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Nonprofiteer
← INSPIRA HEALTH CONNECTONS PC

Form 990 for tax year 2022

Filed by INSPIRA HEALTH CONNECTONS PC.

Totals

Total revenue
$3,707,849
Total expenses
$4,249,967
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$3,707,849
Investment income
$0
Other revenue
$0
Total assets, end of year
$2,357,810
Total liabilities, end of year
$3,839,572
Net assets or fund balances, end of year
-$1,481,762
Program services expenses (Part IX)
$3,824,966
Management and general expenses
$425,001
Fundraising expenses
$0
Program service expenses (Part III)
$3,824,966

Program services were 90.0% 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.

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $3,549,116 · related or exempt $3,549,116

  • 2b · Program service revenue: OTHER HEALTHCARE RELATED REVENUE

    total $158,733 · related or exempt $158,733

  • 3 · Investment income

    total $0

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $0

  • 10 · Payroll taxes

    total $0

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $502,103 · program services $451,892 · management and general $50,211 · fundraising $0

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $10,921 · program services $9,829 · management and general $1,092

  • 14 · Information technology

    total $105,668 · program services $95,101 · management and general $10,567

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $0

  • 17 · Travel

    total $13,019 · program services $11,717 · management and general $1,302

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $414 · program services $373 · management and general $41

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $130,672 · program services $117,605 · management and general $13,067

  • 24a · Other expenses: ALLOCATION OF PERSONNEL

    total $3,414,574 · program services $3,073,117 · management and general $341,457

  • 24b · Other expenses: OUTSIDE SERVICES

    total $38,968 · program services $35,071 · management and general $3,897

  • 24c · Other expenses: DUES & SUBSCRIPTIONS

    total $15,141 · program services $13,627 · management and general $1,514

  • 24d · Other expenses: OTHER EXPENSES

    total $18,487 · program services $16,634 · management and general $1,853

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,920,643 · end of year $1,842,738

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $370,362 · end of year $111,223

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $113,020 · end of year $150,490

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $214,537 · end of year $253,359

  • 17 · Accounts payable and accrued expenses

    beginning of year $120,435 · end of year $253,480

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $3,437,771 · end of year $3,586,092

  • 27 · Net assets without donor restrictions

    beginning of year -$939,644 · end of year -$1,481,762

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

THE MISSION OF INSPIRA HEALTH CONNECTIONS, P.C. IS TO PROVIDE SUPERIOR PROFESSIONAL HEALTHCARE SERVICES TO THE RESIDENTS OF THE INSPIRA MEDICAL CENTERS, INC. ("IMC") SERVICE AREA IN A NON-DISCRIMINATORY MANNER AND REGARDLESS OF ABILITY TO PAY, TO ASSIST IMC IN THE MANAGEMENT OF ITS SERVICE LINE AND OTHERWISE ASSIST INSPIRA HEALTH NETWORK, INC. AND IMC IN CARRYING OUT ITS TAX-EXEMPT CHARITABLE MISSION.

Activities or mission (Part I)

TO PROVIDE SUPERIOR PROFESSIONAL HEALTHCARE SERVICES TO THE RESIDENTS OF THE INSPIRA MEDICAL CENTERS, INC. SERVICE AREA.

  • EXPENSES INCURRED PROVIDING SUPERIOR PROFESSIONAL HEALTHCARE SERVICES TO THE RESIDENTS OF THE INSPIRA MEDICAL CENTERS, INC. ("IMC") SERVICE AREA IN A NON-DISCRIMINATORY MANNER AND REGARDLESS OF ABILITY TO PAY, TO ASSIST IMC IN THE MANAGEMENT OF ITS SERVICE LINE AND OTHERWISE ASSIST INSPIRA HEALTH NETWORK, INC. AND IMC IN CARRYING OUT ITS TAX-EXEMPT CHARITABLE MISSION.

    Expenses $3,824,966 · Revenue $3,707,849

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • THOMAS P BALDOSARO CPA

    TREASURER (TERMED 10/2022)

    Total calculated
    $894,337
    From this org
    $0
    From related orgs
    $846,481
    Other
    $47,856
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $474,519 related
    Bonus
    $0 + $151,070 related
    Other
    $0 + $220,892 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $29,556 related
    Filer's total
    $0 + $894,337 related

  • MATTHEW DOONAN ESQ

    SECRETARY

    Total calculated
    $726,542
    From this org
    $0
    From related orgs
    $605,366
    Other
    $121,176
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $366,606 related
    Bonus
    $0 + $98,888 related
    Other
    $0 + $139,872 related
    Deferred
    $0 + $93,154 related
    Nontaxable benefits
    $0 + $28,022 related
    Filer's total
    $0 + $726,542 related

  • SCOTT WAGNER MD MBA

    PRESIDENT - TRUSTEE

    Total calculated
    $677,190
    From this org
    $0
    From related orgs
    $575,855
    Other
    $101,335
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $435,763 related
    Bonus
    $0 + $71,006 related
    Other
    $0 + $69,086 related
    Deferred
    $0 + $72,154 related
    Nontaxable benefits
    $0 + $29,181 related
    Filer's total
    $0 + $677,190 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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I; QUESTION 4B
THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: THOMAS P. BALDOSARO, CPA, $133,526 AND MATTHEW DOONAN, ESQ., $67,263. THE DEFERRED COMPENSATION AMOUNTS REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDE UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THESE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MATTHEW DOONAN, ESQ., $74,854 AND SCOTT WAGNER, M.D., MBA, $53,854.
SCHEDULE J, PART I; QUESTION 7
THE INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2022 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
SCHEDULE J, PART II; COLUMN B(III)
CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J OF THIS FEDERAL FORM 990 RECEIVED COMPENSATION WITH RESPECT TO PAID TIME OFF, WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) HEREIN AND IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.
SCHEDULE J, PART II; COLUMN F
THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE VESTED BENEFITS IN A DEFERRED COMPENSATION PLAN AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION ON PRIOR YEARS' FORMS 990 AND ARE NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. THESE AMOUNTS HAVE BEEN TREATED AS TAXABLE INCOME AND WERE REPORTED ON EACH INDIVIDUAL'S FORM W-2, BOX 5, AS TAXABLE MEDICARE 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.

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.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
7 November 2023
IRS schema version
2022v5.0
Source object
202343179349306939

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