Totals
- Total revenue
- $12,004,539
- Total expenses
- $312,502
- Contributions and grants received
- $0
- Grants paid
- $0
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $312,502
- 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.
Listed in Part VII
-
STEVEN STALEY
BOARD CHAIR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
LISA SHOCKLEY
BOARD VICE-CHAIR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
NICOLE ERNST
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
KEVIN W HARLAN
PRESIDENT
- Total calculated
- $649,856
- From this org
- $0
- From related orgs
- $607,513
- Other
- $42,343
- Hours/week
- 0.5 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $607,513 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $607,513 related
-
BENJAMIN A WATSON ESQ
BOARD SECRETARY (FROM MAY TO SEP)
- Total calculated
- $181,408
- From this org
- $0
- From related orgs
- $166,904
- Other
- $14,504
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $166,904 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $166,904 related
-
DIANNE RUHENKAMP
BOARD TREASURER
- Total calculated
- $177,998
- From this org
- $0
- From related orgs
- $147,459
- Other
- $30,539
- Hours/week
- 0.5 + 39.5 related
-
ANDREA L FLAUTE
BOARD SECRETARY (TO FEB)
- Total calculated
- $35,681
- From this org
- $0
- From related orgs
- $28,257
- Other
- $7,424
- Hours/week
- 0.5 + 39.5 related
-
ELIZABETH D WILFONG
BOARD SECRETARY (FROM OCT)
- Total calculated
- $93,844
- From this org
- $0
- From related orgs
- $93,483
- Other
- $361
- Hours/week
- 0.5 + 39.5 related
-
GEOFFREY P WALKER
FORMER OFFICER
- Total calculated
- $990,663
- From this org
- $0
- From related orgs
- $940,274
- Other
- $50,389
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $940,274 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $940,274 related
-
DIANE L PLEIMAN
FORMER OFFICER
- Total calculated
- $846,049
- From this org
- $0
- From related orgs
- $817,582
- Other
- $28,467
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $817,582 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $817,582 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
- 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
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 4B:
- DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE, CERTAIN PERSONS ARE LIMITED IN THE AMOUNT OF BENEFIT THAT CAN BE EARNED UNDER A QUALIFIED RETIREMENT PLAN. LIKE MANY EMPLOYERS, UVMC AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. UVMC SUPPLEMENTS THE AFFECTED EXECUTIVES THROUGH A PENSION RESTORATION PLAN AND A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE BENEFITS UNDER THESE SUPPLEMENTAL NONQUALIFIED PLANS ARE SUBJECT TO MULTI-YEAR VESTING AND A PARTICIPANT CAN FORFEIT BENEFITS EARNED IF VESTING REQUIREMENTS ARE NOT SATISFIED. UNDER THE TERMS OF THE SUPPLEMENTAL PLANS, AND BECAUSE OF TAX RULES PERTAINING TO TAXATION OF THE EARNED BENEFITS UPON VESTING, CERTAIN INDIVIDUALS RECEIVED A PAYOUT OF THE CUMULATIVE VESTED BENEFITS UNDER THEIR SUPPLEMENTAL PLAN DURING 2023. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2023: DIANE PLEIMAN $202,599; GEOFFREY WALKER $353,909. IN ADDITION, THE FOLLOWING SERP AMOUNTS WERE DEFERRED ON THE PARTICIPANTS' BEHALF DURING THE YEAR AND WILL BE HELD UNTIL THE INCREMENTAL AMOUNTS ARE VESTED AND PAID TO THE SERP PARTICIPANTS: KEVIN HARLAN $19,935. BASED ON THE GUIDANCE PROVIDED IN THE INSTRUCTIONS TO THE FORM 990, ANY PAYMENTS TO THE PARTICIPANTS RELATED TO THESE PLANS THAT WERE MADE WITHIN 2-1/2 MONTHS AFTER THE END OF THE ORGANIZATION'S TAX YEAR ARE NOT TREATED AS DEFERRED COMPENSATION FOR PURPOSES OF SCHEDULE J. SUCH AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES.
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.
-
501 (C) (3) · PARENT · OH
-
501 (C) (3) · SUPPORT ORG · OH
-
501 (C) (3) · HOSPITAL · OH
Directly controlled by PREMIER HEALTH
-
MIAMI VALLEY HOSPITAL FOUNDATION
501 (C) (3) · FOUNDATION · OH
Directly controlled by PREMIER HEALTH
-
501 (C) (3) · HOME HEALTH · OH
Directly controlled by PREMIER HEALTH
-
501 (C) (3) · HEALTH EDUCATION · OH
Directly controlled by FIDELITY HEALTH CARE
-
GOOD SAMARITAN FOUNDATION - DAYTON
501 (C) (3) · FOUNDATION · OH
Directly controlled by PREMIER HEALTH
-
501 (C) (3) · SUPPORT ORG · OH
-
501 (C) (3) · HOSPITAL · OH
Directly controlled by PREMIER HEALTH
-
501 (C) (3) · HOSPITAL · OH
Directly controlled by PREMIER HEALTH
-
UPPER VALLEY PROFESSIONAL CORP
501 (C) (3) · HEALTH CARE · OH
Directly controlled by PREMIER HEALTH HOLDING CO
-
501 (C) (3) · HEALTH CARE · OH
Directly controlled by PREMIER HEALTH HOLDING CO
-
501 (C) (3) · NURSING HOME · OH
Directly controlled by PREMIER HEALTH
-
COMPUNET CLINICAL LABORATORIES LLC
501 (C) (3) · LAB · OH
Directly controlled by PREMIER HEALTH
-
SAMARITAN BEHAVIORAL HEALTH INC
501 (C) (3) · BEHAVIORAL HEALTH · OH
Directly controlled by PREMIER HEALTH
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 14 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202413199349303466
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
The source document this was parsed from is served over the API, which is where bulk and document access live.