
    $350,500
    Other
    $37,642
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $257,693 related
    Bonus
    $0 + $90,738 related
    Other
    $0 + $2,069 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $37,642 related
    Filer's total
    $0 + $388,142 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

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

The filer's explanations (Part III)

PART I, LINE 4B
DURING 2022, THE FOLLOWING INDIVIDUALS RECEIVED SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PAYMENTS/ACCRUALS FROM THE ORGANIZATION AS REPORTED IN THE DETAILS OF COMPENSATION AND BENEFITS (SEE FORM 990, PART VII AND SCHEDULE J, PART II): BARTO, NICK $258,936 MCMANUS, MICHAEL $63,503 GUSMANO, JANE $32,837 KOESTERER, SUSAN $40,770

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.

  • THE HEART CARE INSTITUTE LLC

    MEDICAL SERVICES · MO

  • GAMMA KNIFE CENTER AT BARNES JEWISH HOSP LLC

    OUTPATIENT CARE SERVICES · MO

  • THE REHABILITATION INSTITUE OF ST LOUIS LLC

    MEDICAL SERVICES · AL

  • THE REHABILITATION INSTITUE OF SOUTHERN ILLINOIS LLC

    MEDICAL SERVICES · AL

  • CHILDREN'S DISCOVERY INSTITUTE LLC

    SEARCH FOR CURES OF PEDIATRIC DISEASES · MO

  • Y-SIHVI LLC

    PHYSICAL THERAPY & FITNESS · IL

  • SOUTHWEST ILLINOIS HEALTH SERVICES REAL ESTATE LLP

    COMMERCIAL REAL ESTATE · IL

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • ATG ASSURANCE COMPANY LTD

    C · INSURANCE · CJ

  • MB MEDICAL SERVICES INC

    C · HEALTHCARE SERVICES · MO

  • PF SERVICES INC

    C · MANAGEMENT SERVICES · MO

  • WLA INVESTMENT LTD

    C · INVESTMENT HOLDINGS · CA

  • ACTIVUM SG FEEDER FUND VII LP

    C · INVESTMENT HOLDINGS · JE

Provenance

Return type
form_990
Tax year
2022
Filed
9 November 2023
IRS schema version
2022v5.0
Source object
202333179349309948

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