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Nonprofiteer
← SAINT FRANCIS EMERGENCY MEDICAL GROUP INC

Form 990 for tax year 2022

Filed by SAINT FRANCIS EMERGENCY MEDICAL GROUP INC.

Totals

Total revenue
$0
Total expenses
$0
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$0
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Listed in Part VII

  • SYED HUSSAIN MD

    DIR; TH OF NE CHIEF CLINICAL EXE

    Total calculated
    $1,036,192
    From this org
    $0
    From related orgs
    $901,459
    Other
    $134,733
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $648,347 related
    Bonus
    $0 + $164,475 related
    Other
    $0 + $88,637 related
    Deferred
    $0 + $118,902 related
    Nontaxable benefits
    $0 + $15,831 related
    Filer's total
    $0 + $1,036,192 related

  • JOHN TESTA JR

    FORMER OFFICER; PHYSICIAN

    Total calculated
    $1,001,051
    From this org
    $0
    From related orgs
    $947,007
    Other
    $54,044
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $905,548 related
    Bonus
    $0 + $40,000 related
    Other
    $0 + $1,459 related
    Deferred
    $0 + $19,281 related
    Nontaxable benefits
    $0 + $34,763 related
    Filer's total
    $0 + $1,001,051 related

  • DAVID BITTNER

    FMR OFFR;TRINITY HEALTH SVP THR 6/23

    Total calculated
    $969,433
    From this org
    $0
    From related orgs
    $912,749
    Other
    $56,684
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $523,766 related
    Bonus
    $0 + $240,057 related
    Other
    $0 + $148,926 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $38,384 related
    Filer's total
    $0 + $969,433 related

  • DEBORAH BITSOLI

    DIR;TH OF NE MEDICAL GROUP PRESIDENT

    Total calculated
    $839,145
    From this org
    $0
    From related orgs
    $695,941
    Other
    $143,204
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $515,282 related
    Bonus
    $0 + $151,075 related
    Other
    $0 + $29,584 related
    Deferred
    $0 + $99,785 related
    Nontaxable benefits
    $0 + $43,419 related
    Filer's total
    $0 + $839,145 related

  • VIRIATO FIALLO MD

    DIRECTOR; PHYSICIAN

    Total calculated
    $792,227
    From this org
    $0
    From related orgs
    $750,100
    Other
    $42,127
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $688,540 related
    Bonus
    $0 + $49,643 related
    Other
    $0 + $11,917 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $28,402 related
    Filer's total
    $0 + $792,227 related

  • ROBERT ANTHONY

    SECRETARY; VP MANAGING COUNSEL

    Total calculated
    $763,344
    From this org
    $0
    From related orgs
    $639,979
    Other
    $123,365
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $449,116 related
    Bonus
    $0 + $113,519 related
    Other
    $0 + $77,344 related
    Deferred
    $0 + $86,093 related
    Nontaxable benefits
    $0 + $37,272 related
    Filer's total
    $0 + $763,344 related

  • UGO UWAOMA MD

    FORMER OFFICER

    Total calculated
    $644,134
    From this org
    $0
    From related orgs
    $624,968
    Other
    $19,166
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $49,479 related
    Other
    $0 + $575,489 related
    Deferred
    $0 + $742 related
    Nontaxable benefits
    $0 + $18,424 related
    Filer's total
    $0 + $644,134 related

  • STEPHANIE MONTGOMERY-IDEMA MD

    DIRECTOR; PHYSICIAN

    Total calculated
    $564,290
    From this org
    $0
    From related orgs
    $510,309
    Other
    $53,981
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $479,070 related
    Bonus
    $0 + $30,000 related
    Other
    $0 + $1,239 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $40,256 related
    Filer's total
    $0 + $564,290 related

  • DANYAL IBRAHIM

    DIR; TH OF NE CHF DATA OFCR THR 5/23

    Total calculated
    $513,945
    From this org
    $0
    From related orgs
    $455,211
    Other
    $58,734
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $395,327 related
    Bonus
    $0 + $58,140 related
    Other
    $0 + $1,744 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $40,434 related
    Filer's total
    $0 + $513,945 related

  • CARLOS ALMEIDA MD

    DIRECTOR; PHYSICIAN

    Total calculated
    $404,614
    From this org
    $0
    From related orgs
    $372,637
    Other
    $31,977
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $365,523 related
    Bonus
    $0 + $6,656 related
    Other
    $0 + $458 related
    Deferred
    $0 + $18,555 related
    Nontaxable benefits
    $0 + $13,422 related
    Filer's total
    $0 + $404,614 related

  • AIMEE STOW

    FORMER OFFICER; SFHMC ASSOC COUNSEL

    Total calculated
    $264,553
    From this org
    $0
    From related orgs
    $247,663
    Other
    $16,890
    Hours/week
    0 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $225,109 related
    Bonus
    $0 + $22,343 related
    Other
    $0 + $211 related
    Deferred
    $0 + $14,847 related
    Nontaxable benefits
    $0 + $2,043 related
    Filer's total
    $0 + $264,553 related

  • HOWARD GAINES

    TREASURER; REGIONAL DIR FIN PLANNING

    Total calculated
    $252,903
    From this org
    $0
    From related orgs
    $225,667
    Other
    $27,236
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $203,485 related
    Bonus
    $0 + $20,910 related
    Other
    $0 + $1,272 related
    Deferred
    $0 + $10,379 related
    Nontaxable benefits
    $0 + $16,857 related
    Filer's total
    $0 + $252,903 related

  • MARY MARLOWE

    DIR; LEAD NURSE PRACTITIONER

    Total calculated
    $203,016
    From this org
    $0
    From related orgs
    $169,053
    Other
    $33,963
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $168,035 related
    Bonus
    $0
    Other
    $0 + $1,018 related
    Deferred
    $0 + $7,886 related
    Nontaxable benefits
    $0 + $26,077 related
    Filer's total
    $0 + $203,016 related

  • KRISTEN MURPHY

    FORMER OFFICER; MGR FIN PLANNING

    Total calculated
    $162,473
    From this org
    $0
    From related orgs
    $121,620
    Other
    $40,853
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $114,112 related
    Bonus
    $0 + $7,308 related
    Other
    $0 + $200 related
    Deferred
    $0 + $5,894 related
    Nontaxable benefits
    $0 + $34,959 related
    Filer's total
    $0 + $162,473 related

  • KATHLEEN NATALE

    DIRECTOR; REGIONAL DIRECTOR STRATEGY

    Total calculated
    $160,830
    From this org
    $0
    From related orgs
    $122,333
    Other
    $38,497
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $110,023 related
    Bonus
    $0 + $12,240 related
    Other
    $0 + $70 related
    Deferred
    $0 + $5,518 related
    Nontaxable benefits
    $0 + $32,979 related
    Filer's total
    $0 + $160,830 related

  • HARIS ATHAR MD

    DIR, SFHMC MED STAFF PRES THR 12/22

    Total calculated
    $87,500
    From this org
    $0
    From related orgs
    $87,500
    Other
    $0
    Hours/week
    1 + 9 related

  • ROBERT ELLIS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • NICHELLE MULLINS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • LISA TRUMBLE

    DIRECTOR THROUGH 6/23

    Total calculated
    $0
    Hours/week
    1 + 1 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)

PART I, LINE 3
SAINT FRANCIS EMERGENCY MEDICAL GROUP IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SAINT FRANCIS EMERGENCY MEDICAL GROUP'S PRESIDENT IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF SAINT FRANCIS EMERGENCY MEDICAL GROUP'S PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINES 4A-B
THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2022. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: UGO UWAOMA - $451,259 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THIS AMOUNT THAT WAS REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2022. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2022, AND THEIR NON-VESTED BENEFITS FOR 2022 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2022 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ROBERT ANTHONY - $64,992 DEBORAH BITSOLI - $13,526 DAVID BITTNER - $134,542 SYED HUSSAIN - $80,650 UGO UWAOMA - $106,500 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUALS FOR 2022 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: ROBERT ANTHONY - $72,368 DEBORAH BITSOLI - $86,060 SYED HUSSAIN - $105,675

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 July 2024
IRS schema version
2022v5.0
Source object
202411939349301721

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