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← MCCULLOUGH-HYDE MEMORIAL HOSPITAL INCORPORATED

Form 990 for tax year 2022

Filed by MCCULLOUGH-HYDE MEMORIAL HOSPITAL INCORPORATED.

Totals

Total revenue
$47,251,327
Total expenses
$47,421,233
Contributions and grants received
$136,731
Grants paid
$12,320
Program service revenue
$46,538,769
Investment income
$141,802
Other revenue
$434,025
Total assets, end of year
$52,340,280
Total liabilities, end of year
$3,998,069
Net assets or fund balances, end of year
$48,342,211
Program services expenses (Part IX)
$40,177,076
Management and general expenses
$7,244,157
Fundraising expenses
$0
Program service expenses (Part III)
$40,177,076

Program services were 84.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • MICHAEL CROFTON

    TREASURER

    Total calculated
    $529,853
    From this org
    $0
    From related orgs
    $440,848
    Other
    $89,005
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $310,077 related
    Bonus
    $0 + $124,932 related
    Other
    $0 + $5,839 related
    Deferred
    $0 + $64,878 related
    Nontaxable benefits
    $0 + $24,127 related
    Filer's total
    $0 + $529,853 related

  • MYRTIS POWELL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MARK CLEMENT

    DIRECTOR

    Total calculated
    $2,317,728
    From this org
    $0
    From related orgs
    $2,238,265
    Other
    $79,463
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,519,500 related
    Bonus
    $0 + $527,124 related
    Other
    $0 + $191,641 related
    Deferred
    $0 + $55,675 related
    Nontaxable benefits
    $0 + $23,788 related
    Filer's total
    $0 + $2,317,728 related

  • STEVE SNYDER

    VICE CHAIR (END 1/23)

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • STEVE GRACEY

    SECRETARY

    Total calculated
    $760,046
    From this org
    $0
    From related orgs
    $675,796
    Other
    $84,250
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $500,083 related
    Bonus
    $0 + $140,225 related
    Other
    $0 + $35,488 related
    Deferred
    $0 + $47,484 related
    Nontaxable benefits
    $0 + $36,766 related
    Filer's total
    $0 + $760,046 related

  • JOHN WARD

    CHAIRPERSON

    Total calculated
    $864,564
    From this org
    $0
    From related orgs
    $775,177
    Other
    $89,387
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $586,982 related
    Bonus
    $0 + $152,196 related
    Other
    $0 + $35,999 related
    Deferred
    $0 + $58,486 related
    Nontaxable benefits
    $0 + $30,901 related
    Filer's total
    $0 + $864,564 related

  • BRAD SCHULTZ MD

    DIRECTOR

    Total calculated
    $587,861
    From this org
    $0
    From related orgs
    $520,412
    Other
    $67,449
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $500,206 related
    Bonus
    $0 + $18,737 related
    Other
    $0 + $1,469 related
    Deferred
    $0 + $31,236 related
    Nontaxable benefits
    $0 + $36,213 related
    Filer's total
    $0 + $587,861 related

  • STEVE MOMBACH

    DIRECTOR

    Total calculated
    $739,728
    From this org
    $0
    From related orgs
    $659,020
    Other
    $80,708
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $489,316 related
    Bonus
    $0 + $137,068 related
    Other
    $0 + $32,636 related
    Deferred
    $0 + $56,790 related
    Nontaxable benefits
    $0 + $23,918 related
    Filer's total
    $0 + $739,728 related

  • HELEN KOSELKA MD

    DIRECTOR (START 7/22)

    Total calculated
    $871,023
    From this org
    $0
    From related orgs
    $770,817
    Other
    $100,206
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $575,564 related
    Bonus
    $0 + $148,657 related
    Other
    $0 + $46,596 related
    Deferred
    $0 + $62,752 related
    Nontaxable benefits
    $0 + $37,454 related
    Filer's total
    $0 + $871,023 related

  • MICHAEL EVERETT

    PRESIDENT-MHMH

    Total calculated
    $466,351
    From this org
    $0
    From related orgs
    $396,854
    Other
    $69,497
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $0 + $305,487 related
    Bonus
    $0 + $76,013 related
    Other
    $0 + $15,354 related
    Deferred
    $0 + $37,675 related
    Nontaxable benefits
    $0 + $31,822 related
    Filer's total
    $0 + $466,351 related

  • NATHAN SIMMONS

    DIRECTOR-PHARMACY SERVICES

    Total calculated
    $209,441
    From this org
    $181,934
    From related orgs
    $0
    Other
    $27,507
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $158,730
    Bonus
    $12,530
    Other
    $10,674
    Deferred
    $14,599
    Nontaxable benefits
    $12,908
    Filer's total
    $209,441

  • KATHERINE MADDOCK

    CHARGE NURSE

    Total calculated
    $170,257
    From this org
    $134,457
    From related orgs
    $0
    Other
    $35,800
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $126,512
    Bonus
    $2,500
    Other
    $5,445
    Deferred
    $25,217
    Nontaxable benefits
    $10,583
    Filer's total
    $170,257

  • KATHY BRIAR

    NURSE

    Total calculated
    $136,025
    From this org
    $129,263
    From related orgs
    $0
    Other
    $6,762
    Hours/week
    60

  • LATISHA JACKSON

    MANAGER-LAB SERVICES

    Total calculated
    $149,166
    From this org
    $130,504
    From related orgs
    $0
    Other
    $18,662
    Hours/week
    60

  • NATHANAEL CHANEY

    DIRECTOR - NURSING

    Total calculated
    $183,619
    From this org
    $0
    From related orgs
    $140,180
    Other
    $43,439
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $0 + $112,708 related
    Bonus
    $0 + $26,425 related
    Other
    $0 + $1,047 related
    Deferred
    $0 + $23,810 related
    Nontaxable benefits
    $0 + $19,629 related
    Filer's total
    $0 + $183,619 related

  • GAIL DONOVAN

    FORMER OFFICER

    Total calculated
    $582,038
    From this org
    $0
    From related orgs
    $582,038
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $582,038 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $582,038 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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4B
ELIGIBLE EXECUTIVES (GENERALLY VICE PRESIDENTS AND ABOVE) 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. THE FOLLOWING INDIVIDUAL(S) LISTED IN SCHEDULE J, PART II, RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WHICH WAS TREATED AS TAXABLE COMPENSATION BY TRIHEALTH, INC. GAIL DONOVAN - $582,038
PART I, LINES 3
TRIHEALTH, INC., A RELATED ORGANIZATION OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD/COMPENSATION COMMITTEE.
PART I, LINE 4A
THE REPORTABLE INDIVIDUALS OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INCORPORATED ARE PAID BY TRIHEALTH, INC., A RELATED ORGANIZATION, RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3). TRIHEALTH, INC. HAS A STANDARD EMPLOYEE SEVERANCE PACKAGE. GENERAL SEVERANCE PAY IS BASED ON LENGTH OF SERVICE. IN ADDITION, NOTICE PAY, IF APPLICABLE UNDER TRIHEALTH, INC. POLICY, MAY BE ADDED TO THE SEVERANCE PACKAGE AND THE AMOUNT OF NOTICE PAY WILL BE DETERMINED BY HUMAN RESOURCES IN ACCORDANCE WITH TRIHEALTH, INC. POLICY. PAYMENTS OF SEVERANCE ARE CONDITIONED UPON SIGNING A SEPARATION AND RELEASE AGREEMENT. NO INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC. DURING THE 2022 CALENDAR YEAR.

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

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
13 May 2024
IRS schema version
2022v5.0
Source object
202401349349303480

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