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Nonprofiteer
← OAKLAND MERCY HOSPITAL

Form 990 for tax year 2022

Filed by OAKLAND MERCY HOSPITAL.

Totals

Total revenue
-$311,392
Total expenses
$22,881
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$22,881
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$22,881

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • RODNEY SCHLADER

    FORMER OFFICER; CEO MERCYONE N IOWA

    Total calculated
    $754,557
    From this org
    $0
    From related orgs
    $686,693
    Other
    $67,864
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $478,022 related
    Bonus
    $0 + $110,920 related
    Other
    $0 + $97,751 related
    Deferred
    $0 + $22,875 related
    Nontaxable benefits
    $0 + $44,989 related
    Filer's total
    $0 + $754,557 related

  • DOUGLAS STRONG

    INTERIM PRES MERCYONE SC 8/22-2/23

    Total calculated
    $536,475
    From this org
    $0
    From related orgs
    $501,937
    Other
    $34,538
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $479,973 related
    Bonus
    $0
    Other
    $0 + $21,964 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $20,813 related
    Filer's total
    $0 + $536,475 related

  • BETH HUGHES

    PRES MERCYONE SIOUXLAND THROUGH 8/22

    Total calculated
    $423,085
    From this org
    $0
    From related orgs
    $391,470
    Other
    $31,615
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $318,428 related
    Bonus
    $0
    Other
    $0 + $73,042 related
    Deferred
    $0 + $4,575 related
    Nontaxable benefits
    $0 + $27,040 related
    Filer's total
    $0 + $423,085 related

  • JESICA HANSON

    DIR; VP FINANACE MERCYONE SIOUXLAND

    Total calculated
    $372,079
    From this org
    $0
    From related orgs
    $326,417
    Other
    $45,662
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $288,444 related
    Bonus
    $0 + $37,523 related
    Other
    $0 + $450 related
    Deferred
    $0 + $13,667 related
    Nontaxable benefits
    $0 + $31,995 related
    Filer's total
    $0 + $372,079 related

  • DIANE PRIEKSAT

    DIR; VP PROF & QUALITY SIOUXLAND

    Total calculated
    $265,258
    From this org
    $0
    From related orgs
    $227,177
    Other
    $38,081
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $194,657 related
    Bonus
    $0 + $25,065 related
    Other
    $0 + $7,455 related
    Deferred
    $0 + $16,668 related
    Nontaxable benefits
    $0 + $21,413 related
    Filer's total
    $0 + $265,258 related

  • THOMAS CLARK

    DIR/PRES MERCYONE SIOUXLAND AT 2/23

    Total calculated
    $0
    Hours/week
    1 + 54 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 3
OAKLAND MERCY HOSPITAL (MERCYONE OAKLAND) IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. MERCYONE OAKLAND'S CEO IS PAID DIRECTLY BY TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF MERCYONE OAKLAND'S CEO: - 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, LINE 4B
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: BETH HUGHES - $63,059 RODNEY SCHLADER - $81,147 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING IS A PARTICIPANT IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($305,000 FOR 2022). DOUGLAS STRONG THERE WERE NO PAYOUTS FOR 2022 FOR THIS PARTICIPANT.

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
15 May 2024
IRS schema version
2022v5.0
Source object
202421369349302242

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