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Nonprofiteer
← CENTENNIAL MEDICAL GROUP INC

Form 990 for tax year 2023

Filed by CENTENNIAL MEDICAL GROUP INC.

Totals

Total revenue
$65,996,051
Total expenses
$80,025,149
Contributions and grants received
$200,000
Grants paid
$2,300
Program service revenue
not reported
Investment income
not reported
Other revenue
not reported
Total assets, end of year
not reported
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
not reported
Program services expenses (Part IX)
$74,929,676
Management and general expenses
$5,095,473
Fundraising expenses
$0
Program service expenses (Part III)
$74,929,676

Program services were 93.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • IBRAHIM OSMAN MD

    CARDIOLOGIST

    Total calculated
    $921,295
    From this org
    $876,415
    From related orgs
    $0
    Other
    $44,880
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $860,342
    Bonus
    $15,000
    Other
    $1,073
    Deferred
    $10,138
    Nontaxable benefits
    $34,742
    Filer's total
    $921,295

  • SUSAN WILLIAMS MD

    ORTHOPEDIST

    Total calculated
    $771,118
    From this org
    $729,326
    From related orgs
    $0
    Other
    $41,792
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $713,066
    Bonus
    $15,000
    Other
    $1,260
    Deferred
    $15,184
    Nontaxable benefits
    $26,608
    Filer's total
    $771,118

  • COURTNEY VIRGILIO MD

    CARDIOLOGIST

    Total calculated
    $728,562
    From this org
    $675,836
    From related orgs
    $0
    Other
    $52,726
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $658,346
    Bonus
    $15,000
    Other
    $2,490
    Deferred
    $18,440
    Nontaxable benefits
    $34,286
    Filer's total
    $728,562

  • ALEX WILLOUGHBY MD

    OPHTHALMOLOGIST

    Total calculated
    $717,313
    From this org
    $668,946
    From related orgs
    $0
    Other
    $48,367
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $640,316
    Bonus
    $16,500
    Other
    $12,130
    Deferred
    $19,175
    Nontaxable benefits
    $29,192
    Filer's total
    $717,313

  • GARY BRONSTEIN MD

    CARDIOLOGIST

    Total calculated
    $689,235
    From this org
    $634,935
    From related orgs
    $0
    Other
    $54,300
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $615,443
    Bonus
    $15,000
    Other
    $4,492
    Deferred
    $18,300
    Nontaxable benefits
    $36,000
    Filer's total
    $689,235

  • JASON GRAY

    SECRETARY/TREASURER/INTERIM PRES (THRU 10/1/23)

    Total calculated
    $600,396
    From this org
    $0
    From related orgs
    $548,027
    Other
    $52,369
    Hours/week
    10 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $415,538 related
    Bonus
    $0 + $129,926 related
    Other
    $0 + $2,563 related
    Deferred
    $0 + $19,175 related
    Nontaxable benefits
    $0 + $33,194 related
    Filer's total
    $0 + $600,396 related

  • ARIC GROSHONG

    BOARD CHAIR/PRESIDENT & CEO

    Total calculated
    $496,720
    From this org
    $476,462
    From related orgs
    $0
    Other
    $20,258
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $377,443
    Bonus
    $96,512
    Other
    $2,507
    Deferred
    $19,175
    Nontaxable benefits
    $1,083
    Filer's total
    $496,720

  • RUSSELL WOOLLEY

    BOARD MEMBER/CEO MERCY MEDICAL CENTER (BEG 10/2/23

    Total calculated
    $434,879
    From this org
    $0
    From related orgs
    $376,352
    Other
    $58,527
    Hours/week
    10 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $316,107 related
    Bonus
    $0 + $800 related
    Other
    $0 + $59,445 related
    Deferred
    $0 + $18,664 related
    Nontaxable benefits
    $0 + $39,863 related
    Filer's total
    $0 + $434,879 related

  • GREGORY JACKSON

    MKT VP OP FINANCE/INTERIM CFO (THRU 1/2/24)

    Total calculated
    $306,979
    From this org
    $0
    From related orgs
    $281,451
    Other
    $25,528
    Hours/week
    10 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $259,218 related
    Bonus
    $0 + $21,283 related
    Other
    $0 + $950 related
    Deferred
    $0 + $13,476 related
    Nontaxable benefits
    $0 + $12,052 related
    Filer's total
    $0 + $306,979 related

  • JAMIE POINDEXTER

    BOARD MEMBER/TREAS/CFO (BEG 1/2/24)

    Total calculated
    $385
    From this org
    $0
    From related orgs
    $0
    Other
    $385
    Hours/week
    10 + 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, 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

  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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)

PART I, LINE 3:
DURING THE CALENDAR YEAR 2023, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED BY CHI FRANCISCAN HEALTH, A RELATED ORGANIZATION AND PAID BY MERCY MEDICAL CENTER. FHS USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE; (5) WRITTEN EMPLOYMENT CONTRACT. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION.
PART I, LINE 4A:
CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY A NON-EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 WEEKS TO 52 WEEKS OF BASE COMPENSATION, DEPENDING ON THE EMPLOYEE'S POSITION AND TENURE, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY.
PART I, LINE 4B:
DURING THE 2023 CALENDAR YEAR, COMMONSPIRIT HEALTH ("COMMONSPIRIT") MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2023 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II.
PART I, LINE 7:
CERTAIN PHYSICIANS ARE ELIGIBLE FOR SIGNING AND RETENTION BONUSES. SECURING THE SERVICES OF SUCH PROFESSIONALS IS AN INDISPENSABLE PART OF CENTENNIAL MEDICAL GROUP, INC.'S (CMG) OPERATIONS. WITHOUT THE SERVICES OF THESE INDIVIDUALS, CMG WOULD BE SEVERELY LIMITED IN ITS ABILITY TO PROVIDE CARE TO MEMBERS OF OUR COMMUNITY. THEREFORE, IN CONJUNCTION WITH THE RECRUITMENT OF PHYSICIANS, CMG PROVIDES BONUSES TO CERTAIN PHYSICIANS. IN ADDITION, SEVERAL PHYSICIANS ARE ENTITLED TO INCENTIVE COMPENSATION BASED ON RVUS WORKED IN EXCESS OF A THRESHOLD AS STATED IN THEIR INDIVIDUAL EMPLOYMENT CONTRACTS. TOTAL PHYSICIAN COMPENSATION IS SET IN ADVANCE BY A COMMITTEE OF THE BOARD OF MERCY MEDICAL CENTER (MMC) USING IRC SECTION 4958 REBUTTABLE PRESUMPTION OF REASONABLENESS PROCEDURES. PHYSICIAN TOTAL COMPENSATION IS SUBJECT TO A CAP THAT ENSURES PHYSICIAN COMPENSATION REMAINS WITHIN FAIR MARKET VALUE.
PART II:
CENTENNIAL MEDICAL GROUP, INC. FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND COMMONSPIRIT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL, AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2023.

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

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
2023
Filed
9 May 2025
IRS schema version
2023v6.0
Source object
202501299349303180

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